SIEVERS SPORTS MEDICINE INC (NPI# 1366631616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366631616 |
| Entity Type | Organization |
| Organization Name | SIEVERS SPORTS MEDICINE INC |
| Practice Address |
304 S Main Ave Portales NM 88130-6218 |
| Mailing Address |
Po Box 55 Portales NM 88130-0055 |
| Practice Telephone | 5752263023 |
| Practice Fax Number | 5752263024 |
| Mailing Telephone | 5752263023 |
| Mailing Fax Number | 5752263024 |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2008-03-12 |
| Authorized Official Name | DR. JOEL WILLIAM SIEVERS (PRESIDENT/DIRECTOR) |
| Authorized Official Telephone | 5752263023 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
2002-0109 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
304 S MAIN AVE |
| City | PORTALES |
| State | NM |
| Zip Code | 88130-6218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538103197 | Joel William Sievers | Family Medicine | 304 S Main Ave, Portales, NM 88130-6218 | 2006-06-15 |
| 1558607507 | Olivia Alexis Westcott | Physician Assistant | 304 S Main Ave, Portales, NM 88130-6218 | 2012-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245861319 | Cynthia Alarid | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Schroc, Portales, NM 88130 | 2020-01-28 |
| 1649800384 | Gurveen Sandhu | Student in an Organized Health Care Education/Training Program | 1500 S Ave. K Station 3, Shroc, Portales, NM 88130 | 2020-01-22 |
| 1740744226 | Ashley Mcclelland | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K, Station 3 Shroc, Portales, NM 88130 | 2019-01-29 |
| 1285103218 | Jessica Dianne Terry | Behavior Technician | 743 S Hills Oak Rd, Portales, NM 88130 | 2018-11-20 |
| 1619445822 | Jonna Smith | Marriage & Family Therapist | 44 S Roosevelt Road N, Portales, NM 88130 | 2018-11-06 |
| 1932689254 | Carolina Yanez | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K Station 3 Shroc, Portales, NM 88130 | 2018-08-16 |
| 1033611918 | Shelley Marie Laya | Student in an Organized Health Care Education/Training Program | 1500 S. Ave K., Station 3, Shroc, Portales Nm, CA 88130 | 2018-03-06 |
| 1750800744 | Sara Rose Mccarty | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Shro, Portales, NM 88130 | 2017-09-12 |
| 1528584463 | Calli Bane | Student in an Organized Health Care Education/Training Program | 1500 South Ave. K, Station 3, Shroc, Portales, NM 88130 | 2017-08-22 |
| 1700302890 | Victoria L Young | Speech-Language Pathologist | 1500 South Ave K, Station 3 Shroc, Portales, NM 88130 | 2017-08-21 |
| Find all providers in zip 88130 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053794727 | Eastern New Mexico University | Family Medicine | 1500 S Avenue K, Portales, NM 88130-7400 | 2015-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760809966 | Peter Neff | Family Medicine | Taos Orthopaedic Institute, PC, 1219 A Gusdorf Rd, Taos, NM 87571-6499 | 2014-03-25 |
| 1609076504 | David M. Macias, M.d., PC | Family Medicine | 1925 Rosina, Suite D, Santa Fe, NM 87505-3355 | 2007-07-19 |
| 1588630941 | Jarrett Lawrence Galbreth | Family Medicine | 1510 San Carlos Rd Sw, Albuquerque, NM 87104-1043 | 2006-02-27 |
| 1033194378 | David M Macias | Family Medicine | 1925 Rosina St, Suite D, Santa Fe, NM 87505-3357 | 2005-12-09 |
| 1548267073 | Martha A Dodson | Family Medicine | 1315 12th St, Alamogordo, NM 88310-5810 | 2005-06-30 |
| 1043571458 | Mark Himes | Family Medicine | 622 W Maple St, Ste B, Farmington, NM 87401-6590 | 2012-06-01 |
| 1962630392 | Omar Naji | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2009-06-24 |
| 1912038688 | Albuquerque Family and Sports Medicine | Family Medicine | 101 Hospital Loop Ne, Suite 209, Albuquerque, NM 87109-2129 | 2007-03-07 |
| 1811969603 | Gloria C Cohen | Family Medicine | 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106-4917 | 2006-02-06 |
| 1154309698 | Robert H Wilson | Family Medicine | 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106-4917 | 2006-01-05 |
| Find all providers with the same taxonomy | ||||
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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.