Clinton G Wolboldt (NPI# 1851354567, PAC ID# 5597762104) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1851354567 |
| PAC ID by PECOS | 5597762104 |
| Professional Enrollment ID | I20061024000441 |
| Full Name | Clinton G Wolboldt |
| Organization Legal Name | COVENANT MEDICAL GROUP |
| Address |
2102 Oxford A Lubbock TX 79410 |
| Phone Number | 8067959300 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF OHIO |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 6901889393 |
| Number of Group Practice Members | 164 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2102 Oxford A, Lubbock, TX 79410 | 8067959300 | COVENANT MEDICAL GROUP |
| 2102 Oxford B, Lubbock, TX 79410 | 8067959878 | COVENANT MEDICAL GROUP |
| 2102 Oxford C, Lubbock, TX 79410 | 8067959300 | COVENANT MEDICAL GROUP |
| 2107 Oxford, Suite 300, Lubbock, TX 79410-1160 | 8067255855 | COVENANT MEDICAL GROUP |
| 2201 Oxford, Suite 203, Lubbock, TX 79410 | 8067959381 | COVENANT MEDICAL GROUP |
| 2215 Nashville, Lubbock, TX 79410-1105 | 8067950641 | COVENANT MEDICAL GROUP |
| 3420 22nd Place, Lubbock, TX 79410-1314 | 8067251800 | COVENANT MEDICAL GROUP |
| 3506 21st St, Lubbock, TX 79410-1212 | COVENANT MEDICAL GROUP | |
| 3506 21st St, Suite 605, Lubbock, TX 79410-1234 | 8067254130 | COVENANT MEDICAL GROUP |
| 3514 21st St, Lubbock, TX 79410-1210 | 8067925105 | COVENANT MEDICAL GROUP |
| 3514 21st St, Fl 6, Lubbock, TX 79410-1210 | 8067252220 | COVENANT MEDICAL GROUP |
| 3516 22nd Pl, Lubbock, TX 79410-1316 | 8067717222 | COVENANT MEDICAL GROUP |
| 3606 21st St, Suite 307, Lubbock, TX 79410-1225 | 8067250233 | COVENANT MEDICAL GROUP |
| 3606 21st St, Lubbock, TX 79410-1226 | COVENANT MEDICAL GROUP | |
| 3612 23rd St, Lubbock, TX 79410-1326 | 8067938787 | COVENANT MEDICAL GROUP |
| 3615 19th St, Lubbock, TX 79410-1894 | 8067251011 | COVENANT MEDICAL GROUP |
| 3621 22nd St, Lubbock, TX 79410-1301 | 8067918484 | COVENANT MEDICAL GROUP |
| 3710 21st St, Lubbock, TX 79410-1220 | 8067808003 | COVENANT MEDICAL GROUP |
| 3801 21st St, Suite 200, Lubbock, TX 79410-1006 | 8066870338 | COVENANT MEDICAL GROUP |
| 3825 22nd Pl, Lubbock, TX 79410-1117 | 8067912305 | COVENANT MEDICAL GROUP |
| 4000 24th St, Lubbock, TX 79410-1894 | 8067256000 | COVENANT MEDICAL GROUP |
| 4102 22nd Pl, Lubbock, TX 79410-1122 | 8067250237 | COVENANT MEDICAL GROUP |
| 4102 24th St, Suite 103, Lubbock, TX 79410-1800 | 8067255760 | COVENANT MEDICAL GROUP |
| 4102 24th St, Suite 201, Lubbock, TX 79410-1801 | 8067254030 | COVENANT MEDICAL GROUP |
| 4102 24th St, Suite 409, Lubbock, TX 79410-1804 | 8067257015 | COVENANT MEDICAL GROUP |
| 4102 24th St, Lubbock, TX 79410-1806 | COVENANT MEDICAL GROUP |
| Organization Legal Name | COVENANT MEDICAL GROUP |
| Physicians | 185 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan C Owen | Urology | Covenant Medical Group | 3612 23rd St, Lubbock, TX 79410-1326 |
| David F Oakes | Cardiac Electrophysiology | Covenant Medical Group | 3506 21st St, Suite 302, Lubbock, TX 79410-1212 |
| Kyler W Barkley | Cardiovascular Disease (cardiology) | Covenant Medical Group | 3514 21st St, Lubbock, TX 79410-1210 |
| Joshua G Hill | Family Medicine | Covenant Medical Group | 611 N Frankford Ave, Lubbock, TX 79416-1545 |
| Prakash Shrestha | Infectious Disease | Covenant Medical Group | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 |
| Stacy E Neudorf | Physician Assistant | Covenant Medical Group | 2201 Oxford, Lubbock, TX 79410 |
| Kia M Ousley | Family Medicine | Covenant Medical Group | 1910 Quaker Ave, Suite 101, Lubbock, TX 79407-2447 |
| Jana C Ashburn | Nurse Practitioner | Covenant Medical Group | 3606 21st St, Suite 103, Lubbock, TX 79410-1226 |
| Kate E Barnett | Physical Therapy | Covenant Medical Group | 4404 19th St, Suite C, Lubbock, TX 79407-2424 |
| Cristan D Ledbetter | Nurse Practitioner | Covenant Medical Group | 4102 22nd Pl, Lubbock, TX 79410-1122 |
| Street Address |
2102 OXFORD A |
| City | LUBBOCK |
| State | TX |
| Zip | 79410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison P Vaughn | Nurse Practitioner | Covenant Medical Group | 2102 Oxford A, Lubbock, TX 79410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacy E Neudorf | Physician Assistant | Covenant Medical Group | 2201 Oxford, Lubbock, TX 79410 |
| Amelia Jay | Nurse Practitioner | Covenant Medical Group | 2102 Oxford B, Lubbock, TX 79410 |
| Darla K Walker | Nurse Practitioner | Covenant Medical Group | 2201 Oxford, Lubbock, TX 79410 |
| Prakash Shrestha | Infectious Disease | Covenant Medical Group | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 |
| Larry A Warmoth | Nephrology | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 | |
| Melissa Mae Wotring-norman | Hospitalist | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 | |
| Paul S Singh | Obstetrics/gynecology | Covenant Medical Group | 3801 21st St, Suite 200, Lubbock, TX 79410-1006 |
| Lakhu J Rohra | Internal Medicine | 3802 21st St, Suite C, Lubbock, TX 79410-1011 | |
| Kevin Shane Mcalpin | Chiropractic | 3802 21st St, Suite A, Lubbock, TX 79410-1011 | |
| Joseph J Wolcott | Undersea and Hyperbaric Medicine | Joseph J Wolcott, Md Pa | 2002 Oxford Ave, Lubbock, TX 79410-1025 |
| Find all physicians in zip 79410 | |||
| City | LUBBOCK |
| Zip Code | 79410 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | LUBBOCK + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Clinton G Wolboldt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.