| Otero County Hospital Association | |
|
2669 Scenic Dr Alamogordo NM 88310-8700 | |
| (575) 443-7403 | |
| Not Available |
| Full Name | Otero County Hospital Association |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 2669 Scenic Dr, Alamogordo, New Mexico |
| Authorized Official Name and Position | Robert J Heckert (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5754437845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Otero County Hospital Association 2669 Scenic Dr Alamogordo NM 88310-8700 Ph: (575) 439-6100 | Otero County Hospital Association 2669 Scenic Dr Alamogordo NM 88310-8700 Ph: (575) 443-7403 |
| NPI Number | 1861450579 |
|---|---|
| Provider Enumeration Date | 05/02/2006 |
| Last Update Date | 12/27/2022 |
| Certification Date | 12/27/2022 |
| Medicare PECOS PAC ID | 3173516606 |
|---|---|
| Medicare Enrollment ID | O20070212000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861450579 | NPI | - | NPPES |
| 21959838 | Medicaid | NM | |
| 32S004 | Other | NM | GEROPSYCH |
| 45930 | Medicaid | NM | |
| 32U004 | Other | NM | SWING BED |
| 91753821 | Medicaid | NM | |
| 000000018 | Medicaid | NM | |
| 32T004 | Other | NM | INPATIENT REHAB |
| C84086 | Other | NM | RAILROAD MEDICARE |
| Provider Name | Roberto Navarrette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659340602 PECOS PAC ID: 6608778071 Enrollment ID: I20040126000181 |
| Provider Name | Mihaela Bumbac Bujoi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164424214 PECOS PAC ID: 6305739897 Enrollment ID: I20040206000914 |
| Provider Name | William L Pollard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538165147 PECOS PAC ID: 3779473715 Enrollment ID: I20040316000271 |
| Provider Name | Stanley Wells |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407863459 PECOS PAC ID: 2961394754 Enrollment ID: I20040326000617 |
| Provider Name | Giridhar Anireddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366445496 PECOS PAC ID: 0648264317 Enrollment ID: I20040414000653 |
| Provider Name | Nasser J Alqassem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043282395 PECOS PAC ID: 5294729828 Enrollment ID: I20040414001105 |
| Provider Name | Ferial Abood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184803843 PECOS PAC ID: 2668466202 Enrollment ID: I20040414001186 |
| Provider Name | Sarojana Hanumandla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952304081 PECOS PAC ID: 3173517729 Enrollment ID: I20040414001295 |
| Provider Name | Ruthven N Sampath |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851484570 PECOS PAC ID: 9830177120 Enrollment ID: I20040713000193 |
| Provider Name | John P Simmons |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841285962 PECOS PAC ID: 4587558671 Enrollment ID: I20040729000269 |
| Provider Name | Keith G Winterkorn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538135165 PECOS PAC ID: 5799732343 Enrollment ID: I20050414001209 |
| Provider Name | Margaret H Chaffey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124094792 PECOS PAC ID: 0042257487 Enrollment ID: I20050416000085 |
| Provider Name | Roger L Cronk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811963499 PECOS PAC ID: 2860439205 Enrollment ID: I20050416000087 |
| Provider Name | Mark H Depper |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437125697 PECOS PAC ID: 6305883745 Enrollment ID: I20050416000092 |
| Provider Name | Kathryn Miller |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710953039 PECOS PAC ID: 9335187707 Enrollment ID: I20050418000855 |
| Provider Name | Russell Kenneth Parker |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811963457 PECOS PAC ID: 8426096801 Enrollment ID: I20050418000951 |
| Provider Name | Terry A Boulware |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730112558 PECOS PAC ID: 7012803968 Enrollment ID: I20050714000188 |
| Provider Name | Robert C Smaltz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1700883394 PECOS PAC ID: 8527098896 Enrollment ID: I20050816000929 |
| Provider Name | Alexander Lorusso |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548236102 PECOS PAC ID: 9739154360 Enrollment ID: I20051010000618 |
| Provider Name | George Laws |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932169448 PECOS PAC ID: 6406881036 Enrollment ID: I20051024000646 |
| Provider Name | Fatma Midani |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447284658 PECOS PAC ID: 1254366578 Enrollment ID: I20051121000245 |
| Provider Name | Cherie J Hayostek |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114995990 PECOS PAC ID: 6608829981 Enrollment ID: I20051130000414 |
| Provider Name | Sandra E Grummert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205948494 PECOS PAC ID: 4789619545 Enrollment ID: I20051221000623 |
