Edward Martin McNerney, PA-C
Individual provider Active NPI Physician Assistant · Columbus, NM
NPI 1477523728 · NPPES record last updated Nov 17, 2011
Key facts
- NPI
- 1477523728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 626 Taft Street
Columbus, NM 88029-0690 - Phone
- (575) 531-2165
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- No
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affilion LLC | Past | Accepting new patients | |
| Ben Archer Health Center | Past | Accepting new patients | |
| Ben Archer Health Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
626 Taft Street
Columbus, NM 88029-0690
Mailing address
PO Box 370
Hatch, NM 87937-0370
Phone (575) 267-3280
Other providers in Columbus, NM
- Ruth M Armendariz
- Ben Archer Health Center
- Kay Burrows
- Leonel Phoenix Elias Kot
- Eduardo Garcia III
- Danielle M Rodriguez
- Kristy Marie Thomas
- Irma Trujillo
- Village of Columbus
All providers in Columbus, NM · Physician Assistant 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 Nov 17, 2011. 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.