# NORTHERN NEW MEXICOORTHOPAEDIC CENTER,PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043329139
- **Authorized official:** DR. WAYNE K AUGE II M.D. (PRESIDENT)
- **Authorized official phone:** (505) 747-4144

## Contact information

- **Practice address:** 1009 SPRUCE ST, ESPANOLA, NM 87532-2740
- **Practice address phone:** (505) 747-4144
- **Practice address fax:** (505) 747-3213
- **Mailing address:** 1009 SPRUCE ST, ESPANOLA, NM 87532-2740
- **Mailing address phone:** (505) 747-4144
- **Mailing address fax:** (505) 747-3213

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NM | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NM | — |
| 363AM0700X | Medical Physician Assistant | — | NM | — |
| 363AS0400X | Surgical Physician Assistant | — | NM | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 09/11/2025
