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Northern New Mexico Surgical Services PC

Surgery Physician in Clayton, NM · enumerated 2014 · authorized official Jacque Callis, Credentialing Assistant.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1740688548

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Registry record

Entity type Organization (Type 2)
Legal business name Northern New Mexico Surgical Services PC
Practice address 300 Wilson St, Clayton, NM, 88415
Enumeration date Dec 9, 2014
Last updated in NPPES Jan 22, 2015

Taxonomy & classification

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License MD2013-0738 (NM) Primary

Authorized official

Name Jacque Callis
Title Credentialing Assistant

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Northern New Mexico Surgical Services PC located?
The practice location on file with NPPES is in Clayton, NM.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-01-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-01-22.