PC MARK RACE MD PLC (NPI# 1164475828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164475828 |
| Entity Type | Organization |
| Organization Name | PC MARK RACE MD PLC |
| Practice Address |
1501 10th St Alamogordo NM 88310-5044 |
| Practice Telephone | 5754465900 |
| Practice Fax Number | 5754465939 |
| Mailing Telephone | 5754465900 |
| Mailing Fax Number | 5754465939 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2011-03-07 |
| Authorized Official Name | CHARLES MARK RACE (PRESIDENT) |
| Authorized Official Telephone | 5754465900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD2009-0724 | NM | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | MIDLANDS | 1175 | 01 |
| IA | 0417253 | 05 |
| Street Address |
1501 10TH ST |
| City | ALAMOGORDO |
| State | NM |
| Zip Code | 88310-5044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937555 | John Michael Garcia | Nurse Practitioner | 1501 10th St, Alamogordo, NM 88310-5044 | 2020-09-21 |
| 1285282566 | Nicole Fabiano Fry | Registered Nurse | 1501 10th St, Alamogordo, NM 88310-5044 | 2019-08-29 |
| 1477011229 | Uchechukwu Genevieve Komolafe | Nurse Practitioner | 1501 10th St, Alamogordo, NM 88310-5044 | 2019-03-11 |
| 1699240721 | Sandra Arline Rickman | Nurse Practitioner | 1501 10th St, Alamogordo, NM 88310-5044 | 2018-10-04 |
| 1346648342 | Jacquelyn Norah Butler | Nurse Practitioner | 1501 10th St, Alamogordo, NM 88310 | 2014-12-08 |
| 1821341488 | Presbyterian Medical Services | Clinic/Center | 1501 10th St, Alamogordo, NM 88310-5044 | 2012-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249326 | Diana Cano | Behavior Technician | 27 N. Yucca Ave, Alamogordo, NM 88310 | 2020-09-15 |
| 1952802787 | Kinfe H Alemnugus | Pharmacist | 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 | 2018-02-27 |
| 1134666902 | Hillary Elizabeth Hunter | Behavior Technician | 1908 Snow Dr, Alamogordo, NM 88310 | 2017-01-31 |
| 1285097774 | Adrienne Nicole Martin | Physician Assistant | 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 | 2016-04-01 |
| 1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
| 1851788798 | Timothy W. Basha | Counselor | 1613 Juniper Dr., Alamogordo, NM 88310 | 2015-04-17 |
| 1215331186 | Keith Edward Gerber | Case Manager/Care Coordinator | 1900 East Tenth Street, Alamogordo, NM 88310 | 2014-10-21 |
| 1710306691 | Austin Reed | Pharmacist | 2401 Indian Wells, Alamogordo, NM 88310 | 2014-04-08 |
| 1760821805 | Dollar Cab Company | Taxi | 1220 Brooks Ave., Alamogordo, NM 88310 | 2013-06-21 |
| 1932544319 | Peter Allan Lock | Physical Therapist | 1011 A 10th Street, Alamogordo, NM 88310 | 2013-04-30 |
| Find all providers in zip 88310 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326469164 | Brenda Louise Kuehl | Specialist | 805 12th St Bldg B, Alamogordo, NM 88310-6434 | 2013-12-20 |
| 1134568389 | Ana Sepulveda | Specialist | 1306 Indian Wells Rd, Alamogordo, NM 88310-5685 | 2013-06-20 |
| 1649544032 | Sleep Health Specialists, LLC | Specialist | 901 Filipino Ave, Alamogordo, NM 88310-5864 | 2012-03-02 |
| 1104126093 | Life Force Energies | Specialist | 1200 N White Sands Blvd Ste 110, Alamogordo, NM 88310-6774 | 2010-10-26 |
| 1760601462 | Zia Sun Inc | Specialist | 1909 Cuba Ave, Suite 4, Alamogordo, NM 88310-5646 | 2007-04-24 |
| 1083725949 | Mary Regina Paluszek-pirc | Specialist | 911 10th St, Alamogordo, NM 88310-6423 | 2006-08-31 |
| 1811994221 | Gregory B Richardson | Specialist | 1100 10th St, Alamogordo, NM 88310-6414 | 2005-06-30 |
| 1538165147 | William L Pollard | Specialist | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2005-06-28 |
| 1700883394 | Robert Charles Smaltz | Specialist | 2539 Medical Dr. Complex A, Ste. 103, Alamogordo, NM 88310-2539 | 2005-06-28 |
| 1215293899 | Sharon Kay Weaver | Specialist | 1200 N White Sands Blvd, Suite 110, Alamogordo, NM 88310-6774 | 2012-04-08 |
| Find all providers in ALAMOGORDO | ||||
| City | ALAMOGORDO |
| Zip Code | 88310 |
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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.