DOUGLAS ARLYN KINKEL (NPI# 1417003377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417003377 |
| Entity Type | Individual |
| Full Name | DOUGLAS ARLYN KINKEL |
| Credential | MD |
| Practice Address |
2450 S Telshor Blvd Las Cruces NM 88011-5069 |
| Mailing Address |
Po Box 5719 Athens GA 30604-5719 |
| Practice Telephone | 7063545770 |
| Mailing Telephone | 7063545770 |
| Mailing Fax Number | 7063545769 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2011-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
90-224 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 25445 | 05 |
| Street Address |
2450 S TELSHOR BLVD |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-5069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619973187 | Jenifer Lichtenfels | Pediatrics | 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 | 2005-06-21 |
| 1669080560 | Leonard Nathaniel Sampath | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-07-16 |
| 1396362034 | Sartaj Singh Brar | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-06-29 |
| 1497372387 | Alexander Topete | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5076 | 2020-06-26 |
| 1619594421 | Eva Roxanna Campos | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-06-26 |
| 1437774759 | Bryan Wellington Messenger | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-06-12 |
| 1558986745 | Anthony Cohn | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5076 | 2020-06-12 |
| 1205451739 | Elena Liang Liang | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-06-10 |
| 1750906285 | Nagapavani Kandagari | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-06-10 |
| 1205450293 | Temitope Ade-oshifogun | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-06-04 |
| 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 | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720291529 | Affilion LLC | Emergency Medicine | 4311 E Lohman Ave, Las Cruces, NM 88011 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215230644 | Barbara Lynn Schmeits Hapke | Emergency Medicine | Country Road A-78, Private Road 2001 #18, Raton, NM 87740-0446 | 2010-12-07 |
| 1699807248 | Alfred William Neely | Emergency Medicine | 22 Meadow Hawk Ln, Silver City, NM 88022-9727 | 2007-03-09 |
| 1972682078 | Elin Mckinnon Ritchie | Emergency Medicine | Hc 74 Box 21913, El Prado, NM 87529 | 2006-11-02 |
| 1952366700 | Philip Seidenberg | Emergency Medicine | Unm Department of Emergency Medicine Msc10, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-04-17 |
| 1669433017 | William M Roethel | Emergency Medicine | 601 Martin Luther King Ave Ne, Albuquerque, NM 87102-3619 | 2006-03-28 |
| 1427039759 | Warner J Anderson | Emergency Medicine | 218 Cousins Road, Vanderwagen, NM 87326 | 2005-11-14 |
| 1003800822 | James D Schmitz | Emergency Medicine | 42 S Florida Ave, Alamogordo, NM 88310-9533 | 2005-09-08 |
| 1245891647 | Abq Ip LLC | Emergency Medicine | 9310 Coors Blvd Nw, Albuquerque, NM 87114-4006 | 2019-06-26 |
| 1376007765 | Abq Ep, LLC | Emergency Medicine | 9310 Coors Blvd Nw, Albuquerque, NM 87114-4006 | 2019-01-30 |
| 1174016455 | Claire Marie Pultz | Emergency Medicine | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2018-06-11 |
| Find all providers with the same taxonomy | ||||
| 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.