SOUTHWEST CENTER FOR PAIN MANAGEMENT (NPI# 1073844049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073844049 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST CENTER FOR PAIN MANAGEMENT |
| Practice Address |
40 First Plaza Ctr Nw Ste # 62 Albuquerque NM 87102-3355 |
| Mailing Address |
Po Box 984 Bernalillo NM 87004-0984 |
| Practice Telephone | 8475300236 |
| Mailing Telephone | 8475300236 |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |
| Authorized Official Name | DR. ROBERT THOMAS SMITH (PRESIDENT) |
| Authorized Official Telephone | 8475300236 |
| Authorized Official Credential | D.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172P00000X | Naprapath | 0016 | NM | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | NPI TYPE 1 | 1285773614 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOUTHWEST CENTER FOR PAIN MANAGEMENT, LLC | 40 First Plaza Ctr Nw Ste 62, Albuquerque, NM 87102-6543 |
| Street Address |
40 FIRST PLAZA CTR NW STE # 62 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-3355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285773614 | Robert Thomas Smith | Specialist | 40 First Plaza Ctr Nw, Suite # 62, Albuquerque, NM 87102-3355 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 172P00000X |
| Grouping | Other Service Providers |
| Classification | Naprapath |
| Naprapathy means a branch of medicine that focuses on the evaluation and treatment of neuron-muscular conditions. Doctors of naprapathy are connective tissue specialists. Education and training are defined through individual states’ licensing/certification requirements. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861968950 | Joshua Peiper | Naprapath | 9250 Eagle Ranch Rd Nw Apt 523, Albuquerque, NM 87114-6233 | 2018-10-16 |
| 1104323823 | Michelle Morath | Naprapath | 2612 Adams St Ne, Albuquerque, NM 87110-2902 | 2018-04-09 |
| 1306343025 | Journeyfit, LLC | Naprapath | 2612 Adams St Ne, Albuquerque, NM 87110-2902 | 2018-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059947 | Trident Core LLC | Naprapath | 524 W Cordova Rd, Santa Fe, NM 87505-1822 | 2019-12-10 |
| 1528624426 | Alessandra Desiree Dallera | Naprapath | 1640 Jay St, Santa Fe, NM 87505-3893 | 2019-05-15 |
| 1417512708 | Christopher Escobar Herrera | Naprapath | 2006 Botulph Rd Ste A, Santa Fe, NM 87505-5764 | 2019-05-02 |
| 1467911735 | Jan Cisneros-neith | Naprapath | 2887 Clark Ct, Santa Fe, NM 87507-5179 | 2019-03-17 |
| 1770097842 | Nancy Phillips | Naprapath | 2019 Galisteo St Ste M5, Santa Fe, NM 87505-2106 | 2017-11-27 |
| 1639557614 | Taylor Dimarino | Naprapath | 1460 Trinity Dr Ste 2, Los Alamos, NM 87544-4107 | 2015-05-11 |
| 1477984078 | Nina Pregont | Naprapath | 9 La Canada Pl, Sandia Park, NM 87047 | 2013-12-06 |
| 1720310931 | Harmony Naprapathic P.a. | Naprapath | 8100 E Main St, Farmington, NM 87402-5150 | 2010-02-12 |
| 1649494873 | Shawn Elliot Sulak | Naprapath | 3600 Cerrillos Rd Ste 407, Santa Fe, NM 87507-2653 | 2007-04-12 |
| 1487266243 | Sohum Bodywork LLC | Naprapath | 2599 Camino Chueco, Santa Fe, NM 87505-5261 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on SOUTHWEST CENTER FOR PAIN MANAGEMENT.
| 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.