Organization Active NPI

M D Injury Relief Clinic LLC

  • Pain Medicine (Anesthesiology) Physician
  • Albuquerque, NM
National Provider Identifier
1740646611
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
M D INJURY RELIEF CLINIC LLC
Practice address
3311 Candelaria Rd NE Ste K
Albuquerque, NM 87107-1952
Phone
(505) 246-9190
NPI assigned
Jan 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Thomas Whalen
Title
Owner
Phone
(505) 246-9190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

3311 Candelaria Rd NE Ste K
Albuquerque, NM 87107-1952

Mailing address

3311 Candelaria Rd NE Ste K
Albuquerque, NM 87107-1952
Phone (505) 246-9190

National Provider Directory

National Provider Directory

Locations

3311 Candelaria Rd NE
Albuquerque, NM 87107
Phone (505) 246-9190

NPI Registry JSON

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1740646611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 CANDELARIA RD NE STE K",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071952",
            "telephone_number": "505-246-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 CANDELARIA RD NE STE K",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871071952",
            "telephone_number": "505-246-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M D INJURY RELIEF CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-246-9190"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "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 Sep 27, 2022; 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.