Farmington Internal Medicine, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FARMINGTON INTERNAL MEDICINE, P.C.

Practice address

657A W Maple St
Farmington, NM 87401-5967

Phone

(505) 325-5025

Fax

(505) 325-0689

NPI assigned

Jul 27, 2006

Last updated

Oct 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eleanore Barry-Prather, MD

Title

Owner

Phone

(505) 325-5025

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cumberworth/Barry Prather MD's Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William A Cumberworth, MD

  • Internal Medicine Physician
  • Farmington, NY
  • NPI 1255443024
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1932123288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657A W MAPLE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015967",
            "telephone_number": "505-325-5025",
            "fax_number": "505-325-0689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657A W MAPLE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874015967",
            "telephone_number": "505-325-5025",
            "fax_number": "505-325-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON INTERNAL MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "BARRY-PRATHER",
        "authorized_official_first_name": "ELEANORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-325-5025",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06452-6R#Z6215",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cumberworth/Barry Prather MD's",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Farmington Drug
• Farmington Endodontics, PC
• Farmington Family Dentistry L.L.C.
• Farmington Family Pharmacy LLC
• Farmington Health Care Center LTD. Co. (Cedar Ridge Inn)
• Farmington Operations LLC
• Farmington Operations LLC (Life Care Center of Farmington)
• Farmington Oral & Maxillofacial Surgical Clinic
• Farmington Public Schools
• Farmington Wellness & Rehabilitation LLC

• Internal Medicine Physician in Farmington, NM
• Providers in Farmington, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.