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

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Primary Care Providers Socorro TOMEDI, ANGELO MD Provider ID: NM002V84 1202 HIGHWAY 60 W , 87801 575-835-1140 Fax: 575-835-8703 Languages: Spanish TOMEDI, ANGELO MD Provider ID: NM002V84 1204 HWY 60 W , 87801 575-835-1140 Fax: 575-838-4659 Languages: Spanish TOMEDI, ANGELO MD Provider ID: NM002V84 800 E 9TH ST , 87801 575-835-1140 Fax: 575-835-8703 TREYBAL, ALOIS DO Provider ID: NM004H52 1202 HIGHWAY 60 W , 87801 575-835-1140 Fax: 575-835-8703 TREYBAL, ALOIS DO Provider ID: NM004H52 1204 HIGHWAY 60 W , 87801 575-838-4690 Fax: 575-838-4689 TREYBAL, MINDY DO Provider ID: NM004H60 1202 HIGHWAY 60 W , 87801 575-835-1140 Fax: 575-835-8703 TREYBAL, MINDY DO Provider ID: NM004H60 1204 HIGHWAY 60 W , 87801 575-838-4690 Fax: 575-838-4689 Federally Qualified Health Clinic (FQHC) PRESBYTERIAN MEDICAL SERVICE, Provider ID: NM007E23 1300 ENTERPRISE , 87801 575-745-3573 Fax: 575-745-3550 General Practice REID, NORMAN MD Provider ID: NM001H87 1204 HIGHWAY 60 W , 87801 575-838-2340 Fax: 575-838-2345 REID, NORMAN MD Provider ID: NM001H87 600 W HIGHWAY 60 , 87801 575-838-2340 Fax: 575-838-2345 Internal Medicine PUNDLA, KALYAN MD Provider ID: NM001CA2 1204 HWY 60 WEST , 87801 575-838-4690 Fax: 575-838-4689 46 Mammography Screening Center ADVANCED IMAGING LLC DBA HIGH RES, Provider ID: NM007P89 1202 HIGHWAY 60 , 87801 877-771-6266 Pediatrics FITZGERALD, DEBRA CNP Provider ID: NM006S30 1204 HIGHWAY 60 W , 87801 575-838-4690 Fax: 575-838-4689 JOHNSON, LESLIE MD Provider ID: NM001H86 1202 HWY 60 W , 87801 575-838-4690 Fax: 575-838-4689 JOHNSON, LESLIE MD Provider ID: NM001H86 600 W HIGHWAY 60 , 87801 575-838-4690 Fax: 575-838-4689 SIMKIN, ROGER MD Provider ID: NM004Y71 1202 HIGHWAY 60 W , 87801 575-835-1140 Fax: 575-835-8703 SIMKIN, ROGER MD Provider ID: NM004Y71 1204 HIGHWAY 60 W , 87801 575-838-4690 Fax: 575-838-4689 Springer Colfax County Family Practice WHITMAN, PATRICIA CFNP Provider ID: NM006P48 306 COLBERT AVE , 87747 575-707-0933 Fax: 575-445-2794 Federally Qualified Health Clinic (FQHC) EL CENTRO FAMILY HEALTH, Provider ID: NM007519 400 PROSPECT ST , 87747 575-483-0282 General Practice TRUJILLO, MARTIN MD Provider ID: NM002550 608 SECOND ST , 87747 575-483-3046 Fax: 575-483-3046 Languages: Spanish Sunland Park Dona Ana County Family Practice ARMISTEAD, DANIEL MD Provider ID: NM004826 2625 MCNUTT RD , 88063 575-589-0887 Fax: 575-589-0898 Languages: Spanish BERRIOS, GASTON MD Provider ID: NM003C11 2625 MCNUTT RD , 88063 575-589-0887 Fax: 575-589-0898 Languages: Spanish CADENA, BARBARA MD Provider ID: NM001BT4 2625 MCNUTT RD , 88063 575-589-0887 Fax: 575-524-4266 CRESPIN, FRANK MD Provider ID: NM000583 2625 MCNUTT RD , 88063 575-589-0887 Fax: 575-589-0898 Languages: Spanish DAVIS, CHRISTOPHER MD Provider ID: NM001BS3 2625 MCNUTT RD , 88063 575-589-0887 Fax: 575-524-4266 EWING, JOSEPH MD Provider ID: NM009K61 2625 MCNUTT RD , 88063 575-589-0887 Fax: 575-589-0898 FLORES, JOSE MD Provider ID: NM011H43 2625 MCNUTT RD , 88063 575-589-0887 Fax: 575-589-0898 Languages: Spanish GUTIERREZ MACIAS, RODOLFO MD Provider ID: NM009V86 2625 MCNUTT RD , 88063 575-589-0887 Fax: 575-589-0898 Languages: Spanish LEDEZMA PEREZ, JOSE MD Provider ID: NM001AA3 2625 MCNUTT RD , 88063 575-589-0887 Fax: 575-589-0898 MACKLIN, LYDIA CNP Provider ID: NM006A53 2625 MCNUTT RD , 88063 575-589-0887 Fax: 575-589-0898 Languages: Spanish PEREZ LEDEZMA, CLAUDIO MD Provider ID: NM004Z91 