OTERO COUNTY MEDICAL GROUP (NPI# 1346676566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346676566 |
| Entity Type | Organization |
| Organization Name | OTERO COUNTY MEDICAL GROUP |
| Other Organization Name | GCRMC INTERNAL MEDICINE GROUP |
| Practice Address |
2689 Scenic Dr Alamogordo NM 88310-8700 |
| Practice Telephone | 5754341699 |
| Practice Fax Number | 5754348871 |
| 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 | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| GCRMC Internal Medicine Group | 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 |
| 1275969495 | Otero County Medical Group | Family Medicine | 1101 9th St, Suite A, Alamogordo, NM 88310-6432 | 2013-09-19 |
| 1093141491 | Otero County Medical Group | Orthopaedic Surgery | 2539 Medical Dr, Suite 110, Alamogordo, NM 88310-8720 | 2013-09-18 |
| Street Address |
2689 SCENIC DR |
| City | ALAMOGORDO |
| State | NM |
| Zip Code | 88310-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376978577 | Otero County Medical Group | Psychologist | 2689 Scenic Dr, Alamogordo, NM 88310-8700 | 2013-09-06 |
| 1831525120 | Otero County Medical Group | Internal Medicine | 2689 Scenic Dr, Alamogordo, NM 88310-8700 | 2013-09-19 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649512807 | Philip Walker | Internal Medicine | 280 1st St, Holloman Afb, Alamogordo, NM 88330 | 2013-03-25 |
| 1184803843 | Ferial Abood | Internal Medicine | 2559 Medical Dr Ste C, Alamogordo, NM 88310-8704 | 2007-10-30 |
| 1619064979 | Vista Del Sol Internal Medicine, Pa | Internal Medicine | 1212 Ninth St Ste C, Alamogordo, NM 88310-5842 | 2006-10-06 |
| 1578675765 | David Brent Aday | Internal Medicine | 1410 Aspen Drive, Alamogordo, NM 88310 | 2006-08-31 |
| 1174546600 | Franklin Donald Ashdown | Internal Medicine | 1301 Cuba Ave, Alamogordo, NM 88310-5727 | 2006-07-25 |
| 1932169448 | George Laws | Internal Medicine | 2579 N. Scenic Drive Suite A, Alamogordo, NM 88310-8700 | 2006-03-27 |
| 1336116268 | Stephen J Durant | Internal Medicine | 1101 9th St Ste A, Alamogordo, NM 88310-6432 | 2006-02-28 |
| 1043282395 | Nasser Jamal Alqassem | Internal Medicine | 1101 9th St, Ste A, Alamogordo, NM 88310 | 2006-02-02 |
| 1316925316 | Internal Medicine Associates of New Mexico, PC | Internal Medicine | 1101 9th St., Ste A, Alamogordo, NM 88310-6432 | 2006-01-09 |
| 1952304081 | Sarojana Hanumandla | Internal Medicine | 2751 Scenic Dr, Alamogordo, NM 88310-8726 | 2005-05-23 |
| 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.