DR. TONY BRYAN SMITHERMAN (NPI# 1578567186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578567186 |
| Entity Type | Individual |
| Full Name | DR. TONY BRYAN SMITHERMAN |
| Credential | M.D. |
| Practice Address |
4642 N Loop 289 Ste 101 Lubbock TX 79416-2422 |
| Practice Telephone | 8067974985 |
| Practice Fax Number | 8067928588 |
| Mailing Telephone | 8067974985 |
| Mailing Fax Number | 8067928588 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2008-02-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | J4530 | TX | Other Service Providers |
| Street Address |
4642 N LOOP 289 STE 101 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79416-2422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475372 | Patrick F Molligan | Orthopaedic Surgery | 4642 N Loop 289, Ste 219, Lubbock, TX 79416-2425 | 2005-05-27 |
| 1902358559 | Amy Hopkins | Nurse Practitioner | 4642 N Loop 289, Suite 215, Lubbock, TX 79416-2409 | 2016-10-31 |
| 1417326547 | Mika Polly | Nurse Practitioner | 4642 N Loop 289, Ste 211, Lubbock, TX 79416-2425 | 2015-09-18 |
| 1508201526 | Physical Therapy Today of Lubbock, Lp | Physical Therapist | 4642 N Loop 289, Suite 205, Lubbock, TX 79416-2409 | 2013-05-03 |
| 1568646925 | Lisa Marie Wray | Nurse Practitioner | 4642 N Loop 289, Suite 219, Lubbock, TX 79416-2409 | 2007-12-20 |
| 1417140641 | Shamima Sattar | Internal Medicine | 4642 N Loop 289, Lubbock, TX 79416-2409 | 2007-08-21 |
| 1740338433 | Julius Lyonga | Physician Assistant | 4642 N Loop 289, Suite 101, Lubbock, TX 79416-2409 | 2007-01-08 |
| 1962568642 | Carlos Rizo-patron | Internal Medicine | 4642 N Loop 289, Ste. 215, Lubbock, TX 79416-2409 | 2006-12-28 |
| 1093873176 | Center for Orthopedic Surgery L.l.p. | Orthopaedic Surgery | 4642 N Loop 289, Suite 101, Lubbock, TX 79416-2409 | 2006-12-04 |
| 1306932116 | Darla F Gleaves | Specialist/Technologist | 4642 N Loop 289, Suite 101, Lubbock, TX 79416-2409 | 2006-10-05 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 79416 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| 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 |
| 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.