Organization Active NPI

Above and Beyond Medical Care, Inc.

  • Internal Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1619487121
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD2012-0658 Issued in NM
Legal business name
ABOVE AND BEYOND MEDICAL CARE, INC.
Practice address
4550 Eubank Blvd NE Ste 103
Albuquerque, NM 87111-2565
Phone
(505) 384-7030
Fax
(505) 294-3397
NPI assigned
Oct 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
Dr. Dana Lynn Giles, MD
Title
President
Phone
(505) 384-7030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD2012-0658 NM Primary

Addresses

Primary practice location

4550 Eubank Blvd NE Ste 103
Albuquerque, NM 87111-2565

Mailing address

PO Box 20850
Albuquerque, NM 87154-0850
Phone (505) 384-7030

National Provider Directory

National Provider Directory

Locations

4550 Eubank Blvd NE
Ste 103
Albuquerque, NM 87111
Phone (505) 384-7030

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1619487121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20850",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871540850",
            "telephone_number": "505-384-7030",
            "fax_number": "505-294-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 EUBANK BLVD NE STE 103",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871112565",
            "telephone_number": "505-384-7030",
            "fax_number": "505-294-3397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOVE AND BEYOND MEDICAL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "GILES",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-384-7030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2012-0658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.