Wilbur a Tso MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

81-330 Issued in NM

Legal business name

WILBUR A TSO MD PC

Practice address

211 N Auburn Ave
Farmington, NM 87401-8411

Phone

(505) 327-9876

Fax

(505) 326-6650

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Wilbur Tso, MD

Title

President

Phone

(505) 327-9876

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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

• Michael David Gruber, M D PC

  • Family Medicine Physician
  • Alamosa, CO
  • NPI 1225032998
  NPD (past)
• Basanti Rajesh Vrushab, M.D.

  • Internal Medicine Physician
  • Hurst, TX
  • NPI 1265436943
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1972620557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N AUBURN AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018411",
            "telephone_number": "505-327-9876",
            "fax_number": "505-326-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N AUBURN AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018411",
            "telephone_number": "505-327-9876",
            "fax_number": "505-326-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBUR A TSO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "TSO",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-327-9876",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "81-330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "600522369",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09811",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared C. White, PHARMD
• Jeremy L White
• Lauren Taylor White
• Madison Whitehead, PA-C
• Elbert James Whitehorse
• Dustin Garrett Wilder
• David Lee Wilkey, MD
• Alisha Lynn Williams, COTA
• Drew Jonathan Williams, DMD
• Jenna Williams

• Family Medicine Physician in Farmington, NM
• Providers in Farmington, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.