Organization Active NPI

Albuquerque Women'S Health, PC

  • Obstetrics & Gynecology Physician
  • Albuquerque, NM
National Provider Identifier
1063439800
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
9363 Issued in NM
Legal business name
ALBUQUERQUE WOMEN'S HEALTH, PC
Practice address
1010 Lead Ave SE
Suite 4
Albuquerque, NM 87106-5214
Phone
(505) 842-5902
Fax
(505) 242-6313
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Authorized official

Name
Robert A Gordon, M.D.
Title
Physician
Phone
(505) 842-5902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 9363 NM Primary

Addresses

Primary practice location

1010 Lead Ave SE
Suite 4
Albuquerque, NM 87106-5214

Mailing address

1010 Lead Ave SE
Suite 4
Albuquerque, NM 87106-5214
Phone (505) 842-5902

Other identifiers 1

IdentifierTypeStateIssuer
95822739MedicaidNM

National Provider Directory

National Provider Directory

Locations

1010 Lead Ave SE
Ste 4
Albuquerque, NM 87106
Phone (505) 842-5902

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1063439800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 LEAD AVE SE",
            "address_2": "SUITE 4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871065214",
            "telephone_number": "505-842-5902",
            "fax_number": "505-242-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LEAD AVE SE",
            "address_2": "SUITE 4",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871065214",
            "telephone_number": "505-842-5902",
            "fax_number": "505-242-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBUQUERQUE WOMEN'S HEALTH, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "505-842-5902",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "9363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95822739",
            "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 May 1, 2014; 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.