Academy Orthopaedic Clinic LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

77-38 Issued in NM

Legal business name

ACADEMY ORTHOPAEDIC CLINIC LLC

Practice address

8301 Spain Rd NE
Albuquerque, NM 87109-3166

Phone

(505) 821-6663

Fax

(505) 823-2683

NPI assigned

Sep 13, 2007

Last updated

Dec 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Frieda Wright

Title

Office Manager

Phone

(505) 821-6663

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Thomas Grace, MD Other name

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rosalind G. Epstein, MD

  • Orthopaedic Surgery Physician
  • Albuquerque, NM
  • NPI 1750405783
  Medicare reassignment Care Compare group NPD
• Thomas Gladson Grace, M.D.

  • Specialist
  • Albuquerque, NM
  • NPI 1376661371
  Medicare reassignment Care Compare group NPD
• April B Hawkes, PA-C

  • Physician Assistant
  • Rio Rancho, NM
  • NPI 1568658128
  Medicare reassignment
• George D. Harrington, M.D.

  • Orthopaedic Surgery Physician
  • Las Cruces, NM
  • NPI 1619937448
  NPD (past)
• Michelle M Ruthmann, PA-C

  • Surgical Physician Assistant
  • Albuquerque, NM
  • NPI 1366431355
  NPD (past)

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1336334127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 SPAIN RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093166",
            "telephone_number": "505-821-6663",
            "fax_number": "505-823-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 SPAIN RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093166",
            "telephone_number": "505-821-6663",
            "fax_number": "505-823-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMY ORTHOPAEDIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "FRIEDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "505-821-6663",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "77-38",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000F0316",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF NM",
            "identifier": "NM007588",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Grace, MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Specialist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.