SANTA TERESA OCCMED CENTER, PC (NPI# 1164603619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164603619 |
| Entity Type | Organization |
| Organization Name | SANTA TERESA OCCMED CENTER, PC |
| Practice Address |
5055 Mcnutt Rd Santa Teresa NM 88008-9442 |
| Practice Telephone | 5055895005 |
| Mailing Telephone | 5055895005 |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |
| Authorized Official Name | MRS. REBECCA L. AYERS (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 9158420504 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
5055 MCNUTT RD |
| City | SANTA TERESA |
| State | NM |
| Zip Code | 88008-9442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861483083 | Henry Calderoni | Family Medicine | 5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2005-11-04 |
| 1306464615 | Peter Sangra Md LLC | Psychiatry & Neurology | 5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2020-07-13 |
| 1144757063 | Santa Teresa Family Medical Center | Clinic/Center | 5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2017-05-23 |
| 1265873947 | Peter K. Sangra | Psychiatry & Neurology | 5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2013-07-10 |
| 1982610580 | Carlos Rafael Montes | Physical Therapist | 5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2006-08-01 |
| 1023068012 | Mario Vela | Nurse Practitioner | 5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2006-05-11 |
| 1558325969 | Douglas Zischkau | Family Medicine | 5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2006-04-13 |
| 1669459947 | Santa Teresa Medical Care Center PC | Internal Medicine | 5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2005-12-28 |
| 1699766816 | Alfred Basil Varela | Specialist | 5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507211 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5690 Santa Teresita Drive, Suite A2, Room P1, Santa Teresa, NM 88008 | 2020-10-27 |
| 1891848131 | Direct Healthcare South Inc | Home Health | 101 Livingston Loop, Suite 5, Santa Teresa, NM 88008 | 2007-01-19 |
| 1912061235 | Rio Valle Behavioral Health Centre | Psychiatry & Neurology | 101 Livinston Loop, Bldg C Suite 3, Santa Teresa, NM 88008 | 2006-12-21 |
| 1679634562 | Robert L Nichols | Family Medicine | 1300 Country Club Road, Santa Teresa, NM 88008 | 2006-12-13 |
| 1881792950 | Leo J Raschbaum Mdpc | Clinic/Center | 5690 Santa Teresita, Building A, Suite 4, Santa Teresa, NM 88008 | 2006-09-20 |
| 1366410276 | Emilio T. Rivera | Anesthesiology | 5290 Mcnutt Rd, Ste 109, Santa Teresa, NM 88008 | 2006-03-08 |
| 1225486194 | Diane Rivera | Registered Nurse | 101 Airport Road, Santa Teresa, NM 88008 | 2016-06-01 |
| 1780080358 | Audriana Apodaca | Nurse Practitioner | 100 Airport Rd, Santa Teresa, NM 88008 | 2014-11-10 |
| 1447667001 | Noha Oushy Eissa | Dentist | 103 Livingston Loop Ste B3, Santa Teresa, NM 88008 | 2014-07-16 |
| 1871963017 | Oralia Quezada | Student in an Organized Health Care Education/Training Program | 103 Livingston Loop, Bldg B, Suite 4, Santa Teresa, NM 88008-1063 | 2015-09-30 |
| Find all providers in zip 88008 | ||||
| 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 |
|---|---|---|---|---|
| 1679634562 | Robert L Nichols | Family Medicine | 1300 Country Club Road, Santa Teresa, NM 88008 | 2006-12-13 |
| 1639121692 | Doctors of Santa Teresa PC | Family Medicine | 5290 Mcnutt Road, Santa Teresa, NM 88008-9648 | 2006-05-17 |
| 1861483083 | Henry Calderoni | Family Medicine | 5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2005-11-04 |
| 1982656948 | Dorothy F Gault-mcnemee | Family Medicine | 5290 Mcnutt Road, Santa Teresa, NM 88008-1590 | 2006-05-17 |
| 1558325969 | Douglas Zischkau | Family Medicine | 5055 Mcnutt Rd, Santa Teresa, NM 88008-9442 | 2006-04-13 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | SANTA TERESA |
| Zip Code | 88008 |
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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.