Paul E Walsky

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

78283 Issued in NM

Legal business name

PAUL E WALSKY

Doing business as

Northern New Mexico Vascular Lab

Practice address

531 Harkle Rd Ste a-2
Santa Fe, NM 87505-4753

Phone

(505) 982-8482

Fax

(505) 983-1899

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul E Walsky, MD

Title

Owner

Phone

(505) 982-8482

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Northern New Mexico Vascular Lab Doing business as

Tax ID family

Northern New Mexico Vascular Lab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Northern NM Vascular Lab

  • Clinical Medical Laboratory
  • Rio Rancho, NM
  • NPI 1659607760
  NPD tax ID

Locations

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1245387158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 HARKLE RD STE A-2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054753",
            "telephone_number": "505-982-8482",
            "fax_number": "505-983-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 HARKLE RD STE A-2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054753",
            "telephone_number": "505-982-8482",
            "fax_number": "505-983-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL E WALSKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "WALSKY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-982-8482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NM",
            "license": "78283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "13017718",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NM",
            "identifier": "NM007849",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54528",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northern New Mexico Vascular Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick M. Pacheco, DDS,PC
• Patrick Okeefe Chiropractic Inc
• Sara Beth Patrick, LMHC
• Carol Jean Patterson, LPCC, LPC
• Michael Smith Patterson, MD
• Paul E. Walsky, MD, P.C.
• Neena Paul, LISW
• Paula Zerfoss, LCSW Inc.
• Katherine Pavuk
• Nicole Kimberly Payne, CCSS

• Clinical Medical Laboratory in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Clinical Medical Laboratory in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.