MATTHEW LAUMBACH (NPI# 1457781759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457781759 |
| Entity Type | Individual |
| Full Name | MATTHEW LAUMBACH |
| Credential | MPAS PA-C |
| Practice Address |
2200 W 21st St Clovis NM 88101-2011 |
| Mailing Address |
Po Box 26666 Phs Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5757697577 |
| Mailing Telephone | 5059236770 |
| Mailing Fax Number | 5059235354 |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2018-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2013-0063 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 1073870432 | Raena Singh | Family Medicine | 2200 W 21st St, Clovis, NM 88101-2011 | 2012-04-23 |
| 1407086705 | Jaya D Bathina | Internal Medicine | 2200 W 21st St, Clovis, NM 88101-2011 | 2009-07-21 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225678543 | Charla Marie Dunn | Physician Assistant | 701 Arizona St Ste A, Clovis, NM 88101-2110 | 2020-01-14 |
| 1689110066 | Tasha R Cockrum | Physician Assistant | 729 N Medical Center Dr W Ste 101, Clovis, CA 93611-6880 | 2017-01-10 |
| 1356778302 | Jonathan Crosby | Physician Assistant | 729 N Medical Center Drive West Suite 101, Clovis, CA 93611 | 2013-10-07 |
| 1851739106 | Jennifer Anne Dobrinen | Physician Assistant | 964 N Bush Ave, Clovis, CA 93611-7125 | 2013-06-10 |
| 1184871113 | Jessica Rodriguez Ohanesian | Physician Assistant | 2755 Herndon Ave., Clovis, CA 93611-0000 | 2008-08-21 |
| 1518004308 | Tony Reid | Physician Assistant | 255 W Bullard Ave Ste 109, Clovis, CA 93612-0861 | 2007-01-31 |
| 1407965478 | Patricia Lynn Bartel | Physician Assistant | 221 W Fir Ave Ste 101, Clovis, CA 93611 | 2006-08-30 |
| 1255375903 | Charles Daniel Otero | Physician Assistant | 701 Arizona St, Suite A, Clovis, NM 88101-2110 | 2006-06-15 |
| 1902865066 | Rajib Das | Physician Assistant | 1934 N Whiteash Ave, Clovis, CA 93619-9509 | 2006-03-18 |
| 1891309688 | Kyrian C Obidiegwu | Physician Assistant | 2021 Herndon Ave # 101, Clovis, CA 93611-6316 | 2020-08-31 |
| Find all providers in CLOVIS | ||||
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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.