CH Specialty Services NM LLC
Organization Active NPI Internal Medicine Physician · Espanola, NM
NPI 1346943685 · NPPES record last updated Mar 21, 2025
Key facts
- NPI
- 1346943685
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- CH SPECIALTY SERVICES NM LLC
- Practice address
- 206 S Coronado Ave
Espanola, NM 87532-2792 - Phone
- (337) 408-0797
- NPI assigned
- Mar 24, 2023
- Organization subpart
- No
Authorized official
- Name
- Nicole Howard
- Title
- Sr VP of Administrative Services
- Phone
- (337) 408-0797
Practitioners 40
-
Jennifer Kassees, FNP
-
Pamela L Phillips, FNP-C
-
Curtiss John Vavra, CNP, PHD, MSN
-
Lihang Chen, M.D.
-
Rachael Milana Kobylt, CRNP
-
Amit Bhandari, MD
-
Amy L. Bubbico, CNP
-
Anthony Cohn, MD
-
Stephanie D Flores, M.D.
-
Lisa S Noya, MD
-
Kaleigh Roberts, FNP
-
Jennifer Macias Barney, FNP-C
-
Naveen Kumar Gummadi, M.D
-
Leslie Dawn Sheffield, FNP-C
-
Mia Danielle Stroble, APRN
-
Ramon Trinidad III, DNP
-
Emily Beth Gerardo, FNP-C
-
Coreen Johnson, NP-C
-
Chinyere J Okorie, FNP
-
Shawn P Bowman, CNP
-
Leena Cherukuri, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230418000479 | NM | Part B Supplier - Clinic/Group Practice | 5496120883 |
Receives reassigned benefits from 40 practitioners Practice locations: Espanola, NM |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
206 S Coronado Ave
Espanola, NM 87532-2792
Mailing address
5750 Johnston St Ste 205
Lafayette, LA 70503-5345
Phone (337) 408-0797
Other providers in Espanola, NM
- Angelica Casados
- Charmaine Cata
- Donna Cata
- Catherine Veilleux CFNP LLC
- Ashley Cde Baca
- Kevin Chun Hui Chang
- Rena Chavarria
- Edward Zeke Chavez
- Irene Marie Chavez
- Rebecca Chavez
All providers in Espanola, NM · Internal 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 Mar 21, 2025. 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.