High Desert Dermatology PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

HIGH DESERT DERMATOLOGY PC

Practice address

12241 Academy Rd NE
Ste 204
Albuquerque, NM 87111-8051

Phone

(505) 938-4214

NPI assigned

Sep 25, 2014

Organization subpart

No

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

Authorized official

Name

John David Carey, M.D.NPI 1770578924

Title

Owner/MD

Phone

(505) 938-4214

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John David Carey, M.D.

  • Dermatology Physician
  • Albuquerque, NM
  • NPI 1770578924
  Medicare reassignment Care Compare group NPD Authorized official
• Juanita R Feuchter, PA-C

  • Medical Physician Assistant
  • Albuquerque, NM
  • NPI 1710536404
  Medicare reassignment Care Compare group
• Stephanie Gonzales, PA-C

  • Physician Assistant
  • Albuquerque, NM
  • NPI 1508276973
  Medicare reassignment Care Compare group
• Jessica Hammond, PA-C

  • Physician Assistant
  • Albuquerque, NM
  • NPI 1992335350
  Medicare reassignment Care Compare group
• Meghan Reeves

  • Physician Assistant
  • Albuquerque, NM
  • NPI 1225764350
  Medicare reassignment Care Compare group
• Emily Jeanne Bryl, PA

  • Physician Assistant
  • Albuquerque, NM
  • NPI 1851743942
  Medicare reassignment

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

{
    "created_epoch": "1411603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1588066138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12241 ACADEMY RD NE",
            "address_2": "STE 204",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871118051",
            "telephone_number": "505-938-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12241 ACADEMY RD NE",
            "address_2": "STE 204",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871118051",
            "telephone_number": "505-938-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-25",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "505-938-4214",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronne Lee Higgins, PT
• Shafer Higgins, CF-SLP
• Deborah W Higgs, LMHC, LPCC
• High Country Macula Retina and Vitreous PC
• High Desert Dental LLC (High Desert Dental)
• High Desert Doppler
• High Desert Doppler Inc.
• High Desert Family Services
• High Desert Family Services
• High Desert Family Services LLC

• Dermatology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Dermatology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.