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Taos Surgical Specialties LLC

NPI 1013115062ActiveOrganization· Specialist· Taos, NM

Specialist in Taos, New Mexico, registered in NPPES in July 2007. The authorized official on file is Judy R. Cockburn, Practice Manager.

Overview

NPI1013115062
StatusActive
Entity typeOrganization
NPI issuedJul 10, 2007
Last updated in NPPESNov 6, 2007

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000XMD2004-0101NM
Specialist174400000X99-256NM
Specialist174400000X74-132NM

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Specialist providers in Taos

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