EPHRAIM JOSEPH ANDERSON


Address: 3615 19th St, Lubbock, TX 79410-1203
Phone: 8067250000

EPHRAIM JOSEPH ANDERSON (NPI# 1336778711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336778711
Entity Type Individual
Full Name EPHRAIM JOSEPH ANDERSON
Practice Address 3615 19th St
Lubbock
TX 79410-1203
Mailing Address 512 N Evanston Ave Apt 1
Lubbock
TX 79416-3917
Practice Telephone 8067250000
Mailing Telephone 2162033653
Enumeration Date 2020-04-07
Last Update Date 2020-04-07
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 374K00000X Religious Nonmedical Practitioner Nursing Service Related Providers

Office Location

Street Address 3615 19TH ST
City LUBBOCK
State TX
Zip Code 79410-1203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144217100 Thelma Wong Sutter Specialist 3615 19th St, Lubbock, TX 79410-1203 2005-10-04
1831798685 Jacob Don Paul Nurse Practitioner 3615 19th St, Lubbock, TX 79410-1203 2020-10-22
1275188229 Emily White Registered Nurse 3615 19th St, Lubbock, TX 79410-1203 2019-08-06
1811456569 Melinda Dixon Nurse Practitioner 3615 19th St, Lubbock, TX 79410-1209 2019-03-12
1134693880 Alexandra D Bates Nurse Practitioner 3615 19th St, Lubbock, TX 79410-1203 2019-01-16
1790256915 Alyssa Taylor Pharmacist 3615 19th St, Lubbock, TX 79410-1209 2018-12-16
1346723517 Matthew E Heers Physical Therapy Assistant 3615 19th St, Lubbock, TX 79410-1203 2018-09-12
1417468992 Tyler Little Physician Assistant 3615 19th St, Lubbock, TX 79410-1203 2017-10-23
1598294712 David Marsh Emergency Medicine 3615 19th St, Lubbock, TX 79410-1203 2017-06-09
1407382914 Anje Mari Juan Pharmacist 3615 19th St, Lubbock, TX 79410-1203 2017-05-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548878267 Covenant Medical Center Clinic/Center 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 2020-07-20
1669038626 Hub City Anesthesia Nurse Anesthetist, Certified Registered 3416 22nd Street, Lubbock, TX 79410 2019-05-15
1912447418 Lubbock Surgery Center, LLC Clinic/Center 3416 22nd St, Lubbock, TX 79410 2017-03-02
1871032698 Lezlee Berry Pharmacist 3615 19th Street, Lubbock, TX 79410 2017-02-13
1376914101 Matthew Cotton Nurse Practitioner 2424 Quaker Ave, Lubbock, TX 79410 2015-10-20
1841534864 Frank Nwabugwu Pharmacist 4120 34th Street, Lubbock, TX 79410 2012-11-15
1689954794 Dharmendra Kumar Pediatrics Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 2011-08-19
1518277177 T.r.m. Rao, M.d., P.a. Colon & Rectal Surgery 3809 22nd Street, Suite C, Lubbock, TX 79410 2010-10-18
1700196672 Hanford Consultations P.a. Family Medicine 4000 22nd Place Suite 100, Lubbock, TX 79410 2010-10-13
1336452598 Amanda Collins Specialist 4801 34th Street, Lubbock, TX 79410 2010-07-16
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Taxonomy Information

Taxonomy Code 374K00000X
Grouping Nursing Service Related Providers
Classification Religious Nonmedical Practitioner

Taxonomy Definition

A religious nonmedical practitioner offers spiritually-based care. Services may be rendered in an office, home, or care facility or by phone, email, or written correspondence.
Notes: Source: National Uniform Claim Committee , 2009 [7/1/2009: definition added]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902407158 Heidi Katherine Iratcabal Religious Nonmedical Practitioner 6484 Lontos Dr, Dallas, TX 75214-6317 2020-11-04
1467065730 Francia Noble Religious Nonmedical Practitioner 6150 Alma Rd Apt 2333, Mckinney, TX 75070-7327 2020-08-26
1053894600 Elisha Mudzana Religious Nonmedical Practitioner 7116 Libby Rd # 4253, Plano, TX 75024-4937 2018-09-10
1285116137 Save Our Ship Marooms LLC Religious Nonmedical Practitioner 3595 Grand St, Beaumont, TX 77703-3517 2018-09-06
1790039659 Honor Ramsay Hill Religious Nonmedical Practitioner 4328 Shenandoah St, Dallas, TX 75205-2026 2012-10-30
1235402447 Keith Austin Wommack Religious Nonmedical Practitioner 514 Ronson Dr, Corpus Christi, TX 78412-3152 2012-02-17

Competitor

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City LUBBOCK
Zip Code 79410

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Dataset Information

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.

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