BlueSalud Provider Network Directory - Blue Cross Blue Shield of ...

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Primary Care Providers Lovington HOPKINS, RONALD DO Provider ID: NM004102 1600 N MAIN AVE STE A, 88260 575-396-3529 Fax: 575-396-5640 HOPKINS, RONALD DO Provider ID: NM004E41 18 W WASHINGTON AVE , 88260 575-739-0062 Fax: 575-739-0064 Internal Medicine ACOSTA, STEVEN MD Provider ID: NM003C19 1600 N MAIN ST , 88260 575-396-3529 Fax: 575-396-5640 Pathology AMERIPATH LUBBOCK 5 01 CORPORATIO, Provider ID: NM007H73 1600 NORTH MAIN AVE , 88260 806-725-4020 Pediatrics MURILLO, SONIA MD Provider ID: NM003X46 1600 N MAIN , 88260 575-396-6611 MURILLO, SONIA MD Provider ID: NM003X91 18 W WASHINGTON AVE , 88260 575-739-0062 Fax: 575-739-0064 Rural Health Clinic LOVINGTON CLINIC, Provider ID: NM007159 1600 N MAIN AVE STE A, 88260 575-396-3529 Magdalena Socorro County Family Practice BRADY, CHARLES DO Provider ID: NM01400M 801 10TH ST , 87825 575-854-3161 Fax: 575-854-3160 Languages: Spanish MARKWELL, ROBERT MD Provider ID: NM003D71 801 TENTH ST , 87825 575-854-3161 Languages: Spanish Federally Qualified Health Clinic (FQHC) PRESBYTERIAN MEDICAL SERVICE, Provider ID: NM007E23 801 TENTH ST , 87825 575-854-3161 Fax: 505-854-3160 36 Melrose Curry County Family Practice HEMM, MARGARET CNP Provider ID: NM006L39 120 N MAIN , 88124 575-253-4212 Fax: 575-253-4214 Languages: Spanish KENNEDY, GUADALUPE CNP Provider ID: NM006A60 120 N MAIN , 88124 575-253-4212 Fax: 575-253-4214 Languages: Spanish TORRES, MAXSIMO MD Provider ID: NM000692 120 N MAIN , 88124 575-253-4212 Fax: 575-253-4214 Languages: Spanish Mesilla Dona Ana County Family Practice MACKLIN, LYDIA CNP Provider ID: NM006A53 ONATE PLAZA STE 7, 88046 575-524-3571 Fax: 575-525-8089 Languages: Spanish Federally Qualified Health Clinic (FQHC) LA CLINICA DE FAMILIA INC, Provider ID: NM007691 ONATE PLAZA STE 7, 88046 575-524-3571 Mimbres Grant County Family Practice KING, SHELBY MD Provider ID: NM019960 2743 B HIGHWAY 35 , 88049 575-536-3990 Fax: 575-536-3991 Languages: Spanish MCCOSH, SHAUNA CNP Provider ID: NM006Q19 2743 B HWAY 35 N , 88049 575-536-3990 Fax: 575-536-3991 Languages: Spanish Federally Qualified Health Clinic (FQHC) HIDALGO MEDICAL SERVICES, Provider ID: NM007201 2843 B HWY 35 , 88049 575-536-3990 Mora Mora County Federally Qualified Health Clinic (FQHC) MORA VALLEY COM HLTH SER, Provider ID: NM005065 HWY 518 , 87732 575-387-2201 Fax: 575-387-9011 Internal Medicine PACHECO, ELMER MD Provider ID: NM019X47 ST HWY 518 MM 26, 87732 575-387-5069 Fax: 575-387-9011 SMITH DE CHERIF, TERESA MD Provider ID: NM005J05 STATE RD 518 MM 26 , 87732 575-387-2201 Fax: 575-387-9011 Languages: French Pediatrics SMELSER, CHAD MD Provider ID: NM009P88 HWY 518 , 87732 575-387-2201 Fax: 575-387-9006 Moriarty Torrance County Family Practice CHAVEZ, GERZAIN MD Provider ID: NM029008 2006 HIGHWAY 66 W PO BOX 910, 87035 505-832-5556 Fax: 505-473-1274 Languages: Spanish EDMONDS, JEREMY DO Provider ID: NM004B21 1108 CENTRAL AVE , 87035 505-832-4434 Fax: 505-832-5024 Languages: Spanish MCLEOD, ORRIN DO Provider ID: NM004844 1108 CENTRAL AVE , 87035 505-832-4434 MCLEOD, ORRIN DO Provider ID: NM004844 1108 ROUTE 66 SW , 87035 505-832-4434 Mountainair Torrance County Family Practice BANKS, SUSAN CNP Provider ID: