MR. JEREMY ROBERT DALTON


Address: 4102 24th St Ste 103, Lubbock, TX 79410-1800
Phone: 8067258760

MR. JEREMY ROBERT DALTON (NPI# 1578713244) 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) 1578713244
Entity Type Individual
Full Name MR. JEREMY ROBERT DALTON
Credential MD
Practice Address 4102 24th St Ste 103
Lubbock
TX 79410-1800
Mailing Address 3420 22nd Pl
Lubbock
TX 79410-1314
Practice Telephone 8067258760
Practice Fax Number 8067258205
Mailing Telephone 8067257800
Mailing Fax Number 8067236532
Enumeration Date 2008-09-30
Last Update Date 2008-10-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics M9237 TX Allopathic & Osteopathic Physicians

Other Providers JEREMY DALTON

NPI Name Taxonomy Address Enumeration
1629612114 Jeremy Scott Dalton Driver 2910 W 3rd St Apt 2, Duluth, MN 55806-3327 2019-10-29

Office Location

Street Address 4102 24TH ST STE 103
City LUBBOCK
State TX
Zip Code 79410-1800

Providers in the same zip code

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 Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689188484 Sarada Devi Narendran Pediatrics 9313 Salisbury Ave, Lubbock, TX 79424-5023 2017-12-01
1104237015 Coby Robins Pediatrics Ttuhsc, Department of Pediatrics, Lubbock, TX 79430-0002 2014-05-13
1801227483 Glenn Joseph Boris Pediatrics 3204 44th St, Lubbock, TX 79413-3506 2013-12-06
1508122110 Mirla L Avila Pediatrics 3601 4th Street, Ms 8321, Dept. of Neurology, Lubbock, TX 79430 2012-04-09
1437435856 West Texas Kid's Clinic, Pllc Pediatrics 5004 Frankford Ave Unit 400, Lubbock, TX 79424-1138 2011-10-31
1477864130 Rebekah Grace Phillips Pediatrics 3601 4th St Stop 9406, Department of Pediatrics Ttuhsc, Lubbock, TX 79430-0002 2010-06-28
1013243278 Jane Elizabeth Wheeler Pediatrics 4617 92nd St, Lubbock, TX 79424-5033 2009-10-22
1861636862 Celeste Xochitl Twelves Caballero Pediatrics 5202 82nd St, Lubbock, TX 79424-2823 2009-04-22
1306016019 Maurice Asmussen Pediatrics 1313 Broadway Ste 5, Lubbock, TX 79401-3209 2008-03-10
1942493150 Lesley Motheral Pediatrics 4004 82nd St Ste C, Lubbock, TX 79423-2065 2007-08-21
Find all providers in LUBBOCK

Competitor

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City LUBBOCK
Zip Code 79410

Improve Information

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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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