Grace Place for Women, Incorporated

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD2010-0229 Issued in NM

Legal business name

GRACE PLACE FOR WOMEN, INCORPORATED

Practice address

4801 N Butler Ave Ste 3102
Farmington, NM 87401-0815

Phone

(505) 327-4747

Fax

(505) 327-2025

NPI assigned

Sep 2, 2011

Organization subpart

No

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

Authorized official

Name

Deborah Joslin

Title

Ceo

Phone

(505) 327-4747

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1104107192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2256",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874992256",
            "telephone_number": "505-327-4747",
            "fax_number": "505-327-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 N BUTLER AVE STE 3102",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874010815",
            "telephone_number": "505-327-4747",
            "fax_number": "505-327-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE PLACE FOR WOMEN, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-02",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "JOSLIN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "505-327-4747"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "MD2010-0229",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "MD2010-0578",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2008-0053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra L Gordon, RN
• Kaibah Gorman
• Misty Gorum
• Gotherapy Solutions LLC
• Jan A Gotta, M.D.
• Tracie D Grace, FNP-C
• Derek Jay Graff, D.M.D.
• Jean Graham, M.D.
• Warren Kirkland Graham, DDS
• Jeffrey S Grant, M.D.

• Obstetrics & Gynecology Physician in Farmington, NM
• Providers in Farmington, NM by specialty
• Obstetrics & Gynecology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.