DR. IKE IKPONMWOSA IYAMU (NPI# 1740767482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740767482 |
| Entity Type | Individual |
| Full Name | DR. IKE IKPONMWOSA IYAMU |
| Credential | DNP, CRNA |
| Practice Address |
2450 S Telshor Blvd Las Cruces NM 88011-5076 |
| Mailing Address |
2471 Conchas Ln Las Cruces NM 88011-1733 |
| Practice Telephone | 5755324432 |
| Practice Fax Number | 5755324431 |
| Mailing Telephone | 7135912433 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 118612 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2450 S TELSHOR BLVD |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-5076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619973187 | Jenifer Lichtenfels | Pediatrics | 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 | 2005-06-21 |
| 1669080560 | Leonard Nathaniel Sampath | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-07-16 |
| 1396362034 | Sartaj Singh Brar | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-06-29 |
| 1497372387 | Alexander Topete | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5076 | 2020-06-26 |
| 1619594421 | Eva Roxanna Campos | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-06-26 |
| 1437774759 | Bryan Wellington Messenger | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-06-12 |
| 1558986745 | Anthony Cohn | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5076 | 2020-06-12 |
| 1205451739 | Elena Liang Liang | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-06-10 |
| 1750906285 | Nagapavani Kandagari | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-06-10 |
| 1205450293 | Temitope Ade-oshifogun | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-06-04 |
| Find all providers in the same location | ||||
| 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 | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235740549 | Catherine Elizabeth Boyle | Nurse Anesthetist, Certified Registered | 555 S Telshor Blvd Ste 100b, Las Cruces, NM 88011-3644 | 2020-08-11 |
| 1053958066 | Jessica Quinteros | Nurse Anesthetist, Certified Registered | 555 S Telshor Blvd, Las Cruces, NM 88011-8627 | 2019-12-09 |
| 1568866176 | Eva Suniga | Nurse Anesthetist, Certified Registered | 3957 Agua De Vida Dr, Las Cruces, NM 88012-7669 | 2014-10-10 |
| 1043643679 | Aaron Villarreal | Nurse Anesthetist, Certified Registered | 3851 E Lohman Ave. Suite 4, Las Cruces, NM 88011 | 2013-08-19 |
| 1932133618 | Paul Kisucky IIi | Nurse Anesthetist, Certified Registered | 925 S Walnut St, Las Cruces, NM 88001-3955 | 2006-07-10 |
| 1861028615 | Lilia Azucena Goroeoff | Nurse Anesthetist, Certified Registered | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-03-12 |
| 1235769829 | Skyler Murdock | Nurse Anesthetist, Certified Registered | 2450 S Telshor Blvd, Las Cruces, NM 88011-5076 | 2020-01-22 |
| 1538719372 | Iyamu Anesthesia Solutions LLC | Nurse Anesthetist, Certified Registered | 925 S Walnut St, Las Cruces, NM 88001-3955 | 2019-09-13 |
| 1790340974 | Paul Kisucky LLC | Nurse Anesthetist, Certified Registered | 925 S Walnut St, Las Cruces, NM 88001-3955 | 2019-05-03 |
| 1558802371 | Redmallet Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 925 S Walnut St, Las Cruces, NM 88001-3955 | 2017-03-13 |
| Find all providers in LAS CRUCES | ||||
| 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.