WELLMED MEDICAL GROUP, P.A. (NPI# 1659679157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659679157 |
| Entity Type | Organization |
| Organization Name | WELLMED MEDICAL GROUP, P.A. |
| Other Organization Name | WELLMED AT TELSHOR |
| Practice Address |
530 N Telshor Blvd Ste C Las Cruces NM 88011-8243 |
| Mailing Address |
8637 Fredericksburg Rd Ste 360 Attn: Director of Accounts Receivable San Antonio TX 78240-1285 |
| Practice Telephone | 5753236500 |
| Mailing Telephone | 2108777570 |
| Mailing Fax Number | 2106412235 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2019-12-19 |
| Authorized Official Name | DR. CARLOS O HERNANDEZ (PRESIDENT) |
| Authorized Official Telephone | 2108777570 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| WellMed at Santa Teresa | Doing Business As Name - Organization |
| WellMed at Telshor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154629434 | Wellmed Medical Group, P.a. | Internal Medicine | 1215 Santa Fe St., Corpus Christi, TX 78404-2338 | 2011-03-10 |
| 1245538529 | Wellmed Medical Group, P.a. | Internal Medicine | 7622 Louis Pasteur Dr, Suite 100, San Antonio, TX 78229-4037 | 2011-03-10 |
| 1437457710 | Wellmed Medical Group, P.a. | Internal Medicine | 706 W Ben White Blvd, Suite 100, Austin, TX 78704-7034 | 2011-03-10 |
| 1518265891 | Wellmed Medical Group, P.a. | Internal Medicine | 3708 Jefferson St, Suite A, Austin, TX 78731-6206 | 2011-03-10 |
| 1477851970 | Wellmed Medical Group, P.a. | Internal Medicine | 5402 Holly Rd, Suite 102, Corpus Christi, TX 78411-4645 | 2011-03-08 |
| 1194023697 | Wellmed Medical Group, P.a. | Internal Medicine | 2013 E Griffin Pkwy, Mission, TX 78572-3222 | 2011-03-08 |
| 1740588243 | Wellmed Medical Group, P.a. | Internal Medicine | 3301 S Alameda St, Suite 306, Corpus Christi, TX 78411-1882 | 2011-03-08 |
| Street Address |
530 N TELSHOR BLVD STE C |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-8243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1619260064 | Reyes Ismael Cuevas | Family Medicine | 3485 Northrise Dr Ste A, Las Cruces, NM 88011-6839 | 2011-05-18 |
| 1184936478 | Rashmi Narasimhamurthy | Family Medicine | 1151 N Roadrunner Pkwy, Apt #403, Las Cruces, NM 88011-8052 | 2010-07-02 |
| 1972765592 | John J Tucker II | Family Medicine | 4672 N Sonoma Ranch Blvd Ste B, Las Cruces, NM 88011-7271 | 2008-06-25 |
| 1912173691 | R L Marquez Md Pa | Family Medicine | 1205 S Solano, Las Cruces, NM 88001 | 2008-05-02 |
| 1336318591 | Imran Raza | Family Medicine | 3320 Rinconada Blvd, Ste 2, Las Cruces, NM 88011-7198 | 2008-02-21 |
| 1790960383 | Saul D Burciaga-molinar | Family Medicine | 1180 Mall Dr Ste B, Las Cruces, NM 88011-8192 | 2008-01-02 |
| 1538342860 | Delilah Ancheta Stampp | Family Medicine | 1135 S. Main Street, Suite B, Las Cruces, NM 88005 | 2007-12-10 |
| 1316134349 | Umberto I Garcia Md P A | Family Medicine | 1200 S Telshor Blvd, Las Cruces, NM 88011-4747 | 2007-10-03 |
| 1669663696 | Aroboyi Veronica Imoisi | Family Medicine | 4038 Pepper Post Ave, Las Cruces, NM 88011-4088 | 2007-08-06 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
Please comment or provide details below to improve the information on WELLMED MEDICAL GROUP, P.A..
| 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.