LAWRENCE G WAYBURN


Address: 2 Big Bear Pl, Santa Fe, NM 87508
Phone: 9899282397

LAWRENCE G WAYBURN (NPI# 1891790192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891790192
Entity Type Individual
Full Name LAWRENCE G WAYBURN
Credential M.D.
Practice Address 2 Big Bear Pl
Santa Fe
NM 87508
Practice Telephone 9899282397
Practice Fax Number 5054714388
Mailing Telephone 9899282397
Mailing Fax Number 5054714388
Enumeration Date 2005-06-15
Last Update Date 2016-06-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
MD2007-0243 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NPI 1891790192 01
MI 4542150 05
NM 51282551 05

Office Location

Street Address 2 BIG BEAR PL
City SANTA FE
State NM
Zip Code 87508

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912516683 Margarita Ibarra Registered Nurse 54th Church Hill Rd, Santa Fe, NM 87508 2020-07-28
1164854097 Eldorado Audiology and Hearing Center Audiologist-Hearing Aid Fitter 5 Caliente Road, #5a, Santa Fe, NM 87508 2013-08-02
1538500194 Leslie Rachelle Hughes Acupuncturist 10 View Haven, Santa Fe, NM 87508 2013-07-11
1669712923 Michael Allan Budnik Social Worker 8 El Cerro Trail, Santa Fe, NM 87508 2013-02-25
1093986226 Hand and Upper Extremity Occupational Therapist 34 Aster Rd, Santa Fe, NM 87508 2008-03-15
1801955190 Robert Wesley Mckinnie Psychologist 3 Encantado Loop, Santa Fe, NM 87508 2006-12-06
1124108949 John David Becker Family Medicine 7 Avenida Vista Grande Ste D-6, Santa Fe, NM 87508 2006-10-16
1316982440 Lauren Rose Physical Therapist 9 Frasco Way, Santa Fe, NM 87508 2006-06-20
1255387734 Silverstone Healthcare of Santa Fe II, LLC Alzheimer Center (Dementia Center) 1650 Galisteo St, Santa Fe, NM 87508 2006-05-26
1285634071 Elizabeth Wallen Anesthesiology 20 Calle Cal, Santa Fe, NM 87508 2005-07-22
Find all providers in zip 87508

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457427213 Richard Manning Morehead Jr. Radiology 3 Ladera Rd, Santa Fe, NM 87508-2109 2006-11-25
1710909221 Eve K Cohen Radiology 5 Los Pinoneros Ct, Santa Fe, NM 87508-5913 2006-07-24
1508886813 James Robert Damron Radiology 31 Eagle Rdg, Santa Fe, NM 87508-5907 2006-07-20
1649290826 Christopher Charles Kosir Radiology 725 Acequia Madre, Santa Fe, NM 87505-2814 2006-07-20
1861450736 Kevin D Lee Radiology 1640 Hospital Dr, Santa Fe, NM 87505-4754 2006-05-02
1992772776 Carl Wayne Hardin Radiology 16 Hacienda Caballero, Santa Fe, NM 87506-8354 2006-03-01
1376521740 Mark David Zubres Radiology 1 Altura Vista, Santa Fe, NM 87507-7771 2006-01-05
1689017691 Errol Levine Radiology 508 Los Nidos Dr, Santa Fe, NM 87501-8356 2013-04-09
1659680197 Nrs Arizona, Pa Radiology 16 Hacienda Caballero, Santa Fe, NM 87506-8354 2010-10-01
1659410694 Margaret Lancaster Gallegos Radiology 1640 Hospital Dr, Santa Fe, NM 87505-4754 2007-02-06
Find all providers in SANTA FE

Competitor

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City SANTA FE
Zip Code 87508

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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