Organization Active NPI

Medicine Clinic LLC

  • Internal Medicine Physician
  • Hobbs, NM
National Provider Identifier
1376722827
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDICINE CLINIC LLC
Practice address
5419 N Lovington Hwy Ste 10
Hobbs, NM 88240-9135
Phone
(505) 392-8943
Fax
(505) 392-8960
NPI assigned
Nov 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Dr. Jesus J FonsecaNPI 1093829400
Title
Internal Medicine
Phone
(505) 392-8943

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5419 N Lovington Hwy Ste 10
Hobbs, NM 88240-9135

Mailing address

5419 N Lovington Hwy Ste 10
Hobbs, NM 88240-9135
Phone (505) 392-8943

Other identifiers 1

IdentifierTypeStateIssuer
NM009390OtherNMBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1376722827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5419 N LOVINGTON HWY STE 10",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882409135",
            "telephone_number": "505-392-8943",
            "fax_number": "505-392-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5419 N LOVINGTON HWY STE 10",
            "city": "HOBBS",
            "state": "NM",
            "postal_code": "882409135",
            "telephone_number": "505-392-8943",
            "fax_number": "505-392-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "FONSECA",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "INTERNAL MEDICINE",
        "authorized_official_telephone_number": "505-392-8943",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "NM009390",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobbs, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.