Individual provider Active NPI

James J Spence, MD

  • Internal Medicine Physician
  • Farmington, NM
National Provider Identifier
1336244607
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
78266 Issued in NM
Practice address
940 W Pinon St
Farmington, NM 87401-5905
Phone
(505) 609-6349
Fax
(505) 609-6348
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 78266 NM Primary

Addresses

Primary practice location

940 W Pinon St
Farmington, NM 87401-5905

Mailing address

PO Box 6210
Farmington, NM 87499-6210
Phone (505) 609-2258

Other practice location 1

301 South Lake
Farmington, NM 87401
Phone (505) 325-7531

Other identifiers 1

IdentifierTypeStateIssuer
18499MedicaidNM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100616000580 NM Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 9032210737 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
78266NMMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Juan Regional Medical Center Inc CurrentSince Aug 26, 2019 Accepting new patients
San Juan Regional Medical Center Inc CurrentSince Aug 26, 2019 Accepting new patients

Locations

630 W Maple St
Farmington, NM 87401
Phone (505) 325-1123

940 W Pinon St
Farmington, NM 87401
Phone (505) 326-5552

4820 E Main St
Ste 2
Farmington, NM 87402
Phone (505) 609-6610

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1336244607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6210",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874996210",
            "telephone_number": "505-609-2258",
            "fax_number": "505-609-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 W PINON ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015905",
            "telephone_number": "505-609-6349",
            "fax_number": "505-609-6348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 SOUTH LAKE",
            "address_purpose": "LOCATION",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "country_code": "US",
            "telephone_number": "505-325-7531",
            "fax_number": "505-326-2186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "JAMES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "78266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18499",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NM

Sources for this page

Verify at the official NPI Registry.