Gaudencio Pavia (NPI# 1881760957, PAC ID# 8729976865) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1881760957 |
| PAC ID by PECOS | 8729976865 |
| Professional Enrollment ID | I20040309001048 |
| Full Name | Gaudencio Pavia |
| Organization Legal Name | LAS CRUCES PHYSICIAN PRACTICES, LLC |
| Address |
3030 W Picacho Ave D Las Cruces NM 88007-4721 |
| Phone Number | 5755324427 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1987 |
| Primary Specialty | INTERNAL MEDICINE |
| 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 |
| 320085 | MOUNTAIN VIEW REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 600 Anthony Dr, Anthony, NM 88021-9381 | 5758822118 | LAS CRUCES PHYSICIAN PRACTICES, LLC |
| 1180 Mall Dr, Suite A, Las Cruces, NM 88011-8192 | 5755234344 | LAS CRUCES PHYSICIAN PRACTICES, LLC |
| 3030 W Picacho Ave D, Las Cruces, NM 88007-4721 | 5755324427 | LAS CRUCES PHYSICIAN PRACTICES, LLC |
| 4351 E Lohman Ave, Suite 200, Las Cruces, NM 88011-8260 | 5055329755 | LAS CRUCES PHYSICIAN PRACTICES, LLC |
| 4351 E Lohman Ave, Suite 403, Las Cruces, NM 88011-8261 | 5755226806 | LAS CRUCES PHYSICIAN PRACTICES, LLC |
| 4407 E Lohman Ave, Las Cruces, NM 88011-8267 | 5755226806 | 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 |
3030 W PICACHO AVE D |
| City | LAS CRUCES |
| State | NM |
| Zip | 88007-4721 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louis M Benevento | Internal Medicine | Las Cruces Physician Practices, LLC | 3030 W Picacho Ave D, Las Cruces, NM 88007-4721 |
| Syed Rafique Ahmed | Internal Medicine | Las Cruces Physician Practices, LLC | 3030 W Picacho Ave D, Las Cruces, NM 88007-4721 |
| Heather Leeann Doss | Nurse Practitioner | Las Cruces Physician Practices, LLC | 3030 W Picacho Ave D, Las Cruces, NM 88007-4721 |
| Matthew Ruben Arenibas | Nurse Practitioner | Las Cruces Physician Practices, LLC | 3030 W Picacho Ave D, Las Cruces, NM 88007-4721 |
| Justin Montgomery | Nurse Practitioner | Las Cruces Physician Practices, LLC | 3030 W Picacho Ave D, Las Cruces, NM 88007-4721 |
| Edna Maritza Juarez | Internal Medicine | Las Cruces Physician Practices, LLC | 3030 W Picacho Ave D, Las Cruces, NM 88007-4721 |
| John Tucker Ii | Family Medicine | Las Cruces Physician Practices, LLC | 3030 W Picacho Ave D, Las Cruces, NM 88007-4721 |
| City | LAS CRUCES |
| Zip Code | 88007 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LAS CRUCES + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Gaudencio Pavia.
| 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.