FAMILY PRACTICE ASSOCIATES OF RATON INC (NPI# 1164460507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164460507 |
| Entity Type | Organization |
| Organization Name | FAMILY PRACTICE ASSOCIATES OF RATON INC |
| Practice Address |
411 S 3rd St Raton NM 87740-4005 |
| Practice Telephone | 5054453626 |
| Practice Fax Number | 5054458649 |
| Mailing Telephone | 5054453626 |
| Mailing Fax Number | 5054458649 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2008-08-22 |
| Authorized Official Name | TERRI J SEGOTTA (OFFICE MANAGER) |
| Authorized Official Telephone | 5054453626 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 02871769 | 05 | |
| NM | 45727 | 05 | |
| NM | BLUE CROSS BLUE SHEILD | NM007097 | 01 |
| Street Address |
411 S 3RD ST |
| City | RATON |
| State | NM |
| Zip Code | 87740-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040610 | Leroy Fernandez | Community Health Worker | 411 S 3rd St, Raton, NM 87740-4005 | 2020-10-09 |
| 1417555764 | Bert Dennis | Community Health Worker | 411 S 3rd St, Raton, NM 87740-4005 | 2020-10-09 |
| 1700406592 | Chantel Romero | Case Manager/Care Coordinator | 411 S 3rd St, Raton, NM 87740-4005 | 2020-04-21 |
| 1942835608 | Kayce L Bustos | Case Manager/Care Coordinator | 411 S 3rd St, Raton, NM 87740-4005 | 2020-03-03 |
| 1407495039 | David Silva | Community Health Worker | 411 S 3rd St, Raton, NM 87740-4005 | 2019-12-30 |
| 1770129033 | Jamie Segura | Community Health Worker | 411 S 3rd St, Raton, NM 87740-4005 | 2019-11-21 |
| 1528602463 | Juli Valliere | Counselor | 411 S 3rd St, Raton, NM 87740-4005 | 2019-11-04 |
| 1750925178 | Anita Mallory | Community Health Worker | 411 S 3rd St, Raton, NM 87740-4005 | 2019-10-29 |
| 1780162206 | Noesis Integrative Health Inc | Clinic/Center | 411 S 3rd St, Raton, NM 87740-4005 | 2018-08-06 |
| 1598098659 | Heidi Elizabeth Wahl | Counselor | 411 S 3rd St, Raton, NM 87740-4005 | 2009-09-08 |
| Find all providers in the same location | ||||
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083885560 | Lisa A Wentling | Family Medicine | 411 S. 3rd St, Raton, NM 87740 | 2008-03-12 |
| 1275078354 | Ronald S Lotoc | Family Medicine | 203 Hospital Dr, Raton, NM 87740-2012 | 2016-12-28 |
| 1295778710 | Lee C Caruana | Family Medicine | 411 S 3rd St, Raton, NM 87740-4005 | 2006-06-13 |
| 1124008164 | Timothy L. Brininger | Family Medicine | 203 Hospital Dr, Raton, NM 87740-2012 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001024 | Laguna Healthcare Corp | Family Medicine | 6 Basswood Rd, Paraje, NM 87007 | 2020-10-20 |
| 1063027761 | Compassion Care Clinic PC | Family Medicine | 600 Hwy 195, Ste A, Elephant Butte, NM 87935 | 2020-09-10 |
| 1063027696 | Comprehensive Gastrostomy Tube Cares, LLC | Family Medicine | 8100 Wyoming Blvd Ne Ste M4-701, Albuquerque, NM 87113-1946 | 2020-09-10 |
| 1700498748 | Sandia View Family Medicine, PC | Family Medicine | 4200 Meadowlark Ln Se Ste 2, Rio Rancho, NM 87124-1050 | 2020-08-20 |
| 1740898428 | Dr. Maggie Wilson, PC | Family Medicine | 717 Encino Pl Ne Ste 5, Albuquerque, NM 87102-2624 | 2020-07-17 |
| 1861028102 | Lindsay Sue Cerrone | Family Medicine | 6 Kalma Ln, Edgewood, NM 87015-9593 | 2020-03-18 |
| 1053947408 | Optimal Wellness Journey | Family Medicine | 3231 Caminito San Lucas, Santa Fe, NM 87507-0443 | 2020-03-18 |
| 1831734813 | Leandra Lee Medina | Family Medicine | 7050 Barstow St Ne Ste B, Albuquerque, NM 87111-1056 | 2019-11-13 |
| 1053952473 | Healthnm, LLC | Family Medicine | 3612 Plano Vista Rd Ne, Rio Rancho, NM 87124-4182 | 2019-10-07 |
| 1497301824 | Gila Regional Medical Center | Family Medicine | 901 S. Gold Avenue, Deming, NM 88030 | 2019-08-12 |
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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.