NEW MEXICO PAIN MANAGEMENT, LLC (NPI# 1215173000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215173000 |
| Entity Type | Organization |
| Organization Name | NEW MEXICO PAIN MANAGEMENT, LLC |
| Practice Address |
460 Saint Michaels Dr Building 200 Santa Fe NM 87505-7619 |
| Practice Telephone | 5059885551 |
| Mailing Telephone | 5059885551 |
| Enumeration Date | 2008-12-28 |
| Last Update Date | 2008-12-28 |
| Authorized Official Name | DR. JONAS R. SKARDIS (OWNER) |
| Authorized Official Telephone | 5056705060 |
| Authorized Official Credential | DOM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 192RX2 | NM | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
192RX2 | NM | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
159RX2 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
460 SAINT MICHAELS DR BUILDING 200 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-7619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609808005 | Alston C Lundgren | Family Medicine | 460 Saint Michaels Dr, Ste. 801, Santa Fe, NM 87505-7619 | 2006-07-07 |
| 1801243290 | Shirley Lam | Hearing Instrument Specialist | 460 Saint Michaels Dr, Ste 901, Santa Fe, NM 87505-7619 | 2016-05-16 |
| 1043680028 | Whole Body Wellness | Specialist | 460 Saint Michaels Dr, Suite 601, Santa Fe, NM 87505-7619 | 2015-10-02 |
| 1023413788 | Tahlia Rainbolt, Phd, LLC | Community/Behavioral Health | 460 Saint Michaels Dr, Suite 505, Santa Fe, NM 87505-7619 | 2014-10-23 |
| 1245641638 | Jack Jones Hearing Center, Inc. | Audiologist-Hearing Aid Fitter | 460 Saint Michaels Dr, Ste 901, Santa Fe, NM 87505-7619 | 2014-05-19 |
| 1073856530 | Emanuel, LLC | In Home Supportive Care | 460 Saint Michaels Dr, Suite 1104, Santa Fe, NM 87505-7619 | 2013-04-03 |
| 1093055816 | Deborah Schweiger-whalen and Associates, LLC | Clinic/Center | 460 Saint Michaels Dr, Suite 1101, Santa Fe, NM 87505-7619 | 2013-02-15 |
| 1922315068 | Northland Hearing Centers Inc | Audiologist-Hearing Aid Fitter | 460 Saint Michaels Dr, Suite 1204, Santa Fe, NM 87505-7619 | 2010-09-10 |
| 1194969220 | Dennis M Jackson Md Inc | Family Medicine | 460 Saint Michaels Dr, #1005, Santa Fe, NM 87505-7619 | 2009-04-20 |
| 1194966747 | Caroline Kingston Md Mph Family Practice LLC | Clinic/Center | 460 Saint Michaels Dr, 1204, Santa Fe, NM 87505-7619 | 2009-03-11 |
| Find all providers in the same location | ||||
| 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 | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851432835 | Jonas R. Skardis | Pain Medicine | 460 Saint Michaels Dr Ste 200, Santa Fe, NM 87505-7686 | 2007-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790002830 | Jose Luis Ramirez | Pain Medicine | 780 S Walnut St Bldg 3, Las Cruces, NM 88001-1425 | 2010-04-29 |
| 1104086859 | Brian Starr | Pain Medicine | 900 Camino De Salud, Albuquerque, NM 87131-0001 | 2008-06-16 |
| 1396930152 | Carlsbad Spine Pain Sports Medicine PC | Pain Medicine | 2319 W Pierce St, Carlsbad, NM 88220-3515 | 2007-09-13 |
| 1891903753 | Southwest Interventional Pain Specialists, PC | Pain Medicine | 4700 Jefferson Ne, Suite 700, Albuquerque, NM 87109-2132 | 2007-05-21 |
| 1326330739 | Timothy E. Hansen, D.o., P.a. | Pain Medicine | 3860 Masthead St Ne, Albuquerque, NM 87109-4479 | 2011-05-04 |
| 1598939555 | John A Flores Md LLC | Pain Medicine | 2902 Hillrise Dr, Las Cruces, NM 88011-4702 | 2008-04-21 |
| 1205014693 | Pain Solutions LLC | Pain Medicine | 8080 Academy Rd Ne, Suite A, Albuquerque, NM 87111-1159 | 2008-02-07 |
| 1427104157 | Interventional Pain Specialists of New Mexico, P.a. | Pain Medicine | 4824 Mcmahon Blvd Nw, Suite 119, Albuquerque, NM 87114-5412 | 2007-01-26 |
| 1922190040 | Charles F Pace | Pain Medicine | 4824 Mcmahon Blvd Nw, Suite 119, Albuquerque, NM 87114-5412 | 2006-09-28 |
| 1669495834 | Craig Stephen Nairn | Pain Medicine | 8080 Academy Rd Ne, Suite A, Albuquerque, NM 87111-1159 | 2006-07-26 |
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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.