Tresrios Pathology PC

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

TRESRIOS PATHOLOGY PC

Practice address

801 W Maple St
Farmington, NM 87401-5630

Phone

(505) 327-2930

Fax

(505) 599-6290

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Scott Otteson, MDNPI 1467569350

Title

Vice President

Phone

(505) 327-2930

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 2

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

• Scott Parley Otteson, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Farmington, NM
  • NPI 1467569350
  Medicare reassignment Care Compare group NPD Authorized official
• Brent Farnsworth, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Farmington, NM
  • NPI 1750356408
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932217536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874990407",
            "telephone_number": "505-327-2930",
            "fax_number": "505-599-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MAPLE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015630",
            "telephone_number": "505-327-2930",
            "fax_number": "505-599-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRESRIOS PATHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OTTESON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "505-327-2930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47119",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Transformation in Therapy
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• Tres Rios Anesthesiology LLC
• Tres Rios Wellness Counseling LLC
• Taffeta Troutner, NP
• Jeanette Troxell, R.N.
• Adriana Trujillo
• Hope Trujillo, LCSW
• Margie Trujillo, PHD, LPCC

• Anatomic Pathology & Clinical Pathology Physician in Farmington, NM
• Providers in Farmington, NM by specialty
• Anatomic Pathology & Clinical Pathology Physician in New Mexico

• 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.
• 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.