Provider Type Icon

KIM E PERSHALL MD PA NPI 1649456542


NPI Information

NPI: 1649456542
Provider Name: KIM E PERSHALL MD PA
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
3811 24TH STREET
LUBBOCK, TX
ZIP 79410
Phone: (806) 796-0202
Get Directions

KIM E PERSHALL MD PA is an otolaryngology in Lubbock, TX. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. KIM E PERSHALL MD PA NPI is 1649456542. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3811 24TH STREET
LUBBOCK, TX
ZIP 79410-813
Phone: (806) 796-0202
Fax: (806) 796-0496

The provider's authorized official is Kim E. Pershall .
The authorized official title is Physician Owner and has the following contact phone number (806) 796-0202.

The enumeration date for this NPI number is 1/10/2008 and was last updated on 1/31/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngologyJ3574TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1121351100OTHERTEXASFIRSTCARE
237234MEDICAIDNEW MEXICO
38P8420OTHERTEXASBCBS
4040007969OTHERTEXASRR MEDICARE
5148127701OTHERTEXASMEDICAID GROUP
6C98030MEDICARE UPINTEXAS
7034333701MEDICAIDTEXAS
80A3669MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.