Physician Surgery Center of Albuquerque LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

PHYSICIAN SURGERY CENTER OF ALBUQUERQUE LLC

Practice address

9551 Paseo del Norte NE
Albuquerque, NM 87122-2975

Phone

(505) 346-0500

Fax

(505) 346-0164

NPI assigned

Nov 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John Joseph Teahan, MDNPI 1679545594

Title

Managing Member

Phone

(505) 346-0500

Specialties & licenses 1

Addresses

Other names 1

• POSC of ABQ LLC Other name

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Listed as

Physician Surgery Center of Albuquerque LLCCCN 32C0001121

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Joseph Teahan, M.D.

  • Ophthalmology Physician
  • Albuquerque, NM
  • NPI 1679545594
  NPD Authorized official

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1639456973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9551 PASEO DEL NORTE NE STE C",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222976",
            "telephone_number": "505-346-0500",
            "fax_number": "505-346-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9551 PASEO DEL NORTE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871222975",
            "telephone_number": "505-346-0500",
            "fax_number": "505-346-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN SURGERY CENTER OF ALBUQUERQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "TEAHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "505-346-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POSC of ABQ LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "POSC of ABQ LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Physical Therapy at Dawn, LLC
• Physical Therapy Clinic at la Cueva
• Physical Therapy Consultants P.C.
• Physical Therapy, Athletic Performance, & Sports Rehabilitation
• Physician Management Services of New Mexico, LLC
• Natallia Piatrova
• Rosanne Marie Piatt
• Francesca Picchi-Wilson, PT, DPT
• Mary Jo Picha, LCSW
• Donald Edward Pichler, M.D.

• Ambulatory Surgical Clinic/Center in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Ambulatory Surgical Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.