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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 374K00000X | Religious Nonmedical Practitioner | Nursing Service Related Providers |
Street Address |
3615 19TH ST |
City | LUBBOCK |
State | TX |
Zip Code | 79410-1203 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 79410 |
Taxonomy Code | 374K00000X |
Grouping | Nursing Service Related Providers |
Classification | Religious Nonmedical Practitioner |
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] |
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 |
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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.