NORTHERN NEW MEXICOORTHOPAEDIC CENTER,PC; NPI #1043329139

Contact Information

NORTHERN NEW MEXICOORTHOPAEDIC CENTER,PC

1009 SPRUCE ST
ESPAÑOLA, NM 87532-2740

Phone: 505-747-4144
Fax: 505-747-3213
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Surgical	363AS0400X	97	Physician Assistant
Medical	363AM0700X	97	Physician Assistant
Specialist	174400000X
Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for NORTHERN NEW MEXICOORTHOPAEDIC CENTER,PC

NPI # 1043329139

LBN Legal business name NORTHERN NEW MEXICOORTHOPAEDIC CENTER,PC

Authorized official WAYNE AUGE - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/30/2006

Last updated 09/11/2025 - About 9 months ago

Identifiers

Medicaid

S6078

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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NORTHERN NEW MEXICOORTHOPAEDIC CENTER,PC

Contact Information

Specialty

Surgical

Medical

Specialist

Surgery, Foot & Ankle

NPI Profile & details for NORTHERN NEW MEXICOORTHOPAEDIC CENTER,PC

Reviews for NORTHERN NEW MEXICOORTHOPAEDIC CENTER,PC