TADDY HEALTHCARE SERVICES (NPI# 1043541626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043541626 |
| Entity Type | Organization |
| Organization Name | TADDY HEALTHCARE SERVICES |
| Other Organization Name | TADDY FAMILY CLINIC |
| Practice Address |
615 W Mermod St Carlsbad NM 88220-4912 |
| Mailing Address |
615 W Mermod St Carlsbad NM 88220-3513 |
| Practice Telephone | 5758857714 |
| Practice Fax Number | 5758857714 |
| Mailing Telephone | 5758857714 |
| Mailing Fax Number | 5758857714 |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2016-09-14 |
| Authorized Official Name | DR. NII TETTEH TSURU ADDY (PRESIDENT) |
| Authorized Official Telephone | 9894821002 |
| Authorized Official Credential | D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
A-1299-05 | NM | Ambulatory Health Care Facilities |
| Y | 207Q00000X | Family Medicine | A-1299-05 | NM | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| TADDY FAMILY CLINIC | Doing Business As Name - Organization |
| Street Address |
615 W MERMOD ST |
| City | CARLSBAD |
| State | NM |
| Zip Code | 88220-4912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790855732 | Nii Tetteh Tsuru Addy | Family Medicine | 615 W Mermod St, Carlsbad, NM 88220-4912 | 2006-11-08 |
| 1417486929 | Sho Yokota Argueza | Physical Therapist | 615 W Mermod St, Carlsbad, NM 88220-4912 | 2017-06-08 |
| 1861757908 | Neurotechnology Devices, Inc | Family Medicine | 615 W Mermod St, Carlsbad, NM 88220-4912 | 2012-07-04 |
| 1316218126 | Allergy Clinic of America, LLC. | Allergy & Immunology | 615 W Mermod St, Carlsbad, NM 88220-4912 | 2012-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1265958722 | Amanda Henry | Social Worker | 3000, West Church Street, Carlsbad, NM 88220 | 2017-08-16 |
| 1952827610 | Audriana B Martinez | Physical Therapy Assistant | 1038 Pinon Ln, Carlsbad, NM 88220 | 2017-08-15 |
| 1730538265 | Amber Bojorquez | Registered Nurse | 406 N. Alameda St., Carlsbad, NM 88220 | 2016-06-06 |
| 1164887584 | Kassandra Prutsman | Specialist | 126 S. Canyon, Carlsbad, NM 88220 | 2015-12-30 |
| 1306220314 | Rocky Mountain Holdings, LLC | Ambulance | 1505 Terminal Dr, Carlsbad, NM 88220 | 2015-07-20 |
| 1578986402 | Sheryl L Dugger | Registered Nurse | 406 N. Alameda, Carlsbad, NM 88220 | 2014-01-29 |
| 1194153106 | Wellcare, Inc. | Hospice Care, Community Based | 220 S Canal St Ste B, Carlsbad, NM 88220 | 2013-10-30 |
| 1932537420 | Wellcare, Inc | Home Health | 220 S Canal St Ste A, Carlsbad, NM 88220 | 2013-10-22 |
| Find all providers in zip 88220 | ||||
| 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 |
|---|---|---|---|---|
| 1578917720 | Elinora S Madrid-carranza | Family Medicine | 6010 Hidden Valley Rd Ste 150, Carlsbad, CA 92011-4217 | 2016-04-13 |
| 1366874745 | Peggy E Denton | Family Medicine | 3823 National Parks Highway, Carlsbad, NM 88220-8822 | 2013-08-07 |
| 1265727127 | Marie Hong Shieh | Family Medicine | 2501 Navarra Dr, Unit 124, Carlsbad, CA 92009-7002 | 2011-06-17 |
| 1538464029 | Carolyn Aludino Candido | Family Medicine | 5814 Van Allen Way Ste 215, Ste. 215, Carlsbad, CA 92008-7360 | 2011-01-14 |
| 1285964916 | Jerry Dee Colling | Family Medicine | 3171 Falcon Drive, Carlsbad, CA 92008 | 2009-12-31 |
| 1831343946 | Stephen Houngzin Peck | Family Medicine | 10950 N U.S. Hwy 87, Carlsbad, TX 76934-0038 | 2008-11-17 |
| 1154539864 | Philip Richard Goodman | Family Medicine | 7535 Cadencia St, Carlsbad, CA 92009-7534 | 2007-05-18 |
| 1508921586 | Farooq A. Kayani | Family Medicine | 2330 W Pierce St, Carlsbad, NM 88220-3514 | 2006-12-27 |
| 1063585495 | Gary P Korff | Family Medicine | 2562 State St Ste D, Carlsbad, CA 92008-1663 | 2006-11-15 |
| 1790855732 | Nii Tetteh Tsuru Addy | Family Medicine | 615 W Mermod St, Carlsbad, NM 88220-4912 | 2006-11-08 |
| Find all providers in CARLSBAD | ||||
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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.