{"npi":"1104802354","type":"NPI-2","status":"active","name":{"display":"Presbyterian Healthcare Services","other":[],"organization_name":"PRESBYTERIAN HEALTHCARE SERVICES","authorised_official":"Clay Holderman"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"208600000X","description":"Surgery","primary":false,"state":null,"license":null},{"code":"2085R0001X","description":"Radiation Oncology Physician","primary":false,"state":null,"license":null},{"code":"207ZP0105X","description":"Clinical Pathology/Laboratory Medicine Physician","primary":false,"state":null,"license":null},{"code":"261QU0200X","description":"Urgent Care","primary":false,"state":null,"license":null},{"code":"291U00000X","description":"Clinical Medical Laboratory","primary":false,"state":"NM","license":null},{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":null,"license":null},{"code":"207T00000X","description":"Neurological Surgery Physician","primary":false,"state":null,"license":null},{"code":"207V00000X","description":"Obstetrics & Gynecology","primary":false,"state":null,"license":null},{"code":"208000000X","description":"Pediatrics","primary":false,"state":null,"license":null},{"code":"2084N0400X","description":"Neurology","primary":false,"state":null,"license":null},{"code":"208VP0000X","description":"Pain Medicine Physician","primary":false,"state":null,"license":null},{"code":"213E00000X","description":"Podiatry","primary":false,"state":null,"license":null},{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"5901 HARPER DR NE","city":"ALBUQUERQUE","state":"NM","postal_code":"871093587","country_code":"US","phone":"5058238556","fax":"5058238555"},{"purpose":"MAILING","street_1":"PO BOX 26666","city":"ALBUQUERQUE","state":"NM","postal_code":"871256666","country_code":"US","street_2":"PROVIDER ENROLLMENT","phone":"5059235356","fax":"5059235354"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20031103000603","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NM","pac_id":"9234041708"}]},"enumeration_date":"2005-12-20","last_updated":"2012-08-30","_meta":{"source":"NPPES","snapshot_date":"2012-08-30","doc_url":"https://findmynpi.com/api"}}