MARK D. BEALE, MD, PC (NPI# 1083862114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083862114 |
| Entity Type | Organization |
| Organization Name | MARK D. BEALE, MD, PC |
| Practice Address |
1615 North Solano Suite A Las Cruces NM 88001 |
| Practice Telephone | 5756802684 |
| Practice Fax Number | 5756802655 |
| Mailing Telephone | 5756802684 |
| Mailing Fax Number | 5756802655 |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |
| Authorized Official Name | DR. MARK DANIEL BEALE II (PRESIDENT CEO) |
| Authorized Official Telephone | 5756802084 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
93208 | NM | Ambulatory Health Care Facilities |
| Street Address |
1615 NORTH SOLANO SUITE A |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033569785 | Rehabilitation Hospital of Southern New Mexico Inc | Clinic/Center | 4441 E Lohman Ave, Las Cruces, NM 88011-8267 | 2016-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572710 | Vasco Healthcare Inc | Clinic/Center | 717 Encino Pl Ne Ste 8, Albuquerque, NM 87102-2624 | 2020-06-11 |
| 1578100251 | Med-ease Medical Associates LLC | Clinic/Center | 6300 Montano Rd Nw Ste G1, Albuquerque, NM 87120-1826 | 2019-12-02 |
| 1700345436 | Lancer Health Group, LLC | Clinic/Center | 1400 S 2nd St, Raton, NM 87740-2102 | 2019-03-12 |
| 1265998314 | Stillwater Therapeutic Bodywork | Clinic/Center | 460 Saint Michaels Dr Ste 1205, Santa Fe, NM 87505-8605 | 2019-02-13 |
| 1891281259 | Pain and Addiction Services, LLC | Clinic/Center | 1110 Pennsylvania St Ne Ste B, Albuquerque, NM 87110-7404 | 2018-07-09 |
| 1477076008 | Florecer Therapies Inc | Clinic/Center | 1320 Arenal Rd Sw, Albuquerque, NM 87105-4030 | 2017-07-25 |
| 1750767810 | Southwest Care Center Jefferson Albuquerque | Clinic/Center | 4710 Jefferson Ne, Suite A, Albuquerque, NM 87109 | 2015-07-30 |
| 1366782526 | Premise Health of New Mexico Medical P C | Clinic/Center | 6401 Jefferson St Ne, Albuquerque, NM 87109-4376 | 2013-02-26 |
| 1063788701 | Integrated Wellness | Clinic/Center | 10209 Nacimiento St Nw, Albuquerque, NM 87114-4457 | 2012-03-27 |
| 1336442854 | San Cristobal Treatment Center | Clinic/Center | 176 Camino Del Medio, San Cristobal, NM 87564 | 2010-12-07 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
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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.