MR. LOUTSIOS K. IERIDES (NPI# 1578601753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578601753 |
| Entity Type | Individual |
| Full Name | MR. LOUTSIOS K. IERIDES |
| Credential | MD |
| Practice Address |
711 Christopher Dr Belen NM 87002-2617 |
| Practice Telephone | 5052481800 |
| Practice Fax Number | 5052481917 |
| Mailing Telephone | 5052481800 |
| Mailing Fax Number | 5052481917 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2019-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
82-219 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 20420 | 05 |
| Street Address |
711 CHRISTOPHER DR |
| City | BELEN |
| State | NM |
| Zip Code | 87002-2617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306929633 | Roderick Woods | Internal Medicine | 711 Christopher Dr, Belen, NM 87002-2617 | 2006-10-23 |
| 1447398623 | Michael E. Gurule | Internal Medicine | 711 Christopher Dr, Belen, NM 87002-2617 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871124776 | Katie Dianna Noblin | Behavior Technician | 91 Lopez Road, Belen, NM 87002 | 2020-01-29 |
| 1093356214 | Sina Medical LLC | Clinic/Center | 386 Rio Communities Blvd, Rio Communities, NM 87002 | 2019-09-30 |
| 1962972505 | Candice Saavedra | Counselor | 2443 Hwy 47, Belen, NM 87002 | 2018-11-27 |
| 1124505201 | Mark Moriarty | Physician Assistant | 609 S Christopher Road, Belen, NM 87002 | 2018-07-23 |
| 1922504117 | Heart & Soul of Nm, Inc | Social Worker | 1300 East River Rd, Apt B, Belen, NM 87002 | 2018-04-05 |
| 1841717865 | Jacque Schneider | Registered Nurse | 19670 Hwy 314, Belen, NM 87002 | 2017-08-30 |
| 1013458892 | Sharlene Lopez | Behavior Technician | 1442 S Hwy 116, Belen, NM 87002 | 2017-03-14 |
| 1770020422 | Katie Jiron | Physical Therapist | 325 S Main St Ste A, Belen, NM 87002 | 2017-01-19 |
| 1275954364 | Leanne Fyfe Armstrong | Registered Nurse | 520 North Main St, Belen, NM 87002 | 2013-12-17 |
| 1912259821 | Recovery Services of New Mexico | Clinic/Center | 2443 Highway 47, Belen, NM 87002 | 2012-10-03 |
| Find all providers in zip 87002 | ||||
| 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 |
|---|---|---|---|---|
| 1306929633 | Roderick Woods | Internal Medicine | 711 Christopher Dr, Belen, NM 87002-2617 | 2006-10-23 |
| 1447398623 | Michael E. Gurule | Internal Medicine | 711 Christopher Dr, Belen, NM 87002-2617 | 2007-02-01 |
| 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.