NM016E47 105 E PINON ST , 87036 505-847-2271 Fax: 505-847-0253 Languages: Spanish Primary Care Providers Federally Qualified Health Clinic (FQHC) PMS SANTA FE COMM GUIDANCE CTR, Provider ID: NM007A33 105 E PINON ST , 87036 505-847-2271 Fax: 505-847-0255 Languages: Spanish Ocate Mora County Family Practice LEWIS RAKESTRAW, DIANA CFNP Provider ID: NM006F17 NM ST HWY 120 MILE MARKER 12.5 , 87734 575-666-2475 Ojo Caliente Taos County Family Practice FALLWELL, DENISE CNP Provider ID: NM006B93 HWY 285 BLDG 35282 , 87549 505-583-2191 Fax: 505-583-2520 Languages: Spanish MALEY, KATHLEEN DO Provider ID: NM009X59 HWY 285 BLDG 35282 , 87549 505-593-2191 Fax: 505-583-2520 Federally Qualified Health Clinic (FQHC) LAS CLINICAS DEL NORTE, Provider ID: NM007526 HWY 285 BLDG 35282 , 87549 505-583-2191 Fax: 505-583-2520 Languages: Spanish Pecos San Miguel County Federally Qualified Health Clinic (FQHC) PECOS VALLEY MEDICAL CTR, Provider ID: NM007551 HWY 50 , 87552 505-757-6482 Languages: Spanish Internal Medicine YOUNG, LUCIEN DO Provider ID: NM004B12 HWY 50 , 87552 505-757-6482 Fax: 505-757-2700 Languages: Spanish February 2012
Primary Care Providers Penasco Taos County Family Practice BASSETT, BERTRAND OLAN MD Provider ID: NM007Z84 24 STATE RD 73 , 87553 575-587-1833 Fax: 575-587-1918 CAMPBELL, NANCY CFNP Provider ID: NM00JFY5 15136 ST RD 75 , 87553 575-587-2205 Fax: 575-587-1944 Languages: Spanish MCCOY, KRISTINE MD Provider ID: NM001P27 15136 STATE ROAD 75 PO BOX 238, 87553 575-587-2205 Fax: 575-587-1944 Languages: German UNKEL, COLLEEN CNP Provider ID: NM006D41 24 HWY RD 73 , 87553 575-587-1833 Fax: 575-587-1918 Languages: Spanish Rural Health Clinic HCH HLTH CLINIC PENASCO, Provider ID: NM007292 24 HWY 73 , 87553 575-587-1833 Languages: Spanish Portales Roosevelt County Family Practice AKINMURELE, OLADOTUN MD Provider ID: NM005V55 42121 US HWY 70 , 88130 575-356-6652 Fax: 575-226-0099 Languages: Yoruba ALEXANDER, LONNIE MD Provider ID: NM030153 42121 US HWY 70 , 88130 575-356-6652 Fax: 575-359-6827 Note: Female Patients Only Languages: Hindi JENKINS, DARLENE CFNP Provider ID: NM006J94 42121 US HWY 70 , 88130 575-356-6652 Fax: 575-359-6827 Languages: German JONES, DAVID CNP Provider ID: NM006C11 320 S AVE A, 88130 575-356-4643 Fax: 575-359-6856 KENNEDY, GUADALUPE CNP Provider ID: NM006A60 1515 W FIR , 88130 575-356-6695 Fax: 575-356-5948 Languages: Spanish LINDO, ROLANDO MD Provider ID: NM009367 1515 W FIR ST , 88130 575-356-6695 Languages: Spanish ROBERTS, JOYCE MD Provider ID: NM004F83 42121 US HWY 70 , 88130 575-356-6652 Fax: 575-226-0099 SIEVERS, JOEL MD Provider ID: NM039972 304 S MAIN ST , 88130 575-226-3023 Fax: 575-226-3024 Languages: Spanish SOSA RODRIGUEZ, JAVIER MD Provider ID: NM005Q67 42121 US HWY 70 , 88130 575-356-6652 Fax: 575-226-0099 Languages: German TORRES, MAXSIMO MD Provider ID: NM000692 1515 W FIR , 88130 575-356-6695 Languages: Spanish WOFFORD, BERT MD Provider ID: NM005H14 421 S AVE C STE D, 88130 575-226-2273 Fax: 575-226-2273 Federally Qualified Health Clinic (FQHC) LA CASA DE BUENA SALUD INC, Provider ID: NM007566 1515 W FIR ST , 88130 575-356-6695 Languages: Spanish Internal Medicine ACEVEDO GONZALEZ, J MD Provider ID: NM003M14 1515 W FIR , 88130 575-356-6695 Fax: 575-356-5948 Languages: Spanish LAMBA, DHIRENDRA MD Provider ID: