Kim E Pershall MD PA

Kim E Pershall MD PA is a healthcare organization registered as Otolaryngology Physician in Lubbock, TX, holding Type 2 (organization) NPI 1649456542 since 2008. The authorized official on file is Kim Pershall, Physician Owner.

✓ Active NPI ✓ Valid NPI checksum

NPI	1649456542
Entity type	Organization (Type 2)
Legal business name	Kim E Pershall MD PA
Practice address	3811 24TH STREET, Lubbock, TX, 79410
Phone	8067960202
Fax	8067960496
Enumeration date	2008-01-10
Last updated in NPPES	2011-01-31

Authorized official

Name	Kim Pershall
Title	Physician Owner
Phone	8067960202

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207Y00000X	Otolaryngology Physician	Primary	J3574	TX

Other identifiers

Identifier	Type	State	Issuer
121351100	Other	TX	FIRSTCARE
034333701	Medicaid	TX	—
148127701	Other	TX	MEDICAID GROUP
040007969	Other	TX	RR MEDICARE
37234	Medicaid	NM	—
8P8420	Other	TX	BCBS

Copy-ready billing details

Provider: Kim E Pershall MD PA
NPI: 1649456542
Taxonomy: 207Y00000X (Otolaryngology Physician)
Address: 3811 24TH STREET, Lubbock, TX, 79410

Providers at this address

NPI	Name	Type	Specialty	Location
1497751663	Kim Pershall	Individual	Otolaryngology Physician	Lubbock, TX

Verify this record

Cross-check NPI 1649456542 against the authoritative CMS record: view Kim E Pershall MD PA on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Kim E Pershall MD PA located?

The practice location on file with NPPES is in Lubbock, TX.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-01-31. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-01-31.