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

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

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

LicenseStateTypeSpecialty
98-235NMMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew 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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
98-235OtherNMSTATE LICENSE #
Z2658MedicaidNM

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 3, 2013.

{
    "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

All providers in Albuquerque, NM · Anesthesiology Physician in New Mexico

Sources for this page

Verify at the official NPI Registry.