| Ch Specialty Services Nm Llc | |
|
206 S Coronado Ave Espanola NM 87532-2792 | |
| (337) 408-0797 | |
| Not Available |
| Full Name | Ch Specialty Services Nm Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 206 S Coronado Ave, Espanola, New Mexico |
| Authorized Official Name and Position | Nicole Howard (SR VP OF ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 3374080797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ch Specialty Services Nm Llc 5750 Johnston St Ste 205 Lafayette LA 70503-5345 Ph: (337) 408-0797 | Ch Specialty Services Nm Llc 206 S Coronado Ave Espanola NM 87532-2792 Ph: (337) 408-0797 |
| NPI Number | 1346943685 |
|---|---|
| Provider Enumeration Date | 03/24/2023 |
| Last Update Date | 03/21/2025 |
| Medicare PECOS PAC ID | 5496120883 |
|---|---|
| Medicare Enrollment ID | O20230418000479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346943685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nancy M Greces |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558384644 PECOS PAC ID: 2567364169 Enrollment ID: I20040123000639 |
| Provider Name | Lisa S Noya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619938677 PECOS PAC ID: 9133172000 Enrollment ID: I20050401000966 |
| Provider Name | Stephanie D Flores |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083852271 PECOS PAC ID: 8820142334 Enrollment ID: I20090818000828 |
| Provider Name | Amy L Bubbico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598927683 PECOS PAC ID: 4183869423 Enrollment ID: I20130314000396 |
| Provider Name | Amit Bhandari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598929176 PECOS PAC ID: 3971773383 Enrollment ID: I20180201002254 |
| Provider Name | Naveen Kumar Gummadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558711606 PECOS PAC ID: 1355677386 Enrollment ID: I20190729000776 |
| Provider Name | Gopi Mara Koosham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235660101 PECOS PAC ID: 9133490402 Enrollment ID: I20200708002130 |
| Provider Name | Kaleigh Roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962007385 PECOS PAC ID: 1557774650 Enrollment ID: I20210111000829 |
| Provider Name | Katrina Olivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609467182 PECOS PAC ID: 7517373723 Enrollment ID: I20210315000649 |
| Provider Name | Shenif Ladak |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376948604 PECOS PAC ID: 5890018501 Enrollment ID: I20210715002020 |
| Provider Name | Ashley Zurcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023573359 PECOS PAC ID: 4284968363 Enrollment ID: I20220516000097 |
| Provider Name | Ruth Seeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295392421 PECOS PAC ID: 3779818737 Enrollment ID: I20240321002641 |
| Provider Name | Bridget Nore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306508262 PECOS PAC ID: 8426447988 Enrollment ID: I20240510000337 |
| Provider Name | Chante Campbell-nixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649868738 PECOS PAC ID: 7416361126 Enrollment ID: I20240614000163 |
| Provider Name | Anthony Cohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558986745 PECOS PAC ID: 2567900194 Enrollment ID: I20240814002827 |
| Provider Name | Danielle Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477384709 PECOS PAC ID: 1658811237 Enrollment ID: I20240910002069 |
| Provider Name | Audrianna Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245766294 PECOS PAC ID: 1355615626 Enrollment ID: I20240910004377 |
| Provider Name | Mia Stroble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215575956 PECOS PAC ID: 7618398918 Enrollment ID: I20240911004812 |
| Provider Name | Shawn P Bowman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093563827 PECOS PAC ID: 9638610447 Enrollment ID: I20240920000097 |
| Provider Name | Leslie Dawn Sheffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538532528 PECOS PAC ID: 5799089157 Enrollment ID: I20241017000386 |
| Provider Name | Leah Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063024198 PECOS PAC ID: 0244641132 Enrollment ID: I20241218001529 |
| Provider Name | Coreen Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952957722 PECOS PAC ID: 6608209861 Enrollment ID: I20250516001492 |
Whole Self Recovery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 W Pueblo Dr, Espanola, NM 87532 Phone: 506-747-3368 Fax: 505-367-0077 | |
El Centro Family Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2010 Industrial Park Rd, Espanola, NM 87532 Phone: 505-753-7218 Fax: 505-753-5815 | |
Presbyterian Medical Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 835 Spruce St, C & D, Espanola, NM 87532 Phone: 505-747-7400 Fax: 505-747-7403 | |
Santa Fe Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 411 S Santa Clara Bridge Rd, Espanola, NM 87532 Phone: 505-747-6939 Fax: 505-747-6816 | |
Catherine Veilleux Cfnp Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 509 W Pueblo Dr, Espanola, NM 87532 Phone: 505-747-3368 Fax: 505-747-3368 | |
El Centro Family Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 El Llano Rd, Espanola, NM 87532 Phone: 505-753-7357 Fax: 905-747-8659 |