Organization Active NPI

Paul E. Walsky, MD, P.C.

  • Neurology Physician
  • Santa Fe, NM
National Provider Identifier
1437488020
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
78-283 Issued in NM
Legal business name
PAUL E. WALSKY, MD, P.C.
Practice address
531 Harkle Rd
Suite a-1
Santa Fe, NM 87505-4753
Phone
(505) 982-3814
Fax
(505) 983-1899
NPI assigned
Dec 10, 2009
Last updated
Dec 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Mr. Paul E. Walsky, M.D.
Title
Owner
Phone
(505) 982-3814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 78-283 NM Primary

Addresses

Primary practice location

531 Harkle Rd
Suite a-1
Santa Fe, NM 87505-4753

Mailing address

531 Harkle Rd
Suite a-1
Santa Fe, NM 87505-4753
Phone (505) 982-3814

Other identifiers 1

IdentifierTypeStateIssuer
24216MedicaidNM

National Provider Directory

National Provider Directory

Locations

531 Harkle Rd
Ste A1
Santa Fe, NM 87505
Phone (505) 982-3814

NPI Registry JSON

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1437488020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 HARKLE RD",
            "address_2": "SUITE A-1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054753",
            "telephone_number": "505-982-3814",
            "fax_number": "505-983-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 HARKLE RD",
            "address_2": "SUITE A-1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054753",
            "telephone_number": "505-982-3814",
            "fax_number": "505-983-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL E. WALSKY, MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "WALSKY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-982-3814",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NM",
            "license": "78-283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24216",
            "state": "NM"
        }
    ],
    "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 Dec 10, 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.