Timothy Lewis Boomer, PA-C

Physician assistant in Lubbock, Texas · NPI 1710230172

Timothy Boomer is one of 92 physician assistants practicing in Lubbock, Texas. Timothy Boomer practices with James Todd Rose MD PA and Kidney Disease Associates.

Registry record (NPPES)

NPI
1710230172
Type
Type 1 · Individual
Primary taxonomy
Physician Assistant, Medical · 363AM0700X
Address on file
4417 71st St
Lubbock, TX 79424-2394
(806) 799-2991
Enumerated
Oct 23, 2012
Record last updated
Feb 16, 2024
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Physician Assistant
Revalidation due
No date set by CMS

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  • Procedure volumes by CPT code
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  • Full enrollment history
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Practice locations

More physician assistants in Lubbock

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.