Organization Active NPI

Hub City Anesthesia

  • Certified Registered Nurse Anesthetist
  • Lubbock, TX
National Provider Identifier
1669038626
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
HUB CITY ANESTHESIA
Practice address
3416 22ND Street
Lubbock, TX 79410
Phone
(806) 796-3005
NPI assigned
May 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Derek Thompson, CRNANPI 1548626377
Title
Crna
Phone
(806) 790-4398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

3416 22ND Street
Lubbock, TX 79410

Mailing address

1415 Lancelot Ave
Wolfforth, TX 79382-3206
Phone (806) 790-4398

Other practice location 1

3419 22nd St
Lubbock, TX 79410-1334
Phone (806) 796-3000

Other practice location 2

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-8200

National Provider Directory

National Provider Directory

Locations

3416 22nd St
Lubbock, TX 79410
Phone (806) 412-6030

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1669038626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 LANCELOT AVE",
            "city": "WOLFFORTH",
            "state": "TX",
            "postal_code": "793823206",
            "telephone_number": "806-790-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 22ND STREET",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79410",
            "telephone_number": "806-796-3005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3419 22nd St",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794101334",
            "country_code": "US",
            "telephone_number": "806-796-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 Indiana Ave",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794153364",
            "country_code": "US",
            "telephone_number": "806-775-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HUB CITY ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "806-790-4398",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.