MELANIE GANTNER


Address: 540 Walton Blvd, Ste C, Las Cruces, NM 88001-8433
Phone: 5755252700

MELANIE GANTNER (NPI# 1912952003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912952003
Entity Type Individual
Full Name MELANIE GANTNER
Credential PA
Practice Address 540 Walton Blvd
Ste C
Las Cruces
NM 88001-8433
Practice Telephone 5755252700
Practice Fax Number 5755242045
Mailing Telephone 5755252700
Mailing Fax Number 5755242045
Enumeration Date 2006-05-24
Last Update Date 2016-10-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA2004-0012 NM Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 540 WALTON BLVD
STE C
City LAS CRUCES
State NM
Zip Code 88001-8433

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316243736 Shannon L Rodriguez Clinical Nurse Specialist 540 Walton Blvd, Suite C, Las Cruces, NM 88001-8433 2011-02-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760020044 Three Crosses Regional Hospital LLC General Acute Care Hospital 2560 Samaritan Drive, Las Cruces, NM 88001 2019-12-17
1760961908 Halcyon Health of The Southwest, LLC Nurse Practitioner 1355 California Ave Ste B, Las Cruces, NM 88001 2018-08-08
1255818530 Lago Claro, LLC Counselor 2410 S. Espina St, Las Cruces, NM 88001 2018-07-19
1407371818 Elijah Daniel Perez Behavior Technician 1535 Myrtle Ave, Las Cruces, NM 88001 2017-08-07
1982128641 Krystal Marie Ruiz Psychologist 505 S. Main, Ste. 249, Las Cruces, NM 88001 2017-08-03
1457886913 Mathew Petersen Dds PC Dentist 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 2017-04-21
1801343439 Celia Holmes Registered Nurse 505 S Main, Ste 249, Las Cruces, NM 88001 2016-09-01
1427420223 Sara Guidetti Family Medicine 3080 Breland Drive, Las Cruces, NM 88001 2015-10-20
1679987234 Maria De Jesus Martinez Nurse Practitioner 1170 N. Solano Ste A, Las Cruces, NM 88001 2014-06-11
1851701494 Viola E Garcia Case Manager/Care Coordinator 100 W Griggs, Las Cruces, NM 88001 2014-05-05
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164978540 Deborah L Thorne Physician Assistant 111 W Lucero Ave Ste 6, Las Cruces, NM 88005-1829 2016-08-26
1720445562 Rebecca Gahan Brown Physician Assistant 150 N Roadrunner Pkwy, Las Cruces, NM 88011 2016-01-25
1508232240 Edward R Watson Physician Assistant 2530 S Telshor Blvd Ste 207, Las Cruces, NM 88011-4975 2015-08-17
1114385069 Katelyn Przybyszewski Physician Assistant 4371 E Lohman Ave, Las Cruces, NM 88011-8255 2016-02-08
1164824306 Rebecca Burrington Physician Assistant 3530 Foothills Rd, Las Cruces, NM 88011 2014-09-18
1346541448 Robert Wayne Fakler Jr. Physician Assistant 4351 E Lohman Ave Ste 204, Las Cruces, NM 88011-8260 2010-11-05
1518935105 Jilana Gladstone Physician Assistant 4371 E Lohman Ave, Las Cruces, NM 88011-8255 2006-03-09
1568455616 Reagan R. Dunnahoo Physician Assistant 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 2005-08-24
1528064060 Susan Faythe Gowing Physician Assistant 4351 E Lohman Ave, Suite 405, Las Cruces, NM 88011-8259 2005-06-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386284602 Christopher Whorley Physician Assistant 4683 Idlewilde Ln Se, Albuquerque, NM 87108-3421 2020-01-15
1053836809 Alysha Gallegos Physician Assistant 6112 Molinero Ct Sw, Albuquerque, NM 87105-6814 2017-08-13
1134572738 Weston Bradley Graff Physician Assistant 703 Christopher Dr, Belen, NM 87002-2617 2016-07-19
1295194629 Ryan Grange Physician Assistant 1851 Old Highway 66 Unit 1, Edgewood, NM 87015 2016-02-12
1306225180 Allison Rose Crossey Physician Assistant 201 Cedar Street Se, Suite 6600, Albuquerque, NM 87106 2015-05-26
1528452208 Taylor Bottari Physician Assistant 208 W Dl Ingram, Cannon Afb, NM 88103 2015-03-20
1336543115 Pamela O Black Md, P.a., Dba Quadra Health Institute Physician Assistant 3820 Commons Ave Ne # M, Albuquerque, NM 87109-5831 2014-10-22
1396155206 Jennifer Brynn Bendokas Physician Assistant 224 West Dl Ingram Avenue, Cannon Afb, NM 88103 2014-04-30
1760771067 Kristal Anguiano Physician Assistant 2010 Industrial Park Rd., El Centro Family Health, Espanola, NM 87532-3600 2011-04-07
1598065484 Amber J Stoll Physician Assistant 303 West Country Club Rd., Roswell, NM 88201 2010-10-26
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Competitor

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City LAS CRUCES
Zip Code 88001

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Dataset Information

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.

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