ROMILLY ORTIZ (NPI# 1528586435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528586435 |
| Entity Type | Individual |
| Full Name | ROMILLY ORTIZ |
| Credential | PA |
| Practice Address |
129 Medicine Horse Dr Canoncito NM 87026 |
| Mailing Address |
3813 Flora Vista Ave Sw Albuquerque NM 87121-5132 |
| Practice Telephone | 5059082307 |
| Mailing Telephone | 5052275969 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2017-0045 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
129 MEDICINE HORSE DR |
| City | CANONCITO |
| State | NM |
| Zip Code | 87026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841833589 | Davina M Segay | Prevention Professional | 7 Rio San Jose St, Laguna, NM 87026 | 2019-10-25 |
| 1467094029 | Donovan Lucero | Peer Specialist | 7 Rio San Jose Dr, Laguna, NM 87026 | 2019-10-15 |
| 1316589534 | Kenneth Thomas | Counselor | 7 Rio San Jose, Laguna, NM 87026 | 2019-10-09 |
| 1174071534 | Laguna Early Childhood Program | Early Intervention Provider Agency | I40 W 114 Bldg 1125, Laguna, NM 87026 | 2016-09-14 |
| 1629525605 | Canoncito Band of Navajos Health Center, Inc | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 129 Medicine Horse Road, Canoncito, NM 87026 | 2016-09-07 |
| 1144535337 | Lisa Marie King | Counselor | 86 Medicine Horse Dr., 86 Medicine Horse Dr., Canoncito, NM 87026 | 2010-08-11 |
| 1619151651 | Rosi Aragon | Counselor | Tbhs Building, I-40, 26 Mi. W. of Abq, Exit 131, 3 Mi. N., To'hajiilee, NM 87026 | 2007-12-27 |
| 1538343579 | Canoncito Band of Navajo Health Center, Inc | Community/Behavioral Health | 96 Medicine Horse Dr., To'hajiilee, NM 87026 | 2007-12-27 |
| 1992999296 | Ruth Lynne Kelly | Social Worker | I40 W Exit 131 Highway 56 N, Acl Teen Centers To'hajiilee Community School, To'hajiilee, NM 87026 | 2007-08-29 |
| 1194941823 | Mary Frances Sarracino | Social Worker | Exit 114, Us Route 66, Laguna, NM 87026 | 2007-04-18 |
| Find all providers in zip 87026 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405442 | Lauren Elise Pincomb Apodaca | Physician Assistant | 2415 Janet Ann Ln, Las Cruces, NM 88007-5119 | 2020-10-24 |
| 1609474550 | Mara Swartzentruber | Physician Assistant | 3310 Linda Vista Ave Se, Albuquerque, NM 87106-1514 | 2020-10-13 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1487287413 | Thomas Clise | Physician Assistant | 629 San Pablo St Ne, Albuquerque, NM 87108-2137 | 2020-02-18 |
| 1306478870 | Holly Howe | Physician Assistant | 2300 Grande Blvd Se # 4045, Rio Rancho, NM 87124-1755 | 2020-02-12 |
| 1427680750 | Mckenzi Hoffman | Physician Assistant | 465 Saint Michaels Dr Bldg Suite107, Santa Fe, NM 87505-7670 | 2020-02-05 |
| 1225678543 | Charla Marie Dunn | Physician Assistant | 701 Arizona St Ste A, Clovis, NM 88101-2110 | 2020-01-14 |
| 1912547324 | Kathleen Joyce L'heureux | Physician Assistant | 8124 Ventana Cielo Ave Nw, Albuquerque, NM 87114-5988 | 2020-01-14 |
| 1033752357 | Daniel Ray Spohn | Physician Assistant | 1630 Rio Rancho Dr Se, Rio Rancho, NM 87124-1587 | 2019-10-18 |
| 1528615101 | Michael La | Physician Assistant | 1202 Main St Ne Ste A, Los Lunas, NM 87031-7421 | 2019-08-20 |
| 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.