Active NPI
Doctor on Call #3 LLC
- Pain Medicine Physician
- Albuquerque, NM
National Provider Identifier
1790019453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- DOCTOR ON CALL #3 LLC
- Doing business as
- Spine and Pain Management
- Practice address
- 10700 Menaul Blvd NE
Suite D
Albuquerque, NM 87112-2437 - Phone
- (505) 275-4972
- Fax
- (505) 294-3305
- NPI assigned
- Sep 29, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Vigil, MD
- Title
- Owner
- Phone
- (505) 323-8911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | NM | Primary |
Addresses
Primary practice location
10700 Menaul Blvd NE
Suite D
Albuquerque, NM 87112-2437
Mailing address
10700 Menaul Blvd NE
Suite D
Albuquerque, NM 87112-2437
Phone (505) 275-4972
Other names 1
- Spine and Pain Management
National Provider Directory
National Provider DirectoryLocations
10700 Menaul Blvd NE
Ste D
Albuquerque, NM 87112
Phone (505) 275-4972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254182400000",
"number": "1790019453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 MENAUL BLVD NE",
"address_2": "SUITE D",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871122437",
"telephone_number": "505-275-4972",
"fax_number": "505-294-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 MENAUL BLVD NE",
"address_2": "SUITE D",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871122437",
"telephone_number": "505-275-4972",
"fax_number": "505-294-3305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCTOR ON CALL #3 LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-29",
"last_updated": "2009-09-29",
"status": "A",
"authorized_official_last_name": "VIGIL",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "505-323-8911",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "NM",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Spine and Pain Management",
"code": "3",
"type": "Doing Business As"
}
]
}
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 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.