MASOUD KHORSAND-SAHBAIE, MD PA (NPI# 1518277417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518277417 |
| Entity Type | Organization |
| Organization Name | MASOUD KHORSAND-SAHBAIE, MD PA |
| Other Organization Name | KYMERA INDEPENDENT PHYSICIANS |
| Practice Address |
101 S Canal St Carlsbad NM 88220-5713 |
| Mailing Address |
Po Box 1574 Roswell NM 88202-1574 |
| Practice Telephone | 5752341471 |
| Practice Fax Number | 5752341473 |
| Mailing Telephone | 5756279508 |
| Mailing Fax Number | 8777497764 |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2013-04-24 |
| Authorized Official Name | BRENDA COTTRELL (BUSINESS SYSTEMS/CREDENTIALING MGR) |
| Authorized Official Telephone | 5756279508 |
| Is Organization Subpart | Y |
| Parent Organization Name | MASOUD KHORSAND-SAHBAIE, MD PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD2012-0215 | NM | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD2012-0091 | NM | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD2011-0742 | NM | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD2012-0244 | NM | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
96299 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | Z2565 | 05 |
| Other Name | Type Code |
|---|---|
| Kymera Independent Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053621060 | Masoud Khorsand-sahbaie, Md Pa | Internal Medicine | 3028 N. Grimes, Hobbs, NM 88241 | 2010-10-13 |
| 1194169011 | Masoud Khorsand-sahbaie, Md Pa | Internal Medicine | 402 W Country Club Rd, Roswell, NM 88201-5247 | 2013-04-22 |
| Street Address |
101 S CANAL ST |
| City | CARLSBAD |
| State | NM |
| Zip Code | 88220-5713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417914094 | Marie Ryan | Nurse Practitioner | 101 S Canal St, Carlsbad, NM 88220-5713 | 2006-04-27 |
| 1629414768 | Robert Amjad Ali | Internal Medicine | 101 S Canal St, Carlsbad, NM 88220-5713 | 2013-05-16 |
| 1073762365 | Anna Florez | Nurse Practitioner | 101 S Canal St, Carlsbad, NM 88220-5713 | 2008-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1265958722 | Amanda Henry | Social Worker | 3000, West Church Street, Carlsbad, NM 88220 | 2017-08-16 |
| 1952827610 | Audriana B Martinez | Physical Therapy Assistant | 1038 Pinon Ln, Carlsbad, NM 88220 | 2017-08-15 |
| 1730538265 | Amber Bojorquez | Registered Nurse | 406 N. Alameda St., Carlsbad, NM 88220 | 2016-06-06 |
| 1164887584 | Kassandra Prutsman | Specialist | 126 S. Canyon, Carlsbad, NM 88220 | 2015-12-30 |
| 1306220314 | Rocky Mountain Holdings, LLC | Ambulance | 1505 Terminal Dr, Carlsbad, NM 88220 | 2015-07-20 |
| 1578986402 | Sheryl L Dugger | Registered Nurse | 406 N. Alameda, Carlsbad, NM 88220 | 2014-01-29 |
| 1194153106 | Wellcare, Inc. | Hospice Care, Community Based | 220 S Canal St Ste B, Carlsbad, NM 88220 | 2013-10-30 |
| 1932537420 | Wellcare, Inc | Home Health | 220 S Canal St Ste A, Carlsbad, NM 88220 | 2013-10-22 |
| Find all providers in zip 88220 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629414768 | Robert Amjad Ali | Internal Medicine | 101 S Canal St, Carlsbad, NM 88220-5713 | 2013-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1962799775 | Sardar Zakariya Imam | Internal Medicine | 2325 E 30th St, Farmington, NM 87401-8900 | 2011-06-30 |
| 1336447440 | Jacob Amir | Internal Medicine | 5 Enmedio Pl, Santa Fe, NM 87508-2156 | 2011-03-14 |
| 1053621060 | Masoud Khorsand-sahbaie, Md Pa | Internal Medicine | 3028 N. Grimes, Hobbs, NM 88241 | 2010-10-13 |
| 1033435490 | Heloisa Prado Soares | Internal Medicine | Msc07 4025 1 University of Nm, Albuquerque, NM 87131-9416 | 2010-04-10 |
| 1427298520 | Ramadevi Medavarapu | Internal Medicine | 4391 E Lohman Ave, Las Cruces, NM 88011 | 2009-03-02 |
| 1881711877 | St. Vincent Hospital | Internal Medicine | 490 W Zia Rd, A, Santa Fe, NM 87505-6996 | 2007-03-23 |
| 1477693554 | Ikenna C Osuorji | Internal Medicine | 4050 Northrise Dr, Las Cruces, NM 88011-7327 | 2007-02-07 |
| 1801972518 | Jeffrey D Neidhart | Internal Medicine | 735 W. Animas Street, Farmington, NM 87401 | 2006-10-27 |
| 1487743092 | Wadih Arap | Internal Medicine | 1 University of New Mexico Msc 07 4025, 1201 Camino De Salud, Albuquerque, NM 87131-0001 | 2006-10-12 |
| Find all providers with the same taxonomy | ||||
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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.