New Mexico Plastic Surgeons, PC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

PT0098434 Issued in NM

Legal business name

NEW MEXICO PLASTIC SURGEONS, PC

Practice address

1020 Tijeras Ave NE
Ste. 16
Albuquerque, NM 87106-4749

Phone

(505) 842-6868

Fax

(505) 842-9325

NPI assigned

Dec 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gladys S Tsao-Wu, M.D.

Title

Partner

Phone

(505) 842-6868

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1629214838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 TIJERAS AVE NE",
            "address_2": "STE. 16",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064749",
            "telephone_number": "505-842-6868",
            "fax_number": "505-842-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TIJERAS AVE NE",
            "address_2": "STE. 16",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064749",
            "telephone_number": "505-842-6868",
            "fax_number": "505-842-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO PLASTIC SURGEONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "TSAO-WU",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "505-842-6868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NM",
            "license": "PT0098434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58905863",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Mexico Physical Therapists Inc
• New Mexico Physical Therapists Inc
• New Mexico Physical Therapists Inc
• New Mexico Physicians Eyecare Group, P.C.
• New Mexico Plastic
• New Mexico Professional Dental Associates, Inc
• New Mexico Professional Dental Associates, Inc
• New Mexico Professional Dental Associates, Inc
• New Mexico Professional Dental Associates, Inc
• New Mexico Professionals Resource Network, LLC

• Plastic and Reconstructive Surgery Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Plastic and Reconstructive Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; 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.