BULLDOG EMERGENCY PHYSICIANS (NPI# 1104947191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104947191 |
| Entity Type | Organization |
| Organization Name | BULLDOG EMERGENCY PHYSICIANS |
| Practice Address |
702 N 13th St Emergency Department Artesia NM 88210-1166 |
| Mailing Address |
Po Box 37607 Philadelphia PA 19101-5207 |
| Practice Telephone | 8004447009 |
| Mailing Telephone | 8004447009 |
| Mailing Fax Number | 8003053233 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | JOSEPH W TAYLOR (EXEC VICE PRESIDENT, EMCARE PHYSICI) |
| Authorized Official Telephone | 8004447009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 88451372 | 05 | |
| NM | BLUE SHIELD OF NEW MEXICO | NM007F29 | 01 |
| Street Address |
702 N 13TH ST EMERGENCY DEPARTMENT |
| City | ARTESIA |
| State | NM |
| Zip Code | 88210-1166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881489 | Deborah Kay Lehmann | Obstetrics & Gynecology | 702 N 13th St, Artesia, NM 88210-1199 | 2005-06-17 |
| 1598230112 | Erica Elizabeth Guerrero | Nurse Practitioner | 702 N 13th St, Artesia, NM 88210-1166 | 2018-10-10 |
| 1164904330 | Alexandria Leigh Lundell | Physician Assistant | 702 N 13th St, Artesia, NM 88210-1166 | 2018-09-04 |
| 1760977029 | Erin Lin Miyashiro | Family Medicine | 702 N 13th St, Artesia, NM 88210-1166 | 2018-06-28 |
| 1578013504 | Debra Kay Sapaugh | Registered Nurse | 702 N 13th St, Artesia, NM 88210-1166 | 2016-10-14 |
| 1346604402 | Andrew Hyden | Emergency Medicine | 702 N 13th St, Artesia, NM 88210 | 2016-04-05 |
| 1053776708 | Matthew Emerson Kaiser | Physician Assistant | 702 N 13th St, Artesia, NM 88210 | 2015-12-23 |
| 1013340546 | Ruth Honey Covin-weeks | Clinical Nurse Specialist | 702 N 13th St, Artesia, NM 88210-1199 | 2013-08-20 |
| 1689017584 | Horim Choi | Orthopaedic Surgery | 702 N 13th St, Artesia, NM 88210-1199 | 2013-04-10 |
| 1619283835 | Sarah Katherine Haan | Registered Nurse | 702 N 13th St, Artesia, NM 88210 | 2010-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003452012 | Blue Star Therapy, LLC | Occupational Therapist | 611 W. Mahone Dr., Artesia, NM 88210 | 2019-11-25 |
| 1245777382 | Alise Mullen | Registered Nurse | 1806 W. Centre Ave, Artesia, NM 88210 | 2017-01-27 |
| 1376890285 | Micki J Miller | Massage Therapist | 106 S. 7th. St., Artesia, NM 88210 | 2012-08-09 |
| 1396971222 | Grammy's House Artesia Domestic Violence Shelter Inc. | Social Worker | 811 W Texas, Artesia, NM 88210 | 2009-06-05 |
| 1013143338 | Yucca Health Care Centers | Clinic/Center | 606 North 13th Street, Artesia, NM 88210 | 2009-06-01 |
| 1205077310 | Kay L. Younggren Dds | Dentist | 2520 W. Hermosa, Artesia, NM 88210 | 2009-03-19 |
| 1922264902 | Sherry Rayne Moya | Nurse Practitioner | 702 13th Street, Artesia, NM 88210 | 2008-07-30 |
| 1679778054 | Susan Emelie Trompeter | Internal Medicine | 702 N 13th St Ste 100, Artesia, NM 88210 | 2007-06-18 |
| 1952518292 | D. Ann Sanders | Registered Nurse | 504 Gage, Artesia, NM 88210 | 2007-05-17 |
| 1366597908 | Pecos Valley Regional Education Coop 8 | Community/Behavioral Health | 2218 W Grand Ave, Artesia, NM 88210 | 2007-01-24 |
| Find all providers in zip 88210 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992261309 | Health West LLC | Emergency Medicine | 3300 W Main St Ste F, Artesia, NM 88210-9617 | 2019-02-11 |
| 1346604402 | Andrew Hyden | Emergency Medicine | 702 N 13th St, Artesia, NM 88210 | 2016-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730612359 | Adam Michael Tolar | Emergency Medicine | Mcs 11 6025, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2017-04-10 |
| 1538691712 | David Scott Fischman | Emergency Medicine | 6400 Paseo Del Norte Blvd Ne, Albuquerque, NM 87113-8711 | 2017-03-28 |
| 1265895486 | Nedda Fariba Karimi | Emergency Medicine | 4515 Coors Blvd Nw, Albuquerque, NM 87120-3699 | 2016-04-04 |
| 1417310764 | Justin Itty Mathew | Emergency Medicine | Department of Emergency Medicine Msc11 6025, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-04-04 |
| 1639532583 | Amanda Lauren Ventura | Emergency Medicine | Msc Emergency Medicine 1 University of New Mexico, Albuquerque, NM 87131-2364 | 2016-03-29 |
| 1083000178 | David Michael Glass | Emergency Medicine | Emergency Medicine Msc 11 6025, University of New Mexico, Albuquerque, NM 87131-0001 | 2015-04-15 |
| 1952797300 | Eleni Marie Bucuvalas | Emergency Medicine | Msc 11-6025, 1 University of New Mexico, Albuquerque, NM 87131 | 2015-04-13 |
| 1225423239 | Joseph Smith Jr. | Emergency Medicine | Msc 11 6025 University of New Mexico, Albuquerque, NM 87131-0001 | 2015-04-06 |
| 1083026140 | Damek Santiago Maurice | Emergency Medicine | Christus St. Vincent Regional Medical Center, 455 St. Michaels Drive, Santa Fe, NM 87505 | 2014-05-23 |
| 1073932471 | Kimberly Marie Ruth Pruett | Emergency Medicine | Unm Department of Emergency Medicine 1 Unm, Albuquerque, NM 87131-4700 | 2014-04-14 |
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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.