EDWARD ROBLES MEDINA (NPI# 1619910080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619910080 |
| Entity Type | Individual |
| Full Name | EDWARD ROBLES MEDINA |
| Credential | MD |
| Practice Address |
516 E. Nizhoni Blvd Gallup NM 87301-1337 |
| Mailing Address |
Po Box 1337 Gallup NM 87305-1337 |
| Practice Telephone | 5057221000 |
| Practice Fax Number | 5057221421 |
| Mailing Telephone | 5057221000 |
| Mailing Fax Number | 5057221421 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 227427 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 759128 | 05 | |
| NM | 01221787 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770525719 | Edward O Medina | Surgery | 1960 Ogden St Ste 550, Denver, CO 80218-1022 | 2006-06-12 |
| 1538624432 | Edward Medina | Nurse Practitioner | 816 S 5th St Ste B, Montrose, CO 81401-5765 | 2019-02-05 |
| 1285861211 | Edward C Medina | Military Health Care Provider | Rr 2 Box 5425, Camp Bullis, San Antonio, TX 78257-0000 | 2009-06-17 |
| 1700060647 | Edward A. Medina | Pathology | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2007-12-27 |
| 1063600989 | Edward Martin Medina | Case Manager/Care Coordinator | 2151 College Ave, Bakersfield, CA 93305 | 2007-10-04 |
| 1902010572 | Edward Medina | Social Worker | 3302 Steuben Ave, Bronx, NY 10467-2806 | 2007-05-10 |
| 1558351460 | Edward Medina | Physician Assistant | 1710 1st St, Alamosa, CO 81101-2302 | 2005-10-24 |
| Street Address |
516 E. NIZHONI BLVD |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366427650 | Gienia Lynch | Obstetrics & Gynecology | 516 E. Nizhoni Blvd, Gallup Indian Medical Center, Gallup, NM 87301-5748 | 2005-12-09 |
| 1780119735 | Charleston Gray | Registered Nurse | 516 E. Nizhoni Blvd, Gallup Indian Medical Center, Gallup, NM 87301 | 2017-04-27 |
| 1124483599 | Leander Meyers | Pharmacy Technician | 516 E. Nizhoni Blvd, Gallup, NM 87301 | 2015-12-29 |
| 1932525938 | Danny Jackson | Registered Nurse | 516 E. Nizhoni Blvd, Gallup, NM 87301-1337 | 2014-03-14 |
| 1578908737 | Melissa Lowe | Registered Nurse | 516 E. Nizhoni Blvd, Gallup, NM 87301-1337 | 2013-05-01 |
| 1558668103 | Carmelita Darwin | Registered Nurse | 516 E. Nizhoni Blvd, Gallup, NM 87301-1337 | 2011-02-17 |
| 1437386612 | Robina Loyce Buchanan | Registered Nurse | 516 E. Nizhoni Blvd, Gallup, NM 87301-1337 | 2009-06-16 |
| 1336399088 | Valina Chee | Dental Assistant | 516 E. Nizhoni Blvd, Gallup, NM 87301-1337 | 2008-09-30 |
| 1245480995 | Olive Pino | Dental Assistant | 516 E. Nizhoni Blvd, Gallup, NM 87301-1337 | 2008-09-30 |
| 1285803577 | Devon Aurora Mccabe | Registered Nurse | 516 E. Nizhoni Blvd, Gallup, NM 87301 | 2008-02-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192377 | Surgery Management Group LLC | Anesthesiology | 1808 E Aztec Ave Ste 2, Gallup, NM 87301-4946 | 2020-10-26 |
| 1013184654 | Juan Pablo Rossini | Anesthesiology | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2008-05-13 |
| 1558418905 | Eugene Q Salvador | Anesthesiology | 516 East Nizhoni Blvd, Gallup, NM 87301-1337 | 2007-01-05 |
| 1215020177 | Cecilia D. Silva | Anesthesiology | 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 | 2006-10-02 |
| 1174550842 | Melissa Miller | Anesthesiology | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2006-06-27 |
| 1639113228 | Eugenio Rivera Reveron | Anesthesiology | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2006-06-15 |
| 1558305102 | Jeffrey Lance Elliott | Anesthesiology | 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2006-06-15 |
| 1730155078 | Michael Nathaniel Fish | Anesthesiology | 516 E. Nizhoni Blvd, Gallup, NM 87301-1337 | 2006-02-27 |
| 1598743817 | Kristiyan S. Chervenkov | Anesthesiology | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2006-01-06 |
| 1790768778 | Stephen Lewis Pierce | Anesthesiology | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2005-11-23 |
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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.