Organization Active NPI

Four Humours Healthcare, LLC

  • Hospitalist Physician
  • Albuquerque, NM
National Provider Identifier
1043376346
Registry record updated Mar 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
2002-0281 Issued in NM
Legal business name
FOUR HUMOURS HEALTHCARE, LLC
Practice address
4304 Carlisle Blvd NE
Albuquerque, NM 87107-4811
Phone
(505) 888-1075
Fax
(505) 888-1082
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lisa S Noya, M.D.
Title
Member
Phone
(505) 888-1075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X 2002-0281 NM Primary

Addresses

Primary practice location

4304 Carlisle Blvd NE
Albuquerque, NM 87107-4811

Mailing address

4304 Carlisle Blvd NE
Albuquerque, NM 87107-4811
Phone (505) 888-1075

Other identifiers 1

IdentifierTypeStateIssuer
53234774MedicaidNM

National Provider Directory

National Provider Directory

Locations

4304 Carlisle Blvd NE
Albuquerque, NM 87107
Phone (505) 433-7561

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330560000000",
    "number": "1043376346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074811",
            "telephone_number": "505-888-1075",
            "fax_number": "505-888-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 CARLISLE BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074811",
            "telephone_number": "505-888-1075",
            "fax_number": "505-888-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR HUMOURS HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2012-03-01",
        "status": "A",
        "authorized_official_last_name": "NOYA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "505-888-1075",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "NM",
            "license": "2002-0281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53234774",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.