SAN MIGUEL CLINIC CORP DBA NORTHERN NEW MEXICO UROLOGY (NPI# 1306830450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306830450 |
| Entity Type | Organization |
| Organization Name | SAN MIGUEL CLINIC CORP DBA NORTHERN NEW MEXICO UROLOGY |
| Practice Address |
2301 7th St Las Vegas NM 87701-4966 |
| Practice Telephone | 5054544000 |
| Practice Fax Number | 5054544004 |
| Mailing Telephone | 5054544000 |
| Mailing Fax Number | 5054544004 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. AKHIL DAS (UROLOGY) |
| Authorized Official Telephone | 5054544000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 2000173 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 09426531 | 05 |
| Street Address |
2301 7TH ST |
| City | LAS VEGAS |
| State | NM |
| Zip Code | 87701-4966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447752951 | Chris Sixto Manzanares | Counselor | 2301 7th St, Las Vegas, NM 87701-4966 | 2018-03-01 |
| 1578012506 | Bernadette Montoya | Counselor | 2301 7th St, Las Vegas, NM 87701-4966 | 2016-10-03 |
| 1942625744 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 2301 7th St, Suite B, Las Vegas, NM 87701-4966 | 2014-03-03 |
| 1992140305 | Rio Grande Alcoholism Treatment Program | Community/Behavioral Health | 2301 7th St, Las Vegas, NM 87701-4966 | 2013-04-30 |
| 1003250572 | Maria L Vigil | Counselor | 2301 7th St, Las Vegas, NM 87701-4966 | 2013-04-26 |
| 1710086749 | Jerry K Williams Jr. | Psychiatry & Neurology | 2301 7th St, Suite B, Las Vegas, NM 87701-4966 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851884423 | Nueva Vida Counseling and Consulting Services LLC | Community/Behavioral Health | Nueva Vida Counseling & Consulting Services LLC, 1920 7th Street, Las Vegas, NM 87701 | 2018-06-08 |
| 1316475403 | El Centro Family Health | Family Medicine | 475 Legion Dr., Las Vegas, NM 87701 | 2017-06-01 |
| 1700327384 | Anastacia Sena Jaramillo | Psychologist | 126 Silva Ave., Las Vegas, NM 87701 | 2017-03-15 |
| 1013369222 | Home Medical Equipment Specialists,llc | Durable Medical Equipment & Medical Supplies | 514 8th Street, Las Vegas, NM 87701 | 2016-07-12 |
| 1750730826 | John Michael Tourangeau | Social Worker | 1920 7th Street, Las Vegas, NM 87701 | 2016-06-08 |
| 1154705689 | Lindsy Laura Kragt Allen | Podiatrist | 1608 7th St, Las Vegas, NM 87701 | 2015-07-14 |
| 1023409521 | Ambercare Medical Supply | Durable Medical Equipment & Medical Supplies | 1747 N Grand Ave, Las Vegas, NM 87701 | 2015-02-05 |
| 1538561964 | El Centro Family Health | Clinic/Center | 947 Old National Road, Las Vegas, NM 87701 | 2014-09-17 |
| 1164832150 | Plaza Drugs | Pharmacist | 178 Bridge St, Las Vegas, NM 87701 | 2014-04-30 |
| 1043648165 | Open Doors Home Health Care | Home Health | 713 Railroad Ave., Las Vegas, NM 87701 | 2013-10-29 |
| Find all providers in zip 87701 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134660137 | New Image Medical Inc. | Urology | 2610 S Jones Blvd Ste B, Las Vegas, NV 89146-5663 | 2017-03-10 |
| 1841532595 | Robert James Evans | Urology | 2353 Lauren Dr, Las Vegas, NV 89134-5533 | 2013-03-20 |
| 1720355621 | Mujica Trenche - Vitality Md PC | Urology | 6380 W Flamingo Rd, Ste A, Las Vegas, NV 89103-7129 | 2011-11-19 |
| 1720213101 | Joel Emmanuel Abbott | Urology | 6110 Elton Ave, Las Vegas, NV 89107-2538 | 2009-05-28 |
| 1497977334 | Avi Weiss | Urology | 3150n Tenaya Way 165, Las Vegas, NV 89128-0462 | 2007-05-02 |
| 1366537144 | Jeffrey M. Zapinsky | Urology | 7200 Cathedral Rock Dr., Suite 180, Las Vegas, NV 89128-0466 | 2006-10-04 |
| 1659483444 | Sheldon Jay Freedman | Urology | 653 N Town Center Dr Ste 308, Las Vegas, NV 89144-0517 | 2006-08-31 |
| 1245242957 | Omid A. Lesani | Urology | 7500 Smoke Ranch Rd., Suite 200, Las Vegas, NV 89128-0373 | 2006-08-12 |
| 1578509949 | Helen T Housley | Urology | 2000 Pinto Ln, Suite 200, Las Vegas, NV 89106-4045 | 2006-06-22 |
| 1659328391 | Sarah A. Ryan | Urology | 3150 N Tenaya Way Ste 165, Las Vegas, NV 89128-0462 | 2006-05-28 |
| Find all providers in LAS VEGAS | ||||
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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.