Jurgen H Upplegger MD PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

74-256 Issued in NM

Legal business name

JURGEN H UPPLEGGER MD PC

Doing business as

Jurgen H Upplegger MD PC

Practice address

4233 Montgomery Blvd NE Ste 140W
Albuquerque, NM 87109-6707

Phone

(505) 883-9570

Fax

(505) 883-4163

NPI assigned

Apr 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jurgen Heinz Upplegger, MD

Title

President

Phone

(505) 883-9570

Specialties & licenses 1

Addresses

Other names 1

• JURGEN H UPPLEGGER MD PC Doing business as

Locations

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053536813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4233 MONTGOMERY BLVD NE STE 140W",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096707",
            "telephone_number": "505-883-9570",
            "fax_number": "505-883-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 MONTGOMERY BLVD NE STE 140W",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096707",
            "telephone_number": "505-883-9570",
            "fax_number": "505-883-4163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JURGEN H UPPLEGGER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "UPPLEGGER",
        "authorized_official_first_name": "JURGEN",
        "authorized_official_middle_name": "HEINZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-883-9570",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "74-256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JURGEN H UPPLEGGER MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatrics Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Pediatrics Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.