Organization Active NPI

Orthopedic Associates PA

  • Orthopaedic Surgery Physician
  • Farmington, NM
National Provider Identifier
1750356820
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPEDIC ASSOCIATES PA
Practice address
2300 E 30TH St Ste 101
Farmington, NM 87401-8990
Phone
(505) 327-1400
Fax
(505) 564-3202
NPI assigned
Feb 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Brenda Kay Compton
Title
Billing Manager
Phone
(505) 327-1400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X

Addresses

Primary practice location

2300 E 30TH St Ste 101
Farmington, NM 87401-8990

Mailing address

2300 E 30TH St BLDG D
Ste 101
Farmington, NM 87401-8990
Phone (505) 327-1400

Other practice location 1

1800 E 30th St Ste B
Farmington, NM 87401-9040
Phone (505) 943-0022

Other practice location 2

3180 N Butler Ave Bldg 300
Farmington, NM 87401-2334
Phone (505) 327-1400

Other identifiers 2

IdentifierTypeStateIssuer
00NM005061OtherBCBS
47522MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20031106000771 NM Part B Supplier - Clinic/Group Practice 1355254244 Receives reassigned benefits from 26 practitioners
Practice locations: Farmington, NM
O20100930098094 NM DME Supplier - Physician - Orthopedic/Orthopedic SurgeryDME Supplier - Physician - Podiatry 1355254244 Practice locations: Farmington, NM
O20230419000553 NM Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1355254244 Practice locations: Farmington, NM

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2300 E 30th St
Ste 101
Farmington, NM 87401
Phone (505) 208-6280

2300 E 30th St
Bldg D
Farmington, NM 87401
Phone (505) 208-6280

3180 N Butler Ave
Farmington, NM 87401

3180 N Butler Ave
#300
Farmington, NM 87401
Phone (505) 226-7893

3180 N Butler Ave
Ste 300
Farmington, NM 87401
Phone (505) 320-4153

1800 E 30th St
Ste B
Farmington, NM 87401
Phone (505) 943-0022

3180 N Butler Ave
Bldg 300
Farmington, NM 87401
Phone (505) 326-2460

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1750356820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E 30TH ST BLDG D",
            "address_2": "STE 101",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018990",
            "telephone_number": "505-327-1400",
            "fax_number": "505-564-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E 30TH ST STE 101",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018990",
            "telephone_number": "505-327-1400",
            "fax_number": "505-564-3202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 E 30th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874019040",
            "country_code": "US",
            "telephone_number": "505-943-0022",
            "fax_number": "505-943-0015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3180 N Butler Ave Bldg 300",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "NM",
            "postal_code": "874012334",
            "country_code": "US",
            "telephone_number": "505-327-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORTHOPEDIC ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "COMPTON",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "505-327-1400"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00NM005061",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47522",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.