Richard Shane Tubbs, PHD,PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA60600928 Issued in WA

Practice address

1415 Tulane Ave FL 5
New Orleans, LA 70112

Phone

(504) 988-5561

Fax

(504) 988-1731

NPI assigned

Aug 17, 2006

Last updated

Oct 24, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant, Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GCFJBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Administrators of the Tulane Educational Fund

  dba Tulane University Medical Group

  • Specialist
  • New Orleans, LA
  • NPI 1528014164
  NPD (past)
• Tulane University Medical Group

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1760872238
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1518070036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 S ROBERTSON ST STE 1300",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122807",
            "telephone_number": "504-988-5565",
            "fax_number": "504-988-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 TULANE AVE FL 5",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "70112",
            "telephone_number": "504-988-5561",
            "fax_number": "504-988-1731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 550 17th Ave",
            "address_2": "Ste 110",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981225789",
            "country_code": "US",
            "telephone_number": "206-320-3470",
            "fax_number": "206-320-3471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUBBS",
        "first_name": "RICHARD",
        "middle_name": "SHANE",
        "credential": "PHD,PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA053",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA60600928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "051509068",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051509068",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "970027041",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Mariah Tsang, MD
• Kristina Alivia Tschannen
• Sydney Tsen, PA-C
• Ioannis Tsourounakis, DDS
• Shinji Tsumura, MS, ATC
• Stephen L. Tubre, LCSW
• Aja Nicole Tucker
• Amanda Corinne Tucker
• Camille Josephine Tucker, M.S., CCC-SLP
• Colton Tucker, DPT

• Surgical Physician Assistant in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Surgical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.