DR. EJUB CARLOS HADZIC (NPI# 1164474797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164474797 |
| Entity Type | Individual |
| Full Name | DR. EJUB CARLOS HADZIC |
| Credential | M.D. |
| Practice Address |
2428 W Pierce St Carlsbad NM 88220-3512 |
| Mailing Address |
205 W Boutz Rd Bldg 1 Las Cruces NM 88005-3259 |
| Practice Telephone | 5752346200 |
| Practice Fax Number | 5752346219 |
| Mailing Telephone | 5755327000 |
| Mailing Fax Number | 5755327006 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2010-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 88-181 | NM | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 36225339 | 05 |
| Street Address |
2428 W PIERCE ST |
| City | CARLSBAD |
| State | NM |
| Zip Code | 88220-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285639443 | Ronda Sue Fleck | Radiology | 2428 W Pierce St, Carlsbad, NM 88220-3512 | 2005-06-15 |
| 1720059918 | Becki Sue Hill | Radiology | 2428 W Pierce St, Suite 102, Carlsbad, NM 88220-3512 | 2006-01-27 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164887584 | Kassandra Prutsman | Specialist | 126 S. Canyon, Carlsbad, NM 88220 | 2015-12-30 |
| 1790193498 | Louticia Joann Grier | Specialist | 2914 Luciernaga St Unit A, Carlsbad, CA 92009-5951 | 2014-07-25 |
| 1497179519 | Integrative and Holistic Center for Hormone Balancing, Inc. | Specialist | 2892 Jefferson Street, Carlsbad, CA 92008 | 2014-02-10 |
| 1437494937 | Tabatha M Owens Addison | Specialist | 2100 Palomar Airport Rd, Suite 214, Carlsbad, CA 92011-4402 | 2012-12-10 |
| 1003193384 | Kristen Mary Brumleve | Specialist | 785 Grand Ave Ste 208, Carlsbad, CA 92008-2371 | 2011-11-14 |
| 1629374483 | Sandra Acosta | Specialist | 4710 Birchwood Cir, Carlsbad, CA 92008-3706 | 2011-01-26 |
| 1952544405 | Gaspar Physical Therapy A Professional Corporation | Specialist | 6221 Metropolitan Dr, Unit 101, Carlsbad, CA 92009 | 2009-04-14 |
| 1710144167 | Stephen M Stahl | Specialist | 1930 Palomar Point Way, Suite 103, Carlsbad, CA 92008-5579 | 2008-05-21 |
| 1285807123 | Joseph Michael Walker | Specialist | 2081 Faraday Ave, Carlsbad, CA 92008-7230 | 2008-04-11 |
| 1619196870 | Sudabeh Moein | Specialist | 2892 Jefferson St, Carlsbad, CA 92008-1719 | 2007-04-25 |
| 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.