NPIMap

Organization Active NPI

Santa Fe Anesthesia Specialists, P.C.

  • Anesthesiology Physician
  • Santa Fe, NM
National Provider Identifier
1861420465
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0603128 Issued in NM
Legal business name
SANTA FE ANESTHESIA SPECIALISTS, P.C.
Practice address
1631 Hospital Dr
Suite 110
Santa Fe, NM 87505-4728
Phone
(505) 983-3275
Fax
(505) 983-4812
NPI assigned
Jun 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John C Mullican, M.D.NPI 1033125026
Title
President
Phone
(505) 983-3275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0603128 NM Primary

Addresses

Primary practice location

1631 Hospital Dr
Suite 110
Santa Fe, NM 87505-4728

Mailing address

PO Box 14423
Albuquerque, NM 87191-4423
Phone (505) 323-7200

Other identifiers 1

IdentifierTypeStateIssuer
43555012MedicaidNM

National Provider Directory

National Provider Directory

Locations

455 Saint Michaels Dr
Ste 212
Santa Fe, NM 87505

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861420465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14423",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871914423",
            "telephone_number": "505-323-7200",
            "fax_number": "505-323-7206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 HOSPITAL DR",
            "address_2": "SUITE 110",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054728",
            "telephone_number": "505-983-3275",
            "fax_number": "505-983-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA FE ANESTHESIA SPECIALISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MULLICAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-983-3275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NM",
            "license": "0603128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43555012",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • 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.