New Mexico Gynecology Consultants, PC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

NEW MEXICO GYNECOLOGY CONSULTANTS, PC

Practice address

4901 Lang Ave., NE
Suite 203
Albuquerque, NM 87109-4597

Phone

(505) 242-5353

Fax

(505) 242-9788

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Frank B Fisk III

Title

Co-Owner

Phone

(505) 242-5353

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1114074457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 LANG AVE., NE",
            "address_2": "SUITE 203",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094597",
            "telephone_number": "505-242-5353",
            "fax_number": "505-242-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 LANG AVE., NE",
            "address_2": "SUITE 203",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094597",
            "telephone_number": "505-242-5353",
            "fax_number": "505-242-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO GYNECOLOGY CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "FISK",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "505-242-5353",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7104",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.