G & M Medical Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

CNP-03224 Issued in NM

Legal business name

G & M MEDICAL CENTER LLC

Practice address

1316 Jackie Rd SE Ste 500
Rio Rancho, NM 87124-6618

Phone

(505) 415-0719

Fax

(505) 214-5190

NPI assigned

Feb 16, 2018

Organization subpart

No

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

Authorized official

Name

Ronald Mark Edwards, FNP-BC, AGACNPNPI 1790200392

Title

Ceo/Owner

Phone

(505) 415-0719

Specialties & licenses 1

Addresses

Other names 1

• G & M Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

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.

• G & M Medical Center

  • Urgent Care Clinic/Center
  • Rio Rancho, NM
  • NPI 1144966136
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald Mark Edwards, FNP-BC

  • Family Nurse Practitioner
  • Rio Rancho, NM
  • NPI 1790200392
  Medicare reassignment Care Compare group NPD Authorized official
• Kristin Deanna Pantea, FNP-BC

  • Family Nurse Practitioner
  • Rio Rancho, NM
  • NPI 1376377424

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Dorothy Marie Godina, APRN, CNP, FNP-BC

  • Family Nurse Practitioner
  • Rio Rancho, NM
  • NPI 1649087206
  Medicare reassignment NPD
• Heather Todd Johnson, FNP

  • Family Nurse Practitioner
  • Santa Fe, NM
  • NPI 1710749072

  Family Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651881600000",
    "number": "1821598830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 JACKIE RD SE STE 500",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246618",
            "telephone_number": "505-415-0719",
            "fax_number": "505-214-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 JACKIE RD SE STE 500",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871246618",
            "telephone_number": "505-415-0719",
            "fax_number": "505-214-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G & M MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2022-05-07",
        "certification_date": "2022-05-07",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "505-415-0719",
        "authorized_official_credential": "FNP-BC, AGACNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "CNP-03224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G & M Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• G & M Medical Center
• Joann K Gabaldon-Sauter
• Adriana Gabaldon
• Kati Gabaldon
• Kristina Gabrys
• Judithe Gachupin, CCHW

• Family Medicine Physician in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.