Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEROME WAYNE BACA, PA-C
ActiveJEROME WAYNE BACA, PA-C is a Medical Physician Assistant healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1811243462 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1811243462
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2012 (14.000450741796 yrs)
- Last Updated
- Nov 7, 2019
- License
-
PA2012-0025 (NM)
Practice Information
- Address
-
6701 JEFFERSON ST NEALBUQUERQUE, NM, 87109Browse NM providers · Browse ZIP 87109
- Phone
- 5057276200
- Fax
- 5057279590
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| MR. HOWARD T DIAZ | PAC | 1639174824 |
| SHERRY F MINOLETTI | PAC | 1821093022 |
| RONALD J LEMELIN | PA-C | 1023013216 |
| CAROL TRAN | PA | 1043216179 |
| MRS. EDWINA CHRISTINE GARCIA | P.A. | 1306847876 |
| CAROLINE COOK | — | 1831191378 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.