DR. LANCE JOHN MIKKELSEN (NPI# 1154427334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154427334 |
| Entity Type | Individual |
| Full Name | DR. LANCE JOHN MIKKELSEN |
| Credential | M.D. |
| Practice Address |
1478 Miracerros Loop N Santa Fe NM 87505-4022 |
| Practice Telephone | 5059833849 |
| Mailing Telephone | 5059833849 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 75-209 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 10793 | 05 |
| Street Address |
1478 MIRACERROS LOOP N |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-4022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205472552 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 730 Saint Michaels Dr # 4b, Santa Fe, NM 87505-7606 | 2019-11-21 |
| 1538463716 | Michael Schultz | Obstetrics & Gynecology | 322 1/2 Camino Cerrito, Santa Fe, NM 87505-5912 | 2011-01-03 |
| 1316276587 | Dorothy J Mcwhorter | Obstetrics & Gynecology | 1704 Llano St, Santa Fe, NM 87505-5415 | 2009-12-16 |
| 1851526750 | Brenda B Hart | Obstetrics & Gynecology | 405 Kiva Court, Santa Fe, NM 87505 | 2009-05-20 |
| 1902957491 | Anne Foster | Obstetrics & Gynecology | 2025 South Pacheco St., Hsd/mad, Santa Fe, NM 87504 | 2007-01-13 |
| 1215901004 | Lynore Margaret Martinez | Obstetrics & Gynecology | 405 Kiva Ct, Santa Fe, NM 87505-5879 | 2006-02-16 |
| 1598146243 | Christina Noel Ulibarri | Obstetrics & Gynecology | 2055 S Pacheco St, Santa Fe, NM 87505-3997 | 2015-06-17 |
| 1235383670 | Barbara S Van Eeckhout,m.d.,p.c. | Obstetrics & Gynecology | 531 Harkle Rd, Suite D, Santa Fe, NM 87505-4753 | 2008-11-12 |
| 1427205798 | St. Vincent Hospital | Obstetrics & Gynecology | 465 Saint Michaels Dr, Suite 202, Santa Fe, NM 87505-7670 | 2008-08-19 |
| 1376731877 | Galisteo Ob-gyn Women's Health LLC | Obstetrics & Gynecology | 1691 Galisteo St, Suite D, Santa Fe, NM 87505-4780 | 2007-10-09 |
| Find all providers in SANTA FE | ||||
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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.