Organization Active NPI

Internal Medicine Associates, P.C.

  • Internal Medicine Physician
  • Farmington, NM
National Provider Identifier
1750396909
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
78266 Issued in NM
Legal business name
INTERNAL MEDICINE ASSOCIATES, P.C.
Practice address
301 S Lake St
Farmington, NM 87401-5619
Phone
(505) 325-7531
Fax
(505) 326-2186
NPI assigned
Jul 29, 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
Dr. James Joseph Spence, M.D.
Title
Dr.
Phone
(505) 325-7531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 78266 NM Primary

Addresses

Primary practice location

301 S Lake St
Farmington, NM 87401-5619

Mailing address

301 S Lake St
Farmington, NM 87401-5619
Phone (505) 325-7531

Other identifiers 1

IdentifierTypeStateIssuer
18499MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750396909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S LAKE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015619",
            "telephone_number": "505-325-7531",
            "fax_number": "505-326-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S LAKE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015619",
            "telephone_number": "505-325-7531",
            "fax_number": "505-326-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPENCE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "505-325-7531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "78266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18499",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, 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.