NATIONAL SINUS INSTITUTE PLLC (NPI# 1194968081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194968081 |
| Entity Type | Organization |
| Organization Name | NATIONAL SINUS INSTITUTE PLLC |
| Other Organization Name | ENT ASSOCIATES OF LOS ALAMOS |
| Practice Address |
3917 West Rd Los Alamos NM 87544-2275 |
| Mailing Address |
1190 Spring Creek Pl Ste E1 Springville UT 84663-6002 |
| Practice Telephone | 5056614147 |
| Practice Fax Number | 5056614199 |
| Mailing Telephone | 8018222234 |
| Mailing Fax Number | 8558941638 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | ALEXUS MERRILL (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 8018222234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 355907201 | 05 | |
| NM | 91584264 | 05 |
| Other Name | Type Code |
|---|---|
| ENT Associates of Los Alamos | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2632 Broadway St, San Antonio, TX 782151137 | 2102020250 | 8303312287 |
| 414 Navarro St, San Antonio, TX 782052516 | 2012020250 | 8303312287 |
| 602 31st St, Hondo, TX 788613512 | 2012020250 | 8303312287 |
| 34910 Interstate 10 W, Boerne, TX 780069229 | 2102020250 | 8303312287 |
| 721 E Holly St, Deming, NM 880305245 | 5754498949 | 5056613119 |
| 1000 N Hudson St, Silver City, NM 880615516 | 5754498949 | 5056613119 |
| 3900 N Lovington Hwy, Hobbs, NM 882401160 | 5055140075 | 5056610075 |
| 100 S Michigan Ave, Roswell, NM 882033861 | 5057517255 | 5056610075 |
| 2907 Hillrise Dr, Las Cruces, NM 880114701 | 5754498949 | 5056613119 |
| 224 Cruz Alta Rd Ste G, Taos, NM 875715947 | 5752087762 | 8669130013 |
| 1302 Calle De La Merced, Espanola, NM 875322624 | 5056614147 | 5056614199 |
| 3791 Southern Blvd Se, Rio Rancho, NM 871247415 | 5059949435 | 5056610075 |
| 8200 Carmel Ave Ne, Albuquerque, NM 871222941 | 5055140767 | 5056610075 |
| Street Address |
3917 WEST RD |
| City | LOS ALAMOS |
| State | NM |
| Zip Code | 87544-2275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031321 | Jan M Merin | Internal Medicine | 3917 West Rd, Los Alamos, NM 87544-2275 | 2005-05-23 |
| 1366089237 | Gonzalo A Diaz | Internal Medicine | 3917 West Rd, Los Alamos, NM 87544-2275 | 2019-12-10 |
| 1124576327 | Clay Schneider | Nurse Practitioner | 3917 West Rd, Los Alamos, NM 87544-2275 | 2016-09-15 |
| 1093167330 | Laura K Merrigan | Nurse Practitioner | 3917 West Rd, Suite A, Los Alamos, NM 87544-2275 | 2016-07-11 |
| 1043675473 | Total Renal Care Inc | Clinic/Center | 3917 West Rd, Ste G-02, Los Alamos, NM 87544-2275 | 2015-12-30 |
| 1225414253 | Sarah Versackas | Registered Nurse | 3917 West Rd, Suite A, Los Alamos, NM 87544-2275 | 2015-07-31 |
| 1700273745 | Apogee Medical Group | General Acute Care Hospital | 3917 West Rd, Los Alamos, NM 87544-2275 | 2015-04-16 |
| 1679965883 | Los Alamos Emergency Medical Associates Inc | Emergency Medicine | 3917 West Rd, Los Alamos, NM 87544-2275 | 2015-02-25 |
| 1659773612 | Eric Jonathan Krinsky | Physician Assistant | 3917 West Rd, Suite 150, Los Alamos, NM 87544-2275 | 2014-09-22 |
| 1740681311 | Robin Jean Norman | Physician Assistant | 3917 West Rd, Suite 150, Los Alamos, NM 87544-2275 | 2014-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679945935 | Zia Home Health | Home Health | 1475 Central Ave., Suite 125, Los Alamos, NM 87544 | 2015-10-27 |
| 1295131167 | Sara Pocernik | Dietitian, Registered | 1450 Iris Street, Los Alamos, NM 87544 | 2014-11-05 |
| 1760824890 | Lisa Renee Marr Lyon | Psychologist | 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 | 2013-07-17 |
| 1558629725 | Rachel Meyer | Dentist | 112 Central Park Square, Los Alamos, NM 87544 | 2012-04-25 |
| 1902183908 | Susana T. Chavarria | Occupational Therapist | 5 Quemazon Pl., Los Alamos, NM 87544 | 2011-11-04 |
| 1881998664 | Dr. Tom Child and Adolescent Medicine | Pediatrics | Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 | 2011-01-07 |
| 1952565905 | Dawn Judy Barr | Social Worker | 3 Agila Ct, Los Alamos, NM 87544 | 2008-07-17 |
| 1649452129 | Ellen Vandergust Ballard | Dentist | 111 Longview, Suite B-3, White Rock, NM 87544 | 2007-11-27 |
| 1629290283 | Wildwind Dental | Dentist | 111 Longview Drive, Suite B3, Los Alamos, NM 87544 | 2007-05-03 |
| 1255407342 | Sarah Sue Teasdale | Counselor | 1362 C Trinity Dr, Los Alamos, NM 87544 | 2006-11-28 |
| Find all providers in zip 87544 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326099508 | Matthew L Hinsley | Otolaryngology | 3917 West Rd, Ste 200, Los Alamos, NM 87544-5301 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871843599 | Ent&sinuscenterabqpc | Otolaryngology | 401 Edith Blvd Ne Fl 2, Albuquerque, NM 87102-2525 | 2012-09-11 |
| 1528387792 | Nathan Boyd | Otolaryngology | Department of Surgery Msc 10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2010-05-26 |
| 1306162318 | Duncan Alexander Meiklejohn | Otolaryngology | 2211 Lomas Blvd. Ne, 2nd Floor, Unm Surgical Specialties Clinic, Albuquerque, NM 87106 | 2010-04-15 |
| 1619197316 | Eugene W. Wasylenki | Otolaryngology | 7012 Vista Del Arroyo Ave Ne, Albuquerque, NM 87109-2933 | 2007-04-26 |
| 1487783981 | Alex E Moreano | Otolaryngology | 201 Cedar St Se Ste 46404th, Pmg Cedar Ent, Albuquerque, NM 87106-4917 | 2007-03-02 |
| 1295874238 | Tania Kraai | Otolaryngology | Unm Hospital Otolaryngology, 2211 Lomas Blvd Ne, Albuquerque, NM 87131-0001 | 2007-02-06 |
| 1699840272 | Ear Associates PC | Otolaryngology | 415 Cedar Se, Albuq, NM 87106 | 2006-11-21 |
| 1346339561 | Bonnie L. Renfro | Otolaryngology | 8300 Consitution Ave. Ne, Albuquerque, NM 87110 | 2006-10-12 |
| 1902990385 | Joseph N Onyia | Otolaryngology | 201 Cedar St Se Ste 4600, Albuquerque, NM 87106-4925 | 2006-10-03 |
| 1457445942 | Southwestern Hearing Center, Pa | Otolaryngology | 435 Saint Michaels Dr Ste B104, Santa Fe, NM 87505-7671 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMOS |
| Zip Code | 87544 |
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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.