Active NPI
Surgical Oncology and Gastrointestinal Surgery Consultants LLC
- Surgery Physician
- Albuquerque, NM
National Provider Identifier
1396097002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2001-214
- Legal business name
- SURGICAL ONCOLOGY AND GASTROINTESTINAL SURGERY CONSULTANTS LLC
- Practice address
- 4901 Lang Ave NE
Suite 202
Albuquerque, NM 87109-4495 - Phone
- (505) 227-9737
- NPI assigned
- Oct 4, 2012
- 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
- Glenroy Heywood, MD
- Title
- Ceo
- Phone
- (505) 362-3628
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2001-214 | NM | Primary |
Addresses
Primary practice location
4901 Lang Ave NE
Suite 202
Albuquerque, NM 87109-4495
Mailing address
4901 Lang Ave NE
Suite 202
Albuquerque, NM 87109-4495
Phone (505) 227-9737
National Provider Directory
National Provider DirectoryLocations
4901 Lang Ave NE
Ste 202
Albuquerque, NM 87109
Phone (505) 209-9234
6100 Uptown Blvd NE
Ste 600
Albuquerque, NM 87110
Phone (505) 200-3808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1384819200000",
"number": "1396097002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 LANG AVE NE",
"address_2": "SUITE 202",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094495",
"telephone_number": "505-227-9737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 LANG AVE NE",
"address_2": "SUITE 202",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094495",
"telephone_number": "505-227-9737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL ONCOLOGY AND GASTROINTESTINAL SURGERY CONSULTANTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-04",
"last_updated": "2013-11-19",
"status": "A",
"authorized_official_last_name": "HEYWOOD",
"authorized_official_first_name": "GLENROY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "505-362-3628",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "NM",
"license": "2001-214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
- Sikander Surana, M.D.
- Robert John Surawski, M.D.
- Marty Dale Surface, DNP, FNP-BC, ACHPN
- Surgery Center of Albuquerque, LLC
- Surgical Assist Innovations LLC
- Surgical Oncology and Gastrointestinal Surgery Consultants, LLC
- Surgical Specialty Care, LLC
- Pranamya Suri, MD
- Joseph Surman, AA-C
- William Surrock, PHARM.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.