NEW MEXICO SURGICAL ASSISTING, INC (NPI# 1508161936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508161936 |
| Entity Type | Organization |
| Organization Name | NEW MEXICO SURGICAL ASSISTING, INC |
| Practice Address |
1505 Kachina Ridge Dr Santa Fe NM 87507-5172 |
| Mailing Address |
Po Box 23974 Santa Fe NM 87502-3974 |
| Practice Telephone | 5054635645 |
| Practice Fax Number | 8888166104 |
| Mailing Telephone | 5054635645 |
| Mailing Fax Number | 8888166104 |
| Enumeration Date | 2011-01-15 |
| Last Update Date | 2011-01-15 |
| Authorized Official Name | VALERIANE M WILSON (PRESIDENT/DIRECTOR) |
| Authorized Official Telephone | 5059915713 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA2005-0035 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1505 KACHINA RIDGE DR |
| City | SANTA FE |
| State | NM |
| Zip Code | 87507-5172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316390 | Cynthia Lois Meyers | Pharmacy | 2709 Cerrillos Road, Santa Fe, NM 87507 | 2020-11-03 |
| 1578160685 | Nancy Benigsohn | Counselor | 4001 Office Courte., Suite 603, Santa Fe, NM 87507 | 2020-10-02 |
| 1730684853 | Presbyterian Healthcare Services | General Acute Care Hospital | 4801 Beckner Road, Santa Fe, NM 87507 | 2018-03-29 |
| 1033623780 | Averie Montgomery-diener | Physical Therapy Assistant | 2538 Camino Entrad Suite 300, Santa Fe, NM 87507 | 2017-11-16 |
| 1013426790 | Deja Nicole Mendez | Behavior Technician | 2213 Paseo De Tercero, Santa Fe, NM 87507 | 2017-09-25 |
| 1548787633 | Lauren Sherwood | Behavior Technician | 4129 S Meadows Rd, Apt #1023, Santa Fe, NM 87507 | 2017-08-29 |
| 1972032563 | Alyssa Butler | Counselor | 1409 Zepol Rd Apt 110, Santa Fe, NM 87507 | 2017-06-07 |
| 1093253221 | Stateserv Medical | Durable Medical Equipment & Medical Supplies | 4326 Airport Road, Unit F, Santa Fe, NM 87507 | 2017-02-08 |
| 1891233128 | Daniel & Max, LLC | Optometrist | 4079 Cerillos Road, Santa Fe, NM 87507 | 2017-02-07 |
| 1508225749 | Youth Shelters and Family Services | Counselor | 5686 B Agua Fria Street, Santa Fe, NM 87507 | 2016-02-16 |
| Find all providers in zip 87507 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699272633 | Walter Barney | Physician Assistant | 708 Luna Vis, Santa Fe, NM 87506-2003 | 2018-04-06 |
| 1225564800 | Mariam H Bokolishvili | Physician Assistant | 1511 W Alameda St, Santa Fe, NM 87501-1746 | 2017-05-03 |
| 1861049918 | Waltor Surgical Assisting | Physician Assistant | 708 Luna Vista, Santa Fe, NM 87506 | 2019-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295191351 | Duke City Surgical Assisting LLC | Physician Assistant | 28 Valle Lindo Rd, Peralta, NM 87042-8230 | 2016-01-05 |
| 1396121505 | Regina Gantt | Physician Assistant | 28 Valle Lindo Road, Peralta, NM 87042 | 2015-08-11 |
| 1013398072 | Lauren Soules | Physician Assistant | 3615 Highway 528 Nw, Albuquerque, NM 87114-8919 | 2015-06-16 |
| 1447666508 | Audrey Rich | Physician Assistant | 201 Cedar Ave, Albuquerque, NM 87106 | 2014-07-09 |
| 1104178813 | Adam M Newman | Physician Assistant | University of New Mexico Hospital Department, Msc 10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-10-04 |
| 1255682944 | Armstrong Medical LLC | Physician Assistant | 13170 Central Ave Se, Suite B 345, Albuquerque, NM 87123 | 2012-09-21 |
| 1033494992 | Sandra Seward | Physician Assistant | 11 Calle Pinon, Placitas, NM 87043-9316 | 2011-10-11 |
| 1033386420 | Patrick Keenan Shanley | Physician Assistant | 1219 Gusdorf Rd Ste A, Taos, NM 87571-6499 | 2008-05-14 |
| 1982818860 | Kristen Marron Bushnell | Physician Assistant | Pmg At 8300 Constitution - General Surgery, 8300 Constitution Ave Ne, Albuquerque, NM 87110 | 2007-05-09 |
| 1629092457 | David A Mcculloch | Physician Assistant | 1501 San Pedro, Se, Va Medical Center, Albuquerque, NM 87108 | 2006-07-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.