Organization Active NPI

Third Day Anesthesia LLC

  • Anesthesiology Physician
  • Cullman, AL
National Provider Identifier
1326649344
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
THIRD DAY ANESTHESIA LLC
Practice address
1701 Main Ave SW Ste E
Cullman, AL 35055-5385
Phone
(256) 737-4100
Fax
(256) 737-4101
NPI assigned
Nov 5, 2020
Last updated
Nov 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ricky B Tubbs, DONPI 1184800971
Title
Owner/Doctor
Phone
(205) 608-8199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

1701 Main Ave SW Ste E
Cullman, AL 35055-5385

Mailing address

2215 Decatur Hwy Ste 101
Gardendale, AL 35071-2384
Phone (205) 608-8199

Other identifiers 1

IdentifierTypeStateIssuer
176152MedicaidAL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1326649344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 DECATUR HWY STE 101",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712384",
            "telephone_number": "205-608-8199",
            "fax_number": "205-608-8130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MAIN AVE SW STE E",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555385",
            "telephone_number": "256-737-4100",
            "fax_number": "256-737-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD DAY ANESTHESIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "TUBBS",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "205-608-8199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176152",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.