INTERNAL MEDICINE PREMIUM HEALTH CARE PC (NPI# 1124406269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124406269 |
| Entity Type | Organization |
| Organization Name | INTERNAL MEDICINE PREMIUM HEALTH CARE PC |
| Practice Address |
525 E Lohman Ave Ste D Las Cruces NM 88001-3394 |
| Practice Telephone | 5256524426 |
| Practice Fax Number | 5252220025 |
| Mailing Telephone | 5256524426 |
| Mailing Fax Number | 5252220025 |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2017-10-10 |
| Authorized Official Name | WENDI LASHEA GLASON DARAG (MD, OWNER) |
| Authorized Official Telephone | 5756524426 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD2013-0836 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
525 E LOHMAN AVE STE D |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001-3394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184008153 | Syed Rafique Ahmed | Internal Medicine | 3030 W Picacho Ave Ste D, Las Cruces, NM 88007-4721 | 2015-07-19 |
| 1770966699 | Edna Maritza Juarez | Internal Medicine | 2450 S. Telshor Blvd., Bldg. D., Suite 1, Las Cruces, NM 88011 | 2015-07-09 |
| 1669866174 | Bat Ray Inpatient Services LLC | Internal Medicine | 2560 Samaritan Dr, Las Cruces, NM 88001-1170 | 2015-03-23 |
| 1356758213 | Ditashree Devkota | Internal Medicine | 4311 E Lohman Ave # 4, Las Cruces, NM 88011 | 2014-07-11 |
| 1225382427 | Judi Rae Voelz | Internal Medicine | Msc 3529, New Mexico State University, Las Cruces, NM 88003-8001 | 2012-11-09 |
| 1568718526 | Cristina Amelia Perez Gomez | Internal Medicine | 3901 Sonoma Springs Ave Apt 202, Las Cruces, NM 88011-7107 | 2012-07-27 |
| 1437413820 | Chinenye Anthonia Osuorji | Internal Medicine | 3085 Eclipse Ridge Ln, Las Cruces, NM 88011-1667 | 2012-06-29 |
| 1528356037 | Parikshit Padhi | Internal Medicine | 2530 S Telshor Blvd Suite 107, Las Cruces, NM 88011-4756 | 2011-07-18 |
| 1659679157 | Wellmed Medical Group, P.a. | Internal Medicine | 530 N Telshor Blvd Ste C, Las Cruces, NM 88011-8243 | 2011-03-08 |
| 1477871598 | Wendi Lashea Darag | Internal Medicine | 525 E Lohman Ave Ste D, Las Cruces, NM 88001-3394 | 2010-05-13 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
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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.