Albuquerque Veterans Affairs

Primary specialty

Military HospitalTaxonomy code 286500000X

Legal business name

ALBUQUERQUE VETERANS AFFAIRS

Practice address

1501 San Pedro Dr SE
Albuquerque, NM 87108-5153

Phone

(505) 265-1711

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Jack Edwards, DPM

Title

Resident

Phone

(505) 265-1711

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1821100520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 SORIA AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SAN PEDRO DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871085153",
            "telephone_number": "505-265-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBUQUERQUE VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "RESIDENT",
        "authorized_official_telephone_number": "505-265-1711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albuquerque Urology Associates, PA
• Albuquerque Vamc
• Albuquerque Vamc
• Albuquerque Vein & Laser Institute
• Albuquerque Veterans Administration Medical Center
• Albuquerque Vision Clinic LLC
• Albuquerque West Smiles Youth Dentistry, PC
• Albuquerque Westside, LLC
• Albuquerque Women'S Health, PC
• Albuqureque Neuroscience, Inc.

• Military Hospital in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Military Hospital in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.