Pecos Valley of New Mexico, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PECOS VALLEY OF NEW MEXICO, LLC

Practice address

2420 W Pierce St
Ste 100
Carlsbad, NM 88220-3543

Phone

(505) 628-8837

NPI assigned

May 16, 2006

Organization subpart

No

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

Authorized official

Name

V Karen Flinn

Title

VP

Phone

(361) 579-0315

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pecos Valley of New Mexico, LLC

  • General Practice Physician
  • Carlsbad, NM
  • NPI 1194781021

  O20031216000086

  Same enrollment
• Pecos Valley of New Mexico, LLC

  • General Practice Physician
  • Carlsbad, NM
  • NPI 1326004755

  O20031216000086

  Same enrollment
• Pecos Valley of New Mexico, LLC

  • General Practice Physician
  • Carlsbad, NM
  • NPI 1972569820

  O20031216000086

  Same enrollment

Practitioners 8

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

• Murugan Athigaman, MD

  • Surgery Physician
  • Carlsbad, NM
  • NPI 1588620488
  NPD
• Ronda Sue Fleck, M.D.

  • Radiation Oncology Physician
  • Carlsbad, NM
  • NPI 1285639443
  NPD
• Reagan Shea Leyva, FNP-C

  • Family Nurse Practitioner
  • Carlsbad, NM
  • NPI 1285144642
  NPD
• Abdul Haleem Qureshi, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Carlsbad, NM
  • NPI 1487801825
  NPD
• Jose Luis Ramirez, APRN, CRNA-NSPM-C

  • Interventional Pain Medicine Physician
  • Las Cruces, NM
  • NPI 1790002830
  NPD
• Ali Mohamed Sherif, MD

  • Pediatrics Physician
  • Hobbs, NM
  • NPI 1831428440
  NPD
• Lakshmy Mathur Vythilingam, M.D.

  • Surgery Physician
  • Carlsbad, NM
  • NPI 1245224450
  NPD
• Leah N Torres, M.D.

  • Obstetrics & Gynecology Physician
  • Tuscaloosa, AL
  • NPI 1700047099
  NPD

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831141258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 W PIERCE ST",
            "address_2": "STE 100",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203543",
            "telephone_number": "505-628-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 W PIERCE ST",
            "address_2": "STE 100",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882203543",
            "telephone_number": "505-628-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PECOS VALLEY OF NEW MEXICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLINN",
        "authorized_official_first_name": "V",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "361-579-0315"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B4739",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Louise Parraz, LCSW
• Pecos Cyber Academy
• Pecos Valley of New Mexico LLC
• Pecos Valley of New Mexico, LLC
• Pecos Valley of New Mexico, LLC
• Pecos Valley of New Mexico, LLC
• Leonel Perez-Limonte, MD, MS-HQPS, MHL
• Caroline Marie Perkins, RN
• Lisa J Perkowski, MD P.C.
• Cameron Scott Peterson, CRNA

• General Practice Physician in Carlsbad, NM
• Providers in Carlsbad, NM by specialty
• General Practice Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.