Deming Clinic Corporation
Organization Active NPI Family Medicine Physician · Deming, NM
NPI 1205835808 · NPPES record last updated Jul 7, 2023
Key facts
- NPI
- 1205835808
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- DEMING CLINIC CORPORATION
- Practice address
- 905 S 8TH St Ste a
Deming, NM 88030-4037 - Phone
- (575) 543-7200
- NPI assigned
- Jul 18, 2005
- Organization subpart
- No
Authorized official
- Name
- Laura J Fey
- Title
- Sr. Director Physician Rev Cycle
- Phone
- (615) 221-3641
Practitioners 15
-
Angela Edwards, D.P.M
-
Mital Sumankumar Patel, M.D. (ORTHOPAEDICS)
-
Sreenivasa Reddy Alla, M.D.
-
Amy Elizabeth Martin, M.D.
-
Jaime Solis, M.D.
-
Deborah Schmidt, CNP
-
Patricia Wood, CNM
-
Tatiana Antoci, MD
-
Valentin Antoci, MD
-
Khawaja N Anwar, MD
-
Jonathan Chin Hua Liu, M.D.
-
Nikhil K. Mehta, MD FACS
-
Boris Reznik, M.D.
-
Patricia Gail Romo, CNM
-
Paul A Taiganides, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041109000612 | NM | Part B Supplier - Clinic/Group Practice | 8325001548 |
Receives reassigned benefits from 5 practitioners Practice locations: Deming, NM |
National Provider Directory
Locations
900 W Birch St
Deming, NM 88030
Phone (505) 538-2981
122 S Gold Ave
Ste 5
Deming, NM 88030
Phone (505) 544-7395
850 W Florida St
Deming, NM 88030
Phone (505) 546-6548
122 S Gold Ave
Ste 6
Deming, NM 88030
Phone (505) 544-8800
Interoperability endpoints
- https://api.platform.athenahealth.com/1596/brand/1/csg/43/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | NM | Yes | |
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Orthopaedic Surgery Physician |
207X00000X | |||
| Urology Physician |
208800000X |
Addresses
Primary practice location
905 S 8TH St Ste a
Deming, NM 88030-4037
Mailing address
1573 Mallory LN Ste 100
Brentwood, TN 37027-2895
Phone (152) 221-1400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57101281 | Medicaid | NM |
Other providers in Deming, NM
- County of Luna
- Megan S Crady
- Victor Cruz
- Sara Davalos
- Patricia Ann Delao
- Deming Dental and Oral Surgery Center
- Deming Dental Services, P.a.
- Deming Emergency Physicians
- Deming Home Care Services LLC
- Deming Hospital Corporation
All providers in Deming, NM · Family Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.