Pace Management, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

94250 Issued in NM

Legal business name

PACE MANAGEMENT, INC.

Doing business as

Allergy & Asthma Clinic of Southern NM

Practice address

3800 E Lohman Ave
Suite a
Las Cruces, NM 88011-8273

Phone

(505) 522-6500

Fax

(505) 522-0591

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eddie L Gaines, MD

Title

President

Phone

(505) 522-6500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Allergy & Asthma Clinic of Southern NM Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Kavanaughrx LLC

  • Community/Retail Pharmacy
  • Little Rock, AR
  • NPI 1235570334

  Member Of

  NPD member

Locations

Practitioners 5

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

• Kari Coats, APRN-CPNP

  • Pediatrics Physician
  • Las Cruces, NM
  • NPI 1356803860
  Medicare reassignment Care Compare group NPD
• Todd Funkhouser, M.D., PH.D

  • Allergy & Immunology (Internal Medicine) Physician
  • Las Cruces, NM
  • NPI 1326015173
  Medicare reassignment Care Compare group NPD
• Michael Richard Rupp, MD

  • Allergy & Immunology Physician
  • Las Cruces, NM
  • NPI 1568414985
  Medicare reassignment Care Compare group NPD
• Michael Roland Murphy, D.O.

  • Family Medicine Physician
  • Deming, NM
  • NPI 1073511663
  NPD (past)
• Jennifer Wright, NP

  • Family Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1043234057
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306942958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 E LOHMAN AVE",
            "address_2": "SUITE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118273",
            "telephone_number": "505-522-6500",
            "fax_number": "505-522-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 E LOHMAN AVE",
            "address_2": "SUITE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118273",
            "telephone_number": "505-522-6500",
            "fax_number": "505-522-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACE MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-522-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NM",
            "license": "94250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26189",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "NM004123",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy & Asthma Clinic of Southern NM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Philip Owen, MD
• Richard James Owen, D.M.D.
• Oxygen Therapy Associates Inc
• Darleen Ozaeta Anchondo
• P Celeste, Inc.
• Rita Magdalene Pacheco-Gonzales, MD
• Andrea Berenice Pacheco
• Andrea Nicole Pacheco, RPH
• Angelica Pacheco, CASE MANAGER
• Deborah Pacheco, NP-C

• Specialist in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.