DR. JOSEPH MICHAEL FEAGAN (NPI# 1457381394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457381394 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH MICHAEL FEAGAN |
| Credential | D.O. |
| Practice Address |
1135 S Main St Suite B Las Cruces NM 88005-2946 |
| Practice Telephone | 5755254000 |
| Practice Fax Number | 5755254040 |
| Mailing Telephone | 5755254000 |
| Mailing Fax Number | 5755254040 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2012-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 25MB07815200 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
A-1549-10 | NM | Allopathic & Osteopathic Physicians |
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
MB07815200 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 48328286 | 05 |
| Street Address |
1135 S MAIN ST SUITE B |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88005-2946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073593281 | Imelda Citladi Toledo-neely | Family Medicine | 1135 S Main St, Suite B, Las Cruces, NM 88005-2946 | 2006-01-23 |
| 1811338452 | Brenda Cuellar De Orellana | Family Medicine | 1135 S Main St, Suite B, Las Cruces, NM 88005-2946 | 2013-07-11 |
| 1821161407 | Familycare Associates,pa | Family Medicine | 1135 S Main St, Suite B, Las Cruces, NM 88005-2946 | 2006-11-15 |
| 1902981756 | Richard Williams | Chiropractor | 1135 S Main St, Suite C, Las Cruces, NM 88005-2946 | 2006-10-26 |
| 1396758876 | Deborah Ann Ocallaghan | Counselor | 1135 S Main St, Suite A, Las Cruces, NM 88005-2946 | 2006-08-14 |
| 1073558946 | Denise A. Leonardi | Family Medicine | 1135 S Main St, Suite B, Las Cruces, NM 88005-2946 | 2006-06-17 |
| 1316982366 | Conchita M Paz | Family Medicine | 1135 S Main St, Suite B, Las Cruces, NM 88005-2946 | 2006-06-16 |
| 1578505087 | Anthony P Levatino | Obstetrics & Gynecology | 1135 S Main St, Suite A, Las Cruces, NM 88005-2946 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871158345 | Raymond Pope Stewart Jr. | Community Health Worker | 9999 W. Amador Avenue, Ste. A, Las Cruces, NM 88005 | 2019-05-09 |
| 1538638481 | Jennifer Mcafee | Social Worker | 3100 Oak St. Las Cruces, Nm, Las Cruces, NM 88005 | 2018-11-21 |
| 1023583226 | Richard Flores | Physical Therapist | 1090 Med Park Dr., Las Cruces, NM 88005 | 2018-10-04 |
| 1558850834 | Connections Therapy, Inc. | Counselor | 225 E Idaho Ave Ste 25, Las Cruces, NM 88005 | 2018-05-02 |
| 1982134771 | Madalyn Elyse Sprague | Behavior Technician | 1007 Ellendale Dr, Las Cruces, NM 88005 | 2017-06-14 |
| 1043766249 | Leandra Gabrielle Abeyta | Registered Nurse | 2363 W University Ave, Las Cruces, NM 88005 | 2016-08-28 |
| 1790172641 | Amistad Milestones LLC | Speech-Language Pathologist | 3100 Oak Street, Las Cruces, NM 88005 | 2015-04-17 |
| 1043628753 | Richael Anne Bouvet-jenkins | Social Worker | 755 W. Hadley Avenue, Las Cruces, NM 88005 | 2014-07-25 |
| 1194133801 | Helena Catalina Melendez | Dental Hygienist | 385 Calle Alegra Blg C, Las Cruces, NM 88005 | 2014-07-25 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| Find all providers in zip 88005 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932562360 | Gray Pearls LLC | Family Medicine | 2506 Tramway Terrace Ct Ne, Albuquerque, NM 87122-2317 | 2016-04-02 |
| 1093954448 | Housecalls Unlimited LLC | Family Medicine | 1320 Tanglewood Pl Nw, Albuquerque, NM 87120-6548 | 2009-02-09 |
| 1437258951 | Gerard Edward Muraida | Family Medicine | 5639 Jefferson St Ne, Albuquerque, NM 87109-3412 | 2006-09-21 |
| 1144232679 | William F Orr Jr. | Family Medicine | 8220 San Pedro Dr Ne Ste 300, Albuquerque, NM 87113-2476 | 2006-08-13 |
| 1659388619 | Suzanne Pinon | Family Medicine | 8400 Menaul Blvd Ne, Suite A-141, Albuquerque, NM 87112-2260 | 2006-08-02 |
| 1780605923 | David Bennahum | Family Medicine | Westside Family / Senior Health Center, 4808 Mc Mahon Blvd., Albuquerque, NM 87114 | 2006-07-22 |
| 1801872338 | Mark Douglas Bonnell | Family Medicine | Santa Clara Health Center, Rr 5 Box 446, Espanola, NM 87532-8908 | 2005-12-16 |
| 1750377412 | Percy M Pentecost | Family Medicine | 3016 Mackland Ave Ne, Albuquerque, NM 87106-2018 | 2005-09-27 |
| 1376536110 | Elizabeth Ann Morgan | Family Medicine | 45a Los Ranchitos Rd, Sandia Park, NM 87047-9619 | 2005-08-26 |
| 1689671174 | Joseph Mario Lovato | Family Medicine | 4425 Rio Trumperos Court Ne, Albuquerque, NM 87120-5333 | 2005-06-30 |
| Find all providers with the same taxonomy | ||||
| City | LAS CRUCES |
| Zip Code | 88005 |
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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.