HUB CITY ANESTHESIA (NPI# 1669038626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669038626 |
| Entity Type | Organization |
| Organization Name | HUB CITY ANESTHESIA |
| Practice Address |
3416 22nd Street Lubbock TX 79410 |
| Mailing Address |
1415 Lancelot Ave Wolfforth TX 79382-3206 |
| Practice Telephone | 8067963005 |
| Mailing Telephone | 8067904398 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-05-15 |
| Authorized Official Name | DEREK THOMPSON (CRNA) |
| Authorized Official Telephone | 8067904398 |
| Authorized Official Credential | CRNA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3419 22nd St, Lubbock, TX 794101334 | 8067963000 | |
| 602 Indiana Ave, Lubbock, TX 794153364 | 8067758200 |
| Street Address |
3416 22ND STREET |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| 1922327444 | Brittany Nicole Dawson | Internal Medicine | 3514 21st St Fl 6, Lubbock, TX 79410 | 2010-05-24 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013489764 | Nzonguti Ekangaki | Nurse Anesthetist, Certified Registered | 3601 4th St Ste 1b350s, Lubbock, TX 79430-0002 | 2018-12-19 |
| 1154838241 | Tracy Danielle Mill | Nurse Anesthetist, Certified Registered | 3601 4th Street Suite 1b350s, Lubbock, TX 79430-0001 | 2018-01-10 |
| 1982149076 | Elliot Michel | Nurse Anesthetist, Certified Registered | 3601 4th St # 1b350s, Lubbock, TX 79430-0002 | 2016-12-27 |
| 1023377207 | Joshua Kain Jones | Nurse Anesthetist, Certified Registered | 5602 Geneva Ave, Lubbock, TX 79413-4824 | 2012-05-09 |
| 1336408681 | Stephen Creighton Ray | Nurse Anesthetist, Certified Registered | 2400 Glenna Goodacre Blvd Apt 4326, Lubbock, TX 79401-2280 | 2012-05-07 |
| 1952606667 | David Irvin | Nurse Anesthetist, Certified Registered | 3610 22nd St, Lubbock, TX 79410-1350 | 2011-01-12 |
| 1023313673 | Mayme Alicia Matthews | Nurse Anesthetist, Certified Registered | Texas Tech University Health Sciences Ctr, 3601 4th Street, Ms 8182, Lubbock, TX 79430-0001 | 2011-01-12 |
| 1992941082 | Keila H Townson | Nurse Anesthetist, Certified Registered | 5020 Auburn St, Apt 1012, Lubbock, TX 79416 | 2008-12-19 |
| 1972548428 | Isagani L. Saculo | Nurse Anesthetist, Certified Registered | 4315 28th St Suite 2, Suite 1c282, Lubbock, TX 79410-2507 | 2006-06-18 |
| 1609839885 | Sue Ann Holland | Nurse Anesthetist, Certified Registered | 3806 109th St, Lubbock, TX 79423-0885 | 2006-04-10 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.