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NEW MEXICO SURGICAL ASSOCIATES PA NPI 1003006040


NPI Profile

NPI: 1003006040
Provider Name: NEW MEXICO SURGICAL ASSOCIATES, PA
Classification:Specialist - 174400000X
Entity Type: Organization
Address:
711 ENCINO PL NE
ALBUQUERQUE, NM
ZIP 87102
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Phone: (505) 843-7901

NEW MEXICO SURGICAL ASSOCIATES, PA is a specialist in Albuquerque, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NEW MEXICO SURGICAL ASSOCIATES, PA NPI is 1003006040. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

711 ENCINO PL NE
ALBUQUERQUE, NM
ZIP 87102-619
Phone: (505) 843-7901
Fax: (505) 843-6384

The provider's authorized official is Robert Lowe .
The authorized official title is President and has the following contact phone number (505) 843-7901.

The enumeration date for this NPI number is 7/26/2007 and was last updated on 4/26/2011.


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
1174400000XSpecialistYes

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
1400521021MEDICARE UPINNEW MEXICO
2CI6639OTHERNEW MEXICOPALMETTORAILROADMEDICARE
3000S9673MEDICAIDNEW 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: 11/7/2021

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