LOS ALAMOS MEDICAL CARE CLINIC LTD (NPI# 1801816293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801816293 |
| Entity Type | Organization |
| Organization Name | LOS ALAMOS MEDICAL CARE CLINIC LTD |
| Practice Address |
3917 West Rd Suite 150 Los Alamos NM 87544 |
| Practice Telephone | 5056624351 |
| Practice Fax Number | 5056622932 |
| Mailing Telephone | 5056624351 |
| Mailing Fax Number | 5056622932 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | CLAUDETTE MEDINA (OFFICE MANAGER) |
| Authorized Official Telephone | 5056624351 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
3917 WEST RD SUITE 150 |
| City | LOS ALAMOS |
| State | NM |
| Zip Code | 87544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031321 | Jan M Merin | Internal Medicine | 3917 West Rd, Los Alamos, NM 87544-2275 | 2005-05-23 |
| 1366089237 | Gonzalo A Diaz | Internal Medicine | 3917 West Rd, Los Alamos, NM 87544-2275 | 2019-12-10 |
| 1124576327 | Clay Schneider | Nurse Practitioner | 3917 West Rd, Los Alamos, NM 87544-2275 | 2016-09-15 |
| 1093167330 | Laura K Merrigan | Nurse Practitioner | 3917 West Rd, Suite A, Los Alamos, NM 87544-2275 | 2016-07-11 |
| 1043675473 | Total Renal Care Inc | Clinic/Center | 3917 West Rd, Ste G-02, Los Alamos, NM 87544-2275 | 2015-12-30 |
| 1225414253 | Sarah Versackas | Registered Nurse | 3917 West Rd, Suite A, Los Alamos, NM 87544-2275 | 2015-07-31 |
| 1700273745 | Apogee Medical Group | General Acute Care Hospital | 3917 West Rd, Los Alamos, NM 87544-2275 | 2015-04-16 |
| 1679965883 | Los Alamos Emergency Medical Associates Inc | Emergency Medicine | 3917 West Rd, Los Alamos, NM 87544-2275 | 2015-02-25 |
| 1659773612 | Eric Jonathan Krinsky | Physician Assistant | 3917 West Rd, Suite 150, Los Alamos, NM 87544-2275 | 2014-09-22 |
| 1740681311 | Robin Jean Norman | Physician Assistant | 3917 West Rd, Suite 150, Los Alamos, NM 87544-2275 | 2014-09-14 |
| Find all providers in the same location | ||||
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104803675 | Cottontree Center | Clinic/Center | 190 Central Park Sq, Suite 105, Los Alamos, NM 87544-4001 | 2005-12-27 |
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|---|---|---|---|---|
| 1417572710 | Vasco Healthcare Inc | Clinic/Center | 717 Encino Pl Ne Ste 8, Albuquerque, NM 87102-2624 | 2020-06-11 |
| 1578100251 | Med-ease Medical Associates LLC | Clinic/Center | 6300 Montano Rd Nw Ste G1, Albuquerque, NM 87120-1826 | 2019-12-02 |
| 1700345436 | Lancer Health Group, LLC | Clinic/Center | 1400 S 2nd St, Raton, NM 87740-2102 | 2019-03-12 |
| 1265998314 | Stillwater Therapeutic Bodywork | Clinic/Center | 460 Saint Michaels Dr Ste 1205, Santa Fe, NM 87505-8605 | 2019-02-13 |
| 1891281259 | Pain and Addiction Services, LLC | Clinic/Center | 1110 Pennsylvania St Ne Ste B, Albuquerque, NM 87110-7404 | 2018-07-09 |
| 1477076008 | Florecer Therapies Inc | Clinic/Center | 1320 Arenal Rd Sw, Albuquerque, NM 87105-4030 | 2017-07-25 |
| 1750767810 | Southwest Care Center Jefferson Albuquerque | Clinic/Center | 4710 Jefferson Ne, Suite A, Albuquerque, NM 87109 | 2015-07-30 |
| 1366782526 | Premise Health of New Mexico Medical P C | Clinic/Center | 6401 Jefferson St Ne, Albuquerque, NM 87109-4376 | 2013-02-26 |
| 1063788701 | Integrated Wellness | Clinic/Center | 10209 Nacimiento St Nw, Albuquerque, NM 87114-4457 | 2012-03-27 |
| 1336442854 | San Cristobal Treatment Center | Clinic/Center | 176 Camino Del Medio, San Cristobal, NM 87564 | 2010-12-07 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMOS |
| Zip Code | 87544 |
Please comment or provide details below to improve the information on LOS ALAMOS MEDICAL CARE CLINIC LTD.
| 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.