| |
4200 Beckner Road Santa Fe NM 87507 | |
(505) 670-8292 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 4200 Beckner Road, Santa Fe, New Mexico |
Authorized Official Name and Position | Nicole M Mckinney (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5056708292 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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4200 Beckner Road Santa Fe NM 87507 Ph: (505) 670-8292 | 4200 Beckner Road Santa Fe NM 87507 Ph: (505) 670-8292 |
NPI Number | 1801516489 |
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Provider Enumeration Date | 09/01/2022 |
Last Update Date | 10/30/2024 |
Medicare PECOS PAC ID | 9234509282 |
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Medicare Enrollment ID | O20230109000409 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801516489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Anna M Voltura |
---|---|
Provider Type | Practitioner - Surgical Oncology |
Provider Identifiers | NPI Number: 1285784140 PECOS PAC ID: 0345143996 Enrollment ID: I20040227000343 |
Provider Name | Theresa Michelle Genovese Elliott |
---|---|
Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1801830179 PECOS PAC ID: 8224920913 Enrollment ID: I20040326001306 |
Provider Name | Karen L Lorusso |
---|---|
Provider Type | Practitioner - Medical Oncology |
Provider Identifiers | NPI Number: 1578562393 PECOS PAC ID: 1456388701 Enrollment ID: I20050924000102 |
Provider Name | Robin Hermes |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1467454744 PECOS PAC ID: 3072517663 Enrollment ID: I20060913000458 |
Provider Name | Scott Herbert |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1548340870 PECOS PAC ID: 8224085881 Enrollment ID: I20070727000422 |
Provider Name | Kathryn Ruste Chan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588698369 PECOS PAC ID: 5991700312 Enrollment ID: I20080815000252 |
Provider Name | John Angel Garcia |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1417950460 PECOS PAC ID: 6103838321 Enrollment ID: I20080906000137 |
Provider Name | David R Brown |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1033260633 PECOS PAC ID: 1153498829 Enrollment ID: I20080922000477 |
Provider Name | David A Woog |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1083616338 PECOS PAC ID: 9234021312 Enrollment ID: I20090904000215 |
Provider Name | David A Snyder |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1487653176 PECOS PAC ID: 9335281039 Enrollment ID: I20100119000288 |
Provider Name | Markus E Garard |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1619950326 PECOS PAC ID: 6901933472 Enrollment ID: I20110406000952 |
Provider Name | Warren C Goldenberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497053706 PECOS PAC ID: 6406025808 Enrollment ID: I20110801000434 |
Provider Name | Dena Michele Knight |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1952733909 PECOS PAC ID: 7315174513 Enrollment ID: I20131214000111 |
Provider Name | Stephanie Pamela Levy |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1235515719 PECOS PAC ID: 1658680251 Enrollment ID: I20151022000287 |
Provider Name | Fei Gu |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1033302625 PECOS PAC ID: 5890947451 Enrollment ID: I20151223000077 |
Provider Name | Margaret Ann Gavin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548681349 PECOS PAC ID: 9133496490 Enrollment ID: I20170517001750 |
Provider Name | Luke W Bulthuis |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1487944773 PECOS PAC ID: 1456648062 Enrollment ID: I20171010000772 |
Provider Name | Ryan V Commiskey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922510577 PECOS PAC ID: 9436418837 Enrollment ID: I20180110001195 |
Provider Name | Kaya Peterson |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1932608114 PECOS PAC ID: 5092077420 Enrollment ID: I20180326000228 |
Provider Name | Nizhoni W Denipah |
---|---|
Provider Type | Practitioner - Otolaryngology |
Provider Identifiers | NPI Number: 1003250069 PECOS PAC ID: 8820232341 Enrollment ID: I20181207002290 |
Provider Name | Melissa Covington |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1851457394 PECOS PAC ID: 5597838292 Enrollment ID: I20191101000603 |
Provider Name | Colleen Feldewert |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1437795432 PECOS PAC ID: 9335574862 Enrollment ID: I20200110001233 |
Provider Name | Ronald W Miller |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1942324991 PECOS PAC ID: 2769625383 Enrollment ID: I20200409002430 |
Provider Name | Trisha Jayantilal Patel |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1053731927 PECOS PAC ID: 2163774977 Enrollment ID: I20210106002603 |
Provider Name | Sara White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336801406 PECOS PAC ID: 4587055769 Enrollment ID: I20211222002605 |
Provider Name | Clifton Patrick Layman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528353075 PECOS PAC ID: 9133495450 Enrollment ID: I20220730000258 |
Provider Name | Whitney Hanken |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366963233 PECOS PAC ID: 2860763299 Enrollment ID: I20221230001962 |
Provider Name | Kourtney S Bush |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1760197487 PECOS PAC ID: 8527430552 Enrollment ID: I20230220002758 |
Provider Name | Lisa Remedios |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1821118126 PECOS PAC ID: 9739244740 Enrollment ID: I20230308001229 |
Provider Name | Lissa Shaffer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639856404 PECOS PAC ID: 6103280862 Enrollment ID: I20230913002902 |
Provider Name | Amy Katherine Schulze |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1912430174 PECOS PAC ID: 3678810660 Enrollment ID: I20230914002589 |
Provider Name | Yanet Cora Kopnina |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013545342 PECOS PAC ID: 0840616892 Enrollment ID: I20230920001190 |
Provider Name | Mikaela L Hernandez |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1831963065 PECOS PAC ID: 5698124360 Enrollment ID: I20231207001490 |
Provider Name | Anna Maria De Costa |
---|---|
Provider Type | Practitioner - Radiation Oncology |
Provider Identifiers | NPI Number: 1407261522 PECOS PAC ID: 4880815307 Enrollment ID: I20240618000270 |
Provider Name | Felicia Tillman |
---|---|
Provider Type | Practitioner - Gynecological Oncology |
Provider Identifiers | NPI Number: 1356343149 PECOS PAC ID: 4082740691 Enrollment ID: I20240909002375 |
Provider Name | Morgan Taylor Scherrer |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1679306484 PECOS PAC ID: 6709326044 Enrollment ID: I20240912002987 |
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