Rachel L Stephan (NPI# 1215283668, PAC ID# 2860640620) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1215283668 |
PAC ID by PECOS | 2860640620 |
Professional Enrollment ID | I20120919000876 |
Full Name | Rachel L Stephan |
Organization Legal Name | DHHS PHS NAIHS GALLUP INDIAN MEDICAL CENTER |
Address |
007 Choosgai Dr Tohatchi NM 87325 |
Phone Number | 5057338413 |
Gender | F |
Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
Graduation Year | 2012 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 3173436409 |
Number of Group Practice Members | 162 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
320061 | GALLUP INDIAN MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
007 Choosgai Dr, Tohatchi, NM 87325 | 5057338413 | DHHS PHS NAIHS GALLUP INDIAN MEDICAL CENTER |
Organization Legal Name | DHHS PHS NAIHS GALLUP INDIAN MEDICAL CENTER |
Physicians | 127 |
Name | Specialty | Organization | Address |
---|---|---|---|
Angela R Dorsey | Endocrinology | Dhhs Phs Naihs Gallup Indian Medical Center | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 |
Shireen A Ambersley | Nurse Practitioner | Dhhs Phs Naihs Gallup Indian Medical Center | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 |
Devin G Glasses | Physician Assistant | Dhhs Phs Naihs Gallup Indian Medical Center | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 |
Sloane R Blair | Orthopedic Surgery | Dhhs Phs Naihs Gallup Indian Medical Center | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 |
Mayra M Rael | Certified Registered Nurse Anesthetist (crna) | Dhhs Phs Naihs Gallup Indian Medical Center | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 |
Gail B Crawford | Nurse Practitioner | Dhhs Phs Naihs Gallup Indian Medical Center | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 |
Jocelyne G Klasen | Psychologist, Clinical | Dhhs Phs Naihs Gallup Indian Medical Center | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 |
William P Harris | Certified Registered Nurse Anesthetist (crna) | Dhhs Phs Naihs Gallup Indian Medical Center | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 |
Frederic W Held | Internal Medicine | Dhhs Phs Naihs Gallup Indian Medical Center | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 |
Cleora H Shunkamolah | Family Medicine | Dhhs Phs Naihs Gallup Indian Medical Center | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 |
Street Address |
007 CHOOSGAI DR |
City | TOHATCHI |
State | NM |
Zip | 87325 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jennifer M Bass | Internal Medicine | Dhhs Phs Naihs Gallup Indian Medical Center | 007 Choosgai Dr, Tohatchi, NM 87325 |
Susan L Elizondo | Family Practice | Dhhs,phs,naihs, Gallup Indian Medical Center | 007 Choosgai Dr, Tohatchi, NM 87325 |
Caleb R Lauber | Family Practice | Dhhs,phs,naihs, Gallup Indian Medical Center | 007 Choosgai Dr, Tohatchi, NM 87325 |
Ronald S Johnson | Clinical Psychologist | Dhhs,phs,naihs, Gallup Indian Medical Center | 007 Choosgai Dr, Tohatchi, NM 87325 |
City | TOHATCHI |
Zip Code | 87325 |
Specialty | OPTOMETRY |
City + Specialty | TOHATCHI + OPTOMETRY |
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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.