STEPHEN MACKERROW (NPI# 1225075526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225075526 |
| Entity Type | Individual |
| Full Name | STEPHEN MACKERROW |
| Credential | M.D. |
| Practice Address |
407 S Schwartz Ave Ste 202 Farmington NM 87401-5925 |
| Mailing Address |
Po Box 6210 Farmington NM 87499-6210 |
| Practice Telephone | 5056096770 |
| Practice Fax Number | 5056096775 |
| Mailing Telephone | 5056092258 |
| Mailing Fax Number | 5056092259 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
87-365 | NM | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
31635 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01316355 | 05 | |
| CO | RAILROAD MEDICARE | P00986966 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3670 Parker Blvd, Suite 101, Pueblo, CO 810082285 | 7195641544 | 7195652657 |
| Street Address |
407 S SCHWARTZ AVE STE 202 |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-5925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306896246 | Stephen Thomas Bernard | Internal Medicine | 407 S Schwartz Ave Ste 202, Farmington, NM 87401-5925 | 2006-05-11 |
| 1801441647 | Kelsey Wolfe | Nurse Practitioner | 407 S Schwartz Ave Ste 202, Farmington, NM 87401-5925 | 2019-08-08 |
| 1376019448 | Molly Burrell Riggs | Nurse Practitioner | 407 S Schwartz Ave Ste 202, Farmington, NM 87401 | 2018-10-16 |
| 1255819611 | Thomas M Janney | Nurse Practitioner | 407 S Schwartz Ave Ste 202, Farmington, NM 87401-5925 | 2018-07-29 |
| 1336514033 | Jordan Monteverdi | Physician Assistant | 407 S Schwartz Ave Ste 202, Farmington, NM 87401-5925 | 2015-12-07 |
| 1184987372 | Rahul Gokhroo | Internal Medicine | 407 S Schwartz Ave Ste 202, Farmington, NM 87401-5925 | 2012-06-21 |
| 1508058371 | Michael E. Paikal | Internal Medicine | 407 S Schwartz Ave Ste 202, Farmington, NM 87401-5925 | 2007-08-15 |
| 1235252370 | Jude Gabaldon | Internal Medicine | 407 S Schwartz Ave Ste 202, Farmington, NM 87401-5925 | 2007-04-06 |
| 1659395697 | William L Krause | Internal Medicine | 407 S Schwartz Ave Ste 202, Farmington, NM 87401-5925 | 2006-07-26 |
| 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 | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306896246 | Stephen Thomas Bernard | Internal Medicine | 407 S Schwartz Ave Ste 202, Farmington, NM 87401-5925 | 2006-05-11 |
| 1710184163 | Sudhakar Virendra Girotra | Internal Medicine | 407 S Schwartz Ave, Suite 202, Farmington, NM 87401-5925 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841286549 | Kent L Richards | Internal Medicine | 2405 S Telshor Blvd, Las Cruces, NM 88011-5049 | 2005-09-27 |
| 1801890702 | Elizabeth O. Palmer | Internal Medicine | 2525 S Telshor Blvd, Bildg 14 Suite 102, Las Cruces, NM 88011-5071 | 2005-06-08 |
| 1053315390 | Robert E. Federici | Internal Medicine | 201 Cedar St Se, Suite 7600, Albuquerque, NM 87106-4917 | 2005-06-01 |
| 1497932503 | Raymond Manho Yau | Internal Medicine | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2008-01-31 |
| 1598968901 | Yazan H Alkhouri | Internal Medicine | 400 Military Heights Pl, Roswell, NM 88201-6407 | 2007-06-06 |
| 1538209994 | Mahamadu Fuseini | Internal Medicine | 2000 W 21st St, Clovis, NM 88101-4087 | 2007-02-07 |
| 1306914213 | Lovelace Health System LLC | Internal Medicine | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2006-11-30 |
| 1790789592 | Harvey J White Jr. | Internal Medicine | 502 Elm St Ne, Albuquerque, NM 87102-2512 | 2005-06-09 |
| 1487658399 | Kimber M Stout | Internal Medicine | 2085 S Pacheco St, Suite A, Santa Fe, NM 87505-5473 | 2005-06-08 |
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on STEPHEN MACKERROW.
| 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.