Healthcare Provider Details

I. General information

NPI: 1164475232
Provider Name (Legal Business Name): NEW MEXICO ONCOLOGY HEMATOLOGY CONSULTANTS, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 12/29/2022
Certification Date: 12/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4901 LANG AVENUE NE
ALBUQUERQUE NM
87109
US

IV. Provider business mailing address

4901 LANG AVENUE NE
ALBUQUERQUE NM
87109
US

V. Phone/Fax

Practice location:
  • Phone: 505-842-8171
  • Fax: 505-246-0684
Mailing address:
  • Phone: 505-842-8171
  • Fax: 505-246-0684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberFA0008819
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberFA0008819
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberFA0008819
License Number StateNM
# 5
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberFA0008819
License Number StateNM

VIII. Authorized Official

Name: DR. BARBARA L. MCANENY
Title or Position: CEO
Credential: MD
Phone: 505-842-8171