Anasazi Medical Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

002-409897-003 Issued in NM

Legal business name

ANASAZI MEDICAL ASSOCIATES

Practice address

2055 S Pacheco St
Suite 600
Santa Fe, NM 87505-3997

Phone

(505) 473-0390

Fax

(505) 473-0375

NPI assigned

Mar 13, 2007

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

Carl Friedrichs IIINPI 1386745206

Title

Owner

Phone

(505) 473-0390

Specialties & licenses 1

Addresses

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.

• Carl C Friedrichs, MD

  • Family Medicine Physician
  • Santa Fe, NM
  • NPI 1386745206
  Authorized official Same address or phone

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700919289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 SOUTH PACHECO",
            "address_2": "SUITE 600",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053997",
            "telephone_number": "505-473-0390",
            "fax_number": "505-473-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 S PACHECO ST",
            "address_2": "SUITE 600",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053997",
            "telephone_number": "505-473-0390",
            "fax_number": "505-473-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANASAZI MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRIEDRICHS",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-473-0390",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "002-409897-003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Current Care P.a.
• Constance Sophia Amidon, MS
• Nilufar Amirazimi, AMFT
• Amy Weigold, LMT
• Anasazi Medical Assocaites PA
• Sascha M Anastas, P.A.
• Carlos Anaya
• Sativa Anaya
• Shantal Anaya
• Ancient Wisdom Healing Arts LLC

• Family Medicine Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Family Medicine 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.