TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER AMARILLO (NPI# 1881885168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881885168 |
| Entity Type | Organization |
| Organization Name | TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER AMARILLO |
| Practice Address |
1400 S Coulter St Amarillo TX 79106-1786 |
| Mailing Address |
1400 Wallace Blvd Attn: Credentialing Dept Amarillo TX 79106-1708 |
| Practice Telephone | 8064149566 |
| Practice Fax Number | 8063545672 |
| Mailing Telephone | 8064149566 |
| Mailing Fax Number | 8063564673 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2020-04-22 |
| Authorized Official Name | DENISE RUSSELL (UNIT MANAGER) |
| Authorized Official Telephone | 8064149566 |
| Authorized Official Credential | CPCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 291U00000X | Clinical Medical Laboratory | Laboratories | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679841134 | Texas Tech University Health Sciences Center Amarillo | Clinical Medical Laboratory | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2011-12-12 |
| 1790838357 | Texas Tech University Health Sciences Center Amarillo | Physical Therapist | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2007-01-18 |
| 1841201092 | Texas Tech University Health Sciences Center Amarillo | Clinical Medical Laboratory | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2006-08-11 |
| 1255365375 | Texas Tech University Health Sciences Center Amarillo | Clinical Medical Laboratory | 1400 Wallace Blvd, Amarillo, TX 79106-1708 | 2006-07-11 |
| 1043245178 | Texas Tech University Health Sciences Center Amarillo | Clinical Medical Laboratory | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2006-07-11 |
| 1013942150 | Texas Tech University Health Sciences Center Amarillo | Clinical Medical Laboratory | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2006-07-11 |
| 1033144175 | Texas Tech University Health Sciences Center Amarillo | Clinical Medical Laboratory | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2006-07-11 |
| 1871525840 | Texas Tech University Health Sciences Center Amarillo | Clinical Medical Laboratory | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2006-07-07 |
| 1386675940 | Texas Tech University Health Sciences Center Amarillo | Clinical Medical Laboratory | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2006-07-05 |
| Street Address |
1400 S COULTER ST |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-1786 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980057 | Jack D Waller | Specialist | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2005-05-31 |
| 1992311385 | Karlyn Hood | Pharmacist | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-09-21 |
| 1083225866 | Roa Ali Eliyan Bashtawi | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-08-13 |
| 1063040020 | Mohammed Adib Tanbir | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-03-27 |
| 1558998898 | Joshua Anthony Sorenson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-03-26 |
| 1740815943 | Udhaya Aelety | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-03-08 |
| 1831720341 | Nicole Moreno | Pharmacist | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2020-02-03 |
| 1891347399 | Baptist Saint Anthony Health System | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2019-07-15 |
| 1134771645 | Daniyah Ali Elagi | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2019-07-15 |
| 1861055782 | Jankikeerthika Muthukaruppan Dharmarpandi | Student in an Organized Health Care Education/Training Program | 1400 S Coulter St, Amarillo, TX 79106-1786 | 2019-04-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760949200 | Joy Medical Clinic Pllc | Family Medicine | 4310 S Western St Unit E, Amarillo, TX 79109-6036 | 2019-02-20 |
| 1679929723 | Megan Maguire Marshall Scott | Family Medicine | Regence Health Network, 3113 Ross St., Amarillo, TX 79103 | 2016-05-08 |
| 1013276088 | Fmc Medical Foundation, Inc. | Family Medicine | 7306 Sw 34th Ave, Unit 4, Amarillo, TX 79121-1423 | 2012-05-11 |
| 1629364435 | Sarah Christine Lozano | Family Medicine | 1900 S Coulter St Ste A, Amarillo, TX 79106-1785 | 2011-06-21 |
| 1508151309 | Anastacia J Nix | Family Medicine | 2329 Ross Osage St, Amarillo, TX 79103 | 2011-06-09 |
| 1932350550 | Preventative Healthcare Institute, LLC | Family Medicine | 1920 Medi Park Dr Ste 2, Amarillo, TX 79106-2111 | 2008-10-01 |
| 1750562450 | Drs. Stout & Cotton | Family Medicine | 2300 W 7th Ave, Amarillo, TX 79106-6623 | 2007-11-21 |
| 1861689572 | Cristiane Campos Ennis | Family Medicine | 1901 Medi Park Dr 103, Amarillo, TX 79106-2106 | 2007-09-26 |
| 1043405913 | Wesley Scott Nickens | Family Medicine | 603 Quail Creek Dr Spc 300, Amarillo, TX 79124 | 2007-09-12 |
| 1336360452 | Earl C. Hoffer | Family Medicine | Pantex Plant Fm 2373 At Hwy 60, Amarillo, TX 79120 | 2007-05-02 |
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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.