Organization Active NPI

Surgical Oncology and Gastrointestinal Surgery Consultants LLC

  • Surgery Physician
  • Albuquerque, NM
National Provider Identifier
1396097002
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2001-214 Issued in NM
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

Updated by the provider on Nov 19, 2013

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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

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.

Verify at the official NPI Registry.