| Pecos Valley Of New Mexico, Llc | |
|
2420 W Pierce St Suite 200 B Carlsbad NM 88220-3543 | |
| (505) 628-1490 | |
| Not Available |
| Full Name | Pecos Valley Of New Mexico, Llc |
|---|---|
| Speciality | General Practice |
| Location | 2420 W Pierce St, Carlsbad, New Mexico |
| Authorized Official Name and Position | Jennifer L Jackson (SENIOR DIRECTOR, ENROLLMENT) |
| Authorized Official Contact | 8778929815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pecos Valley Of New Mexico, Llc 4000 Meridian Blvd Franklin TN 37067-6325 Ph: (615) 465-7000 | Pecos Valley Of New Mexico, Llc 2420 W Pierce St Suite 200 B Carlsbad NM 88220-3543 Ph: (505) 628-1490 |
| NPI Number | 1972569820 |
|---|---|
| Provider Enumeration Date | 04/20/2006 |
| Last Update Date | 03/17/2022 |
| Medicare PECOS PAC ID | 2466359781 |
|---|---|
| Medicare Enrollment ID | O20031216000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972569820 | NPI | - | NPPES |
| B4739 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Julio Cesar Munoz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598721433 PECOS PAC ID: 3274529557 Enrollment ID: I20040422000373 |
| Provider Name | Murugan Athigaman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588620488 PECOS PAC ID: 0446220016 Enrollment ID: I20040729001492 |
| Provider Name | Scott Mcmahon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528078938 PECOS PAC ID: 5496799140 Enrollment ID: I20051102000201 |
| Provider Name | Elizabeth Madison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033162292 PECOS PAC ID: 3971515719 Enrollment ID: I20060620000012 |
| Provider Name | Rochelle A Sohl |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033126669 PECOS PAC ID: 3678562600 Enrollment ID: I20081219000017 |
| Provider Name | Abdul H Qureshi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1487801825 PECOS PAC ID: 1052476496 Enrollment ID: I20100517000114 |
| Provider Name | Jose L Ramirez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790002830 PECOS PAC ID: 2769515527 Enrollment ID: I20100729000892 |
| Provider Name | Ali M Sherif |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831428440 PECOS PAC ID: 3274717780 Enrollment ID: I20110407000436 |
| Provider Name | Sara L Campbell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1134434525 PECOS PAC ID: 4587842406 Enrollment ID: I20110624000022 |
| Provider Name | Gene Prendergast |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144370446 PECOS PAC ID: 0941336812 Enrollment ID: I20110912000739 |
| Provider Name | Jerome Frazier |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508066457 PECOS PAC ID: 5799957122 Enrollment ID: I20111007000348 |
| Provider Name | Irfan Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1902046253 PECOS PAC ID: 6800051590 Enrollment ID: I20120702000388 |
| Provider Name | Mario Toledo Couret |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144230343 PECOS PAC ID: 8123125762 Enrollment ID: I20120709000072 |
| Provider Name | Leonel Perez-limonte |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063420412 PECOS PAC ID: 3173415726 Enrollment ID: I20130116000500 |
| Provider Name | Patricia A Combs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184693566 PECOS PAC ID: 7214182468 Enrollment ID: I20130219000543 |
| Provider Name | Paul Bauer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083697874 PECOS PAC ID: 3779564802 Enrollment ID: I20130401000195 |
| Provider Name | Missy L Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568653525 PECOS PAC ID: 7618051277 Enrollment ID: I20140926000219 |
| Provider Name | Nelson Roberto Pou |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851499941 PECOS PAC ID: 1951472042 Enrollment ID: I20150318001783 |
| Provider Name | Lakshmy Mathur Vythilingam |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245224450 PECOS PAC ID: 7810957214 Enrollment ID: I20150807014614 |
| Provider Name | Robert Anthony |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598892309 PECOS PAC ID: 8123018967 Enrollment ID: I20150901000952 |
| Provider Name | David W Mantik |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1669421012 PECOS PAC ID: 4688697444 Enrollment ID: I20160114001325 |
| Provider Name | Richard Arnold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437132131 PECOS PAC ID: 7315934411 Enrollment ID: I20160707000721 |
| Provider Name | Maria C Montoya |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043577539 PECOS PAC ID: 5597057570 Enrollment ID: I20161005002339 |
| Provider Name | Reagan Shea Leyva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285144642 PECOS PAC ID: 8325308661 Enrollment ID: I20180207000968 |
| Provider Name | Cathy R Xu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609078831 PECOS PAC ID: 7012192305 Enrollment ID: I20180313000256 |
| Provider Name | Saad Syed Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871930594 PECOS PAC ID: 8527323385 Enrollment ID: I20180525000960 |
| Provider Name | Ronda Sue Fleck |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1285639443 PECOS PAC ID: 7113088444 Enrollment ID: I20180703001142 |
| Provider Name | Nanette S Nuessle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184630741 PECOS PAC ID: 7618008244 Enrollment ID: I20180719001514 |
| Provider Name | Shahrzad Tabibi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861591927 PECOS PAC ID: 6800951542 Enrollment ID: I20180820003021 |
| Provider Name | Nkechinyelu Vivian Nnebe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982886123 PECOS PAC ID: 1658622766 Enrollment ID: I20180927002898 |
| Provider Name | Maria De Las Mercedes Sayago De Aramburu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225251184 PECOS PAC ID: 9537317979 Enrollment ID: I20181227000726 |
| Provider Name | Lori L Mcneal |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952350001 PECOS PAC ID: 7012976913 Enrollment ID: I20190114003215 |
| Provider Name | Leah N Torres |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700047099 PECOS PAC ID: 1355597485 Enrollment ID: I20190308000171 |
