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EWA ANTONCZYK MD LLC NPI 1972713816


NPI Information

NPI: 1972713816
Provider Name: EWA ANTONCZYK MD LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
3850 FOOTHILLS RD
STE. 9
LAS CRUCES, NM
ZIP 88011
Phone: (575) 382-3700
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EWA ANTONCZYK MD LLC is an internal medicine in Las Cruces, NM. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. EWA ANTONCZYK MD LLC NPI is 1972713816. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3850 FOOTHILLS RD
STE. 9
LAS CRUCES, NM
ZIP 88011-632
Phone: (575) 382-3700
Fax: (575) 382-3701

The provider's authorized official is Katrina M Ferrales .
The authorized official title is Credentialing Specialist and has the following contact phone number (575) 647-8366.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 5/6/2008.


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
1207R00000XInternal Medicine2005-0482NEW MEXICOYes

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
1300521095MEDICARE PINNEW MEXICO
264355381MEDICAIDNEW MEXICO

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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