The Medic Group, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

3804 Issued in NM

Legal business name

THE MEDIC GROUP, LLC

Doing business as

Medic Massage, LLC

Practice address

6211 San Mateo Blvd NE
Albuquerque, NM 87109-3533

Phone

(505) 550-9933

Fax

(505) 792-7587

NPI assigned

Jun 14, 2013

Last updated

Sep 6, 2016By 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

Ms. Connie StromeiNPI 1255663027

Title

Owner

Phone

(505) 550-9933

Specialties & licenses 1

Addresses

Other names 1

• Medic Massage, LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Connie Stromei, LMT

  • Mechanotherapist
  • Albuquerque, NM
  • NPI 1255663027
  NPD (past) Authorized official

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1083053839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66328",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871936328",
            "telephone_number": "505-550-9933",
            "fax_number": "505-792-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6211 SAN MATEO BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093533",
            "telephone_number": "505-550-9933",
            "fax_number": "505-792-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDIC GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "STROMEI",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-550-9933",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NM",
            "license": "3804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medic Massage, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.