LAS CRUCES PHYSICIAN PRACTICES, LLC (NPI# 1356390769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356390769 |
| Entity Type | Organization |
| Organization Name | LAS CRUCES PHYSICIAN PRACTICES, LLC |
| Practice Address |
2530 S Telshor Blvd Suite 107 Las Cruces NM 88011 |
| Mailing Address |
Po Box 6310 Las Cruces NM 88006-6310 |
| Practice Telephone | 5055215277 |
| Practice Fax Number | 5055215273 |
| Mailing Telephone | 5055228641 |
| Mailing Fax Number | 5055215013 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2018-06-11 |
| Authorized Official Name | SARA MILLER (DIRECTOR) |
| Authorized Official Telephone | 6159207514 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | MEDICARE GROUP | 900522525 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346586195 | Las Cruces Physician Practices, LLC | Internal Medicine | 1160 Mall Dr, Suite 100, Las Cruces, NM 88011-8128 | 2012-12-26 |
| 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 |
| 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 |
2530 S TELSHOR BLVD SUITE 107 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679560163 | Dwight Antony Hamilton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2530 S Telshor Blvd, Suite 207, Las Cruces, NM 88011-4951 | 2005-09-30 |
| 1790147924 | Zahra Shaghaghi | Pharmacist | 2530 S Telshor Blvd, Suite 201, Las Cruces, NM 88011-4951 | 2016-03-26 |
| 1750636072 | Melissa Belle Ford | Nurse Practitioner | 2530 S Telshor Blvd, Suite 201, Las Cruces, NM 88011-4951 | 2012-07-24 |
| 1881973873 | Victor Hugo Barnica | Surgery | 2530 S Telshor Blvd, Suite 103, Las Cruces, NM 88011-4951 | 2011-08-09 |
| 1376866947 | Las Cruces Physician Practices, LLC | Surgery | 2530 S Telshor Blvd, Las Cruces, NM 88011-4907 | 2010-03-10 |
| 1376774489 | Phc Las Cruces | Internal Medicine | 2530 S Telshor Blvd, Suite 201, Las Cruces, NM 88011-4907 | 2009-08-06 |
| 1366672826 | Munif Hussein Alkouz | Internal Medicine | 2530 S Telshor Blvd, Suite 207, Las Cruces, NM 88011-4951 | 2009-07-19 |
| 1730323973 | Vicror Rivera Jr. | Orthotist | 2530 S Telshor Blvd, Suite 107, Las Cruces, NM 88011-4907 | 2009-04-30 |
| 1730348467 | Carrie Alissa Dieker | Surgery | 2530 S Telshor Blvd, Suite 103, Las Cruces, NM 88011-4951 | 2008-06-06 |
| 1093830440 | Marcia Ann Jamison | Physician Assistant | 2530 S Telshor Blvd, Suite 207, Las Cruces, NM 88011-4951 | 2007-03-21 |
| Find all providers in the same location | ||||
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1619260064 | Reyes Ismael Cuevas | Family Medicine | 3485 Northrise Dr Ste A, Las Cruces, NM 88011-6839 | 2011-05-18 |
| 1184936478 | Rashmi Narasimhamurthy | Family Medicine | 1151 N Roadrunner Pkwy, Apt #403, Las Cruces, NM 88011-8052 | 2010-07-02 |
| 1972765592 | John J Tucker II | Family Medicine | 4672 N Sonoma Ranch Blvd Ste B, Las Cruces, NM 88011-7271 | 2008-06-25 |
| 1912173691 | R L Marquez Md Pa | Family Medicine | 1205 S Solano, Las Cruces, NM 88001 | 2008-05-02 |
| 1336318591 | Imran Raza | Family Medicine | 3320 Rinconada Blvd, Ste 2, Las Cruces, NM 88011-7198 | 2008-02-21 |
| 1790960383 | Saul D Burciaga-molinar | Family Medicine | 1180 Mall Dr Ste B, Las Cruces, NM 88011-8192 | 2008-01-02 |
| 1538342860 | Delilah Ancheta Stampp | Family Medicine | 1135 S. Main Street, Suite B, Las Cruces, NM 88005 | 2007-12-10 |
| 1316134349 | Umberto I Garcia Md P A | Family Medicine | 1200 S Telshor Blvd, Las Cruces, NM 88011-4747 | 2007-10-03 |
| 1669663696 | Aroboyi Veronica Imoisi | Family Medicine | 4038 Pepper Post Ave, Las Cruces, NM 88011-4088 | 2007-08-06 |
| 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.