2625 MCNUTT RD , 88063 575-589-0887 Fax: 575-589-0898 Languages: Spanish PONCIK, WANDA CNP Provider ID: NM006W80 2625 MCNUTT RD , 88063 575-589-0887 Fax: 575-524-4266 Primary Care Providers RUBIO, RICARDO MD Provider ID: NM002X89 2625 MCNUTT RD , 88063 575-589-0887 Fax: 575-589-0898 TELLEZ, CECILIA MD Provider ID: NM00JV48 2625 MCNUTT RD , 88063 575-589-0887 Fax: 575-589-0898 Languages: Spanish VAQUERA, MANUEL MD Provider ID: NM001AY2 2625 MCNUTT RD , 88063 575-589-0887 Fax: 575-524-4266 Federally Qualified Health Clinic (FQHC) LA CLINICA DE FAMILIA INC, Provider ID: NM007691 2625 MCNUTT RD , 88063 575-589-0887 General Practice ROBLEDO, LAURA MD Provider ID: NM019B08 2625 MCNUTT RD , 88063 575-589-0887 Fax: 575-589-0898 Languages: Spanish Internal Medicine KANNAEGANTI, PRASAD MD Provider ID: NM009N36 2625 MCNUTT RD , 88063 575-532-2044 Fax: 575-532-0807 Languages: Spanish Taos Taos County Audiology PREMIER HEARING CENTER, Provider ID: NM00E390 1350 PASEO DEL PUEBLO SUR 3, 87571 575-751-9327 Fax: 505-655-4327 Languages: Spanish Family Practice BEATTY, MARCIA CNP CNM Provider ID: NM006474 1399 WEIMER RD , 87571 575-758-2224 Fax: 575-758-4903 CARDASIS, JAMES DO Provider ID: NM01400A 1213 GUSDORF RD , 87571 575-751-4070 Fax: 575-758-5533 Languages: Spanish CARDASIS, JAMES DO Provider ID: NM01400A 619 DON ROSALIO , 87571 575-758-4287 Fax: 575-758-3938 Languages: Spanish February 2012
Primary Care Providers ENDRES, DELORES MD Provider ID: NM005G72 630 PASEO DEL PUEBLO SUR STE 150, 87571 575-758-3005 Fax: 575-758-7010 Languages: Spanish RITCHIE, ELIN MD Provider ID: NM005J23 619 DON ROSALIO , 87571 575-758-4287 Fax: 575-758-3938 Languages: Spanish SCHREIBER, LAWRENCE MD Provider ID: NM002536 630 PASEO DEL PUEBLO SUR STE 150, 87571 575-758-3005 Fax: 575-758-7010 SCHREIBER, LUCAS MD Provider ID: NM009J52 630 PASEO DEL PUEBLO SUR STE 150, 87571 575-758-3005 Fax: 575-758-7010 Languages: Spanish STEINBERG, MARC MD Provider ID: NM002646 630 PASEO DEL PUEBLO SUR STE 150, 87571 575-758-3005 Fax: 575-758-7010 WARREN, ELLEN MD Provider ID: NM002883 630 PASEO DEL PUEBLO SUR STE 150, 87571 575-758-3005 Fax: 575-758-7010 Federally Qualified Health Clinic (FQHC) EL CENTRO FAMILY HEALTH, Provider ID: NM007519 1331 GUSDORF RD , 87571 575-758-3601 General Practice KILGORE, WILLIAM MD Provider ID: NM001518 404 PASEO DEL PUEBLO NORTE , 87571 575-758-4468 Fax: 575-758-0660 Internal Medicine FOSTER, JOHN MD Provider ID: NM009P31 1399 WEIMER RD , 87571 575-758-2224 KAUFMAN, JEMERY MD Provider ID: NM001P56 1399 WEIMER RD STE 200, 87571 575-758-2224 Fax: 575-758-4903 Languages: Spanish KAUFMAN, MICHAEL MD Provider ID: NM001475 1399 WEIMER RD , 87571 575-758-2224 Fax: 575-758-4903 WAITZKIN, HOWARD MD Provider ID: NM01G371 1399 WEIMER RD , 87571 575-758-2224 Fax: 575-758-4903 Languages: Spanish WHITE, ROBERT MD Provider ID: NM001193 1399 WEIMER RD , 87571 575-758-2224 Fax: 575-758-4903 Midwifery NO NEW MEXICO MIDWIFERY CTR, Provider ID: NM006552 1331 MAESTAS RD , 87571 575-758-1216 Fax: 575-758-2683 Obstetrics-Gynecology MOHLING, SHANTI MD Provider ID: NM019J38 1329 GUSDORF RD , 87571 575-758-5001 Languages: French Occupational Therapy DEB JONES THERAPIES INC, Provider ID: NM00S056 1337 GUSDORF RD STE G, 87571 575-758-4337 Fax: 575-751-1890 Pediatrics DRENNING, SARAH CFNP Provider ID: NM007AA8 1393 WEIMER RD , 87571 575-758-8651 Fax: 575-758-7811 Languages: Spanish MACFARLANE, JOHN MD Provider ID: NM003W36 630 PASEO DEL PUEBLO SUR STE 150, 87571 575-758-3005 Fax: 