Los Alamos Physician Practices Llc | |
3917 West Rd Los Alamos NM 87544-2275 | |
(505) 662-4201 | |
(505) 661-9598 |
Full Name | Los Alamos Physician Practices Llc |
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Speciality | Family Medicine |
Location | 3917 West Rd, Los Alamos, New Mexico |
Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
Authorized Official Contact | 6159207000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Los Alamos Physician Practices Llc 330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | Los Alamos Physician Practices Llc 3917 West Rd Los Alamos NM 87544-2275 Ph: (505) 662-4201 |
NPI Number | 1750330510 |
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Provider Enumeration Date | 05/09/2006 |
Last Update Date | 10/13/2024 |
Medicare PECOS PAC ID | 4587661541 |
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Medicare Enrollment ID | O20061104000041 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750330510 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Provider Name | Ila Reed |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164852786 PECOS PAC ID: 5890787386 Enrollment ID: I20040402000699 |
Provider Name | Cynthia L Rossi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174617567 PECOS PAC ID: 3476547159 Enrollment ID: I20040414000734 |
Provider Name | Karen L Lorusso |
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Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1578562393 PECOS PAC ID: 1456388701 Enrollment ID: I20050924000102 |
Provider Name | Mustapha K Abouda |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477654697 PECOS PAC ID: 1658306253 Enrollment ID: I20051128000607 |
Provider Name | Eric T Ifune |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1356385942 PECOS PAC ID: 2860414380 Enrollment ID: I20060117000036 |
Provider Name | Kathryn Bauer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154503852 PECOS PAC ID: 4385721331 Enrollment ID: I20080401000924 |
Provider Name | John Angel Garcia |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1417950460 PECOS PAC ID: 6103838321 Enrollment ID: I20080906000137 |
Provider Name | Timothy M Lopez |
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Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1174521983 PECOS PAC ID: 2567424302 Enrollment ID: I20091123000163 |
Provider Name | William Moore |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1134173800 PECOS PAC ID: 6103820097 Enrollment ID: I20100907000586 |
Provider Name | Lynda Adrouche-amrani |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1992964357 PECOS PAC ID: 9830387018 Enrollment ID: I20110104000061 |
Provider Name | Bradley B. Rowberry |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1679582159 PECOS PAC ID: 8224064209 Enrollment ID: I20110126000903 |
Provider Name | Salim Amrani |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1295983195 PECOS PAC ID: 0042494882 Enrollment ID: I20110404000094 |
Provider Name | Patrick J Dawson |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1356598726 PECOS PAC ID: 3779641972 Enrollment ID: I20110818000881 |
Provider Name | Culley Christensen |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1184629727 PECOS PAC ID: 0143124958 Enrollment ID: I20111110000201 |
Provider Name | Monica J Snowden |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1710085444 PECOS PAC ID: 8820902380 Enrollment ID: I20120302000357 |
Provider Name | Brenda Pereda |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1255519435 PECOS PAC ID: 2264692953 Enrollment ID: I20120404001024 |
Provider Name | Mario Toledo Couret |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1144230343 PECOS PAC ID: 8123125762 Enrollment ID: I20120709000072 |
Provider Name | Maya A Lessen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861825671 PECOS PAC ID: 7416182423 Enrollment ID: I20131029001442 |
Provider Name | Asit Bhatt |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1184839854 PECOS PAC ID: 0244320604 Enrollment ID: I20140313001105 |
Provider Name | Gary S Kipp |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1104865377 PECOS PAC ID: 7012188972 Enrollment ID: I20140314000526 |
Provider Name | Daniel Arie Marancenbaum |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1790937068 PECOS PAC ID: 7810180379 Enrollment ID: I20150107000825 |
Provider Name | John A Indovina |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1255420758 PECOS PAC ID: 8123118304 Enrollment ID: I20150311000218 |
Provider Name | Nelson Roberto Pou |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1851499941 PECOS PAC ID: 1951472042 Enrollment ID: I20150318001783 |
Provider Name | Vincent M Fiorica |
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Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1811916604 PECOS PAC ID: 4486612611 Enrollment ID: I20150918002570 |
Provider Name | Fei Gu |
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Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1033302625 PECOS PAC ID: 5890947451 Enrollment ID: I20151223000077 |
Provider Name | Norman M Sorgen |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1558361030 PECOS PAC ID: 2860463940 Enrollment ID: I20160504002507 |
Provider Name | Kevin Flanigan |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1306960455 PECOS PAC ID: 1355249582 Enrollment ID: I20160511000895 |
Provider Name | Sharon A Ransom |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1669472791 PECOS PAC ID: 8325000847 Enrollment ID: I20161214000336 |
Provider Name | Neal E Rakov |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1528006806 PECOS PAC ID: 8729153200 Enrollment ID: I20180102000251 |
Provider Name | Ryan V Commiskey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922510577 PECOS PAC ID: 9436418837 Enrollment ID: I20180110001195 |
Provider Name | Kurt Charles Lange |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1689634743 PECOS PAC ID: 3971503731 Enrollment ID: I20180711001840 |
Provider Name | Glendon E Cook |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952343816 PECOS PAC ID: 5193729374 Enrollment ID: I20180821003826 |
Provider Name | Michael Lucia |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760574966 PECOS PAC ID: 7113830282 Enrollment ID: I20181214001143 |
Provider Name | Justin L Green |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1114966462 PECOS PAC ID: 4880601137 Enrollment ID: I20190124000444 |
Provider Name | Janet Lee Sandy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205557113 PECOS PAC ID: 7416325154 Enrollment ID: I20221130001107 |
White Crane Acupuncture Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1226 Cheyenne St, Los Alamos, NM 87544 Phone: 505-709-7795 | |
Medical Associates Of Northern New Mexico Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3917 West Rd, Suite A, Los Alamos, NM 87544 Phone: 505-661-8900 Fax: 505-661-8961 | |
Cottonwood Therapy Associate Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Central Park Sq, Suite 105, Los Alamos, NM 87544 Phone: 505-662-1419 Fax: 505-672-1739 | |
Drs Lahiri And Mesibov, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 Central Park Sq, Los Alamos, NM 87544 Phone: 505-662-4798 Fax: 505-661-9637 | |
Las Clinicas Del Norte Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1183 Diamond Dr Ste D, Los Alamos, NM 87544 Phone: 575-581-4728 | |
Los Alamos Family Practice P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3917 West Rd, Suite 130, Los Alamos, NM 87544 Phone: 505-662-2900 | |
Drs Lahiri & Mesibov Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Central Park Square, Los Alamos, NM 87544 Phone: 505-662-4798 Fax: 505-661-9637 |