ACADEMY ORTHOPAEDIC CLINIC LLC NPI 1336334127

NPI Information

  • NPI: 1336334127
  • Provider Name: ACADEMY ORTHOPAEDIC CLINIC LLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Other Name: THOMAS GRACE, MD
  • CLIA Number: 32D2063372
  • Address: 8301 SPAIN RD NE
    ALBUQUERQUE, NM
    ZIP 87109
  • Phone: (505) 821-6663

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NPI Details

ACADEMY ORTHOPAEDIC CLINIC LLC is a specialist in Albuquerque, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ACADEMY ORTHOPAEDIC CLINIC LLC NPI is 1336334127. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Thomas Grace, Md.

The provider's business location address is:

8301 SPAIN RD NE
ALBUQUERQUE, NM
ZIP 87109-166
Phone: (505) 821-6663
Fax: (505) 823-2683

The provider's authorized official is Frieda Wright .
The authorized official title is Office Manager and has the following contact phone number (505) 821-6663.

The CLIA number assigned to this NPI record is 32D2063372 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/13/2007 and was last updated on 12/10/2007.

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
1174400000XSpecialist77-38NEW MEXICOYes

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
1400521083MEDICARE PINNEW MEXICO
2D35664MEDICARE UPINNEW MEXICO
3400521083MEDICARE OSCAR/CERTIFICATIONNEW MEXICO
4NM007588OTHERNEW MEXICOBC/BS OF NM
5000F0316MEDICAIDNEW MEXICO

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: 11/21/2025

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