Carrie Alissa Dieker (NPI# 1730348467, PAC ID# 0941434740) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1730348467 |
| PAC ID by PECOS | 0941434740 |
| Professional Enrollment ID | I20141017001773 |
| Full Name | Carrie Alissa Dieker |
| Organization Legal Name | LAS CRUCES PHYSICIAN PRACTICES, LLC |
| Address |
2735 Northrise Dr Las Cruces NM 88011-0897 |
| Phone Number | 5755212462 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 2008 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 7618974858 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320018 | MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2530 S Telshor Blvd, Suite 103, Las Cruces, NM 88011-4974 | 5755566400 | LAS CRUCES PHYSICIAN PRACTICES, LLC |
| 2735 Northrise Dr, Las Cruces, NM 88011-0897 | 5755212462 | LAS CRUCES PHYSICIAN PRACTICES, LLC |
| Organization Legal Name | LAS CRUCES PHYSICIAN PRACTICES, LLC |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Hayth | Nurse Practitioner | Las Cruces Physician Practices, LLC | 4672 N Sonoma Ranch Blvd, Suite A, Las Cruces, NM 88011-7271 |
| Antoinette Green | Nurse Practitioner | Las Cruces Physician Practices, LLC | 2611 N Main St, Las Cruces, NM 88001-1139 |
| Melissa Michelle Livingston | Nurse Practitioner | Las Cruces Physician Practices, LLC | 2100 S Triviz Dr F, Las Cruces, NM 88001-0601 |
| Jaime Aburto | Plastic and Reconstructive Surgery | Las Cruces Physician Practices, LLC | 2540 S Telshor Blvd, Las Cruces, NM 88011-5130 |
| Steven C Marks | Otolaryngology | Las Cruces Physician Practices, LLC | 1165 Commerce Dr, Suite A, Las Cruces, NM 88011-8453 |
| Eric Sandoval | Emergency Medicine | Las Cruces Physician Practices, LLC | 150 N Roadrunner Pkwy, Las Cruces, NM 88011-7044 |
| Gina M Fullbright | Nurse Practitioner | Las Cruces Physician Practices, LLC | 2100 S Triviz Dr H, Womens Medical Associates, Las Cruces, NM 88001-0601 |
| Jennifer Lynn Matherly | Certified Nurse Midwife (cnm) | Las Cruces Physician Practices, LLC | 2520 S Telshor Blvd, Las Cruces, NM 88011-4907 |
| Kermie Robinson | General Surgery | Las Cruces Physician Practices, LLC | 2530 S Telshor Blvd, Suite 103, Las Cruces, NM 88011-4974 |
| Eduardo A Castrejon | Family Medicine | Las Cruces Physician Practices, LLC | 1205 S Solano Dr, Las Cruces, NM 88001-3709 |
| Street Address |
2735 NORTHRISE DR |
| City | LAS CRUCES |
| State | NM |
| Zip | 88011-0897 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramakrishna Devasthali | Diagnostic Radiology | Imaging Associates of New Mexico LLC | 2735 Northrise Dr, Memorial Healthplex, Las Cruces, NM 88011-0897 |
| Andrew Bruner | Diagnostic Radiology | Imaging Associates of New Mexico LLC | 2735 Northrise Dr, Memorial Healthplex, Las Cruces, NM 88011-0897 |
| Melissa J Cometti | Nurse Practitioner | Phc-las Cruces Inc | 2735 Northrise Dr, Las Cruces, NM 88011-0897 |
| John M Ramirez | General Surgery | Las Cruces Physician Practices, LLC | 2735 Northrise Dr, Las Cruces, NM 88011-0897 |
| Olga Palovna Molchanova-cook | Diagnostic Radiology | Imaging Associates of New Mexico LLC | 2735 Northrise Dr, Memorial Healthplex, Las Cruces, NM 88011-0897 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Francis K Attiogbe | Internal Medicine | Fesss Family Healthcare LLC | 3039 Memorial Court, Las Cruces, NM 88011 |
| Elaine Enyonam Attiogbe | Nurse Practitioner | Fesss Family Healthcare LLC | 3039 Memorial Court, Las Cruces, NM 88011 |
| Kanaka L Chelliah | Family Medicine | 4500 Sonoma Ranch Blvd, Las Cruces, NM 88011-0000 | |
| Troy W Shepherd | Podiatry | New Mexico Bone and Joint Institute PC | 2951 N Roadrunner Pkwy, Las Cruces, NM 88011-0814 |
| John V Watkins | Anesthesiology | New Mexico Bone and Joint Institute PC | 2951 N Roadrunner Pkwy, Las Cruces, NM 88011-0814 |
| Douglas R Dodson | Orthopedic Surgery | New Mexico Bone and Joint Institute PC | 2951 N Roadrunner Pkwy, Las Cruces, NM 88011-0814 |
| Ryan Gutierrez | Chiropractic | 4131 Camino Coyote, B, Las Cruces, NM 88011-3000 | |
| Silvia M Sierra Flores | Internal Medicine | 4141 Camino Coyote, Suite B, Las Cruces, NM 88011-3001 | |
| Shiney T Nattakom | Internal Medicine | 166 N Roadrunner Pkwy, Suite 1b, Las Cruces, NM 88011-3003 | |
| Rebecca Burrington | Physician Assistant | Rehabilitation and Occupational Medicine LLC | 3530 Foothills N, Las Cruces, NM 88011-3621 |
| Find all physicians in zip 88011 | |||
| City | LAS CRUCES |
| Zip Code | 88011 |
| Specialty | GENERAL SURGERY |
| City + Specialty | LAS CRUCES + GENERAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.