DAVID CALKINS, MD, LLC (NPI# 1811375769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811375769 |
| Entity Type | Organization |
| Organization Name | DAVID CALKINS, MD, LLC |
| Practice Address |
117 Camino De Vida Ste 300 Santa Rosa NM 88435-2267 |
| Mailing Address |
1405 Soplo Rd Se Albuquerque NM 87123-4422 |
| Practice Telephone | 4405444077 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |
| Authorized Official Name | DAVID CALKINS (OWNER) |
| Authorized Official Telephone | 4405444077 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | MD2011-0247 | NM | Suppliers |
| Street Address |
117 CAMINO DE VIDA STE 300 |
| City | SANTA ROSA |
| State | NM |
| Zip Code | 88435-2267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447592498 | Mark Land Grossetete | Psychiatry & Neurology | 117 Camino De Vida Ste 300, Santa Rosa, NM 88435 | 2013-03-17 |
| 1225695018 | Senora L Campos | Nurse Practitioner | 117 Camino De Vida Ste 300, Santa Rosa, NM 88435-2267 | 2019-05-28 |
| 1568946861 | Denia Victoria Guinart Gutierrez | Nurse Practitioner | 117 Camino De Vida Ste 300, Santa Rosa, NM 88435-2267 | 2018-09-21 |
| 1447760368 | Brian T Muniz | Physician Assistant | 117 Camino De Vida Ste 300, Santa Rosa, NM 88435-2267 | 2017-10-05 |
| 1366824963 | Mary M Kenyon | Nurse Practitioner | 117 Camino De Vida Ste 300, Santa Rosa, NM 88435-2267 | 2015-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326548322 | Katherine E Cerico | Physical Therapist | 1972 Historic Route 66, Santa Rosa, NM 88435 | 2018-02-15 |
| 1770017055 | Michael Montoya | Social Worker | 724 Park Lake Drive, Santa Rosa, NM 88435 | 2017-04-13 |
| 1962743534 | De Baca Family Practice Clinic | Clinic/Center | 552 Us Hwy 54, Santa Rosa, NM 88435 | 2013-03-07 |
| 1861728032 | Sonya Mireles | Counselor | 501 S Fourth St, Santa Rosa, NM 88435 | 2009-10-23 |
| 1255664231 | Victoria N Silva | Counselor | 501 S. Forth St., Santa Rosa, NM 88435 | 2009-09-09 |
| 1922039171 | Santa Rosa Medical Clinic | Internal Medicine | 533 Lake Dr, Santa Rosa, NM 88435 | 2006-07-06 |
| 1467750653 | Cassidy Ruth Huffman | Counselor | 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435 | 2011-03-11 |
| 1134455306 | Anita Valencia | Counselor | 501 S Fourth St, Santa Rosa, NM 88435 | 2009-10-23 |
| 1841273554 | Dawn R Back | Physician Assistant | 117 Camino De Vida, Suite 300, Santa Rosa, NM 88435 | 2005-11-28 |
| 1952621070 | Erica Nicole Romero | Social Worker | 260 N 3rd St, Santa Rosa, NM 88435-2006 | 2010-06-11 |
| Find all providers in zip 88435 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811372568 | Laservue Eye Center A Medical Corporation | Non-Pharmacy Dispensing Site | 3450 Mendocino Ave, 200, Santa Rosa, CA 95403-2221 | 2015-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609944800 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 2500 State Hwy 197, Torreon, NM 87013 | 2006-12-04 |
| 1023186707 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 2 Ojo Encino Chapter Rd, Ojo Encino, NM 87013 | 2006-12-01 |
| 1831266311 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 15 Navarre, Thoreau, NM 87323 | 2006-11-29 |
| 1811064827 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 06b Main St, Cerrillos, NM 87010 | 2006-11-29 |
| 1326115338 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 74 James Canyon Hwy, Cloudcroft, NM 88317 | 2006-11-29 |
| 1619046950 | Clovis Family Healthcare Center LLC | Non-Pharmacy Dispensing Site | 2301 N Martin Luther King Blvd, Clovis, NM 88101 | 2006-11-08 |
| 1265511711 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 8372 Hwy 4, Canon, NM 87025 | 2006-11-03 |
| 1225117773 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 105 E Pinon, Mountainair, NM 87036 | 2006-11-03 |
| 1972682425 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 801 10th St, Magdalena, NM 87825 | 2006-11-03 |
| 1891874343 | Presbyterian Medical Services | Non-Pharmacy Dispensing Site | 602 S 4th St, Loving, NM 88256-0491 | 2006-11-03 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 88435 |
Please comment or provide details below to improve the information on DAVID CALKINS, MD, 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.