Active NPI
Paul Richard Cutler, M.D.
- Surgery Physician
- Farmington, NM
National Provider Identifier
1205112661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 88-18
- Practice address
- 801 West Maple
San Juan Regional Medical Center
Farmington, NM 87401 - Phone
- (505) 609-2451
- NPI assigned
- Oct 31, 2011
- Last updated
- Oct 31, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 88-18 | NM | Primary |
Addresses
Primary practice location
801 West Maple
San Juan Regional Medical Center
Farmington, NM 87401
Mailing address
801 West Maple
San Juan Regional Medical Center
Farmington, NM 87401
Phone (505) 609-2451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88-18 | NM | MD | Surgery Physician |
| 8818 | NM | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1205112661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 WEST MAPLE",
"address_2": "SAN JUAN REGIONAL MEDICAL CENTER",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "87401",
"telephone_number": "505-609-2451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 WEST MAPLE",
"address_2": "SAN JUAN REGIONAL MEDICAL CENTER",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "87401",
"telephone_number": "505-609-2451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUTLER",
"first_name": "PAUL",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-31",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "88-18",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.