DR. FERNANDO J INDACOCHEA


Address: 4401 E. Lohman Ave., Suite A, Las Cruces, NM 88011
Phone: 5755329077

DR. FERNANDO J INDACOCHEA (NPI# 1720089519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720089519
Entity Type Individual
Full Name DR. FERNANDO J INDACOCHEA
Credential MD
Practice Address 4401 E. Lohman Ave.
Suite A
Las Cruces
NM 88011
Mailing Address 4395 Isleta Ct
Las Cruces
NM 88011-4297
Practice Telephone 5755329077
Practice Fax Number 5755329221
Mailing Telephone 3049020443
Enumeration Date 2005-08-03
Last Update Date 2020-09-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics MD2012-0871 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WV 0107734000 05

Office Location

Street Address 4401 E. LOHMAN AVE.
SUITE A
City LAS CRUCES
State NM
Zip Code 88011

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356954648 Asc of The Heart Institute Internal Medicine 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 2020-08-26
1104449206 Kruti Gitesh Shah Student in an Organized Health Care Education/Training Program Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 2020-05-22
1831719368 Borna Mansouri Student in an Organized Health Care Education/Training Program 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 2020-04-24
1306474408 Madonna Petula Phillip Student in an Organized Health Care Education/Training Program 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 2020-04-01
1285267849 Back In Action Therapy of Las Cruces Occupational Therapist 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 2020-02-21
1649818725 Kimberly Ann Smetzer Registered Nurse 4401 East Lohman, Building 5, Las Cruces, NM 88011 2019-12-19
1548806375 Melinda Michelle Fowler Social Worker 2605 Terrace Drive, Las Cruces, NM 88011 2019-11-27
1871134692 Rio Grande Hematology and Oncology, LLC Internal Medicine 4391 East Lohman Ave., Las Cruces, NM 88011 2019-10-02
1972083640 Lorianna R. Narvaez Counselor 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 2018-08-21
1215416524 Aday Orthodontics, PC Dentist 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 2018-08-08
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538425541 Pediatric Behavioral Medicine, Inc Pediatrics 2407 W Picacho Ave, A104, Las Cruces, NM 88007-4124 2012-04-03
1477835379 George Huhn Jarden Jr. Pediatrics 3100 Karen Dr, Las Cruces, NM 88001-7579 2011-09-15
1851436257 Roberto Talamantes Pediatrics 1250 Hillrise Cir, Las Cruces, NM 88011-4741 2007-02-21
1033259353 Gentle Care Pediatrics, LLC Pediatrics 2904 Hillrise Dr, Las Cruces, NM 88011-4702 2007-02-07
1245301795 Joanne M Ray Pediatrics 755 S Telshor Blvd Bldg S, Suite 202, Las Cruces, NM 88011-4688 2006-11-13
1104803196 Jana Williams Pediatrics 4181 Camino Coyote, Las Cruces, NM 88011-8259 2005-12-29
1740281799 Anne Louise Gomez Pediatrics 1501 S Don Roser Dr, Las Cruces, NM 88011-4538 2005-08-02
1568461911 Casa Alegre Pediatrics, LLC Pediatrics 532 N Telshor Blvd, Suite G, Las Cruces, NM 88011-8234 2005-07-19
1619973187 Jenifer Lichtenfels Pediatrics 2450 S Telshor Blvd, Las Cruces, NM 88011-5141 2005-06-21
1720694169 Los Ninos Pediatric Urgent Care, L.l.c Pediatrics 1501 S Don Roser Dr, Las Cruces, NM 88011-4538 2020-09-21
Find all providers in LAS CRUCES

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City LAS CRUCES
Zip Code 88011

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Dataset Information

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.

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