| Provider Name | Heather R Podhajecki |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1750394664 PECOS PAC ID: 7416988233 Enrollment ID: I20051223000137 |
| Provider Name | George M Massoud |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003800988 PECOS PAC ID: 7517993561 Enrollment ID: I20060203000108 |
| Provider Name | Robert A Graor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114926409 PECOS PAC ID: 2365335338 Enrollment ID: I20060223000252 |
| Provider Name | Marcia L Hefker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609873355 PECOS PAC ID: 7315049467 Enrollment ID: I20070221000149 |
| Provider Name | Christopher J Creel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1780763110 PECOS PAC ID: 3577663004 Enrollment ID: I20070712000244 |
| Provider Name | Nels N Dahlgren |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396884318 PECOS PAC ID: 9830290204 Enrollment ID: I20070730000293 |
| Provider Name | Gregory A Charlton |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386675270 PECOS PAC ID: 6103718226 Enrollment ID: I20070815000617 |
| Provider Name | Norman D Lindley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063639409 PECOS PAC ID: 7810083664 Enrollment ID: I20071010000210 |
| Provider Name | Belyn Schwartz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1609905017 PECOS PAC ID: 3476633660 Enrollment ID: I20071228000456 |
| Provider Name | Alfredo F Gurmendi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1346241361 PECOS PAC ID: 5294797734 Enrollment ID: I20080108000702 |
| Provider Name | Jayant Kumar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1558451039 PECOS PAC ID: 3577500404 Enrollment ID: I20080324000222 |
| Provider Name | David Fillmore |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255315057 PECOS PAC ID: 6901893825 Enrollment ID: I20080501000081 |
| Provider Name | Nazih J Dabis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1730296237 PECOS PAC ID: 1850451782 Enrollment ID: I20081121000084 |
| Provider Name | Andrew D Lancaster |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1992842934 PECOS PAC ID: 6709949373 Enrollment ID: I20090107000555 |
| Provider Name | Sonam P Kundeling |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326044579 PECOS PAC ID: 1850297391 Enrollment ID: I20090422000359 |
| Provider Name | John A Macfarlane |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932261831 PECOS PAC ID: 1658436308 Enrollment ID: I20090724000495 |
| Provider Name | Francisco M Ralls |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1164491122 PECOS PAC ID: 8123006590 Enrollment ID: I20090824000665 |
| Provider Name | Traci Waters |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669705331 PECOS PAC ID: 1557407533 Enrollment ID: I20091005000542 |
| Provider Name | Brett L Butz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538155668 PECOS PAC ID: 3476581331 Enrollment ID: I20091124000634 |
| Provider Name | Allan Rickman |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1629040662 PECOS PAC ID: 0648314443 Enrollment ID: I20100217000419 |
| Provider Name | Christopher Lynn |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043419997 PECOS PAC ID: 0042309296 Enrollment ID: I20100426000016 |
| Provider Name | Peter Bernat |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1477882876 PECOS PAC ID: 8527196500 Enrollment ID: I20100512000691 |
| Provider Name | Altaf Ahmed |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073594230 PECOS PAC ID: 0941248488 Enrollment ID: I20100616000337 |
| Provider Name | Claudio Perez-ledezma |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1619146966 PECOS PAC ID: 6901930817 Enrollment ID: I20100813000884 |
| Provider Name | Clifford Eugene Hughes |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1457678617 PECOS PAC ID: 7416072020 Enrollment ID: I20100918000240 |
| Provider Name | Gregory Bennett Richardson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811994221 PECOS PAC ID: 5496645426 Enrollment ID: I20101101000856 |
| Provider Name | Shahid Mansoor |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1053301747 PECOS PAC ID: 5294645172 Enrollment ID: I20110524000768 |
| Provider Name | Jagdev I Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740224500 PECOS PAC ID: 5991861106 Enrollment ID: I20110707000661 |
| Provider Name | Sonda Sue Boulware |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841596608 PECOS PAC ID: 3971771049 Enrollment ID: I20110714000757 |
| Provider Name | Paul W Broussard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609962612 PECOS PAC ID: 1153304225 Enrollment ID: I20110823000147 |
| Provider Name | Charles Mark Race |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144275959 PECOS PAC ID: 6305749185 Enrollment ID: I20110927000130 |
