Lubbock Digestive Disease Associates

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

LUBBOCK DIGESTIVE DISEASE ASSOCIATES

Practice address

3610 24TH St
Lubbock, TX 79410-2014

Phone

(806) 793-3141

Fax

(806) 771-2235

NPI assigned

Oct 13, 2015

Organization subpart

No

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

Authorized official

Name

Ted Lynn Phipps, M.D.

Title

President

Phone

(806) 793-3141

Specialties & licenses 2

Addresses

Other names 1

• South Plains Anesthesia Doing business as

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1679944987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 24TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102014",
            "telephone_number": "806-793-3141",
            "fax_number": "806-771-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 24TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102014",
            "telephone_number": "806-793-3141",
            "fax_number": "806-771-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBBOCK DIGESTIVE DISEASE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-793-3141",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Plains Anesthesia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lubbock Dental Care Professionals, PLLC
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• Lubbock Diagnostic Radiology, L.L.P.
• Lubbock Digestive Disease Associates
• Lubbock Emergency Physicians PA
• Lubbock Endodontics, PC
• Lubbock Essential Home Health Care Inc.
• Lubbock Essential Home Health Care, Inc
• Lubbock Gastroenterology & Liver Associates PLLC

• Anesthesiology Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.