SOUTHWEST RADIOLOGY ASSOCIATES PC (NPI# 1508809229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508809229 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST RADIOLOGY ASSOCIATES PC |
| Practice Address |
1901 Redrock Dr Gallup NM 87301-5683 |
| Mailing Address |
205 W. Boutz Rd. Bldg #1 Las Cruces NM 88005 |
| Practice Telephone | 5755327000 |
| Mailing Telephone | 5755327000 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2009-07-01 |
| Authorized Official Name | PIERRE LANTHIEZ (MD/PRESIDENT) |
| Authorized Official Telephone | 5755327000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 49387 | 05 | |
| RR MEDICARE | CO3044 | 01 |
| Street Address |
1901 REDROCK DR |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-5683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710965272 | Carmelita Agodon | Anesthesiology | 1901 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5683 | 2006-01-05 |
| 1114164076 | Thomas Hall | Internal Medicine | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2009-01-14 |
| 1841445574 | Greg Allen Kirk | Physical Therapist | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2008-11-21 |
| 1164572533 | Rehoboth Mckinley Christian Health Care Services | Durable Medical Equipment & Medical Supplies | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2007-01-10 |
| 1053477505 | Western New Mexico Emergency Physicians PC | Emergency Medicine | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2006-12-29 |
| 1689784506 | Rehoboth Mckinley Christian Health Care Services, Inc | Internal Medicine | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2006-08-30 |
| 1720198088 | Lisa June Cope | Registered Nurse | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2006-08-30 |
| 1346273331 | Wayne W Charland | Pathology | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2006-07-10 |
| 1801864970 | Pierre Lanthiez | Radiology | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2006-03-14 |
| 1861464141 | Oscar Palomo | Emergency Medicine | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2006-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619005261 | Bruce J. Schuurmann | Radiology | 505 E Green St, Gallup, NM 87301-6043 | 2007-03-02 |
| 1386825289 | Joseph D Lee | Radiology | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2007-11-19 |
| 1972718229 | Jeffrey Joseph Hawker | Radiology | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2007-05-11 |
| 1548277494 | Richard Sorgen | Radiology | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2006-08-02 |
| 1497789341 | Jagdish Chabra | Radiology | 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2006-07-10 |
| 1669406963 | Stephen M Friedman | Radiology | 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 | 2006-07-10 |
| 1376594465 | Daniel S Beggs | Radiology | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2006-05-13 |
| 1992760250 | Edgar R Cordivin | Radiology | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2006-04-19 |
| 1801864970 | Pierre Lanthiez | Radiology | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2006-03-14 |
| 1649240334 | Terence Hubert Hamel | Radiology | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2006-01-25 |
| Find all providers in GALLUP | ||||
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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.