Northwest Medical Center Inc.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A62474 Issued in NM

Legal business name

NORTHWEST MEDICAL CENTER INC.

Practice address

6463 4TH St NW
Los Ranchos, NM 87107-5810

Phone

(505) 345-3572

NPI assigned

Aug 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Don W. Hedges, D.O.

Title

President

Phone

(505) 345-3572

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1376891762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6463 4TH ST NW",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871075810",
            "telephone_number": "505-345-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6463 4TH ST NW",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871075810",
            "telephone_number": "505-345-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "HEDGES",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-345-3572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NM",
            "license": "A62474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Boyd Netschert
• Staci Newman, PHARM D
• Phuong Ngoc Nguyen, PHARMD
• NM Pelvic Health Physical Therapy
• North Valley Acupuncture and Family Practice, LLC
• Lauren Faye Oberholser, RN, IBCLC
• Andi Renee Ochoa, LMHC
• Angela Ortega
• Tiffany Ortiz, FNP-C
• Danna Marie Owens

• Adult Medicine Physician in Los Ranchos, NM
• Providers in Los Ranchos, NM by specialty
• Adult Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.