Isis Medicine PC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA2005-0046 Issued in NM

Legal business name

ISIS MEDICINE PC

Practice address

401 Botulph LN
Santa Fe, NM 87505-6912

Phone

(505) 983-8387

NPI assigned

Mar 14, 2006

Organization subpart

No

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

Authorized official

Name

Anna Annon

Title

Administrtive Assistant

Phone

(505) 983-8387

Specialties & licenses 1

Addresses

Practitioners 1

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

• Bruce E. Gollub, M.D.

  • Family Medicine Physician
  • Twin Falls, ID
  • NPI 1508855917
  NPD

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114996188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BOTULPH LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BOTULPH LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056912",
            "telephone_number": "505-983-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISIS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANNON",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "ADMINISTRTIVE ASSISTANT",
        "authorized_official_telephone_number": "505-983-8387"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2005-0046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Patrice Irene, LMSW
• Alexander Ross Irish
• Irwin Hoffman MD PC
• Brittany Irwin, RPH
• Carrie T Ishie, LMHC
• Jeanette Iskat de Aldana
• Jaqueline Leann Isquierdo, O.D.
• Javier Iturbe, MD
• Lauren Iversen, LMSW
• J&J Dentistry, LLC

• Medical Physician Assistant in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Medical Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.