Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexander Thomas Vining, PA-C

Individual provider Physician Assistant · NPI 1578135521

Alexander Thomas Vining, PA-C is a Physician Assistant in Espanola, New Mexico. Qualified in 2021, 5 years ago. Practices with Presbyterian Healthcare Services, a 1,375-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
5
Licensed in
NM
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1010 Spruce St Energency Medicine - Espanola
Espanola, NM 87532-2746
Phone: (505) 753-7111
Fax: (505) 367-0263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2021-0060 (NM)

Record details

NPI number1578135521
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 10, 2021
Last updated in NPPESFebruary 8, 2024
Certification dateFebruary 6, 2024
Mailing addressPo Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125-6666

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Presbyterian Healthcare Services — 1375 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Espanola