WILLIAM T BACON


Address: 1651 Galisteo St, Ste 4, Santa Fe, NM 87505-4752
Phone: 5059848012

WILLIAM T BACON (NPI# 1730181942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730181942
Entity Type Individual
Full Name WILLIAM T BACON
Credential PA-C
Practice Address 1651 Galisteo St
Ste 4
Santa Fe
NM 87505-4752
Mailing Address Po Box 8387
Albuquerque
NM 87198-8387
Practice Telephone 5059848012
Practice Fax Number 5059882612
Mailing Telephone 5052696525
Mailing Fax Number 5057925222
Enumeration Date 2005-06-01
Last Update Date 2010-08-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
2001-PA36 NM Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 05638852 05

Other Providers WILLIAM BACON

NPI Name Taxonomy Address Enumeration
1902168669 William John Bacon Contractor 902 E 12th Ave, Webster, SD 57274-2300 2012-06-08
1427197631 William Louis Bacon Orthopaedic Surgery 206 E Adair St, Valdosta, GA 31601-4508 2007-02-05
1932258084 William Carl Bacon Marriage & Family Therapist 50 Hurt Plz Se, Suite 800, Atlanta, GA 30303-2946 2007-01-09
1295898344 William Harrison Bacon IIi Dentist 1250 Thompson Rd, Coos Bay, OR 97420-2538 2006-12-19
1609014489 William Russell Bacon Radiology 210 25th Ave N Ste 602, Nashville, TN 37203 2009-02-02
1699957035 William Joseph Bacon Pharmacist 600 Roe Ave, Elmira, NY 14905-1629 2007-11-28
1073643052 William L Bacon Dentist 183 Addison, Elmhurst, IL 60126 2007-03-07
1396769634 William W Bacon Family Medicine 1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 2006-07-27
1720002470 William Albert Bacon Registered Nurse 3810 Central Ave, Ste H, Hot Springs, AR 71913-6921 2006-07-26
1457342354 William Gordan Bacon Family Medicine 935 Elizaville Ave, Flemingsburg, KY 41041-9210 2005-10-31

Office Location

Street Address 1651 GALISTEO ST
STE 4
City SANTA FE
State NM
Zip Code 87505-4752

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891182721 Ultimate Eyecare Santa Fe, LLC Optometrist 1651 Galisteo St, Santa Fe, NM 87505-4752 2015-04-17
1558654780 Arc Physical Therapy, Sports and Rehab, LLC Physical Therapist 1651 Galisteo St, Suite 12, Santa Fe, NM 87505-4752 2011-05-20
1700916038 Santa Fe Medical Arts & Wellness Center, LLC Nurse Practitioner 1651 Galisteo St, Suite6, Santa Fe, NM 87505-4752 2007-03-06
1316920325 Chaz S Schatzle Chiropractor 1651 Galisteo St, Suite12, Santa Fe, NM 87505-4752 2005-11-22
1285624593 James Herbert Sussman Allergy & Immunology 1651 Galisteo St, Suite 8, Santa Fe, NM 87505-4752 2005-10-27
1225028541 Allergy Partners, Pllc Allergy & Immunology 1651 Galisteo St, Suite 8, Santa Fe, NM 87505-4752 2005-10-27
1780676866 Patricia E Mcculloch Physician Assistant 1651 Galisteo St, Suite 8, Santa Fe, NM 87505-4752 2005-08-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154939031 Enchanted Sky Hospice,llc Hospice Care, Community Based 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 2020-07-16
1700409968 Caa Consulting, LLC Clinic/Center 1448 S St. Francis Drive, Santa Fe, NM 87505 2020-05-22
1104447093 Dana Marie Tsyconyea Simmons Counselor 1640 Calle Medico, Suite E, Santa Fe, NM 87505 2020-05-01
1114574217 Kumara Hampton Therapy, LLC Counselor 11 Calle Medico Suite 4, Santa Fe, NM 87505 2019-08-22
1245886977 Caroline Ward Technician 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 2019-08-19
1205490752 Alyson Yacono Physical Therapist 104 Old Las Vegas Highway, Santa Fe, NM 87505 2019-04-30
1366919649 Allyson Matthews Speech-Language Pathologist Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 2018-10-25
1093280281 Diamond Care Santa Fe LLC Skilled Nursing Facility 635 Harkle Road, Santa Fe, NM 87505 2018-10-04
1972087054 Changing Woman Initiative Advanced Practice Midwife 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 2018-09-24
1154812782 Heart Wing, LLC Social Worker 2724 Alamosa Drive, Santa Fe, NM 87505 2018-05-18
Find all providers in zip 87505

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871674911 April C. Grisetti Physician Assistant 460 Saint Michaels Dr Ste 1104, Santa Fe, NM 87505-7709 2006-10-17
1871673608 Bonnie J Giacchetti Physician Assistant 2055 Pacheco St Ste 600, Santa Fe, NM 87505 2006-10-16
1639192792 Sheila O'shea Gibbens Physician Assistant 820 Paseo Deperlta, Santa Fe, NM 87501-2233 2006-07-26
1740201672 Danny M Mays Physician Assistant 1650 Hospital Dr Ste 800, Santa Fe, NM 87505-4789 2006-07-23
1841217403 Wabanang Gaiashkibos Kuczek Physician Assistant 1600 Saint Michaels Dr, Santa Fe, NM 87505-7615 2006-07-17
1346201704 Timothy Busch Physician Assistant 5 Calle Medico Ste A, Santa Fe, NM 87505-4762 2006-03-28
1649279266 Bridget Cornell Andrew Physician Assistant 1035 Alto St, La Familia Medical Center, Santa Fe, NM 87501-2406 2005-07-15
1265084883 Brianna Zuniga Physician Assistant 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 2019-07-13
1669879771 Karen Conner Physician Assistant 1691 Galisteo St, Suite C, Santa Fe, NM 87505-4780 2014-12-04
1225457260 Forouz Jowkar LLC Physician Assistant 1925 Aspen Dr, # 100b, Santa Fe, NM 87505-5459 2014-04-07
Find all providers in SANTA FE

Competitor

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City SANTA FE
Zip Code 87505

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Dataset Information

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.

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