Reliance Medical Group LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

RELIANCE MEDICAL GROUP LLC

Practice address

3451 N Butler Ave
Farmington, NM 87401

Phone

(505) 566-1915

Fax

(505) 566-1918

NPI assigned

Sep 16, 2006

Last updated

May 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James L Holgate

Title

Vice President

Phone

(505) 566-1915

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Sage Family Medicine

  • Family Medicine Physician
  • Farmington, NM
  • NPI 1477720035
  NPPES parent name

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kami Olguin, NP

  • Family Nurse Practitioner
  • Farmington, NM
  • NPI 1225823255
  Medicare reassignment NPD
• Kennard Stradling, MD

  • Emergency Medicine Physician
  • Farmington, NM
  • NPI 1548236953
  Medicare reassignment NPD
• Larry Ray Welling, M.D.

  • Occupational Medicine Physician
  • Farmington, NM
  • NPI 1720183874
  Medicare reassignment NPD
• Douglas Eugene Shaffer, PAC

  • Medical Physician Assistant
  • Farmington, NM
  • NPI 1639225055
  Medicare reassignment
• Kaarlo Alakoski, PA-C

  • Physician Assistant
  • Farmington, NM
  • NPI 1508897455
  NPD
• Ronald D Tiller, PA-C

  • Physician Assistant
  • St George, UT
  • NPI 1881630572
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1497851208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 N BUTLER AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012357",
            "telephone_number": "505-566-1915",
            "fax_number": "505-566-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3451 N BUTLER AVE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-566-1915",
            "fax_number": "505-566-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "HOLGATE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "505-566-1915",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary A Reinhardt, M.A., CCC-SLP
• Alyssa Anne Reiser, CSW
• Shawna Lisa Reiter, LCSW
• Christopher Gary Reitmeier, CRNA
• Reliance Chiropractic
• Michelle Renaud
• Resource Anesthesiology Associates of NM Inc
• Chanelle Reynolds
• Christian Ray Reynolds, BS, MS, DMD
• Pauline Reynolds

• Urgent Care Clinic/Center in Farmington, NM
• Providers in Farmington, NM by specialty
• Urgent Care Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.