JOHNNY C. MORENO, MD PA (NPI# 1861421059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861421059 |
| Entity Type | Organization |
| Organization Name | JOHNNY C. MORENO, MD PA |
| Practice Address |
606 N 13th St Artesia NM 88210-1165 |
| Mailing Address |
Po Box 1410 Artesia NM 88211-1410 |
| Practice Telephone | 5757481266 |
| Practice Fax Number | 5757488822 |
| Mailing Telephone | 5757481266 |
| Mailing Fax Number | 5757488822 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2009-10-01 |
| Authorized Official Name | JOHNNY C. MORENO (PRESIDENT) |
| Authorized Official Telephone | 5757481266 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 80-218 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
606 N 13TH ST |
| City | ARTESIA |
| State | NM |
| Zip Code | 88210-1165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871591701 | Johnny C. Moreno | General Practice | 606 N 13th St, Artesia, NM 88210-1165 | 2005-07-13 |
| 1972928067 | Yucca Dental Center, P.C. | Dentist | 606 N 13th St, Artesia, NM 88210-1165 | 2014-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003452012 | Blue Star Therapy, LLC | Occupational Therapist | 611 W. Mahone Dr., Artesia, NM 88210 | 2019-11-25 |
| 1245777382 | Alise Mullen | Registered Nurse | 1806 W. Centre Ave, Artesia, NM 88210 | 2017-01-27 |
| 1376890285 | Micki J Miller | Massage Therapist | 106 S. 7th. St., Artesia, NM 88210 | 2012-08-09 |
| 1396971222 | Grammy's House Artesia Domestic Violence Shelter Inc. | Social Worker | 811 W Texas, Artesia, NM 88210 | 2009-06-05 |
| 1013143338 | Yucca Health Care Centers | Clinic/Center | 606 North 13th Street, Artesia, NM 88210 | 2009-06-01 |
| 1205077310 | Kay L. Younggren Dds | Dentist | 2520 W. Hermosa, Artesia, NM 88210 | 2009-03-19 |
| 1922264902 | Sherry Rayne Moya | Nurse Practitioner | 702 13th Street, Artesia, NM 88210 | 2008-07-30 |
| 1679778054 | Susan Emelie Trompeter | Internal Medicine | 702 N 13th St Ste 100, Artesia, NM 88210 | 2007-06-18 |
| 1952518292 | D. Ann Sanders | Registered Nurse | 504 Gage, Artesia, NM 88210 | 2007-05-17 |
| 1366597908 | Pecos Valley Regional Education Coop 8 | Community/Behavioral Health | 2218 W Grand Ave, Artesia, NM 88210 | 2007-01-24 |
| Find all providers in zip 88210 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942608708 | Marathon Health, Inc. | General Practice | 2208 W Main St, C/o Concho Employee Health Center, Artesia, NM 88210-3720 | 2014-12-10 |
| 1871591701 | Johnny C. Moreno | General Practice | 606 N 13th St, Artesia, NM 88210-1165 | 2005-07-13 |
| 1265438113 | Longway Tsai | General Practice | 12225 South St, Ste 101, Artesia, CA 90701-7046 | 2005-06-24 |
| 1770713273 | Walk In Medical Care | General Practice | 18326 Pioneer Blvd, Artesia, CA 90701-5533 | 2009-07-17 |
| 1437375953 | Kailash Dhamija Walk In Medical Care A Medical Corporation | General Practice | 18326 Pioneer Blvd, Artesia, CA 90701-5533 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616679 | Gemma Cristina Zapater | General Practice | 923 Calle Fuerte Ne, Albuquerque, NM 87113-2373 | 2020-10-15 |
| 1710596036 | Provider Cares Network LLC | General Practice | 10401 Montgomery Pkwy Ne Ste 1a, Albuquerque, NM 87111-3876 | 2020-07-23 |
| 1154948081 | Designed Health Options, LLC | General Practice | 5065 Corrales Rd., Corrales, NM 87048 | 2020-06-26 |
| 1538714381 | Uyama A Fernandez | General Practice | 400 Gold Ave Sw Ste 220, Albuquerque, NM 87102-3278 | 2019-08-08 |
| 1386180909 | Lisselle Marie Villarrubia Ocasio | General Practice | Msc10 6000 1 University of New Mexico, Albuquerque, NM 87131-5505 | 2017-01-07 |
| 1225586969 | Joan Goldsworthy | General Practice | Unm School of Medicine Msc09 5040, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-09-12 |
| 1033568902 | Karen Griest | General Practice | 68 Pinon Trl, Cedar Crest, NM 87008-9444 | 2016-06-10 |
| 1447610886 | Sean T Mcgee | General Practice | Univeristy of New Mexico, Albuquerque, NM 87131-0001 | 2016-02-27 |
| 1275901266 | Lynn Schrader Sweeney | General Practice | 701 Kerney Dr, Farmington, NM 87401-3660 | 2015-09-08 |
| 1265871495 | Mary None Birdsong | General Practice | 3901 Indian School Rd Ne Apt A207, Albuquerque, NM 87110-3855 | 2013-06-20 |
| 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.