Organization Active NPI

Cardiovascular and Endovascular Solutions, PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Albuquerque, NM
National Provider Identifier
1649451345
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
MD2006-0459 Issued in NM
Legal business name
CARDIOVASCULAR AND ENDOVASCULAR SOLUTIONS, PC
Practice address
500 Walter St NE
Albuquerque, NM 87102-2534
Phone
(505) 803-1087
Fax
(505) 892-6340
NPI assigned
Nov 21, 2007
Last updated
Jul 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dr. Robert Randolph Waterford, MDNPI 1376559203
Title
President
Phone
(505) 242-2325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD2006-0459 NM Primary

Addresses

Primary practice location

500 Walter St NE
Albuquerque, NM 87102-2534

Mailing address

625 Silver SE
Suite 340
Albuquerque, NM 87102-3123
Phone (505) 242-2325

National Provider Directory

National Provider Directory

Locations

625 Silver Ave SW
Ste 340
Albuquerque, NM 87102
Phone (505) 242-2325

7510 Montgomery Blvd NE
Ste 106
Albuquerque, NM 87109

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1649451345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 SILVER SE",
            "address_2": "SUITE 340",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023123",
            "telephone_number": "505-242-2325",
            "fax_number": "505-242-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WALTER ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022534",
            "telephone_number": "505-803-1087",
            "fax_number": "505-892-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR AND ENDOVASCULAR SOLUTIONS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "WATERFORD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-242-2325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NM",
            "license": "MD2006-0459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.