Active NPI
William C. Abbott, MD, PC
- Surgery Physician
- Albuquerque, NM
National Provider Identifier
1366471500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 78-99
- Legal business name
- WILLIAM C. ABBOTT, MD, PC
- Practice address
- 4123 Montgomery Blvd. NE
Albuquerque, NM 87109 - Phone
- (505) 884-6742
- Fax
- (505) 884-6845
- NPI assigned
- Jul 1, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William C Abbott, MD
- Title
- President
- Phone
- (505) 884-6742
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 78-99 | NM | Primary |
Addresses
Primary practice location
4123 Montgomery Blvd. NE
Albuquerque, NM 87109
Mailing address
4123 Montgomery Blvd. NE
Albuquerque, NM 87109
Phone (505) 884-6742
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34033 | Medicaid | NM |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Surgery Physician
- Albuquerque, NM
- NPI 1417957366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1366471500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4123 MONTGOMERY BLVD. NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87109",
"telephone_number": "505-884-6742",
"fax_number": "505-884-6845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4123 MONTGOMERY BLVD. NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "87109",
"telephone_number": "505-884-6742",
"fax_number": "505-884-6845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM C. ABBOTT, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ABBOTT",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "505-884-6742",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NM",
"license": "78-99",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34033",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.