SOUTHERN NEW MEXICO FAMILY NEUROLOGY LLC (NPI# 1720643323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720643323 |
| Entity Type | Organization |
| Organization Name | SOUTHERN NEW MEXICO FAMILY NEUROLOGY LLC |
| Practice Address |
2801 Missouri Ave Ste 12 Las Cruces NM 88011-5061 |
| Mailing Address |
1180 Commerce Dr Unit 13028 Las Cruces NM 88011-8210 |
| Practice Telephone | 7185706086 |
| Mailing Telephone | 7185706086 |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |
| Authorized Official Name | MISS ROCCO FRANCO (PRESIDENT AND SOLE SHAREHOLDER) |
| Authorized Official Telephone | 7185706086 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
2801 MISSOURI AVE STE 12 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-5061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164613261 | Ann S Mercer Md Pa | Internal Medicine | 2801 Missouri Ave Ste 12, Las Cruces, NM 88011-5061 | 2007-08-05 |
| 1043561699 | Smart Care, Inc. | Clinic/Center | 2801 Missouri Ave Ste 12, Las Cruces, NM 88011-5061 | 2012-09-23 |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417578816 | Destino Bella, LLC. | Clinic/Center | 755 S Telshor Blvd Ste 101a, Las Cruces, NM 88011-4686 | 2020-04-27 |
| 1851639330 | Obi Okoli LLC | Clinic/Center | 2801 E. Missouri Ave, Suite 12, Las Cruces, NM 88011-5061 | 2013-01-18 |
| 1255504288 | Bauer Chiropractic PC | Clinic/Center | 1265 S Main St, Las Cruces, NM 88005-3122 | 2008-04-10 |
| 1669506994 | Accent On Health Medical Associates, Inc. | Clinic/Center | 4311 E Lohman Ave, Las Cruces, NM 88011-8255 | 2007-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245748698 | Chirolittle Inc | Clinic/Center | 4685 Corrales Rd # 7, Corrales, NM 87048-8617 | 2018-01-19 |
| 1013367440 | Caperton Fertility Institute, LLC | Clinic/Center | 6500 Jefferson St Ne Ste 250, Albuquerque, NM 87109-3490 | 2016-06-16 |
| 1033599741 | Power of Touch Massage Therapy | Clinic/Center | 5353 Wyoming Blvd Ne Ste C, Albuquerque, NM 87109 | 2015-06-08 |
| 1740620327 | Contact Lens Gallery, Inc. | Clinic/Center | 6321 Riverside Plaza Ln Nw Ste B, Albuquerque, NM 87120-2641 | 2013-06-27 |
| 1356780597 | Health Quest Albuquerque Acres LLC | Clinic/Center | 8650 Alameda Blvd Ne, Suite 104e, Albuquerque, NM 87122-3744 | 2013-06-20 |
| 1275801359 | Visionquest I-rx Inc | Clinic/Center | 2501 Yale Blvd Se Ste 301, Albuquerque, NM 87106-4358 | 2011-12-05 |
| 1477855104 | James D. Mickle, Jr. Md | Clinic/Center | 4 Calle Medico, C, Santa Fe, NM 87505-4791 | 2010-12-01 |
| 1912218207 | Myo Cardiovascular Clinic LLC. | Clinic/Center | 1596 San Mateo Ln, Santa Fe, NM 87505-3918 | 2010-07-01 |
| 1427387836 | Francesco Standoli Md, LLC | Clinic/Center | 9207 Snowridge Ct Ne, Albuquerque, NM 87111-2440 | 2009-12-14 |
| 1497872931 | Alamogordo Ear Nose & Throat - Facial Plastic Surgery PC | Clinic/Center | 1401 10th St Ste C, Alamogordo, NM 88310-5012 | 2007-03-22 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
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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.