NPIMap

Organization Active NPI

Otero County Medical Group

  • Vascular Surgery Physician
  • Alamogordo, NM
National Provider Identifier
1487080776
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
OTERO COUNTY MEDICAL GROUP
Practice address
1212 9TH St
Suite a
Alamogordo, NM 88310-5842
Phone
(575) 434-2613
NPI assigned
Sep 19, 2013
Organization subpart
Yes
Parent organization
OTERO COUNTY MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Mr. Robert James Heckert, FACHE
Title
Ceo
Phone
(575) 443-7845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

1212 9TH St
Suite a
Alamogordo, NM 88310-5842

Mailing address

2689 Scenic Dr
Alamogordo, NM 88310-8700
Phone (575) 434-1699

Other names 1

  • GCRMC General and Vascular Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Otero County Medical Group20 organizations share this tax ID, including this one
Part of
Otero County Medical Group

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1487080776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2689 SCENIC DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108700",
            "telephone_number": "575-434-1699",
            "fax_number": "575-434-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 9TH ST",
            "address_2": "SUITE A",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883105842",
            "telephone_number": "575-434-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTERO COUNTY MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OTERO COUNTY MEDICAL GROUP",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "HECKERT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "575-443-7845",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GCRMC General and Vascular Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alamogordo, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.