OTERO COUNTY MEDICAL GROUP (NPI# 1275969495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275969495 |
| Entity Type | Organization |
| Organization Name | OTERO COUNTY MEDICAL GROUP |
| Other Organization Name | INTERNAL MEDICINE ASSOCIATES OF ALAMOGORDO |
| Practice Address |
1101 9th St Suite A Alamogordo NM 88310-6432 |
| Mailing Address |
2689 Scenic Dr Alamogordo NM 88310-8700 |
| Practice Telephone | 5754378411 |
| Mailing Telephone | 5754341699 |
| Mailing Fax Number | 5754348871 |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Internal Medicine Associates of Alamogordo | 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 |
| 1093141491 | Otero County Medical Group | Orthopaedic Surgery | 2539 Medical Dr, Suite 110, Alamogordo, NM 88310-8720 | 2013-09-18 |
| Street Address |
1101 9TH ST SUITE A |
| City | ALAMOGORDO |
| State | NM |
| Zip Code | 88310-6432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043282395 | Nasser Jamal Alqassem | Internal Medicine | 1101 9th St, Ste A, Alamogordo, NM 88310 | 2006-02-02 |
| 1285609230 | Julia Kaye Knauff | Nurse Practitioner | 1101 9th St, Alamogordo, NM 88310-6471 | 2006-02-22 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053467126 | Joseph Benjamin Walcher II | Family Medicine | 1211 E. Eighth Street, Suite C, Alamogordo, NM 88310 | 2007-01-25 |
| 1841384229 | Douglas L Mcpherson | Family Medicine | 1211 E 8th Street, Suite C, Alamogordo, NM 88310 | 2006-10-03 |
| 1205948494 | Sandra Elaine Grummert | Family Medicine | 923 9th St, Suite A, Alamogordo, NM 88310-6431 | 2006-08-31 |
| 1972528891 | White Sands Family Practice Clinic, Inc. | Family Medicine | 2474 Indian Wells Rd Ste A, Alamogordo, NM 88310-3845 | 2006-07-13 |
| 1740224500 | Jagdev I Singh | Family Medicine | 1212 9th St, Ste Bc, Alamogordo, NM 88310-5842 | 2006-06-15 |
| 1356985170 | Claudia Elizabeth Enriquez | Family Medicine | 2474 Indian Wells Rd, Alamogordo, NM 88310-3845 | 2019-11-05 |
| 1932535127 | Otero County Medical Group | Family Medicine | 1401 10th St, Alamogordo, NM 88310-5012 | 2013-09-19 |
| 1134554306 | Otero County Medical Group | Family Medicine | 1909 Cuba Ave, Suite 4, Alamogordo, NM 88310-5646 | 2013-09-06 |
| 1477865764 | Javier Salazar Jr. | Family Medicine | 2150 Highway 54 S, Alamogordo, NM 88310-7330 | 2010-07-02 |
| 1235318023 | Chandi Bankston, D.o. | Family Medicine | 1315 12th St, Alamogordo, NM 88310-5810 | 2007-10-29 |
| Find all providers in ALAMOGORDO | ||||
| City | ALAMOGORDO |
| Zip Code | 88310 |
Please comment or provide details below to improve the information on OTERO COUNTY MEDICAL GROUP.
| 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.