| Senior Doc New Mexico PC | |
|
500 Marquette Ave Nw Ste 1200 Albuquerque NM 87102-5312 | |
| (855) 434-7763 | |
| Not Available |
| Full Name | Senior Doc New Mexico PC |
|---|---|
| Speciality | Family Medicine |
| Location | 500 Marquette Ave Nw Ste 1200, Albuquerque, New Mexico |
| Authorized Official Name and Position | John Mark Geiss (CEO) |
| Authorized Official Contact | 8554347763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Doc New Mexico PC 5 Hutton Centre Dr Ste 950 Santa Ana CA 92707-8714 Ph: (855) 434-7763 | Senior Doc New Mexico PC 500 Marquette Ave Nw Ste 1200 Albuquerque NM 87102-5312 Ph: (855) 434-7763 |
| NPI Number | 1073402947 |
|---|---|
| Provider Enumeration Date | 07/02/2025 |
| Last Update Date | 07/02/2025 |
| Certification Date | 07/02/2025 |
| Medicare PECOS PAC ID | 2769987957 |
|---|---|
| Medicare Enrollment ID | O20250926003747 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073402947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Norma Wahba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558710517 PECOS PAC ID: 3971898966 Enrollment ID: I20190815000370 |
| Provider Name | Heather Harlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710668215 PECOS PAC ID: 5890149538 Enrollment ID: I20230928001398 |
| Provider Name | Alexi Yarashevich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306340831 PECOS PAC ID: 6406119304 Enrollment ID: I20250717001107 |
| Provider Name | John Geiss |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1053651497 PECOS PAC ID: 5890933071 Enrollment ID: I20250926000369 |
| Provider Name | Henriette Solyst Hvingelby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942353107 PECOS PAC ID: 2668570979 Enrollment ID: I20251224000306 |
| Provider Name | Anthony Marcus Yniguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871185686 PECOS PAC ID: 2769882331 Enrollment ID: I20260122002867 |
| Provider Name | Alex Hashemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275161184 PECOS PAC ID: 5698136604 Enrollment ID: I20260123002009 |
| Provider Name | Jeffrey John Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932337136 PECOS PAC ID: 7315101003 Enrollment ID: I20260123003557 |
| Provider Name | Stella Yufenyuy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528890472 PECOS PAC ID: 2567903016 Enrollment ID: I20260224001790 |
| Provider Name | Deante Jemel Markey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982393716 PECOS PAC ID: 6901256569 Enrollment ID: I20260303001570 |
| Provider Name | Meredith Alexandra Bock |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447612940 PECOS PAC ID: 8729339908 Enrollment ID: I20260325000704 |
| Provider Name | Kellie Marie Pacheco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326728668 PECOS PAC ID: 1951756519 Enrollment ID: I20260513003510 |
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