PAIN & SPINE CLINIC OF NEW MEXICO PC (NPI# 1568992600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568992600 |
| Entity Type | Organization |
| Organization Name | PAIN & SPINE CLINIC OF NEW MEXICO PC |
| Practice Address |
4401 E Lohman Ave Las Cruces NM 88011 |
| Mailing Address |
801 E Nolana Ave Ste 7 Mcallen TX 78504-6113 |
| Practice Telephone | 9566878120 |
| Practice Fax Number | 9566867793 |
| Mailing Telephone | 9566878120 |
| Mailing Fax Number | 9566867793 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2017-06-12 |
| Authorized Official Name | PAM NELSON (BILLING SUPERVISOR) |
| Authorized Official Telephone | 9566878120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
MD2017-0016 | NM | Ambulatory Health Care Facilities |
| Street Address |
4401 E LOHMAN AVE |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942288147 | Randy Boyer | Physician Assistant | 4401 E Lohman Ave, Las Cruces, NM 88011-8267 | 2006-01-06 |
| 1093210932 | Shimon Thomas | Nurse Practitioner | 4401 E Lohman Ave, Las Cruces, NM 88011-8267 | 2018-03-23 |
| 1124566179 | Desaree Fowler Buckman | Nurse Practitioner | 4401 E Lohman Ave, Las Cruces, NM 88011-8267 | 2017-02-09 |
| 1144697277 | Cristianna Garcia | Nurse Practitioner | 4401 E Lohman Ave, Las Cruces, NM 88011-8267 | 2015-08-24 |
| 1245653351 | Yvonne Basil | Nurse Practitioner | 4401 E Lohman Ave, Las Cruces, NM 88011-8267 | 2014-01-24 |
| 1720400682 | Kristina Navarro | Nurse Practitioner | 4401 E Lohman Ave, Las Cruces, NM 88011-8267 | 2014-01-13 |
| 1043530132 | Gretchen Struemph | Pediatrics | 4401 E Lohman Ave, Las Cruces, NM 88011-8267 | 2010-06-11 |
| 1063490175 | Hasan Adnan | Pediatrics | 4401 E Lohman Ave, Las Cruces, NM 88011-8267 | 2006-01-09 |
| 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 | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063785921 | Mesilla Valley Pain Clinic, LLC | Clinic/Center | 1240 S Telshor Blvd Ste A, Las Cruces, NM 88011-4731 | 2012-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164697868 | Osuna Medical Associates, Pa | Clinic/Center | 5740 Osuna Rd Ne, Albuquerque, NM 87109-2527 | 2008-04-24 |
| 1780147454 | Lovelace Unm Rehabilitation Hospital LLC Pain Clinc | Clinic/Center | 500 Walter St Ne Ste 213, Albuquerque, NM 87102-2543 | 2019-04-10 |
| 1801365317 | Sierra Vista Hospital 69 | Clinic/Center | 800 E 9th Ave, T Or C, NM 87901-1954 | 2018-11-14 |
| 1518478866 | Diego J Gonzalez Md PC | Clinic/Center | 500 Walter St Ne Ste 309, Albuquerque, NM 87102-2562 | 2017-10-13 |
| 1528585049 | St Vincent Hospital | Clinic/Center | 1631 Hospital Dr, Santa Fe, NM 87505-4728 | 2017-08-25 |
| 1922305580 | Smith Chiropractic, PC | Clinic/Center | 1707 E 20th St, Farmington, NM 87401-4309 | 2011-02-17 |
| 1962537027 | John S Caskey M.d., LLC | Clinic/Center | 1421 Luisa St, Unit I, Santa Fe, NM 87505-4073 | 2007-02-22 |
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on PAIN & SPINE CLINIC OF NEW MEXICO PC.
| 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.