MARGO ILIMA SANTIAGO (NPI# 1689224073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689224073 |
| Entity Type | Individual |
| Full Name | MARGO ILIMA SANTIAGO |
| Credential | PA |
| Practice Address |
Hwy 491 North Shiprock NM 87420 |
| Mailing Address |
Po Box 160 Shiprock NM 87420-0160 |
| Practice Telephone | 5053686001 |
| Mailing Telephone | 5053686001 |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2019-11-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2019-0065 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA2019-0065 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
HWY 491 NORTH |
| City | SHIPROCK |
| State | NM |
| Zip Code | 87420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609099290 | Jennifer Michelle Manning | Occupational Therapist | Hwy 491 North, Northern Navajo Medical Center, Shiprock, NM 87420 | 2007-04-11 |
| 1598387458 | Kenneth Wilson | Pharmacist | Hwy 491 North, Shiprock, NM 87420 | 2020-05-14 |
| 1225501596 | Ji Kim | Pharmacist | Hwy 491 North, Shiprock, NM 87420 | 2019-01-09 |
| 1811462195 | Danielle Irene Hewey | Physician Assistant | Hwy 491 North, Shiprock, NM 87420 | 2018-10-12 |
| 1538642202 | Sylvia Park | Pharmacist | Hwy 491 North, Shiprock, NM 87420 | 2018-09-10 |
| 1396264099 | Julia Ann Olson | Pharmacist | Hwy 491 North, Shiprock, NM 87420 | 2017-09-13 |
| 1407375587 | Jenna P Cope | Dietitian, Registered | Hwy 491 North, P.o. Box 160, Shiprock, NM 87420 | 2017-09-11 |
| 1013469642 | Erin Raley Wilson | Physician Assistant | Hwy 491 North, Shiprock, NM 87420 | 2016-10-31 |
| 1457807216 | Joseph Farar | Dietitian, Registered | Hwy 491 North, Northern Navajo Medical Center, Shiprock, NM 87420-0160 | 2016-08-31 |
| 1104278894 | Shannon Lee | Optometrist | Hwy 491 North, Northern Navajo Medical Center Eye Clinic, Shiprock, NM 87420 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003424383 | Ciara Hansen | Psychologist | Us- 491, Shiprock, NM 87420 | 2020-07-22 |
| 1013540848 | Kelsi Marie Hartwig | Dental Hygienist | Highway 491 North, Yucca Street, Shiprock, NM 87420 | 2020-02-20 |
| 1194364232 | Maria Sturtz | Pharmacist | Us Why 491 North, Shiprock, NM 87420 | 2020-01-06 |
| 1811533979 | Merissa Jo De La Garza | Pharmacist | Highway 491 S, Shiprock, NM 87420 | 2019-11-25 |
| 1619528510 | Heather Scott | Psychologist | Highway 64, Old High School Road, Shiprock, NM 87420 | 2019-09-23 |
| 1396305264 | Malaura Creager | Pharmacist | North Hwy 491, Shiprock, NM 87420 | 2019-06-13 |
| 1275011488 | Dawn Fowler | Registered Nurse | Us Highway 64, Shiprock, NM 87420 | 2018-07-31 |
| 1902384373 | Brittany Jones | Occupational Therapy Assistant | Us 64, Old High School Rd., Shiprock, NM 87420 | 2018-07-30 |
| 1528561701 | Patricia D Suarez | Registered Nurse | Central Consolidated School of New Mexico, Hwy 64, Old High School Road, Shiprock, NM 87420 | 2018-03-14 |
| 1023549284 | Ellen Liversidge | Speech-Language Pathologist | Hwy 64, Old High School Rd., Shiprock, NM 87420 | 2017-03-21 |
| Find all providers in zip 87420 | ||||
| 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 |
|---|---|---|---|---|
| 1548361900 | David Nathan James | Physician Assistant | Ushy 491 North, Shiprock, NM 87420 | 2006-09-26 |
| 1811462195 | Danielle Irene Hewey | Physician Assistant | Hwy 491 North, Shiprock, NM 87420 | 2018-10-12 |
| 1801391545 | Kendra Birtcher | Physician Assistant | Us Hwy 491 North, Shiprock, NM 87420-0160 | 2018-03-26 |
| 1013469642 | Erin Raley Wilson | Physician Assistant | Hwy 491 North, Shiprock, NM 87420 | 2016-10-31 |
| 1215294616 | Meghan Louise Ritz | Physician Assistant | Us Hwy 491 North, Shiprock, NM 87420 | 2012-04-23 |
| 1518258573 | Matthew James Zagula | Physician Assistant | Us Hwy 491 North, Shiprock, NM 87420 | 2011-04-26 |
| 1801125273 | Tracy L. Kurek | Physician Assistant | Us Hwy 491 North, Shiprock, NM 87420-0160 | 2009-12-15 |
| 1497814891 | John R Bryan | Physician Assistant | Us Hwy 491 North, Shiprock, NM 87420 | 2006-12-08 |
| 1760432710 | Judy L Brown | Physician Assistant | Us Hwy 491 North, Shiprock, NM 87420 | 2006-05-11 |
| 1083694962 | Robert L Hatch | Physician Assistant | Us Hwy 491 North, Shiprock, NM 87420 | 2006-01-18 |
| Find all providers in SHIPROCK | ||||
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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.