Covenant Health System (NPI# 1548215379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1548215379 |
| Entity Type | Organization |
| Organization Name | COVENANT HEALTH SYSTEM |
| Other Organization Name | JOE ARRINGTON CANCER RESEARCH AND TREATMENT CENTER |
| Practice Address |
4101 22nd Pl Lubbock TX 79410-1121 |
| Practice Telephone | 8067258000 |
| Practice Fax Number | 8067236033 |
| Mailing Address |
4101 22nd Pl Lubbock TX 79410-1121 |
| Mailing Telephone | 8067258000 |
| Mailing Fax Number | 8067236033 |
| Authorized Official Name | Kristen Kothmann (COO) |
| Authorized Official Telephone | 8067258000 |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2011-09-27 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 207RH0003X | Internal Medicine · Hematology & Oncology | Allopathic & Osteopathic Physicians |
| State | Identifier | Issuer | Type Code |
|---|---|---|---|
| TX | 092286601 | MEDICAID |
| Other Name | Type Code |
|---|---|
| Joe Arrington Cancer Research and Treatment Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720542632 | Covenant Health System | Ambulance | 4014 22nd Pl Ste 11, Lubbock, TX 79410-1127 | 2019-01-24 |
| 1033272497 | Covenant Health System | Psychiatric Hospital | 4000 22nd Pl, Lubbock, TX 79410-1894 | 2006-12-18 |
| 1073502381 | Covenant Health System | Home Health | 5828 Sebastian Pl, Suite 107, San Antonio, TX 78249-2229 | 2005-10-19 |
| 1104815414 | Covenant Health System | Home Health | 8140 N Mopac Expy, Building 2 Suite 150, Austin, TX 78759-8837 | 2005-10-19 |
| 1871582460 | Covenant Health System | Home Health | 2101 W 24th St, Plainview, TX 79072-2041 | 2005-10-17 |
| 1619966207 | Covenant Health System | Home Health | 1308 Teasley Ln, Denton, TX 76205-7946 | 2005-10-17 |
| 1184613770 | Covenant Health System | Home Health | 2103 W Michigan Ave, Midland, TX 79701-5927 | 2005-10-17 |
| 1629288238 | Covenant Health System | Substance Abuse Rehabilitation Facility | 4000 24th St, Lubbock, TX 79410-1894 | 2007-05-23 |
| 1619197696 | Covenant Health System | Ambulance | 3615 19th St, Lubbock, TX 79410-1203 | 2007-05-01 |
| 1871710202 | Covenant Health System | Clinic/Center | 3615 19th St, Lubbock, TX 79410-1203 | 2007-04-19 |
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| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316900020 | Donald Paul Quick | Internal Medicine | 4101 22nd Place, Lubbock, TX 79410 | 2006-04-11 |
| 1750607792 | Methodist Children's Hospital | Internal Medicine | 4015 22nd Pl, Lubbock, TX 79410 | 2010-04-15 |
| 1023233756 | Diane Duyen T Nguyen | Internal Medicine | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2007-04-16 |
| 1295857720 | Hilal Mahmood Fanasch | Internal Medicine | 602 Indiana Ave, Southwest Cancer Center, Lubbock, TX 79415-3364 | 2007-04-04 |
| 1689746448 | Davor Vugrin | Internal Medicine | 2232 Indiana Ave, Suite 102, Lubbock, TX 79410-2139 | 2006-11-15 |
| 1992896633 | Radiation Oncology of The South Plains, P.a. | Internal Medicine | 4002 21st St, Ste A, Lubbock, TX 79410-1135 | 2006-09-27 |
| 1053329912 | Victoria Joan Dorr | Internal Medicine | 2412 50th St, Lubbock, TX 79412-2504 | 2006-08-04 |
| 1194713354 | Everardo Cobos | Internal Medicine | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205399961 | Christus Health Ark-la-tex | Internal Medicine | 5002 Cowhorn Creek Rd Ste 3205, Texarkana, TX 75503-9766 | 2019-04-10 |
| 1861958704 | Thi of Texas At Samaritan Hospice LLC | Internal Medicine | 12001 N Central Expy Ste 550, Dallas, TX 75243-3943 | 2019-02-15 |
| 1417485822 | Ahmad Ghorab | Internal Medicine | 1515 Holcombe Blvd #1445, Houston, TX 77030 | 2017-05-30 |
| 1063952943 | Irfan Jawed Md Pllc | Internal Medicine | 4102 Woodlawn Avenue, Ste 160, Pasadena, TX 77504 | 2017-02-27 |
| 1366981615 | Houston Cancer Treatment Centers Pa. | Internal Medicine | 4102 Woodlawn Ave Ste 160, Pasadena, TX 77504-1922 | 2017-02-20 |
| 1508222720 | Maurizio Bendandi | Internal Medicine | 6722 Mimosa Ln, Dallas, TX 75230-5214 | 2016-01-04 |
| 1245642073 | Juan Francisco Garza | Internal Medicine | 3333 Bayshore Blvd Ste 320, Pasadena, TX 77504-1950 | 2014-05-28 |
| 1124463211 | Oluchi Oke | Internal Medicine | 1515 Holcombe Blvd Unit 463, Division of Cancer Medicine, Houston, TX 77030-4000 | 2013-05-03 |
| 1710229323 | Adaeze Nwosu- Iheme | Internal Medicine | 2700 Citizens Plz Ste 200, Victoria, TX 77901-5756 | 2013-03-21 |
| 1144570599 | Gummadi & Desai LLC | Internal Medicine | 2717 Michael Angelo Ste 302, Edinburg, TX 78539-1409 | 2012-09-13 |
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| Street Address |
4101 22ND PL |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841271574 | Thomas Neumann | Radiology | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2005-11-09 |
| 1982262028 | Carol A Frentress | Nurse Practitioner | 4101 22nd Pl, Lubbock, TX 79410 | 2019-06-04 |
| 1053821207 | Stacy Lynn Hughes | Nurse Practitioner | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2017-10-02 |
| 1417401415 | Jamie Greer | Nurse Practitioner | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2016-08-08 |
| 1225498819 | Tiffany Hale | Nurse Practitioner | 4101 22nd Pl, 204, Lubbock, TX 79410-1121 | 2016-02-25 |
| 1134513054 | David Kirk Jenkins | Radiology | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2015-03-28 |
| 1376955435 | Gabriel Axelrud | Radiology | 4101 22nd Pl, Lubbock, TX 79410 | 2014-05-23 |
| 1891037388 | Lindsey L. Purdy | Nurse Practitioner | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2013-03-22 |
| 1780922096 | Kelli Jo Whitten | Nurse Practitioner | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2013-01-21 |
| 1205130218 | Jehanzeb Riaz | Internal Medicine | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2011-01-05 |
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| 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. | 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 |
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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.