TULAROSA BASIN DERMATOLOGY (NPI# 1669696951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669696951 |
| Entity Type | Organization |
| Organization Name | TULAROSA BASIN DERMATOLOGY |
| Practice Address |
1212 9th St Suite A Alamogordo NM 88310-5842 |
| Practice Telephone | 5054376700 |
| Practice Fax Number | 5054376644 |
| Mailing Telephone | 5054376700 |
| Mailing Fax Number | 5054376644 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JENNIFER L. TONCRAY (PRESIDENT) |
| Authorized Official Telephone | 5054376700 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A115701 | NM | Other Service Providers |
| Street Address |
1212 9TH ST SUITE A |
| City | ALAMOGORDO |
| State | NM |
| Zip Code | 88310-5842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740224500 | Jagdev I Singh | Family Medicine | 1212 9th St, Ste Bc, Alamogordo, NM 88310-5842 | 2006-06-15 |
| 1770082984 | Charlotte Dubois | Nurse Practitioner | 1212 9th St, Alamogordo, NM 88310 | 2018-02-03 |
| 1487080776 | Otero County Medical Group | Surgery | 1212 9th St, Suite A, Alamogordo, NM 88310-5842 | 2013-09-19 |
| 1356776520 | Otero County Medical Group | Surgery | 1212 9th St, Suite C, Alamogordo, NM 88310-5842 | 2013-09-06 |
| 1568776730 | Elizabeth M Tucker Do PC | Surgery | 1212 9th St, Suite A, Alamogordo, NM 88310-5842 | 2010-07-30 |
| 1275614935 | Elizabeth M Tucker | Surgery | 1212 9th St, Suite A, Alamogordo, NM 88310-5842 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249326 | Diana Cano | Behavior Technician | 27 N. Yucca Ave, Alamogordo, NM 88310 | 2020-09-15 |
| 1952802787 | Kinfe H Alemnugus | Pharmacist | 2669 N Scenic Dr, Inpatient Pharmacy, Alamogordo, NM 88310 | 2018-02-27 |
| 1134666902 | Hillary Elizabeth Hunter | Behavior Technician | 1908 Snow Dr, Alamogordo, NM 88310 | 2017-01-31 |
| 1285097774 | Adrienne Nicole Martin | Physician Assistant | 1501 E 10th Street, Pms-alamogordo Family Health Center, Alamogordo, NM 88310 | 2016-04-01 |
| 1487022919 | Crystal Jackson | Behavior Technician | 3205 Shawnee Trl, Alamogordo, NM 88310 | 2015-09-15 |
| 1851788798 | Timothy W. Basha | Counselor | 1613 Juniper Dr., Alamogordo, NM 88310 | 2015-04-17 |
| 1215331186 | Keith Edward Gerber | Case Manager/Care Coordinator | 1900 East Tenth Street, Alamogordo, NM 88310 | 2014-10-21 |
| 1710306691 | Austin Reed | Pharmacist | 2401 Indian Wells, Alamogordo, NM 88310 | 2014-04-08 |
| 1760821805 | Dollar Cab Company | Taxi | 1220 Brooks Ave., Alamogordo, NM 88310 | 2013-06-21 |
| 1932544319 | Peter Allan Lock | Physical Therapist | 1011 A 10th Street, Alamogordo, NM 88310 | 2013-04-30 |
| Find all providers in zip 88310 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326469164 | Brenda Louise Kuehl | Specialist | 805 12th St Bldg B, Alamogordo, NM 88310-6434 | 2013-12-20 |
| 1134568389 | Ana Sepulveda | Specialist | 1306 Indian Wells Rd, Alamogordo, NM 88310-5685 | 2013-06-20 |
| 1649544032 | Sleep Health Specialists, LLC | Specialist | 901 Filipino Ave, Alamogordo, NM 88310-5864 | 2012-03-02 |
| 1104126093 | Life Force Energies | Specialist | 1200 N White Sands Blvd Ste 110, Alamogordo, NM 88310-6774 | 2010-10-26 |
| 1760601462 | Zia Sun Inc | Specialist | 1909 Cuba Ave, Suite 4, Alamogordo, NM 88310-5646 | 2007-04-24 |
| 1083725949 | Mary Regina Paluszek-pirc | Specialist | 911 10th St, Alamogordo, NM 88310-6423 | 2006-08-31 |
| 1164475828 | Pc Mark Race Md Plc | Specialist | 1501 10th St, Alamogordo, NM 88310-5044 | 2006-05-17 |
| 1811994221 | Gregory B Richardson | Specialist | 1100 10th St, Alamogordo, NM 88310-6414 | 2005-06-30 |
| 1538165147 | William L Pollard | Specialist | 2669 Scenic Dr, Alamogordo, NM 88310-8700 | 2005-06-28 |
| 1700883394 | Robert Charles Smaltz | Specialist | 2539 Medical Dr. Complex A, Ste. 103, Alamogordo, NM 88310-2539 | 2005-06-28 |
| Find all providers in ALAMOGORDO | ||||
| City | ALAMOGORDO |
| Zip Code | 88310 |
Please comment or provide details below to improve the information on TULAROSA BASIN DERMATOLOGY.
| 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.