Jeremy Henrie (NPI# 1356886832, PAC ID# 9638448244) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1356886832 |
| PAC ID by PECOS | 9638448244 |
| Professional Enrollment ID | I20191119001364 |
| Full Name | Jeremy Henrie |
| Organization Legal Name | MAIN STREET ANESTHESIA OF NEW MEXICO, LLC |
| Address |
4311 E Lohman Ave Mountain View Regional Medical Cent Las Cruces NM 88011-8255 |
| Phone Number | 5755567600 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 3476807538 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4311 E Lohman Ave, Mountain View Regional Medical Cent, Las Cruces, NM 88011-8255 | 5755567600 | MAIN STREET ANESTHESIA OF NEW MEXICO, LLC |
| Organization Legal Name | MAIN STREET ANESTHESIA OF NEW MEXICO, LLC |
| Physicians | 48 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dirk Bradley Bahoravitch | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 504 Elm St Ne, Heart Hospital of New Mexico, Albuquerque, NM 87102-2512 |
| Randall A Hamilton | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 117 E 19th St, Lovelace Regional Hospital Roswell, Roswell, NM 88201-5151 |
| Tara L Orr | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Michael Arthur Anderson | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Laura Bauders | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Elliot S Marcus | Anesthesiology | Main Street Anesthesia of New Mexico, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Douglas L Brown | Anesthesiology | Main Street Anesthesia of New Mexico, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Jarrod A Russo | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Paul Jeffrey Butler | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Timothy M Candelaria | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Street Address |
4311 E LOHMAN AVE MOUNTAIN VIEW REGIONAL MEDICAL CENT |
| City | LAS CRUCES |
| State | NM |
| Zip | 88011-8255 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ram Mohan Rao Venepally | Hospitalist | Apogee Medical Group New Mexico Inc | 4311 E Lohman Ave, Las Cruces, NM 88011-8255 |
| Orlando C Artavia | Hospitalist | Apogee Medical Group New Mexico Inc | 4311 E Lohman Ave, Las Cruces, NM 88011-8255 |
| Aanu O Ogunbanjo | Nurse Practitioner | Apogee Medical Group New Mexico Inc | 4311 E Lohman Ave, Las Cruces, NM 88011-8255 |
| Jennifer Macias Barney | Nurse Practitioner | Apogee Medical Group New Mexico Inc | 4311 E Lohman Ave, Las Cruces, NM 88011-8255 |
| Vinay P Shet | Hospitalist | Apogee Medical Group New Mexico Inc | 4311 E Lohman Ave, Las Cruces, NM 88011-8255 |
| Fernando A. Lopez | Anesthesiology | Mesilla Valley Anesthesiology PC | 4311 E Lohman Ave, Las Cruces, NM 88011-8255 |
| Connor B Tryon | Hospitalist | Apogee Medical Group New Mexico Inc | 4311 E Lohman Ave, Las Cruces, NM 88011-8255 |
| Thomas D Spera | Diagnostic Radiology | Mountain View Imaging Associates, PC | 4311 E Lohman Ave, Las Cruces, NM 88011-8255 |
| Sudhir Shah | Hospitalist | Apogee Medical Group New Mexico Inc | 4311 E Lohman Ave, Las Cruces, NM 88011-8255 |
| Ditashree Devkota | Hospitalist | Apogee Medical Group New Mexico Inc | 4311 E Lohman Ave, Las Cruces, NM 88011-8255 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Francis K Attiogbe | Internal Medicine | Fesss Family Healthcare LLC | 3039 Memorial Court, Las Cruces, NM 88011 |
| Elaine Enyonam Attiogbe | Nurse Practitioner | Fesss Family Healthcare LLC | 3039 Memorial Court, Las Cruces, NM 88011 |
| Kanaka L Chelliah | Family Medicine | 4500 Sonoma Ranch Blvd, Las Cruces, NM 88011-0000 | |
| Troy W Shepherd | Podiatry | New Mexico Bone and Joint Institute PC | 2951 N Roadrunner Pkwy, Las Cruces, NM 88011-0814 |
| John V Watkins | Anesthesiology | New Mexico Bone and Joint Institute PC | 2951 N Roadrunner Pkwy, Las Cruces, NM 88011-0814 |
| Douglas R Dodson | Orthopedic Surgery | New Mexico Bone and Joint Institute PC | 2951 N Roadrunner Pkwy, Las Cruces, NM 88011-0814 |
| Ramakrishna Devasthali | Diagnostic Radiology | Imaging Associates of New Mexico LLC | 2735 Northrise Dr, Memorial Healthplex, Las Cruces, NM 88011-0897 |
| Andrew Bruner | Diagnostic Radiology | Imaging Associates of New Mexico LLC | 2735 Northrise Dr, Memorial Healthplex, Las Cruces, NM 88011-0897 |
| Melissa J Cometti | Nurse Practitioner | Phc-las Cruces Inc | 2735 Northrise Dr, Las Cruces, NM 88011-0897 |
| Carrie Alissa Dieker | General Surgery | Las Cruces Physician Practices, LLC | 2735 Northrise Dr, Las Cruces, NM 88011-0897 |
| Find all physicians in zip 88011 | |||
| City | LAS CRUCES |
| Zip Code | 88011 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | LAS CRUCES + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Jeremy Henrie.
| 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.