NPIMap

Organization Active NPI

Paul a Vakselis MD Facs LLC

  • Surgery Physician
  • Las Cruces, NM
National Provider Identifier
1831213206
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2000-120 Issued in NM
Legal business name
PAUL A VAKSELIS MD FACS LLC
Practice address
2909 Hillrise Dr
Las Cruces, NM 88011-4701
Phone
(505) 522-5888
Fax
(505) 521-1876
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Authorized official

Name
Sheila Vakselis
Title
Provider Wife
Phone
(505) 522-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 2000-120 NM Primary

Addresses

Primary practice location

2909 Hillrise Dr
Las Cruces, NM 88011-4701

Mailing address

PO Box 1560
Las Cruces, NM 88004-1560
Phone (505) 522-5888

Other identifiers 1

IdentifierTypeStateIssuer
00074423MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1831213206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1560",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880041560",
            "telephone_number": "505-522-5888",
            "fax_number": "505-521-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 HILLRISE DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114701",
            "telephone_number": "505-522-5888",
            "fax_number": "505-521-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL A VAKSELIS MD FACS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "VAKSELIS",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "PROVIDER WIFE",
        "authorized_official_telephone_number": "505-522-5888"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NM",
            "license": "2000-120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00074423",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.