Organization Active NPI

George Higgins Family Practice LLC

  • Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1205068236
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
86-245 Issued in NM
Legal business name
GEORGE HIGGINS FAMILY PRACTICE LLC
Doing business as
Higgins Family Practice
Practice address
711 Encino PL NE
Suite D
Albuquerque, NM 87102-2619
Phone
(505) 314-3142
Fax
(888) 874-3330
NPI assigned
Aug 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
Dr. George Edward Higgins, MD
Title
Owner
Phone
(505) 314-3142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 86-245 NM Primary

Addresses

Primary practice location

711 Encino PL NE
Suite D
Albuquerque, NM 87102-2619

Mailing address

711 Encino PL NE
Suite D
Albuquerque, NM 87102-2619
Phone (505) 314-3142

Other identifiers 1

IdentifierTypeStateIssuer
38950MedicaidNM

Other names 1

  • Higgins Family Practice Doing business as

National Provider Directory

National Provider Directory

Locations

711 Encino Pl NE
Ste D
Albuquerque, NM 87102
Phone (505) 224-7400

NPI Registry JSON

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

{
    "created_epoch": "1249689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1205068236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 ENCINO PL NE",
            "address_2": "SUITE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022619",
            "telephone_number": "505-314-3142",
            "fax_number": "888-874-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 ENCINO PL NE",
            "address_2": "SUITE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022619",
            "telephone_number": "505-314-3142",
            "fax_number": "888-874-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE HIGGINS FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-08",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-314-3142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NM",
            "license": "86-245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38950",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Higgins Family Practice",
            "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 Oct 13, 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.