575-758-7010 Languages: Spanish SINGER, DEBRA MD Provider ID: NM001R98 1393 WEIMER RD , 87571 575-758-8651 Fax: 575-758-7811 Languages: Spanish VILLARREAL, SYLVIA MD Provider ID: NM004913 1393 WEIMER RD , 87571 575-758-8651 Languages: Spanish Radiology CORNERSTONE RADIOLOGY, Provider ID: NM007P04 1397 WEIMER RD , 87571 575-758-8883 Fax: 575-751-5784 RURAL RADIOLOGY ASSOC TAOS PLLC, Provider ID: NM007R18 1397 WEIMER RD , 87571 575-758-8883 Urgent Care Center TAOS URGENT CARE, Provider ID: NM007T77 330 PASEO DEL PUEBLO SUR UNIT C, 87571 575-758-1414 Fax: 575-758-1474 Languages: Spanish Tatum Lea County Family Practice CARVER, RONALD MD Provider ID: NM003X97 204 N MAIN , 88267 575-398-2111 HOMER, PATRICK DO Provider ID: NM004E38 204 N MAIN , 88267 575-398-2111 WAGNER, LENARD MD Provider ID: NM003X58 204 N MAIN , 88267 575-398-2111 General Practice BAINS, AMAR MD Provider ID: NM003360 204 N MAIN , 88267 575-398-2111 Fax: 575-398-6112 Languages: Spanish HOPKINS, RONALD DO Provider ID: NM004E60 204 N MAIN , 88267 575-398-2111 Pediatrics MURILLO, SONIA MD Provider ID: NM003X56 204 N MAIN , 88267 575-398-2111 Thoreau McKinley County Family Practice ANDRADE, AEDRA MD Provider ID: NM009J29 15 NAVARRE BLVD , 87323 505-862-7417 Fax: 505-863-2961 Note: No Obstetrics Languages: Spanish IWAN, EDITH CNP CNM Provider ID: NM00R82V 15 NAVARRE BLVD , 87323 505-862-7417 Federally Qualified Health Clinic (FQHC) PMS SANTA FE COMM GUIDANCE CTR, Provider ID: NM007A33 15 NAVARRE BLVD , 87323 505-862-7417 Fax: 505-862-8300 Languages: Spanish Truth Or Consequences PRESBYTERIAN MEDICAL SERVICE, Provider ID: NM007E23 15 NAVARRE BLVD , 87323 505-862-7417 Tierra Amarilla Rio Arriba County Family Practice CASADOS, JODI MD Provider ID: NM001E40 US HWY 84 COUNTY RD 0324 14 , 87575 575-588-7252 Fax: 575-588-7771 Languages: Spanish KNACKSTEDT, DAVON CFNP Provider ID: NM006U50 US HWY 84 COUNTY RD 0324 14 , 87575 575-588-7252 Fax: 575-588-9132 Languages: Spanish KNACKSTEDT, SHIRLEY CNP CNM Provider ID: NM00JCD8 US HWY 84 COUNTY RD 0324 14 , 87575 575-588-7252 Fax: 575-588-9132 Languages: Spanish Truchas Rio Arriba County Family Practice BJORKLUND, MARK MD Provider ID: NM003423 60 COUNTY ROAD 75 , 87578 505-689-2461 Fax: 505-689-2462 Languages: Spanish Federally Qualified Health Clinic (FQHC) EL CENTRO FAMILY HEALTH, Provider ID: NM007519 60 COUNTY RD 75 , 87578 505-689-2461 Fax: 505-689-2462 Truth Or Consequences Sierra County Family Practice APODACA, KRYSTLE CNP Provider ID: NM006V86 1950 DATE ST , 87901 575-894-8057 Fax: 575-894-4018 APODACA, KRYSTLE CNP Provider ID: NM006V86 1960 DATE ST , 87901 575-894-7662 Fax: 575-894-7930 CHAVEZ, DORIS MD Provider ID: NM001BF0 1950 S DATE ST , 87901 575-894-8057 Fax: 575-894-4018 Languages: Spanish February 2012 47 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 and 38: Primary Care Providers LAKE, ANNA M
Page 39 and 40: Primary Care Providers Penasco Taos
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: Primary Care Providers Silver City
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
Page 89 and 90: Specialists PAUL ANDERSON MD PA, Pr
Page 91 and 92: Specialists Internal Medicine HELD,
Page 93 and 94: Specialists SONG, MI KYOUNG MD Prov
Page 95 and 96: Specialists DAVENPORT, JENNIFER MD
Page 97 and 98: 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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Page 285 and 286:
NM Salud KNACKSTEDT, SHIRLEY CNP CN
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