NORTHERN NEW MEXICO SURGERY NPI 1649374380

NPI Information

  • NPI: 1649374380
  • Provider Name: NORTHERN NEW MEXICO SURGERY
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Address: 3917 WEST ROAD SUITE #125
    LOS ALAMOS, NM
    ZIP 87544
  • Phone: (505) 661-3030

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NPI Details

NORTHERN NEW MEXICO SURGERY is a surgery in Los Alamos, NM. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. NORTHERN NEW MEXICO SURGERY NPI is 1649374380. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3917 WEST ROAD SUITE #125
LOS ALAMOS, NM
ZIP 87544
Phone: (505) 661-3030
Fax: (505) 662-9024

The provider's authorized official is Rodney J Barker .
The authorized official title is Surgeon Owner and has the following contact phone number (505) 661-3030.

The enumeration date for this NPI number is 9/12/2006 and was last updated on 8/22/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
114874555MEDICAIDNEW 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: 11/21/2025

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