| Aspen Medical Group Llc | |
|
3450 Zafarano Dr Ste A Santa Fe NM 87507-2669 | |
| (505) 246-6910 | |
| Not Available |
| Full Name | Aspen Medical Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3450 Zafarano Dr, Santa Fe, New Mexico |
| Authorized Official Name and Position | Andrew M. Ropp (CEO) |
| Authorized Official Contact | 5052466910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Medical Group Llc 3450 Zafarano Dr Ste A Santa Fe NM 87507-2669 Ph: () - | Aspen Medical Group Llc 3450 Zafarano Dr Ste A Santa Fe NM 87507-2669 Ph: (505) 246-6910 |
| NPI Number | 1740533967 |
|---|---|
| Provider Enumeration Date | 10/25/2012 |
| Last Update Date | 12/03/2020 |
| Medicare PECOS PAC ID | 9133373483 |
|---|---|
| Medicare Enrollment ID | O20130214000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740533967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD2006-0506 (New Mexico) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Frances L Chavez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821080862 PECOS PAC ID: 3971415076 Enrollment ID: I20031105000449 |
| Provider Name | Cynthia S Rector |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548221534 PECOS PAC ID: 2264418672 Enrollment ID: I20040626000244 |
| Provider Name | Mary E Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659349298 PECOS PAC ID: 7416986641 Enrollment ID: I20060109000485 |
| Provider Name | Andrew M Ropp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619087582 PECOS PAC ID: 8628980091 Enrollment ID: I20090521000615 |
| Provider Name | Marianne Gibbs |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932177714 PECOS PAC ID: 0345394292 Enrollment ID: I20090812000542 |
| Provider Name | Patricia M Verzino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972856276 PECOS PAC ID: 5294989836 Enrollment ID: I20130206000321 |
| Provider Name | Cindy M Matsushita |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467540450 PECOS PAC ID: 2062418783 Enrollment ID: I20130306000019 |
| Provider Name | Andrew Langsam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447238159 PECOS PAC ID: 7012100548 Enrollment ID: I20160421000260 |
| Provider Name | Kaileigh A Cera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922452960 PECOS PAC ID: 0446544191 Enrollment ID: I20160803002497 |
| Provider Name | Jaqueline Fernandez-quezada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134604598 PECOS PAC ID: 9335493212 Enrollment ID: I20181112002268 |
| Provider Name | Caitlin Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437653060 PECOS PAC ID: 5092051094 Enrollment ID: I20190111002613 |
| Provider Name | Kathleen Prioleau-lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861969594 PECOS PAC ID: 0042556623 Enrollment ID: I20190118001483 |
| Provider Name | Tina Mier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477025195 PECOS PAC ID: 3678814712 Enrollment ID: I20190418000171 |
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