| Provider Name | Karl J Hapcic |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1376650218 PECOS PAC ID: 6103819123 Enrollment ID: I20190612002019 |
| Provider Name | Nestor F Mercado |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1558454173 PECOS PAC ID: 8224035217 Enrollment ID: I20191008003671 |
| Provider Name | Nicole L Pinkerton |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104895481 PECOS PAC ID: 7113952995 Enrollment ID: I20200731000419 |
| Provider Name | Michael D Sapozink |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1710944046 PECOS PAC ID: 6709809163 Enrollment ID: I20201021001086 |
| Provider Name | Titus Plomaritis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1780603738 PECOS PAC ID: 5193847952 Enrollment ID: I20210112001906 |
| Provider Name | Patricia L Landreth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083293104 PECOS PAC ID: 2264667799 Enrollment ID: I20210811000662 |
| Provider Name | Mahnee Dinsmore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336132273 PECOS PAC ID: 2961422647 Enrollment ID: I20210903002722 |
| Provider Name | Johol Chan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902867187 PECOS PAC ID: 1850466277 Enrollment ID: I20211123002402 |
| Provider Name | Lana Greer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528725678 PECOS PAC ID: 3072907880 Enrollment ID: I20220221001752 |
| Provider Name | Sarah Duval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922761311 PECOS PAC ID: 4789078346 Enrollment ID: I20220224000130 |
| Provider Name | Nancy Annette Rios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528727542 PECOS PAC ID: 2567858079 Enrollment ID: I20220411000953 |
| Provider Name | Satyanarayan Hegde |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831212505 PECOS PAC ID: 0143490359 Enrollment ID: I20220511001401 |
| Provider Name | Reza Fazel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881795730 PECOS PAC ID: 9234106188 Enrollment ID: I20220817003920 |
| Provider Name | Eric Teller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700097326 PECOS PAC ID: 3173537735 Enrollment ID: I20220901003551 |
| Provider Name | Farah Akhtar |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1427219369 PECOS PAC ID: 0143446393 Enrollment ID: I20220912002125 |
| Provider Name | Andrew G Folley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972502755 PECOS PAC ID: 3274614938 Enrollment ID: I20221116001336 |
| Provider Name | Brooke Ainsley Huffsmith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477811305 PECOS PAC ID: 9133407232 Enrollment ID: I20221118002098 |
| Provider Name | Sophie Dojacques |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1669406542 PECOS PAC ID: 2961477229 Enrollment ID: I20221215002194 |
| Provider Name | Monica Omey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952393852 PECOS PAC ID: 0941275499 Enrollment ID: I20230216000282 |
| Provider Name | Ahad Hassan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1003074212 PECOS PAC ID: 5890979504 Enrollment ID: I20230221000363 |
| Provider Name | Tariq Sibghat Siddiqui |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1487879300 PECOS PAC ID: 0648332486 Enrollment ID: I20230307002345 |
| Provider Name | Mailin Isabel Quinones Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013622836 PECOS PAC ID: 0345615563 Enrollment ID: I20230331000459 |
| Provider Name | Marwa Saleh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225444011 PECOS PAC ID: 0345615407 Enrollment ID: I20230404001288 |
| Provider Name | Teagan Bratcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144936345 PECOS PAC ID: 2961867486 Enrollment ID: I20230504002393 |
| Provider Name | Janetta Kelly |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669666814 PECOS PAC ID: 8921038746 Enrollment ID: I20230522000273 |
| Provider Name | Danielle Wallace |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114147006 PECOS PAC ID: 7618020611 Enrollment ID: I20230602000214 |
| Provider Name | Abi James |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1568987758 PECOS PAC ID: 3476903550 Enrollment ID: I20240102002896 |
| Provider Name | M Asad Karim |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1114979168 PECOS PAC ID: 9537168604 Enrollment ID: I20240220000329 |
| Provider Name | Aamer Abbas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508975772 PECOS PAC ID: 3577551530 Enrollment ID: I20240321001262 |
| Provider Name | Bora Ozguler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598785073 PECOS PAC ID: 4981601564 Enrollment ID: I20240401001563 |
| Provider Name | Saul Arber |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407800949 PECOS PAC ID: 0143287110 Enrollment ID: I20240418000346 |
| Provider Name | Tiana Hallberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053800946 PECOS PAC ID: 0042545915 Enrollment ID: I20240510002632 |
| Provider Name | Gustavo Barrazueta |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154701670 PECOS PAC ID: 7012212756 Enrollment ID: I20240521000921 |
Carlsbad School Based Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3000 W Church St, Carlsbad, NM 88220 Phone: 505-234-3319 Fax: 505-234-3378 | |
Taddy Family Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 615 W Mermod St, Carlsbad, NM 88220 Phone: 575-885-7714 Fax: 575-885-7714 | |
Artesia General Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 E. Hagerman, Carlsbad, NM 88220 Phone: 575-885-2180 | |
Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 N Alameda St, Carlsbad, NM 88220 Phone: 505-234-2008 Fax: 505-885-1075 | |
Allied Health & Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3101 Boyd Dr, Carlsbad, NM 88220 Phone: 575-689-8233 | |
Pecos Valley Of New Mexico, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2430 W Pierce St, Carlsbad, NM 88220 Phone: 505-628-3244 | |
Caverns Family & Urgent Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1016 W Pierce St, Carlsbad, NM 88220 Phone: 575-361-2610 |