Southwest Bone and Joint Institute PC
Organization Active NPI Orthopaedic Surgery Physician · Deming, NM
NPI 1386083889 · NPPES record last updated Jun 18, 2013
Key facts
- NPI
- 1386083889
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- NM98-375 (NM)
- Legal business name
- SOUTHWEST BONE AND JOINT INSTITUTE PC
- Practice address
- 721 E Holly St
Deming, NM 88030-5245 - Phone
- (575) 546-3604
- Fax
- (575) 546-3873
- NPI assigned
- Jun 18, 2013
- Organization subpart
- No
Authorized official
- Name
- Michael McMillan
- Title
- Adminstrator
- Phone
- (575) 534-1919
Practitioners 11
-
Jesus Roberto Carreon, M. D.
-
Randall Richard Lemke II, P. A.
-
Kori R Mannon, MPT
-
Zachary P Mead, M.S., P.T.
-
Sravanthi R Reddy, M. D.
-
Brian J Robinson, MD
-
Michael Harris, CFNP
National Provider Directory
Locations
1268 E 32nd St
Silver City, NM 88061
Phone (505) 534-1919
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | NM98-375 | NM | Yes |
| Durable Medical Equipment & Medical Supplies | 332B00000X | NM98-375 | NM |
Addresses
Primary practice location
721 E Holly St
Deming, NM 88030-5245
Mailing address
1268 E 32ND St
Silver City, NM 88061-7229
Phone (575) 534-1919
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B4014 | Medicaid | NM |
Other providers in Deming, NM
- Sandra Snyder
- Clara Maria Solis
- Jaime Solis
- Kenneth P. Soulsby
- Southern New Mexico Orthodontics LLC
- Southwest Pediatric and Family Care, LLC
- Southwest Regional Education Cooperative
- Southwest Therapeutics LLC
- Southwest Therapists Inc
- Mayra Srader
All providers in Deming, NM · Orthopaedic Surgery 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 Jun 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.