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SANDIA OBGYN ASSOCIATES NPI 1831306570


NPI Information

NPI: 1831306570
Provider Name: SANDIA OBGYN ASSOCIATES
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Organization

Specialization: Obstetrics

Address:
4705 MONTGOMERY BLVD NE
SUITE 105
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 727-3280
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SANDIA OBGYN ASSOCIATES is an obstetrics obstetrics gynecology in Albuquerque, NM. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee SANDIA OBGYN ASSOCIATES NPI is 1831306570. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4705 MONTGOMERY BLVD NE
SUITE 105
ALBUQUERQUE, NM
ZIP 87109-226
Phone: (505) 727-3280
Fax: (505) 727-3282

The provider's authorized official is Carl John Connors .
The authorized official title is President and has the following contact phone number (505) 727-3280.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 9/18/2008.


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
1207VX0000XObstetrics & GynecologyObstetricsA913-90NMYes

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
1NM004926OTHERNEW MEXICOBCBS -HMO OF NEW MEXICO
2201001970OTHERNEW MEXICOMOLINA HEALTHCARE
3F8452MEDICAIDNM
4=========OTHERNMALL OTHER HEALTH PLANS
5E79131MEDICARE UPINNM
6200521024MEDICARE ID-TYPE UNSPECIFIEDNMMEDICARE
7200505924PMEDICARE ID-TYPE UNSPECIFIEDNMMEDICARE

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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