REGAL PARK MEDICAL CENTER - NPI 1235495102 - Family Medicine in Lubbock, TX

Q: What is Kirk J Tiemann,md,pa's NPI number?

The NPI number for Kirk J Tiemann,md,pa is 1235495102. It was assigned to this organization in the NPPES registry on April 5, 2012. The provider is doing business as Regal Park Medical Center.

Q: What is Kirk J Tiemann,md,pa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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About Regal Park Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGAL PARK MEDICAL CENTER (NPI 1235495102) is a healthcare organization registered as a family medicine in Lubbock, Texas and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through July 17, 2028 and lists Kirk J Tiemann, Owner, as its authorized official.

NPPES Registry Identity

NPI1235495102

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameKIRK J TIEMANN,MD,PA

Location Address8214 MILWAUKEE AVELubbock, TX 79424-0923

Mailing Address8214 Milwaukee AveLubbock, TX 79424 · (806) 795-6421 · Fax (806) 795-1528

Phone(806) 795-6421

Fax(806) 795-1528

Organization SubpartNo

Authorized OfficialKirk J TiemannOwner · (806) 795-6421

Enumeration DateApril 5, 2012

Last NPPES UpdateFebruary 25, 2015

✔ NPI 1235495102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · M9059

Definition

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.

8214 MILWAUKEE AVE, Lubbock, TX 79424

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Other Names 1

Doing Business AsRegal Park Medical Center

Group Practice 1

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2044204

Kirk J Tiemann MD PA · Lubbock, TX

Active · expires Jul 17, 2028

CLIA Number45D2044204

Laboratory TypePhysician Office

Certificate Effective DateJuly 18, 2026

Certificate Expiration DateJuly 17, 2028

Laboratory DirectorKirk J. Tiemann

Laboratory Phone(806) 795-6421

Laboratory LocationKirk J Tiemann MD PA8214 Milwaukee Ave, Lubbock, TX 79424

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BERTRAND BODO NP

Nurse Practitioner (Acute Care)

8214 MILWAUKEE AVE, STE 200
LUBBOCK, TX 79424

Lubbock County (806) 475-5544

DR. KIRK JON TIEMANN M.D.

Family Medicine