NM009Y11 1515 W FIR , 88130 575-356-6695 Fax: 575-356-5948 Languages: Hindi ROSALES, ALVARO MD Provider ID: NM004P44 42121 US HWY 70 , 88130 575-356-6652 Fax: 575-226-0099 Languages: German SAHAY, BHASKAR MD Provider ID: NM029N10 42121 US HWY 70 , 88130 575-356-6652 Fax: 575-359-6827 Languages: Hindi Obstetrics-Gynecology AL SALEH, MAZIN MD Provider ID: NM009V01 1515 W FIR ST , 88130 575-356-6695 Fax: 575-356-5948 Note: Female Patients Only Languages: Arabic ARGHAVANI, TRACY DO Provider ID: NM004E85 1515 W FIR , 88130 575-356-6695 Fax: 575-356-5948 Languages: Spanish Pathology AMERIPATH LUBBOCK 5 01 CORPORATIO, Provider ID: NM007H73 14121 US HWY 70 , 88130 806-725-4020 Pediatrics THOM, GIDDEL MD Provider ID: NM004S72 1515 W FIR , 88130 575-356-6695 Fax: 575-356-5948 Languages: Spanish Quemado Catron County Federally Qualified Health Clinic (FQHC) PRESBYTERIAN MEDICAL SERVICE, Provider ID: NM007E23 8 OLD TOWN LP , 87829 575-773-4627 Fax: 575-773-4627 Questa Taos County Family Practice MORRISON, NINON DO Provider ID: NM004D25 2537 STATE HWY 522 , 87556 575-586-0331 Fax: 575-586-0234 Languages: French PEREZ BARON, GINA MD Provider ID: NM004P90 2573 STATE HWY 522 , 87556 575-586-0315 Fax: 575-586-0234 Languages: Spanish QUINTANA, CAROL CNP Provider ID: NM006964 2573 STATE HWY 522 , 87556 575-586-0315 Fax: 575-586-0519 Languages: Spanish UMLAND, BERTHOLD MD Provider ID: NM001211 STATE HWY 522 BLDG 2573, 87556 575-586-0315 Fax: 505-471-5861 Radium Springs Dona Ana County Family Practice Radium Springs APODACA, KRYSTLE CNP Provider ID: NM006V86 12080 LB LINDBECK RD , 88054 575-526-6200 Fax: 575-526-2266 CHAVEZ, DORIS MD Provider ID: NM001BF0 12080 LB LINDBECK RD , 88054 575-526-6200 Fax: 575-526-2266 Languages: Spanish DEROY, JENNIFER CNP Provider ID: NM006C10 12080 LB LINDBECK RD , 88054 575-526-6200 Fax: 575-526-2266 GARCIA, GLORIA CNP Provider ID: NM006L83 12080 LB LINDBECK ROAD , 88054 575-526-6200 Fax: 575-526-2266 Languages: Spanish HARRIS, LEON MD Provider ID: NM005U13 12080 LB LINDBECK RD , 88054 575-526-6200 Fax: 575-526-2266 Languages: Spanish MACEDO POTRZEBOWSKI, V CNP Provider ID: NM006T85 12080 LB LINDBECK RD , 88054 575-526-6200 Fax: 575-526-2266 Languages: Portuguese MACIEL, GABRIEL CNP Provider ID: NM006U83 12080 LB LINDBECK RD , 88054 575-526-6200 Fax: 575-526-2266 Languages: Spanish MADER, PENNY CNP Provider ID: NM007AK7 12080 LB LINDBECK RD , 88054 575-526-6200 Fax: 575-526-2266 MARTINEZ, ENRIQUE MD Provider ID: NM001726 12080 LB LINDBECK RD , 88054 575-526-6200 Fax: 575-526-2266 Languages: Spanish OCASIO, ANDREA CNP Provider ID: NM007AI0 12080 LB LINDBECK RD , 88054 575-526-6200 Fax: 575-526-2266 Languages: Spanish STOLARCZYK, LISA MD Provider ID: NM005M84 12080 LB LINDBECK RD , 88054 575-526-6200 Fax: 575-526-2266 Languages: Spanish VEDAMANIKAM, CHANDRAN MD Provider ID: NM001CZ9 12080 LB LINDBECK RD , 88054 575-526-6200 Fax: 575-526-2266 February 2012 37 Primary Care Providers
Page 1 and 2: Experience. Wellness. Everywhere. S
Page 3 and 4: Table of Contents Primary Care Prov
Page 5 and 6: Primary Care Providers HANUMANDLA,
Page 7 and 8: Primary Care Providers DERKSEN, DAN
Page 9 and 10: Primary Care Providers MCCOY, MEGAN
Page 11 and 12: Primary Care Providers STAPLETON, J
Page 13 and 14: Primary Care Providers YAMAMOTO, KE
