Northern New Mexico Surgical Services PC
NPI 1740688548 · Surgery Physician · Clayton, NM
Northern New Mexico Surgical Services PC is a Surgery Physician organization in Clayton, NM (NPI 1740688548).
Provider details
- NPI number
- 1740688548
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jacque Callis, Credentialing Assistant(575) 207-8890
- License
- MD2013-0738 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-12-09
- Last updated
- 2015-01-22
Frequently asked questions
- What is Northern New Mexico Surgical Services PC's NPI number?
- Northern New Mexico Surgical Services PC's National Provider Identifier (NPI) is 1740688548, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northern New Mexico Surgical Services PC?
- Northern New Mexico Surgical Services PC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Northern New Mexico Surgical Services PC located?
- Northern New Mexico Surgical Services PC's practice location on file with NPPES is 300 Wilson St, Clayton, NM 88415-3304.
- What is Northern New Mexico Surgical Services PC's phone number?
- The practice phone number listed in the NPPES registry for Northern New Mexico Surgical Services PC is (575) 374-0021.
- Who is the authorized official for Northern New Mexico Surgical Services PC?
- The authorized official listed on Northern New Mexico Surgical Services PC's NPPES record is Jacque Callis, Credentialing Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northern New Mexico Surgical Services PC's NPI active?
- Yes — Northern New Mexico Surgical Services PC's NPI (1740688548) is active in the NPPES registry as of the last update on 2015-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.