| Provider Name | Margaret Suzanne Fowler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386764728 PECOS PAC ID: 2264605922 Enrollment ID: I20111026000172 |
| Provider Name | Angela D Frietze |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679877476 PECOS PAC ID: 8325226160 Enrollment ID: I20111121000620 |
| Provider Name | Victor Cruz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1861693947 PECOS PAC ID: 2365534930 Enrollment ID: I20120223000722 |
| Provider Name | Polly Anne Hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013284777 PECOS PAC ID: 5597928531 Enrollment ID: I20120531000442 |
| Provider Name | Hector J Castro |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528211372 PECOS PAC ID: 9830348234 Enrollment ID: I20120928000236 |
| Provider Name | Karen A Lecomte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1487636056 PECOS PAC ID: 7214902089 Enrollment ID: I20130502000375 |
| Provider Name | Ying Zhao |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1881896314 PECOS PAC ID: 7517041064 Enrollment ID: I20131127000799 |
| Provider Name | Sabrina J Schmidt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710077631 PECOS PAC ID: 5395633507 Enrollment ID: I20140306001362 |
| Provider Name | John A Mcandrew |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962454850 PECOS PAC ID: 6103993043 Enrollment ID: I20140516000168 |
| Provider Name | Chad Benninghoff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912256256 PECOS PAC ID: 4385894203 Enrollment ID: I20140619000765 |
| Provider Name | Leandrita Flores Ortega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104897248 PECOS PAC ID: 1951350669 Enrollment ID: I20140828000907 |
| Provider Name | Richard A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336571447 PECOS PAC ID: 3173757325 Enrollment ID: I20140912000189 |
| Provider Name | Janet Kay Anter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215334529 PECOS PAC ID: 0345566642 Enrollment ID: I20150304001118 |
| Provider Name | Katrina A Rolen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1821042029 PECOS PAC ID: 2668444241 Enrollment ID: I20150428001759 |
| Provider Name | Richard O Hardy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1356316384 PECOS PAC ID: 4486625613 Enrollment ID: I20150813012031 |
| Provider Name | Geronimo Mendoza-urias |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356605877 PECOS PAC ID: 2961712310 Enrollment ID: I20151114000069 |
| Provider Name | Brigid Meghan Gerety |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1912950809 PECOS PAC ID: 8729061445 Enrollment ID: I20151117002240 |
| Provider Name | Jimmy C Leung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750370714 PECOS PAC ID: 1759370349 Enrollment ID: I20151231001141 |
| Provider Name | Kevin D Scharff |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1255323846 PECOS PAC ID: 7618920356 Enrollment ID: I20160224002216 |
| Provider Name | James Patrick Dumont |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124012190 PECOS PAC ID: 2163500265 Enrollment ID: I20160510000042 |
| Provider Name | Nathan C Moos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720462435 PECOS PAC ID: 0143535799 Enrollment ID: I20160719002474 |
| Provider Name | Shelby Bennett |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538473491 PECOS PAC ID: 1951603414 Enrollment ID: I20160721000208 |
| Provider Name | Masoud Shiehmorteza |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164724449 PECOS PAC ID: 3274821376 Enrollment ID: I20161005000740 |
| Provider Name | Lisa F Cramm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518401207 PECOS PAC ID: 8729361886 Enrollment ID: I20170215001604 |
| Provider Name | Flor Sosteme Guerengomba |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396181806 PECOS PAC ID: 7113227547 Enrollment ID: I20170330001357 |
| Provider Name | Tobias B Kulik |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1144545773 PECOS PAC ID: 4284853854 Enrollment ID: I20170728001422 |
| Provider Name | David E Frankl |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699758318 PECOS PAC ID: 7214064336 Enrollment ID: I20171016002444 |
| Provider Name | Cacy Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548786189 PECOS PAC ID: 6901172352 Enrollment ID: I20171030002573 |
| Provider Name | Harold Francis Rowley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508240219 PECOS PAC ID: 8820304637 Enrollment ID: I20171107003316 |
| Provider Name | Lindsey Crystal Savedge |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699205013 PECOS PAC ID: 4486911690 Enrollment ID: I20171127000425 |
| Provider Name | Cari Lynn Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235683517 PECOS PAC ID: 5395033567 Enrollment ID: I20180118002387 |
