NPIMap

Organization Active NPI

Southwest Women'S Sonography, LLC

  • Gynecology Physician
  • Albuquerque, NM
National Provider Identifier
1679641963
Registry record updated Aug 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
2003-0502 Issued in NM
Legal business name
SOUTHWEST WOMEN'S SONOGRAPHY, LLC
Practice address
4600 Montgomery Blvd NE
Building a, Suite 101
Albuquerque, NM 87109-1210
Phone
(505) 884-9687
Fax
(505) 884-9688
NPI assigned
Dec 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2009

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

Authorized official

Name
Dr. Mary Reuss, M.D.NPI 1659443299
Title
Owner
Phone
(505) 884-9687

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
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 2003-0502 NM Primary

Addresses

Primary practice location

4600 Montgomery Blvd NE
Building a, Suite 101
Albuquerque, NM 87109-1210

Mailing address

PO Box 2160
Corrales, NM 87048-2160
Phone (505) 884-9687

Other identifiers 4

IdentifierTypeStateIssuer
201045136OtherNMPREBYTERIAN HEALTH PLAN
53157532MedicaidNM
P 12036477OtherNMMULTIPLAN
00NM009L79OtherNMBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1165104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1679641963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2160",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870482160",
            "telephone_number": "505-884-9687",
            "fax_number": "505-884-9688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY BLVD NE",
            "address_2": "BUILDING A, SUITE 101",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091210",
            "telephone_number": "505-884-9687",
            "fax_number": "505-884-9688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST WOMEN'S SONOGRAPHY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-03",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "REUSS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-884-9687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NM",
            "license": "2003-0502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREBYTERIAN HEALTH PLAN",
            "identifier": "201045136",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53157532",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "P 12036477",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS  BLUE SHIELD",
            "identifier": "00NM009L79",
            "state": "NM"
        }
    ],
    "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 Aug 6, 2009; 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.