JAYA D BATHINA (NPI# 1407086705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407086705 |
| Entity Type | Individual |
| Full Name | JAYA D BATHINA |
| Credential | MD |
| Practice Address |
2200 W 21st St Clovis NM 88101-2011 |
| Mailing Address |
Po Box 26666 Presbyterian Heatlhcare Services Albuquerque NM 87125-6666 |
| Practice Telephone | 5757692141 |
| Mailing Telephone | 5059236770 |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2015-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD2015-0139 | NM | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD2015-0139 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
2200 W 21ST ST |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053397497 | Presbyterian Healthcare Services | Medicare Defined Swing Bed Unit | 2200 W 21st St, Clovis, NM 88101-2011 | 2005-12-19 |
| 1649671918 | Lisa Candelaria | Nurse Practitioner | 2200 W 21st St, Clovis, NM 88101-2011 | 2014-09-05 |
| 1457781759 | Matthew Laumbach | Physician Assistant | 2200 W 21st St, Clovis, NM 88101-2011 | 2013-11-22 |
| 1073870432 | Raena Singh | Family Medicine | 2200 W 21st St, Clovis, NM 88101-2011 | 2012-04-23 |
| 1043304413 | Arnel Anthony S Bobadilla | Internal Medicine | 2200 W 21st St, Plains Regional Medical Group, Clovis, NM 88101-2011 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| 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 |
|---|---|---|---|---|
| 1629027156 | Ralph M. Kunkel | Internal Medicine | 12208 N Via Tesoro Ave, Clovis, CA 93619-8386 | 2006-05-10 |
| 1285682542 | Donald L Heine | Internal Medicine | 1600 W 21st St, Suite A, Clovis, NM 88101-4084 | 2006-05-05 |
| 1629162094 | Mahamadu A Fuseini | Internal Medicine | 2000 W 21st St, Ste E-1, Clovis, NM 88101-4093 | 2006-10-03 |
| 1427012681 | Mohammad R Hassan | Internal Medicine | 2000 W 21st St, W7, Clovis, NM 88101-4087 | 2006-04-14 |
| 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 |
| 1336781210 | United Diagnostic Services Nm LLC | Internal Medicine | 500 Marquette Ave Nw Ste 1296, Albuquerque, NM 87102-5340 | 2019-10-12 |
| 1366954190 | Alyce Lynn Dechant | Internal Medicine | 1101 -4 Medical Arts Ave Ne, Albuquerque, NM 87131-0001 | 2017-11-02 |
| 1104338672 | Mary Ann Lukas | Internal Medicine | 9328 Del Arroyo Ave Ne, Albuquerque, NM 87122-2907 | 2017-10-24 |
| 1710229638 | Phillip J Camp | Internal Medicine | Internal Medicine Msc10 5550, 1 University of New Mexic, Albuquerque, NM 87131-0001 | 2013-03-18 |
| 1871886226 | Irwin Hoffman Md PC | Internal Medicine | 646 Garcia St, Santa Fe, NM 87505-2858 | 2011-05-18 |
| 1376846808 | Lawrence Kuo | Internal Medicine | 1053 Red Oaks Loop Ne, Albuquerque, NM 87122-1346 | 2010-12-05 |
| 1790919801 | Gallup Cardiology PC | Internal Medicine | 2028 E Aztec Ave, Gallup, NM 87301-4804 | 2009-05-05 |
| 1912188285 | Horacio Patricio Moreno-campos | Internal Medicine | 6745 Academy Rd Ne, Suite A, Albuquerque, NM 87109-3382 | 2007-11-15 |
| 1467668905 | Jerome Eldon Goss | Internal Medicine | #5 Camino Del Sol St., Corrales, NM 87048 | 2007-05-14 |
| 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.