Active NPI
John Edward Lundy, MD
- General Practice Physician
- Deming, NM
National Provider Identifier
1982795035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 83246NM
- Practice address
- 220 East Hemlock
Deming, NM 88030 - Phone
- (505) 546-2705
- Fax
- (505) 546-2706
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 83246NM | NM | Primary |
Addresses
Primary practice location
220 East Hemlock
Deming, NM 88030
Mailing address
220 East Hemlock
Deming, NM 88030
Phone (505) 546-2705
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26419 | Medicaid | NM | |
| 10001972 | Other | NM | LOVELACE |
| 19817 | Other | NM | PRESBYTERIAN |
| 0389 | Other | NM | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83246NM | NM | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232668800000",
"number": "1982795035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 EAST HEMLOCK",
"city": "DEMING",
"state": "NM",
"postal_code": "88030",
"telephone_number": "505-546-2705",
"fax_number": "505-546-2706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 EAST HEMLOCK",
"city": "DEMING",
"state": "NM",
"postal_code": "88030",
"telephone_number": "505-546-2705",
"fax_number": "505-546-2706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDY",
"first_name": "JOHN",
"middle_name": "EDWARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2009-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NM",
"license": "83246NM",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "26419",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE",
"identifier": "10001972",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN",
"identifier": "19817",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0389",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Deming, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.