NPIMap

Organization Active NPI

Otero County Medical Group

  • Family Medicine Physician
  • Alamogordo, NM
National Provider Identifier
1134554306
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OTERO COUNTY MEDICAL GROUP
Practice address
1909 Cuba Ave
Suite 4
Alamogordo, NM 88310-5646
Phone
(575) 443-6262
NPI assigned
Sep 6, 2013
Organization subpart
Yes
Parent organization
OTERO COUNTY MEDICAL GROUPAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Mr. Robert James Heckert, FACHE
Title
Ceo
Phone
(575) 443-7845

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.

Corporate family (same tax ID) 19

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Otero County Medical Group (20 organizations share this tax ID)
Part of
Otero County Medical Group

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1909 Cuba Ave
Suite 4
Alamogordo, NM 88310-5646

Mailing address

2689 Scenic Dr
Alamogordo, NM 88310-8700
Phone (575) 434-1699

Other names 1

NPPES NPI Registry
  • Family Practice of Alamogordo Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2013.

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1134554306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2689 SCENIC DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108700",
            "telephone_number": "575-434-1699",
            "fax_number": "575-434-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 CUBA AVE",
            "address_2": "SUITE 4",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105646",
            "telephone_number": "575-443-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTERO COUNTY MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OTERO COUNTY MEDICAL GROUP",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "HECKERT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-443-7845",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Practice of Alamogordo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.