Marcia Ann Jamison, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

93-PA03 Issued in NM

Practice address

2530 S Telshor Blvd
Suite 207
Las Cruces, NM 88011-4951

Phone

(575) 522-6806

Fax

(575) 521-8033

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Familycare Associates,PA

  • Family Medicine Physician
  • Las Cruces, NM
  • NPI 1821161407
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1093830440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6310",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880066310",
            "telephone_number": "575-556-5960",
            "fax_number": "575-556-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 S TELSHOR BLVD",
            "address_2": "SUITE 207",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114951",
            "telephone_number": "575-522-6806",
            "fax_number": "575-521-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "MARCIA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NM",
            "license": "93-PA03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00905170",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000097651",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pawankumar Jain, MD
• Armando Roberto Jalil
• Shakeel Muhammad Jamal, MD
• Fatima Jamali, M.D
• Joy Renay James, LMFT
• Jan K. Siebersma, PC
• Omar Jan, P.A.
• Saber Kamel M Jan, MBBS, MPH
• Jana G. Williams, MD., LLC
• Harnie Janapin, PT

• Surgical Physician Assistant in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Surgical Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.