LAS CRUCES PHYSICIAN PRACTICES, LLC (NPI# 1093947491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093947491 |
| Entity Type | Organization |
| Organization Name | LAS CRUCES PHYSICIAN PRACTICES, LLC |
| Other Organization Name | NM CARDIOVASCUALR ASSOCIATES |
| Practice Address |
4351 E Lohman Ave Suite 403 Las Cruces NM 88011-8259 |
| Practice Telephone | 5755215277 |
| Mailing Telephone | 5755215277 |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2009-08-18 |
| Authorized Official Name | ANGIE MANGUM (DIRECTOR) |
| Authorized Official Telephone | 5755215277 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | MEDICARE GROUP | 900522525 | 01 |
| Other Name | Type Code |
|---|---|
| NM CARDIOVASCUALR ASSOCIATES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346586195 | Las Cruces Physician Practices, LLC | Internal Medicine | 1160 Mall Dr, Suite 100, Las Cruces, NM 88011-8128 | 2012-12-26 |
| 1376866947 | Las Cruces Physician Practices, LLC | Surgery | 2530 S Telshor Blvd, Las Cruces, NM 88011-4907 | 2010-03-10 |
| 1770766768 | Las Cruces Physician Practices, LLC | Radiology | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2007-12-12 |
| 1356390769 | Las Cruces Physician Practices, LLC | Physician Assistant | 2530 S Telshor Blvd, Suite 107, Las Cruces, NM 88011 | 2006-05-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LAS CRUCES PHYSICIAN PRACTICES, LLC | 2530 S Telshor Blvd Ste 207, Las Cruces, NM 88011-4975 |
| Street Address |
4351 E LOHMAN AVE SUITE 403 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-8259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849310 | Surjit Reddy Moolamalla | Family Medicine | 4351 E Lohman Ave, Suite 401, Las Cruces, NM 88011-8259 | 2005-05-23 |
| 1174140362 | Sarbesh Rijal | Student in an Organized Health Care Education/Training Program | 4351 E Lohman Ave, Las Cruces, NM 88011-8259 | 2020-07-03 |
| 1023633492 | Ekemini Benedict Usoro | Student in an Organized Health Care Education/Training Program | 4351 E Lohman Ave, Las Cruces, NM 88011-8259 | 2020-06-11 |
| 1013440858 | Rachel Brandl | Student in an Organized Health Care Education/Training Program | 4351 E Lohman Ave, Las Cruces, NM 88011-8259 | 2017-04-08 |
| 1952653180 | Cynthia Caranta | Nurse Practitioner | 4351 E Lohman Ave, Suite 202, Las Cruces, NM 88011-8259 | 2012-10-11 |
| 1487920757 | Compassionate Medicine of Southern Nm | Family Medicine | 4351 E Lohman Ave, Suite 405, Las Cruces, NM 88011-8259 | 2012-03-30 |
| 1134418247 | Sarah Linse Bienenfeld | Obstetrics & Gynecology | 4351 E Lohman Ave, Suite 402, Las Cruces, NM 88011-8259 | 2011-03-30 |
| 1598085680 | Jonathon Struemph | Orthopaedic Surgery | 4351 E Lohman Ave, Suite 301, Las Cruces, NM 88011-8259 | 2010-06-11 |
| 1497074850 | Las Cruces Cardiology, LLC | Internal Medicine | 4351 E Lohman Ave, Suite 101, Las Cruces, NM 88011-8258 | 2010-05-25 |
| 1184956922 | Pinnacle Family Healthcare | Family Medicine | 4351 E Lohman Ave, Suite 405, Las Cruces, NM 88011-8259 | 2010-02-04 |
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437158003 | Charles Anthony Dow | Surgery | 4407 E Lohman Ave, Las Cruces, NM 88011-8267 | 2005-07-18 |
| 1932302650 | Michael P Keller Md PC | Surgery | 3900 E Lohman Ave Ste B, Las Cruces, NM 88011-8274 | 2007-06-08 |
| 1881719748 | New Mexico Cardiovascular Associates, PC | Surgery | 4351 E Lohman Ave, Ste 403, Las Cruces, NM 88011-8259 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003180969 | Kristen L. Biggs, Md, Skin Care & Vein Centre, PC | Surgery | 409 Saint Michaels Dr, Santa Fe, NM 87505-7603 | 2012-02-23 |
| 1861665051 | Kristen Lynn Biggs | Surgery | 450 Saint Michaels Dr, Santa Fe, NM 87505-7602 | 2008-04-08 |
| 1407031040 | Gopal Reddy M.d., P.C. | Surgery | 500 Walter St Ne Ste 204, Albuquerque, NM 87102-2543 | 2008-01-02 |
| 1487787545 | Alfred Joseph Martin Jr. | Surgery | 4013 Old Santa Fe Trl, Santa Fe, NM 87505-4503 | 2007-03-14 |
| 1396799110 | Milagro Vein Solutions LLC | Surgery | 490b W Zia Road, Suite A, Santa Fe, NM 87505 | 2006-05-19 |
| 1487080776 | Otero County Medical Group | Surgery | 1212 9th St, Suite A, Alamogordo, NM 88310-5842 | 2013-09-19 |
| 1942554480 | Sandya Surgical Associates | Surgery | 2402 W Pierce St, Suite 5c, Carlsbad, NM 88220-3537 | 2012-11-06 |
| 1093022402 | Robert Moskowitz | Surgery | 201 Cedar St Se Ste 800, Albuquerque, NM 87106 | 2010-09-07 |
| 1588863120 | Muhammad Ali A Rana | Surgery | 2211 Lomas Blvd Ne, Department of Surgery, Albuquerque, NM 87106-2719 | 2007-07-13 |
| 1871790188 | Sundeep Guliani | Surgery | 2211 Lomas Blvd Ne, Tuv Clinic, 1st Floor, Albuquerque, NM 87106-2719 | 2007-06-29 |
| 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.