Physician Assistant in SANTA FE, NM
Last Updated on : Sep 01,2022
WILLIAM T BACON is a Physician Assistant provider in SANTA FE, United States. His medical specialization is Physician Assistant with a focus in Medical.
1730181942 is NPI number of WILLIAM T BACON.
WILLIAM T BACON's primary taxonomy code based on NPI Lookup is 363AM0700X with license number 2001-PA36. This taxonomy code refers to Physician Assistant.
WILLIAM T BACON has more than 17 years of experience.
WILLIAM T BACON current practice location address is 1650 HOSPITAL DR STE 800, SANTA FE, NM. WILLIAM T BACON can be reached out via phone at 505-395-3000 and via fax at 505-982-5003 .
You can also correspond with WILLIAM T BACON through mail at mailing address 1650 HOSPITAL DR STE 800, SANTA FE, NM, United States. Mailing address contact number is 505-395-3000.
The enumeration date of WILLIAM T BACON is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 1 years ago.Basic NPI information of WILLIAM T BACON (NPI 1730181942) is provided below.
Name | WILLIAM T BACON |
---|---|
National Provider Id (NPI) | 1730181942 |
Entity Type | Individual |
Gender | M |
Credential | PA-C |
Practice Address | 1650 HOSPITAL DR STE 800,
SANTA FE, NM, United States |
Practice Telephone | 505-395-3000 |
Practice Fax Number | 505-982-5003 |
Mailing Address | 1650 HOSPITAL DR STE 800 ,
SANTA FE, NM, United States |
Mailing Telephone | 505-395-3000 |
Mailing Fax Number | 505-982-5003 |
Enumeration Date | 01-Jun-2005 |
Last Updated Date | 01-Sep-2022 |
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
Primary | Taxonomy Code | Clasification | License Number | License State |
---|---|---|---|---|
Y | 363AM0700X | Physician Assistant, Medical | 2001-PA36 | NM |
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type/Code | Identifier State | Identifier Issuer |
---|---|---|---|
05638852 | MEDICAID (05) | NM |
Here are a few of the other providers in the same location.
NPI | Name | Taxonomy | Address | Enumeration date |
---|---|---|---|---|
1629556188 | 1650 GALISTEO STREET OPERATIONS LLC | Skilled Nursing Facility | 1650 GALISTEO ST,
SANTA FE, NM, United States |
06-Aug-2018 |
1144622259 | 518 PHARMACEUTICAL SERVICES LLC | Pharmacy, Community/Retail Pharmacy | 13230 FM 1764 RD STE B,
SANTA FE, TX, United States |
19-Sep-2014 |
1093964546 | A WELL FOR HEALTH INC | Specialist | 1530 BISHOPS LODGE RD,
SANTA FE, NM, United States |
09-Sep-2008 |
1801502216 | ABA STARS LLC | Behavior Analyst | 530B HARKLE RD STE 100,
SANTA FE, NM, United States |
30-Jan-2023 |
1588748081 | CHARLIE WILFRED ABADIE | Physical Therapist | PO BOX 29269,
SANTA FE, NM, United States |
24-Oct-2006 |
1033652979 | BARBARA BERNUCCI ABALOS | Behavior Analyst | 1211 8TH ST STE C,
ALAMOGORDO, NM, United States |
26-Nov-2016 |
1952668477 | CAROLYN DELICA ABANTE | Pharmacist | 600 N GUADALUPE ST,
SANTA FE, NM, United States |
20-Apr-2012 |
1255778478 | CARINA SOFIA ABATE | Massage Therapist | 213 W ALICANTE RD,
SANTA FE, NM, United States |
29-May-2013 |
1063960029 | PATRICIA ABATEMARCO | Case Manager/Care Coordinator | 2325 CERRILLOS RD,
SANTA FE, NM, United States |
19-Sep-2016 |
1760494660 | NAEEM ZULFIKAR ABDULLA | Optometrist | 4201 RODEO RD,
SANTA FE, NM, United States |
12-Aug-2006 |
1902038458 | WALI ABDUSH-SHAKUR | Registered Nurse | 2001 CHAMISA ST,
SANTA FE, NM, United States |
18-Aug-2009 |
1821016593 | LOUISE MARIE ABEL | Internal Medicine | 1650 HOSPITAL DRIVE,
SUITE 400 SANTA FE, NM, United States |
18-Jul-2006 |
1093000176 | VICCI LYNN ABERNATHY | Counselor | PO BOX 28220,
SANTA FE, NM, United States |
16-Jun-2011 |
1356976674 | AMANDA ABEYTA | Peer Specialist | PO BOX 449,
TESUQUE, NM, United States |
06-Mar-2020 |
1144922451 | ANTIONETTE ABEYTA | Case Manager/Care Coordinator | PO BOX 94508,
ALBUQUERQUE, NM, United States |
20-Mar-2023 |
1578180063 | BREANA ABEYTA | Behavior Technician | 4620 APACHE KNL,
SANTA FE, NM, United States |
30-Jun-2020 |
1023736691 | DELILAH ABEYTA | Case Manager/Care Coordinator | PO BOX 28164,
SANTA FE, NM, United States |
18-Aug-2022 |
1639289416 | FELICIA ABEYTA | Physical Therapist | PO BOX 29269,
SANTA FE, NM, United States |
30-Aug-2006 |
1528291028 | KIMBERLY R ABEYTA | Counselor | PO BOX 28220,
SANTA FE, NM, United States |
31-Aug-2009 |
1811358948 | ABIGAIL CARTER | Community/Behavioral Health | 546 HARKLE ROAD,
SANTA FE, NM, United States |
17-Mar-2016 |
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
1730181942 is the NPI number of WILLIAM T BACON.
What is the specialty for WILLIAM T BACON?The Specialty of WILLIAM T BACON is Physician Assistant.
Field Name | Field Value |
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NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
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Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date | The date that a record was last updated or changed. |
Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
Provider License Number State Code | Provider License Number State Code #1 |
Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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