Organization Active NPI

New Mexico Inner Wellness Center, Inc

Doing business as The Doc Spa

  • Obstetrics & Gynecology Physician
  • Edgewood, NM
National Provider Identifier
1578719209
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
97-136 Issued in NM
Legal business name
NEW MEXICO INNER WELLNESS CENTER, INC
Doing business as
The Doc Spa
Practice address
1950C Old US 66
Edgewood, NM 87015-6745
Phone
(505) 884-8900
Fax
(888) 699-4725
NPI assigned
Aug 13, 2008
Last updated
Sep 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Authorized official

Name
Dr. Julian F Rowe, MDNPI 1174618250
Title
President
Phone
(505) 884-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 97-136 NM Primary

Addresses

Primary practice location

1950C Old US 66
Edgewood, NM 87015-6745

Mailing address

PO Box 91960
Albuquerque, NM 87199-1960
Phone (505) 884-8900

Other names 1

  • The Doc Spa Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141021002383 NM Part B Supplier - Clinic/Group Practice 3971724634 Receives reassigned benefits from 1 practitioner
Practice locations: Edgewood, NM

National Provider Directory

National Provider Directory

Locations

6801 Jefferson St NE
Ste 350
Albuquerque, NM 87109
Phone (505) 242-1711

1950 Old US 66
#C
Edgewood, NM 87015
Phone (505) 884-8900

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756684800000",
    "number": "1578719209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91960",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871991960",
            "telephone_number": "505-884-8900",
            "fax_number": "505-806-7183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950C OLD US 66",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870156745",
            "telephone_number": "505-884-8900",
            "fax_number": "888-699-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO INNER WELLNESS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-884-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "97-136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Doc Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edgewood, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.