Organization Active NPI

The Fertility Center of New Mexico LLC

  • Reproductive Endocrinology Physician
  • Albuquerque, NM
National Provider Identifier
1629443049
Registry record updated Apr 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
Legal business name
THE FERTILITY CENTER OF NEW MEXICO LLC
Practice address
201 Cedar St SE Ste S120
Albuquerque, NM 87106-4900
Phone
(505) 247-3333
Fax
(505) 217-1171
NPI assigned
Dec 10, 2015
Last updated
Apr 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2016

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

Authorized official

Name
Dr. Douglas James Thompson, M.D.NPI 1639289697
Title
Ceo Medical Director
Phone
(505) 247-3333

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU
Reproductive Endocrinology Physician 207VE0102X NU Primary

Addresses

Primary practice location

201 Cedar St SE Ste S120
Albuquerque, NM 87106-4900

Mailing address

201 Cedar St SE Ste S120
Albuquerque, NM 87106-4900
Phone (505) 247-3333

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2112299The Fertility Center of New Mexico LLC201 Cedar Street SE Suite S1-20, Albuquerque, NM 87106AccreditationJan 3, 2027

National Provider Directory

National Provider Directory

Locations

201 Cedar St SE
Ste S120
Albuquerque, NM 87106
Phone (505) 248-0000

Practitioners & affiliated clinicians

Practitioners 2

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": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461628800000",
    "number": "1629443049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CEDAR ST SE STE S120",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064900",
            "telephone_number": "505-247-3333",
            "fax_number": "505-217-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CEDAR ST SE STE S120",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064900",
            "telephone_number": "505-247-3333",
            "fax_number": "505-217-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FERTILITY CENTER OF NEW MEXICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2016-04-26",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "505-247-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NU",
            "license": null,
            "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 Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.