INVICTUS HEALTHCARE MANAGEMENT, LLC (NPI# 1770064743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770064743 |
| Entity Type | Organization |
| Organization Name | INVICTUS HEALTHCARE MANAGEMENT, LLC |
| Practice Address |
1901 Red Rock Dr Gallup NM 87301-5683 |
| Mailing Address |
2418 E. Hwy 66 Pmb 496 Gallup NM 87301 |
| Practice Telephone | 5058637030 |
| Practice Fax Number | 5058635806 |
| Mailing Telephone | 9155253370 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Authorized Official Name | MRS. JASMINE KIEFER (VP OF OPERATIONS) |
| Authorized Official Telephone | 9155253370 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | NM | Allopathic & Osteopathic Physicians |
| Street Address |
1901 RED ROCK DR |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-5683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548242845 | Dennis Marrero | Specialist/Technologist, Other | 1901 Red Rock Dr, Gallup, NM 87301-5683 | 2005-11-14 |
| 1083186423 | Samantha Alexis Miller | Surgery | 1901 Red Rock Dr, Gallup, NM 87301-5683 | 2018-12-26 |
| 1780036582 | App of New Mexico Hm Pllc | Emergency Medicine | 1901 Red Rock Dr, Gallup, NM 87301-5683 | 2016-07-06 |
| 1659734192 | Hannah Christine Palm | Obstetrics & Gynecology | 1901 Red Rock Dr, Gallup, NM 87301-5683 | 2016-04-01 |
| 1477623213 | Thomas John Herr | Pediatrics | 1901 Red Rock Dr, Gallup, NM 87301-5683 | 2006-11-09 |
| 1235183492 | Ayodele Olumide Erinle | Emergency Medicine | 1901 Red Rock Dr, Gallup, NM 87301-5683 | 2006-05-20 |
| 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 | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871859975 | Stephen Mehanni | Hospitalist | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2012-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619449857 | David Anthony Silva | Hospitalist | 1134 Turkey Knob Dr, Las Cruces, NM 88012-6118 | 2018-12-28 |
| 1487195368 | Steve Stewart | Hospitalist | 800 E. 9th Avenue, Truth Or Consequences, NM 87901 | 2017-03-13 |
| 1386902260 | Bilal Mohammad Khan | Hospitalist | Msc04 -2785 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-04-27 |
| 1275778433 | Lisa Marie Lesher | Hospitalist | 202 S Guadalupe St, Carlsbad, NM 88220-5725 | 2008-12-02 |
| 1548265713 | Milagro Medical Group PC | Hospitalist | 504 Elm St Ne, Albuquerque, NM 87102-2512 | 2005-06-15 |
| 1215408497 | Aanu Ogunbanjo | Hospitalist | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2018-12-16 |
| 1366928749 | Nm Pacs 2 LLC | Hospitalist | 10101 Lagrima De Oro Rd Ne, Albuquerque, NM 87111-6022 | 2018-07-18 |
| 1801325634 | New Mexico Pac Services PC | Hospitalist | 635 Harkle Rd, Santa Fe, NM 87505-4751 | 2017-06-06 |
| 1407383417 | John Wuthrich | Hospitalist | 4311 E Lohman Ave, Las Cruces, NM 88011-8255 | 2017-05-22 |
| 1528420676 | Rebecca B Richardson | Hospitalist | Msc10 5550 1 University of New Mexico, Albuquerque, NM 87131-0002 | 2016-03-27 |
| Find all providers with the same taxonomy | ||||
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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.