Deming Hospital Corporation
Organization Active NPI Pain Medicine (Anesthesiology) Physician · Deming, NM
NPI 1386850519 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1386850519
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- Legal business name
- DEMING HOSPITAL CORPORATION
- Practice address
- 900 W Ash St
Deming, NM 88030-4000 - Phone
- (505) 546-5800
- Fax
- (505) 543-6907
- NPI assigned
- May 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Debbie Brewer
- Title
- Director
- Phone
- (877) 892-9813
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 5
Practitioners 90
-
Hasan Adnan, M.D.
-
David Neil Calkins, M.D.
-
Marina Fedotowsky, CFNP
-
Geronimo Mendoza Urias, M.D.
-
Michael Roland Murphy, D.O.
-
Michael Parrino, M.D.
-
Jose Sanchez Sosa, APRN
-
Michael Frank Boyer, M.D.
-
Gary Scott Smith, MD
-
Bassam Al Homsi, MD
-
Madeline K Chalenor, CRNA, DNP
-
Victor Cruz, M.D.
-
Elizabeth A Donigan, CRNP
-
David Edward Dyess, CRNA
-
Angela Edwards, D.P.M
-
Rosalie Marie Gwaltney, CRNA
-
Delmar Kampe, DO
-
George I Lafon, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040217000196 | NM | Part B Supplier - Clinic/Group Practice | 4981599206 |
Receives reassigned benefits from 39 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Deming, NM |
National Provider Directory
- Tax ID family
- Mimbres Memorial Hospit
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | |||
| Pain Medicine (Anesthesiology) Physician |
207LP2900X | NM | Yes | |
| Diagnostic Radiology Physician |
2085R0202X | |||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
900 W Ash St
Deming, NM 88030-4000
Mailing address
7100 Commerce Way
Suite 180
Brentwood, TN 37027-2851
Phone (877) 892-9813
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K8425 | Medicaid | NM |
Other names
- Mimbres Memorial Hosp - Anest & Pain Mgt
Other providers in Deming, NM
- Deming Emergency Physicians
- Deming Home Care Services LLC
- Deming Hospital Corporation
- Deming Hospital Corporation
- Deming Hospital Corporation
- Deming Hospital Corporation
- Deming Hospital Corporation
- Deming Hospital Corporation
- Deming Hospital Corporation
- Deming Hospital Corporation
All providers in Deming, NM · Pain Medicine (Anesthesiology) 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 21, 2022. 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.