Head and Neck Surgeons of New Mexico, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

97-130 Issued in NM

Legal business name

HEAD AND NECK SURGEONS OF NEW MEXICO, LLC

Practice address

1020 Tijeras Ave NE
Ste 22
Albuquerque, NM 87106-4749

Phone

(505) 848-3124

Fax

(505) 848-8077

NPI assigned

Feb 18, 2008

Organization subpart

No

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

Authorized official

Name

Allyson M Ray, M.D.

Title

Manager

Phone

(505) 848-3124

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1598933145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 TIJERAS AVE NE",
            "address_2": "STE 22",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064749",
            "telephone_number": "505-848-3124",
            "fax_number": "505-848-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TIJERAS AVE NE",
            "address_2": "STE 22",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064749",
            "telephone_number": "505-848-3124",
            "fax_number": "505-848-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD AND NECK SURGEONS OF NEW MEXICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "505-848-3124",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "97-130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIF",
            "identifier": "1598933145",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharareh Hazini, M.D.
• Eva Hazlett Davidson, LMHC
• Shawn Andrew Hazlewood, MD
• HC&MH
• HCP Systems LLC
• Head to Toe Wellness, LLC
• Jo Ellen Head, MD
• John Morgan Head
• Laura Ann Head
• Michele Lynne Head, CNP

• Specialist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.