LAS CRUCES SURGEONS GROUP, LLC (NPI# 1750670378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750670378 |
| Entity Type | Organization |
| Organization Name | LAS CRUCES SURGEONS GROUP, LLC |
| Practice Address |
925 S Walnut St Las Cruces NM 88001-3955 |
| Practice Telephone | 5759933105 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |
| Authorized Official Name | DR. PAUL COONEY (OWNER) |
| Authorized Official Telephone | 5759933105 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD2007-0561 | NM | Other Service Providers |
| Street Address |
925 S WALNUT ST |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88001-3955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932133618 | Paul Kisucky IIi | Nurse Anesthetist, Certified Registered | 925 S Walnut St, Las Cruces, NM 88001-3955 | 2006-07-10 |
| 1538719372 | Iyamu Anesthesia Solutions LLC | Nurse Anesthetist, Certified Registered | 925 S Walnut St, Las Cruces, NM 88001-3955 | 2019-09-13 |
| 1790340974 | Paul Kisucky LLC | Nurse Anesthetist, Certified Registered | 925 S Walnut St, Las Cruces, NM 88001-3955 | 2019-05-03 |
| 1558802371 | Redmallet Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 925 S Walnut St, Las Cruces, NM 88001-3955 | 2017-03-13 |
| 1780981886 | Vein Center of Las Cruces, LLC | Specialist | 925 S Walnut St, Las Cruces, NM 88001-3955 | 2011-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020044 | Three Crosses Regional Hospital LLC | General Acute Care Hospital | 2560 Samaritan Drive, Las Cruces, NM 88001 | 2019-12-17 |
| 1760961908 | Halcyon Health of The Southwest, LLC | Nurse Practitioner | 1355 California Ave Ste B, Las Cruces, NM 88001 | 2018-08-08 |
| 1255818530 | Lago Claro, LLC | Counselor | 2410 S. Espina St, Las Cruces, NM 88001 | 2018-07-19 |
| 1407371818 | Elijah Daniel Perez | Behavior Technician | 1535 Myrtle Ave, Las Cruces, NM 88001 | 2017-08-07 |
| 1982128641 | Krystal Marie Ruiz | Psychologist | 505 S. Main, Ste. 249, Las Cruces, NM 88001 | 2017-08-03 |
| 1457886913 | Mathew Petersen Dds PC | Dentist | 2001 E. Lohman Ave. Suite 121, Las Cruces, NM 88001 | 2017-04-21 |
| 1801343439 | Celia Holmes | Registered Nurse | 505 S Main, Ste 249, Las Cruces, NM 88001 | 2016-09-01 |
| 1427420223 | Sara Guidetti | Family Medicine | 3080 Breland Drive, Las Cruces, NM 88001 | 2015-10-20 |
| 1679987234 | Maria De Jesus Martinez | Nurse Practitioner | 1170 N. Solano Ste A, Las Cruces, NM 88001 | 2014-06-11 |
| 1851701494 | Viola E Garcia | Case Manager/Care Coordinator | 100 W Griggs, Las Cruces, NM 88001 | 2014-05-05 |
| Find all providers in zip 88001 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295246098 | Quality Life Services, LLC | Specialist | 4212 Hermia Ct, Las Cruces, NM 88011-0918 | 2017-10-19 |
| 1447668256 | Cherie O'dell | Specialist | 1758 Highland Ave, Las Cruces, NM 88005 | 2014-07-24 |
| 1962767335 | David Gerald Deissenberg | Specialist | 126 S Downtown Mall, Las Cruces, NM 88001-1218 | 2012-07-11 |
| 1487915518 | Lohman Anesthesia Associates LLC | Specialist | 4381 E Lohman Ave Ste A, Las Cruces, NM 88011-8255 | 2012-06-05 |
| 1154639136 | Zoe Frances Christian | Specialist | 3530 Foothills Rd Ste N, Las Cruces, NM 88011-3621 | 2010-09-23 |
| 1184930869 | Katrina J Hille | Specialist | 102 Wyatt Dr, Las Cruces, NM 88005-2925 | 2010-08-19 |
| 1902131824 | Robert Fishback | Specialist | 4521 Mesa Rico, Las Cruces, NM 88011-7215 | 2009-10-09 |
| 1538399605 | Esperanza Telles | Specialist | 210 W Las Cruces Ave, Las Cruces, NM 88005-1804 | 2009-07-22 |
| 1508090721 | Kent F Jacobs | Specialist | 3610 Southwind Rd, Las Cruces, NM 88007-5556 | 2009-05-04 |
| 1194991448 | April Anne Mancha | Specialist | 1800 Bromilow St, Las Cruces, NM 88001-5151 | 2008-05-07 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88001 |
Please comment or provide details below to improve the information on LAS CRUCES SURGEONS GROUP, LLC.
| 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.