SAN JUAN REGIONAL MEDICAL CENTER INC (NPI# 1528141843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528141843 |
| Entity Type | Organization |
| Organization Name | SAN JUAN REGIONAL MEDICAL CENTER INC |
| Other Organization Name | SAN JUAN REGIONAL NEUROLOGY |
| Practice Address |
2300 E 30th St Building 102 Farmington NM 87401-8990 |
| Mailing Address |
Po Box 6210 Farmington NM 87499-6210 |
| Practice Telephone | 5056096790 |
| Practice Fax Number | 5055994640 |
| Mailing Telephone | 5056092258 |
| Mailing Fax Number | 5056092259 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2015-06-29 |
| Authorized Official Name | KAREN MILLER (CFO) |
| Authorized Official Telephone | 5056096025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 18938868 | 05 |
| Other Name | Type Code |
|---|---|
| San Juan Regional Neurology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902463508 | San Juan Regional Medical Center Inc | Urology | 1485 Florida Rd Ste 103a, Durango, CO 81301-6873 | 2019-05-20 |
| 1174820153 | San Juan Regional Medical Center Inc | Emergency Medicine | 4251 English Rd, Farmington, NM 87402-1116 | 2011-02-28 |
| 1811915234 | San Juan Regional Medical Center Inc | Physical Medicine & Rehabilitation | 525 S Schwartz Ave, Farmington, NM 87401-5955 | 2006-07-17 |
| 1225076003 | San Juan Regional Medical Center Inc | Internal Medicine | 407 S. Schwartz Ave, Suite 201, Farmington, NM 87401-5973 | 2006-06-03 |
| 1861467433 | San Juan Regional Medical Center Inc | Internal Medicine | 120 Llano St, Aztec, NM 87410 | 2006-02-17 |
| 1326663592 | San Juan Regional Medical Center Inc | Rehabilitation Unit | 525 S Schwartz Ave, Farmington, NM 87401-5955 | 2020-06-12 |
| 1639662901 | San Juan Regional Medical Center Inc | Internal Medicine | 940 W Pinon St, Farmington, NM 87401-5905 | 2018-06-12 |
| 1508219916 | San Juan Regional Medical Center Inc | Family Medicine | 100 N Church St Ste C, Bloomfield, NM 87413-5754 | 2016-07-20 |
| 1003296534 | San Juan Regional Medical Center Inc | Urology | 2700 Farmington Ave, Building E, Suite 1, Farmington, NM 87401-4559 | 2015-05-29 |
| 1023379609 | San Juan Regional Medical Center Inc | Specialist/Technologist, Other | 801 W Maple St, Farmington, NM 87401-5630 | 2012-05-31 |
| Street Address |
2300 E 30TH ST BUILDING 102 |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-8990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677791 | Joseph Perry Pope | Family Medicine | 2300 E 30th St, Bldg B, Farmington, NM 87401-8990 | 2005-05-23 |
| 1851751432 | Keith Maxwell Bull | Nurse Anesthetist, Certified Registered | 2300 E 30th St, Building A, Farmington, NM 87401-8990 | 2016-02-25 |
| 1861745945 | Melissa Lea-foster Rietz | Nurse Practitioner | 2300 E 30th St, Ste C2, Farmington, NM 87401-8991 | 2012-10-26 |
| 1922308782 | Craig Burgess | Pharmacist | 2300 E 30th St, Farmington, NM 87401-8990 | 2010-10-27 |
| 1912139452 | Richard Louis Hutchison, Md, PC | Plastic Surgery | 2300 E 30th St, Building B, Suite 103, Farmington, NM 87401-8990 | 2009-08-18 |
| 1518106004 | James F Burpee | Urology | 2300 E 30th St, Bldg B Suite 106, Farmington, NM 87401-8990 | 2009-02-06 |
| 1710190350 | Adult & Pediatric Urology, LLC | Urology | 2300 E 30th St, Bldg B Suite 106, Farmington, NM 87401-8990 | 2007-05-08 |
| 1851412829 | Brett M. Clarke | Otolaryngology | 2300 E 30th St, Bldg D-102, Farmington, NM 87401-8990 | 2007-04-03 |
| 1265527642 | R Stephen Rankin | Pediatrics | 2300 E 30th St, Bldg C2, Farmington, NM 87401-8990 | 2006-10-03 |
| 1598879652 | Pinon Family Practice PC | Family Medicine | 2300 E 30th St, Bldg C-2, Farmington, NM 87401-8990 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912052820 | Lauren H Sansing | Psychiatry & Neurology | 263 Famington Ave, Neurology, Farmington, CT 06030-0001 | 2007-01-24 |
| 1710947106 | Roshni Patel | Psychiatry & Neurology | 55 South Rd Ste 120, Farmington, CT 06032-2022 | 2006-03-28 |
| 1922096452 | Mohammed Idris Zahoor | Psychiatry & Neurology | 24001 Orchard Lake Rd, Suite 140, Farmington, MI 48336 | 2005-10-10 |
| 1891135000 | Neha Prakash | Psychiatry & Neurology | 263 Farmington Avenue, Farmington, CT 06030 | 2013-07-02 |
| 1659715944 | Fernanda Wajnsztajn | Psychiatry & Neurology | 263 Farmington Avenue, Farmington, CT 06030 | 2013-04-17 |
| 1477896900 | Catherine Alessi | Psychiatry & Neurology | 505 Farmington Ave, Farmington, CT 06032 | 2013-04-03 |
| 1720379845 | Matthew Aaron Tremblay | Psychiatry & Neurology | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2011-04-23 |
| 1700183613 | Jose Antonio Montes-rivera | Psychiatry & Neurology | 263 Farmington Ave, Farmington, CT 06030-0001 | 2011-02-12 |
| 1356667380 | Matthew Imperioli | Psychiatry & Neurology | 263 Farmington Ave, Farmington, CT 06030-0001 | 2010-04-15 |
| 1104141233 | Laura Waymire | Psychiatry & Neurology | 2300 E 30th St Ste B-102, Farmington, NM 87401-8991 | 2010-03-31 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on SAN JUAN REGIONAL MEDICAL CENTER INC.
| 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.