Canoncito Band of Navajos Health Center, Inc
A Medicare group practice based in Tohajiilee, NM: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8325321235), with 23 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8325321235
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
- Enrolled in
- NM, TX
- Enrollments
- 3
- Group size
- 8 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 3
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20170218000200 | TX | Part B Supplier - Pharmacy | 1629525605 |
| O20170425001197 | TX | Part B Supplier - Clinic/Group Practice | 1578010070 |
| O20190312002408 | NM | Part A Provider - Federally Qualified Health Center (FQHC) | 1578010070 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Canoncito Band of Navajos Health Center, Inc
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Canoncito, NM
- NPI 1629525605
-
Canoncito Band of Navajos Health Center, Inc.
- Rural Health Clinic/Center
- To'hajiilee, NM
- NPI 1578010070
Practice locations
- Tohajiilee, NM3
Clinicians 23
Clinicians who reassign their Medicare benefits to this group (23) or whom Care Compare lists as members (8).
-
Donald Wayne Clark, MD
- Family Medicine Physician
- Albuquerque, NM
- NPI 1083773931
-
Christopher Charles Cordes, O.D.
- Optometrist
- Albuquerque, NM
- NPI 1033318902
-
Michael Raymond Craddock, DDS
- Prosthodontics
- Kirtland AFB, NM
- NPI 1871541276
-
Elizabeth Cumby, MD
- Family Medicine Physician
- To'hajiilee, NM
- NPI 1962591669
-
Aprilshandiin Curley-Sherer
- Family Medicine Physician
- Albuquerque, NM
- NPI 1184088627
-
David Charles Feist, DDS
- Dentist
- Acomita, NM
- NPI 1598796856
-
Kerry A Hile, O.D.
- Optometrist
- Albuquerque, NM
- NPI 1972683878
-
Barbara V Lewis Heywood, DMD
- General Practice Dentistry
- Albuquerque, NM
- NPI 1265416069
-
Elaine Little, R.D.
- Registered Dietitian
- To'hajiilee, NM
- NPI 1659528354
-
Jory Mazzola
- Child & Adolescent Psychiatry Physician
- Albuquerque, NM
- NPI 1255537593
-
Roberto Carlos Montes, PSY.D
- Clinical Psychologist
- Acoma, NM
- NPI 1639523855
-
Sheryl Ann O'Shea, M.D.
- Family Medicine Physician
- To'hajiilee, NM
- NPI 1295726073
-
Romilly Ortiz, PA
- Physician Assistant
- Canoncito, NM
- NPI 1528586435
-
Jennifer M Pas, R.D., L.D.
- Registered Dietitian
- Albuquerque, NM
- NPI 1356385751
-
Natalee Naomi Price
- Clinical Psychologist
- Albuquerque, NM
- NPI 1376287847
-
Julianna Jean Reece, M.D.
- Family Medicine Physician
- To'hajiilee, NM
- NPI 1083607634
-
Kristy Dawn Riniker, MD
- Family Medicine Physician
- Rio Rancho, NM
- NPI 1588082150
-
Ursula Renee Roblero, MD
- Family Medicine Physician
- To'hajiilee, NM
- NPI 1790888774
-
Kenneth Rodriguez, DDS
- Dentist
- Albuquerque, NM
- NPI 1962421610
-
Emily Rothman, DO
- Family Medicine Physician
- Albuquerque, NM
- NPI 1124119698
-
Robert C Salek, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Acoma, NM
- NPI 1164452207
-
Dathan Tsosie, MD
- Family Medicine Physician
- To'hajiilee, NM
- NPI 1174151914
-
Valencia Zah, LCSW
- Clinical Social Worker
- Albuquerque, NM
- NPI 1467975870
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.