ERIC W STOLTZFUS (NPI# 1104817782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104817782 |
| Entity Type | Individual |
| Full Name | ERIC W STOLTZFUS |
| Credential | MD |
| Practice Address |
555 S Schwartz Ave Farmington NM 87401-5955 |
| Mailing Address |
Po Box 6210 Farmington NM 87499-6210 |
| Practice Telephone | 5056096680 |
| Practice Fax Number | 5053251722 |
| Mailing Telephone | 5056092258 |
| Mailing Fax Number | 5056092259 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2013-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
95355 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | J8236 | 05 |
| Street Address |
555 S SCHWARTZ AVE |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-5955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679969497 | Ava Ann Boswell | Psychiatry & Neurology | 555 S Schwartz Ave, Farmington, NM 87401 | 2015-04-08 |
| 1851675417 | Janet R Thelen | Nurse Practitioner | 555 S Schwartz Ave, Farmington, NM 87401-5955 | 2011-09-30 |
| 1104969484 | Alan G Robertson | Psychiatry & Neurology | 555 S Schwartz Ave, Farmington, NM 87401-5955 | 2007-02-15 |
| 1811907553 | John H. Koewler | Psychologist | 555 S Schwartz Ave, Farmington, NM 87401-5955 | 2006-08-08 |
| 1629001060 | Southwest Neurosurgery PC | Neurological Surgery | 555 S Schwartz Ave, Farmington, NM 87401-5955 | 2006-07-09 |
| 1881627826 | Earnie Baldridge | Physician Assistant | 555 S Schwartz Ave, Farmington, NM 87401-5955 | 2006-07-09 |
| 1043243660 | Raul Rivet | Surgery | 555 S Schwartz Ave, Farmington, NM 87401-5955 | 2006-07-08 |
| 1003875782 | Margie Trujillo | Counselor | 555 S Schwartz Ave, Farmington, NM 87401-5955 | 2006-03-21 |
| 1689633893 | Ariadna Sadzine-bessinger | Psychiatry & Neurology | 555 S Schwartz Ave, Farmington, NM 87401-5955 | 2006-03-17 |
| 1992764112 | San Juan Regional Medical Center Inc | Psychiatry & Neurology | 555 S Schwartz Ave, Farmington, NM 87401-5955 | 2006-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235661984 | Shawn M. Joseph | Psychiatry & Neurology | 263 Farmington Ave, Farmington, CT 06030-4228 | 2017-03-31 |
| 1225185283 | John Anderson Coons | Psychiatry & Neurology | 1085 Maple St, Farmington, MO 63640-1955 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318747 | B2 Healthcare Group LLC | Psychiatry & Neurology | 8206 Louisiana Blvd Ne Ste A, Albuquerque, NM 87113-1738 | 2020-05-27 |
| 1649663535 | Gabriela Sanchez | Psychiatry & Neurology | Presbyterian Kaseman Hospital, 8300 Constitution Avenue Ne, Albuquerque, NM 87110 | 2015-03-17 |
| 1033401831 | Gabriel Carlos-william Monthan | Psychiatry & Neurology | 241 Laguayra Dr Ne, Albuquerque, NM 87108-1723 | 2011-05-11 |
| 1972746642 | Brian James Haigh | Psychiatry & Neurology | 195 East Rd Ste 104, Los Alamos, NM 87544-4301 | 2009-04-10 |
| 1851582886 | Michael Herman Anikeev | Psychiatry & Neurology | 3901 Indian School Rd Ne Apt D102, Albuquerque, NM 87110-3852 | 2007-08-06 |
| 1568585305 | John R Evaldson | Psychiatry & Neurology | 1012 Marquez Place #401, Santa Fe, NM 87505 | 2007-04-09 |
| 1669529210 | Susan Danto | Psychiatry & Neurology | 7801 Academy Ne, Bldg. 1, Suite 202, Albuquerque, NM 87109 | 2007-01-05 |
| 1033271390 | Rosemary Hunter | Psychiatry & Neurology | 5310 Sequoia Rd Nw, Albuquerque, NM 87120-1249 | 2006-12-14 |
| 1013005925 | George Edwin Davis | Psychiatry & Neurology | 1002 Idlewilde Ln Se, Albuquerque, NM 87108-3446 | 2006-10-10 |
| 1700971207 | Catalina Perez-lacey | Psychiatry & Neurology | 7 Casa Del Oro Way, Santa Fe, NM 87508-8290 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on ERIC W STOLTZFUS.
| 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.