NPIMap

Organization Active NPI

Neurointensivists of New Mexico, LLC

  • Neurology Physician
  • Albuquerque, NM
National Provider Identifier
1386970341
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD2005-0833 Issued in NM
Legal business name
NEUROINTENSIVISTS OF NEW MEXICO, LLC
Practice address
2425 San Pedro Dr NE
Suite J
Albuquerque, NM 87110-4077
Phone
(505) 750-0403
Fax
(888) 505-3789
NPI assigned
Oct 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Authorized official

Name
Dr. David Patrick McCraney, MDNPI 1124111919
Title
Managing Partner
Phone
(505) 750-0403

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103G00000X 1133 NM
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X MD2005-0833 NM Primary

Addresses

Primary practice location

2425 San Pedro Dr NE
Suite J
Albuquerque, NM 87110-4077

Mailing address

12231 Academy Rd NE
Unit 301-268
Albuquerque, NM 87111-7236
Phone (505) 750-0403

National Provider Directory

National Provider Directory

Locations

2425 San Pedro Dr NE
Ste J
Albuquerque, NM 87110
Phone (505) 633-5421

12231 Academy Rd NE
Unit 301268
Albuquerque, NM 87111

Practitioners & affiliated clinicians

Practitioners 2

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": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1386970341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12231 ACADEMY RD NE",
            "address_2": "UNIT 301-268",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871117236",
            "telephone_number": "505-750-0403",
            "fax_number": "888-505-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 SAN PEDRO DR NE",
            "address_2": "SUITE J",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871104077",
            "telephone_number": "505-750-0403",
            "fax_number": "888-505-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROINTENSIVISTS OF NEW MEXICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "MCCRANEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "505-750-0403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NM",
            "license": "1133",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NM",
            "license": "MD2005-0833",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 31, 2013; 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.