SANTA FE PAIN & SPINE SPECIALISTS PC (NPI# 1700814316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700814316 |
| Entity Type | Organization |
| Organization Name | SANTA FE PAIN & SPINE SPECIALISTS PC |
| Practice Address |
4100 High Resort Blvd Se Suite 215 Rio Rancho NM 87124-5901 |
| Mailing Address |
Po Box 65949 Albuquerque NM 87193-5949 |
| Practice Telephone | 5051912770 |
| Practice Fax Number | 5053957551 |
| Mailing Telephone | 5051912770 |
| Mailing Fax Number | 5053957551 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2016-07-25 |
| Authorized Official Name | ANDREA ACOSTA (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 5052912770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
0603127 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 60982811 | 05 |
| Street Address |
4100 HIGH RESORT BLVD SE SUITE 215 |
| City | RIO RANCHO |
| State | NM |
| Zip Code | 87124-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003890112 | Lana K Wagner | Family Medicine | 4100 High Resort Blvd Se, Pmg Rio Rancho High Resort 4100, Rio Rancho, NM 87124-5901 | 2005-12-01 |
| 1013259076 | Lenora Michelle Mathes | Student in an Organized Health Care Education/Training Program | 4100 High Resort Blvd Se, Rio Rancho, NM 87124 | 2013-03-17 |
| 1598051245 | Salvador Ricardo Garcia | Internal Medicine | 4100 High Resort Blvd Se, Rio Rancho, NM 87124-5901 | 2011-06-21 |
| 1417248469 | Weiwei Dai | Psychiatry & Neurology | 4100 High Resort Blvd Se, Rio Rancho, NM 87124-5901 | 2011-04-26 |
| 1487966461 | Pilaiporn Palakawong Na Ayudhya | Internal Medicine | 4100 High Resort Blvd Se, Presbyterian Medical Group, Endocrinology, Rio Rancho, NM 87124-5901 | 2010-07-08 |
| 1932429891 | Erwyn Chua Ong | Internal Medicine | 4100 High Resort Blvd Se, Pmg Rio Rancho High Resort 4100, Rio Rancho, NM 87124-5901 | 2010-06-02 |
| 1235345224 | David A Fleishman | Technician, Other | 4100 High Resort Blvd Se, Rio Rancho, NM 87124-5901 | 2007-05-15 |
| 1245379239 | Sharon E Nunez | Internal Medicine | 4100 High Resort Blvd Se, Rio Rancho, NM 87124-5901 | 2007-02-06 |
| 1902959000 | Raechel Pacheco | Family Medicine | 4100 High Resort Blvd Se, Rio Rancho, NM 87124-5901 | 2007-01-19 |
| 1447359138 | Judith L. Gillum | Nurse Practitioner | 4100 High Resort Blvd Se, Rio Rancho, NM 87124-5901 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
| 1447875133 | Paul D Phillip | Counselor | 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | 2020-06-09 |
| 1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
| 1841840345 | Debra English | Technician | 2001 Yucca St Se, Rio Rancho, NM 87124 | 2019-09-17 |
| 1114589322 | Counseling Connections, LLC | Counselor | 2600 Istle Rd Ne, Rio Rancho, NM 87124 | 2019-07-08 |
| 1417414996 | Kimberly Lovette Lorenzini | Counselor | Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 | 2019-02-21 |
| 1225507197 | Speech and Language Possibilities, LLC | Audiologist | 273 Tigris Road Ne, Rio Rancho, NM 87124 | 2018-11-20 |
| 1063997823 | Cindy Pendrey, LLC | Clinic/Center | 2103 Golf Course Rd Se, Suite A, Rio Rancho, NM 87124 | 2018-09-27 |
| 1972094324 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 | 2018-05-22 |
| 1013404581 | New Mexico Dental Clinics LLC | Dentist | 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 | 2018-04-19 |
| Find all providers in zip 87124 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134120645 | Thomas Joseph Whalen IIi | Anesthesiology | 914 Pinehurst Rd Se, Rio Rancho, NM 87124-2219 | 2005-08-09 |
| 1689957060 | Nm Pain Care Specialist, LLC | Anesthesiology | 914 Pinehurst Rd Se, Suite 102, Rio Rancho, NM 87124-2219 | 2011-09-22 |
| 1396884318 | Nels N Dahlgren | Anesthesiology | 914 Pinehurst Rd Se, 102, Rio Rancho, NM 87124-2219 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093134983 | Matthew Steven Bergsten | Anesthesiology | 3600 Coors Blvd Nw Ste 200, Albuquerque, NM 87120-1436 | 2014-04-08 |
| 1932411220 | James H. Rice, M.d.,pc | Anesthesiology | 4700 Jefferson Blvd Nw, Suite 700, Albuquerque, NM 87109-2132 | 2010-07-02 |
| 1114958790 | Dr.thomas J Whalen Md PC | Anesthesiology | 8314 Kaseman Ct Ne, Albuquerque, NM 87110 | 2006-07-05 |
| 1568499697 | James H Rice | Anesthesiology | 4700 Jefferson Blvd. Ne, Suite 700, Albuquerque, NM 87109-2132 | 2006-06-26 |
| 1043265275 | William Laing Johnson | Anesthesiology | 4115 Montgomery Blvd Ne, Albuquerque, NM 87109-1102 | 2006-05-24 |
| 1588621551 | Angelique Marie Hart | Anesthesiology | 1530 Bishops Lodge Rd, Santa Fe, NM 87506-0005 | 2006-04-26 |
| 1962467555 | John Randall Underwood | Anesthesiology | 400 N Pennsylvania Ave Ste 570, Roswell, NM 88201-4792 | 2006-04-18 |
| 1710965272 | Carmelita Agodon | Anesthesiology | 1901 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5683 | 2006-01-05 |
| 1316922750 | Llewelyn Anthony Williams | Anesthesiology | 2170 E Lohman Ave, Suite C, Las Cruces, NM 88001-8411 | 2005-12-08 |
| 1942202205 | Irwin John Isaacs | Anesthesiology | 4163 Montgomery Blvd Ne, Albuquerque, NM 87109-6742 | 2005-06-01 |
| Find all providers with the same taxonomy | ||||
| City | RIO RANCHO |
| Zip Code | 87124 |
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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.