SAN JUAN REGIONAL MEDICAL CENTER INC (NPI# 1023379609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023379609 |
| Entity Type | Organization |
| Organization Name | SAN JUAN REGIONAL MEDICAL CENTER INC |
| Other Organization Name | SJRMC SURGERY 1ST ASSISTS |
| Practice Address |
801 W Maple St Farmington NM 87401-5630 |
| Mailing Address |
Po Box 6210 Farmington NM 87499-6210 |
| Practice Telephone | 5056092258 |
| Practice Fax Number | 5056092259 |
| Mailing Telephone | 5056092258 |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |
| Authorized Official Name | J MICHAEL PHILIPS (CSO) |
| Authorized Official Telephone | 5056096025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| SJRMC Surgery 1st Assists | 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 |
| 1003296534 | San Juan Regional Medical Center Inc | Urology | 2700 Farmington Ave, Building E, Suite 1, Farmington, NM 87401-4559 | 2015-05-29 |
| 1639459712 | San Juan Regional Medical Center Inc | Anesthesiology | 801 W Maple St, Farmington, NM 87401-5630 | 2011-08-22 |
| Street Address |
801 W MAPLE ST |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-5630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427058510 | San Juan Regional Medical Center, Inc. | Ambulance | 801 W Maple St, Farmington, NM 87401-5630 | 2005-07-29 |
| 1962038729 | Alexia Hay | Physical Therapist | 801 W Maple St, Farmington, NM 87401-5630 | 2020-03-12 |
| 1679107007 | Darcy Ernat | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2020-02-25 |
| 1790320307 | Benton James Lunt | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2019-11-07 |
| 1083258768 | Stacey Mclendon | Pharmacist | 801 W Maple St, Farmington, NM 87401-5630 | 2019-11-05 |
| 1730723560 | Anna Victoria Buck | Nurse Practitioner | 801 W Maple St, Farmington, NM 87401-5630 | 2019-11-05 |
| 1083264592 | Clay Church | Nurse Practitioner | 801 W Maple St, Farmington, NM 87401-5630 | 2019-09-17 |
| 1982253449 | Christine Graves | Nurse Practitioner | 801 W Maple St, Farmington, NM 87401-5630 | 2019-09-08 |
| 1174088280 | Laura Chase | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2019-02-02 |
| 1477036572 | Lynndi Wilson | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2018-09-13 |
| 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 | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962779744 | Lydell Powell | Specialist/Technologist, Other | 641 Teton Dr, Farmington, NM 87401 | 2011-11-22 |
| 1457858854 | Luisa Salinas | Specialist/Technologist, Other | 801 W Maple St, Farmington, NM 87401-5630 | 2018-04-11 |
| 1548783376 | Gifted Hands Surgical Assisting LLC | Specialist/Technologist, Other | 641 Teton Dr, Farmington, NM 87401 | 2017-07-24 |
| 1962869123 | Jorge Safar | Specialist/Technologist, Other | 43 Fenwick Dr, Farmington, CT 06032-1450 | 2016-01-19 |
| 1720315716 | Gloria J Hargreaves | Specialist/Technologist, Other | 111 Franklin Health Cmns, Farmington, ME 04938-6144 | 2009-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720621006 | Monica Marie Montano | Specialist/Technologist, Other | 10909 Woodland Ave Ne, Albuquerque, NM 87112-1680 | 2019-10-19 |
| 1811543655 | Waltor Surgical Assisting | Specialist/Technologist, Other | 708 Luna Vista, Santa Fe, NM 87506 | 2019-08-16 |
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1760920714 | Veronica Villa-chavez | Specialist/Technologist, Other | 900 Starry Sky Ave Ne, Rio Rancho, NM 87144 | 2017-02-09 |
| 1528411279 | Juanita Mckeller | Specialist/Technologist, Other | 1736 Spence Ave Se, Albuquerque, NM 87106-4208 | 2016-07-18 |
| 1831514678 | Heather Marie Cordova | Specialist/Technologist, Other | 8080 Academy Rd Ne Suite C, Albuquerque, NM 87111 | 2014-03-04 |
| 1811240377 | Sybol Estelle Stewart | Specialist/Technologist, Other | 3 Rock Rose Ct, Edgewood, NM 87015-7012 | 2012-10-22 |
| 1669730206 | Stephanie Lyn Isaacson | Specialist/Technologist, Other | 111 Desert Sage Ct, Santa Teresa, NM 88008-9107 | 2012-05-02 |
| 1023307956 | Darcy Pena | Specialist/Technologist, Other | 4143 La Purisima Dr, Las Cruces, NM 88011-8430 | 2011-03-31 |
| 1366680001 | Angela Annette Winters | Specialist/Technologist, Other | 4301 Canada Pl Nw, Albuquerque, NM 87114-5638 | 2009-02-03 |
| Find all providers with the same taxonomy | ||||
| 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.