ANCESLO IDICULA (NPI# 1528446572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528446572 |
| Entity Type | Individual |
| Full Name | ANCESLO IDICULA |
| Credential | MD |
| Practice Address |
3601 4th St # Ms 8312 Lubbock TX 79430-0002 |
| Practice Telephone | 8067432373 |
| Practice Fax Number | 8067434354 |
| Mailing Telephone | 8067432373 |
| Mailing Fax Number | 8067434354 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-05-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | BP10052704 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3601 4TH ST # MS 8312 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79430-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346628302 | Mary Scheerer | Surgery | 3601 4th St # Ms 8312, Lubbock, TX 79430-0002 | 2015-05-11 |
| 1245899632 | Zaina Habrawi | Student in an Organized Health Care Education/Training Program | 3601 4th St # Ms 8312, Lubbock, TX 79430-0002 | 2019-06-10 |
| 1881259380 | Adel Alhaj Saleh | Student in an Organized Health Care Education/Training Program | 3601 4th St # Ms 8312, Lubbock, TX 79430-0002 | 2019-05-09 |
| 1982197190 | Vidhur Rai Sohini | Student in an Organized Health Care Education/Training Program | 3601 4th St # Ms 8312, Lubbock, TX 79430-0002 | 2018-06-12 |
| 1023539426 | Rahul Mahendra Varman | Otolaryngology | 3601 4th St # Ms 8312, Lubbock, TX 79430-0002 | 2017-07-06 |
| 1831631605 | Michael Garcia | Nurse Practitioner | 3601 4th St # Ms 8312, Lubbock, TX 79430-1802 | 2016-11-10 |
| 1831577873 | Robert Grand | Surgery | 3601 4th St # Ms 8312, Lubbock, TX 79430-0002 | 2015-05-11 |
| 1053799098 | Michelle Estrada | Surgery | 3601 4th St # Ms 8312, Lubbock, TX 79430-0002 | 2015-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702473 | Emily Bouffard | Student in an Organized Health Care Education/Training Program | 3601 4th Street Mail Stop 8143, Lubbock, TX 79430 | 2020-05-27 |
| 1891350310 | Erin Leigh Burton | Student in an Organized Health Care Education/Training Program | 3601 Fourth Street, Department of Surgery Ms 8312, Lubbock, TX 79430 | 2019-05-09 |
| 1851861439 | Zachery Brian Sneed | Counselor | 3b310, 3601 4th St Stop 6225, Lubbock, TX 79430 | 2018-11-27 |
| 1831683481 | Swagat Parajulee | Student in an Organized Health Care Education/Training Program | 3601 4th St., Stop 9410, Office 4b076, Lubbock, TX 79430 | 2018-06-18 |
| 1649711904 | William David Boothe Jr. | Dermatology | 3601 4th St Stop 6211, Lubbock, TX 79430 | 2017-03-19 |
| 1982144945 | Kazutaka Araki | Specialist/Technologist | 3601, 4th St, Lubbock, TX 79430 | 2017-02-24 |
| 1659725125 | Thomas Gregory Wyatt | Student in an Organized Health Care Education/Training Program | 3601 4th St Rm 3a122b, Lubbock, TX 79430 | 2016-04-20 |
| 1619391760 | Chinyere Mbagwu | General Practice | 3601 4th St # Ms 8143, Lubbock, TX 79430 | 2014-02-10 |
| 1982044111 | Eileen Mary Sprys | Family Medicine | 3601 4th St., Stop 8143, Lubbock, TX 79430 | 2013-07-02 |
| 1205196243 | Hilmi Alam | Family Medicine | Department of Family & Community Medicine, 3601 4th Street, Stop 8143, Lubbock, TX 79430 | 2012-05-24 |
| Find all providers in zip 79430 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093194292 | John Mark Chauncey | Surgery | 2505 31st St, Lubbock, TX 79410-3427 | 2015-05-21 |
| 1346628302 | Mary Scheerer | Surgery | 3601 4th St # Ms 8312, Lubbock, TX 79430-0002 | 2015-05-11 |
| 1427324094 | Brian J Norkiewicz Md Pa | Surgery | 3711 22nd St Ste C, Lubbock, TX 79410-1303 | 2012-03-28 |
| 1194968867 | Rebeccah Bradshaw Baucom | Surgery | Texas Tech Physicians 3601 4th Street 4th Floor, Lubbock, TX 79430 | 2009-04-10 |
| 1578709390 | Sandra Dickerson Md Pa | Surgery | 5004 Frankford Ave, Suite 400, Lubbock, TX 79424-1131 | 2008-12-29 |
| 1427294560 | Robyn Elizabeth Richmond | Surgery | 3601 4th St Stop 8312, Lubbock, TX 79430-8312 | 2008-12-19 |
| 1508038332 | Eric Christopher Minns | Surgery | 10202 Quaker Ave, #100, Lubbock, TX 79424 | 2008-04-01 |
| 1316156284 | Desirae M Mckee | Surgery | 5613 114th, Lubbock, TX 79424 | 2007-05-21 |
| 1821119926 | Turlapati Ramamohan Rao | Surgery | 3809 22nd St, Suite C, Lubbock, TX 79410-1198 | 2007-04-03 |
| 1972661742 | G. Baird Helfrich, M.d., P.a. | Surgery | 3606 21st Street, Suite 104, Lubbock, TX 79410 | 2006-12-05 |
| Find all providers in LUBBOCK | ||||
Please comment or provide details below to improve the information on ANCESLO IDICULA.
| 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.