OTERO COUNTY MEDICAL GROUP (NPI# 1093141491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093141491 |
| Entity Type | Organization |
| Organization Name | OTERO COUNTY MEDICAL GROUP |
| Other Organization Name | CHAMPION ORTHOPEADICS |
| Practice Address |
2539 Medical Dr Suite 110 Alamogordo NM 88310-8720 |
| Mailing Address |
2689 Scenic Dr Alamogordo NM 88310-8700 |
| Practice Telephone | 5754342116 |
| Mailing Telephone | 5754341699 |
| Mailing Fax Number | 5754348871 |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |
| Authorized Official Name | MR. ROBERT JAMES HECKERT (CEO) |
| Authorized Official Telephone | 5754437845 |
| Authorized Official Credential | FACHE |
| Is Organization Subpart | Y |
| Parent Organization Name | OTERO COUNTY MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Champion Orthopeadics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558797746 | Otero County Medical Group | Obstetrics & Gynecology | 2050 Scenic Dr, Alamogordo, NM 88310-3880 | 2013-09-19 |
| 1376978577 | Otero County Medical Group | Psychologist | 2689 Scenic Dr, Alamogordo, NM 88310-8700 | 2013-09-06 |
| 1528494747 | Otero County Medical Group | Radiology | 2559 Medical Dr, Suite G, Alamogordo, NM 88310-8703 | 2013-09-19 |
| 1932535127 | Otero County Medical Group | Family Medicine | 1401 10th St, Alamogordo, NM 88310-5012 | 2013-09-19 |
| 1467888651 | Otero County Medical Group | Surgery | 1100 10th St, Alamogordo, NM 88310-6414 | 2013-09-19 |
| 1487080776 | Otero County Medical Group | Surgery | 1212 9th St, Suite A, Alamogordo, NM 88310-5842 | 2013-09-19 |
| 1639505829 | Otero County Medical Group | Nurse Practitioner | 2539 Medical Dr, Suite 107, Alamogordo, NM 88310-8720 | 2013-09-19 |
| 1831525120 | Otero County Medical Group | Internal Medicine | 2689 Scenic Dr, Alamogordo, NM 88310-8700 | 2013-09-19 |
| 1346676566 | Otero County Medical Group | Internal Medicine | 2689 Scenic Dr, Alamogordo, NM 88310-8700 | 2013-09-19 |
| 1275969495 | Otero County Medical Group | Family Medicine | 1101 9th St, Suite A, Alamogordo, NM 88310-6432 | 2013-09-19 |
| Street Address |
2539 MEDICAL DR SUITE 110 |
| City | ALAMOGORDO |
| State | NM |
| Zip Code | 88310-8720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629040662 | Allan F. Rickman | Orthopaedic Surgery | 2539 Medical Dr, Suite110 Complex A, Alamogordo, NM 88310 | 2006-02-03 |
| 1639505829 | Otero County Medical Group | Nurse Practitioner | 2539 Medical Dr, Suite 107, Alamogordo, NM 88310-8720 | 2013-09-19 |
| 1013342278 | Otero County Medical Group | Nurse Practitioner | 2539 Medical Dr, Suite 106, Alamogordo, NM 88310-8720 | 2013-09-06 |
| 1457790552 | Ruth Rawlings | Internal Medicine | 2539 Medical Dr, Ste 107, Alamogordo, NM 88310-8720 | 2013-06-21 |
| 1942216882 | John R Norman | Internal Medicine | 2539 Medical Dr, Complex A, Suite 108, Alamogordo, NM 88310-8720 | 2006-07-31 |
| 1144275959 | Charles Mark Race | Orthopaedic Surgery | 2539 Medical Dr, Ste 110, Alamogordo, NM 88310-8720 | 2006-05-23 |
| 1417925009 | Dennis Victor Worthington | Internal Medicine | 2539 Medical Dr, Suite 107, Alamogordo, NM 88310-8720 | 2006-03-09 |
| 1700852373 | Alamogordo Imaging Center LLC | Radiology | 2539 Medical Dr, Ste 101, Alamogordo, NM 88310 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249326 | Diana Cano | Behavior Technician | 27 N. Yucca Ave, Alamogordo, NM 88310 | 2020-09-15 |
