NPIMap

Organization Active NPI

Statmed LLC

  • Urgent Care Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1194051748
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
FA0011499 Issued in NM
Legal business name
STATMED LLC
Practice address
3916 Carlisle Blvd NE
Suite G
Albuquerque, NM 87107-4556
Phone
(505) 938-3990
Fax
(505) 938-3993
NPI assigned
Nov 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Authorized official

Name
Dr. Torre Near, M.D.NPI 1770560336
Title
Ceo
Phone
(505) 938-3990

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)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X FA0011499 NM Primary

Addresses

Primary practice location

3916 Carlisle Blvd NE
Suite G
Albuquerque, NM 87107-4556

Mailing address

3916 Carlisle Blvd NE
Suite G
Albuquerque, NM 87107-4556
Phone (505) 938-3990

Other names 1

  • Torre D. Near Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Statmed LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1194051748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 CARLISLE BLVD NE",
            "address_2": "SUITE G",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074556",
            "telephone_number": "505-938-3990",
            "fax_number": "505-938-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 CARLISLE BLVD NE",
            "address_2": "SUITE G",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074556",
            "telephone_number": "505-938-3990",
            "fax_number": "505-938-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "NEAR",
        "authorized_official_first_name": "TORRE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-938-3990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NM",
            "license": "FA0011499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Torre D. Near",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 2, 2009; 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.