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NORTHWEST NEW MEXICO WOMEN'S HEALTH SPECIALISTS LLC NPI 1427182682


NPI Information

NPI: 1427182682
Provider Name: NORTHWEST NEW MEXICO WOMEN'S HEALTH SPECIALISTS LLC

Former Legal Business Name: DANIEL W. CHANG, MDPC

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 32D0900943

Address:
610 W PINON ST
FARMINGTON, NM
ZIP 87401
Phone: (505) 325-1123
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NORTHWEST NEW MEXICO WOMEN'S HEALTH SPECIALISTS LLC is an obstetrics gynecology in Farmington, NM. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NORTHWEST NEW MEXICO WOMEN'S HEALTH SPECIALISTS LLC NPI is 1427182682. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Daniel W. Chang, Mdpc.

The provider's business location address is:

610 W PINON ST
FARMINGTON, NM
ZIP 87401
Phone: (505) 325-1123
Fax: (505) 325-3054

The provider's authorized official is Joni L Herrera .
The authorized official title is Office Manager and has the following contact phone number (505) 325-1123.

The CLIA number assigned to this NPI record is 32D0900943 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 6/27/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z7435MEDICAIDNEW MEXICO
2300521039MEDICARE PINNEW MEXICO
3332309MEDICAIDARIZONA

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: 4/28/2024

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