NEW MEXICO HEART INSTITUTE LLC NPI 1346242575

NPI Information

NPI: 1346242575
Provider Name: NEW MEXICO HEART INSTITUTE, LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
502 ELM ST. NE
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 841-1000
Get Directions

NEW MEXICO HEART INSTITUTE, LLC is a cardiovascular disease internal medicine in Albuquerque, NM. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. NEW MEXICO HEART INSTITUTE, LLC NPI is 1346242575. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

502 ELM ST. NE
ALBUQUERQUE, NM
ZIP 87102
Phone: (505) 841-1000
Fax: (505) 843-2956

The provider's authorized official is Stephen Petrovich .
The authorized official title is Evp, General Counsel and has the following contact phone number (615) 296-3594.

The enumeration date for this NPI number is 6/1/2005 and was last updated on 7/24/2019.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	FA0003020	NEW MEXICO	No
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		FA0003020	NEW MEXICO	No
3	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)				No
4	207RC0000X	Internal Medicine	Cardiovascular Disease			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	FA0003020 PT0002833	OTHER	NEW MEXICO	NMHI BUSINESS REGISTRATIO
2	H5743	MEDICAID	NEW 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: 4/28/2024

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