LOS ALAMOS PHYSICIAN PRACTICES LLC (NPI# 1750330510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750330510 |
| Entity Type | Organization |
| Organization Name | LOS ALAMOS PHYSICIAN PRACTICES LLC |
| Practice Address |
3917 West Rd Los Alamos NM 87544-2275 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-5098 |
| Practice Telephone | 5056624201 |
| Practice Fax Number | 5056619598 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208775 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-01-10 |
| Authorized Official Name | MS. KATHY TEAGUE (CORPORATE SECRETARY) |
| Authorized Official Telephone | 6159207723 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902050040 | Los Alamos Physician Practices LLC | Urology | 3917 West Rd, Suite 137, Los Alamos, NM 87544-2275 | 2008-11-14 |
| 1689828725 | Los Alamos Physician Practices LLC | Orthopaedic Surgery | 3917 West Rd, Suite 139, Los Alamos, NM 87544-2275 | 2008-11-14 |
| 1508089913 | Los Alamos Physician Practices LLC | Hospitalist | 3917 West Rd, Los Alamos, NM 87544-2275 | 2007-04-11 |
| Street Address |
3917 WEST RD |
| City | LOS ALAMOS |
| State | NM |
| Zip Code | 87544-2275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031321 | Jan M Merin | Internal Medicine | 3917 West Rd, Los Alamos, NM 87544-2275 | 2005-05-23 |
| 1366089237 | Gonzalo A Diaz | Internal Medicine | 3917 West Rd, Los Alamos, NM 87544-2275 | 2019-12-10 |
| 1124576327 | Clay Schneider | Nurse Practitioner | 3917 West Rd, Los Alamos, NM 87544-2275 | 2016-09-15 |
| 1093167330 | Laura K Merrigan | Nurse Practitioner | 3917 West Rd, Suite A, Los Alamos, NM 87544-2275 | 2016-07-11 |
| 1043675473 | Total Renal Care Inc | Clinic/Center | 3917 West Rd, Ste G-02, Los Alamos, NM 87544-2275 | 2015-12-30 |
| 1225414253 | Sarah Versackas | Registered Nurse | 3917 West Rd, Suite A, Los Alamos, NM 87544-2275 | 2015-07-31 |
| 1700273745 | Apogee Medical Group | General Acute Care Hospital | 3917 West Rd, Los Alamos, NM 87544-2275 | 2015-04-16 |
| 1679965883 | Los Alamos Emergency Medical Associates Inc | Emergency Medicine | 3917 West Rd, Los Alamos, NM 87544-2275 | 2015-02-25 |
| 1659773612 | Eric Jonathan Krinsky | Physician Assistant | 3917 West Rd, Suite 150, Los Alamos, NM 87544-2275 | 2014-09-22 |
| 1740681311 | Robin Jean Norman | Physician Assistant | 3917 West Rd, Suite 150, Los Alamos, NM 87544-2275 | 2014-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679945935 | Zia Home Health | Home Health | 1475 Central Ave., Suite 125, Los Alamos, NM 87544 | 2015-10-27 |
| 1295131167 | Sara Pocernik | Dietitian, Registered | 1450 Iris Street, Los Alamos, NM 87544 | 2014-11-05 |
| 1760824890 | Lisa Renee Marr Lyon | Psychologist | 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 | 2013-07-17 |
| 1558629725 | Rachel Meyer | Dentist | 112 Central Park Square, Los Alamos, NM 87544 | 2012-04-25 |
| 1902183908 | Susana T. Chavarria | Occupational Therapist | 5 Quemazon Pl., Los Alamos, NM 87544 | 2011-11-04 |
| 1881998664 | Dr. Tom Child and Adolescent Medicine | Pediatrics | Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 | 2011-01-07 |
| 1952565905 | Dawn Judy Barr | Social Worker | 3 Agila Ct, Los Alamos, NM 87544 | 2008-07-17 |
| 1649452129 | Ellen Vandergust Ballard | Dentist | 111 Longview, Suite B-3, White Rock, NM 87544 | 2007-11-27 |
| 1629290283 | Wildwind Dental | Dentist | 111 Longview Drive, Suite B3, Los Alamos, NM 87544 | 2007-05-03 |
| 1255407342 | Sarah Sue Teasdale | Counselor | 1362 C Trinity Dr, Los Alamos, NM 87544 | 2006-11-28 |
| Find all providers in zip 87544 | ||||
| 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 |
|---|---|---|---|---|
| 1548427453 | Robert James Carbone | Family Medicine | 27 Timber Ridge Rd, Los Alamos, NM 87544-2317 | 2008-05-19 |
| 1912056904 | Care First LLC | Family Medicine | 3500trinity Dr, Ste B3, Los Alamos, NM 87544-2221 | 2007-01-09 |
| 1912001520 | David A Mesibov | Family Medicine | 118 Central Park Square, Los Alamos, NM 87544 | 2006-09-12 |
| 1528073384 | Heather Ellen Marancenbaum | Family Medicine | 3917 West Rd Ste A, Los Alamos, NM 87544-2292 | 2006-07-30 |
| 1770547515 | Paul Daly | Family Medicine | 3917 West Road Suite A, Los Alamos, NM 87544-2275 | 2006-04-17 |
| 1477547586 | Herbert Tyler Taylor IIi | Family Medicine | 3500 Trinity Dr, Ste B3, Los Alamos, NM 87544-2221 | 2005-09-02 |
| 1588217749 | Pema L Tamang | Family Medicine | 3917 West Rd Ste A, Los Alamos, NM 87544-2292 | 2019-07-17 |
| 1760964506 | Leigh Barham | Family Medicine | 3917 West Rd Ste A, Los Alamos, NM 87544 | 2018-08-29 |
| 1437585452 | Santa Fe Medical Group, LLC | Family Medicine | 1460 Trinity Dr, Suite A, Los Alamos, NM 87544-4106 | 2013-09-23 |
| 1750720306 | Elena Soliz Mcatee | Family Medicine | 3917 West Rd Ste A, Los Alamos, NM 87544-2292 | 2013-06-17 |
| Find all providers in LOS ALAMOS | ||||
| City | LOS ALAMOS |
| Zip Code | 87544 |
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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.