SUSAN ROBERTSON DEVINE


Address: 4403 6th St, Lubbock, TX 79416
Phone: 8067911122

SUSAN ROBERTSON DEVINE (NPI# 1518986827) 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) 1518986827
Entity Type Individual
Full Name SUSAN ROBERTSON DEVINE
Credential MD
Practice Address 4403 6th St
Lubbock
TX 79416
Practice Telephone 8067911122
Practice Fax Number 8067912252
Mailing Telephone 8067911122
Mailing Fax Number 8067912252
Enumeration Date 2006-07-18
Last Update Date 2011-09-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist H9883 TX Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 089807402 05

Other Providers SUSAN DEVINE

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1376973826 Susan Devine Technician/Technologist 7960 W Rifleman St, #155, Boise, ID 83704-9064 2013-11-20
1831312578 Susan Marie Devine Nurse Practitioner 150 E Tyson Road, Quartzsite, AZ 85346 2007-04-11
1467590679 Susan J Devine Optometrist 44 Prospect Hill Rd, East Windsor, CT 06088-9501 2007-02-01
1770648248 Susan E Devine Clinical Nurse Specialist 34 Park St, Connecticut Mental Health Center, New Haven, CT 06519 2006-12-26
1629140371 Susan H. Devine Pediatrics 975 Sereno Dr, Vallejo, CA 94589-2441 2006-11-15

Office Location

Street Address 4403 6TH ST
City LUBBOCK
State TX
Zip Code 79416

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396297552 Veronica Lee Estrada Nurse Practitioner 4403 6th St, Lubbock, TX 79416-4733 2016-11-03
1003299850 Susan Robertson Devine Md Obstetrics & Gynecology 4403 6th St, Lubbock, TX 79416-4733 2015-06-29
1568840767 Susan R Devine Md Pa Dba Devine Obgyn Pa Obstetrics & Gynecology 4403 6th St, Lubbock, TX 79416-4733 2015-05-08
1164747960 Amber Marie Coon Obstetrics & Gynecology 4403 6th St, Lubbock, TX 79416-4733 2010-04-05

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699399675 Hannah Stewart Specialist 2202 93rd St, Lubbock, TX 79423-4338 2020-06-04
1336452598 Amanda Collins Specialist 4801 34th Street, Lubbock, TX 79410 2010-07-16
1194987404 Cheryl M Tyler Md Pa Specialist 3626 50th St, Lubbock, TX 79413-3994 2008-06-27
1912173345 Senior Medical Solutions, LLC Specialist 3518 26th St, Lubbock, TX 79410-2026 2008-05-06
1407031388 Valeri Gail Gatlin Specialist 5214 70th St, Lubbock, TX 79424-2018 2008-01-09
1275714479 William A Shaver, Md Pa Specialist 2405 Broadway, Lubbock, TX 79401-2918 2007-11-16
1558482471 Christine Aronoff M.d. P.a. Specialist 7727 Quaker Ave, Lubbock, TX 79424-3361 2007-04-02
1003950577 Windy Hills Therapy, Inc. Specialist 6921 Armadillo Rd, Lubbock, TX 79407-8045 2007-02-17
1467599613 Robert J Mamlok Specialist 5424 19th St, Suite #300, Lubbock, TX 79407-2162 2007-01-30
1548339310 Greg A. Nesteby Specialist 4433 34th St, Lubbock, TX 79410-2416 2006-11-07
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Competitor

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City LUBBOCK
Zip Code 79416

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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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