CARMELITA AGODON (NPI# 1710965272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710965272 |
| Entity Type | Individual |
| Full Name | CARMELITA AGODON |
| Credential | MD |
| Practice Address |
1901 Redrock Dr Rehoboth Mckinley Christian Health Care Services Gallup NM 87301-5683 |
| Mailing Address |
1901 Redrock Dr Pfs Dept Gallup NM 87301-5683 |
| Practice Telephone | 5058637120 |
| Mailing Telephone | 5058637000 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
2001-01 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | BC/BS | NM009E83 | 01 |
| NM | 48126705 | 05 | |
| AZ | AHCCCS | 768781 | 01 |
| RAILROAD MEDICARE | P00211389 | 01 | |
| CHAMPUS | 85031326887301A159 | 01 | |
| NM | LOVELACE HEALTH/SALUD | 10004799 | 01 |
| RAILROAD MEDICARE | P00200853 | 01 | |
| NM | MOLINA | PROVP11034 | 01 |
| Street Address |
1901 REDROCK DR REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-5683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114164076 | Thomas Hall | Internal Medicine | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2009-01-14 |
| 1841445574 | Greg Allen Kirk | Physical Therapist | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2008-11-21 |
| 1164572533 | Rehoboth Mckinley Christian Health Care Services | Durable Medical Equipment & Medical Supplies | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2007-01-10 |
| 1053477505 | Western New Mexico Emergency Physicians PC | Emergency Medicine | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2006-12-29 |
| 1689784506 | Rehoboth Mckinley Christian Health Care Services, Inc | Internal Medicine | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2006-08-30 |
| 1720198088 | Lisa June Cope | Registered Nurse | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2006-08-30 |
| 1346273331 | Wayne W Charland | Pathology | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2006-07-10 |
| 1508809229 | Southwest Radiology Associates PC | Radiology | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2006-06-13 |
| 1801864970 | Pierre Lanthiez | Radiology | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2006-03-14 |
| 1861464141 | Oscar Palomo | Emergency Medicine | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2006-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093134983 | Matthew Steven Bergsten | Anesthesiology | 3600 Coors Blvd Nw Ste 200, Albuquerque, NM 87120-1436 | 2014-04-08 |
| 1932411220 | James H. Rice, M.d.,pc | Anesthesiology | 4700 Jefferson Blvd Nw, Suite 700, Albuquerque, NM 87109-2132 | 2010-07-02 |
| 1114958790 | Dr.thomas J Whalen Md PC | Anesthesiology | 8314 Kaseman Ct Ne, Albuquerque, NM 87110 | 2006-07-05 |
| 1568499697 | James H Rice | Anesthesiology | 4700 Jefferson Blvd. Ne, Suite 700, Albuquerque, NM 87109-2132 | 2006-06-26 |
| 1043265275 | William Laing Johnson | Anesthesiology | 4115 Montgomery Blvd Ne, Albuquerque, NM 87109-1102 | 2006-05-24 |
| 1588621551 | Angelique Marie Hart | Anesthesiology | 1530 Bishops Lodge Rd, Santa Fe, NM 87506-0005 | 2006-04-26 |
| 1962467555 | John Randall Underwood | Anesthesiology | 400 N Pennsylvania Ave Ste 570, Roswell, NM 88201-4792 | 2006-04-18 |
| 1316922750 | Llewelyn Anthony Williams | Anesthesiology | 2170 E Lohman Ave, Suite C, Las Cruces, NM 88001-8411 | 2005-12-08 |
| 1134120645 | Thomas Joseph Whalen IIi | Anesthesiology | 914 Pinehurst Rd Se, Rio Rancho, NM 87124-2219 | 2005-08-09 |
| 1942202205 | Irwin John Isaacs | Anesthesiology | 4163 Montgomery Blvd Ne, Albuquerque, NM 87109-6742 | 2005-06-01 |
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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.