| Artesia General Hospital | |
|
612 N 13th St Suite B Artesia NM 88210-1112 | |
| (505) 746-3119 | |
| Not Available |
| Full Name | Artesia General Hospital |
|---|---|
| Speciality | Surgery |
| Location | 612 N 13th St, Artesia, New Mexico |
| Authorized Official Name and Position | Joe Salgado (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5757483333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Artesia General Hospital Po Box 629 Artesia NM 88211-0629 Ph: (505) 746-3119 | Artesia General Hospital 612 N 13th St Suite B Artesia NM 88210-1112 Ph: (505) 746-3119 |
| NPI Number | 1114076825 |
|---|---|
| Provider Enumeration Date | 01/10/2007 |
| Last Update Date | 06/03/2021 |
| Medicare PECOS PAC ID | 9537070586 |
|---|---|
| Medicare Enrollment ID | O20031111000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114076825 | NPI | - | NPPES |
| Provider Name | Daniel Forrest Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194723494 PECOS PAC ID: 4082506100 Enrollment ID: I20040325000609 |
| Provider Name | Luther Basel Weathers |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144283805 PECOS PAC ID: 2163335191 Enrollment ID: I20040415000746 |
| Provider Name | Joe P Salgado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518958503 PECOS PAC ID: 8628979812 Enrollment ID: I20040515000295 |
| Provider Name | Jorge Abalos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851382469 PECOS PAC ID: 6800797093 Enrollment ID: I20040515000317 |
| Provider Name | Susan H Dade |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1356306237 PECOS PAC ID: 4880653898 Enrollment ID: I20041006000352 |
| Provider Name | Sivakumar Nagaraju |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952373235 PECOS PAC ID: 0042273906 Enrollment ID: I20041111000073 |
| Provider Name | Marshall G Baca |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376520601 PECOS PAC ID: 0840212528 Enrollment ID: I20051221000943 |
| Provider Name | Darla A Bannister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437107018 PECOS PAC ID: 4981616067 Enrollment ID: I20060609000051 |
| Provider Name | Ronald J Haugen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356484448 PECOS PAC ID: 7810094117 Enrollment ID: I20070522000219 |
| Provider Name | Shmuel Inbar |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1619906609 PECOS PAC ID: 0840353777 Enrollment ID: I20090120000386 |
| Provider Name | Anna K Florez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073762365 PECOS PAC ID: 6901962737 Enrollment ID: I20090303000715 |
| Provider Name | Robert T Ferraro |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124118963 PECOS PAC ID: 6507917218 Enrollment ID: I20090709000365 |
| Provider Name | Roberto F Labayen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194058222 PECOS PAC ID: 4183819790 Enrollment ID: I20101109000808 |
| Provider Name | Joseph Marino |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679545172 PECOS PAC ID: 8527954007 Enrollment ID: I20110401000431 |
| Provider Name | Peter L Jewell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679779052 PECOS PAC ID: 0446435663 Enrollment ID: I20110503000066 |
| Provider Name | Edward N Mckenzie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023102407 PECOS PAC ID: 5597821769 Enrollment ID: I20120227000116 |
| Provider Name | Benjamin Huneycutt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023050549 PECOS PAC ID: 4486626140 Enrollment ID: I20131230001533 |
| Provider Name | Cindy D Phillippi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356757330 PECOS PAC ID: 6800018979 Enrollment ID: I20141106000235 |
| Provider Name | Zhinian Wan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275767956 PECOS PAC ID: 5496928343 Enrollment ID: I20141209000236 |
| Provider Name | Jennifer Smoot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750786620 PECOS PAC ID: 3375866742 Enrollment ID: I20141217000231 |
| Provider Name | Casey Dellabarca |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184763104 PECOS PAC ID: 2163560830 Enrollment ID: I20150219001667 |
| Provider Name | Scott Eric Lee Beard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932105301 PECOS PAC ID: 6608850904 Enrollment ID: I20150821013629 |
| Provider Name | Heather Marshall Vaskas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982705174 PECOS PAC ID: 7012811417 Enrollment ID: I20151215000721 |
| Provider Name | Julie Phelps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053783654 PECOS PAC ID: 6901109081 Enrollment ID: I20160122002127 |
| Provider Name | Kevin Nesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407116858 PECOS PAC ID: 2163737453 Enrollment ID: I20160526002326 |
| Provider Name | Reginald Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902254477 PECOS PAC ID: 9335432087 Enrollment ID: I20160719000894 |
