GINA M TORRES BALSAMO (NPI# 1649587726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649587726 |
| Entity Type | Individual |
| Full Name | GINA M TORRES BALSAMO |
| Other Name | GINA MARIE TORRES |
| Credential | PA-C |
| Practice Address |
630 Paseo Del Pueblo Sur Ste 125 Taos NM 87571-7024 |
| Mailing Address |
Po Box 302 Arroyo Seco NM 87514-0302 |
| Practice Telephone | 5757517430 |
| Practice Fax Number | 5757517059 |
| Mailing Telephone | 5757701790 |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2018-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2010-0048 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | MEDICARE PTAN | NMAAA0219 | 01 |
| NM | 83383778 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1331 Gusdorf Rd, Taos, NM 875716282 | 5757583601 | 5757581058 |
| Street Address |
630 PASEO DEL PUEBLO SUR STE 125 |
| City | TAOS |
| State | NM |
| Zip Code | 87571-7024 |
| 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 |
| Find all providers in zip 87571 | ||||
| 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 |
|---|---|---|---|---|
| 1093144339 | Joshua Nguyen | Physician Assistant | 224 Cruz Alta Rd Ste G, Taos, NM 87571-5947 | 2013-11-07 |
| 1275681306 | Elizabeth Anne Martinez | Physician Assistant | 1400 Weimer Rd, Taos, NM 87571-6346 | 2007-01-08 |
| 1699243915 | Megan Lora Dunovan | Physician Assistant | 330 Paseo Del Pueblo Sur, Taos, NM 87571-5328 | 2018-11-05 |
| 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 |
| 1538317771 | Abraham Thomas Balsamo | Physician Assistant | 630 Paseo Del Pueblo Sur, Suite 150, Taos, NM 87571-6070 | 2008-08-29 |
| 1679631733 | Leigh Anne Trivino | Physician Assistant | 1331 Gusdorf Rd, El Centro Family Health Taos Clinic, Taos, NM 87571-6282 | 2006-12-04 |
| 1134186562 | Dan F Thor | Physician Assistant | 1397 Weimer Rd, Taos, NM 87571-6253 | 2006-04-28 |
| 1588621916 | Michael Bellas | Physician Assistant | 1397 Weimer Rd, Taos, NM 87571-2199 | 2006-04-28 |
| 1295792570 | Charles Edward Bonfanti | Physician Assistant | 630 Paseo Del Pueblo Sur, Suite 150, Taos, NM 87571-6070 | 2006-04-28 |
| Find all providers in TAOS | ||||
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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.