PECOS VALLEY OF NEW MEXICO, LLC (NPI# 1831141258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831141258 |
| Entity Type | Organization |
| Organization Name | PECOS VALLEY OF NEW MEXICO, LLC |
| Practice Address |
2420 W Pierce St Ste 100 Carlsbad NM 88220-3543 |
| Practice Telephone | 5056288837 |
| Mailing Telephone | 5056288837 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | V KAREN FLINN (VP) |
| Authorized Official Telephone | 3615790315 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | B4739 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487853149 | Pecos Valley of New Mexico, LLC | Durable Medical Equipment & Medical Supplies | 5419 N Lovington Hwy, Complex 5 Ste. 15, Hobbs, NM 88240-9131 | 2007-07-13 |
| 1326004755 | Pecos Valley of New Mexico, LLC | General Practice | 2420 W Pierce St, Suite 200 B, Carlsbad, NM 88220-3543 | 2006-04-25 |
| 1194781021 | Pecos Valley of New Mexico, LLC | General Practice | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2006-04-20 |
| Street Address |
2420 W PIERCE ST STE 100 |
| City | CARLSBAD |
| State | NM |
| Zip Code | 88220-3543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396729851 | Jacqueline C Brown | Obstetrics & Gynecology | 2420 W Pierce St, Suite 200, Carlsbad, NM 88220-3543 | 2005-11-30 |
| 1669744868 | Khadija Ahmad Mamsa | Internal Medicine | 2420 W Pierce St, Suite 205, Carlsbad, NM 88220-3543 | 2012-02-02 |
| 1659434793 | Deborah Schenck | Preventive Medicine | 2420 W Pierce St, Suite 103, Carlsbad, NM 88220-3543 | 2006-12-19 |
| 1689756595 | Amanda D. Ryan | Internal Medicine | 2420 W Pierce St, Suite 100, Carlsbad, NM 88220-3543 | 2006-10-19 |
| 1427150051 | Ram K Pai | Obstetrics & Gynecology | 2420 W Pierce St, Suite 104, Carlsbad, NM 88220-3543 | 2006-09-03 |
| 1265548820 | John Leak | Physician Assistant | 2420 W Pierce St, Ste 205, Carlsbad, NM 88220-3543 | 2006-08-23 |
| 1306952973 | Jane Raney | Nurse Practitioner | 2420 W Pierce St, Ste 205, Carlsbad, NM 88220-3543 | 2006-08-23 |
| 1871527168 | Stephen Schneberger | Obstetrics & Gynecology | 2420 W Pierce St, Suite 200, Carlsbad, NM 88220-3543 | 2006-07-10 |
| 1033162292 | Elizabeth E Madison | Nurse Practitioner | 2420 W Pierce St, Ste 100, Carlsbad, NM 88220-3543 | 2006-05-18 |
| 1326004755 | Pecos Valley of New Mexico, LLC | General Practice | 2420 W Pierce St, Suite 200 B, Carlsbad, NM 88220-3543 | 2006-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083248991 | Diana P Levy | Nurse Anesthetist, Certified Registered | Carlsbad Medical Center, 2430 W Pierce St., Carlsbad, NM 88220 | 2020-02-29 |
| 1790333680 | Angela Houston | Nurse Practitioner | 202 W. Church Street, Carlsbad, NM 88220 | 2019-09-03 |
| 1265958722 | Amanda Henry | Social Worker | 3000, West Church Street, Carlsbad, NM 88220 | 2017-08-16 |
| 1952827610 | Audriana B Martinez | Physical Therapy Assistant | 1038 Pinon Ln, Carlsbad, NM 88220 | 2017-08-15 |
| 1730538265 | Amber Bojorquez | Registered Nurse | 406 N. Alameda St., Carlsbad, NM 88220 | 2016-06-06 |
| 1164887584 | Kassandra Prutsman | Specialist | 126 S. Canyon, Carlsbad, NM 88220 | 2015-12-30 |
| 1306220314 | Rocky Mountain Holdings, LLC | Ambulance | 1505 Terminal Dr, Carlsbad, NM 88220 | 2015-07-20 |
| 1578986402 | Sheryl L Dugger | Registered Nurse | 406 N. Alameda, Carlsbad, NM 88220 | 2014-01-29 |
| 1194153106 | Wellcare, Inc. | Hospice Care, Community Based | 220 S Canal St Ste B, Carlsbad, NM 88220 | 2013-10-30 |
| 1932537420 | Wellcare, Inc | Home Health | 220 S Canal St Ste A, Carlsbad, NM 88220 | 2013-10-22 |
| Find all providers in zip 88220 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700156031 | Alfred Mutchnik | General Practice | 7317 Almaden Ln, Carlsbad, CA 92009-6902 | 2012-01-03 |
| 1225566466 | Carlsbad Integrative Medical Center Incorporated | General Practice | 5814 Van Allen Way Ste 215, Carlsbad, CA 92008-7360 | 2017-06-01 |
| 1396145439 | True Care Mobile Inc. A Medical Corp | General Practice | 2888 Loker Ave E, Suite 111, Carlsbad, CA 92010-6682 | 2014-08-26 |
| 1780820548 | Mitchel James Olson | General Practice | 1902 Wright Pl, Suite 200, Carlsbad, CA 92008-6583 | 2008-12-29 |
| 1699875559 | Robert Steven Charlap | General Practice | 5814 Van Allen Way, Suite 210, Carlsbad, CA 92008 | 2006-09-22 |
| 1588688824 | Sandhya Desai | General Practice | 2176 Salk Ave, Carlsbad, CA 92008-7346 | 2006-07-27 |
| 1609815091 | Sandra R Alexander | General Practice | 1905 Calle Barcelona, Carlsbad, CA 92009-8450 | 2006-06-04 |
| 1326004755 | Pecos Valley of New Mexico, LLC | General Practice | 2420 W Pierce St, Suite 200 B, Carlsbad, NM 88220-3543 | 2006-04-25 |
| 1194781021 | Pecos Valley of New Mexico, LLC | General Practice | 2430 W Pierce St, Carlsbad, NM 88220-3553 | 2006-04-20 |
| 1972569820 | Pecos Valley of New Mexico,llc | General Practice | 2420 W Pierce St, Suite 200 B, Carlsbad, NM 88220-3543 | 2006-04-20 |
| Find all providers in CARLSBAD | ||||
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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.