Active NPI
Sage Primary Care Clinic
- Internal Medicine Physician
- Albuquerque, NM
National Provider Identifier
1043933054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SAGE PRIMARY CARE CLINIC
- Practice address
- 7850 Jefferson St NE Ste 300
Albuquerque, NM 87109-4314 - Phone
- (505) 884-1114
- Fax
- (505) 884-3004
- NPI assigned
- Sep 23, 2022
- Organization subpart
- Yes
- Parent organization
- SAGE NEUROSCIENCE CENTER INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Reuben Sutter, MD
- Title
- Ceo
- Phone
- (505) 884-1114
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X |
Addresses
Primary practice location
7850 Jefferson St NE Ste 300
Albuquerque, NM 87109-4314
Mailing address
7850 Jefferson St NE Ste 300
Albuquerque, NM 87109-4314
Phone (505) 884-1114
National Provider Directory
National Provider Directory- Part of
- Sage Neuroscience Center Inc
Locations
7850 Jefferson St NE
Ste 300
Albuquerque, NM 87109
Phone (505) 884-1114
Interoperability endpoints
- https://api.platform.athenahealth.com/26558/brand/1/csg/41/fhir/r4
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Mental Health Counselor
- Albuquerque, NM
- NPI 1578644415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663891200000",
"number": "1043933054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7850 JEFFERSON ST NE STE 300",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094314",
"telephone_number": "505-884-1114",
"fax_number": "505-884-3004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7850 JEFFERSON ST NE STE 300",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871094314",
"telephone_number": "505-884-1114",
"fax_number": "505-884-3004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAGE PRIMARY CARE CLINIC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAGE NEUROSCIENCE CENTER INC",
"enumeration_date": "2022-09-23",
"last_updated": "2022-09-23",
"certification_date": "2022-09-23",
"status": "A",
"authorized_official_last_name": "SUTTER",
"authorized_official_first_name": "REUBEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "505-884-1114",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RE0101X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.