PHC LAS CRUCES INC. (NPI# 1497069397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497069397 |
| Entity Type | Organization |
| Organization Name | PHC LAS CRUCES INC. |
| Other Organization Name | MEMORIAL MEDICAL CENTER-IKARD CANCER CENTER |
| Practice Address |
2450 S Telshor Blvd Ste E Las Cruces NM 88011-5069 |
| Mailing Address |
Po Box 6310 Las Cruces NM 88006-6310 |
| Practice Telephone | 5755565800 |
| Practice Fax Number | 5755565899 |
| Mailing Telephone | 5755565960 |
| Mailing Fax Number | 5755565959 |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2016-04-13 |
| Authorized Official Name | SARAH WELLBORN (PRACTICE MANAGEMENT DIRECTOR) |
| Authorized Official Telephone | 5755215460 |
| Authorized Official Credential | MHA, CPC-A, CEMC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Memorial Medical Center-Ikard Cancer Center | Doing Business As Name - Organization |
| Street Address |
2450 S TELSHOR BLVD STE E |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-5069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619973187 | Jenifer Lichtenfels | Pediatrics | 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 | 2005-06-21 |
| 1669080560 | Leonard Nathaniel Sampath | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-07-16 |
| 1396362034 | Sartaj Singh Brar | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-06-29 |
| 1497372387 | Alexander Topete | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5076 | 2020-06-26 |
| 1619594421 | Eva Roxanna Campos | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-06-26 |
| 1437774759 | Bryan Wellington Messenger | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-06-12 |
| 1558986745 | Anthony Cohn | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5076 | 2020-06-12 |
| 1205451739 | Elena Liang Liang | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-06-10 |
| 1750906285 | Nagapavani Kandagari | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-06-10 |
| 1205450293 | Temitope Ade-oshifogun | Family Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2020-06-04 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295246098 | Quality Life Services, LLC | Specialist | 4212 Hermia Ct, Las Cruces, NM 88011-0918 | 2017-10-19 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| 1962767335 | David Gerald Deissenberg | Specialist | 126 S Downtown Mall, Las Cruces, NM 88001-1218 | 2012-07-11 |
| 1487915518 | Lohman Anesthesia Associates LLC | Specialist | 4381 E Lohman Ave Ste A, Las Cruces, NM 88011-8255 | 2012-06-05 |
| 1154639136 | Zoe Frances Christian | Specialist | 3530 Foothills Rd Ste N, Las Cruces, NM 88011-3621 | 2010-09-23 |
| 1184930869 | Katrina J Hille | Specialist | 102 Wyatt Dr, Las Cruces, NM 88005-2925 | 2010-08-19 |
| 1902131824 | Robert Fishback | Specialist | 4521 Mesa Rico, Las Cruces, NM 88011-7215 | 2009-10-09 |
| 1538399605 | Esperanza Telles | Specialist | 210 W Las Cruces Ave, Las Cruces, NM 88005-1804 | 2009-07-22 |
| 1508090721 | Kent F Jacobs | Specialist | 3610 Southwind Rd, Las Cruces, NM 88007-5556 | 2009-05-04 |
| 1194991448 | April Anne Mancha | Specialist | 1800 Bromilow St, Las Cruces, NM 88001-5151 | 2008-05-07 |
| Find all providers in LAS CRUCES | ||||
| 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.