OTERO COUNTY MEDICAL GROUP (NPI# 1437584059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437584059 |
Entity Type | Organization |
Organization Name | OTERO COUNTY MEDICAL GROUP |
Other Organization Name | CENTER FOR WOMEN'S HEALTH |
Practice Address |
2559 Medical Dr Suite D Alamogordo NM 88310-8703 |
Mailing Address |
2689 Scenic Dr Alamogordo NM 88310-8700 |
Practice Telephone | 5754342229 |
Mailing Telephone | 5754341699 |
Mailing Fax Number | 5754348871 |
Enumeration Date | 2013-09-13 |
Last Update Date | 2013-09-13 |
Authorized Official Name | MR. ROBERT JAMES HECKERT (CEO) |
Authorized Official Telephone | 5754437845 |
Authorized Official Credential | FACHE |
Is Organization Subpart | Y |
Parent Organization Name | OTERO COUNTY MEDICAL GROUP |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Center for Women's Health | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558797746 | Otero County Medical Group | Obstetrics & Gynecology | 2050 Scenic Dr, Alamogordo, NM 88310-3880 | 2013-09-19 |
1376978577 | Otero County Medical Group | Psychologist | 2689 Scenic Dr, Alamogordo, NM 88310-8700 | 2013-09-06 |
1528494747 | Otero County Medical Group | Radiology | 2559 Medical Dr, Suite G, Alamogordo, NM 88310-8703 | 2013-09-19 |
1932535127 | Otero County Medical Group | Family Medicine | 1401 10th St, Alamogordo, NM 88310-5012 | 2013-09-19 |
1467888651 | Otero County Medical Group | Surgery | 1100 10th St, Alamogordo, NM 88310-6414 | 2013-09-19 |
1487080776 | Otero County Medical Group | Surgery | 1212 9th St, Suite A, Alamogordo, NM 88310-5842 | 2013-09-19 |
1639505829 | Otero County Medical Group | Nurse Practitioner | 2539 Medical Dr, Suite 107, Alamogordo, NM 88310-8720 | 2013-09-19 |
1831525120 | Otero County Medical Group | Internal Medicine | 2689 Scenic Dr, Alamogordo, NM 88310-8700 | 2013-09-19 |
1346676566 | Otero County Medical Group | Internal Medicine | 2689 Scenic Dr, Alamogordo, NM 88310-8700 | 2013-09-19 |
1275969495 | Otero County Medical Group | Family Medicine | 1101 9th St, Suite A, Alamogordo, NM 88310-6432 | 2013-09-19 |
Street Address |
2559 MEDICAL DR SUITE D |
City | ALAMOGORDO |
State | NM |
Zip Code | 88310-8703 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275531394 | Renee Yvette Friday | Pediatrics | 2559 Medical Dr, Ste A, Alamogordo, NM 88310-8704 | 2005-07-12 |
1578069860 | Marjorie Anne Grant | Pharmacy Technician | 2559 Medical Dr, Alamogordo, NM 88310-8703 | 2018-04-04 |
1528494747 | Otero County Medical Group | Radiology | 2559 Medical Dr, Suite G, Alamogordo, NM 88310-8703 | 2013-09-19 |
1538594155 | Otero County Medical Group | Pediatrics | 2559 Medical Dr, Suite A, Alamogordo, NM 88310-8703 | 2013-09-13 |
1952736183 | Otero County Medical Group | Internal Medicine | 2559 Medical Dr, Suite F, Alamogordo, NM 88310-8703 | 2013-09-06 |
1477882876 | Peter Bernat | Internal Medicine | 2559 Medical Dr, Suite G, Alamogordo, NM 88310-8703 | 2009-12-14 |
1255526216 | Sungho Jun Md PC Inc | Family Medicine | 2559 Medical Dr, Suite B, Alamogordo, NM 88310-8703 | 2007-09-12 |
1124233903 | Allan L. Paul M.d., PC | Pediatrics | 2559 Medical Dr, Ste E, Alamogordo, NM 88310-8703 | 2007-05-14 |
1063639409 | Norman D. Lindley | Obstetrics & Gynecology | 2559 Medical Dr, Suite D, Alamogordo, NM 88310-8703 | 2007-04-19 |