| Provider Name | Carolina De Lourdes Ponce Orellana |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366754889 PECOS PAC ID: 5294094231 Enrollment ID: I20180119000243 |
| Provider Name | Melinda Sue Kozma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821272899 PECOS PAC ID: 5294818449 Enrollment ID: I20180221001050 |
| Provider Name | Charlotte M Dubois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770082984 PECOS PAC ID: 4284996083 Enrollment ID: I20180314001184 |
| Provider Name | Mark R Walters |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649301920 PECOS PAC ID: 0446273650 Enrollment ID: I20180320000956 |
| Provider Name | Garrett Cormie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1760773170 PECOS PAC ID: 6204013907 Enrollment ID: I20180503000682 |
| Provider Name | Jana J Mcburney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508100207 PECOS PAC ID: 2264721943 Enrollment ID: I20180507000422 |
| Provider Name | Eduardo Meza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487729422 PECOS PAC ID: 3072505361 Enrollment ID: I20180620001660 |
| Provider Name | Martha Yuririan Montanez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164805420 PECOS PAC ID: 7113226101 Enrollment ID: I20180730003179 |
| Provider Name | Shaya Ansari |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003851726 PECOS PAC ID: 8527071760 Enrollment ID: I20180807002430 |
| Provider Name | Sharlene E Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336637354 PECOS PAC ID: 3779831649 Enrollment ID: I20180809000413 |
| Provider Name | Tiffany Christine Lewis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649400870 PECOS PAC ID: 0042336067 Enrollment ID: I20180820000718 |
| Provider Name | Renee Yvette Friday |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275531394 PECOS PAC ID: 7113932740 Enrollment ID: I20180828004158 |
| Provider Name | Danielle Marie Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235636820 PECOS PAC ID: 3870843030 Enrollment ID: I20180910000658 |
| Provider Name | Lucinda M Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669950804 PECOS PAC ID: 3274884515 Enrollment ID: I20180925002757 |
| Provider Name | Scott Heejoon Shin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184794349 PECOS PAC ID: 3072642206 Enrollment ID: I20181106001701 |
| Provider Name | Tarun Girotra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164862413 PECOS PAC ID: 5890061089 Enrollment ID: I20181110000010 |
| Provider Name | Thomas M Stegen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629545520 PECOS PAC ID: 0840544102 Enrollment ID: I20181126003624 |
| Provider Name | Dominique Pummill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609364249 PECOS PAC ID: 2062756257 Enrollment ID: I20181128002386 |
| Provider Name | Adam Barrie Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053862276 PECOS PAC ID: 6608156831 Enrollment ID: I20181129000091 |
| Provider Name | James Andrew Botros |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1326365263 PECOS PAC ID: 8921379587 Enrollment ID: I20181204003124 |
| Provider Name | Fernando Javier Guillen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861974024 PECOS PAC ID: 1052656196 Enrollment ID: I20181218003597 |
| Provider Name | Sarah Lis |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285101436 PECOS PAC ID: 2668718016 Enrollment ID: I20190107002090 |
| Provider Name | Sandra A Rickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699240721 PECOS PAC ID: 1658619887 Enrollment ID: I20190214000849 |
| Provider Name | Cassandra Groves |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1578027710 PECOS PAC ID: 8224376215 Enrollment ID: I20190218001340 |
| Provider Name | Mary B Rahoe-wallace |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871859165 PECOS PAC ID: 8628310711 Enrollment ID: I20190418002245 |
| Provider Name | Michelle Aragon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720549587 PECOS PAC ID: 3375885924 Enrollment ID: I20190430002599 |
| Provider Name | Joseph Cecava |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487165411 PECOS PAC ID: 8325380843 Enrollment ID: I20190503000170 |
| Provider Name | Andrew N Pike |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891821922 PECOS PAC ID: 5799905360 Enrollment ID: I20190530000055 |
| Provider Name | Lourdes Avinaz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1033551981 PECOS PAC ID: 7214298736 Enrollment ID: I20190606002600 |
| Provider Name | John Grady Johnston |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700362183 PECOS PAC ID: 9537411087 Enrollment ID: I20190611001735 |
| Provider Name | Antony A Malo |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447601182 PECOS PAC ID: 8820381197 Enrollment ID: I20190612002180 |
