Active NPI
Sol Mesa Medical Group LLC
- Medical Specialty Clinic/Center
- Gallup, NM
National Provider Identifier
1366397010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- SOL MESA MEDICAL GROUP LLC
- Practice address
- 520 NM-564
Gallup, NM 87301 - Phone
- (505) 522-3681
- Fax
- (505) 473-9552
- NPI assigned
- Feb 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph Lee Eliason, CNP
- Title
- Co-Owner
- Phone
- (505) 906-6581
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
520 NM-564
Gallup, NM 87301
Mailing address
2418 E Historic Highway 66 # 292
Gallup, NM 87301-4767
Phone (505) 522-3681
Other names 1
- FRONTIER WOUND SERVICES
National Provider Directory
National Provider DirectoryLocations
520 NM Highway 564
Gallup, NM 87301
Phone (505) 542-0090
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Gallup, NM
- NPI 1043977721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1772150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772150400000",
"number": "1366397010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2418 E HISTORIC HIGHWAY 66 # 292",
"city": "GALLUP",
"state": "NM",
"postal_code": "873014767",
"telephone_number": "505-522-3681",
"fax_number": "505-473-9552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 NM-564",
"city": "GALLUP",
"state": "NM",
"postal_code": "87301",
"telephone_number": "505-522-3681",
"fax_number": "505-473-9552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOL MESA MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-27",
"last_updated": "2026-02-27",
"certification_date": "2026-02-25",
"status": "A",
"authorized_official_last_name": "ELIASON",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "505-906-6581",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CNP"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "FRONTIER WOUND SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gallup, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.