OTERO COUNTY MEDICAL GROUP (NPI# 1558797746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558797746 |
| Entity Type | Organization |
| Organization Name | OTERO COUNTY MEDICAL GROUP |
| Other Organization Name | WOMEN'S SPECIALTY SERVICES |
| Practice Address |
2050 Scenic Dr Alamogordo NM 88310-3880 |
| Mailing Address |
2689 Scenic Dr Alamogordo NM 88310-8700 |
| Practice Telephone | 5754432999 |
| Mailing Telephone | 5754341699 |
| Mailing Fax Number | 5754348871 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |
| 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 |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Women's Specialty Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1093141491 | Otero County Medical Group | Orthopaedic Surgery | 2539 Medical Dr, Suite 110, Alamogordo, NM 88310-8720 | 2013-09-18 |
| Street Address |
2050 SCENIC DR |
| City | ALAMOGORDO |
| State | NM |
| Zip Code | 88310-3880 |
| 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 | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437584059 | Otero County Medical Group | Obstetrics & Gynecology | 2559 Medical Dr, Suite D, Alamogordo, NM 88310-8703 | 2013-09-13 |
| 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 |
| 1851484570 | Ruthven N Sampath | Obstetrics & Gynecology | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1518175397 | Mesilla Valley Women's Health, Pa | Obstetrics & Gynecology | 419 Bason Dr, Las Cruces, NM 88005-3717 | 2007-05-18 |
| 1033234729 | Ronald Kirk Cooper | Obstetrics & Gynecology | 2409 Cutler Ave Ne, Albuquerque, NM 87106-2507 | 2007-03-20 |
| 1114074457 | New Mexico Gynecology Consultants, PC | Obstetrics & Gynecology | 4901 Lang Ave., Ne, Suite 203, Albuquerque, NM 87109-4597 | 2007-01-05 |
| 1053470369 | Richard M Steinzig | Obstetrics & Gynecology | 3201 N Ridge Loop Dr, Silver City, NM 88061-7243 | 2006-12-06 |
| 1417033994 | Ismael Padilla Lopez | Obstetrics & Gynecology | 4351 E Lohman Ave Ste 408, Las Cruces, NM 88011-8263 | 2006-10-27 |
| 1174622393 | Cleveland Hendrick Pardue IIi | Obstetrics & Gynecology | 465 St Michaels Drive, Suite 202, Santa Fe, NM 87505 | 2006-09-22 |
| 1134224959 | Amy Garcia | Obstetrics & Gynecology | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2006-09-14 |
| 1184645319 | Catherine T. Kemmer, Md, Pa | Obstetrics & Gynecology | 2100 S Triviz Dr Ste H, Las Cruces, NM 88001-0601 | 2006-07-22 |
| 1841235587 | Frances Mclemore Fisk | Obstetrics & Gynecology | 4161 Montgomery Blvd Ne, Albuquerque, NM 87109-6742 | 2006-06-17 |
| Find all providers with the same taxonomy | ||||
| City | ALAMOGORDO |
| Zip Code | 88310 |
Please comment or provide details below to improve the information on OTERO COUNTY MEDICAL GROUP.
| 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.