DARRYL MACIAS (NPI# 1194797779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194797779 |
| Entity Type | Individual |
| Full Name | DARRYL MACIAS |
| Credential | MD |
| Practice Address |
Rehoboth Mckinley Christian Health Care Services 1901 Red Rock Drive Gallup NM 87301 |
| Practice Telephone | 5058637000 |
| Mailing Telephone | 5058637000 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2015-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 93-319 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 16592 | 05 | |
| AZ | 176207 | 05 | |
| NM | LOVELACE HEALTH/SALUD | 10001036 | 01 |
| RAILROAD MEDICARE | P00200863 | 01 | |
| NM | MOLINA | PROVP14220 | 01 |
| NM | PRESBYTERIAN HEALTH/SALUD | 201006171 | 01 |
| NM | BCBS | NM007580 | 01 |
| Street Address |
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES 1901 RED ROCK DRIVE |
| City | GALLUP |
| State | NM |
| Zip Code | 87301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992777130 | Deborah Rivera | Physician Assistant | Rehoboth Mckinley Christian Health Care Services, 1900 Red Rock Drive, Gallup, NM 87301 | 2006-02-02 |
| 1558404582 | Jyothsna Guttikonda | Internal Medicine | Rehoboth Mckinley Christian Health Care Services, 1901 Red Rock Drive, Gallup, NM 87301 | 2007-02-15 |
| 1942278023 | Margaret Clare Futrell Stachura | Social Worker | Rehoboth Mckinley Christian Health Care Services, 650 Vanden Bosch Drive, Gallup, NM 87301 | 2006-03-14 |
| 1750353330 | James Hathaway | Pathology | Rehoboth Mckinley Christian Health Care Services, 1901 Red Rock Drive, Gallup, NM 87301 | 2006-02-07 |
| 1245202357 | Thomas Robinson | Internal Medicine | Rehoboth Mckinley Christian Health Care Services, 2111 College Drive, Gallup, NM 87301 | 2006-02-02 |
| 1831161082 | Gerald Robertson | Internal Medicine | Rehoboth Mckinley Christian Health Care Services, 2111 College Drive, Gallup, NM 87301 | 2006-02-02 |
| 1033181151 | Mehdi Sattari | Emergency Medicine | Rehoboth Mckinley Christian Health Care Services, 1901 Red Rock Drive, Gallup, NM 87301 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063628618 | Faye Maryann Lee | Emergency Medicine | Gimc Department of Emergency Medicine, 516 Nizhoni Blvd, Gallup, NM 87301 | 2007-05-14 |
| 1063490548 | Alan Craig Beamsley | Emergency Medicine | 1010 Milda Ave, Gallup, NM 87301-7022 | 2006-01-05 |
| 1700315934 | Balaji Srinivas | Emergency Medicine | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2017-06-10 |
| 1780036582 | App of New Mexico Hm Pllc | Emergency Medicine | 1901 Red Rock Dr, Gallup, NM 87301-5683 | 2016-07-06 |
| 1790179729 | David Archibald Cheever | Emergency Medicine | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2015-03-27 |
| 1699186692 | Paul William Charlton | Emergency Medicine | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2014-05-13 |
| 1538367644 | Jeremy Scott Seelinger-devey | Emergency Medicine | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2007-07-10 |
| 1053477505 | Western New Mexico Emergency Physicians PC | Emergency Medicine | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2006-12-29 |
| 1487720348 | Stephen Waite | Emergency Medicine | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2006-11-24 |
| 1568555845 | Lenley Bradford Jackson | Emergency Medicine | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2006-10-01 |
| Find all providers in GALLUP | ||||
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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.