MEDICAL ASSOCIATES OF NORTHERN NEW MEXICO (NPI# 1659910354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659910354 |
| Entity Type | Organization |
| Organization Name | MEDICAL ASSOCIATES OF NORTHERN NEW MEXICO |
| Other Organization Name | MEDICAL ASSOCIATES OF NORTHERN NEW MEXICO- URGENT CARE CLINIC |
| Practice Address |
3917 West Rd Ste D Los Alamos NM 87544-2292 |
| Mailing Address |
3917 West Rd Ste A Los Alamos NM 87544-2292 |
| Practice Telephone | 5056618900 |
| Practice Fax Number | 5056618916 |
| Mailing Telephone | 5056618900 |
| Mailing Fax Number | 5056618916 |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2020-08-31 |
| Authorized Official Name | RIVER ROGERS (AO) |
| Authorized Official Telephone | 5056618989 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDICAL ASSOCIATES OF NORTHERN NEW MEXICO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Medical Associates of Northern New Mexico- Urgent Care Clinic | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3917 West Rd Ste A, Los Alamos, NM 875442292 | 5056618900 | 5056618916 |
| 3917 West Rd Ste A, Los Alamos, NM 875442292 | 5056618989 | 5056618916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073501508 | Medical Associates of Northern New Mexico | Family Medicine | 3917 West Rd, Suite A, Los Alamos, NM 87544-2275 | 2005-10-10 |
| Street Address |
3917 WEST RD STE D |
| City | LOS ALAMOS |
| State | NM |
| Zip Code | 87544-2292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548537632 | Rheumatology Specialists of New Mexico LLC | Internal Medicine | 3917 West Rd Ste D, Los Alamos, NM 87544-2292 | 2011-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679945935 | Zia Home Health | Home Health | 1475 Central Ave., Suite 125, Los Alamos, NM 87544 | 2015-10-27 |
| 1295131167 | Sara Pocernik | Dietitian, Registered | 1450 Iris Street, Los Alamos, NM 87544 | 2014-11-05 |
| 1760824890 | Lisa Renee Marr Lyon | Psychologist | 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 | 2013-07-17 |
| 1558629725 | Rachel Meyer | Dentist | 112 Central Park Square, Los Alamos, NM 87544 | 2012-04-25 |
| 1902183908 | Susana T. Chavarria | Occupational Therapist | 5 Quemazon Pl., Los Alamos, NM 87544 | 2011-11-04 |
| 1881998664 | Dr. Tom Child and Adolescent Medicine | Pediatrics | Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 | 2011-01-07 |
| 1952565905 | Dawn Judy Barr | Social Worker | 3 Agila Ct, Los Alamos, NM 87544 | 2008-07-17 |
| 1649452129 | Ellen Vandergust Ballard | Dentist | 111 Longview, Suite B-3, White Rock, NM 87544 | 2007-11-27 |
| 1629290283 | Wildwind Dental | Dentist | 111 Longview Drive, Suite B3, Los Alamos, NM 87544 | 2007-05-03 |
| 1255407342 | Sarah Sue Teasdale | Counselor | 1362 C Trinity Dr, Los Alamos, NM 87544 | 2006-11-28 |
| Find all providers in zip 87544 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053781914 | Trinity Urgent Care LLC | Clinic/Center | 1460 Trinity Dr, Suite A, Los Alamos, NM 87544-4106 | 2015-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093356214 | Sina Medical LLC | Clinic/Center | 386 Rio Communities Blvd, Rio Communities, NM 87002 | 2019-09-30 |
| 1750942207 | Bloom New Mexico LLC | Clinic/Center | 2930 E Main St, Farmington, NM 87402-7624 | 2019-06-25 |
| 1356897987 | American Current Care Pa | Clinic/Center | 3101 Menaul Blvd Ne, Suite B, Albuquerque, NM 87107-1872 | 2016-09-01 |
| 1598141152 | St. Vincent Hospital | Clinic/Center | 5501 Herrera Dr Ste B, Santa Fe, NM 87507-2684 | 2015-08-06 |
| 1366838591 | Express Care of Hobbs | Clinic/Center | 3900 N Lovington Hwy, Suite 550, Hobbs, NM 88240-1160 | 2015-04-14 |
| 1821484528 | Hcp Systems LLC | Clinic/Center | 2925 Carlisle Blvd Ne, Albuquerque, NM 87110-2807 | 2015-04-09 |
| 1912267493 | Occupational Testing Resources LLC | Clinic/Center | 1504 N. Grimes, Hobbs, NM 88240 | 2012-05-18 |
| 1760740245 | Memorial Prompt Care LLC | Clinic/Center | 3030 W Picacho Ave, Suite D, Las Cruces, NM 88007-4721 | 2012-05-02 |
| 1114220316 | Ultimed Red River, Inc. | Clinic/Center | 37 Aspen, Angel Fire, NM 87710-0000 | 2010-12-09 |
| 1053629501 | Quick Care LLC | Clinic/Center | 850 N Motel Blvd, Las Cruces, NM 88007-8159 | 2010-09-17 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMOS |
| Zip Code | 87544 |
Please comment or provide details below to improve the information on MEDICAL ASSOCIATES OF NORTHERN NEW MEXICO.
| 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.