William H Chaffee, M.D.
Individual provider Active NPI Anesthesiology Physician · Albuquerque, NM
NPI 1457577231 · NPPES record last updated Jun 3, 2013
Key facts
- NPI
- 1457577231
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 98-235 (NM)
- Practice address
- 8101 Countrywood Rd NE
Albuquerque, NM 87109-5262 - Phone
- (505) 850-6812
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98-235 | NM | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Miguel Hospital Corporation | Past | Accepting new patients | |
| Consultants in Anesthesiology, Inc | Anesthesiology | Past | Accepting new patients |
| Advanced Anesthesia Care P.C. | Specialist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 98-235 | NM | |
| Anesthesiology Physician | 207L00000X | 98-235 | NM | Yes |
Addresses
Primary practice location
8101 Countrywood Rd NE
Albuquerque, NM 87109-5262
Mailing address
8101 Countrywood Rd NE
Albuquerque, NM 87109-5262
Phone (505) 850-6812
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98-235 | Other | NM | STATE LICENSE # |
| Z2658 | Medicaid | NM |
NPI Registry JSON
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370217600000",
"number": "1457577231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8101 COUNTRYWOOD RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871095262",
"telephone_number": "505-850-6812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8101 COUNTRYWOOD RD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871095262",
"telephone_number": "505-850-6812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAFFEE",
"first_name": "WILLIAM",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2013-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NM",
"license": "98-235",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NM",
"license": "98-235",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "98-235",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z2658",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
- Marissa Chacon
- Tracy Rose Chacon
- Veronica Chacon
- Caitlyn Rose Chafey I
- David Holmes Chafey III
- Margaret Hamilton Chaffey
- Rita Chaidez
- Teresa Chaires Chavira
- Hannah Chaisson
- Branda Chaleunphonh
All providers in Albuquerque, NM · Anesthesiology Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.