Active NPI
John Edward Panter, PA
- Physician Assistant
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 11501 Montgomery Blvd NE
Albuquerque, NM 87111-2796 - Phone
- (505) 814-1333
- Fax
- (505) 990-3437
- NPI assigned
- Jun 10, 2013
- Last updated
- Apr 6, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
11501 Montgomery Blvd NE
Albuquerque, NM 87111-2796
Mailing address
12127B Hwy 14 N Ste 5
Cedar Crest, NM 87008-9557
Phone (505) 281-5180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1108 US Route 66 W
Moriarty, NM 87035-1006
Phone (505) 281-5180
11501 Montgomery Blvd NE
Albuquerque, NM 87111-2796
Phone (505) 281-5180
12127B Hwy 14 N
Suite 5
Cedar Crest, NM 87008-9499
Phone (505) 281-5180
1901 Juan Tabo Blvd NE
Albuquerque, NM 87112-3303
Phone (505) 281-5180
7200 Montgomery Blvd NE
Suite 7121
Albuquerque, NM 87109-1510
Phone (505) 281-5180
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- john.panter.1@27050.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Duke City Primary Care
- Family Medicine Physician
- Cedar Crest, NM
- NPI 1700393782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1407294655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12127B HWY 14 N STE 5",
"city": "CEDAR CREST",
"state": "NM",
"postal_code": "870089557",
"telephone_number": "505-281-5180",
"fax_number": "505-281-5320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11501 MONTGOMERY BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871112796",
"telephone_number": "505-814-1333",
"fax_number": "505-990-3437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANTER",
"first_name": "JOHN",
"middle_name": "EDWARD",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-10",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"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 Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.