Northern New Mexico Surgery

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

NORTHERN NEW MEXICO SURGERY

Practice address

3917 West Road Suite #125
Los Alamos, NM 87544

Phone

(505) 661-3030

Fax

(505) 662-9024

NPI assigned

Sep 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rodney J Barker, MDNPI 1023178530

Title

Surgeon Owner

Phone

(505) 661-3030

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rodney Jay Barker, MD

  • Surgery Physician
  • Los Alamos, NM
  • NPI 1023178530
  Authorized official Same address or phone

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649374380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 WEST ROAD SUITE #125",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "87544",
            "telephone_number": "505-661-3030",
            "fax_number": "505-662-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 WEST ROAD SUITE #125",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "87544",
            "telephone_number": "505-661-3030",
            "fax_number": "505-662-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NEW MEXICO SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SURGEON OWNER",
        "authorized_official_telephone_number": "505-661-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14874555",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael W Nichols, MD
• William R Nichols, DDS
• North Star Psychiatric Services LLC
• North Star Psychiatric Services, LLC
• Northern New Mexico Counseling Services, L.L.C.
• Northern New Mexico Urology LLC
• Nutrition Therapy New Mexico LLC
• Lalaine Grace Fabella Ochoada, PT
• Kacey Elizabeth Odum, COTA/L
• Taylor Ann Ortega-Calzadillas

• Surgery Physician in Los Alamos, NM
• Providers in Los Alamos, NM by specialty
• Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.