Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northern New Mexico Surgical Services PC

Organization Surgery Physician · NPI 1740688548

Northern New Mexico Surgical Services PC provides Surgery Physician services in Clayton, New Mexico. Licensed in New Mexico. Registered with an NPI since 2014.

Licensed in
NM
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

300 Wilson St
Clayton, NM 88415-3304 Not confirmed with CMS for 11 years — call before visiting
Phone: (575) 374-0021
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD2013-0738 (NM)

Record details

NPI number1740688548
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacque Callis — Credentialing Assistant · (575) 207-8890
NPI enumeratedDecember 9, 2014
Last updated in NPPESJanuary 22, 2015
Mailing addressPo Box 545, Clayton, NM 88415-0545

Other providers in Clayton