NPIMap

Organization Active NPI

Optumcare New Mexico, LLC

Doing business as New Mexico Center for Sleep Medicine

  • General Practice Physician
  • Albuquerque, NM
National Provider Identifier
1851497663
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
OPTUMCARE NEW MEXICO, LLC
Doing business as
New Mexico Center for Sleep Medicine
Practice address
4700 Jefferson St NE
Suite 800
Albuquerque, NM 87109-2136
Phone
(505) 872-6000
Fax
(505) 872-6003
NPI assigned
Sep 16, 2006
Last updated
Aug 19, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ABQ HEALTH PARTNERS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Authorized official

Name
John G Liethen
Title
Secretary
Phone
(952) 205-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

4700 Jefferson St NE
Suite 800
Albuquerque, NM 87109-2136

Mailing address

PO Box 26028
Albuquerque, NM 87125-6028
Phone (505) 872-6000

Other names 1

  • New Mexico Center for Sleep Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lovelace Healthcare Center-Rio Bravo24 organizations share this tax ID, including this one
Part of
Lovelace Healthcare Center-Rio Bravo

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1851497663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26028",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256028",
            "telephone_number": "505-872-6000",
            "fax_number": "505-872-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 JEFFERSON ST NE",
            "address_2": "SUITE 800",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871092136",
            "telephone_number": "505-872-6000",
            "fax_number": "505-872-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUMCARE NEW MEXICO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABQ HEALTH PARTNERS LLC",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "LIETHEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "952-205-6262"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Mexico Center for Sleep Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Mexico Center for Sleep Medicine",
            "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 Aug 19, 2019; 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.