Active NPI
Cardiovascular and Endovascular Solutions, PC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- MD2006-0459
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Randolph Waterford, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Vascular Surgery Physician
- Kahului, HI
- NPI 1376559203
Thoracic Surgery (Cardiothoracic Vascular Surgery)
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.