| Provider Name | Daniel Bustillos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881182160 PECOS PAC ID: 1759622939 Enrollment ID: I20190628000562 |
| Provider Name | John Randall Underwood |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1962467555 PECOS PAC ID: 5496654022 Enrollment ID: I20190703000954 |
| Provider Name | Thomas G Tullius |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1467794818 PECOS PAC ID: 0840592622 Enrollment ID: I20190711001126 |
| Provider Name | Christian B Ricks |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1548522063 PECOS PAC ID: 8325374275 Enrollment ID: I20190730002692 |
| Provider Name | Kristin Marianna Turner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518237007 PECOS PAC ID: 2769710334 Enrollment ID: I20190820003008 |
| Provider Name | Richard Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679127880 PECOS PAC ID: 5496084709 Enrollment ID: I20190912000370 |
| Provider Name | Kinsey Jo Airhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801448998 PECOS PAC ID: 4284964180 Enrollment ID: I20190918003683 |
| Provider Name | Sarah A Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346714748 PECOS PAC ID: 9537499645 Enrollment ID: I20191002001529 |
| Provider Name | Stephen J Durant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336116268 PECOS PAC ID: 7315955044 Enrollment ID: I20191223001740 |
| Provider Name | Monica J Wilkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912253287 PECOS PAC ID: 1658508353 Enrollment ID: I20191227000851 |
| Provider Name | Joe Ben Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245635622 PECOS PAC ID: 9739099888 Enrollment ID: I20200131001155 |
| Provider Name | Phillip Plemons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871840199 PECOS PAC ID: 8921321043 Enrollment ID: I20200219000297 |
| Provider Name | Jennifer Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033486725 PECOS PAC ID: 7113183781 Enrollment ID: I20200401003350 |
| Provider Name | Laura Beth Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821543232 PECOS PAC ID: 6204124803 Enrollment ID: I20200403001772 |
| Provider Name | Lauren Noland Mccullough |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528454949 PECOS PAC ID: 7315251725 Enrollment ID: I20200723000499 |
| Provider Name | Ruth Rawlings |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457790552 PECOS PAC ID: 8426392549 Enrollment ID: I20200811001137 |
| Provider Name | Joann Barbour Couch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538153952 PECOS PAC ID: 2769808344 Enrollment ID: I20200813000180 |
| Provider Name | Lisa Barrett |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1285778670 PECOS PAC ID: 2769678127 Enrollment ID: I20200903002686 |
| Provider Name | Anne P Cousins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063750354 PECOS PAC ID: 2466697883 Enrollment ID: I20200923001509 |
| Provider Name | Stephanie Swarthout |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1376152108 PECOS PAC ID: 0941611214 Enrollment ID: I20201118001882 |
| Provider Name | Jeanne Wescoat |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679594907 PECOS PAC ID: 4688670854 Enrollment ID: I20201125000696 |
| Provider Name | Jeanette Lara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265961114 PECOS PAC ID: 6709298599 Enrollment ID: I20201221001009 |
| Provider Name | Ifeanyi David Nwokeabia |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1104207323 PECOS PAC ID: 0446564272 Enrollment ID: I20210106001119 |
| Provider Name | Andrew Gunter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740624253 PECOS PAC ID: 8729220512 Enrollment ID: I20210209000462 |
| Provider Name | Cynthia Louise Gigler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437749074 PECOS PAC ID: 7911312863 Enrollment ID: I20210226001405 |
| Provider Name | Kelly V Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1467612333 PECOS PAC ID: 5193095545 Enrollment ID: I20210317003081 |
| Provider Name | William James Morlan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558952408 PECOS PAC ID: 2466869342 Enrollment ID: I20210319001003 |
| Provider Name | Lynda Marie Daily Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275156598 PECOS PAC ID: 1557779576 Enrollment ID: I20210412002252 |
| Provider Name | Kimiko Dewing Blair |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114190337 PECOS PAC ID: 5193902757 Enrollment ID: I20210427002116 |
| Provider Name | Marcia Walmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891081816 PECOS PAC ID: 6002070513 Enrollment ID: I20210429000535 |
| Provider Name | Mrunal P Tailor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730573239 PECOS PAC ID: 7618287780 Enrollment ID: I20210505000639 |
| Provider Name | Max Sale |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447647672 PECOS PAC ID: 4981911658 Enrollment ID: I20210524001043 |