| Provider Name | Marshall G Baca |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922340074 PECOS PAC ID: 8426340779 Enrollment ID: I20160926001573 |
| Provider Name | Camille Ann Doan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639460900 PECOS PAC ID: 7214159813 Enrollment ID: I20161206002238 |
| Provider Name | Darcy Justin Bains |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255713467 PECOS PAC ID: 7810204211 Enrollment ID: I20180530002762 |
| Provider Name | Ryan Villegas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780029215 PECOS PAC ID: 2163790270 Enrollment ID: I20180814001369 |
| Provider Name | Erica Elizabeth Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598230112 PECOS PAC ID: 7315283439 Enrollment ID: I20190110002473 |
| Provider Name | Andrew Hyden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346604402 PECOS PAC ID: 1052605144 Enrollment ID: I20190617002353 |
| Provider Name | Michael Dell Mann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588650949 PECOS PAC ID: 0547281131 Enrollment ID: I20191125000382 |
| Provider Name | Stephen A Back |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1639302060 PECOS PAC ID: 3476723594 Enrollment ID: I20191206000690 |
| Provider Name | Judith Wolfstein |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013914456 PECOS PAC ID: 0345135232 Enrollment ID: I20191210001105 |
| Provider Name | Donald Von Borstel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275887663 PECOS PAC ID: 3779894860 Enrollment ID: I20191216000898 |
| Provider Name | George Polanco |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326019332 PECOS PAC ID: 0244210755 Enrollment ID: I20191217001443 |
| Provider Name | Sheila Malone Taber |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447241971 PECOS PAC ID: 1557311495 Enrollment ID: I20191231000860 |
| Provider Name | Kenneth E Mann |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851398713 PECOS PAC ID: 7113985441 Enrollment ID: I20200103001598 |
| Provider Name | Dean Roy Fullingim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770574253 PECOS PAC ID: 5193710929 Enrollment ID: I20200107000795 |
| Provider Name | Ruth Honey Covin-weeks |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1013340546 PECOS PAC ID: 6103051263 Enrollment ID: I20200107003113 |
| Provider Name | Leila Danielle See |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1013164268 PECOS PAC ID: 6800059064 Enrollment ID: I20200116002180 |
| Provider Name | Adam Villalba |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750768248 PECOS PAC ID: 9133482821 Enrollment ID: I20200127002234 |
| Provider Name | Damon L Brooks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558583963 PECOS PAC ID: 4587715354 Enrollment ID: I20200128002436 |
| Provider Name | Brooke White |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558679035 PECOS PAC ID: 4688807464 Enrollment ID: I20200129000963 |
| Provider Name | Christos Vassiliou |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1053567784 PECOS PAC ID: 8820120454 Enrollment ID: I20200129001190 |
| Provider Name | Jason Pack |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861549743 PECOS PAC ID: 3375623887 Enrollment ID: I20200130000647 |
| Provider Name | James N Pham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306089578 PECOS PAC ID: 4284876558 Enrollment ID: I20200130000702 |
| Provider Name | Jeremy Scott Fullingim |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255537304 PECOS PAC ID: 5092867762 Enrollment ID: I20200131000586 |
| Provider Name | John S Dennis |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1871584060 PECOS PAC ID: 3173594389 Enrollment ID: I20200131000703 |
| Provider Name | Jeffrey W Shelton |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194864074 PECOS PAC ID: 7719141639 Enrollment ID: I20200131001475 |
| Provider Name | Kelly Cole |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699958157 PECOS PAC ID: 0648322024 Enrollment ID: I20200313000491 |
| Provider Name | Laurie Danielle Crockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700417136 PECOS PAC ID: 3678902491 Enrollment ID: I20200330003654 |
| Provider Name | Jennifer A Tupper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467092460 PECOS PAC ID: 5496177438 Enrollment ID: I20200622001673 |
| Provider Name | Chuyang Zhong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649792433 PECOS PAC ID: 5092069914 Enrollment ID: I20200626000391 |
| Provider Name | Shiquan Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104182757 PECOS PAC ID: 1850664210 Enrollment ID: I20200803003241 |
| Provider Name | Joann Barbour Couch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538153952 PECOS PAC ID: 2769808344 Enrollment ID: I20200813000180 |
| Provider Name | Mckinley C Lawson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104137181 PECOS PAC ID: 6103056759 Enrollment ID: I20201201000585 |