Page 15 and 16: Primary Care Providers KULASINGHE,
Page 17 and 18: Primary Care Providers CONCENTRA UR
Page 19 and 20: Primary Care Providers PENTECOST, J
Page 21 and 22: Primary Care Providers WOSICK, LUAN
Page 23 and 24: Primary Care Providers Pediatrics C
Page 25 and 26: Primary Care Providers General Prac
Page 27 and 28: Primary Care Providers VEILLEUX, CA
Page 29 and 30: Primary Care Providers Grants Cibol
Page 31 and 32: Primary Care Providers ARMISTEAD, D
Page 33 and 34: Primary Care Providers SAAVEDRA, RA
Page 35 and 36: Primary Care Providers REHAB OCCUPA
Page 37: Primary Care Providers LAKE, ANNA M
Page 41 and 42: Primary Care Providers Occupational
Page 43 and 44: Primary Care Providers KUMAR, KRISH
Page 45 and 46: Primary Care Providers SALAS, BARBA
Page 47 and 48: Primary Care Providers Silver City
Page 49 and 50: Primary Care Providers ENDRES, DELO
Page 51 and 52: Primary Care Providers Federally Qu
Page 53 and 54: Primary Care Providers LOVELESS, AL
Page 55 and 56: Specialists Trinidad Las Animas Cou
Page 57 and 58: Specialists BUJOI, MIHAELA MD Provi
Page 59 and 60: Specialists ZEMAN, HOWARD MD Provid
Page 61 and 62: Specialists MORGAN, ELIZABETH MD Pr
Page 63 and 64: Specialists COSTON, SEAN MD Provide
Page 65 and 66: Specialists Hand Surgery LARSEN, KE
Page 67 and 68: Specialists MELENDRES GROVES, LANA
Page 69 and 70: Specialists CRONIN, RICHARD MD Prov
Page 71 and 72: Specialists CLAPP, NADINE MD Provid
Page 73 and 74: Specialists STUART, KELLY MD Provid
Page 75 and 76: Specialists ARCHIBECK, MICHAEL MD P
Page 77 and 78: Specialists Pain Mgmt or Anesthesio
Page 79 and 80: Specialists LEDMAN, JUDY MD Provide
Page 81 and 82: Specialists NELSON, GARY DPM Provid
Page 83 and 84: Specialists CHAVEZ CHIANG, NATALIA
Page 85 and 86: Specialists General Surgery ANOUSHF
Page 87 and 88: Specialists Cerrillos Santa Fe Coun
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Specialists PAUL ANDERSON MD PA, Pr
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Specialists Internal Medicine HELD,
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Specialists SONG, MI KYOUNG MD Prov
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Specialists DAVENPORT, JENNIFER MD
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Specialists ROBERT G IVEY, Provider
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Specialists LOPEZ, STEVEN MD Provid
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Specialists SHERER, KEVIN MD Provid
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Specialists Los Alamos Los Alamos C
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Specialists Ojo Caliente Taos Count
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Specialists YATSKOWITZ, JEROME MD P
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Specialists BRADY, CHAD DPM Provide
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Specialists JACKSON, CHRISTOPHER MD
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Specialists PMS SANTA FE COMM GUIDA
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Specialists MANSKE, ERIC MD Provide
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Specialists Pulmonary Diseases AL D
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Specialists GRUBER, CHRISTOPER MD P