| Provider Name | Joseph Hallisey Frey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528441219 PECOS PAC ID: 2062836844 Enrollment ID: I20210528001595 |
| Provider Name | Denise R Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255925509 PECOS PAC ID: 8729487426 Enrollment ID: I20210601000490 |
| Provider Name | Masoom Desai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467791764 PECOS PAC ID: 9537474978 Enrollment ID: I20210601001963 |
| Provider Name | Haley Burt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477115483 PECOS PAC ID: 4385076298 Enrollment ID: I20210602001308 |
| Provider Name | Ravi Kumar Thimmisetty |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326321449 PECOS PAC ID: 9234431388 Enrollment ID: I20210609003150 |
| Provider Name | Farid Radmanesh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841672540 PECOS PAC ID: 8527354588 Enrollment ID: I20210617000477 |
| Provider Name | Maryam Hosseini Farahabadi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114381753 PECOS PAC ID: 5597007054 Enrollment ID: I20210621002627 |
| Provider Name | Samuel Burns |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336532332 PECOS PAC ID: 9739591884 Enrollment ID: I20210716000104 |
| Provider Name | Timothy Betz |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1295797025 PECOS PAC ID: 9931097680 Enrollment ID: I20210818003001 |
| Provider Name | Dennis Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528732468 PECOS PAC ID: 1254736663 Enrollment ID: I20210826001945 |
| Provider Name | Monika Manchanda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1689020950 PECOS PAC ID: 3577850767 Enrollment ID: I20210902001591 |
| Provider Name | Matthew J Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427370972 PECOS PAC ID: 0941338149 Enrollment ID: I20210903001682 |
| Provider Name | Michael Kogan |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1699110502 PECOS PAC ID: 0345588844 Enrollment ID: I20210907000165 |
| Provider Name | Lisa R Erlinger |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972584944 PECOS PAC ID: 4183612773 Enrollment ID: I20210914002514 |
| Provider Name | Danielle Hammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598319246 PECOS PAC ID: 9436588951 Enrollment ID: I20211108002969 |
| Provider Name | Barbara J Ramos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003388695 PECOS PAC ID: 7113266693 Enrollment ID: I20211119000737 |
| Provider Name | Mason Demi Sanderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982372694 PECOS PAC ID: 9739570268 Enrollment ID: I20211216002933 |
| Provider Name | Cathy Rogers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063434470 PECOS PAC ID: 6002702388 Enrollment ID: I20211222000807 |
| Provider Name | Petar Turcinovic |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063404689 PECOS PAC ID: 5597771170 Enrollment ID: I20211223000796 |
| Provider Name | Gregory Pellizzon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932190345 PECOS PAC ID: 7719967850 Enrollment ID: I20220111002577 |
| Provider Name | Diane G Caranta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1801022595 PECOS PAC ID: 4880832930 Enrollment ID: I20220113001785 |
| Provider Name | Trey Galloway |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558022616 PECOS PAC ID: 1456743616 Enrollment ID: I20220119003214 |
| Provider Name | Joan Bryant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508250937 PECOS PAC ID: 2668785676 Enrollment ID: I20220218000954 |
| Provider Name | Sarah Michelle Coker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508518184 PECOS PAC ID: 3577957166 Enrollment ID: I20220224001588 |
| Provider Name | Suzanne R Tambasco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417500786 PECOS PAC ID: 5597160408 Enrollment ID: I20220224001803 |
| Provider Name | David G Provaznik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982099941 PECOS PAC ID: 5597070839 Enrollment ID: I20220228000113 |
| Provider Name | Jason Ross |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528300555 PECOS PAC ID: 0648405506 Enrollment ID: I20220307002117 |
| Provider Name | Sarah E Jenkins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053900571 PECOS PAC ID: 7517374473 Enrollment ID: I20220309003224 |
| Provider Name | Quillian Young-lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679039465 PECOS PAC ID: 3072853027 Enrollment ID: I20220425001387 |
| Provider Name | Denise Giroux |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730671363 PECOS PAC ID: 2365875614 Enrollment ID: I20220427002492 |
| Provider Name | Mary Schwering |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265841845 PECOS PAC ID: 2365661634 Enrollment ID: I20220503002963 |
