Elmer J Pacheco MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

95-318 Issued in NM

Legal business name

ELMER J PACHECO MD

Practice address

4801 McMahon Blvd NW
Suite 235
Albuquerque, NM 87114-5090

Phone

(505) 922-1111

Fax

(505) 922-1115

NPI assigned

Nov 4, 2010

Organization subpart

No

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

Authorized official

Name

Elmer J Pacheco, M.D.NPI 1407844921

Title

Owner

Phone

(505) 697-9271

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Elmer Jesus Pacheco, MD

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1407844921
  NPD (past) Authorized official

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1992006167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 MCMAHON BLVD NW",
            "address_2": "SUITE 205",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145090",
            "telephone_number": "505-922-1111",
            "fax_number": "505-922-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 MCMAHON BLVD NW",
            "address_2": "SUITE 235",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145090",
            "telephone_number": "505-922-1111",
            "fax_number": "505-922-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMER J PACHECO MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "ELMER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-697-9271",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "95-318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shana Elman, M.D.
• Amre Adel Elmaoued, PHARMD, PHC
• Emad Elmaoued
• Rajaa Elmaoued, PHARM D
• Rasha Elmaoued, M.D.
• Leslie A Elmore
• Elpis Psychiatry LLC.
• Connie L Elsberry
• Allison Christine Else, LPCC
• Sarah Elsham

• Internal Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, 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 Jun 23, 2011; 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.