PHYSICIANS PLAZA SURGERY CENTER, LLC
NPI 1619040268
Clinic/Center - Ambulatory Surgical in Santa Fe, NM

Active since November 15, 2006
1631 HOSPITAL DR STE 100, SANTA FE, NM 87505(505) 955-8420(505) 955-8421 Get Directions Write a Review

NPPES record last updated: June 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Physicians Plaza Surgery Center, Llc NPPES

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

PHYSICIANS PLAZA SURGERY CENTER, LLC (NPI 1619040268) is a healthcare organization registered as an ambulatory surgical in Santa Fe, New Mexico and active in the NPI registry since November 2006. The organization lists Paul S Fullerton, President, as its authorized official.

NPPES Registry Identity

NPI1619040268
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePHYSICIANS PLAZA SURGERY CENTER, LLC
Location Address1631 HOSPITAL DR STE 100Santa Fe, NM 87505-4728
Mailing Address1631 Hospital Dr Ste 100Santa Fe, NM 87505-4728 · (505) 955-8420 · Fax (505) 955-8421
Fax(505) 955-8421
Organization SubpartNo
Authorized OfficialPaul S FullertonPresident · (505) 955-8420
Enumeration DateNovember 15, 2006
Last NPPES UpdateJune 2, 2008
NPI 1619040268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in NM · 3233
1631 HOSPITAL DR STE 100, Santa Fe, NM 87505

Other Identifiers 3

Medicaid43937870NM
Medicare OSCAR/certification32C0001115NM
Medicare PIN800521172NM

Other Providers at the Same Location NPPES 2

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

Family Medicine
1631 HOSPITAL DR STE 100
SANTA FE, NM 87505
Anesthesiology (Pain Medicine)
1631 HOSPITAL DR STE 100
SANTA FE, NM 87505

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 Physicians Plaza Surgery Center, LLC's NPI number?

The NPI number for Physicians Plaza Surgery Center, LLC is 1619040268. It was assigned to this organization in the NPPES registry on November 15, 2006.

Where is Physicians Plaza Surgery Center, LLC located?

Physicians Plaza Surgery Center, LLC is located at 1631 Hospital Dr Ste 100, Santa Fe, NM 87505. The listed phone number is (505) 955-8420.

What is Physicians Plaza Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Physicians Plaza Surgery Center, LLC was last updated on June 2, 2008. 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.