RIO GRANDE MEDICAL GROUP, LTD (NPI# 1013900794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013900794 |
| Entity Type | Organization |
| Organization Name | RIO GRANDE MEDICAL GROUP, LTD |
| Practice Address |
4371 E Lohman Ave Las Cruces NM 88011-8255 |
| Practice Telephone | 5755328900 |
| Practice Fax Number | 5755328910 |
| Mailing Telephone | 5755328900 |
| Mailing Fax Number | 5755328910 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2013-11-13 |
| Authorized Official Name | DR. HASAN ADNAN (VICE PRESIDENT) |
| Authorized Official Telephone | 5755328900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 44923 | 05 |
| Street Address |
4371 E LOHMAN AVE |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-8255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225160 | Virginia G. Corpus | Internal Medicine | 4371 E Lohman Ave, Las Cruces, NM 88011 | 2005-06-16 |
| 1659997500 | Riogrande Care Pharmacy LLC | Pharmacy | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2020-06-16 |
| 1407409907 | American Specialty Pharmacy Inc | Pharmacy | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2019-07-23 |
| 1952832024 | Geneva Salinas | Nurse Practitioner | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2017-03-21 |
| 1467907782 | Kalyani Orthopaedics LLC | Orthopaedic Surgery | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2016-08-16 |
| 1114385069 | Katelyn Przybyszewski | Physician Assistant | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2016-02-08 |
| 1881066603 | Kristin Thornsberry | Nurse Practitioner | 4371 E Lohman Ave, Las Cruces, NM 88011-8443 | 2015-10-21 |
| 1659789311 | Raul Enrique Najera | Pharmacist | 4371 E Lohman Ave, Las Cruces, NM 88011-8443 | 2014-07-25 |
| 1730512195 | Kenneth Edward Cooper Jr. | Pharmacist | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2013-08-20 |
| 1063857514 | American Specialty Pharmacy Inc | Pharmacy | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2013-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1619260064 | Reyes Ismael Cuevas | Family Medicine | 3485 Northrise Dr Ste A, Las Cruces, NM 88011-6839 | 2011-05-18 |
| 1184936478 | Rashmi Narasimhamurthy | Family Medicine | 1151 N Roadrunner Pkwy, Apt #403, Las Cruces, NM 88011-8052 | 2010-07-02 |
| 1972765592 | John J Tucker II | Family Medicine | 4672 N Sonoma Ranch Blvd Ste B, Las Cruces, NM 88011-7271 | 2008-06-25 |
| 1912173691 | R L Marquez Md Pa | Family Medicine | 1205 S Solano, Las Cruces, NM 88001 | 2008-05-02 |
| 1336318591 | Imran Raza | Family Medicine | 3320 Rinconada Blvd, Ste 2, Las Cruces, NM 88011-7198 | 2008-02-21 |
| 1790960383 | Saul D Burciaga-molinar | Family Medicine | 1180 Mall Dr Ste B, Las Cruces, NM 88011-8192 | 2008-01-02 |
| 1538342860 | Delilah Ancheta Stampp | Family Medicine | 1135 S. Main Street, Suite B, Las Cruces, NM 88005 | 2007-12-10 |
| 1316134349 | Umberto I Garcia Md P A | Family Medicine | 1200 S Telshor Blvd, Las Cruces, NM 88011-4747 | 2007-10-03 |
| 1669663696 | Aroboyi Veronica Imoisi | Family Medicine | 4038 Pepper Post Ave, Las Cruces, NM 88011-4088 | 2007-08-06 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
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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.