INTEGRATIVE MEDICAL CENTER OF NEW MEXICO,PC (NPI# 1346319076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346319076 |
| Entity Type | Organization |
| Organization Name | INTEGRATIVE MEDICAL CENTER OF NEW MEXICO,PC |
| Practice Address |
1155 Commerce Dr Ste C Las Cruces NM 88011-8257 |
| Practice Telephone | 5755243720 |
| Practice Fax Number | 5755243721 |
| Mailing Telephone | 5755243720 |
| Mailing Fax Number | 5755243721 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2011-02-17 |
| Authorized Official Name | ANN BERKSON (OFFICE MANAGER) |
| Authorized Official Telephone | 5755243720 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 79-9 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
1155 COMMERCE DR STE C |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-8257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003985706 | Burton M Berkson | General Practice | 1155 Commerce Dr Ste C, Las Cruces, NM 88011-8257 | 2006-11-07 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679711121 | Nicholas Nillo | General Practice | 307 Sanchez Pl, Las Cruces, NM 88005-3795 | 2009-01-21 |
| 1881719094 | Seth D Madell | General Practice | 142 S Water St, Las Cruces, NM 88001-1208 | 2007-03-20 |
| 1538264528 | R & R Mildred H Rowley Md Inc | General Practice | 2435 South Telshor Blvd, Las Cruces, NM 88011-5029 | 2006-09-14 |
| 1538276142 | Benjamin G Diven | General Practice | Corner of Stewart and Breland, Student Health Center, Box 30001 Msc 3529, Las Cruces, NM 88003 | 2006-08-23 |
| 1649805037 | Epmed, Pa | General Practice | 880 S Telshor Blvd Ste 201, Las Cruces, NM 88011-8682 | 2020-03-06 |
| 1538622626 | Janson Rigby | General Practice | 4351 E Lohman Ave Ste 300, Las Cruces, NM 88011-8262 | 2019-04-07 |
| 1750820411 | Hope Surgical Medical Group, Inc. | General Practice | 2455 S Telshor Blvd, Las Cruces, NM 88011-5049 | 2017-02-14 |
| 1023464989 | Eric Tyler Czer | General Practice | 4311 E Lohman Ave, Las Cruces, NM 88011-8255 | 2016-05-10 |
| 1538434576 | My Physician, Inc. | General Practice | 299 Montana Ave, Las Cruces, NM 88005-3223 | 2012-03-08 |
| 1396939096 | Manuel Pavia Tan | General Practice | 4351 E Lohman Ave, Ste 301, Las Cruces, NM 88011-8259 | 2007-09-05 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on INTEGRATIVE MEDICAL CENTER OF NEW MEXICO,PC.
| 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.