| Provider Name | Aaron D Losey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326468216 PECOS PAC ID: 3678995123 Enrollment ID: I20220517000796 |
| Provider Name | Justin M Doty |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932636727 PECOS PAC ID: 6103193768 Enrollment ID: I20220525001239 |
| Provider Name | Jeremiah Duncan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912404195 PECOS PAC ID: 2668727942 Enrollment ID: I20220602001298 |
| Provider Name | Dayna Pridgen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649689548 PECOS PAC ID: 4981929932 Enrollment ID: I20220606000112 |
| Provider Name | Thomas Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962483032 PECOS PAC ID: 7012273519 Enrollment ID: I20220607000336 |
| Provider Name | Janice Tucker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922288000 PECOS PAC ID: 6608255724 Enrollment ID: I20220621002052 |
| Provider Name | William Scott Wise |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871077305 PECOS PAC ID: 8921344797 Enrollment ID: I20220709000122 |
| Provider Name | Richelle Florence Torres Santos |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083344386 PECOS PAC ID: 9931589777 Enrollment ID: I20220711001210 |
| Provider Name | John Kang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720265556 PECOS PAC ID: 3779661467 Enrollment ID: I20220727002334 |
| Provider Name | Clifton Patrick Layman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528353075 PECOS PAC ID: 9133495450 Enrollment ID: I20220730000258 |
| Provider Name | Olga Alexandra Reyes |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1386169977 PECOS PAC ID: 9537541610 Enrollment ID: I20220805002143 |
| Provider Name | Christine Rose Shirkey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760139612 PECOS PAC ID: 6305228230 Enrollment ID: I20220809001369 |
| Provider Name | Cloe Felicya Shelton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437298445 PECOS PAC ID: 7911176284 Enrollment ID: I20220815003511 |
| Provider Name | Richard John Berry |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1992452460 PECOS PAC ID: 9638552706 Enrollment ID: I20220823001238 |
| Provider Name | Angela Bostic |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1659017853 PECOS PAC ID: 2163806670 Enrollment ID: I20220901002095 |
| Provider Name | Amber Jeanette Quinones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275197451 PECOS PAC ID: 0042695025 Enrollment ID: I20220912001010 |
| Provider Name | Reginald L Fears |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912294661 PECOS PAC ID: 8224342365 Enrollment ID: I20220914003154 |
| Provider Name | Jason Isaac Lindsey |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1154367878 PECOS PAC ID: 8820089733 Enrollment ID: I20220927000575 |
| Provider Name | Kami Marie Daily |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235727645 PECOS PAC ID: 3274919022 Enrollment ID: I20220930001488 |
| Provider Name | Elizabeth Colglazier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427085604 PECOS PAC ID: 9335143981 Enrollment ID: I20221006002156 |
| Provider Name | Ray Zarza Pasion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134680655 PECOS PAC ID: 3476889965 Enrollment ID: I20221019001276 |
| Provider Name | Ariana Barkley |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1346660560 PECOS PAC ID: 8820499528 Enrollment ID: I20221028001161 |
| Provider Name | Andrew C Christensen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1184078586 PECOS PAC ID: 8527352681 Enrollment ID: I20221101003430 |
| Provider Name | Daniel Lee Rowland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629175302 PECOS PAC ID: 1658333828 Enrollment ID: I20230103000106 |
| Provider Name | Mohammed Ismail |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1053774521 PECOS PAC ID: 1052605201 Enrollment ID: I20230321000052 |
| Provider Name | Kaitlin M Peterson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669903191 PECOS PAC ID: 6002248564 Enrollment ID: I20230323001970 |
| Provider Name | Sven Eben Rose |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841257409 PECOS PAC ID: 0042261463 Enrollment ID: I20230410000163 |
| Provider Name | Michelle Lea Guerra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245939602 PECOS PAC ID: 5991160582 Enrollment ID: I20230504000917 |
| Provider Name | William Johnson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063571933 PECOS PAC ID: 6901849991 Enrollment ID: I20230607003192 |
| Provider Name | Amy Palmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891384715 PECOS PAC ID: 1456753128 Enrollment ID: I20230620001804 |
| Provider Name | Shirley Dakin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174553325 PECOS PAC ID: 4183999717 Enrollment ID: I20230713003335 |
