Southwest Neurosurgical Associates PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

2001257 Issued in NM

Legal business name

SOUTHWEST NEUROSURGICAL ASSOCIATES PC

Practice address

8080 Academy Rd NE
Suite B
Albuquerque, NM 87111-1159

Phone

(505) 244-0080

Fax

(505) 244-9048

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Kris Stonehouse

Title

Office Manager

Phone

(505) 244-0080

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1114924024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 ACADEMY RD NE",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111159",
            "telephone_number": "505-244-0080",
            "fax_number": "505-244-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 ACADEMY RD NE",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111159",
            "telephone_number": "505-244-0080",
            "fax_number": "505-244-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST NEUROSURGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "STONEHOUSE",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-244-0080"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "NM",
            "license": "2001257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83483861",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NM",
            "identifier": "NM029548",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southwest Medical Associates, LLC (Lovelace Medical Group)
• Southwest Medical Massage LLC
• Southwest Myotherapy
• Southwest Neuropsychology & Behavioral Health
• Southwest Neuropsychology and Behavioral Health, LLC
• Southwest Nutrition, LLC
• Southwest Oral & Maxillofacial Surgery
• Southwest Oral and Maxillofacial Surgeons LLC
• Southwest Orthopaedic Physical Therapy LLC
• Southwest Podiatry Center PC

• Neurological Surgery Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Neurological Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.