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Specialists ROCKWOOD, JASON DPM Pro
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Specialists Neurology MORENO, MIGUE
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Specialists WILMS, HENRIK MD Provid
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Specialists JOHNSON, CARSON MD Prov
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CO Cortez Montezuma County Durable
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Hospitals,Facilities, and Other Car
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NM ALBUQUERQUE Bernalillo County Ur
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ZIA HEALTH CENTER, Provider ID: 00N
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Davis Vision Providers Robison, Edw
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Davis Vision Providers Roland, Nath
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DentaQuest CHA, LILY DDS 111 COORS
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DentaQuest FORDE, COLIN DDS 1275 AN
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DentaQuest ESPANOLA NM RIO ARRIBA G
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DentaQuest 2141 HAMMERAND CT STE B
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DentaQuest CHAIKIN, RACHELLE DDS 64
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DentaQuest LIN, ROYANA DDS 7211 N M
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NM ALAMOGORDO Otero County KMART PH
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Pharmacy Network CUBA Sandoval Coun
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Pharmacy Network SANTA ROSA Guadalu
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NM Salud Alphabetical Index BAGGS,
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NM Salud Alphabetical Index CONNORS
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NM Salud Alphabetical Index GARARD,
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NM Salud Alphabetical Index JONES,
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NM Salud Alphabetical Index MASON,
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NM Salud Alphabetical Index PAVIA,
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NM Salud Alphabetical Index SANTA F
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NM Salud Alphabetical Index UNVERZA
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Acute Care Hospital ADVANCED CARE H
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NM Salud Providers by Specialty Ind
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February 2012 Primary Care Provider
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NM Salud Primary Care Providers by
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February 2012 Specialties by Locati
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NM Salud Specialties by Location In
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February 2012 Primary Care Provider
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NM Salud February 2012 Primary Care
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NM Salud LA CLINICA DE FAMILIA INC,
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NM Salud KNACKSTEDT, SHIRLEY CNP CN
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