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Active NPI 1699738302 Individual Practitioner Male Practitioner

Stanley J. Kotara , PA

Physician Assistant • Lubbock, TX

Professional Overview & Biography Verified Profile Summary

Stanley Kotara, PA is a registered healthcare professional specializing in Physician Assistant in Lubbock, TX. Practice services are available at 4110 22ND PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4110 22nd Pl

Lubbock, TX 794101122

Telephone 8067924329
Fax 8067929466
Associated Practice Facility / Clinic
🏢 Csk Medical Partners Facility NPI 1902842404

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lubbock, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.5 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
112 Specialists

Practicing in Lubbock, TX (11140 Statewide)

Telehealth Adoption Rate
3.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA03194

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross
8Y8601 (TX)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

20 Associated Practitioners
Dr. Stephen Cord , MD

Orthopaedic Surgery

NPI 1013010255

Doctor of Medicine (M.D.)

Jeremy Davis , LAT

Specialist/Technologist - Athletic Trainer

NPI 1013980333

Licensed Athletic Trainer

Dr. Jordan Simpson , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1104143957

Doctor of Medicine (M.D.)

Tyler Roberts , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1104588599

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Erica Kelly , ATC

Specialist/Technologist - Athletic Trainer

NPI 1265956882

Certified Athletic Trainer

Roxana Moreno

Specialist/Technologist - Athletic Trainer

NPI 1285446260

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 22, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 22, 2011

Registered at 4110 22ND PL, LUBBOCK, TX 794101122 (Tel: 8067924329)

📍
Updated Business Mailing Address November 22, 2011

Registered at 4110 22ND PL, LUBBOCK, TX 794101122 (Tel: 8067924329)

👤
Provider Name / Credentials Updated November 22, 2011

Recorded as STANLEY KOTARA, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 22, 2011

Physician Assistant (License #PA03194 in TX)

🟢
Initial NPI Registration & Enumeration April 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699738302
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2006
Last Update: November 22, 2011
Sole Proprietor: No

Mailing Address

4110 22nd Pl

Lubbock, TX 794101122

Phone: 8067924329

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.