| Provider Name | Joseph Michael Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013302900 PECOS PAC ID: 5395012702 Enrollment ID: I20210308000383 |
| Provider Name | Rebecca Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033882980 PECOS PAC ID: 1052718855 Enrollment ID: I20210921003116 |
| Provider Name | Sarah Marie Cordova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558875914 PECOS PAC ID: 7911399001 Enrollment ID: I20220124000304 |
| Provider Name | Rochelle Mcintire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154743011 PECOS PAC ID: 5698168953 Enrollment ID: I20220209000439 |
| Provider Name | Carlos Aaron Olivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710632211 PECOS PAC ID: 9739574047 Enrollment ID: I20220324000590 |
| Provider Name | Srikrishna Vulava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821301367 PECOS PAC ID: 7517108889 Enrollment ID: I20220516000553 |
| Provider Name | David Alonso Erives Rosas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851958375 PECOS PAC ID: 6507247913 Enrollment ID: I20220718000402 |
| Provider Name | Joseph M Krupa |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1245736644 PECOS PAC ID: 5193108678 Enrollment ID: I20220816001925 |
| Provider Name | Yvette Pabustan Jurado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043911142 PECOS PAC ID: 3274998372 Enrollment ID: I20230425000488 |
| Provider Name | Michael Brian Parr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821783325 PECOS PAC ID: 4082071733 Enrollment ID: I20230612001170 |
| Provider Name | Adriana Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710661509 PECOS PAC ID: 3577926658 Enrollment ID: I20230823002256 |
| Provider Name | Andrius Lescauskas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316351844 PECOS PAC ID: 8224304472 Enrollment ID: I20231129002442 |
| Provider Name | Tuangratch Chow |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265095756 PECOS PAC ID: 1355790023 Enrollment ID: I20231207001653 |
| Provider Name | Ashley Childs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457124679 PECOS PAC ID: 4486097680 Enrollment ID: I20240205002393 |
| Provider Name | Amy Lynn Wishard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528603602 PECOS PAC ID: 0143667295 Enrollment ID: I20240325002177 |
| Provider Name | Brittany Bransford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265990774 PECOS PAC ID: 3779955810 Enrollment ID: I20240624001015 |
| Provider Name | Imani Rosario |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134384415 PECOS PAC ID: 9931242286 Enrollment ID: I20240625002873 |
| Provider Name | Jordan Yvette Fuentes |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487403788 PECOS PAC ID: 1153865084 Enrollment ID: I20240702001461 |
| Provider Name | Larisa Anatolyevna Dyakova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912604539 PECOS PAC ID: 9638617707 Enrollment ID: I20240820003727 |
| Provider Name | Amara Abid |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922505445 PECOS PAC ID: 4587907431 Enrollment ID: I20240917005014 |
| Provider Name | Melissa Granados |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790327161 PECOS PAC ID: 4981039112 Enrollment ID: I20241101001930 |
| Provider Name | Nathan Waterhouse |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649854530 PECOS PAC ID: 1153860655 Enrollment ID: I20241119003519 |
| Provider Name | Frances Vitalis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356446116 PECOS PAC ID: 5193793651 Enrollment ID: I20241213001460 |
| Provider Name | Yordan Orive Gomez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255872578 PECOS PAC ID: 0143650366 Enrollment ID: I20250106002504 |
| Provider Name | Rebecca Crenshaw |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205899622 PECOS PAC ID: 7214901347 Enrollment ID: I20250123001950 |
| Provider Name | Sharon Lynn Bartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275129686 PECOS PAC ID: 7719343516 Enrollment ID: I20250410002847 |
| Provider Name | Bryan Lee Rayroux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891591947 PECOS PAC ID: 1951827054 Enrollment ID: I20250501002318 |
Jtk Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 W Washington, Suite D, Artesia, NM 88211 Phone: 505-746-4540 Fax: 505-746-4295 | |
Zencare Family Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 S Roselawn Ave, Artesia, NM 88210 Phone: 575-746-3616 Fax: 575-748-2544 | |
Proactive Md Nm, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 E. Main St., Artesia, NM 88210 Phone: 864-501-0751 | |
Southwestern Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 612 N 13th St, Artesia, NM 88210 Phone: 505-748-8356 Fax: 505-748-8305 | |
Day Six Integrative Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 S Roselawn Ave, Artesia, NM 88210 Phone: 575-513-5506 | |
Artesia General Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 N 13th St, Artesia, NM 88210 Phone: 575-746-3119 Fax: 575-748-8524 |