Southwest Endocrinology Associates, PA

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

93-254 Issued in NM

Legal business name

SOUTHWEST ENDOCRINOLOGY ASSOCIATES, PA

Practice address

5501 Jefferson St NE
Suite #700
Albuquerque, NM 87109-3478

Phone

(505) 872-1002

Fax

(505) 888-3708

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Robert Thomas Ferraro, MD

Title

Medical Director

Phone

(505) 872-1002

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1194923938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 JEFFERSON ST NE",
            "address_2": "SUITE #700",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093478",
            "telephone_number": "505-872-1002",
            "fax_number": "505-888-3708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 JEFFERSON ST NE",
            "address_2": "SUITE #700",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093478",
            "telephone_number": "505-872-1002",
            "fax_number": "505-888-3708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST ENDOCRINOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "FERRARO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "505-872-1002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "NM95274",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NM",
            "license": "93-254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04257",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004257",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Endocrinology, Diabetes & Metabolism Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.