MICHAEL RAY VANDUSEN (NPI# 1205062742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205062742 |
| Entity Type | Individual |
| Full Name | MICHAEL RAY VANDUSEN |
| Credential | D.O. |
| Practice Address |
801 W Maple St Farmington NM 87401 |
| Mailing Address |
Po Box 6210 Farmington NM 87499-6210 |
| Practice Telephone | 5056092000 |
| Practice Fax Number | 5056092259 |
| Mailing Telephone | 5056092258 |
| Mailing Fax Number | 5056092259 |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2018-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | A-2141-18 | NM | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | N9004 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
801 W MAPLE ST |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427058510 | San Juan Regional Medical Center, Inc. | Ambulance | 801 W Maple St, Farmington, NM 87401-5630 | 2005-07-29 |
| 1962038729 | Alexia Hay | Physical Therapist | 801 W Maple St, Farmington, NM 87401-5630 | 2020-03-12 |
| 1679107007 | Darcy Ernat | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2020-02-25 |
| 1790320307 | Benton James Lunt | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2019-11-07 |
| 1083258768 | Stacey Mclendon | Pharmacist | 801 W Maple St, Farmington, NM 87401-5630 | 2019-11-05 |
| 1730723560 | Anna Victoria Buck | Nurse Practitioner | 801 W Maple St, Farmington, NM 87401-5630 | 2019-11-05 |
| 1083264592 | Clay Church | Nurse Practitioner | 801 W Maple St, Farmington, NM 87401-5630 | 2019-09-17 |
| 1982253449 | Christine Graves | Nurse Practitioner | 801 W Maple St, Farmington, NM 87401-5630 | 2019-09-08 |
| 1174088280 | Laura Chase | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2019-02-02 |
| 1477036572 | Lynndi Wilson | Nurse Anesthetist, Certified Registered | 801 W Maple St, Farmington, NM 87401-5630 | 2018-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487946679 | San Juan Health Services, LLC | Anesthesiology | 301 South Lake, Farmington, NM 87401 | 2011-05-06 |
| 1174853303 | George Martin Bennett | Anesthesiology | 870 Somerset St, Farmington, UT 84025-4235 | 2010-01-11 |
| 1457594756 | Maria Celina Jensen | Anesthesiology | 1515 E 20th St, Suite A, Farmington, NM 87401-9039 | 2009-04-16 |
| 1487896551 | Joseph Strebel | Anesthesiology | Uinversity of Connecticut Health Ctr, 263 Farmington Aave, Farmington, CT 06030-0001 | 2009-04-03 |
| 1851456495 | Jeffrey Gross | Anesthesiology | 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 | 2006-12-26 |
| 1639198336 | Matthew R Seely | Anesthesiology | 513w Rigby Road, Farmington, UT 84025 | 2006-07-19 |
| 1255301263 | David P Goldstein | Anesthesiology | 2300 E 30th St Bldg A, Farmington, NM 87401-8991 | 2006-01-23 |
| 1831174333 | Earl K Leeman | Anesthesiology | 713 S Rice Rd, Farmington, UT 84025-2162 | 2005-12-07 |
| 1659367217 | Larry Michael Fraley | Anesthesiology | 111 Franklin Health Commons, Farmington, ME 04938 | 2005-09-20 |
| 1326509555 | Joseph Scannell | Anesthesiology | 263 Farmington Ave, Farmington, CT 06030-1127 | 2019-03-29 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
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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.