MCLEOD MEDICAL CENTERS OF NM, INC. (NPI# 1700393782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700393782 |
| Entity Type | Organization |
| Organization Name | MCLEOD MEDICAL CENTERS OF NM, INC. |
| Practice Address |
1851 Old Hwy 66 Edgewood NM 87015 |
| Mailing Address |
12127b Hwy 14 N Ste 5 Cedar Crest NM 87008-9499 |
| Practice Telephone | 5052862396 |
| Practice Fax Number | 5052862398 |
| Mailing Telephone | 5052815180 |
| Mailing Fax Number | 5052815320 |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | THERESA G. ROMERO (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 5052815180 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1108 W Us Route 66, Moriarty, NM 870351006 | 5058324434 | 5058325024 |
| 12127b Hwy 14 N Ste 5, Cedar Crest, NM 870089499 | 5052815180 | 5052815320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215580832 | Mcleod Medical Centers of Nm, Inc. | Family Medicine | 11501 Montgomery Blvd Ne, Albuquerque, NM 87111-2796 | 2019-07-23 |
| Street Address |
1851 OLD HWY 66 |
| City | EDGEWOOD |
| State | NM |
| Zip Code | 87015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396870861 | Stephen L Harrington | Dentist | 1851 Old Hwy 66, Suite C, Edgewood, NM 87015 | 2007-02-23 |
| 1700368495 | Brian R Ingram | Physician Assistant | 1851 Old Hwy 66, Edgewood, NM 87015 | 2018-08-30 |
| 1851849806 | Margaret Barbour Von Hendricks | Nurse Practitioner | 1851 Old Hwy 66, Edgewood, NM 87015 | 2016-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740772490 | Laura Hunsucker | Physical Therapist | 1090 Mountain Valley Road, Edgewood, NM 87015 | 2018-05-30 |
| 1295194629 | Ryan Grange | Physician Assistant | 1851 Old Highway 66 Unit 1, Edgewood, NM 87015 | 2016-02-12 |
| 1376895250 | Bianca Genco-morrison | Social Worker | 17 Venus Rd. West, Edgewood, NM 87015 | 2012-10-03 |
| 1447541909 | Rona H Vanwilligen | Physical Therapist | 1851 Highway 333, 2-b, Edgewood, NM 87015 | 2011-05-02 |
| 1679717789 | Alan Mannheimer | Pediatrics | 104 Quail Trail, Unit B, Edgewood, NM 87015 | 2009-04-21 |
| 1003085705 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 66 State Road #344, Edgewood, NM 87015 | 2008-02-27 |
| 1821270828 | Fowler Enterprises, Inc. | Physical Therapist | 1851-2b Old Highway 66, Edgewood, NM 87015 | 2007-11-30 |
| 1366630121 | Jeana Spindle | Speech-Language Pathologist | 27 Camino Estribor, Edgewood, NM 87015 | 2007-10-05 |
| 1679794457 | Sharon Louise Meyer | Social Worker | 14 El Prado, Edgewood, NM 87015 | 2007-05-01 |
| 1912035478 | Cecilia Gonzales Morris | Occupational Therapist | 204 Dinkle Road, Edgewood, NM 87015 | 2007-02-28 |
| Find all providers in zip 87015 | ||||
| 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 |
|---|---|---|---|---|
| 1861028102 | Lindsay Sue Cerrone | Family Medicine | 6 Kalma Ln, Edgewood, NM 87015-9593 | 2020-03-18 |
| 1871909275 | Edgewood Rural Healthh Clinic | Family Medicine | 106 East Pine Street, Edgewood, TX 75117 | 2014-07-07 |
| 1972671493 | Family Medicine Associates PC | Family Medicine | 101 South Washington, Edgewood, IA 52042 | 2006-12-01 |
| 1376512632 | Harry Schnee Messec | Family Medicine | 1851 Old Us 66, Edgewood, NM 87015-6784 | 2006-03-17 |
| 1063494409 | Saverio Joseph Sava | Family Medicine | 7 Municipal Way, Edgewood, NM 87015 | 2005-11-18 |
| 1417955089 | Scot R Christiansen | Family Medicine | 702 W Union St, Edgewood, IA 52042-8187 | 2005-07-08 |
| 1902468861 | Elizabeth Moran | Family Medicine | 1851 Old Us 66, Edgewood, NM 87015-6784 | 2019-07-01 |
| 1134617285 | Peter Jager | Family Medicine | 1 Medical Village Dr, Edgewood, KY 41017 | 2018-04-24 |
| 1083112437 | East Mountain Medical, LLC | Family Medicine | 104 Quail Trl Unit B, Edgewood, NM 87015 | 2018-01-30 |
| 1407376247 | Sean Joseph Sester | Family Medicine | 413 S Loop Rd, Edgewood, KY 41017-5446 | 2017-06-22 |
| Find all providers in EDGEWOOD | ||||
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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.