STEPHEN D CETRULO MD
NPI 1760657035
Surgery in Taos, NM

NPI Status: Active since April 28, 2008

Contact Information

1399 WEIMER RD
SUITE # 600
TAOS, NM
ZIP 87571
Phone: (575) 751-0334
Fax: (575) 751-0297

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  • Organization
  • Surgery

About STEPHEN D CETRULO MD

This page provides the complete NPI Profile along with additional information for Stephen D Cetrulo Md, a provider established in Taos, New Mexico operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1760657035 assigned on April 2008. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Judy R Cockburn (Practice Manager)

NPI
1760657035
Provider Name
STEPHEN D CETRULO MD
Entity Type
Organization
Location Address
1399 WEIMER RD SUITE # 600 TAOS, NM 87571
Location Phone
(575) 751-0334
Location Fax
(575) 751-0297
Mailing Address
1399 WEIMER RD SUITE # 600 TAOS, NM 87571
Mailing Phone
(575) 751-0334
Mailing Fax
(575) 751-0297
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-28-2008
Last Update Date
04-28-2008
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A surgeon like Stephen D Cetrulo Md treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JUDY R COCKBURN

Authorized Official Title
PRACTICE MANAGER
Authorized Official Phone
(575) 751-0334

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
05108MEDICAID (05)NM 
=========MEDICARE PIN (08)NM 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1760657035
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271201251406
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 2 + 5 + 1 + 4 + 0 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1760657035 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396731899DR. JON I LEVIN DO
Individual
Surgery1399 WEIMER RD SUITE # 600
TAOS, NM 87571
(575) 751-0334
1396703666 JEMERY L. KAUFMAN M.D.
Individual
Internal Medicine1399 WEIMER RD SUITE 200
TAOS, NM 87571
(505) 758-2224
1235172412 JOHN W. MORRISON, JR. M.D.
Individual
Ophthalmology1399 WEIMER RD SUITE 300
TAOS, NM 87571
(505) 758-0621
1215971254 GEILAN ISMAIL MD
Individual
Internal Medicine (Cardiovascular Disease)1399 WEIMER RD SUITE 200
TAOS, NM 87571
(505) 758-2224
1851336986 MICHAEL H KAUFMAN MD
Individual
Internal Medicine1399 WEIMER RD SUITE 200
TAOS, NM 87571
(505) 758-2224
1770598245 HOWARD WAITZKIN MD
Individual
Internal Medicine1399 WEIMER RD SUITE 200
TAOS, NM 87571
(575) 758-2224
1669502589DR. MARK A NIEMIEC DDS
Individual
Dentist (General Practice)1399 WEIMER RD SUITE 800
TAOS, NM 87571
(505) 758-9777
1013115062TAOS SURGICAL SPECIALTIES LLC
Organization
Specialist1399 WEIMER RD SUITE # 600
TAOS, NM 87571
(575) 751-0334
1578738381ALDEN G COCKBURN MD
Organization
Specialist1399 WEIMER RD # 600
TAOS, NM 87571
(575) 751-0334
1154586147GALVESTON DERMATOLOGY, P.A.
Organization
Dermatology1399 WEIMER RD SUITE 200
TAOS, NM 87571
(575) 779-0361
1154553477TAOS ORTHOPEDIC CLINIC INC
Organization
Orthopaedic Surgery1399 WEIMER RD
TAOS, NM 87571
(505) 332-8351
1073536322DR. WHITNEY DAVID MD
Individual
Surgery1399 WEIMER RD 600
TAOS, NM 87571
(575) 751-0334
1427379874 LAUREN M GOOD M.D.
Individual
Dermatology1399 WEIMER RD #600
TAOS, NM 87571
(575) 758-9519
1619347374MRS. PAMELA YVEN CFNP
Individual
Nurse Practitioner (Family)1399 WEIMER RD SUITE 200
TAOS, NM 87571
(575) 758-2224
1689711400EYE ASSOCIATES OF NEW MEXICO LTD
Organization
Durable Medical Equipment & Medical Supplies1399 WEIMER RD SUITE 300
TAOS, NM 87571
(505) 758-0621
1164484002 AIDEN MATTHEW O'ROURKE M.D.
Individual
Surgery1399 WEIMER RD # 600
TAOS, NM 87571
(575) 751-0334
1275547044MOUNTAIN MEDICAL SUPPLY INC
Organization
Durable Medical Equipment & Medical Supplies1399 WEIMER RD STE 700A
TAOS, NM 87571
(505) 758-8081

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760657035, enumerated in the NPI registry as an "organization" on April 28, 2008

The provider is located at 1399 Weimer Rd Suite # 600 Taos, Nm 87571 and the phone number is (575) 751-0334

This medical organization specializes in Surgery with taxonomy code 208600000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 28, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.