Individual provider Active NPI

Jeffrey William Haughton, PA-C

  • Medical Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1568648186
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2008-0003 Issued in NM
Practice address
8080 Academy Rd NE Ste B
Albuquerque, NM 87111-1159
Phone
(505) 244-0080
Fax
(505) 244-9048
NPI assigned
Jan 14, 2008
Last updated
Mar 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2008-0003 NM Primary

Addresses

Primary practice location

8080 Academy Rd NE Ste B
Albuquerque, NM 87111-1159

Mailing address

8080 Academy Rd NE Ste B
Albuquerque, NM 87111-1159
Phone (505) 244-0080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080410000133 NM Practitioner - Physician Assistant 5496832719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Medical Associates, LLCGroup PAC ID 7214831114, 326 clinicians

Practice addresses (Care Compare)

6701 Jefferson St NE
Albuquerque, NM 87109-4318
Phone (505) 727-6200

715 Dr Martin Luther King Jr Ave NE
Suite 301
Albuquerque, NM 87102-3668
Phone (505) 727-7090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC CurrentSince Feb 11, 2017 Accepting new patients
Southwest Medical Associates, LLC CurrentSince Feb 11, 2017 Accepting new patients
New Mexico Orthopaedic Associates PC Past Accepting new patients

Locations

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

8080 Academy Rd NE
Ste B
Albuquerque, NM 87111
Phone (505) 244-0080

Interoperability endpoints

  • Direct secure messaging: jhaughton8511@ahs.direct-ci.com

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, 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": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1568648186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 ACADEMY RD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111159",
            "telephone_number": "505-244-0080",
            "fax_number": "505-244-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 ACADEMY RD NE STE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111159",
            "telephone_number": "505-244-0080",
            "fax_number": "505-244-9048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGHTON",
        "first_name": "JEFFREY",
        "middle_name": "WILLIAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-14",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2008-0003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.