Ispm - New Mexico LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD2009-0017 Issued in NM

Legal business name

ISPM - NEW MEXICO LLC

Practice address

2474 Indian Wells Rd.
Alamogordo, NM 88310-8700

Phone

(415) 987-4921

Fax

(575) 437-0358

NPI assigned

Mar 12, 2009

Organization subpart

No

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

Authorized official

Name

Brett Lynn Butz, MDNPI 1538155668

Title

Owner/President

Phone

(415) 987-4921

Specialties & licenses 1

Addresses

Other names 1

• Interventional Spine and Pain Mgmt. Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brett Lynn Butz, MD

  • Pain Medicine (Anesthesiology) Physician
  • Chico, CA
  • NPI 1538155668

  NM

  Medicare reassignment Authorized official
• Nels N Dahlgren, MD

  • Pain Medicine (Anesthesiology) Physician
  • Rio Rancho, NM
  • NPI 1396884318
  Medicare reassignment NPD
• Jayant Kumar, MD

  • Nephrology Physician
  • Albuquerque, NM
  • NPI 1558451039
  NPD (past)
• Andrew Lancaster, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Alamogordo, NM
  • NPI 1992842934
  NPD (past)
• Karen A Lecomte, M.D.

  • Neurology Physician
  • Alamogordo, NM
  • NPI 1487636056
  NPD (past)
• Joe Ben Parker, ARNP

  • Adult Health Nurse Practitioner
  • Albuquerque, NM
  • NPI 1245635622
  NPD (past)
• Sharlene Elizabeth Rogers, NP

  • Clinic/Center
  • Mayhill, NM
  • NPI 1336637354
  NPD (past)
• Amy Jane Palmer, CNP

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1891384715
  NPD (past)

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1861633307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 RALEY BLVD.",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959288347",
            "telephone_number": "530-720-0176",
            "fax_number": "530-636-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2474 INDIAN WELLS RD.",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883108700",
            "telephone_number": "415-987-4921",
            "fax_number": "575-437-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISPM - NEW MEXICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "BUTZ",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "415-987-4921",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "MD2009-0017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interventional Spine and Pain Mgmt.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Internal Medicine Associates of New Mexico, PC
• Internal Medicine Specialists of Alamogordo
• Intuition Optical
• Giselle Irio, DO
• Heather Isaac, RN
• Gilles C Izeboud, PT
• Crystal Jackson
• Kayleen Jackson
• Sandra G. Jackson, LPCC
• Christina Jacob

• Specialist in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.