Evan D Baldwin (NPI# 1730470113, PAC ID# 4284869389) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ADDICTION MEDICINE.
| Nation Provider ID (NPI) | 1730470113 |
| PAC ID by PECOS | 4284869389 |
| Professional Enrollment ID | I20180509000229 |
| Full Name | Evan D Baldwin |
| Organization Legal Name | RECOVERY SERVICES OF NEW MEXICO |
| Address |
1711 Isleta Blvd Sw Recovery Services of New Mexico LLC Albuquerque NM 87105-4635 |
| Phone Number | 5057172397 |
| Gender | M |
| Medical School | UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | ADDICTION MEDICINE |
| Secondary Specialties | GENERAL PRACTICE |
| Group Practice PAC ID | 1951665496 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1711 Isleta Blvd Sw, Recovery Services of New Mexico LLC, Albuquerque, NM 87105-4635 | 5057172397 | RECOVERY SERVICES OF NEW MEXICO |
| 1107 S Atkinson Ave, Recovery Services of New Mexico LLC, Roswell, NM 88203-7154 | 5755784826 | RECOVERY SERVICES OF NEW MEXICO |
| Organization Legal Name | RECOVERY SERVICES OF NEW MEXICO |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul E Romo | Addiction Medicine | Recovery Services of New Mexico | 1711 Isleta Blvd Sw, Recovery Services of New Mexico LLC, Albuquerque, NM 87105-4635 |
| Sergio A Huerta Ii | Hospitalist | Recovery Services of New Mexico | 1711 Isleta Blvd Sw, Recovery Services of New Mexico LLC, Albuquerque, NM 87105-4635 |
| Street Address |
1711 ISLETA BLVD SW RECOVERY SERVICES OF NEW MEXICO LLC |
| City | ALBUQUERQUE |
| State | NM |
| Zip | 87105-4635 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul E Romo | Addiction Medicine | Recovery Services of New Mexico | 1711 Isleta Blvd Sw, Recovery Services of New Mexico LLC, Albuquerque, NM 87105-4635 |
| Sergio A Huerta Ii | Hospitalist | Recovery Services of New Mexico | 1711 Isleta Blvd Sw, Recovery Services of New Mexico LLC, Albuquerque, NM 87105-4635 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna Marie Jaramillo | Physician Assistant | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Carol Bellistri | Nurse Practitioner | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Dolores J Cordova | Nurse Practitioner | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Virginia Valentine | Certified Clinical Nurse Specialist (cns) | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Susette L Eaves | Nurse Practitioner | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Jennifer Lynne Pantoja | Nurse Practitioner | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Jose R Flores | Nurse Practitioner | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Carla R Kychik | Nurse Practitioner | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Ramon R Duarte | Internal Medicine | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Sean Edward Portman | Physician Assistant | Carlos J Esparza Md PC | 801 Encino Pl Ne, Suite 3, Albuquerque, NM 87105-2639 |
| Find all physicians in zip 87105 | |||
| City | ALBUQUERQUE |
| Zip Code | 87105 |
| Specialty | ADDICTION MEDICINE |
| City + Specialty | ALBUQUERQUE + ADDICTION MEDICINE |
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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.