Organization Active NPI

Doctor on Call #3 LLC

  • Pain Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1790019453
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
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

Updated by the provider on Sep 29, 2009

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)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.