LUBBOCK KIDNEY & BLOOD PRESSURE CLINIC P A (NPI# 1316958663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316958663 |
| Entity Type | Organization |
| Organization Name | LUBBOCK KIDNEY & BLOOD PRESSURE CLINIC P A |
| Practice Address |
1126 Slide Rd Suite 4b Lubbock TX 79416-5402 |
| Practice Telephone | 8067938447 |
| Practice Fax Number | 8067930498 |
| Mailing Telephone | 8067938447 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2013-05-16 |
| Authorized Official Name | DR. CLARENCE J WHEELER III (M.D. PRESIDENT) |
| Authorized Official Telephone | 8067938447 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BLUECROSS BLUESHIELD | 00DG98 | 01 |
| TX | 082186001 | 05 | |
| NM | G-8915 | 05 | |
| TX | PALAMETTO RAILROAD MEDICA | C12381 | 01 |
| Street Address |
1126 SLIDE RD SUITE 4B |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79416-5402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699776732 | Clarence Joseph Wheeler IIi | Specialist | 1126 Slide Rd, 4b, Lubbock, TX 79416-5402 | 2005-08-10 |
| 1669909404 | Lubbock Interventional Nephrology Associates | Clinic/Center | 1126 Slide Rd, Suite # 1, Lubbock, TX 79416-5462 | 2017-05-11 |
| 1992248512 | Lubbock Vascular Access Center | Clinic/Center | 1126 Slide Rd, Suite 1, Lubbock, TX 79416-5462 | 2016-11-30 |
| 1518233212 | The Kidney Care Center, LLC | Clinic/Center | 1126 Slide Rd, Suite 4b, Lubbock, TX 79416-5402 | 2012-03-27 |
| 1700018991 | Yvette Corinne Tomacruz | Internal Medicine | 1126 Slide Rd, Suite 4-b, Lubbock, TX 79416-5402 | 2009-08-20 |
| 1154545036 | Lubbock Kidney and Blood Pressure Clinic Pa | Durable Medical Equipment & Medical Supplies | 1126 Slide Rd, Suite 4-b, Lubbock, TX 79416-5402 | 2007-04-12 |
| 1447280664 | Southwest Medical Supply Co Inc. | Clinic/Center | 1126 Slide Rd, Suite 4b, Lubbock, TX 79416-5402 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
| 1821636481 | Chieh-an Chou | Specialist/Technologist | 201 N Winston Ave, Lubbock, TX 79416 | 2019-12-13 |
| 1790341949 | Michael Mcpherson, M.d. P.a. | Internal Medicine | 5406 Colgate St, Lubbock, TX 79416 | 2019-05-14 |
| 1154893675 | South Plains Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5406 Colgate Street, Lubbock, TX 79416 | 2018-12-21 |
| 1932697182 | Timothy Sampana | Student in an Organized Health Care Education/Training Program | 5217 Lehigh St, Lubbock, TX 79416 | 2018-04-24 |
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1013459809 | Isabel Garcia | Occupational Therapy Assistant | 1717 Northfolk Ave, #a, Lubbock, TX 79416 | 2016-11-09 |
| 1033589213 | Rehab Care | Skilled Nursing Facility | 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 | 2015-10-01 |
| 1902281306 | Carrillon | Clinic/Center | 1717 Norfold Bld A, Lubbock, TX 79416 | 2015-07-27 |
| Find all providers in zip 79416 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801955612 | Elsa N Bello Reuss | Internal Medicine | 3601 4th St Stop 9410, Lubbock, TX 79430-9410 | 2006-12-07 |
| 1902891815 | Larry A Warmoth | Internal Medicine | 3801 21st St Ste 200, Lubbock, TX 79410-1006 | 2005-09-16 |
| 1013423458 | Wt Kidney Care Associates, P.a. | Internal Medicine | 2424 Quaker Ave, Lubbock, TX 79410-1834 | 2017-12-21 |
| 1619421963 | Asad Yasin Al-rawashdeh | Internal Medicine | 3601 4th St, Ms 9410, Lubbock, TX 79430-0002 | 2016-08-03 |
| 1467762021 | James Todd Rose, M.d., P.a. | Internal Medicine | 4417 71st St, Suite 42, Lubbock, TX 79424-2394 | 2010-10-18 |
| 1083856512 | Kidney Disease Specialists of West Texas Pa | Internal Medicine | 3801 21st St Ste 200, Lubbock, TX 79410-1006 | 2009-03-30 |
| 1568670396 | Joel Dow Starnes IIi | Internal Medicine | 3506 21st St, Suite 607, Lubbock, TX 79410-1212 | 2007-05-17 |
| 1861481012 | Donald Everett Wesson | Internal Medicine | 3601 4th St, 4c201, Lubbock, TX 79430-0002 | 2005-10-20 |
| 1881683357 | Neil A. Kurtzman | Internal Medicine | 3601 4th St, Suite 4c201, Lubbock, TX 79430-9410 | 2005-10-18 |
| 1255320735 | Melvin E. Laski | Internal Medicine | 3601 4th St, Suite 4c201, Lubbock, TX 79430-9410 | 2005-10-18 |
| Find all providers in LUBBOCK | ||||
Please comment or provide details below to improve the information on LUBBOCK KIDNEY & BLOOD PRESSURE CLINIC P A.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.