Doctor on Call 4, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

95-318 Issued in NM

Legal business name

DOCTOR ON CALL 4, LLC

Practice address

1010 Bridge Blvd SW
Suite B
Albuquerque, NM 87105-3765

Phone

(505) 873-4258

Fax

(505) 873-4260

NPI assigned

Jul 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. John R Vigil, MD

Title

Partner

Phone

(505) 873-4258

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1851603203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10753 PROSPECT AVE NE",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871123272",
            "telephone_number": "505-873-4258",
            "fax_number": "505-873-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 BRIDGE BLVD SW",
            "address_2": "SUITE B",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871053765",
            "telephone_number": "505-873-4258",
            "fax_number": "505-873-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR ON CALL 4, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "VIGIL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "505-873-4258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "95-318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie C Dobbs, CRNA
• Alan Montgomery Dobson, M.D.
• Miranda Estelle Dobson, FNP-BC
• Jeremy R Dockstader, D.M.D.
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• Gregory Doctor, MD
• Doctors Optical
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• Family Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.