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
- 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
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 DirectoryNPI 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": "193400000X SINGLE SPECIALTY 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.