| 1952802787 | Kinfe H Alemnugus | Pharmacist | 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 | 2018-02-27 |
| 1134666902 | Hillary Elizabeth Hunter | Behavior Technician | 1908 Snow Dr, Alamogordo, NM 88310 | 2017-01-31 |
| 1285097774 | Adrienne Nicole Martin | Physician Assistant | 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 | 2016-04-01 |
| 1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
| 1851788798 | Timothy W. Basha | Counselor | 1613 Juniper Dr., Alamogordo, NM 88310 | 2015-04-17 |
| 1215331186 | Keith Edward Gerber | Case Manager/Care Coordinator | 1900 East Tenth Street, Alamogordo, NM 88310 | 2014-10-21 |
| 1710306691 | Austin Reed | Pharmacist | 2401 Indian Wells, Alamogordo, NM 88310 | 2014-04-08 |
| 1760821805 | Dollar Cab Company | Taxi | 1220 Brooks Ave., Alamogordo, NM 88310 | 2013-06-21 |
| 1932544319 | Peter Allan Lock | Physical Therapist | 1011 A 10th Street, Alamogordo, NM 88310 | 2013-04-30 |
| Find all providers in zip 88310 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316019649 | Southwest Orthopaedics PC | Orthopaedic Surgery | 2539 Medical Dr Ste 110, Alamogordo, NM 88310-8720 | 2006-11-14 |
| 1629040662 | Allan F. Rickman | Orthopaedic Surgery | 2539 Medical Dr, Suite110 Complex A, Alamogordo, NM 88310 | 2006-02-03 |
| 1053628552 | Sacramento Orthopaedics, LLC | Orthopaedic Surgery | 2301 Indian Wells Rd, Suite A, Alamogordo, NM 88310-4611 | 2010-09-03 |
| 1144275959 | Charles Mark Race | Orthopaedic Surgery | 2539 Medical Dr, Ste 110, Alamogordo, NM 88310-8720 | 2006-05-23 |
| 1801853148 | Don Hughes | Orthopaedic Surgery | 2301 Indian Wells Rd, Suite A, Alamogordo, NM 88310-4611 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023653094 | Romanelli Ime, LLC | Orthopaedic Surgery | 4500 N Sonoma Ranch Blvd Ste 2, Las Cruces, NM 88011-7334 | 2019-11-13 |
| 1427535384 | Michael L. Rothman, M.d., P.C. | Orthopaedic Surgery | 2945 Rodeo Park Dr E Unit 6, Santa Fe, NM 87505-6312 | 2018-07-24 |
| 1730635533 | New Mexico Bone and Joint Institute PC | Orthopaedic Surgery | 26130 Hwy 70, Ruidoso, NM 88345-6089 | 2016-08-31 |
| 1003362807 | New Mexico Bone and Joint Institute PC | Orthopaedic Surgery | 2951 N Roadrunner Pkwy, Las Cruces, NM 88011-0814 | 2016-08-31 |
| 1124429394 | William Terrance Anderson | Orthopaedic Surgery | 38602 Hwy 285, Tres Piedras, NM 87577-0139 | 2014-09-08 |
| 1235549890 | Geneva Vicenta Tranchida | Orthopaedic Surgery | Unm Orthopedics Ms10 5600, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2014-05-05 |
| 1801169891 | Albert Adolph Miller | Orthopaedic Surgery | 906 Camino Vista Rio, Bernalillo, NM 87004 | 2012-02-22 |
| 1447536677 | Richard Bergsrud | Orthopaedic Surgery | 205 Lacanada Drive, Ruidoso Downs, NM 88346-0903 | 2011-11-02 |
| 1033404314 | Heather Menzer | Orthopaedic Surgery | Msc10 5600, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2011-06-14 |
| 1366742850 | Mitchell Krieger | Orthopaedic Surgery | 26 Dayflower Dr, Santa Fe, NM 87506-9537 | 2010-10-30 |
| Find all providers with the same taxonomy | ||||
| City | ALAMOGORDO |
| Zip Code | 88310 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.