JAMES M. WILTERDING M.D. LLC NPI 1174622666

NPI Information

NPI: 1174622666
Provider Name: JAMES M. WILTERDING, M.D., LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
711 ENCINO PL NE
SUITE D
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 265-2244
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JAMES M. WILTERDING, M.D., LLC is a primary care clinic center in Albuquerque, NM. JAMES M. WILTERDING, M.D., LLC NPI is 1174622666. The provider is registered as an organization entity type.

The provider's business location address is:

711 ENCINO PL NE
SUITE D
ALBUQUERQUE, NM
ZIP 87102-619
Phone: (505) 265-2244
Fax: (505) 265-0557

The provider's authorized official is James M. Wilterding .
The authorized official title is Owner and has the following contact phone number (505) 265-2244.

The enumeration date for this NPI number is 9/21/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	2003-0249	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	61238015	MEDICAID	NEW MEXICO
2	NM009M95	OTHER	NEW MEXICO	BLUE CROSS BLUE SHIELD
3	PROVP16828	OTHER	NEW MEXICO	MOLINA SALUD

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: 4/28/2024

NPI Synchronization or Removal

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