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TAOS SURGICAL SPECIALTIES LLC
NPI 1013115062
Specialist in Taos, NM

Active since July 10, 2007CLIA 10D1016543 · Waiver
1399 WEIMER RD, SUITE # 600, TAOS, NM 87571(575) 751-0334(575) 751-0297 Get Directions Write a Review

NPPES record last updated: November 6, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Taos Surgical Specialties Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAOS SURGICAL SPECIALTIES LLC (NPI 1013115062) is a healthcare organization registered as a specialist in Taos, New Mexico and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through March 8, 2027 and lists Judy R Cockburn, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1013115062
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTAOS SURGICAL SPECIALTIES LLC
Location Address1399 WEIMER RD, SUITE # 600Taos, NM 87571-6340
Mailing Address1399 Weimer Rd, Suite # 600Taos, NM 87571-6340 · (575) 751-0334 · Fax (575) 751-0297
Phone(575) 751-0334
Fax(575) 751-0297
Organization SubpartNo
Authorized OfficialJudy R CockburnPractice Manager · (575) 751-0334
Enumeration DateJuly 10, 2007
Last NPPES UpdateNovember 6, 2007
✔ NPI 1013115062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in NM · MD2004-0101✔ Licensed in NM · 99-256✔ Licensed in NM · 74-132
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1399 WEIMER RD, Taos, NM 87571
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Other Identifiers 6

Medicare UPINA66897NM
Medicaid66785NM
Medicare UPINA40242NM
Medicare UPINH19824NM
Medicaid2122478NM
Medicaid29805325NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1016543

Taos Surgical Specialties · Taos, NM
Active · expires Mar 8, 2027
CLIA Number10D1016543
Laboratory TypePhysician Office
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorDr. Stephen Lucero
Laboratory Phone(575) 751-0334
Laboratory LocationTaos Surgical Specialties1399 Weimer Rd Ste 600, Taos, NM 87571
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WHITNEY DAVID MD
Surgery
1399 WEIMER RD, 600
TAOS, NM 87571
Taos County (575) 751-0334
TAOS ORTHOPEDIC CLINIC INC
Orthopaedic Surgery
1399 WEIMER RD
TAOS, NM 87571
Taos County (505) 332-8351
GALVESTON DERMATOLOGY, P.A.
Dermatology
1399 WEIMER RD, SUITE 200
TAOS, NM 87571
Taos County (575) 779-0361
AIDEN MATTHEW O'ROURKE M.D.
Surgery
1399 WEIMER RD, # 600
TAOS, NM 87571
Taos County (575) 751-0334
GEILAN ISMAIL MD
Internal Medicine (Cardiovascular Disease)
1399 WEIMER RD, SUITE 200
TAOS, NM 87571
Taos County (505) 758-2224
JOHN W. MORRISON, JR. M.D.
Ophthalmology
1399 WEIMER RD, SUITE 300
TAOS, NM 87571
Taos County (505) 758-0621
MOUNTAIN MEDICAL SUPPLY INC
Durable Medical Equipment & Medical Supplies
1399 WEIMER RD, STE 700A
TAOS, NM 87571
Taos County (505) 758-8081
JEMERY L. KAUFMAN M.D.
Internal Medicine
1399 WEIMER RD, SUITE 200
TAOS, NM 87571
Taos County (505) 758-2224

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taos Surgical Specialties LLC's NPI number?

The NPI number for Taos Surgical Specialties LLC is 1013115062. It was assigned to this organization in the NPPES registry on July 10, 2007.

Where is Taos Surgical Specialties LLC located?

Taos Surgical Specialties LLC is located at 1399 Weimer Rd Suite # 600, Taos, NM 87571. The listed phone number is (575) 751-0334.

What is Taos Surgical Specialties LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Taos Surgical Specialties LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1016543) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Taos Surgical Specialties LLC was last updated on November 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.