DR. THERESA M. GENOVESE-ELLIOTT (NPI# 1801830179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801830179 |
| Entity Type | Individual |
| Full Name | DR. THERESA M. GENOVESE-ELLIOTT |
| Other Name | DR. THERESA M. GENOVESE-ELLIOTT |
| Credential | MD |
| Practice Address |
435 St. Michael's Drive Suite A-202 Santa Fe NM 87505-7672 |
| Mailing Address |
P O Box 6140 Sante Fe NM 87502-6140 |
| Practice Telephone | 5059835200 |
| Practice Fax Number | 5059835202 |
| Mailing Telephone | 5059835200 |
| Mailing Fax Number | 5059835202 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
99206 | NM | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1450 Ellis St Ste 201, Bozeman, MT 597158813 | 4065870112 | 8446562480 |
| Street Address |
435 ST. MICHAEL'S DRIVE SUITE A-202 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-7672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528015476 | Spine & Pain Institute of Santa Fe, LLC | Specialist | 435 St. Michael's Drive, Suite A-202, Santa Fe, NM 87505-7672 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356465694 | Lynda Holliday | Physical Medicine & Rehabilitation | 542 Juniper Dr, Santa Fe, NM 87501-1692 | 2007-03-19 |
| 1962529974 | Industrial Rehabilitation Clinic, PC | Physical Medicine & Rehabilitation | 1691 Galisteo St, Suite C2, Santa Fe, NM 87505-4780 | 2007-03-23 |
| 1083783542 | Beth Palmisano | Physical Medicine & Rehabilitation | 1631 Hospital Dr, Suite 110, Santa Fe, NM 87505-4728 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053945147 | Interventional Pain Associates | Physical Medicine & Rehabilitation | 4824 Mcmahon Blvd Nw Ste 109, Albuquerque, NM 87114-5412 | 2020-02-27 |
| 1649343872 | Barrie W Ross | Physical Medicine & Rehabilitation | 7301 Jefferson Ne, Suite E, Albuquerque, NM 87109 | 2006-11-16 |
| 1770038408 | Sunita M Rajput Do, LLC | Physical Medicine & Rehabilitation | 100 Sun Ave Ne, Suite 650, Albuquerque, NM 87109-4659 | 2016-08-23 |
| 1518227131 | Justin Averna | Physical Medicine & Rehabilitation | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2012-05-17 |
| 1316996283 | Sunita M Rajput | Physical Medicine & Rehabilitation | 2211 Lomas Blvd Ne, 2 Acc. Msc10 5615, Albuquerque, NM 87106-2719 | 2006-05-09 |
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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.