Active NPI
Third Day Anesthesia LLC
- Anesthesiology Physician
- Cullman, AL
National Provider Identifier
1326649344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ricky B Tubbs, DO
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 176152 | Medicaid | AL |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Internal Medicine Physician
- Gardendale, AL
- NPI 1184800971
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.