POJOAQUE FAMILY PRACTICE, P.A. (NPI# 1326145707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326145707 |
Entity Type | Organization |
Organization Name | POJOAQUE FAMILY PRACTICE, P.A. |
Practice Address |
5 Petroglyph Cir Ste. B Santa Fe NM 87506-1001 |
Mailing Address |
11 W Gutierrez Unit 3810 Santa Fe NM 87506-0228 |
Practice Telephone | 5054552842 |
Practice Fax Number | 5054552941 |
Mailing Telephone | 5054552842 |
Mailing Fax Number | 5054552941 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2010-04-16 |
Authorized Official Name | DR. CHARLES JAMES MAESTAS (PRESIDENT/PHYSICIAN) |
Authorized Official Telephone | 5054552842 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
000 | NM | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 07930 | 05 |
Street Address |
5 PETROGLYPH CIR STE. B |
City | SANTA FE |
State | NM |
Zip Code | 87506-1001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790753556 | James Richard Delgado | Family Medicine | 5 Petroglyph Cir, Suige A, Santa Fe, NM 87506-1001 | 2006-03-09 |
1235256447 | St. Vincent Hospital | Family Medicine | 5 Petroglyph Cir, Suite A, Santa Fe, NM 87506-1001 | 2007-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073110920 | Nambe Pueblo | Clinic/Center | 16a Tayeh Huu U, Pueblo of Nambe, NM 87506 | 2020-10-05 |
1811543655 | Waltor Surgical Assisting | Specialist/Technologist, Other | 708 Luna Vista, Santa Fe, NM 87506 | 2019-08-16 |
1518447762 | Rosario Cismowski Escobedo | Behavior Technician | 17709a Hwy 84/285, Santa Fe, NM 87506 | 2018-08-17 |
1417440777 | Las Clinicas Del Norte Incorporated | Clinic/Center | 1797b St. Rd 502, Santa Fe, NM 87506 | 2018-06-12 |
1992297915 | Carnell D Horn II | Behavior Technician | 44 Paseo Encantado Sw, Santa Fe, NM 87506 | 2018-06-05 |
1689101594 | James M Mccaffery | Ophthalmology | 45 Violet Circle, Santa Fe, NM 87506 | 2017-05-23 |
1225404437 | Tiffany Wynn | Counselor | 1524 Bishops Lodge Rd, #b, Tesuque, NM 87506 | 2015-08-12 |
1912119298 | St Vincent Hospital | General Acute Care Hospital | 5 Petroglyph Circle, Suite A, Pojoaque, NM 87506 | 2007-05-07 |
1881733574 | Kathleen Ohringer Paster | Social Worker | 53 Heartstone Drive, Santa Fe, NM 87506 | 2007-02-06 |
1831269448 | Roberta R Goodman | Counselor | 187 Tesuque Village Rd, Tesuque, NM 87506 | 2006-11-09 |
Find all providers in zip 87506 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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1144676149 | Acuhealth Acupuncture, LLC | Clinic/Center | 511 W San Mateo Rd, Santa Fe, NM 87505-4027 | 2016-05-09 |
1225589203 | William A. Leeson, Md, PC | Clinic/Center | 1630 Hospital Dr, Suite D, Santa Fe, NM 87505-4772 | 2016-10-14 |
1639429632 | Natural Health Solutions LLC | Clinic/Center | 3600 Cerrillos Rd, Suite 503a, Santa Fe, NM 87507-2612 | 2012-09-17 |
1891947370 | Concentra Health Services, Inc. | Clinic/Center | 720 St. Michaels Drive, Suite C, Santa Fe, NM 87505-7600 | 2008-10-16 |
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1619451994 | Abqhealthcare2you | Clinic/Center | 8609 Hampton Ave Ne, Albuquerque, NM 87122-2638 | 2018-09-21 |
1528579596 | Full Circle Health and Wellness LLC | Clinic/Center | 1702 W Gilchrist Ave, Artesia, NM 88210-1100 | 2017-10-18 |
1972038917 | Pa Medical Rehab Center LLC | Clinic/Center | 2900 Louisiana Blvd Ne Ste H, Albuquerque, NM 87110-3565 | 2017-04-27 |
1093075277 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 400 Marquette Ave Nw, City Hall Bldg., Basement B-06, Albuquerque, NM 87102-2147 | 2012-05-22 |
1750687190 | Daves Health Services, LLC | Clinic/Center | 110 S Halagueno St, Carlsbad, NM 88220-5748 | 2011-02-02 |
1699079459 | Nm Health Care To You LLC | Clinic/Center | 4535 Schiff Trail, Silver City, NM 88061 | 2011-01-07 |
1285958199 | Bentzco, LLC | Clinic/Center | 3777 The American Rd Nw, Albuquerque, NM 87114-1338 | 2010-03-22 |
1124254545 | South Central Colfax County Hospital District | Clinic/Center | 356 #c 9th Street, Cimarron, NM 87714 | 2009-06-01 |
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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.