NEW MEXICO VEIN TREATMENT CENTER LLC (NPI# 1336182021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336182021 |
| Entity Type | Organization |
| Organization Name | NEW MEXICO VEIN TREATMENT CENTER LLC |
| Practice Address |
2525 S Telshor Blvd Ste B Las Cruces NM 88011-9148 |
| Practice Telephone | 5755221974 |
| Practice Fax Number | 5755225209 |
| Mailing Telephone | 5755327000 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2009-07-01 |
| Authorized Official Name | KHALID Y. KHAN (MD/PRESIDENT) |
| Authorized Official Telephone | 5755327000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 6866 | 05 | |
| RR MEDICARE | DD6448 | 01 |
| Street Address |
2525 S TELSHOR BLVD STE B |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-9148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522986 | Organ Peak Surgery | Surgery | 141 N Roadrunner Pkwy Ste 220, Las Cruces, NM 88011-2001 | 2020-09-09 |
| 1902148885 | Fermin Miguel Fontan | Surgery | 2100 S Triviz Dr Ste G, Las Cruces, NM 88001-0601 | 2013-03-19 |
| 1568656189 | Paul David Cooney | Surgery | 925 S Walnut Street, Las Cruces, NM 88001 | 2007-08-28 |
| 1609968619 | Barry Leonard Fisher | Surgery | 2905 Hillrise Dr, Las Cruces, NM 88011-4701 | 2006-09-28 |
| 1306868666 | Stephen Greer | Surgery | 4351 E. Lohman Avenue, Suite 403, Las Cruces, NM 88011 | 2006-07-24 |
| 1235199241 | Khalid Y. Khan | Surgery | 141 N Roadrunner Pkwy, Suite 137, Las Cruces, NM 88011-2006 | 2006-03-24 |
| 1306829676 | Michael Paul Keller | Surgery | 4351 E Lohman Ave Ste 202, Las Cruces, NM 88011-8260 | 2005-11-21 |
| 1710971015 | Paul A Vakselis | Surgery | 2909 Hillrise Dr, Las Cruces, NM 88011-4701 | 2005-09-01 |
| 1033521257 | Omar Hashmi | Surgery | 4351 E Lohman Ave Ste 320, Las Cruces, NM 88011 | 2014-05-22 |
| 1881973873 | Victor Hugo Barnica | Surgery | 2530 S Telshor Blvd, Suite 103, Las Cruces, NM 88011-4951 | 2011-08-09 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
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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.