Individual provider Active NPI

Jeffrey J Hawkins, M.D.

  • General Practice Physician
  • Santa Fe, NM
National Provider Identifier
1396704565
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
93-281 Issued in NM
Practice address
73 Paseo del Paisano
Santa Fe, NM 87506-7984
Phone
(505) 988-1045
Fax
(888) 351-6207
NPI assigned
Mar 17, 2006
Last updated
Sep 1, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 93-281 NM Primary

Addresses

Primary practice location

73 Paseo del Paisano
Santa Fe, NM 87506-7984

Mailing address

73 Paseo del Paisano
Santa Fe, NM 87506-7984
Phone (505) 988-1045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
93-281NMMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Tammany Anesthesia Group Past Accepting new patients
Outpatient Eye Surgery Center Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1396704565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 PASEO DEL PAISANO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875067984",
            "telephone_number": "505-988-1045",
            "fax_number": "888-351-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PASEO DEL PAISANO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875067984",
            "telephone_number": "505-988-1045",
            "fax_number": "888-351-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "JEFFREY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NM",
            "license": "93-281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.