MARCIA ANN JAMISON (NPI# 1093830440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093830440 |
| Entity Type | Individual |
| Full Name | MARCIA ANN JAMISON |
| Credential | PA-C |
| Practice Address |
2530 S Telshor Blvd Suite 207 Las Cruces NM 88011-4951 |
| Mailing Address |
Po Box 6310 Las Cruces NM 88006-6310 |
| Practice Telephone | 5755226806 |
| Practice Fax Number | 5755218033 |
| Mailing Telephone | 5755565960 |
| Mailing Fax Number | 5755565959 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2016-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
93-PA03 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | RR MEDICARE | P00905170 | 01 |
| NM | 000097651 | 05 |
| Street Address |
2530 S TELSHOR BLVD SUITE 207 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-4951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679560163 | Dwight Antony Hamilton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2530 S Telshor Blvd, Suite 207, Las Cruces, NM 88011-4951 | 2005-09-30 |
| 1790147924 | Zahra Shaghaghi | Pharmacist | 2530 S Telshor Blvd, Suite 201, Las Cruces, NM 88011-4951 | 2016-03-26 |
| 1750636072 | Melissa Belle Ford | Nurse Practitioner | 2530 S Telshor Blvd, Suite 201, Las Cruces, NM 88011-4951 | 2012-07-24 |
| 1881973873 | Victor Hugo Barnica | Surgery | 2530 S Telshor Blvd, Suite 103, Las Cruces, NM 88011-4951 | 2011-08-09 |
| 1376866947 | Las Cruces Physician Practices, LLC | Surgery | 2530 S Telshor Blvd, Las Cruces, NM 88011-4907 | 2010-03-10 |
| 1376774489 | Phc Las Cruces | Internal Medicine | 2530 S Telshor Blvd, Suite 201, Las Cruces, NM 88011-4907 | 2009-08-06 |
| 1366672826 | Munif Hussein Alkouz | Internal Medicine | 2530 S Telshor Blvd, Suite 207, Las Cruces, NM 88011-4951 | 2009-07-19 |
| 1730323973 | Vicror Rivera Jr. | Orthotist | 2530 S Telshor Blvd, Suite 107, Las Cruces, NM 88011-4907 | 2009-04-30 |
| 1730348467 | Carrie Alissa Dieker | Surgery | 2530 S Telshor Blvd, Suite 103, Las Cruces, NM 88011-4951 | 2008-06-06 |
| 1104840156 | Kermie Lenard Robinson | Surgery | 2530 S Telshor Blvd, Suite 103, Las Cruces, NM 88011-4951 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083181051 | Britteni Nicole Romero | Physician Assistant | 150 N Roadrunner Pkwy, Las Cruces, NM 88011-7044 | 2018-10-29 |
| 1851574248 | Las Cruces Physician Practices LLC | Physician Assistant | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2007-12-10 |
| 1275659468 | Carolyn Patricia Evans | Physician Assistant | 4407 E Lohman Ave, Las Cruces, NM 88011-8267 | 2007-03-21 |
| 1851355382 | Iris Darby | Physician Assistant | 2530 S Telshor Blvd, Suite 103, Las Cruces, NM 88011-4951 | 2006-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699272633 | Walter Barney | Physician Assistant | 708 Luna Vis, Santa Fe, NM 87506-2003 | 2018-04-06 |
| 1225564800 | Mariam H Bokolishvili | Physician Assistant | 1511 W Alameda St, Santa Fe, NM 87501-1746 | 2017-05-03 |
| 1295191351 | Duke City Surgical Assisting LLC | Physician Assistant | 28 Valle Lindo Rd, Peralta, NM 87042-8230 | 2016-01-05 |
| 1396121505 | Regina Gantt | Physician Assistant | 28 Valle Lindo Road, Peralta, NM 87042 | 2015-08-11 |
| 1013398072 | Lauren Soules | Physician Assistant | 3615 Highway 528 Nw, Albuquerque, NM 87114-8919 | 2015-06-16 |
| 1447666508 | Audrey Rich | Physician Assistant | 201 Cedar Ave, Albuquerque, NM 87106 | 2014-07-09 |
| 1104178813 | Adam M Newman | Physician Assistant | University of New Mexico Hospital Department, Msc 10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-10-04 |
| 1255682944 | Armstrong Medical LLC | Physician Assistant | 13170 Central Ave Se, Suite B 345, Albuquerque, NM 87123 | 2012-09-21 |
| 1033494992 | Sandra Seward | Physician Assistant | 11 Calle Pinon, Placitas, NM 87043-9316 | 2011-10-11 |
| 1508161936 | New Mexico Surgical Assisting, Inc | Physician Assistant | 1505 Kachina Ridge Dr, Santa Fe, NM 87507-5172 | 2011-01-15 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
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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.