| Provider Name | Drew Miller |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104318799 PECOS PAC ID: 1557618642 Enrollment ID: I20230714001234 |
| Provider Name | Jason D Edwards |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770968471 PECOS PAC ID: 6305151630 Enrollment ID: I20230719000556 |
| Provider Name | Kamau P Gitau |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467792374 PECOS PAC ID: 0840430567 Enrollment ID: I20230719002839 |
| Provider Name | Jose Alicea |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144200106 PECOS PAC ID: 5496881476 Enrollment ID: I20230731004026 |
| Provider Name | Madison Pruss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265194641 PECOS PAC ID: 3072904283 Enrollment ID: I20230802003777 |
| Provider Name | Tommy Fletcher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659425619 PECOS PAC ID: 7012192867 Enrollment ID: I20230804002512 |
| Provider Name | Hailey Michelle Drefs |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396451522 PECOS PAC ID: 3779945514 Enrollment ID: I20230810004052 |
| Provider Name | Abid Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255955225 PECOS PAC ID: 8921460312 Enrollment ID: I20230816004358 |
| Provider Name | Anish Deshmukh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750819231 PECOS PAC ID: 6204269061 Enrollment ID: I20230828004138 |
| Provider Name | Sheila Eshraghi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1205254299 PECOS PAC ID: 8325447527 Enrollment ID: I20230829002594 |
| Provider Name | Blessing Otoabasi Godwin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1538245618 PECOS PAC ID: 7719080456 Enrollment ID: I20230918002539 |
| Provider Name | Andrea Ibarra |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558054106 PECOS PAC ID: 6305291873 Enrollment ID: I20231018003364 |
| Provider Name | Patrick J Mcdonnell |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699836601 PECOS PAC ID: 6800828559 Enrollment ID: I20231115000079 |
| Provider Name | Jacqueline Estevez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881126274 PECOS PAC ID: 4486923778 Enrollment ID: I20231204003665 |
| Provider Name | Alexander Xavier Topete |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497372387 PECOS PAC ID: 6204285885 Enrollment ID: I20231207002278 |
| Provider Name | Hector Anibal Ponce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083485213 PECOS PAC ID: 5092159228 Enrollment ID: I20240215003304 |
| Provider Name | Roberto Blanco |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326511395 PECOS PAC ID: 9739420670 Enrollment ID: I20240219003410 |
| Provider Name | Ryan Gee |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417547670 PECOS PAC ID: 8123435666 Enrollment ID: I20240226003291 |
| Provider Name | Lina M Ricketts |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1508527755 PECOS PAC ID: 3375937816 Enrollment ID: I20240308003782 |
| Provider Name | Lee Pfaff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023508884 PECOS PAC ID: 2062759681 Enrollment ID: I20240403002432 |
| Provider Name | Kristena Scott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1861965212 PECOS PAC ID: 6103164371 Enrollment ID: I20240429002258 |
| Provider Name | Jed Alden Isidro |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1265015812 PECOS PAC ID: 5991100943 Enrollment ID: I20240503000508 |
| Provider Name | David Mercado-hernandez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407511330 PECOS PAC ID: 4688014731 Enrollment ID: I20240506004780 |
| Provider Name | Jerry Earnest |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891710331 PECOS PAC ID: 9931161007 Enrollment ID: I20240507003084 |
| Provider Name | Carlos Sanchez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639655277 PECOS PAC ID: 3577815844 Enrollment ID: I20240513000923 |
Life Transitions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2539 Medical Dr, Suite 106, Alamogordo, NM 88310 Phone: 575-446-5300 | |
Clinical Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1123 Vermont Ave, Alamogordo, NM 88310 Phone: 575-415-9270 Fax: 208-978-7050 | |
Healing Pathways Counseling Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 405 Zia Ave, Alamogordo, NM 88310 Phone: 575-415-8240 | |
Open Minds, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1909 Cuba Ave Ste 5, Alamogordo, NM 88310 Phone: 575-649-1981 | |
Williams Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1213 Michigan Ave, Alamogordo, NM 88310 Phone: 575-491-3419 | |
Thriving Minds Therapy Services-jc Corp Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 906 Virginia Ave, Alamogordo, NM 88310 Phone: 575-214-9215 | |
Blue Sky Counseling Associates Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1301 Oregon Ave, Alamogordo, NM 88310 Phone: 575-491-9802 |