DR. SURJIT REDDY MOOLAMALLA (NPI# 1306849310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306849310 |
| Entity Type | Individual |
| Full Name | DR. SURJIT REDDY MOOLAMALLA |
| Credential | M.D. |
| Practice Address |
4351 E Lohman Ave Suite 401 Las Cruces NM 88011-8259 |
| Practice Telephone | 5755224767 |
| Practice Fax Number | 5755223607 |
| Mailing Telephone | 5755224767 |
| Mailing Fax Number | 5755223607 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2020-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 47545 | MN | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 01053146A | IN | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | MD2010-0726 | NM | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | BP10025761 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
4351 E LOHMAN AVE SUITE 401 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-8259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140362 | Sarbesh Rijal | Student in an Organized Health Care Education/Training Program | 4351 E Lohman Ave, Las Cruces, NM 88011-8259 | 2020-07-03 |
| 1023633492 | Ekemini Benedict Usoro | Student in an Organized Health Care Education/Training Program | 4351 E Lohman Ave, Las Cruces, NM 88011-8259 | 2020-06-11 |
| 1013440858 | Rachel Brandl | Student in an Organized Health Care Education/Training Program | 4351 E Lohman Ave, Las Cruces, NM 88011-8259 | 2017-04-08 |
| 1952653180 | Cynthia Caranta | Nurse Practitioner | 4351 E Lohman Ave, Suite 202, Las Cruces, NM 88011-8259 | 2012-10-11 |
| 1487920757 | Compassionate Medicine of Southern Nm | Family Medicine | 4351 E Lohman Ave, Suite 405, Las Cruces, NM 88011-8259 | 2012-03-30 |
| 1134418247 | Sarah Linse Bienenfeld | Obstetrics & Gynecology | 4351 E Lohman Ave, Suite 402, Las Cruces, NM 88011-8259 | 2011-03-30 |
| 1598085680 | Jonathon Struemph | Orthopaedic Surgery | 4351 E Lohman Ave, Suite 301, Las Cruces, NM 88011-8259 | 2010-06-11 |
| 1497074850 | Las Cruces Cardiology, LLC | Internal Medicine | 4351 E Lohman Ave, Suite 101, Las Cruces, NM 88011-8258 | 2010-05-25 |
| 1184956922 | Pinnacle Family Healthcare | Family Medicine | 4351 E Lohman Ave, Suite 405, Las Cruces, NM 88011-8259 | 2010-02-04 |
| 1093047995 | Elizabeth E Bidwell | Nurse Practitioner | 4351 E Lohman Ave, Suite 301, Las Cruces, NM 88011-8259 | 2010-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487176061 | Southwest Gynecology, Inc. | Obstetrics & Gynecology | 2930 Hillrise Dr Ste 2, Las Cruces, NM 88011-4776 | 2017-07-14 |
| 1255486734 | Anthony Levatino Md LLC | Obstetrics & Gynecology | 2907 Hillrise Dr, # B, Las Cruces, NM 88011-4701 | 2007-01-24 |
| 1396820734 | Kristen Renee Castillo | Obstetrics & Gynecology | 4351 E Lohman Ave Ste 401, Las Cruces, NM 88011-8261 | 2006-10-26 |
| 1427053909 | Steven J. Lopez | Obstetrics & Gynecology | 385 Calle De Alegra Ste B, Las Cruces, NM 88005-3423 | 2005-06-20 |
| 1235484304 | Las Cruces Physician Practices LLC | Obstetrics & Gynecology | 2100 S Triviz Dr, Suite H, Las Cruces, NM 88001-0605 | 2012-07-16 |
| 1134418247 | Sarah Linse Bienenfeld | Obstetrics & Gynecology | 4351 E Lohman Ave, Suite 402, Las Cruces, NM 88011-8259 | 2011-03-30 |
| 1831498096 | Shirley Jeanette Hinshaw | Obstetrics & Gynecology | 2520 S Telshor Blvd, Las Cruces, NM 88011-4907 | 2011-03-26 |
| 1265606149 | Rebecca Lynn Coalson | Obstetrics & Gynecology | 2100 S Triviz Dr Ste H, Women's Medical Associates, Las Cruces, NM 88001-0601 | 2008-04-22 |
| 1912191677 | Elma Rosario Gutierrez | Obstetrics & Gynecology | 4351 E. Lohman Ave., Suite 401, Las Cruces, NM 88011 | 2007-09-05 |
| 1508066457 | Jerome Frazier | Obstetrics & Gynecology | 1401 S Don Roser Dr, Suite D, Las Cruces, NM 88011-4567 | 2007-07-19 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
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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.