NPIMap

Organization Active NPI

Pain Management Clinics of New Mexico, Inc.

  • Pain Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1144364472
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
94-300 Issued in NM
Legal business name
PAIN MANAGEMENT CLINICS OF NEW MEXICO, INC.
Practice address
8005 Pennsylvania Cir NE
Albuquerque, NM 87110-7810
Phone
(505) 248-0698
Fax
(505) 248-0798
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. Joan P Lewis, M.D.
Title
President
Phone
(505) 248-0698

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X I-1464 NM
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 94-300 NM Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 4735 NM
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 3659 NM

Addresses

Primary practice location

8005 Pennsylvania Cir NE
Albuquerque, NM 87110-7810

Mailing address

8005 Pennsylvania Cir NE
Albuquerque, NM 87110-7810
Phone (505) 248-0698

Other identifiers 3

IdentifierTypeStateIssuer
21906MedicaidNM
201013423OtherNMPRESBYTERIAN HEALTH ID
00NM003410OtherNMBLUE SHIELD ID NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1144364472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 PENNSYLVANIA CIR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107810",
            "telephone_number": "505-248-0698",
            "fax_number": "505-248-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8005 PENNSYLVANIA CIR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107810",
            "telephone_number": "505-248-0698",
            "fax_number": "505-248-0798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT CLINICS OF NEW MEXICO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-248-0698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "I-1464",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NM",
            "license": "94-300",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "4735",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "3659",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21906",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH ID",
            "identifier": "201013423",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID NUMBER",
            "identifier": "00NM003410",
            "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 Jun 21, 2018; 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.