Healthcare Provider Details

I. General information

NPI: 1386875359
Provider Name (Legal Business Name): JAMES ROSS FERRE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2009
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11024 MONTGOMERY BLVD NE # 304
ALBUQUERQUE NM
87111-3962
US

IV. Provider business mailing address

800 BRADBURY DR SE STE 116
ALBUQUERQUE NM
87106-4310
US

V. Phone/Fax

Practice location:
  • Phone: 505-260-4300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD2013-0134
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: