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LUBBOCK SPORTS MEDICINE ASSOCIATES
NPI 1902842404
Specialist in Lubbock, TX

Active since June 22, 2006
4110 22ND PL, LUBBOCK, TX 79410(806) 792-4329(806) 792-9466 Get Directions Write a Review

NPPES record last updated: June 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lubbock Sports Medicine Associates NPPES

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

LUBBOCK SPORTS MEDICINE ASSOCIATES (NPI 1902842404) is a healthcare organization registered as a specialist in Lubbock, Texas and active in the NPI registry since June 2006. The organization lists Robert Thomas Hendricks, Administrator, as its authorized official.

NPPES Registry Identity

NPI1902842404
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCSK MEDICAL PARTNERS
Location Address4110 22ND PLLubbock, TX 79410-1122
Mailing Address4110 22nd PlLubbock, TX 79410-1122 · (806) 792-4329 · Fax (806) 792-9466
Phone(806) 792-4329
Fax(806) 792-9466
Organization SubpartNo
Authorized OfficialRobert Thomas HendricksAdministrator · (806) 792-4329
Enumeration DateJune 22, 2006
Last NPPES UpdateJune 28, 2012
✔ NPI 1902842404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4110 22ND PL, Lubbock, TX 79410
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Other Names 1

Doing Business AsLubbock Sports Medicine Associates

Other Identifiers 11

Medicare OSCAR/certification00K865
Medicare NSC0472270001TX
Other0472270001Dmerc
Medicare OSCAR/certification611517
Medicare PIN00657YTX
Medicare PIN00657Y
Other0080EHBlue Cross/blue Shield Of Texas
Medicare OSCAR/certification00657Y
Medicare OSCAR/certification00JY32
Medicare OSCAR/certification0062BU
Medicare PIN00K865TX

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 45D1028036

Lubbock Sports Medicine Associates · Lubbock, TX
Expired · Jul 19, 2026
CLIA Number45D1028036
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2024
Certificate Expiration DateJuly 19, 2026
Laboratory DirectorStephen A. Cond
Laboratory Phone(806) 792-4329
Laboratory LocationLubbock Sports Medicine Associates4110 22nd Place, Lubbock, TX 79410
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 20

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

DR. STEPHEN ARCHIE CORD M.D.
Orthopaedic Surgery
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 792-4329
MR. JEREMY DAVIS L.A.T.
Specialist/Technologist (Athletic Trainer)
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 792-4329
DR. JORDAN BRENT SIMPSON M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 792-4329
TYLER ROBERTS MSN, APRN, FNP-C
Nurse Practitioner (Family)
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 792-4329
CHARITY RENEE PURSER FNP
Nurse Practitioner
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 797-4985
ERICA MARIE KELLY ATC
Specialist/Technologist (Athletic Trainer)
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 792-4329
ROXANA MORENO
Specialist/Technologist (Athletic Trainer)
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 792-4329
DR. KEVIN CRAWFORD M.D.
Orthopaedic Surgery
4110 22ND PL
LUBBOCK, TX 79410
Lubbock County (806) 792-4329

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Csk Medical Partners's NPI number?

The NPI number for Csk Medical Partners is 1902842404. It was assigned to this organization in the NPPES registry on June 22, 2006. The provider is doing business as Lubbock Sports Medicine Associates.

Where is Csk Medical Partners located?

Csk Medical Partners is located at 4110 22nd Pl, Lubbock, TX 79410. The listed phone number is (806) 792-4329.

What is Csk Medical Partners's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Csk Medical Partners accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Csk Medical Partners as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Csk Medical Partners was last updated on June 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.