ZIA HEALTHCARE SERVICES LLC (NPI# 1134758634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134758634 |
| Entity Type | Organization |
| Organization Name | ZIA HEALTHCARE SERVICES LLC |
| Practice Address |
190 Hospital Dr Raton NM 87740-2002 |
| Practice Telephone | 5054008529 |
| Mailing Telephone | 5054008529 |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |
| Authorized Official Name | MISBAH DARWEESH ZMILY (CFO, CO-OWNER) |
| Authorized Official Telephone | 5754455563 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ZIA HEALTHCARE SERVICES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SC2300X |
Clinical Nurse Specialist Specialization: Chronic Care |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235634346 | Zia Healthcare Services LLC | Pathology | 168 Hospital Dr, Raton, NM 87740 | 2018-03-29 |
| Street Address |
190 HOSPITAL DR |
| City | RATON |
| State | NM |
| Zip Code | 87740-2002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912383001 | La Familia Primary Care | Preferred Provider Organization | 190 Hospital Dr, Raton, NM 87740-2002 | 2015-07-31 |
| 1306132899 | Aileen C Romero | Nurse Practitioner | 190 Hospital Dr, Raton, NM 87740-2002 | 2011-06-22 |
| 1366525537 | La Familia Primary Care P C | Clinic/Center | 190 Hospital Dr, Raton, NM 87740-2002 | 2006-10-23 |
| 1285735332 | Misbah Darweesh Zmily | Internal Medicine | 190 Hospital Dr, Raton, NM 87740-2002 | 2006-09-25 |
| 1194822122 | Mark H Bayliss | Physician Assistant | 190 Hospital Dr, Raton, NM 87740-2002 | 2006-09-20 |
| 1053387282 | Hugh Edward Naylor IIi | Internal Medicine | 190 Hospital Dr, Raton, NM 87740-2002 | 2006-02-27 |
| 1609873355 | Marcia Louise Hefker | Nurse Practitioner | 190 Hospital Dr, Raton, NM 87740-2002 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235634346 | Zia Healthcare Services LLC | Pathology | 168 Hospital Dr, Raton, NM 87740 | 2018-03-29 |
| 1538660428 | Sarah Rebecca Bales | Social Worker | 106 Cook Ave Apt 2-b, Raton, NM 87740 | 2018-02-26 |
| 1144695966 | Susanne Tripodi | Acupuncturist | 201 Cook Ave, Raton, NM 87740 | 2015-12-04 |
| 1942559588 | Candice Brook Adams | Psychologist | 101 North Second Street, Raton, NM 87740 | 2012-08-29 |
| 1184981227 | Jewel Berry | Counselor | 501 South Fourth Street, Raton, NM 87740 | 2012-04-13 |
| 1053696518 | William Stephen Stanley | Pharmacist | 955 South Second Street, Del Norte Pharmacy, Raton, NM 87740 | 2011-10-17 |
| 1144536459 | Karin M Murray | Pharmacist | 1275-a South 2nd St, Raton, NM 87740 | 2010-08-24 |
| 1043526361 | Troy N. Murray | Pharmacist | 1275-a South 2nd St., Raton, NM 87740 | 2010-08-24 |
| 1962730010 | Tiger Den Wellness Center | Local Education Agency (LEA) | 1535 Tiger Circle, Raton, NM 87740 | 2009-12-01 |
| 1407182678 | Billy Mastrantoni | Counselor | 130 N Second St, Raton, NM 87740 | 2009-10-23 |
| Find all providers in zip 87740 | ||||
| Taxonomy Code | 364SC2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Chronic Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049217 | Zia Health Management LLC | Clinical Nurse Specialist | 166 Hospital Dr, Raton, NM 87740-2002 | 2020-09-24 |
Please comment or provide details below to improve the information on ZIA HEALTHCARE SERVICES LLC.
| 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.