OMNISLEEP LLC (NPI# 1508093469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508093469 |
| Entity Type | Organization |
| Organization Name | OMNISLEEP LLC |
| 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 | 5058439269 |
| Mailing Telephone | 5058438758 |
| Mailing Fax Number | 5058439269 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2018-12-11 |
| Authorized Official Name | MR. JOHN CRAIG EAVES (CEO) |
| Authorized Official Telephone | 5058438758 |
| Authorized Official Credential | RPSGT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RB0002X |
Internal Medicine Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 207QS1201X |
Family Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 95877321 | 05 | |
| NM | 81323395 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033539572 | Omnisleep LLC | Residential Treatment Facility, Physical Disabilities | 763- Nostrand Avenue, Omnicare Multisplecialty, Brooklyn, NY 11216 | 2014-04-23 |
| 1164410528 | Omnisleep LLC | Psychiatry & Neurology | 3810 Masthead St Ne, Albuquerque, NM 87109-4479 | 2005-10-10 |
| Street Address |
3810 MASTHEAD ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-4479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437147899 | John Craig Eaves | Psychiatry & Neurology | 3810 Masthead St Ne, Albuquerque, NM 87109-4479 | 2005-10-10 |
| 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 | 207QS1201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sleep Medicine |
| A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders. |
| Notes: Source: American Academy of Sleep Medicine, 2008, www.aasm.org [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003464652 | Pinon Healthcare, LLC | Family Medicine | 904 E 20th St Ste B, Farmington, NM 87401-4281 | 2019-08-27 |
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on OMNISLEEP LLC.
| 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.