SOUTHEASTERN PLAINS EMERGENCY PHYSICIANS, LLC (NPI# 1750621272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750621272 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN PLAINS EMERGENCY PHYSICIANS, LLC |
| Practice Address |
1600 N Main Ave Emergency Department Lovington NM 88260-2830 |
| Mailing Address |
815 S Palafox St Suite 300 Pensacola FL 32502-5960 |
| Practice Telephone | 5753966611 |
| Practice Fax Number | 8003053233 |
| Mailing Telephone | 8004447009 |
| Mailing Fax Number | 8003053233 |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-12-23 |
| Authorized Official Name | MR. JOSEPH W TAYLOR (EXEC. VICE-PRESIDENT, EMCARE PHYSIC) |
| Authorized Official Telephone | 8004447009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
1600 N MAIN AVE EMERGENCY DEPARTMENT |
| City | LOVINGTON |
| State | NM |
| Zip Code | 88260-2830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114924008 | Shannon Michelle Allen | Nurse Anesthetist, Certified Registered | 1600 N Main Ave, Lovington, NM 88260 | 2005-07-07 |
| 1811503303 | Megan Deanne Chavarria | Nurse Practitioner | 1600 N Main Ave, Lovington, NM 88260-2871 | 2020-09-20 |
| 1518587948 | Mary Victoria Cansino | Speech-Language Pathologist | 1600 N Main Ave, Lovington, NM 88260-2813 | 2020-04-27 |
| 1902449820 | Francisco Alonzo Espino | Nurse Practitioner | 1600 N Main Ave, Lovington, NM 88260-2830 | 2019-10-23 |
| 1306303326 | Zarah Mae Cortez | Physical Therapist | 1600 N Main Ave, Lovington, NM 88260-2830 | 2019-02-26 |
| 1285136119 | Lugene M Twiggs | Social Worker | 1600 N Main Ave, Lovington, NM 88260-2830 | 2018-03-07 |
| 1437650934 | Sandra Lizet Orozco | Physician Assistant | 1600 N Main Ave, Lovington, NM 88260-2830 | 2018-02-21 |
| 1457865677 | Matthew Bruns Berilla | Physician Assistant | 1600 N Main Ave, Lovington, NM 88260 | 2017-11-27 |
| 1841714300 | Brandi Lynnette Tedder | Nurse Practitioner | 1600 N Main Ave, Lovington, NM 88260-2830 | 2017-07-26 |
| 1255882718 | Jacqueline Marinovich | Nurse Practitioner | 1600 N Main Ave, Lovington, NM 88260-2830 | 2016-10-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548761034 | Debra Mauldin | Registered Nurse | 18 West Washington, Lovington, NM 88260 | 2018-02-21 |
| 1790283786 | Brenda D'ann Perry | Registered Nurse | 700 W Jefferson, Lovington, NM 88260 | 2018-01-25 |
| 1114433513 | Rebecca Madrid | Registered Nurse | 11 Ano 1000 S Main St, Lovington, NM 88260 | 2017-12-20 |
| 1588177414 | Kimberly Kay Reeder | Registered Nurse | 1400 S. 6th St, Lovington, NM 88260 | 2017-11-14 |
| 1508379439 | Jessica Fitzgerald | Registered Nurse | 1202 W Birch Ave, Lovington, NM 88260 | 2017-11-14 |
| 1245760362 | Dyesebel Morales Solis | Physical Therapist | 1600 N. Main Street, Nor-lea Hospital District, Lovington, NM 88260 | 2017-06-13 |
| 1962949172 | Especializados En Servicios Medicos Quirurgicos Sa De Cv | General Acute Care Hospital | A. Obregon 3256 Col. Jardin, Nuevo Laredo, TAMAULIPAS 88260 | 2017-01-25 |
| 1205386992 | Graciela Urbina | Dentist | O Campo 3147, Nvo Laredo, TAMPS 88260 | 2016-10-06 |
| 1710294913 | Lindsey Anitra Broom | Speech-Language Pathologist | 1300 W. Dogwood, Lovington, NM 88260 | 2010-09-09 |
| 1003129545 | Rosalinda Barraza | Occupational Therapist | 18 W Washington, Lovington, NM 88260 | 2010-07-26 |
| Find all providers in zip 88260 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265878359 | New Mexico Em-1 Medical Services, P.C. | Emergency Medicine | 1600 N Main Ave, Lovington, NM 88260-2830 | 2013-05-15 |
| 1548571938 | Paul V Manson | Emergency Medicine | 1600 North Main, Lovington, NM 88260-2830 | 2010-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992261309 | Health West LLC | Emergency Medicine | 3300 W Main St Ste F, Artesia, NM 88210-9617 | 2019-02-11 |
| 1730612359 | Adam Michael Tolar | Emergency Medicine | Mcs 11 6025, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2017-04-10 |
| 1538691712 | David Scott Fischman | Emergency Medicine | 6400 Paseo Del Norte Blvd Ne, Albuquerque, NM 87113-8711 | 2017-03-28 |
| 1265895486 | Nedda Fariba Karimi | Emergency Medicine | 4515 Coors Blvd Nw, Albuquerque, NM 87120-3699 | 2016-04-04 |
| 1417310764 | Justin Itty Mathew | Emergency Medicine | Department of Emergency Medicine Msc11 6025, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-04-04 |
| 1639532583 | Amanda Lauren Ventura | Emergency Medicine | Msc Emergency Medicine 1 University of New Mexico, Albuquerque, NM 87131-2364 | 2016-03-29 |
| 1083000178 | David Michael Glass | Emergency Medicine | Emergency Medicine Msc 11 6025, University of New Mexico, Albuquerque, NM 87131-0001 | 2015-04-15 |
| 1952797300 | Eleni Marie Bucuvalas | Emergency Medicine | Msc 11-6025, 1 University of New Mexico, Albuquerque, NM 87131 | 2015-04-13 |
| 1225423239 | Joseph Smith Jr. | Emergency Medicine | Msc 11 6025 University of New Mexico, Albuquerque, NM 87131-0001 | 2015-04-06 |
| 1083026140 | Damek Santiago Maurice | Emergency Medicine | Christus St. Vincent Regional Medical Center, 455 St. Michaels Drive, Santa Fe, NM 87505 | 2014-05-23 |
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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.