Charles Leslie Secora, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

89-298 Issued in NM

Practice address

166 Hospital Dr
Raton, NM 87740-2002

Phone

(505) 445-4111

Fax

(505) 445-2666

NPI assigned

Jan 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charles L Secora

  • Obstetrics & Gynecology Physician
  • Raton, NM
  • NPI 1134366479
  NPD (past) Authorized official
• Pecos Valley of New Mexico, LLC

  • General Practice Physician
  • Carlsbad, NM
  • NPI 1972569820
  NPD (past)
• Covenant Medical Group

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1376598904

  Obstetrics & Gynecology

  NPD (past)
• Covenant Medical Group

  dba Covenant Family Healthcare Center

  • Rural Health Clinic/Center
  • Abernathy, TX
  • NPI 1538412895
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043356561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 GWENDA DR",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882209680",
            "telephone_number": "505-887-2989",
            "fax_number": "505-887-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 HOSPITAL DR",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877402002",
            "telephone_number": "505-445-4111",
            "fax_number": "505-445-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECORA",
        "first_name": "CHARLES",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "89-298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buck Sanchez
• Cassandra Sanchez, BMS
• Mona Lisa Sandoval, AA
• Linde A Schuster, MSCCCSLP
• Edwin Grant Scott Jr., RPH
• Carla Linn Segotta
• David Segura, LADAC
• Jamie Segura, CSW
• Aaron Sena-Stevens, BMS
• Judith Sena

• Obstetrics & Gynecology Physician in Raton, NM
• Providers in Raton, NM by specialty
• Obstetrics & Gynecology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.