| Orthopedic Associates Pa | |
|
2300 E 30th St Ste 101, Farmington, NM 87401-8990 | |
| (505) 327-1400 | |
| (505) 564-3202 |
| Full Name | Orthopedic Associates Pa |
|---|---|
| Type | Facility |
| Speciality | Orthopaedic Surgery |
| Location | 2300 E 30th St Ste 101, Farmington, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750356820 | NPI | - | NPPES |
| 00NM005061 | Other | BCBS | |
| 47522 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
| Provider Name | Jason Clark Lucas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598749061 PECOS PAC ID: 2163493107 Enrollment ID: I20040804000061 |
| Provider Name | Lawrence O Ward |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629029541 PECOS PAC ID: 8325051386 Enrollment ID: I20060731000171 |
| Provider Name | Timothy James Durkin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700078896 PECOS PAC ID: 8123172376 Enrollment ID: I20090821000571 |
| Provider Name | Markus E Garard |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619950326 PECOS PAC ID: 6901933472 Enrollment ID: I20110406000952 |
| Provider Name | Adam Crandall Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407073687 PECOS PAC ID: 0840456828 Enrollment ID: I20120718000847 |
| Provider Name | Jonathan B Hancock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497048011 PECOS PAC ID: 2365680527 Enrollment ID: I20160613000143 |
| Provider Name | Gregory Blanford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053743054 PECOS PAC ID: 4789819830 Enrollment ID: I20170829000101 |
| Provider Name | Dresden H P Beier |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1366707531 PECOS PAC ID: 5193957769 Enrollment ID: I20180627000632 |
| Provider Name | Ian Anthony Power |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770858102 PECOS PAC ID: 3476825118 Enrollment ID: I20180815000771 |
| Provider Name | Bryan Kent Broadbent |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215011218 PECOS PAC ID: 7719082098 Enrollment ID: I20181016004023 |
| Provider Name | Aimee L Georgina |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861978009 PECOS PAC ID: 6103179387 Enrollment ID: I20181106000822 |
| Provider Name | Tyson C Christensen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1326454125 PECOS PAC ID: 4486870060 Enrollment ID: I20200615000364 |
| Provider Name | Riggs Celecio Poblete |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780369371 PECOS PAC ID: 9537528435 Enrollment ID: I20230711001146 |
| Provider Name | David William Mcilwain |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689114340 PECOS PAC ID: 3779857347 Enrollment ID: I20240722003425 |
| Provider Name | Jaren Christopher Lagreca |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245720457 PECOS PAC ID: 6507115763 Enrollment ID: I20240903004075 |
| Provider Name | Clifford Scott Goldthorpe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871941054 PECOS PAC ID: 2668868134 Enrollment ID: I20250515003559 |
| Provider Name | Preston Wolff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023615309 PECOS PAC ID: 5496175879 Enrollment ID: I20250612000963 |
| Mailing Address | Practice Location Address |
|---|---|
| Orthopedic Associates Pa 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 Ph: (505) 327-1400 | Orthopedic Associates Pa 2300 E 30th St Ste 101, Farmington, NM 87401-8990 Ph: (505) 327-1400 |