Active NPI
Allan Lewis Paul, MD
- Family Medicine Physician
- Alamogordo, NM
National Provider Identifier
1619957701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 88-57
- Practice address
- 2559 Medical Dr
Suite E
Alamogordo, NM 88310-8703 - Phone
- (505) 437-5595
- Fax
- (505) 437-1330
- NPI assigned
- Jan 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 88-57 | NM | Primary |
Addresses
Primary practice location
2559 Medical Dr
Suite E
Alamogordo, NM 88310-8703
Mailing address
2559 Medical Drive
Suite E
Alamogordo, NM 88310
Phone (505) 437-5595
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23200 | Other | NM | PRESBYTERIAN SALUD ID NUM |
| A002 | Other | NM | TRICARE ID NUMBER |
| NM002112 | Other | NM | BLUE CROSS/BLUE SHIELD ID |
| 04994 | Medicaid | NM | |
| 2224 | Other | NM | LOVELACE SALUD ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88-57 | NM | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1619957701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2559 MEDICAL DRIVE",
"address_2": "SUITE E",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "88310",
"telephone_number": "505-437-5595",
"fax_number": "505-437-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2559 MEDICAL DR",
"address_2": "SUITE E",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883108703",
"telephone_number": "505-437-5595",
"fax_number": "505-437-1330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "ALLAN",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "88-57",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN SALUD ID NUM",
"identifier": "23200",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE ID NUMBER",
"identifier": "A002",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD ID",
"identifier": "NM002112",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04994",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE SALUD ID NUMBER",
"identifier": "2224",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.