PAIN MANAGEMENT CLINICS OF NEW MEXICO, INC. (NPI# 1144364472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144364472 |
| Entity Type | Organization |
| Organization Name | PAIN MANAGEMENT CLINICS OF NEW MEXICO, INC. |
| Practice Address |
8005 Pennsylvania Cir Ne Albuquerque NM 87110-7810 |
| Practice Telephone | 5052480698 |
| Practice Fax Number | 5052480798 |
| Mailing Telephone | 5052480698 |
| Mailing Fax Number | 5052480798 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | DR. JOAN P LEWIS (PRESIDENT) |
| Authorized Official Telephone | 5052480698 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
I-1464 | NM | Behavioral Health & Social Service Providers |
| N | 225700000X | Massage Therapist | 4735 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225700000X | Massage Therapist | 3659 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
94-300 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | PRESBYTERIAN HEALTH ID | 201013423 | 01 |
| NM | BLUE SHIELD ID NUMBER | 00NM003410 | 01 |
| NM | 21906 | 05 |
| Street Address |
8005 PENNSYLVANIA CIR NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-7810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710182357 | W. D. Peter Lane | Contractor | 8005 Pennsylvania Cir Ne, Albuquerque, NM 87110-7810 | 2007-06-15 |
| 1588870711 | Molly J. Hildreth | Massage Therapist | 8005 Pennsylvania Cir Ne, Albuquerque, NM 87110-7810 | 2007-05-15 |
| 1013122290 | Tamara Rose Martinez | Contractor | 8005 Pennsylvania Cir Ne, Albuquerque, NM 87110-7810 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790019453 | Doctor On Call #3 LLC | Pain Medicine | 10700 Menaul Blvd Ne, Suite D, Albuquerque, NM 87112-2437 | 2009-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780873547 | Robert Elden Pennington Md, Phd, PC | Pain Medicine | 1 El Arco Iris Dr, Roswell, NM 88201-7711 | 2007-10-17 |
| 1093801292 | Roosevelt County Special Hospital District | Pain Medicine | 42121 Us Hwy 70, Portales, NM 88130-9357 | 2006-10-05 |
| City | ALBUQUERQUE |
| Zip Code | 87110 |
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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.