JOHN CRAIG EAVES (NPI# 1437147899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437147899 |
| Entity Type | Individual |
| Full Name | JOHN CRAIG EAVES |
| Credential | RPSGT |
| Practice Address |
3810 Masthead St Ne Albuquerque NM 87109-4479 |
| Mailing Address |
6500 Jefferson St Ne Suite 100 Albuquerque NM 87109-3489 |
| Practice Telephone | 5058438758 |
| Practice Fax Number | 5058438759 |
| Mailing Telephone | 5058438758 |
| Mailing Fax Number | 5058438759 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2018-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
92-278 | NM | Allopathic & Osteopathic Physicians |
| N | 225500000X | Specialist/Technologist | 2581 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 227800000X | Respiratory Therapist, Certified | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 227900000X | Respiratory Therapist, Registered | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 246Z00000X | Specialist/Technologist, Other | 2581 | NM | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 81323395 | 05 | |
| NM | 95877321 | 05 |
| Street Address |
3810 MASTHEAD ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-4479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508093469 | Omnisleep LLC | Family Medicine | 3810 Masthead St Ne, Albuquerque, NM 87109-4479 | 2009-06-18 |
| 1366464851 | New Mexico Colon & Rectal Surgery Associates | Colon & Rectal Surgery | 3810 Masthead St Ne, Albuquerque, NM 87109-4479 | 2006-07-24 |
| 1972524619 | Calvin Dudley | Colon & Rectal Surgery | 3810 Masthead St Ne, Albuquerque, NM 87109-4479 | 2006-07-21 |
| 1164410528 | Omnisleep LLC | Psychiatry & Neurology | 3810 Masthead St Ne, Albuquerque, NM 87109-4479 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467958942 | Coral Jane Waggoner | Specialist/Technologist, Other | 4700 Jefferson St Ne Ste 800, Albuquerque, NM 87109-2132 | 2018-04-03 |
| 1902044365 | Precision Surgical, LLC | Specialist/Technologist, Other | 5515 Darlington Pl Nw, Albuquerque, NM 87114-1358 | 2009-01-23 |
| 1033155031 | Sundance Technologies and Training Center, LLC | Specialist/Technologist, Other | 12300 Menaul Blvd Ne, Albuquerque, NM 87112-2557 | 2006-06-20 |
| 1447539291 | Rebecca T Lujan | Specialist/Technologist, Other | 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106-4917 | 2011-08-10 |
| 1154614881 | Hilda De Las Mercedes Avila | Specialist/Technologist, Other | 3200 Carlisle Blvd Ne, Suite:116, Albuquerque, NM 87110-1600 | 2011-05-27 |
| 1700114386 | Julio Antonio Avila Lopez | Specialist/Technologist, Other | 3200 Carlisle Blvd Ne, Suite:116, Albuquerque, NM 87110-1600 | 2009-11-19 |
| 1447317243 | Michael E Trujillo | Specialist/Technologist, Other | 201 Cedar St Se Ste 6600, Albuquerque, NM 87106-5411 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841748241 | Ashlee Hilliard | Specialist/Technologist, Other | 2500 N Florida Ave Apt A, Alamogordo, NM 88310-5408 | 2016-09-14 |
| 1689804791 | Carol Denise Manchester-brown | Specialist/Technologist, Other | 723 Virginia Ave, Alamogordo, NM 88310-6758 | 2009-07-23 |
| 1053460675 | Sunset Sleep Center, Ltd | Specialist/Technologist, Other | 1919 5th St Ste A, Santa Fe, NM 87505-6012 | 2007-01-10 |
| 1609371913 | Brenda Ann Johnston | Specialist/Technologist, Other | 3806 Yellowstone Dr, Las Cruces, NM 88011-9064 | 2018-03-28 |
| 1912377805 | Alexandra Bakos | Specialist/Technologist, Other | 2155 Candelero St, Santa Fe, NM 87505-5649 | 2015-10-05 |
| 1962471565 | Ashley Elizabeth Solomon Nelson | Specialist/Technologist, Other | 201 Cedar Se #405, Alb, NM 87106 | 2006-03-16 |
| 1588648505 | Tammy D Haley | Specialist/Technologist, Other | Us Hwy 491 North, Shiprock, NM 87420 | 2005-12-02 |
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on JOHN CRAIG EAVES.
| 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.