MRS. SUSAN ELLEN RAGO (NPI# 1184640831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184640831 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN ELLEN RAGO |
| Credential | PA-C |
| Practice Address |
1001 W Broadway Ste D Farmington NM 87401-5638 |
| Mailing Address |
Po Box 445 Aztec NM 87410-0445 |
| Practice Telephone | 5053274796 |
| Practice Fax Number | 5053259113 |
| Mailing Telephone | 5053274796 |
| Mailing Fax Number | 5053259113 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
94-PA33 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 87715 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942555206 | Susan Rago | Dietitian, Registered | 205 Radcliffe St, Bristol, PA 19007-5017 | 2012-07-23 |
| Street Address |
1001 W BROADWAY STE D |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-5638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336132356 | Darren Powell | Counselor | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2005-08-24 |
| 1376142679 | Michelle M Medina | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-10-19 |
| 1972117729 | Valaria Lisa Kee | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-08-31 |
| 1255952826 | Breanna Smith | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-05-05 |
| 1518506724 | Joni J Duran | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2020-01-06 |
| 1144867706 | Marlene Jim | Behavioral Analyst | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2019-12-03 |
| 1417503483 | James Andrew Bigham | Nurse Practitioner | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2019-08-14 |
| 1679125124 | Joshua Norris Powell | Social Worker | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2019-07-15 |
| 1043870330 | Karen A Silversmith | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2019-06-18 |
| 1215595343 | Summer Popplewell | Case Manager/Care Coordinator | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730125386 | Randall D. Gauvin | Physician Assistant | Franklin Memorial Hospital, 111 Franklin Health Commons, Farmington, ME 04938 | 2006-06-21 |
| 1194262006 | Brittany N. Rogers | Physician Assistant | 540 Maple Valley Dr, Farmington, MO 63640-1981 | 2017-01-30 |
| 1528430501 | Stephen Smith | Physician Assistant | 1001 W Broadway, Farmington, NM 87401-5638 | 2015-10-29 |
| 1972944957 | Megan S Stock | Physician Assistant | 406 Farmington Ave, Farmington, CT 06032-1964 | 2013-07-08 |
| 1336499458 | Ryane Elaine Fitzwater | Physician Assistant | 1101 W Liberty St, Ed Department, Farmington, MO 63640-1921 | 2012-09-17 |
| 1972859403 | Cody W Lewis | Physician Assistant | 1001 W Broadway, Farmington, NM 87401 | 2012-08-02 |
| 1184927592 | Aristides M Bautista | Physician Assistant | 940 W Pinon St, Farmington, NM 87401 | 2010-12-08 |
| 1124299813 | Angela M Hager | Physician Assistant | 100 Main St, Farmington, WV 26571-0029 | 2008-03-20 |
| 1417126087 | Michael E Tortorello I | Physician Assistant | 21 South Rd, Dermatology, Farmington, CT 06032-2410 | 2008-02-27 |
| 1457530743 | Susan Rammer Huntington | Physician Assistant | 4 Farm Springs Rd, Prohealth Physicians, Farmington, CT 06032-2573 | 2007-11-02 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on MRS. SUSAN ELLEN RAGO.
| 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.