DRS. Andrews and Johnson of the Mesilla Valley

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

85-3 Issued in NM

Legal business name

DRS. ANDREWS AND JOHNSON OF THE MESILLA VALLEY

Practice address

225 E Idaho Ave
#17
Las Cruces, NM 88005-3257

Phone

(575) 526-5525

Fax

(575) 541-0498

NPI assigned

Mar 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gregory E Johnson, M.D.

Title

President

Phone

(575) 526-5525

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1912039413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E IDAHO AVE",
            "address_2": "#17",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053257",
            "telephone_number": "575-526-5525",
            "fax_number": "575-541-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E IDAHO AVE",
            "address_2": "#17",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053257",
            "telephone_number": "575-526-5525",
            "fax_number": "575-541-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. ANDREWS AND JOHNSON OF THE MESILLA VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-526-5525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "85-3",
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NM",
            "license": "77-190",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B9667",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "NM009528",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Providers in Las Cruces, NM by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.