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

Michael Ray Vandusen, DO

Individual provider Anesthesiology Physician · NPI 1205062742

Michael Ray Vandusen, DO is an Anesthesiology in Farmington, New Mexico. Qualified in 2009, 17 years ago. Practices with San Juan Regional Medical Center, Inc, a 231-clinician group and accepts Medicare assignment. Licensed in New Mexico and Texas.

Years since qualifying
17
Licensed in
NM, TX
In the registry since
2009
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

801 W Maple St
Farmington, NM 87401
Phone: (505) 609-2000
Fax: (505) 609-2259
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A-2141-18 (NM)
Anesthesiology Physician Taxonomy 207L00000X · Licence N9004 (TX)

Record details

NPI number1205062742
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 10, 2009
Last updated in NPPESJune 25, 2018
Mailing addressPo Box 6210, Farmington, NM 87499-6210

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice San Juan Regional Medical Center, Inc. — 231 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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