HUB CITY ANESTHESIA
NPI 1669038626
Nurse Anesthetist, Certified Registered in Lubbock, TX

NPI Status: Active since May 15, 2019

Contact Information

3416 22ND STREET
LUBBOCK, TX
ZIP 79410
Phone: (806) 796-3005

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  • Organization
  • Nurse Anesthetist, Certified Registered
  • CLIA Number: 45D2291284
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-08-2025

About HUB CITY ANESTHESIA

This page provides the complete NPI Profile along with additional information for Hub City Anesthesia, a provider established in Lubbock, Texas operating as a Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1669038626 assigned on May 2019. The practitioner's primary taxonomy code is 367500000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Hub City Anesthesia operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Derek Thompson Crna (Crna)

NPI
1669038626
Provider Name
HUB CITY ANESTHESIA
Entity Type
Organization
Location Address
3416 22ND STREET LUBBOCK, TX 79410
Location Phone
(806) 796-3005
Mailing Address
1415 LANCELOT AVE WOLFFORTH, TX 79382
Mailing Phone
(806) 790-4398
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-15-2019
Last Update Date
08-23-2022
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Location Map

Secondary Locations

  • 602 Indiana Ave
    Lubbock, TX 79415
    (806) 775-8200
  • 3419 22nd St
    Lubbock, TX 79410
    (806) 796-3000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEREK THOMPSON CRNA

Authorized Official Title
CRNA
Authorized Official Phone
(806) 790-4398

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2291284
Facility Type
Physician Office
Certificate Effective Date
October 09, 2023
Certificate Expiration Date
October 08, 2025
Laboratory Director
ELMOUTAZ MOUSA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Hub City Anesthesia to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669038626, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
6
Unchanged
Pos 9
2
Doubled → 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 0 → 0 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 0 + 3 + 1 + 6 + 6 + 4 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1669038626.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669038626, enumerated as an "organization" on May 15, 2019.

The provider is located at 3416 22ND STREET LUBBOCK, TX 79410 and the phone number is (806) 796-3005.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.