LAS CRUCES PHYSICIAN PRACTICES, LLC (NPI# 1346586195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346586195 |
| Entity Type | Organization |
| Organization Name | LAS CRUCES PHYSICIAN PRACTICES, LLC |
| Other Organization Name | NEW MEXICO CARDIAC CARE |
| Practice Address |
1160 Mall Dr Suite 100 Las Cruces NM 88011-8128 |
| Practice Telephone | 5755213270 |
| Practice Fax Number | 5755213504 |
| Mailing Telephone | 5755213270 |
| Mailing Fax Number | 5755213504 |
| Enumeration Date | 2012-12-26 |
| Last Update Date | 2013-02-25 |
| Authorized Official Name | ANGIE MANGUM (DIRECTOR) |
| Authorized Official Telephone | 6155651898 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| New Mexico Cardiac Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376866947 | Las Cruces Physician Practices, LLC | Surgery | 2530 S Telshor Blvd, Las Cruces, NM 88011-4907 | 2010-03-10 |
| 1093947491 | Las Cruces Physician Practices, LLC | Surgery | 4351 E Lohman Ave, Suite 403, Las Cruces, NM 88011-8259 | 2009-08-18 |
| 1770766768 | Las Cruces Physician Practices, LLC | Radiology | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2007-12-12 |
| 1356390769 | Las Cruces Physician Practices, LLC | Physician Assistant | 2530 S Telshor Blvd, Suite 107, Las Cruces, NM 88011 | 2006-05-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAS CRUCES PHYSICIAN PRACTICES, LLC | 2530 S Telshor Blvd Ste 207, Las Cruces, NM 88011-4975 |
| Street Address |
1160 MALL DR SUITE 100 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-8128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862236 | Sheila Lynn Sachs | Nurse Practitioner | 1160 Mall Dr, Las Cruces, NM 88011-8128 | 2005-06-27 |
| 1982080347 | Marcia Watts Hammons | Nurse Practitioner | 1160 Mall Dr, Las Cruces, NM 88011-8128 | 2015-08-07 |
| 1356657977 | Shariq Shamim | Internal Medicine | 1160 Mall Dr, Las Cruces, NM 88011-8128 | 2010-08-19 |
| 1952543258 | Sylvie Karine Giroux | Internal Medicine | 1160 Mall Dr, Las Cruces, NM 88011-8128 | 2009-04-01 |
| 1407930027 | Ryan Eungjune Lee | Dentist | 1160 Mall Dr, Suite B, Las Cruces, NM 88011-8128 | 2006-10-24 |
| 1023096096 | Azim Saquib | Internal Medicine | 1160 Mall Dr, Las Cruces, NM 88011-8128 | 2006-01-09 |
| 1598752529 | Afrin Ahmed Siddiqui | Dentist | 1160 Mall Dr, Suite B, Las Cruces, NM 88011-8128 | 2005-10-04 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| 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 |
| 1922126473 | David Earl Hoekenga | Internal Medicine | 6710 Pueblo Vis, Las Cruces, NM 88007-8905 | 2007-03-26 |
| 1548308208 | Guido A Leon Md Pa | Internal Medicine | 1255 S Telshor Blvd, Las Cruces, NM 88011-4748 | 2007-02-02 |
| 1841365194 | Guido Leon | Internal Medicine | 1255 S Tolshor Blvd, Las Cruces, NM 88011 | 2006-11-22 |
| 1174560643 | Joseph D'antonio Jr. | Internal Medicine | 4351 E Lohman Ave Ste 201, Las Cruces, NM 88011-8260 | 2006-06-01 |
| 1114926409 | Robert A Graor | Internal Medicine | 3865 East Lohman, Suite 4, Las Cruces, NM 88011-8292 | 2005-07-19 |
| 1629622055 | Southern New Mexico Heart and Vascular Group LLC | Internal Medicine | 3865 E Lohman Ave Ste 4, Las Cruces, NM 88011-8292 | 2019-07-24 |
| 1124433388 | New Mexico Medical Cardiology LLC | Internal Medicine | 2930 Hillrise Dr, Ste. 2, Las Cruces, NM 88011-4776 | 2014-06-26 |
| 1356657977 | Shariq Shamim | Internal Medicine | 1160 Mall Dr, Las Cruces, NM 88011-8128 | 2010-08-19 |
| 1366754889 | Carolina De Lourdes Ponce Orellana | Internal Medicine | 4351 E Lohman Ave Ste 201, Las Cruces, NM 88011-8260 | 2010-07-13 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on LAS CRUCES PHYSICIAN PRACTICES, LLC.
| 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.