Provider Type Icon

OTERO COUNTY MEDICAL GROUP NPI 1376978577


NPI Information

NPI: 1376978577
Provider Name: OTERO COUNTY MEDICAL GROUP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2689 SCENIC DR
ALAMOGORDO, NM
ZIP 88310
Phone: (575) 434-1699
Get Directions

OTERO COUNTY MEDICAL GROUP is a family medicine in Alamogordo, NM. The provider is 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. OTERO COUNTY MEDICAL GROUP NPI is 1376978577. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2689 SCENIC DR
ALAMOGORDO, NM
ZIP 88310-700
Phone: (575) 434-1699
Fax: (575) 434-8871

The provider's authorized official is Robert James Heckert .
The authorized official title is Ceo and has the following contact phone number (575) 443-7845.

The enumeration date for this NPI number is 9/6/2013 and was last updated on 9/6/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalNo
2174400000XSpecialistNo
3207R00000XInternal MedicineNo
4207RC0000XInternal MedicineCardiovascular DiseaseNo
5207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
6207RG0100XInternal MedicineGastroenterologyNo
7207RN0300XInternal MedicineNephrologyNo
8207RX0202XInternal MedicineMedical OncologyNo
9207V00000XObstetrics & GynecologyNo
10207X00000XOrthopaedic SurgeryNo
11208000000XPediatricsNo
122084P0800XPsychiatry & NeurologyPsychiatryNo
13208600000XSurgeryNo
14363L00000XNurse PractitionerNo
15207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.