JOHN D. PATRICK (NPI# 1932147105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932147105 |
| Entity Type | Individual |
| Full Name | JOHN D. PATRICK |
| Credential | D.C. |
| Practice Address |
3850 E Lohman Ave Ste 100 Las Cruces NM 88011-8288 |
| Practice Telephone | 5755210793 |
| Practice Fax Number | 5755327172 |
| Mailing Telephone | 5755210793 |
| Mailing Fax Number | 5755327172 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2014-04-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
1140 | NM | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | BLUE CROSS BLUE SHIELD | K-219 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720015274 | John Walter Patrick | Psychologist | 4643 S Clyde Morris Blvd, Suite 306, Port Orange, FL 32129-6000 | 2006-06-27 |
| 1255952297 | John Thomas Patrick | Psychologist | 2400 Hospital Rd, Tuskegee, AL 36083-5001 | 2020-04-30 |
| 1457905325 | John Patrick | Community Health Worker | 501 Albany Ave, Torrington, WY 82240-1503 | 2019-07-30 |
| 1235632241 | John Oliver Patrick | General Practice | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2018-03-15 |
| 1568736577 | John J Patrick | Nurse Practitioner | 2429 M St, Omaha, NE 68107-2715 | 2012-03-08 |
| 1497790455 | John T Patrick | Specialist | 4120 Del Prado Blvd S, Cape Coral, FL 33904-7165 | 2006-06-16 |
| 1528038882 | John Patrick | Emergency Medicine | 330 Mount Auburn St, Walk-in Center, Cambridge, MA 02138-5502 | 2006-01-26 |
| 1861487902 | John D. Patrick | Specialist | 501 N Elam Ave, Greensboro, NC 27403-1118 | 2005-09-14 |
| 1124023023 | John W Patrick | Radiology | 801 W Gordon St, Thomaston, GA 30286-3426 | 2005-06-16 |
| Street Address |
3850 E LOHMAN AVE STE 100 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-8288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295736312 | Monty Barry | Physical Therapist | 3850 E Lohman Ave, Ste 100, Las Cruces, NM 88011-8288 | 2005-08-10 |
| 1689125866 | Mark R Mudd | Chiropractor | 3850 E Lohman Ave, Las Cruces, NM 88011-8288 | 2016-10-21 |
| 1447598289 | Hesser Investments | Nurse Practitioner | 3850 E Lohman Ave, Ste 100, Las Cruces, NM 88011-8288 | 2013-01-29 |
| 1730476748 | Southern New Mexico Diagnostics LLC | Clinic/Center | 3850 E Lohman Ave, Suite C, Las Cruces, NM 88011-8288 | 2011-06-29 |
| 1437348208 | Jill M Freemyer | Nurse Practitioner | 3850 E Lohman Ave, Suite C, Las Cruces, NM 88011-8288 | 2007-10-17 |
| 1063531077 | Joseph E Dizon | Physical Therapist | 3850 E Lohman Ave, Suite 100, Las Cruces, NM 88011-8273 | 2007-03-29 |
| 1598818189 | Brett R Henderson | Neurological Surgery | 3850 E Lohman Ave, Suite C, Las Cruces, NM 88011-8288 | 2007-01-19 |
| 1356453328 | Millennium Chiropractic PC | Chiropractor | 3850 E Lohman Ave, Ste 100, Las Cruces, NM 88011 | 2006-08-31 |
| 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 | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265514632 | Jonathan D Smith | Chiropractor | 225 E Idaho Ave Ste 30, Las Cruces, NM 88005-3242 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710138706 | Clovis Chiropractic & Healthcare Center Pa | Chiropractor | 3001 N Prince St, Clovis, NM 88101-3827 | 2008-10-08 |
| 1467580563 | Nancy North | Chiropractor | 11001 Spain Rd Ne Ste C, Albuquerque, NM 87111-1898 | 2007-03-01 |
| 1467510024 | Vincent L Frost | Chiropractor | 1210 Rio Grande Blvd Nw, Albuquerque, NM 87104-2631 | 2006-12-05 |
| 1518049246 | Michael Salvatore Maggio | Chiropractor | 1100 Lomas Blvd Nw, Suite #1, Albuquerque, NM 87102-1863 | 2006-10-20 |
| 1326078601 | Vaughn R. Ditto | Chiropractor | 205 E Sanger St, Hobbs, NM 88240-4403 | 2006-07-03 |
| 1548231244 | William Vernon Trabold | Chiropractor | 2620 San Mateo Blvd Ne, F, Albuquerque, NM 87110-3165 | 2006-01-30 |
| 1851379499 | William J. Smith | Chiropractor | 1400 S Ave D, Portales, NM 88130-6886 | 2006-01-04 |
| 1174080527 | Amanda Smith | Chiropractor | 10555 Montgomery Blvd Ne, Albuquerque, NM 87111-3857 | 2019-02-21 |
| 1548650245 | Apollo Chiropractic Health and Wellness, LLC | Chiropractor | 8201 Golf Course Rd Nw, Suite C-2a, Albuquerque, NM 87120-5842 | 2015-02-02 |
| 1336555853 | La Bella Spa Salon | Chiropractor | 10126 Coors Blvd Nw, Albuquerque, NM 87114-4022 | 2014-07-03 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on JOHN D. PATRICK.
| 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.