DR. IVAN JOHN CHRISTOV NICOLOV (NPI# 1649488255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649488255 |
Entity Type | Individual |
Full Name | DR. IVAN JOHN CHRISTOV NICOLOV |
Credential | M.D. |
Practice Address |
Bia Rte 125 Pine Hill NM 87357 |
Mailing Address |
Bia Rte 125 310 Pine Hill NM 87357 |
Practice Telephone | 5057753271 |
Practice Fax Number | 5057753930 |
Mailing Telephone | 5057753271 |
Mailing Fax Number | 5057753930 |
Enumeration Date | 2007-05-18 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
MD20060115 | NM | Allopathic & Osteopathic Physicians |
Street Address |
BIA RTE 125 |
City | PINE HILL |
State | NM |
Zip Code | 87357 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659996031 | Siamak Mollaei | Pharmacist | Bureau of Indian Affair Route 125, Pinehill, NM 87357 | 2020-06-11 |
1205450939 | Aislinn B Grover | Dental Hygienist | Indian Service Rte 140 & Indian Service Route 125, Pinehill, NM 87357 | 2020-05-28 |
1285286419 | Myeshia La'tway Carroll | Nurse Practitioner | Indian Service Rte 140 & Indian Service Rte 125, Pine Hill, NM 87357 | 2019-07-09 |
1659735140 | Jennifer John Charley | Counselor | 15 Behavioral Health Rd, Pinehill, NM 87357 | 2016-04-11 |
1639421001 | Vicki Andrea Winter | Pharmacist | Bia Route 140, Pinehill, NM 87357 | 2012-10-10 |
1043535388 | Pearl A Alonzo | Registered Nurse | Bia 125, Pine Hill Health Center, Pine Hill, NM 87357 | 2010-03-30 |
1306047527 | Michael John Nolan | Physician Assistant | 310 Pine Hill, Pine Hill, NM 87357 | 2007-05-29 |
1316066244 | Jill Sanders | Pharmacist | 125 Bia Route, Pine Hill Health Center, Pine Hill, NM 87357 | 2007-03-29 |
1073671194 | Pine Hill Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | Bia Rt 125, Pine Hill, NM 87357 | 2006-12-04 |
1720175581 | Kristi Michelle Turney | Pharmacist | Pine Hill Health Center, Bia Route 125, Pine Hill, NM 87357 | 2006-10-05 |
Find all providers in zip 87357 |
Taxonomy Code | 207QH0002X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Hospice and Palliative Medicine |
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013397363 | Gina Marie Lutz | Family Medicine | Hospice of New Mexico, 2900 Louisiana Blvd Ne, Albuquerque, NM 87110 | 2015-06-02 |
1770982951 | St. Vincent Hospital | Family Medicine | 490b W Zia Rd, Suite 4, Santa Fe, NM 87505-7008 | 2014-08-14 |
1346378015 | Francesco Standoli | Family Medicine | 4901 Lang Ave Ne, Albuquerque, NM 87109-4495 | 2007-03-02 |
1740299379 | Nancy Guinn | Family Medicine | 8100 Constitution Pl Ne, Suite 400, Albuquerque, NM 87110-7643 | 2006-08-05 |
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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.