Organization Active NPI

Lubbock Digestive Disease Associates

Doing business as South Plains Anesthesia

  • Anesthesiology Physician
  • Lubbock, TX
National Provider Identifier
1679944987
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
LUBBOCK DIGESTIVE DISEASE ASSOCIATES
Doing business as
South Plains Anesthesia
Practice address
3610 24TH St
Lubbock, TX 79410-2014
Phone
(806) 793-3141
Fax
(806) 771-2235
NPI assigned
Oct 13, 2015
Last updated
Oct 13, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Ted Lynn Phipps, M.D.NPI 1710928338
Title
President
Phone
(806) 793-3141

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 367500000X

Addresses

Primary practice location

3610 24TH St
Lubbock, TX 79410-2014

Mailing address

3610 24TH St
Lubbock, TX 79410-2014
Phone (806) 793-3141

Other names 1

  • South Plains Anesthesia Doing business as

National Provider Directory

National Provider Directory

Locations

116 John Dupree Dr
Ste D
Levelland, TX 79336
Phone (806) 794-2465

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": "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"
        }
    ]
}

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 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.