JOHNNY QUBTY, MD, PA (JOHNNY QUBTY, MD, PA) NPI 1023297371

Pain Medicine (Interventional Pain Medicine) in Lubbock, TX

NPI 1023297371 Organization Pain Medicine Interventional Pain Medicine

About JOHNNY QUBTY, MD, PA (JOHNNY QUBTY, MD, PA)

Johnny Qubty, Md, Pa (johnny Qubty, Md,pa) is a provider established in Lubbock, Texas specializing in pain medicine (interventional pain medicine) . The NPI number of Johnny Qubty, Md, Pa (johnny Qubty, Md,pa) is 1023297371 and was assigned on November 2007. The practitioner's primary taxonomy code is 208VP0014X with license number H2703 (TX). The provider is registered as an organization and their NPI record was last updated 14 years ago. Johnny Qubty, Md, Pa (johnny Qubty, Md,pa) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Johnny Qubty, Md, Pa. The authorized official of this NPI record is Vickey R. Cooper Cpc (Billing Administrator)

NPI

1023297371

Provider NameJOHNNY QUBTY, MD, PA (JOHNNY QUBTY, MD,PA)
Provider Location Address3601 21ST ST SUITE 3-A LUBBOCK, TX 79410
Provider Mailing Address3601 21ST ST SUITE 3-A LUBBOCK, TX 79410
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameJOHNNY QUBTY, MD, PA
Other Name TypeDoing Business As (3)
Enumeration Date11-02-2007
Last Update Date11-02-2007


Primary Taxonomy

Taxonomy Code208VP0014X
ClassificationPain Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationInterventional Pain Medicine
License No.H2703
License StateTX
Taxonomy DescriptionInterventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Business Address

JOHNNY QUBTY, MD, PA
3601 21ST ST
SUITE 3-A
LUBBOCK, TX
ZIP 79410
Phone: (806) 771-7877
Fax: (806) 771-7474

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Mailing Address

JOHNNY QUBTY, MD, PA
3601 21ST ST
SUITE 3-A
LUBBOCK, TX
ZIP 79410
Phone: (806) 771-5205
Fax: (806) 771-7474



Authorized Official

Authorized Official Name VICKEY R. COOPER CPC
Authorized Official TitleBILLING ADMINISTRATOR
Authorized Official Phone(806) 771-5205

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
00446WMEDICARE PIN (08)TX

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184695538DR. JOHNNY A QUBTY MEDICAL DOCTOR
Individual
Pain Medicine (Interventional Pain Medicine)3601 21ST ST SUITE 3-A
LUBBOCK, TX 79410
(806) 771-7877
1689096166 CHASIDY MARQUIS FNP
Individual
Nurse Practitioner (Family)3601 21ST ST
LUBBOCK, TX 79410

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.