Active NPI
PC Mark Race MD PLC
- Specialist
- Alamogordo, NM
National Provider Identifier
1164475828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD2009-0724
- Legal business name
- PC MARK RACE MD PLC
- Practice address
- 1501 10TH St
Alamogordo, NM 88310-5044 - Phone
- (575) 446-5900
- Fax
- (575) 446-5939
- NPI assigned
- May 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Mark Race, M.D.
- Title
- President
- Phone
- (575) 446-5900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD2009-0724 | NM | Primary |
Addresses
Primary practice location
1501 10TH St
Alamogordo, NM 88310-5044
Mailing address
1501 10TH St
Alamogordo, NM 88310-5044
Phone (575) 446-5900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0417253 | Medicaid | IA | |
| 1175 | Other | IA | MIDLANDS |
National Provider Directory
National Provider DirectoryLocations
804 Kenyon Rd
Ste 320
Fort Dodge, IA 50501
Phone (515) 574-8310
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Alamogordo, NM
- NPI 1144275959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299456000000",
"number": "1164475828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 10TH ST",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883105044",
"telephone_number": "575-446-5900",
"fax_number": "575-446-5939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 10TH ST",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883105044",
"telephone_number": "575-446-5900",
"fax_number": "575-446-5939"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PC MARK RACE MD PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2011-03-07",
"status": "A",
"authorized_official_last_name": "RACE",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "575-446-5900",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NM",
"license": "MD2009-0724",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0417253",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS",
"identifier": "1175",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.