Southwest Neurosurgery PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

SOUTHWEST NEUROSURGERY PC

Practice address

555 S Schwartz Ave
Farmington, NM 87401-5955

Phone

(505) 564-8076

Fax

(505) 324-2259

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Edward E Maurin III

Title

Owner

Phone

(505) 564-8073

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1629001060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6210",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874996210",
            "telephone_number": "505-324-2258",
            "fax_number": "505-324-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S SCHWARTZ AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015955",
            "telephone_number": "505-564-8076",
            "fax_number": "505-324-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST NEUROSURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "MAURIN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-564-8073",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000T8659",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teisha South, PTA
• Southewesnt OB/GYN
• Southwest DME Inc
• Southwest Health Care Professionals Inc
• Southwest Healthcare Inc
• Southwest Nurse Practitioners
• Southwest Obstetrics and Gynecology, LLC
• Southwest Pediatric Occupational Therapy, LLC
• Southwest Sleep Inc
• Southwest Spine & Orthopedic Clinic PC

• Neurological Surgery Physician in Farmington, NM
• Providers in Farmington, NM by specialty
• Neurological Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.