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San Juan Regional Medical Center Inc

Organization Active NPI Obstetrics & Gynecology Physician · Farmington, NM

NPI 1124262415 · NPPES record last updated Jul 16, 2025

Key facts

NPI
1124262415
Entity type
Organization (NPI type 2)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
Legal business name
SAN JUAN REGIONAL MEDICAL CENTER INC
Practice address
655 W Pinon St
Farmington, NM 87401-5973
Phone
(505) 609-2590
Fax
(505) 609-2595
NPI assigned
Apr 30, 2009
Organization subpart
Yes
Parent organization (as reported)
SAN JUAN REGIONAL MEDICAL CENTER INC

Authorized official

Name
Kim Byrd
Title
Administrative Director of Reimburs
Phone
(505) 609-2258

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

  • Biatris Barrera, MD Obstetrics & Gynecology Physician · Espanola, NM · NPI 1245556513
    NPD OBSTETRICS & GYNECOLOGY
  • Sharon K Breit, MD Obstetrics & Gynecology Physician · Roswell, NM · NPI 1659335404
    NPD OBSTETRICS & GYNECOLOGY
  • Johanna Kathryn Byrd Obstetrics & Gynecology Physician · Farmington, NM · NPI 1215371927
    NPD OBSTETRICS & GYNECOLOGY
  • Alana Claire Carstens Yalom, MD, MPH Obstetrics & Gynecology Physician · Shiprock, NM · NPI 1932737616
    NPD OBSTETRICS & GYNECOLOGY
  • Jessica A Conklin, CNP Pediatric Nurse Practitioner · Farmington, NM · NPI 1275981557
    NPD
  • Mark Allen Fisher, M.D. Obstetrics & Gynecology Physician · Farmington, NM · NPI 1003852716
    NPD OBSTETRICS & GYNECOLOGY
  • Rebekah Leann French Nurse Practitioner · Aztec, NM · NPI 1871023044
    NPD
  • Quincy Sa'Ena, DO Family Medicine Physician · Farmington, NM · NPI 1316485246
    NPD
  • Jacob T Sypher, DO Obstetrics & Gynecology Physician · Farmington, NM · NPI 1831518554
    NPD OBSTETRICS & GYNECOLOGY
  • Kristean Porter Thorpe, M.D. Obstetrics & Gynecology Physician · Farmington, NM · NPI 1518040476
    NPD OBSTETRICS & GYNECOLOGY
  • Erin Tinker, NP Pediatric Nurse Practitioner · Farmington, NM · NPI 1003477969
    NPD
  • Daniel W Chang, MD Obstetrics & Gynecology Physician · Reno, NV · NPI 1225094808
    NPD OBSTETRICS & GYNECOLOGY
  • Carole Nighswander, CNM Advanced Practice Midwife · Louisville, CO · NPI 1114104106
    NPD OBSTETRICS & GYNECOLOGY
  • Nelson R Pou-de Santiago, M.D. Obstetrics & Gynecology Physician · Sarasota, FL · NPI 1851499941
    NPD OBSTETRICS & GYNECOLOGY
  • Carol Michele Storey, M.D. Obstetrics & Gynecology Physician · Houston, TX · NPI 1124096532
    NPD OBSTETRICS & GYNECOLOGY

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NM

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040218000865 NM Part B Supplier - Clinic/Group Practice 4587559505 Receives reassigned benefits from 396 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Farmington, NM; Bloomfield, NM; Aztec, NM

National Provider Directory

Tax ID family
San Juan Region Med Ctr Inc (13 organizations share this tax ID)
Part of
San Juan Region Med Ctr Inc

Locations

634 W Pinon St
#634
Farmington, NM 87401
Phone (505) 325-4898

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP		 207V00000X Yes
Obstetrics & Gynecology Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP		 363LX0001X

Addresses

Primary practice location

655 W Pinon St
Farmington, NM 87401-5973

Mailing address

PO Box 844088
Dallas, TX 75284-4088
Phone (505) 609-2258

Other practice location 1

610 W Pinon St
Farmington, NM 87401-5974
Phone (505) 325-1123

Other practice location 2

634 W Pinon St
Farmington, NM 87401-5915
Phone (505) 325-4898

Other names

  • SAN JUAN REGIONAL MIDWIFERY & WOMENS HEALTH CENTER Doing business as
  • SJHP OB & GYN 610 Doing business as
  • SJHP OB & GYN 634 Doing business as

Other providers in Farmington, NM

All providers in Farmington, NM · Obstetrics & Gynecology Physician in New Mexico

Sources for this page

Verify at the official NPI Registry.