1396880084 | Gerald Champion Regional Medical Center | Obstetrics & Gynecology | 2559 Medical Dr, Suite D, Alamogordo, NM 88310-8703 | 2007-02-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285249326 | Diana Cano | Behavior Technician | 27 N. Yucca Ave, Alamogordo, NM 88310 | 2020-09-15 |
1952802787 | Kinfe H Alemnugus | Pharmacist | 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 | 2018-02-27 |
1134666902 | Hillary Elizabeth Hunter | Behavior Technician | 1908 Snow Dr, Alamogordo, NM 88310 | 2017-01-31 |
1285097774 | Adrienne Nicole Martin | Physician Assistant | 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 | 2016-04-01 |
1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
1851788798 | Timothy W. Basha | Counselor | 1613 Juniper Dr., Alamogordo, NM 88310 | 2015-04-17 |
1215331186 | Keith Edward Gerber | Case Manager/Care Coordinator | 1900 East Tenth Street, Alamogordo, NM 88310 | 2014-10-21 |
1710306691 | Austin Reed | Pharmacist | 2401 Indian Wells, Alamogordo, NM 88310 | 2014-04-08 |
1760821805 | Dollar Cab Company | Taxi | 1220 Brooks Ave., Alamogordo, NM 88310 | 2013-06-21 |
1932544319 | Peter Allan Lock | Physical Therapist | 1011 A 10th Street, Alamogordo, NM 88310 | 2013-04-30 |
Find all providers in zip 88310 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710087705 | Larry Hugh Batty | Obstetrics & Gynecology | 2559 Medical Drive, Suite D, Gerald Champion Regional Medical Center, Alamogordo, NM 88310 | 2006-09-22 |
1992702401 | Donald Henry Montoya | Obstetrics & Gynecology | 2559 Medical Dr Ste D, Alamogordo, NM 88310-8704 | 2005-06-30 |
1831202670 | Guillermo Robles | Obstetrics & Gynecology | 2559 Medical Dr Ste D, Alamogordo, NM 88310-8704 | 2006-08-16 |
1548207046 | Womens Health Center P.C. | Obstetrics & Gynecology | 2559 Medical Dr, Suite D, Alamogordo, NM 88310-8703 | 2006-06-01 |
1962454850 | John Arthur Mcandrew | Obstetrics & Gynecology | 2559 Medical Dr, Suite D, Alamogordo, NM 88310-8703 | 2006-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205472552 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 730 Saint Michaels Dr # 4b, Santa Fe, NM 87505-7606 | 2019-11-21 |
1588200836 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 9809 Candelaria Rd Ne Bldg 2, Albuquerque, NM 87112-1458 | 2019-11-21 |
1487176061 | Southwest Gynecology, Inc. | Obstetrics & Gynecology | 2930 Hillrise Dr Ste 2, Las Cruces, NM 88011-4776 | 2017-07-14 |
1417319815 | Stephanie Rieder | Obstetrics & Gynecology | Msc 10 5580 Department of Obstetrics and Gynecology, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-03-24 |
1629443049 | The Fertility Center of New Mexico LLC | Obstetrics & Gynecology | 201 Cedar St Se Ste S120, Albuquerque, NM 87106-4900 | 2015-12-10 |
1669854501 | Adenieki Mornan | Obstetrics & Gynecology | 2420 W Pierce St Ste 200, Carlsbad, NM 88220-3518 | 2015-06-28 |
1689051666 | Anwar Davis Jackson | Obstetrics & Gynecology | 2211 Lomas Blvd Ne Ste 4acc, Albuquerque, NM 87106-2719 | 2015-04-29 |
1609288562 | Trevor Quiner | Obstetrics & Gynecology | Msc Obgyn 1 University of New Mexico, Albuquerque, NM 87131 | 2014-05-27 |
1831518554 | Jacob T Sypher | Obstetrics & Gynecology | Us Hwy 160 North, Shiprock, NM 87420 | 2014-04-09 |
1932527579 | Elizabeth Anne Clark | Obstetrics & Gynecology | Dept of Ob Gyn Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2014-04-01 |
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City | ALAMOGORDO |
Zip Code | 88310 |
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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.