NPIMap

Organization Active NPI

Unmhsc Department of Pediatrics

  • Hematology & Oncology Physician
  • Albuquerque, NM
National Provider Identifier
1689778789
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
UNMHSC DEPARTMENT OF PEDIATRICS
Practice address
2211 Lomas NE
Albuquerque, NM 87131-0001
Phone
(505) 272-3617
Fax
(505) 272-8699
NPI assigned
Sep 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James Russell Dilts
Title
Chief Administrative Officer
Phone
(505) 272-4443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X NM Primary

Addresses

Primary practice location

2211 Lomas NE
Albuquerque, NM 87131-0001

Mailing address

6465 Taylor Mill Rd
Independence, KY 41051-9392
Phone (859) 363-4952

National Provider Directory

National Provider Directory
Tax ID family
Dr Christobel Rendall20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

6465 Taylor Mill Rd
Independence, KY 41051

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689778789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 TAYLOR MILL RD",
            "city": "INDEPENDENCE",
            "state": "KY",
            "postal_code": "410519392",
            "telephone_number": "859-363-4952",
            "fax_number": "859-363-4984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 LOMAS NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-3617",
            "fax_number": "505-272-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNMHSC DEPARTMENT OF PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DILTS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "505-272-4443"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NM",
            "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 Aug 22, 2020; 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.