NPIMap

Organization Active NPI

New Mexico Pain and Spine Institute, a Professional Corporation

  • Pain Medicine (Anesthesiology) Physician
  • Albuquerque, NM
National Provider Identifier
1861728016
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
PT0103628 Issued in NM
Legal business name
NEW MEXICO PAIN AND SPINE INSTITUTE, A PROFESSIONAL CORPORATION
Practice address
8300 Constitution Ave NE
Albuquerque, NM 87110-7613
Phone
(425) 407-1000
Fax
(505) 317-3676
NPI assigned
Oct 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Authorized official

Name
Sarah Mueller
Title
Practice Support Manager
Phone
(425) 407-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X PT0103628 NM Primary

Addresses

Primary practice location

8300 Constitution Ave NE
Albuquerque, NM 87110-7613

Mailing address

125 Laguna Blvd SW
Albuquerque, NM 87104-1157
Phone (425) 407-1000

National Provider Directory

National Provider Directory

Locations

1720 Louisiana Blvd NE
Ste 401
Albuquerque, NM 87110
Phone (505) 260-4300

4100 High Resort Blvd SE
Ste 215
Rio Rancho, NM 87124
Phone (505) 291-2770

4100 High Resort Blvd SE
Ste 401
Rio Rancho, NM 87124

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568160000000",
    "number": "1861728016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LAGUNA BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041157",
            "telephone_number": "425-407-1000",
            "fax_number": "505-317-3676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 CONSTITUTION AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107613",
            "telephone_number": "425-407-1000",
            "fax_number": "505-317-3676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO PAIN AND SPINE INSTITUTE, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2019-09-11",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PRACTICE SUPPORT MANAGER",
        "authorized_official_telephone_number": "425-407-1000"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NM",
            "license": "PT0103628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 11, 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.