Active NPI
Marco M Yaphet, CRNA
- Anesthesiology Physician
- Las Cruces, NM
National Provider Identifier
1861434425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- CRNA283860
- Practice address
- 4311 E Lohman Ave
Mountain View Regional Med Center
Las Cruces, NM 88011 - Phone
- (505) 556-7600
- NPI assigned
- Jun 11, 2006
- Last updated
- Nov 18, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 656711 | CO | |
| Certified Registered Nurse Anesthetist | 367500000X | 041709 | TX | |
| Anesthesiology Physician | 207L00000X | CRNA283860 | AZ | Primary |
Addresses
Primary practice location
4311 E Lohman Ave
Mountain View Regional Med Center
Las Cruces, NM 88011
Mailing address
2415 E Yandell Dr
El Paso, TX 79903
Phone (915) 577-0111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166377501 | Medicaid | TX | |
| 25035274 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CRNA283860 | AZ | MD | Anesthesiology Physician |
| 656711 | CO | MD | Certified Registered Nurse Anesthetist |
| 041709 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Organ Mountain Anesthesia Corp | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Deming Hospital Corporation | Anesthesiology | Past | Accepting new patients |
| Anesthesia Associates of New Mexico P C | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Las Cruces, NM
- NPI 1104122191
-
- Certified Registered Nurse Anesthetist
- Las Cruces, NM
- NPI 1073787818
Nurse Anesthetist, Certified Registered
-
- Specialist
- Albuquerque, NM
- NPI 1912900754
-
dba Mimbres Memorial Hosp - Anest & Pain Mgt
- Pain Medicine (Anesthesiology) Physician
- Deming, NM
- NPI 1386850519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668729600000",
"number": "1861434425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 E YANDELL DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "79903",
"telephone_number": "915-577-0111",
"fax_number": "915-533-2568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4311 E LOHMAN AVE",
"address_2": "MOUNTAIN VIEW REGIONAL MED CENTER",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "88011",
"telephone_number": "505-556-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAPHET",
"first_name": "MARCO",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-11",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CO",
"license": "656711",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "041709",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "CRNA283860",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166377501",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "25035274",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.