High Desert Neurology

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

Legal business name

HIGH DESERT NEUROLOGY

Practice address

4131 Barbara Loop SE
Suite 1-a
Rio Rancho, NM 87124-1362

Phone

(505) 892-8915

Fax

(505) 994-3028

NPI assigned

Sep 25, 2006

Last updated

Dec 30, 2008By 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. Jerry K Williams Jr., MDNPI 1710086749

Title

Principal

Phone

(505) 892-8915

Specialties & licenses 2

Addresses

Other identifiers 5

Locations

Practitioners 3

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.

• Jerry K Williams Jr., M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Las Vegas, NM
  • NPI 1710086749

  Single Specialty

  NPD (past) Authorized official
• David P McCraney, M.D.

  • Neurology Physician
  • Albuquerque, NM
  • NPI 1124111919

  Multi-Specialty

  NPD (past)
• John W McBurney, MD

  • Neurology Physician
  • Greenville, SC
  • NPI 1841252525

  Neurology With Special Qualifications in Child Neurology

  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1487754735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44430",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871744430",
            "telephone_number": "505-892-8915",
            "fax_number": "505-994-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 BARBARA LOOP SE",
            "address_2": "SUITE 1-A",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241362",
            "telephone_number": "505-892-8915",
            "fax_number": "505-994-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "505-892-8915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MUTUAL OF OMAHA",
            "identifier": "NM9999",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00NM009T07",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP & SALUD",
            "identifier": "201047864",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED AMERICAN",
            "identifier": "C100521093",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23432",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dnae Heyborne
• Michele Marie Heyman, MA, LMHC
• Hgu Enterprises, LLC (We Rock the Spectrum Kid's Gym, Westside ABQ)
• Phylis Hickman, LCSW, LISW
• Wanda Betty Hicks-Cook, LMSW
• High Resort Eye Surgery Center LLC
• Stephen Hightower, MD
• Mary Elizabeth Hill-Rue, M.S., CCC-SLP
• Tamara Denise Hill, LMT
• Bridget Hillsey, SLP-CF

• Neurology with Special Qualifications in Child Neurology Physician in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Neurology with Special Qualifications in Child Neurology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.