Donna Deming, MD
Individual provider Active NPI Family Medicine Physician · Grants, NM
NPI 1528075900 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1528075900
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 83-23 (NM)
- Practice address
- 60006 Cantina Acres
Grants, NM 87020-9644 - Phone
- (505) 285-4529
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83-23 | NM | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 83-23 | NM | Yes |
Addresses
Primary practice location
60006 Cantina Acres
Grants, NM 87020-9644
Mailing address
60006 Cantina Acres
Grants, NM 87020-9644
Phone (505) 285-4529
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00020248 | Medicaid | NM |
Other providers in Grants, NM
- Paul Cuellar
- Darren Haltom Specialty Partners of NM II, LLC
- David Pitts MD PA
- Monica Davis
- Barbara A Deluca
- Derrick Baca DDS LLC
- Desert Rain Personal Care, LLC
- Dialysis Clinic Inc.
- Stacey Dimitt
- Djrj3 Medical Services Inc
All providers in Grants, NM · Family 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 Jul 8, 2007. 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.