DESERT BLUFFS MEDICAL PC (NPI# 1548293301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548293301 |
| Entity Type | Organization |
| Organization Name | DESERT BLUFFS MEDICAL PC |
| Practice Address |
2700 Farmington Ave Suite G Farmington NM 87401-4559 |
| Mailing Address |
Po Box 6210 Farmington NM 87499-6210 |
| Practice Telephone | 5053240092 |
| Practice Fax Number | 5053242259 |
| Mailing Telephone | 5053242258 |
| Mailing Fax Number | 5053242259 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-10-10 |
| Authorized Official Name | ALDEN DYKSTRA (OWNER) |
| Authorized Official Telephone | 5053240092 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2700 FARMINGTON AVE SUITE G |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-4559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740284652 | Holly G Strain | Nurse Practitioner | 2700 Farmington Ave, Bldg B, Farmington, NM 87401-4550 | 2005-06-08 |
| 1003296534 | San Juan Regional Medical Center Inc | Urology | 2700 Farmington Ave, Building E, Suite 1, Farmington, NM 87401-4559 | 2015-05-29 |
| 1023403078 | Daniel O. Mcaffee | Podiatrist | 2700 Farmington Ave, Farmington, NM 87401 | 2015-04-06 |
| 1891127239 | Anthony Patrick Valdez | Physical Therapist | 2700 Farmington Ave, Farmington, NM 87401-4559 | 2013-08-08 |
| 1811287782 | Daniel Brooks Mannas | Urology | 2700 Farmington Ave, Bldg E Ste 1, Farmington, NM 87401-4559 | 2011-04-13 |
| 1144519596 | Carolyn Parr Hawk | Counselor | 2700 Farmington Ave, Building F, Suite 1, Farmington, NM 87401-4559 | 2011-04-06 |
| 1669761185 | Robert N Hawk | Counselor | 2700 Farmington Ave, Bldg F, Ste 1, Farmington, NM 87401-4559 | 2011-04-05 |
| 1477859122 | Four Corners Heart and Lung Institute PC | Clinic/Center | 2700 Farmington Ave, Building I Suite 2, Farmington, NM 87401-4559 | 2011-01-27 |
| 1407157472 | Marie Saiz | Dental Hygienist | 2700 Farmington Ave, Suite 1 Bldg C, Farmington, NM 87401-4559 | 2010-11-08 |
| 1649583386 | Valoree Jean Althoff | Dental Hygienist | 2700 Farmington Ave, Bldg C Ste 1, Farmington, NM 87401-4559 | 2010-07-22 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841642659 | Mian Harris Iftikhar | Internal Medicine | Center On Aging 263 Farmington Avenue, Farmington, CT 06030-5215 | 2016-07-05 |
| 1275989410 | Pamela Georges Samaha | Internal Medicine | 2 West 263 Farmington Avenue, Internal Medicine Associates, Outpatient Pavilion, Farmington, CT 06032 | 2016-05-06 |
| 1366821878 | John J. Wisniewski | Internal Medicine | 36728 Brittany Hill Dr, Farmington, MI 48335-2906 | 2015-05-29 |
| 1972914901 | Ryan Alexander Darnall | Internal Medicine | Uconn Health Center School of Medicine, General Medicine Clinic-mc2811 263 Farmington Ave., Farmington, CT 06030-2811 | 2014-05-13 |
| 1598104564 | Cynthia Evans | Internal Medicine | Primary Care Internal Medicine, Uconn Health Center 263 Farmington Ave., Farmington, CT 06030-1234 | 2013-06-22 |
| 1790030195 | Bishan Chakravarty | Internal Medicine | 703 Maple Valley Drive, Farmington, MO 63640 | 2012-07-21 |
| 1790045086 | Yuriy Kulyak | Internal Medicine | 270 Farmington Ave Ste 352, Farmington, CT 06032-1996 | 2012-05-21 |
| 1740569763 | Genesis Physician Associates LLC | Internal Medicine | 4801 N Butler Avenue, Suite 8102, Farmington, NM 87401-0818 | 2011-08-08 |
| 1285927996 | David Rice, Md, LLC, P.a. | Internal Medicine | 107 Box Shop Hl, Farmington, ME 04938-5749 | 2011-05-27 |
| 1639499759 | Jaime Padavil Moskowitz | Internal Medicine | 406 Farmington Ave, Farmington, CT 06032-1964 | 2010-06-11 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
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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.