JOHNNY B SISNEROS


Address: 106 Blanca Ave Ste 300, Alamosa, CO 81101-2340
Phone: 7195893658

JOHNNY B SISNEROS (NPI# 1093705857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093705857
Entity Type Individual
Full Name JOHNNY B SISNEROS
Credential PAC
Practice Address 106 Blanca Ave Ste 300
Alamosa
CO 81101-2340
Practice Telephone 7195893658
Mailing Telephone 7195893658
Mailing Fax Number 7195890997
Enumeration Date 2005-10-24
Last Update Date 2020-02-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 1122 CO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO ROCKY MOUNTAIN HEALTH PLA 840706945058 01
TRAVELERS MEDICARE 970027495 01

Other Providers JOHNNY SISNEROS

NPI Name Taxonomy Address Enumeration
1528437845 Johnny Sisneros Case Manager/Care Coordinator 105 Paseo Del Canon W, Ste A, Taos, NM 87571-6943 2015-09-16

Office Location

Street Address 106 BLANCA AVE STE 300
City ALAMOSA
State CO
Zip Code 81101-2340

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225032998 Michael David Gruber Family Medicine 106 Blanca Ave Ste 300, Alamosa, CO 81101-2340 2005-06-09
1407405574 Sarah Virginia Williams Physical Therapist 106 Blanca Ave Ste 300, Alamosa, CO 81101-2340 2019-09-10
1922285279 Amanda Diane Jojola Nurse Practitioner 106 Blanca Ave Ste 300, Alamosa, CO 81101-2340 2008-01-29
1952448219 Roberto Silva Family Medicine 106 Blanca Ave Ste 300, Alamosa, CO 81101-2340 2007-01-30
1801962485 Bonnie Kay Head Family Medicine 106 Blanca Ave Ste 300, Alamosa, CO 81101-2340 2006-11-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962909325 Tiffanie Nicole Hoover Nurse Practitioner Slv Health, 106 Blanca Ave, Alamosa, CO 81101 2018-04-11
1629503669 Early Oral Health Interception LLC Dental Hygienist 235 Carson Avenue, Alamosa, CO 81101 2017-04-27
1477917391 Mary Sawyer Nurse Practitioner San Luis Valley Health106 Blanca Ave, Alamosa, CO 81101 2016-04-06
1508221276 Kendal W Humes Counselor 1460 W 8th Street, Unit 13, Alamosa, CO 81101 2015-12-23
1689096422 Julia Toczek Counselor 8745 County Road 9s, Alamosa, CO 81101 2014-01-14
1275883365 Michelle Marie Craver Counselor 8745 County Road 9 South, Alamosa, CO 81101 2012-09-15
1417193079 Slv Eye Docs, LLC Optometrist 706 Del Sol Dr, Alamosa, CO 81101 2008-12-31
1770753154 Huh Inc Hearing Instrument Specialist 2101 Main St., Ste C Ears 2 U Hearing Aid Services, Alamosa, CO 81101 2008-03-03
1215139613 Valley-wide Health System, Inc. Pharmacist 1710 1st Street, Alamosa, CO 81101 2007-06-05
1821204116 Valerie Stephanie Gurule-duran Counselor 8745 Cr 9 South, Alamosa, CO 81101 2007-05-15
Find all providers in zip 81101

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013907013 Edward Kulp Physician Assistant 2115 Stuart Ave, Alamosa, CO 81101-2269 2005-10-21
1073165486 Amy Nicole Blakeslee Physician Assistant 2115 Stuart Ave, Alamosa, CO 81101-2269 2019-07-15
1629572821 Brendan Simenc Physician Assistant 106 Blanca Ave, Alamosa, CO 81101-2340 2018-03-21
1003220930 Sadie Thomas Physician Assistant 2115 Stuart Ave, Alamosa, CO 81101-2269 2014-06-18
1487088852 Luis Fernando Hernandez Physician Assistant 128 Market St, Alamosa, CO 81101-2290 2013-08-21
1407056682 Amanda Louise Schultz Physician Assistant 2115 Stuart Ave, Alamosa, CO 81101-2269 2007-07-24
1134225592 Botond A Vita Physician Assistant 2115 Stuart Ave, Alamosa, CO 81101-2269 2006-09-15
1790791051 Susan J Macaskill Physician Assistant 128 Market St, Alamosa, CO 81101-2290 2006-07-31
1336122894 Howard William Cox Physician Assistant 106 Blanca Ave, Alamosa, CO 81101-2340 2005-11-29
1558351460 Edward Medina Physician Assistant 1710 1st St, Alamosa, CO 81101-2302 2005-10-24
Find all providers in ALAMOSA

Competitor

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City ALAMOSA
Zip Code 81101

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Dataset Information

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.

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