SOUTH CENTRAL PHYSICIANS PLLC (NPI# 1427611854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427611854 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTRAL PHYSICIANS PLLC |
| Practice Address |
1602 Avenue Q Lubbock TX 79401-4732 |
| Practice Telephone | 8882640330 |
| Mailing Telephone | 8882640330 |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2019-10-25 |
| Authorized Official Name | HARRY KYLE SHEETS (CEO) |
| Authorized Official Telephone | 8882640330 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 165 Beech Springs Rd, Jonesboro, LA 712512013 | 3182594435 | |
| 600 S Pine St, Deridder, LA 706344942 | 3374627100 | |
| 9400 Rhea County Hwy, Dayton, TN 373217922 | 4237751121 |
| Street Address |
1602 AVENUE Q |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79401-4732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083630610 | Concord Medical Group Pllc | Emergency Medicine | 1602 Avenue Q, Lubbock, TX 79401-4732 | 2006-07-15 |
| 1598260515 | Concord Radiology Pllc | Radiology | 1602 Avenue Q, Lubbock, TX 79401-4732 | 2018-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740688837 | Cody Painter | Student in an Organized Health Care Education/Training Program | 43021 6th and Boston, Lubbock, TX 79401 | 2014-12-05 |
| 1730412511 | Chiara Eberhardt | Counselor | 1614 Ave K, Lubbock, TX 79401 | 2009-09-11 |
| 1528265535 | City of Lubbock | Clinic/Center | 80618th Street, Lubbock, TX 79401 | 2007-07-02 |
| 1184784084 | Cc Home Health of Lubbock LLC | Technician | 2118 Broadway Ave, Lubbock, TX 79401 | 2006-12-11 |
| 1003997768 | Charles Hudson | Family Medicine | Concord Medical Group, 1602 Avenue Q, Lubbock, TX 79401 | 2006-10-18 |
| 1003904376 | Thi of Texas At Lubbock II, LLC | Skilled Nursing Facility | 1401 9th Street, Lubbock, TX 79401 | 2006-10-11 |
| 1174514681 | United Supermarkets LLC | Pharmacy | 1610 5th St, Lubbock, TX 79401 | 2005-11-03 |
| 1669470332 | Jose A Suarez | Internal Medicine | 1655 Main St Ste 201, Lubbock, TX 79401 | 2005-07-07 |
| 1225696362 | Heather Leigh Robertson | Dietitian, Registered | 1628 19th St, Lubbock, TX 79401 | 2019-06-04 |
| 1912411091 | Josi Gwin | Speech-Language Pathologist | 1628 19th St, Lubbock, TX 79401 | 2017-11-28 |
| Find all providers in zip 79401 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881608040 | Lara W. Johnson | Hospitalist | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2006-07-27 |
| 1932620119 | Sonia Joseph Durham | Hospitalist | 3601 4th St Stop 9406, Lubbock, TX 79430-9406 | 2017-06-28 |
| 1699205682 | Rebekah L Wells | Hospitalist | 602 Indiana Ave, Lubbock, TX 79415 | 2017-06-13 |
| 1396156857 | Caleb John Cook | Hospitalist | 4015 22nd Pl, Lubbock, TX 79410 | 2014-05-17 |
| 1477821106 | Theophilus O Olumese | Hospitalist | 3506 21st St, Suite 605, Lubbock, TX 79410-1212 | 2011-12-08 |
| 1730476052 | Ngozi Eboh | Hospitalist | 4015 22nd Pl, Lubbock, TX 79410 | 2011-07-07 |
| 1093009631 | Shaughn Michael Nunez | Hospitalist | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2011-05-31 |
| 1164736955 | Khaled Ali B Sherif | Hospitalist | 3615 19th St, Box 162, Lubbock, TX 79410-1203 | 2010-08-04 |
| 1528389061 | Audra Bowman | Hospitalist | 4015 22nd Pl, Lubbock, TX 79410-1119 | 2010-06-18 |
| 1578889051 | Summer Danielle Davies | Hospitalist | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2010-04-09 |
| Find all providers in LUBBOCK | ||||
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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.