Edmund W Mcnally (NPI# 1184850372, PAC ID# 2062637358) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1184850372 |
| PAC ID by PECOS | 2062637358 |
| Professional Enrollment ID | I20140630000490 |
| Full Name | Edmund W Mcnally |
| Organization Legal Name | GENESIS PHYSICIAN ASSOCIATES LLC |
| Address |
4801 N Butler Ave Suite 8102 Farmington NM 87401-0818 |
| Phone Number | 5054362671 |
| Gender | M |
| Graduation Year | 1990 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1456525021 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320005 | SAN JUAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4801 N Butler Ave, Suite 8102, Farmington, NM 87401-0818 | 5054362671 | GENESIS PHYSICIAN ASSOCIATES LLC |
| 801 W Maple St, San Juan Regional Medical Center, Farmington, NM 87401-5630 | 5056092000 | GENESIS PHYSICIAN ASSOCIATES LLC |
| Organization Legal Name | GENESIS PHYSICIAN ASSOCIATES LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Uche N Obisike | Internal Medicine | Genesis Physician Associates LLC | 9201 Montgomery Blvd Ne, Suite 301, Albuquerque, NM 87111-2467 |
| Swayzee Lei Ramage | Nurse Practitioner | Genesis Physician Associates LLC | 4801 N Butler Ave, Suite 8102, Farmington, NM 87401-0818 |
| Street Address |
4801 N BUTLER AVE SUITE 8102 |
| City | FARMINGTON |
| State | NM |
| Zip | 87401-0818 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Morgan Manulik | Physician Assistant | 4801 N Butler Ave, Suite 6102, Farmington, NM 87401-2624 | |
| Swayzee Lei Ramage | Nurse Practitioner | Genesis Physician Associates LLC | 4801 N Butler Ave, Suite 8102, Farmington, NM 87401-0818 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Denise Dorner | Podiatry | Family Foot Health Specialists, P.C. | 4801 N Butler, Suite 14102, Farmington, NM 87401-0815 |
| Erica L Sussex-grant | Chiropractic | Sussex Chiropractic Pa | 4740 N Butler Ave, Farmington, NM 87401-0826 |
| Randall M Sussex | Chiropractic | Sussex Chiropractic Pa | 4740 N Butler Ave, Farmington, NM 87401-0826 |
| Allen W Mcculloch | Urology | 2300 E, 30th Bldg B Suite 106, Farmington, NM 87401-1529 | |
| James F Burpee | Urology | Adult and Pediatric Urology, LLC | 2300 E, Farmington, NM 87401-1529 |
| Brenna Camille Price | Speech Language Pathologist | 3001 Northridge Dr, Suite C., Farmington, NM 87401-2084 | |
| Mark A Braunstein | Psychiatry | San Juan Health and Wellness Center LLC | 1009 Ridgeway Pl, Suite 100, Farmington, NM 87401-2092 |
| Eva Jean Morales | Clinical Social Worker | San Juan Health and Wellness Center LLC | 1009 Ridgeway Pl, Suite 100, Farmington, NM 87401-2092 |
| Kaylene Cribbs | Nurse Practitioner | San Juan Health and Wellness Center LLC | 1009 Ridgeway Pl, Suite 100, Farmington, NM 87401-2092 |
| Thomas L Mccolloch | Clinical Social Worker | San Juan Health and Wellness Center LLC | 1009 Ridgeway Pl, Suite 100, Farmington, NM 87401-2092 |
| Find all physicians in zip 87401 | |||
| City | FARMINGTON |
| Zip Code | 87401 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FARMINGTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Edmund W Mcnally.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.