EFFIE E MEDFORD M.D.
NPI 1669796595
Specialist in Edgewood, NM

Q: What is Effie Medford's NPI number?

The NPI number for Effie Medford is 1669796595. It was assigned to this individual provider in the NPPES registry on March 22, 2010.

Q: What is Effie Medford's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Effie Medford was last updated on May 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since March 22, 2010

104 QUAIL TRL UNIT B, EDGEWOOD, NM 87015(505) 208-0204(505) 384-7028 Get Directions Write a Review

NPPES record last updated: May 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2018, Mar 17, 2018 (2 updates tracked since 2018).

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About Effie E Medford M.d. NPPES

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

EFFIE E MEDFORD M.D. (NPI 1669796595) is an individual specialist in Edgewood, New Mexico, licensed in New Mexico (69-167) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1669796595

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameEFFIE E MEDFORDCredential: M.D.

Location Address104 QUAIL TRL UNIT BEdgewood, NM 87015-7185

Mailing Address104 Quail Trl Unit BEdgewood, NM 87015-7185 · (505) 208-0204

Phone(505) 208-0204

Fax(505) 384-7028

Sole ProprietorNo

Enumeration DateMarch 22, 2010

Last NPPES UpdateMay 4, 20182 updates tracked since enumeration

✔ NPI 1669796595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NM · 69-167

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.

104 QUAIL TRL UNIT B, Edgewood, NM 87015

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Other Providers at the Same Location NPPES 3

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

SANDIA MOUNTAIN MEDICAL, INC.

Clinic/Center (Urgent Care)

104 QUAIL TRL UNIT B
EDGEWOOD, NM 87015

Santa Fe County (505) 281-5180

JODI A. DETTMAN CNP

Nurse Practitioner (Adult Health)

104 QUAIL TRL UNIT B
EDGEWOOD, NM 87015

Santa Fe County (505) 208-0204

PLACITAS MOUNTAIN MEDICAL, INC

Clinic/Center (Urgent Care)

104 QUAIL TRL UNIT B
EDGEWOOD, NM 87015

Santa Fe County (505) 309-0455

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 Effie Medford's NPI number?

The NPI number for Effie Medford is 1669796595. It was assigned to this individual provider in the NPPES registry on March 22, 2010.

Where is Effie Medford located?

Effie Medford practices at 104 Quail Trl Unit B, Edgewood, NM 87015. The listed phone number is (505) 208-0204.

What is Effie Medford's specialty?

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

When was this NPI record last updated?

The NPPES record for Effie Medford was last updated on May 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.