Abq Orthopedics LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ABQ ORTHOPEDICS LLC

Practice address

4700 Jefferson St NE Ste 750
Albuquerque, NM 87109-2132

Phone

(505) 418-6636

Fax

(505) 521-5160

NPI assigned

Apr 29, 2022

Last updated

May 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Damen Sacoman, MDNPI 1679596977

Title

Medical Director

Phone

(505) 418-6636

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Damen Michael Sacoman, MD

  • Orthopaedic Surgery Physician
  • Albuquerque, NM
  • NPI 1679596977
  Medicare reassignment Care Compare group NPD Authorized official
• Laurence R Laudicina, MD

  • Orthopaedic Surgery Physician
  • Albuquerque, NM
  • NPI 1134108186
  Medicare reassignment Care Compare group NPD
• Anne Shilling, PA-C

  • Medical Physician Assistant
  • Chandler, AZ
  • NPI 1629735915

  NM

  Medicare reassignment Care Compare group NPD
• James Kirk Allman, PAC

  • Physician Assistant
  • Albuquerque, NM
  • NPI 1811915275
  Medicare reassignment Care Compare group
• David Ryan Burk, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Glendale, AZ
  • NPI 1457613150

  NM

  Medicare reassignment NPD
• Kyle Maestas, PA-C

  • Physician Assistant
  • Albuquerque, NM
  • NPI 1043676273
  Medicare reassignment
• Susan Giron, FNP

  • Family Nurse Practitioner
  • Albuquerque, NM
  • NPI 1649733619
  NPD

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1336884865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 JEFFERSON ST NE STE 800",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092132",
            "telephone_number": "505-418-6636",
            "fax_number": "505-521-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 JEFFERSON ST NE STE 750",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092132",
            "telephone_number": "505-418-6636",
            "fax_number": "505-521-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABQ ORTHOPEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-29",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "SACOMAN",
        "authorized_official_first_name": "DAMEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "505-418-6636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Orthopaedic Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.