Cheryl Hall (NPI# 1003092065, PAC ID# 4183613292) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1003092065 |
PAC ID by PECOS | 4183613292 |
Professional Enrollment ID | I20150702000377 |
Full Name | Cheryl Hall |
Organization Legal Name | EL CENTRO FAMILY HEALTH |
Address |
2243 Embudo NM 87531-0098 |
Phone Number | 5055794255 |
Gender | F |
Credential | PA |
Graduation Year | 1992 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 9830080688 |
Number of Group Practice Members | 35 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
320002 | CHRISTUS ST VINCENT REGIONAL MEDICAL CENTER |
320011 | PRESBYTERIAN ESPANOLA HOSPITAL |
Address | Phone | Organization |
---|---|---|
2243, Embudo, NM 87531-0098 | 5055794255 | EL CENTRO FAMILY HEALTH |
2243, 68 Embudo Clinic, Embudo, NM 87531-0098 | 5055794255 | EL CENTRO FAMILY HEALTH |
2010 Industrial Park Rd, Espanola, NM 87532-3600 | 5057537395 | EL CENTRO FAMILY HEALTH |
604 Catron Ave, Wagon Mound, NM 87752-0063 | 5756662288 | EL CENTRO FAMILY HEALTH |
604 Catron Ave, Wagon Md Clinic, Wagon Mound, NM 87752-0063 | 5756662288 | EL CENTRO FAMILY HEALTH |
Organization Legal Name | EL CENTRO FAMILY HEALTH |
Physicians | 43 |
Name | Specialty | Organization | Address |
---|---|---|---|
Carol-jean Hennessy | Nurse Practitioner | El Centro Family Health | 711 Bond St, Espanola, NM 87532-2729 |
John Scott | Physician Assistant | El Centro Family Health | 502 4th St, Springer Clinic, Springer, NM 87747-0487 |
Sandra W Whitney | Nurse Practitioner | El Centro Family Health | 604 Catron Ave, Wagon Md Clinic, Wagon Mound, NM 87752-0063 |
Leigh A Trivino | Physician Assistant | El Centro Family Health | 901 Baca Ave, Las Vegas, NM 87701-4000 |
David N Gould | Physician Assistant | El Centro Family Health | 15136 State Hwy 75, Penasco Clinic, Penasco, NM 87553-0238 |
Tracey E Garcia | Clinical Social Worker | El Centro Family Health | 2010 Industrial Park Rd, Espanola, NM 87532-3600 |
Mary M Laumbach | Nurse Practitioner | El Centro Family Health | 555 Wagon Mound Hwy, Roy Clinic, Roy, NM 87743-0148 |
Alfredo R Vigil | Family Medicine | El Centro Family Health | 1331 Gusdorf Rd, Taos, NM 87571-0516 |
Christopher Alliman | Family Medicine | El Centro Family Health | 275 New Mexico 3 Bldg, 2 San Miguel Clinic, Ribera, NM 87560-0277 |
Ann N Smith | Nurse Practitioner | El Centro Family Health | 3396 State Rd, Suite 96, Coyote, NM 87012-9712 |
Street Address |
2243 |
City | EMBUDO |
State | NM |
Zip | 87531-0098 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amanda Goertz | Family Medicine | El Centro Family Health | 2243, 68 Embudo Clinic, Embudo, NM 87531-0098 |
Sarah Hein | Physician Assistant | El Centro Family Health | 2243, 68 Embudo Clinic, Embudo, NM 87531-0098 |
Milton A Matteson | Physician Assistant | El Centro Family Health | 2243, 68 Embudo Clinic, Embudo, NM 87531-0098 |
Nora E Lamartine | Family Medicine | El Centro Family Health | 2243, 68 Embudo Clinic, Embudo, NM 87531-0098 |
City | EMBUDO |
Zip Code | 87531 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | EMBUDO + PHYSICIAN ASSISTANT |
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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.