DR. JACK SHOUP GARLAND (NPI# 1538340005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538340005 |
| Entity Type | Individual |
| Full Name | DR. JACK SHOUP GARLAND |
| Credential | M.D. |
| Practice Address |
1397 Weimer Rd Taos NM 87571-6284 |
| Practice Telephone | 5057515884 |
| Practice Fax Number | 5057373398 |
| Mailing Telephone | 5057515884 |
| Mailing Fax Number | 5057373398 |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
2002-0370 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
1397 WEIMER RD |
| City | TAOS |
| State | NM |
| Zip Code | 87571-6284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255323846 | Kevin Dale Scharff | Nurse Anesthetist, Certified Registered | 1397 Weimer Rd, Taos, NM 87571-6253 | 2005-08-19 |
| 1164065736 | Heritage Ems LLC | Ambulance | 1397 Weimer Rd, Taos, NM 87571-6253 | 2019-10-25 |
| 1659852481 | Kelsey Swalwell | Dietitian, Registered | 1397 Weimer Rd, Taos, NM 87571-6253 | 2018-08-29 |
| 1689186777 | Michelle Marie Lovell | Nurse Practitioner | 1397 Weimer Rd, Taos, NM 87571-6253 | 2017-10-30 |
| 1295268183 | Douglas Earl Kast | Nurse Practitioner | 1397 Weimer Rd, Taos, NM 87571-6253 | 2017-04-06 |
| 1902338049 | Taos Health Systems, Inc., Holy Cross Hospital | General Acute Care Hospital | 1397 Weimer Rd, Taos, NM 87571-6253 | 2017-03-29 |
| 1558782912 | Taos Physician Services LLC | Physician Assistant | 1397 Weimer Rd, Taos, NM 87571-6253 | 2014-01-02 |
| 1063833465 | Taos Emergency Group LLC | Physician Assistant | 1397 Weimer Rd, Taos, NM 87571-6253 | 2014-01-02 |
| 1952732000 | Michael Lee Romero | Radiologic Technologist | 1397 Weimer Rd, Taos, NM 87571-6253 | 2013-11-27 |
| 1326389669 | Gina Kay O'hara | Pharmacist | 1397 Weimer Rd, Taos, NM 87571-6253 | 2013-03-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080923 | Veronika Anne Peacetree | Counselor | Vds-taos, 314 Don Fernando Street, Taos, NM 87571 | 2019-02-28 |
| 1043785603 | Lindsey M Schreiber | Counselor | 412 Sipapu Street, Taos, NM 87571 | 2018-10-10 |
| 1881173698 | Mia M Mcmullen | Specialist/Technologist | Enos Garcia Elementary School, 305 Don Fernando St, Taos, NM 87571 | 2018-08-13 |
| 1992225403 | Ted Dimond | Counselor | 525 Salazar Rd, Suite A, Taos, NM 87571 | 2017-06-26 |
| 1467908103 | Jacqueline Danielle Arcand | Social Worker | 250 Shadow Mountain Rd, Taos, NM 87571 | 2016-09-01 |
| 1225487812 | James Lucero | Social Worker | 905 Witt Rd., Taos, NM 87571 | 2016-06-06 |
| 1083098370 | Ellen Durant | Marriage & Family Therapist | 1135 Butterfly Rd, Taos, NM 87571 | 2015-07-16 |
| 1831584192 | Eight Northern Indian Pueblos Council, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1130 Butterfly Rd., Taos, NM 87571 | 2015-04-03 |
| 1790179844 | Eight Northern Indian Pueblos | Substance Abuse Rehabilitation Facility | 1130 Butterfly Road, Taos, NM 87571 | 2015-03-26 |
| 1992106041 | Debbie I Salazar, Lisw Ltd Co | Community/Behavioral Health | 208 Ranchitos Road Unit B, Taos, NM 87571 | 2014-09-09 |
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| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013901495 | Patricia Noveck Konrad | Pathology | 1316 Blumenschein Rd, Taos, NM 87571-6378 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154976330 | Muhammad Omer Hakim | Pathology | Department of Pathology 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2019-08-05 |
| 1215463310 | Colleen Dugan Goff | Pathology | Msc08 4640 Reginald Heber Fitz Hl Rm 335, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2017-05-10 |
| 1700294790 | Henry Mcnett | Pathology | Reginald Heber Fitz Hall Room 335 915 Camino De Salud, Albuquerque, NM 87131 | 2014-07-23 |
| 1295000826 | Aisha Sethi | Pathology | University of New Mexico Hsc 1 University Of, Albuquerque, NM 87131-1210 | 2012-03-15 |
| 1629368667 | Cory Julian Broehm | Pathology | Msc08 4640 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2011-04-11 |
| 1730353483 | Samuel Reynolds | Pathology | Msc08 4640 Bmsb Rm 335, 1 University of Nm, Albuquerque, NM 87131-0001 | 2008-04-14 |
| 1114965415 | Marc Barry | Pathology | Pathology Msc08 4640, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-06-02 |
| 1265819452 | Catherine M Nicka | Pathology | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2015-04-27 |
| 1629487525 | Angela Katherine Miller | Pathology | 1 University of New Mexico, Msc07 4040, Albuquerque, NM 87131-0001 | 2014-08-05 |
| 1174941751 | Claire J Detweiler | Pathology | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2014-04-01 |
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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.