New Mexico Heart Institute, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

NEW MEXICO HEART INSTITUTE, LLC

Practice address

502 Elm St. NE
Albuquerque, NM 87102

Phone

(505) 841-1000

Fax

(505) 843-2956

NPI assigned

Jun 1, 2005

Organization subpart

Yes

Parent organization

LOVELACE HEALTH SYSTEMS LLCAs reported in NPPES

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

Authorized official

Name

Stephen Petrovich

Title

Evp, General Counsel

Phone

(615) 296-3594

Specialties & licenses 4

Addresses

Other identifiers 2

Part of

Lovelace Westside Hospital

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Lovelace Health System LLC

  • Body Imaging Physician
  • Albuquerque, NM
  • NPI 1902084809

  Member Of

  NPD member

Locations

Practitioners 65

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Blake, MD

  • Clinical Cardiac Electrophysiology Physician
  • Albuquerque, NM
  • NPI 1649272808

  Cardiovascular Disease

  NPD
• Fundador L Adajar, MD

  • Cardiovascular Disease Physician
  • Roswell, NM
  • NPI 1013919232
  NPD (past)
• H. William Adkison, MD

  • Cardiovascular Disease Physician
  • Taos, NM
  • NPI 1407858624
  NPD (past)
• Paul Lee Armstrong, PA

  • Physician Assistant
  • Albuquerque, NM
  • NPI 1881654218
  NPD (past)
• William T Bacon IV, PA-C

  • Medical Physician Assistant
  • Santa Fe, NM
  • NPI 1730181942
  NPD (past)
• James Marc Beverly, PA-C

  • Physician Assistant
  • Albuquerque, NM
  • NPI 1215245287
  NPD (past)
• Ravi Bhasker, MD

  • Family Medicine Physician
  • Socorro, NM
  • NPI 1326146259
  NPD (past)
• Luis Constantin, MD

  • Clinical Cardiac Electrophysiology Physician
  • Albuquerque, NM
  • NPI 1740284082

  Cardiovascular Disease

  NPD (past)
• Peter R Crotta, PA-C

  • Surgical Physician Assistant
  • Albuquerque, NM
  • NPI 1891773818
  NPD (past)
• William M. Deane, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Albuquerque, NM
  • NPI 1568464600
  NPD (past)
• Sarah Lynn East-Brumana, PA-C

  • Medical Physician Assistant
  • Roswell, NM
  • NPI 1912235201
  NPD (past)
• Erik J. Funk, MD

  • Cardiovascular Disease Physician
  • Albuquerque, NM
  • NPI 1043214398
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1346242575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 ELM ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022512",
            "telephone_number": "505-841-1000",
            "fax_number": "505-843-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 ELM ST. NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87102",
            "telephone_number": "505-841-1000",
            "fax_number": "505-843-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO HEART INSTITUTE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOVELACE HEALTH SYSTEMS LLC",
        "enumeration_date": "2005-06-01",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "PETROVICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "EVP, GENERAL COUNSEL",
        "authorized_official_telephone_number": "615-296-3594"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "FA0003020",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NM",
            "license": "FA0003020",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NMHI BUSINESS REGISTRATIO",
            "identifier": "FA0003020  PT0002833",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H5743",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Cardiovascular Disease Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.