SUZELLE L MOFFITT (NPI# 1083677793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083677793 |
| Entity Type | Individual |
| Full Name | SUZELLE L MOFFITT |
| Credential | MD |
| Practice Address |
121 El Paso Rd Ruidoso NM 88345-6033 |
| Mailing Address |
575 Hill Country Dr Ste 101 Kerrville TX 78028-6024 |
| Practice Telephone | 5756308350 |
| Practice Fax Number | 5752574055 |
| Mailing Telephone | (830) 258-7090 |
| Mailing Fax Number | 8302587098 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2017-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD2017-0489 | NM | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | H5566 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 21107831 | 05 | |
| TX | BCBS PROVIDER ID NUMBER | 8GA072 | 01 |
| Street Address |
121 EL PASO RD |
| City | RUIDOSO |
| State | NM |
| Zip Code | 88345-6033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706352 | Michael D. Spence | Family Medicine | 121 El Paso Rd, Ruidoso, NM 88345-6033 | 2005-08-09 |
| 1699384321 | Clifton Christopher Duncan | Nurse Practitioner | 121 El Paso Rd, Ruidoso, NM 88345-6033 | 2020-07-28 |
| 1124403381 | Jovanna Marie Ochoa | Nurse Practitioner | 121 El Paso Rd, Ruidoso, NM 88345-6033 | 2015-07-29 |
| 1659686046 | John Michael Benavidez | Internal Medicine | 121 El Paso Rd, Lincoln County Medical Complex, Ruidoso, NM 88345 | 2010-08-10 |
| 1518052794 | Peter L Driscoll | Surgery | 121 El Paso Rd, Lincoln County Medical Complex, Ruidoso, NM 88345-6033 | 2006-10-04 |
| 1396839775 | Mary S Martinez | Family Medicine | 121 El Paso Rd, Lincoln County Medical Complex, Ruidoso, NM 88345-6033 | 2006-10-03 |
| 1629162011 | Walter C Robinson | Internal Medicine | 121 El Paso Rd, Lincoln County Medical Complex, Ruidoso, NM 88345-6033 | 2006-10-03 |
| 1093793499 | Ilhan Yildiz | Surgery | 121 El Paso Rd, Ruidoso, NM 88345-6033 | 2006-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295386373 | Angela Louise Chavez | Physical Therapy Assistant | 143 El Paseo Road, Ruidoso, NM 88345 | 2019-09-20 |
| 1740744630 | Aspen Creek Counseling, PC | Community/Behavioral Health | 212 Hidalgo St, Ruidoso, NM 88345 | 2019-01-25 |
| 1659729960 | Clinical Counseling, Rebekah Stephens LLC | Community/Behavioral Health | 105 Socorro Circle, Ruidoso, NM 88345 | 2016-05-26 |
| 1013288208 | Emily Jane Fleming | Counselor | 2904 Sudderth Dr, Ruidoso, NM 88345 | 2012-01-19 |
| 1376810572 | Ronald Lee Annala | Specialist | 101 Annala Lane, Ruidoso, NM 88345 | 2011-11-17 |
| 1801171731 | Felicia Yelena Fontenot | Dentist | 127 El Paso Road, Ruidoso, NM 88345 | 2011-10-11 |
| 1497072730 | Richard G Leveque | Counselor | 206 Porr Dirve, Ruidoso, NM 88345 | 2010-04-27 |
| 1871827899 | Delcia Maurice Gudgel | Counselor | 1400 Sudderth Drive, La Frontera, Ruidoso, NM 88345 | 2009-09-23 |
| 1740413541 | Yolanda Nelson | Case Manager/Care Coordinator | 208 Sudderth Dr, Ruidoso, NM 88345 | 2009-08-26 |
| 1164697280 | Elizabeth Urban Candelaria | Social Worker | 1400 Sudderth Dr., Ruidoso, NM 88345 | 2008-04-29 |
| Find all providers in zip 88345 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972668796 | Michael P Clements | Family Medicine | 1701 Sudderth Dr, Ruidoso, NM 88345-7067 | 2006-12-22 |
| 1720172109 | Stephen J Otero | Family Medicine | 129 El Paso Road, Lcmc White Mountain Medical Associates, Ruidoso, NM 88345 | 2006-10-03 |
| 1881645034 | Roger Allen Beechie | Family Medicine | 129 El Paso Rd, Ruidoso, NM 88345 | 2006-05-12 |
| 1467430454 | Ann Renee Taylor | Family Medicine | 714 Mechem Dr, Ruidoso, NM 88345-6905 | 2006-01-09 |
| 1346239001 | Homero Renteria | Family Medicine | 708 Mechem Dr Ste B, Ruidoso, NM 88345-6952 | 2005-10-17 |
| 1629067574 | Arlene M Brown | Family Medicine | 1401 Sudderth Dr, Ruidoso, NM 88345-6104 | 2005-10-13 |
| 1942292149 | Immedicare Care Clinic PC | Family Medicine | 721 Mechem Dr, Sierra Mall, Ruidoso, NM 88345-6911 | 2005-08-16 |
| 1992706352 | Michael D. Spence | Family Medicine | 121 El Paso Rd, Ruidoso, NM 88345-6033 | 2005-08-09 |
| 1992132500 | Sierra Blanca Family Medicine PC | Family Medicine | 208 Porr Dr, Ruidoso, NM 88345-6713 | 2013-09-27 |
| 1255773404 | Atrinea Ruidoso LLC | Family Medicine | 1401 Sudderth Dr, Ruidoso, NM 88345-6104 | 2013-07-29 |
| Find all providers in RUIDOSO | ||||
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| 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.