Organization Active NPI

Women's Cancer and Surgical Care PC

  • Gynecologic Oncology Physician
  • Albuquerque, NM
National Provider Identifier
1871728840
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
Legal business name
WOMEN'S CANCER AND SURGICAL CARE PC
Practice address
4610 Jefferson LN NE
Albuquerque, NM 87109-2117
Phone
(505) 559-4495
Fax
(505) 842-8025
NPI assigned
May 20, 2009
Last updated
Jul 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Mr. Daniel G Ramirez
Title
Office Manager
Phone
(505) 559-4495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X NU Primary

Addresses

Primary practice location

4610 Jefferson LN NE
Albuquerque, NM 87109-2117

Mailing address

4610 Jefferson LN NE
Albuquerque, NM 87109-2117
Phone (505) 559-4495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090630000040 NM Part B Supplier - Clinic/Group Practice 9638220833 Receives reassigned benefits from 6 practitioners
Practice locations: Albuquerque, NM; Farmington, NM; Las Cruces, NM; Santa Fe, NM
O20111011000356 TX Part B Supplier - Clinic/Group Practice 9638220833 Receives reassigned benefits from 3 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

500 Walter St NE
Fl 5
Albuquerque, NM 87102
Phone (505) 559-4495

4391 E Lohman Ave
Ste A
Las Cruces, NM 88011
Phone (505) 559-4495

4532 N Mesa St
Ste 301
El Paso, TX 79912
Phone (915) 317-5077

6955 N Mesa St
Ste Ab
El Paso, TX 79912
Phone (505) 559-4495

Practitioners & affiliated clinicians

Practitioners 37

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.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1871728840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 JEFFERSON LN NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092117",
            "telephone_number": "505-559-4495",
            "fax_number": "505-842-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 JEFFERSON LN NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092117",
            "telephone_number": "505-559-4495",
            "fax_number": "505-842-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S CANCER AND SURGICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-559-4495",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 29, 2014; 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.