Active NPI
James J Spence, MD
- Internal Medicine Physician
- Farmington, NM
National Provider Identifier
1336244607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 78266
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18499 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78266 | NM | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan Regional Medical Center Inc | Current | Accepting new patients | |
| San Juan Regional Medical Center Inc | Current | 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.
-
- Gastroenterology Physician
- Farmington, NM
- NPI 1639662901
-
- Family Medicine Physician
- Farmington, NM
- NPI 1710589015
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; 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.