Interventional Pain Specialists of New Mexico, P.a.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

2000-259 Issued in NM

Legal business name

INTERVENTIONAL PAIN SPECIALISTS OF NEW MEXICO, P.A.

Practice address

4824 McMahon Blvd NW
Suite 119
Albuquerque, NM 87114-5412

Phone

(505) 898-1595

NPI assigned

Jan 26, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles F. Pace, M.D.NPI 1922190040

Title

President

Phone

(505) 898-1595

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles F Pace, MD

  • Anesthesiology Physician
  • Albuquerque, NM
  • NPI 1922190040

  Interventional Pain Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427104157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 MCMAHON BLVD NW",
            "address_2": "SUITE 119",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145412",
            "telephone_number": "505-898-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4824 MCMAHON BLVD NW",
            "address_2": "SUITE 119",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145412",
            "telephone_number": "505-898-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL PAIN SPECIALISTS OF NEW MEXICO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-898-1595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NM",
            "license": "2000-259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NM009L89",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61727369",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Internal Medicine of the Southwest
• International Travel Clinic (Sandia National Laboratories)
• Intersectional Wellness
• Intervention & Prevention Network
• Interventional Pain Associates
• Intuitive Therapy LLC
• Inverse Medical, LLC
• Inverse Medical, LLC
• Invision
• Invision, LLC (InVision)

• Interventional Pain Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Interventional Pain Medicine Physician in New Mexico

• 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.

Verify at the official NPI Registry.