SAN JUAN REGIONAL MEDICAL CENTER INC (NPI# 1003296534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003296534 |
| Entity Type | Organization |
| Organization Name | SAN JUAN REGIONAL MEDICAL CENTER INC |
| Other Organization Name | SAN JUAN REGIONAL UROLOGY |
| Practice Address |
2700 Farmington Ave Building E, Suite 1 Farmington NM 87401-4559 |
| Mailing Address |
Po Box 6210 Farmington NM 87499-6210 |
| Practice Telephone | 5056096300 |
| Practice Fax Number | 5056096301 |
| Mailing Telephone | 5056092258 |
| Mailing Fax Number | 5056092259 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |
| Authorized Official Name | KAREN MILLER (CFO) |
| Authorized Official Telephone | 5056096114 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| San Juan Regional Urology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902463508 | San Juan Regional Medical Center Inc | Urology | 1485 Florida Rd Ste 103a, Durango, CO 81301-6873 | 2019-05-20 |
| 1174820153 | San Juan Regional Medical Center Inc | Emergency Medicine | 4251 English Rd, Farmington, NM 87402-1116 | 2011-02-28 |
| 1811915234 | San Juan Regional Medical Center Inc | Physical Medicine & Rehabilitation | 525 S Schwartz Ave, Farmington, NM 87401-5955 | 2006-07-17 |
| 1225076003 | San Juan Regional Medical Center Inc | Internal Medicine | 407 S. Schwartz Ave, Suite 201, Farmington, NM 87401-5973 | 2006-06-03 |
| 1861467433 | San Juan Regional Medical Center Inc | Internal Medicine | 120 Llano St, Aztec, NM 87410 | 2006-02-17 |
| 1326663592 | San Juan Regional Medical Center Inc | Rehabilitation Unit | 525 S Schwartz Ave, Farmington, NM 87401-5955 | 2020-06-12 |
| 1639662901 | San Juan Regional Medical Center Inc | Internal Medicine | 940 W Pinon St, Farmington, NM 87401-5905 | 2018-06-12 |
| 1508219916 | San Juan Regional Medical Center Inc | Family Medicine | 100 N Church St Ste C, Bloomfield, NM 87413-5754 | 2016-07-20 |
| 1023379609 | San Juan Regional Medical Center Inc | Specialist/Technologist, Other | 801 W Maple St, Farmington, NM 87401-5630 | 2012-05-31 |
| 1639459712 | San Juan Regional Medical Center Inc | Anesthesiology | 801 W Maple St, Farmington, NM 87401-5630 | 2011-08-22 |
| Street Address |
2700 FARMINGTON AVE BUILDING E, SUITE 1 |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-4559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740284652 | Holly G Strain | Nurse Practitioner | 2700 Farmington Ave, Bldg B, Farmington, NM 87401-4550 | 2005-06-08 |
| 1023403078 | Daniel O. Mcaffee | Podiatrist | 2700 Farmington Ave, Farmington, NM 87401 | 2015-04-06 |
| 1891127239 | Anthony Patrick Valdez | Physical Therapist | 2700 Farmington Ave, Farmington, NM 87401-4559 | 2013-08-08 |
| 1811287782 | Daniel Brooks Mannas | Urology | 2700 Farmington Ave, Bldg E Ste 1, Farmington, NM 87401-4559 | 2011-04-13 |
| 1144519596 | Carolyn Parr Hawk | Counselor | 2700 Farmington Ave, Building F, Suite 1, Farmington, NM 87401-4559 | 2011-04-06 |
| 1669761185 | Robert N Hawk | Counselor | 2700 Farmington Ave, Bldg F, Ste 1, Farmington, NM 87401-4559 | 2011-04-05 |
| 1477859122 | Four Corners Heart and Lung Institute PC | Clinic/Center | 2700 Farmington Ave, Building I Suite 2, Farmington, NM 87401-4559 | 2011-01-27 |
| 1407157472 | Marie Saiz | Dental Hygienist | 2700 Farmington Ave, Suite 1 Bldg C, Farmington, NM 87401-4559 | 2010-11-08 |
| 1649583386 | Valoree Jean Althoff | Dental Hygienist | 2700 Farmington Ave, Bldg C Ste 1, Farmington, NM 87401-4559 | 2010-07-22 |
| 1326350356 | Clarissa Burgess | Dentist | 2700 Farmington Ave, Ste C, Farmington, NM 87401-4559 | 2010-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164681326 | Jane A Suh | Urology | 21 Bradford Walk, Farmington, CT 06032-4530 | 2008-06-03 |
| 1508279100 | Christian Edward Bartels | Urology | 270 Farmington Ave, Suite 352, Farmington, CT 06032-1909 | 2014-06-11 |
| 1457604001 | Hartford Healthcare Medical Group, Inc. | Urology | 399 Farmington Ave, Ste. 200, Farmington, CT 06032-1936 | 2012-10-19 |
| 1346520228 | Hartford Clinical Associates, PC | Urology | 399 Farmington Ave, Suite 200, Farmington, CT 06032-1936 | 2011-08-23 |
| 1376839837 | Richard Batstone Md Pa | Urology | 126 Middle St, Farmington, ME 04938-6937 | 2011-06-23 |
| 1811287782 | Daniel Brooks Mannas | Urology | 2700 Farmington Ave, Bldg E Ste 1, Farmington, NM 87401-4559 | 2011-04-13 |
| 1871813964 | Christopher Warren Taylor | Urology | 2700 Farmington Ave, Building E, Suite 1, Farmington, NM 87401-4559 | 2010-06-11 |
| 1578883559 | Gillian Wolff | Urology | 270 Farmington Ave, Farmington, CT 06032-1994 | 2010-06-02 |
| 1417287897 | Farmington Clinic Company LLC | Urology | 1101 Weber Rd, Suite 303, Farmington, MO 63640-3352 | 2010-01-06 |
| 1518106004 | James F Burpee | Urology | 2300 E 30th St, Bldg B Suite 106, Farmington, NM 87401-8990 | 2009-02-06 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.