SARA BURCHAM (NPI# 1700106218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700106218 |
| Entity Type | Individual |
| Full Name | SARA BURCHAM |
| Credential | PA-C |
| Practice Address |
604 S Rio Grande Ave Aztec NM 87410-2260 |
| Mailing Address |
2577 Main Ave Durango CO 81301-5919 |
| Practice Telephone | 5053342664 |
| Practice Fax Number | 5053347759 |
| Mailing Telephone | 9702478382 |
| Mailing Fax Number | 9705127144 |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2019-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.0005385 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2018-0040 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA06228 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2577 Main Ave, Durango, CO 813015919 | 9702478382 | 9705127144 |
| Street Address |
604 S RIO GRANDE AVE |
| City | AZTEC |
| State | NM |
| Zip Code | 87410-2260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871667089 | Sid Mosiman | Physical Therapist | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2006-11-20 |
| 1891304671 | Catholic Health Initiatives Colorado | Internal Medicine | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2020-07-28 |
| 1366051153 | Catholic Health Initiatives Colorado | Internal Medicine | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2020-07-28 |
| 1770123382 | Catholic Health Initiatives Colorado | General Acute Care Hospital | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2020-01-11 |
| 1487064838 | Malcolm Jewell | Physician Assistant | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2014-05-06 |
| 1760795330 | Mercy Regional Medical Center of Durango | Clinic/Center | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2010-07-23 |
| 1063741163 | Aztec Urgent Care, LLC | Clinic/Center | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2009-12-18 |
| 1033278965 | Elvira Payton | Physical Therapy Assistant | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2006-12-06 |
| 1750457834 | Roger Ronald Collins | Specialist/Technologist | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095448 | Kendill May Jones | Technician | 403 Andrew D, Aztec, NM 87410 | 2019-10-23 |
| 1831346469 | Suzette Lorraine Gordon | Psychologist | 1607 W. Aztec Blvd., Aztec Municipal Schools, Aztec, NM 87410 | 2008-08-26 |
| 1730392101 | Jack Fields Sona II | Pharmacist | Jack Sona, Rph, 100 Llano St, Aztec, NM 87410 | 2007-05-08 |
| 1093888380 | Bryan Standley Poe | Family Medicine | 406 S Park Ave, Aztec, NM 87410 | 2006-11-16 |
| 1467531921 | Katherine Andersen | Acupuncturist | 606 South Rio Grande Ave., Suite B, Aztec, NM 87410 | 2006-11-03 |
| 1861467433 | San Juan Regional Medical Center Inc | Internal Medicine | 120 Llano St, Aztec, NM 87410 | 2006-02-17 |
| 1649262502 | Kare Inc | Pharmacy | 100 Llano St., Aztec, NM 87410 | 2005-08-17 |
| 1871023044 | Rebekah Leann French | Nurse Practitioner | 120 Llano St, Aztec, NM 87410 | 2017-06-19 |
| 1316486855 | Sarah Anne Thomason | Registered Nurse | 1118 W Aztec Blvd, Aztec, NM 87410 | 2017-02-16 |
| 1629257092 | Karen L Vogel | Speech-Language Pathologist | 455 N Light Plant Rd, Aztec, NM 87410-1517 | 2007-11-01 |
| Find all providers in zip 87410 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053529446 | Jonathan D Kelly | Physician Assistant | 102 Llano St, Aztec, NM 87410-2172 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386284602 | Christopher Whorley | Physician Assistant | 4683 Idlewilde Ln Se, Albuquerque, NM 87108-3421 | 2020-01-15 |
| 1053836809 | Alysha Gallegos | Physician Assistant | 6112 Molinero Ct Sw, Albuquerque, NM 87105-6814 | 2017-08-13 |
| 1164978540 | Deborah L Thorne | Physician Assistant | 111 W Lucero Ave Ste 6, Las Cruces, NM 88005-1829 | 2016-08-26 |
| 1134572738 | Weston Bradley Graff | Physician Assistant | 703 Christopher Dr, Belen, NM 87002-2617 | 2016-07-19 |
| 1295194629 | Ryan Grange | Physician Assistant | 1851 Old Highway 66 Unit 1, Edgewood, NM 87015 | 2016-02-12 |
| 1720445562 | Rebecca Gahan Brown | Physician Assistant | 150 N Roadrunner Pkwy, Las Cruces, NM 88011 | 2016-01-25 |
| 1508232240 | Edward R Watson | Physician Assistant | 2530 S Telshor Blvd Ste 207, Las Cruces, NM 88011-4975 | 2015-08-17 |
| 1306225180 | Allison Rose Crossey | Physician Assistant | 201 Cedar Street Se, Suite 6600, Albuquerque, NM 87106 | 2015-05-26 |
| 1528452208 | Taylor Bottari | Physician Assistant | 208 W Dl Ingram, Cannon Afb, NM 88103 | 2015-03-20 |
| 1336543115 | Pamela O Black Md, P.a., Dba Quadra Health Institute | Physician Assistant | 3820 Commons Ave Ne # M, Albuquerque, NM 87109-5831 | 2014-10-22 |
| Find all providers with the same taxonomy | ||||
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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.