Jordan E Johnson, DO | |
4351 E Lohman Ave Ste 300, Las Cruces, NM 88011-8262 | |
(575) 556-7600 | |
Not Available |
Full Name | Jordan E Johnson |
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Gender | Male |
Speciality | Orthopaedic Surgery |
Location | 4351 E Lohman Ave Ste 300, Las Cruces, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700389673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | DO2023-0337 (New Mexico) | Primary |
Entity Name | Las Cruces Physician Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215079678 PECOS PAC ID: 8224122759 Enrollment ID: O20070914000414 |
Entity Name | Three Crosses Regional Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487248050 PECOS PAC ID: 1254758667 Enrollment ID: O20210405001637 |
Entity Name | Three Crosses Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174198220 PECOS PAC ID: 4587031828 Enrollment ID: O20221031000511 |
Mailing Address | Practice Location Address |
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Jordan E Johnson, DO 4351 E Lohman Ave Ste 300, Las Cruces, NM 88011-8262 Ph: () - | Jordan E Johnson, DO 4351 E Lohman Ave Ste 300, Las Cruces, NM 88011-8262 Ph: (575) 556-7600 |
Charles Lawrence Metzger, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4351 E Lohman Ave, Suite301, Las Cruces, NM 88011 Phone: 575-532-9755 Fax: 575-532-8881 | |
Dr. Alan C Davis, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3005 Hillrise Dr, Las Cruces, NM 88011 Phone: 575-521-1122 Fax: 575-521-1299 | |
Dr. Paul Saiz, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 675 Avenida De Mesilla, Las Cruces, NM 88005 Phone: 575-525-3535 Fax: 575-524-1654 | |
Robert Michael Stack, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 675 Avenida De Mesilla, Las Cruces, NM 88005 Phone: 505-525-3535 Fax: 505-527-0217 | |
David (temi) Ogunleye, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3501 Arrowhead Dr, Las Cruces, NM 88001 Phone: 575-674-2356 | |
Fernando Ravessoud, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 880 S Telshor Blvd Ste 201, Las Cruces, NM 88011 Phone: 575-222-0037 Fax: 575-571-4592 | |
Bharati Sukadeo Kalyani, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4371 E Lohman Ave, Las Cruces, NM 88011 Phone: 606-422-9158 |