Alexander Childs Misenheimer, PA (ASCP)

Primary specialty

Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X

Practice address

1100 Central Ave SE
Albuquerque, NM 87106-4930

Phone

(505) 841-1167

NPI assigned

Apr 16, 2025

Last updated

Apr 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1568258507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 CENTRAL AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064930",
            "telephone_number": "505-841-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CENTRAL AVE SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064930",
            "telephone_number": "505-841-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISENHEIMER",
        "first_name": "ALEXANDER",
        "middle_name": "CHILDS",
        "name_prefix": "Mr.",
        "credential": "PA (ASCP)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Babak Mirin, M.D.
• Neda Mirmesdagh
• Sara Monis Mirza, PHARMD
• Brian George Miscall, MD
• Stephanie Mischell, M.D.
• Nicole Mishoe, LMSW
• Richard J Miskimins, MD
• Patience Misner
• Venessa Misquez, BSW MSW
• Misra Medical LLC

• Clinical Laboratory Director (Non-physician) in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Clinical Laboratory Director (Non-physician) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.