Valley Emergency Physicians New Mexico PC
Organization Active NPI Emergency Medicine Physician · Clovis, NM
NPI 1891005534 · NPPES record last updated Mar 29, 2016
Key facts
- NPI
- 1891005534
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- VALLEY EMERGENCY PHYSICIANS NEW MEXICO PC
- Practice address
- 2100 N MLK Blvd
Clovis, NM 88101-9412 - Phone
- (575) 769-2141
- NPI assigned
- Oct 15, 2010
- Organization subpart
- No
Authorized official
- Name
- Steven P. Maron
- Title
- President
- Phone
- (626) 447-0296
Practitioners 20
-
Emily B Carmany, PA-C
-
Edna Gail Gutierrez, CNP
-
David Nathan James, PA-C
-
Martha J Miller, BC-ACNP
-
John Rollin Adams, PA-C
-
Ranae S Berry, PA-C
-
Craig S Brummer, MD
-
Marcus W. Hudock, PA-C
-
Habib H. Karkavandian, D.O.
-
Jessica L Krisel, PA
-
Mark R Mencel, PA-C
-
Dennis Eugene O'Connell, PA-C
-
Teresa Necole Reid, PA-C
-
Andrzej C Skarpetowski, M.D.
-
Ivan L Ventura, PA-C
-
Susan Watson, DO
-
Amber Jean Dawn White, PA-C
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
2100 N MLK Blvd
Clovis, NM 88101-9412
Mailing address
PO Box 10414
Westminster, CA 92685-0414
Phone (562) 809-3519
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36435341 | Medicaid | NM |
Other providers in Clovis, NM
- Nicholas Anthony Ulibarri
- Enrique Fernando Urioste
- Usrc Clovis, LLC
- Christina V Valencia
- Linda Marie Valenti
- Josue Varelas
- Diedra Vargas
- Lisa Vargas
- Samantha Vargas
- Ashley Vasquez
All providers in Clovis, NM · Emergency 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 Mar 29, 2016. 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.