LAND OF ENCHANTMENT SPINE SURGERY PC (NPI# 1790011575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790011575 |
| Entity Type | Organization |
| Organization Name | LAND OF ENCHANTMENT SPINE SURGERY PC |
| Practice Address |
3620 Bosque Plz Nw Ste A Albuquerque NM 87120-4297 |
| Practice Telephone | 5057926886 |
| Practice Fax Number | 8772963211 |
| Mailing Telephone | 5057926886 |
| Mailing Fax Number | 8772963211 |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2010-08-09 |
| Authorized Official Name | DR. DOUGLAS A SLAUGHTER (OWNER) |
| Authorized Official Telephone | 5057926886 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
| Street Address |
3620 BOSQUE PLZ NW STE A |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87120-4297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971919 | Erica Denise Ortiz | Social Worker | 6212 Casa Blanca Dr Nw, Albuquerque, NM 87120 | 2020-10-27 |
| 1770133589 | Laura Lee Smith | Technician | 5112 Vista De Luz Nw, Albuquerque, NM 87120 | 2019-09-13 |
| 1285282715 | Aiden Charles Martinez | Case Manager/Care Coordinator | 6704 Nueva Pierda Street Nw, Albuquerque, NM 87120 | 2019-08-28 |
| 1831753508 | Jennifer Lydia Castro | Nurse Practitioner | 8428 Hawk Eye Rd Nw, Albuquerque, NM 87120 | 2019-04-27 |
| 1518425065 | Jean Louise Ramsey | Counselor | Office Alternatives/ The Center for Life Changes, 6300 Riverside Plaza Nw, Suite 100, Albuquerque, NM 87120 | 2019-03-04 |
| 1689147365 | Stairway Recovery, LLC | Family Medicine | 6300 Riverside Plaza Ln Nw Ste 118 #96523, Albuquerque, NM 87120 | 2019-01-06 |
| 1417443276 | Kyle Thomas Lantz | Dentist | 2800-a Coors Blvd Nw, Albuquerque, NM 87120 | 2018-07-05 |
| 1437669736 | Beatrice Ottomanelli | Day Training/Habilitation Specialist | 9180 Coors Blvd. Nw, Apt. 3307, Albuquerque, NM 87120 | 2017-10-02 |
| 1740705516 | Alianza Home Care, LLC | Home Health | 8307 Casa Negra Ct Nw, Albuquerque, NM 87120 | 2017-08-13 |
| 1366963399 | Jamie Farris | Registered Nurse | 8201 Golf Course Road Northwest, Suite D3 #121, Albuquerque, NM 87120 | 2017-06-29 |
| Find all providers in zip 87120 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447203831 | Andrew J Paterson | Orthopaedic Surgery | Msc 10 5600, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-05-18 |
| 1194773911 | Douglas A Slaughter | Orthopaedic Surgery | 3620 Bosque Plaza Ste A, Albuquerque, NM 87120-4297 | 2006-05-04 |
| 1255585865 | Antony Kallur Antony | Orthopaedic Surgery | 1127 University Blvd Ne, Carrie Tingley Hospital, Albuquerque, NM 87102-1740 | 2008-11-10 |
| 1831377670 | Mark K Crawford Md PC | Orthopaedic Surgery | 700 Lomas Blvd Ne, Three Woodward Center, Albuquerque, NM 87102-2568 | 2008-02-04 |
| 1063490597 | Michael E Mccutcheon | Orthopaedic Surgery | 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106-4917 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487943 | Epmed, Pa | Orthopaedic Surgery | 880 S Telshor Blvd Ste 100, Las Cruces, NM 88011-8683 | 2020-04-27 |
| 1609496207 | 3 Crosses Orthopaedic Spine | Orthopaedic Surgery | 2205 S Main St Ste A, Las Cruces, NM 88005-3113 | 2020-04-23 |
| 1972941474 | Spine and Orthopedic Center of New Mexico PC | Orthopaedic Surgery | 400 N Pennsylvania Ave, Suite 101, Roswell, NM 88201-4754 | 2013-06-06 |
| 1588985287 | Nicholas Rosario Scarcella | Orthopaedic Surgery | 4351 E Lohman Ave Ste 301, Las Cruces, NM 88011-8262 | 2010-06-16 |
| 1043462104 | Jose R. Reyna, Jr., M.d., P.a. | Orthopaedic Surgery | 435 Saint Michaels Dr, Suite A-202, Santa Fe, NM 87505-7672 | 2008-10-21 |
| 1841477437 | St. Vincent Hospital | Orthopaedic Surgery | 465 Saint Michaels Dr, Suite 107, Santa Fe, NM 87505-7670 | 2008-01-25 |
| 1548387723 | St. Vincent Hospital | Orthopaedic Surgery | 531 Harkle Rd, Suite D, Santa Fe, NM 87505-4753 | 2007-03-23 |
| 1225086333 | Peter Morris Saltzman | Orthopaedic Surgery | 1750 E 30th St, Farmington, NM 87401 | 2006-05-04 |
| City | ALBUQUERQUE |
| Zip Code | 87120 |
Please comment or provide details below to improve the information on LAND OF ENCHANTMENT SPINE SURGERY PC.
| 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.