Anasazi Medical Assocaites PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA2008-0043 Issued in NM

Legal business name

ANASAZI MEDICAL ASSOCAITES PA

Practice address

2055 S Pacheco St
Suite 600
Santa Fe, NM 87505-3997

Phone

(505) 473-0390

Fax

(505) 473-0375

NPI assigned

Sep 26, 2008

Last updated

Sep 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rick E Ammons, PA-C

Title

Physician Assistant

Phone

(505) 473-0390

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Carl C Friedrichs, MD

  • Family Medicine Physician
  • Santa Fe, NM
  • NPI 1386745206
  NPD (past)

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1982854857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 S PACHECO ST",
            "address_2": "SUITE 600",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053997",
            "telephone_number": "505-473-0390",
            "fax_number": "505-473-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 S PACHECO ST",
            "address_2": "SUITE 600",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875053997",
            "telephone_number": "505-473-0390",
            "fax_number": "505-473-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANASAZI MEDICAL ASSOCAITES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "AMMONS",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "505-473-0390",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2008-0043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyle B Amer, MD
• American Current Care P.a.
• Constance Sophia Amidon, MS
• Nilufar Amirazimi, AMFT
• Amy Weigold, LMT
• Anasazi Medical Associates
• Sascha M Anastas, P.A.
• Carlos Anaya
• Sativa Anaya
• Shantal Anaya

• Medical Physician Assistant in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Medical Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.