Organization Active NPI

Robert a McCormick MD LTD

  • Family Medicine Physician
  • Santa Fe, NM
National Provider Identifier
1760666267
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
69164 Issued in NM
Legal business name
ROBERT A MCCORMICK MD LTD
Practice address
11 Calle Medico
Suite 2
Santa Fe, NM 87505-4705
Phone
(505) 983-1003
Fax
(505) 983-1008
NPI assigned
Dec 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Dr. Robert A McCormick, MDNPI 1922113349
Title
President
Phone
(505) 983-1003

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 69164 NM Primary

Addresses

Primary practice location

11 Calle Medico
Suite 2
Santa Fe, NM 87505-4705

Mailing address

11 Calle Medico
Suite 2
Santa Fe, NM 87505-4705
Phone (505) 983-1003

National Provider Directory

National Provider Directory

Locations

11 Calle Medico
Ste 2
Santa Fe, NM 87505
Phone (505) 795-7370

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1760666267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CALLE MEDICO",
            "address_2": "SUITE 2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054705",
            "telephone_number": "505-983-1003",
            "fax_number": "505-983-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CALLE MEDICO",
            "address_2": "SUITE 2",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054705",
            "telephone_number": "505-983-1003",
            "fax_number": "505-983-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A MCCORMICK MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-983-1003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "69164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.