RICHARD SHANE TUBBS PHDPA-C NPI 1518070036

NPI Information

NPI: 1518070036
Provider Name: RICHARD SHANE TUBBS, PHD,PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1415 TULANE AVE FL 5
NEW ORLEANS, LA
ZIP 70112
Phone: (504) 988-5561
Get Directions

Richard Shane Tubbs, PHD,PA-C is a surgical physician assistant in New Orleans, LA. Richard Shane Tubbs, PHD,PA-C NPI is 1518070036. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1415 TULANE AVE FL 5
NEW ORLEANS, LA
ZIP 70112
Phone: (504) 988-5561
Fax: (504) 988-1731

The NPI 1518070036 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 10/24/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		PA053	ALABAMA	No
2	363AS0400X	Physician Assistant	Surgical	PA60600928	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	051509068	MEDICAID	ALABAMA
2	970027041	OTHER	ALABAMA	RR MEDICARE
3	051509068	OTHER	ALABAMA	BCBS OF AL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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