Active NPI
R Stephen Rankin, MD
- Pediatrics Physician
- Farmington, NM
National Provider Identifier
1265527642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 94-370
- Practice address
- 2300 E 30TH St
BLDG C2
Farmington, NM 87401-8990 - Phone
- (505) 324-1000
- Fax
- (505) 324-1199
- NPI assigned
- Oct 3, 2006
- Last updated
- Jun 14, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 94-370 | NM | Primary |
Addresses
Primary practice location
2300 E 30TH St
BLDG C2
Farmington, NM 87401-8990
Mailing address
2300 E 30TH St
BLDG C2
Farmington, NM 87401-8990
Phone (505) 324-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00094389 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinon Family Practice PC | Current | Accepting new patients |
Locations
2300 E 30th St
Ste C2
Farmington, NM 87401
Phone (505) 324-1000
Interoperability endpoints
- https://api.platform.athenahealth.com/13887/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Farmington, NM
- NPI 1598879652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1265527642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 E 30TH ST",
"address_2": "BLDG C2",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874018990",
"telephone_number": "505-324-1000",
"fax_number": "505-324-1199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 E 30TH ST",
"address_2": "BLDG C2",
"city": "FARMINGTON",
"state": "NM",
"postal_code": "874018990",
"telephone_number": "505-324-1000",
"fax_number": "505-324-1199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANKIN",
"first_name": "R",
"middle_name": "STEPHEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NM",
"license": "94-370",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00094389",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmington, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.