EPMED, PA (NPI# 1467996629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467996629 |
| Entity Type | Organization |
| Organization Name | EPMED, PA |
| Other Organization Name | LAS CRUCES PAIN CENTER |
| Practice Address |
880 S Telshor Blvd Suite 100 Las Cruces NM 88011-8682 |
| Mailing Address |
3215 Gateway Blvd W El Paso TX 79903-4225 |
| Practice Telephone | 5753957246 |
| Practice Fax Number | 5756524607 |
| Mailing Telephone | 9155987246 |
| Mailing Fax Number | 9156336598 |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2020-07-27 |
| Authorized Official Name | EDUARDO GENARO VAZQUEZ (CEO) |
| Authorized Official Telephone | 9155987246 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 58470701 | 05 |
| Other Name | Type Code |
|---|---|
| Las Cruces Pain Center | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3500 Northrise Dr, Las Cruces, NM 880117274 | 5753957246 | 5756524607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720604697 | Epmed, Pa | Durable Medical Equipment & Medical Supplies | 20 S New York Ave, Alamogordo, NM 88310-6525 | 2020-06-17 |
| 1508487943 | Epmed, Pa | Orthopaedic Surgery | 880 S Telshor Blvd Ste 100, Las Cruces, NM 88011-8683 | 2020-04-27 |
| 1437790318 | Epmed, Pa | Durable Medical Equipment & Medical Supplies | 2730 N Wilshire Blvd, Roswell, NM 88201-6519 | 2019-10-02 |
| 1225540370 | Epmed, Pa | Durable Medical Equipment & Medical Supplies | 7825 N. Mesa St., El Paso, TX 79932 | 2017-10-30 |
| 1700334075 | Epmed, Pa | Durable Medical Equipment & Medical Supplies | 880 S Telshor Blvd, Suite 100, Las Cruces, NM 88011-8682 | 2016-09-15 |
| 1770198483 | Epmed, Pa | Durable Medical Equipment & Medical Supplies | 8810 Lebanon Rd, Frisco, TX 75034-8688 | 2020-09-10 |
| 1649805037 | Epmed, Pa | General Practice | 880 S Telshor Blvd Ste 201, Las Cruces, NM 88011-8682 | 2020-03-06 |
| 1831723865 | Epmed, Pa | Durable Medical Equipment & Medical Supplies | 4545 N Mesa St, El Paso, TX 79912-6121 | 2020-02-28 |
| 1548807167 | Epmed, Pa | Durable Medical Equipment & Medical Supplies | 3600 Coors Blvd Nw Ste 200, Albuquerque, NM 87120-1436 | 2019-12-02 |
| 1437616216 | Epmed, Pa | General Practice | 4545 N Mesa St, El Paso, TX 79912-6121 | 2019-02-27 |
| Street Address |
880 S TELSHOR BLVD SUITE 100 |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-8682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700334075 | Epmed, Pa | Durable Medical Equipment & Medical Supplies | 880 S Telshor Blvd, Suite 100, Las Cruces, NM 88011-8682 | 2016-09-15 |
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316922750 | Llewelyn Anthony Williams | Anesthesiology | 2170 E Lohman Ave, Suite C, Las Cruces, NM 88001-8411 | 2005-12-08 |
| 1891076519 | Agape Pain Management and Anesthesia, LLC | Anesthesiology | 2170 E Lohman Ave, Suite C, Las Cruces, NM 88001-8411 | 2011-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093134983 | Matthew Steven Bergsten | Anesthesiology | 3600 Coors Blvd Nw Ste 200, Albuquerque, NM 87120-1436 | 2014-04-08 |
| 1932411220 | James H. Rice, M.d.,pc | Anesthesiology | 4700 Jefferson Blvd Nw, Suite 700, Albuquerque, NM 87109-2132 | 2010-07-02 |
| 1114958790 | Dr.thomas J Whalen Md PC | Anesthesiology | 8314 Kaseman Ct Ne, Albuquerque, NM 87110 | 2006-07-05 |
| 1568499697 | James H Rice | Anesthesiology | 4700 Jefferson Blvd. Ne, Suite 700, Albuquerque, NM 87109-2132 | 2006-06-26 |
| 1043265275 | William Laing Johnson | Anesthesiology | 4115 Montgomery Blvd Ne, Albuquerque, NM 87109-1102 | 2006-05-24 |
| 1588621551 | Angelique Marie Hart | Anesthesiology | 1530 Bishops Lodge Rd, Santa Fe, NM 87506-0005 | 2006-04-26 |
| 1962467555 | John Randall Underwood | Anesthesiology | 400 N Pennsylvania Ave Ste 570, Roswell, NM 88201-4792 | 2006-04-18 |
| 1710965272 | Carmelita Agodon | Anesthesiology | 1901 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5683 | 2006-01-05 |
| 1134120645 | Thomas Joseph Whalen IIi | Anesthesiology | 914 Pinehurst Rd Se, Rio Rancho, NM 87124-2219 | 2005-08-09 |
| 1942202205 | Irwin John Isaacs | Anesthesiology | 4163 Montgomery Blvd Ne, Albuquerque, NM 87109-6742 | 2005-06-01 |
| Find all providers with the same taxonomy | ||||
| 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.