Active NPI
Sam William Andrews, M.D.
- Forensic Pathology Physician
- Albuquerque, NM
National Provider Identifier
1912296609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- MD2011-0521
- Practice address
- 1101 Camino de Salud NE
Office of the Medical Investigator
Albuquerque, NM 87102 - Phone
- (505) 925-0518
- NPI assigned
- Apr 2, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | MD2011-0521 | NM | Primary |
Addresses
Primary practice location
1101 Camino de Salud NE
Office of the Medical Investigator
Albuquerque, NM 87102
Mailing address
Pathology MSC 08 4640
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 925-0518
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2011-0521 | NM | MD | Forensic Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337212800000",
"number": "1912296609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PATHOLOGY MSC 08 4640",
"address_2": "1 UNIVERSITY OF NEW MEXICO",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "505-925-0518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 CAMINO DE SALUD NE",
"address_2": "OFFICE OF THE MEDICAL INVESTIGATOR",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87102",
"telephone_number": "505-925-0518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "SAM",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-02",
"last_updated": "2012-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pathology, Forensic Pathology",
"state": "NM",
"license": "MD2011-0521",
"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 May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.