SOUTHWEST NEUROSURGERY PC (NPI# 1629001060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629001060 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST NEUROSURGERY PC |
| Practice Address |
555 S Schwartz Ave Farmington NM 87401-5955 |
| Mailing Address |
Po Box 6210 Farmington NM 87499-6210 |
| Practice Telephone | 5055648076 |
| Practice Fax Number | 5053242259 |
| Mailing Telephone | 5053242258 |
| Mailing Fax Number | 5053242259 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-10-10 |
| Authorized Official Name | EDWARD E MAURIN III (OWNER) |
| Authorized Official Telephone | 5055648073 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 000T8659 | 05 |
| Street Address |
555 S SCHWARTZ AVE |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401-5955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104817782 | Eric W Stoltzfus | Psychiatry & Neurology | 555 S Schwartz Ave, Farmington, NM 87401-5955 | 2005-11-02 |
| 1679969497 | Ava Ann Boswell | Psychiatry & Neurology | 555 S Schwartz Ave, Farmington, NM 87401 | 2015-04-08 |
| 1851675417 | Janet R Thelen | Nurse Practitioner | 555 S Schwartz Ave, Farmington, NM 87401-5955 | 2011-09-30 |
| 1104969484 | Alan G Robertson | Psychiatry & Neurology | 555 S Schwartz Ave, Farmington, NM 87401-5955 | 2007-02-15 |
| 1811907553 | John H. Koewler | Psychologist | 555 S Schwartz Ave, Farmington, NM 87401-5955 | 2006-08-08 |
| 1881627826 | Earnie Baldridge | Physician Assistant | 555 S Schwartz Ave, Farmington, NM 87401-5955 | 2006-07-09 |
| 1043243660 | Raul Rivet | Surgery | 555 S Schwartz Ave, Farmington, NM 87401-5955 | 2006-07-08 |
| 1003875782 | Margie Trujillo | Counselor | 555 S Schwartz Ave, Farmington, NM 87401-5955 | 2006-03-21 |
| 1689633893 | Ariadna Sadzine-bessinger | Psychiatry & Neurology | 555 S Schwartz Ave, Farmington, NM 87401-5955 | 2006-03-17 |
| 1992764112 | San Juan Regional Medical Center Inc | Psychiatry & Neurology | 555 S Schwartz Ave, Farmington, NM 87401-5955 | 2006-03-17 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134579451 | Chad Claus | Neurological Surgery | 21080 Birchwood St, Farmington, MI 48336-5006 | 2016-06-17 |
| 1225020894 | Paul Francis Davis | Neurological Surgery | 407 S Schwartz Ave Ste 101, Farmington, NM 87401-5925 | 2005-08-18 |
| 1609879519 | Michael Joseph Giordano | Neurological Surgery | 263 Farmington Ave, Farmington, CT 06030-0001 | 2005-05-24 |
| 1730409541 | David Choi | Neurological Surgery | 263 Farmington Avenue, Farmington, CT 06030 | 2010-06-03 |
| 1730361031 | State of Connecitut Health Center | Neurological Surgery | 263 Farmington Ave, Neurosurgery Associates, Farmington, CT 06030-0001 | 2007-11-29 |
| 1780888529 | Ketan Ramanlal Bulsara | Neurological Surgery | 263 Farmington Avenue, Farmington, CT 06030 | 2007-06-14 |
| 1336191477 | Dominic Michael Cannella | Neurological Surgery | 407 S Schwartz Ave Ste 101, Farmington, NM 87401-5925 | 2006-05-17 |
| 1851398234 | Richard Simon | Neurological Surgery | 263 Farmington Ave, Farmington, CT 06030-0001 | 2005-06-30 |
| 1336146992 | Hilary C Onyiuke | Neurological Surgery | 263 Farmington Ave, Farmington, CT 06030-0001 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669929485 | Avra Sophia Saskia Laarakker | Neurological Surgery | Msc Plastic Surgery 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-09-09 |
| 1447639109 | Ross Steven Green | Neurological Surgery | Msc10 5615, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2015-05-27 |
| 1023315959 | Gerald Nathan Gold | Neurological Surgery | 1509 Harvard Ct Ne, Albuquerque, NM 87106-3712 | 2011-02-10 |
| 1487897542 | Christian Andrew Bowers | Neurological Surgery | Unm Neurosurgery Msc10 5615, Albuquerque, NM 87131-1530 | 2009-04-19 |
| 1558558726 | Southern New Mexico Neurosurgery LLC | Neurological Surgery | 3850 E Lohman Ave Ste C, Las Cruces, NM 88011-8288 | 2007-10-01 |
| 1609076660 | Patricia L Gando | Neurological Surgery | Graduate Medical Education Msc08 4770, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2007-07-18 |
| 1730228750 | Hoan Phan Tran | Neurological Surgery | Unm Hospital Neurological Surgery, 2211 Lomas Blvd Ne, Albuquerque, NM 87131-0001 | 2007-02-06 |
| 1568522035 | Peter C. Shin | Neurological Surgery | Msc 10 5615, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-12-12 |
| 1588758965 | Erich P Marchand | Neurological Surgery | 531 Harkle Rd Ste D, Pmg Neurosurgery Santa Fe, Santa Fe, NM 87505-4753 | 2006-10-03 |
| 1306954193 | Richard C Branan | Neurological Surgery | 33 Eagle Crest Dr., Tijeras, NM 87059-0910 | 2006-08-29 |
| Find all providers with the same taxonomy | ||||
| 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.