Organization Active NPI

New Mexico Surgical Associates, PA

  • Specialist
  • Albuquerque, NM
National Provider Identifier
1003006040
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NEW MEXICO SURGICAL ASSOCIATES, PA
Practice address
711 Encino PL NE
Albuquerque, NM 87102-2619
Phone
(505) 843-7901
Fax
(505) 843-6384
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Lowe, MD
Title
President
Phone
(505) 843-7901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

711 Encino PL NE
Albuquerque, NM 87102-2619

Mailing address

711 Encino PL NE
Albuquerque, NM 87102
Phone (505) 843-7901

Other identifiers 2

IdentifierTypeStateIssuer
000S9673MedicaidNM
CI6639OtherNMPALMETTORAILROADMEDICARE

National Provider Directory

National Provider Directory

Locations

711 Encino Pl NE
Albuquerque, NM 87102
Phone (505) 843-7901

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1003006040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 ENCINO PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87102",
            "telephone_number": "505-843-7901",
            "fax_number": "505-843-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 ENCINO PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022619",
            "telephone_number": "505-843-7901",
            "fax_number": "505-843-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO SURGICAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-843-7901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000S9673",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTORAILROADMEDICARE",
            "identifier": "CI6639",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.