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1508161936 NPI number — NEW MEXICO SURGICAL ASSISTING, INC

NPI Number: 1508161936
Health Care Provider/Practitioner: NEW MEXICO SURGICAL ASSISTING, INC

Information about “1508161936” NPI (NEW MEXICO SURGICAL ASSISTING, INC) exists in 1508161936 in HTML format HTML  |  1508161936 in plain Text format TXT  |  1508161936 in PDF (Portable Document Format) PDF  |  1508161936 in an XML format XML  formats.

NPI Number : 1508161936 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508161936",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "NEW MEXICO SURGICAL ASSISTING, INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 23974",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SANTA FE",
    "MailingAddressStateName": "NM",
    "MailingAddressPostalCode": "87502-3974",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "505-463-5645",
    "MailingAddressFaxNumber": "888-816-6104",
    "FirstLinePracticeLocationAddress": "1505 KACHINA RIDGE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SANTA FE",
    "PracticeLocationAddressStateName": "NM",
    "PracticeLocationAddressPostalCode": "87507-5172",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "505-463-5645",
    "PracticeLocationAddressFaxNumber": "888-816-6104",
    "EnumerationDate": "01/15/2011",
    "LastUpdateDate": "01/15/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WILSON",
    "AuthorizedOfficialFirstName": "VALERIANE",
    "AuthorizedOfficialMiddleName": "M",
    "AuthorizedOfficialTitle": "PRESIDENT/DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "505-991-5713",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363AS0400X",
        "TaxonomyName": "Surgical Physician Assistant",
        "LicenseNumber": "PA2005-0035",
        "LicenseNumberStateCode": "NM",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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