GEPS PHYSICIAN GROUP OF NEW MEXICO, PC (NPI# 1407239445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407239445 |
| Entity Type | Organization |
| Organization Name | GEPS PHYSICIAN GROUP OF NEW MEXICO, PC |
| Practice Address |
806 W Maple St Farmington NM 87401-5631 |
| Mailing Address |
Po Box 42738 Towson MD 21284-2738 |
| Practice Telephone | 5053252910 |
| Mailing Telephone | 4108327790 |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2015-08-25 |
| Authorized Official Name | MR. ERIC SHAPIRO (VP/AREA CONTROLLER) |
| Authorized Official Telephone | 4108327790 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
806 W MAPLE ST |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-5631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942255880 | Peak Medical Farmington, LLC | Skilled Nursing Facility | 806 W Maple St, Farmington, NM 87401-5631 | 2006-05-22 |
| 1649801515 | Jennifer Elizabeth Kump | Occupational Therapist | 806 W Maple St, Farmington, NM 87401-5631 | 2020-01-30 |
| 1831747856 | Neal Mcpherson | Speech-Language Pathologist | 806 W Maple St, Farmington, NM 87401-5631 | 2019-09-03 |
| 1902342348 | Justin Booker | Occupational Therapy Assistant | 806 W Maple St, Farmington, NM 87401-5631 | 2017-01-09 |
| 1922464866 | Kenneth Jung | Physical Therapy Assistant | 806 W Maple St, Farmington, NM 87401-5631 | 2016-01-07 |
| 1174989024 | Mary Hill | Physical Therapist | 806 W Maple St, Farmington, NM 87401-5631 | 2016-01-07 |
| 1801225685 | Cassandra Wald | Occupational Therapy Assistant | 806 W Maple St, Farmington, NM 87401-5631 | 2013-11-02 |
| 1760761605 | Joseph Narciso | Physical Therapist | 806 W Maple St, Farmington, NM 87401-5631 | 2011-08-10 |
| 1316230691 | Joanne Enriquez | Occupational Therapy Assistant | 806 W Maple St, Farmington, NM 87401-5631 | 2011-05-19 |
| 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 | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154327369 | James E Judge | Internal Medicine | 7 Rosewood Dr, Farmington, Farmington, CT 06032-1114 | 2005-06-22 |
| 1669812715 | Germine Sameh Labib Soliman | Internal Medicine | 263 Farmington Ave, Farmington, CT 06030-5215 | 2013-07-02 |
| 1093152050 | Dawn Elise Murphy | Internal Medicine | 263 Farmington Ave, Farmington, CT 06030-0001 | 2013-05-31 |
| 1578806840 | Jaclyn Susan Olsen | Internal Medicine | 263 Farmington Ave, Graduate Medical Education - Lm068, Farmington, CT 06030-1921 | 2013-04-04 |
| 1871617159 | Karina M Berg | Internal Medicine | 263 Farmington Ave, Geriatric Medicine, Farmington, CT 06030-6232 | 2007-03-19 |
| 1407900228 | Yazeed S Maghaydah | Internal Medicine | 263 Farmington Ave, Geriatric Medicine, Farmington, CT 06030-6232 | 2007-01-22 |
| 1841223286 | Jatupol Kositsawat | Internal Medicine | 263 Farmington Ave, Geriatric Dept., Farmington, CT 06030-6232 | 2006-07-09 |
| 1386691871 | Yelena Melyakova | Internal Medicine | 1103 W Liberty St, Farmington, MO 63640-1921 | 2006-05-28 |
| 1396790150 | Edward Kompare | Internal Medicine | 407 S Schwartz Ave, Suite 201, Farmington, NM 87401-5954 | 2006-05-23 |
| 1043293780 | Anne M Kenny | Internal Medicine | 263 Farmington Ave, Uconn/geriatric Associates, Farmington, CT 06030-0001 | 2005-11-28 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
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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.