Active NPI
Mesilla Valley Anesthesiology PC
- Anesthesiology Physician
- Las Cruces, NM
National Provider Identifier
1265475933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- MESILLA VALLEY ANESTHESIOLOGY PC
- Practice address
- 205 W. Boutz Rd.
BLDG #1
Las Cruces, NM 88005 - Phone
- (575) 532-7000
- NPI assigned
- Jun 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy S. McComas
- Title
- MD/President
- Phone
- (575) 532-7000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
205 W. Boutz Rd.
BLDG #1
Las Cruces, NM 88005
Mailing address
205 W. Boutz Rd.
BLDG #1
Las Cruces, NM 88005
Phone (575) 532-7000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI7030 | Other | RR MEDICARE | |
| K0756 | Medicaid | NM |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323907200000",
"number": "1265475933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W. BOUTZ RD.",
"address_2": "BLDG #1",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88005",
"telephone_number": "575-532-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 W. BOUTZ RD.",
"address_2": "BLDG #1",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88005",
"telephone_number": "575-532-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MESILLA VALLEY ANESTHESIOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-13",
"last_updated": "2011-12-15",
"status": "A",
"authorized_official_last_name": "MCCOMAS",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "MD/PRESIDENT",
"authorized_official_telephone_number": "575-532-7000"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CI7030",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "K0756",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.