SAN JUAN REGIONAL MEDICAL CENTER INC


Address: 407 S. Schwartz Ave, Suite 201, Farmington, NM 87401-5973
Phone: 5056096730

SAN JUAN REGIONAL MEDICAL CENTER INC (NPI# 1225076003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225076003
Entity Type Organization
Organization Name SAN JUAN REGIONAL MEDICAL CENTER INC
Other Organization Name SJRMC INTERNAL MEDICINE
Practice Address 407 S. Schwartz Ave
Suite 201
Farmington
NM 87401-5973
Mailing Address Po Box 6210
Farmington
NM 87499-6210
Practice Telephone 5056096730
Practice Fax Number 5056096749
Mailing Telephone 5056092258
Mailing Fax Number 5056092259
Enumeration Date 2006-06-03
Last Update Date 2014-03-10
Authorized Official Name J MICHAEL PHILIPS (CSO)
Authorized Official Telephone 5056092000
Is Organization Subpart Y
Parent Organization Name SAN JUAN REGIONAL MEDICAL CENTER INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
Allopathic & Osteopathic Physicians
N 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NM 000Q6471 05

Other Provider/Organization Names

Other Name Type Code
SJRMC INTERNAL MEDICINE Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1902463508 San Juan Regional Medical Center Inc Urology 1485 Florida Rd Ste 103a, Durango, CO 81301-6873 2019-05-20
1174820153 San Juan Regional Medical Center Inc Emergency Medicine 4251 English Rd, Farmington, NM 87402-1116 2011-02-28
1811915234 San Juan Regional Medical Center Inc Physical Medicine & Rehabilitation 525 S Schwartz Ave, Farmington, NM 87401-5955 2006-07-17
1861467433 San Juan Regional Medical Center Inc Internal Medicine 120 Llano St, Aztec, NM 87410 2006-02-17
1326663592 San Juan Regional Medical Center Inc Rehabilitation Unit 525 S Schwartz Ave, Farmington, NM 87401-5955 2020-06-12
1639662901 San Juan Regional Medical Center Inc Internal Medicine 940 W Pinon St, Farmington, NM 87401-5905 2018-06-12
1508219916 San Juan Regional Medical Center Inc Family Medicine 100 N Church St Ste C, Bloomfield, NM 87413-5754 2016-07-20
1003296534 San Juan Regional Medical Center Inc Urology 2700 Farmington Ave, Building E, Suite 1, Farmington, NM 87401-4559 2015-05-29
1023379609 San Juan Regional Medical Center Inc Specialist/Technologist, Other 801 W Maple St, Farmington, NM 87401-5630 2012-05-31
1639459712 San Juan Regional Medical Center Inc Anesthesiology 801 W Maple St, Farmington, NM 87401-5630 2011-08-22

Office Location

Street Address 407 S. SCHWARTZ AVE
SUITE 201
City FARMINGTON
State NM
Zip Code 87401-5973

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841642659 Mian Harris Iftikhar Internal Medicine Center On Aging 263 Farmington Avenue, Farmington, CT 06030-5215 2016-07-05
1275989410 Pamela Georges Samaha Internal Medicine 2 West 263 Farmington Avenue, Internal Medicine Associates, Outpatient Pavilion, Farmington, CT 06032 2016-05-06
1366821878 John J. Wisniewski Internal Medicine 36728 Brittany Hill Dr, Farmington, MI 48335-2906 2015-05-29
1972914901 Ryan Alexander Darnall Internal Medicine Uconn Health Center School of Medicine, General Medicine Clinic-mc2811 263 Farmington Ave., Farmington, CT 06030-2811 2014-05-13
1598104564 Cynthia Evans Internal Medicine Primary Care Internal Medicine, Uconn Health Center 263 Farmington Ave., Farmington, CT 06030-1234 2013-06-22
1790030195 Bishan Chakravarty Internal Medicine 703 Maple Valley Drive, Farmington, MO 63640 2012-07-21
1790045086 Yuriy Kulyak Internal Medicine 270 Farmington Ave Ste 352, Farmington, CT 06032-1996 2012-05-21
1740569763 Genesis Physician Associates LLC Internal Medicine 4801 N Butler Avenue, Suite 8102, Farmington, NM 87401-0818 2011-08-08
1285927996 David Rice, Md, LLC, P.a. Internal Medicine 107 Box Shop Hl, Farmington, ME 04938-5749 2011-05-27
1639499759 Jaime Padavil Moskowitz Internal Medicine 406 Farmington Ave, Farmington, CT 06032-1964 2010-06-11
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City FARMINGTON
Zip Code 87401

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Dataset Information

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.

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