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

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Specialists Clovis RAJAGOPALAN, VANDANA MD Provider ID: NM009W38 2200 W 21ST ST , 88101 575-769-7577 Fax: 575-769-7595 SAHAY, BHASKAR MD Provider ID: NM001E43 2200 W 21ST ST , 88101 575-763-0680 Fax: 575-769-0766 Languages: Spanish THIBODEAU, DONNA MD Provider ID: NM009C01 2100 N DR MARTIN L. KING JR , 88101 575-769-2141 ZIESER, KENT DO Provider ID: NM004I06 2100 M DR MARTIN LUTHER KING , 88101 575-769-7152 Fax: 575-769-7595 Languages: Spanish Nephrology ADI, CHUDI MD Provider ID: NM001S41 2301 N DR MARTIN L. KING JR , 88101 575-762-9004 Fax: 575-762-9006 Languages: Spanish KAUR, PRABHJOTE MD Provider ID: NM004V74 2200 W 21ST ST , 88101 575-769-7577 Fax: 575-769-7596 MILLER, ROBERT MD Provider ID: NM009304 2301 N DR MARTIN L. KING JR , 88101 575-762-9004 Languages: Spanish Neurology OGUNRO, CHARLES MD Provider ID: NM024992 811 LEXINGTON , 88101 575-769-3070 Fax: 575-762-7037 SANDHU, BALJINDER MD Provider ID: NM003W19 2100 N DR MARTIN LUTHER KING , 88101 575-769-7152 Fax: 575-769-7147 Languages: Spanish VIGIL, ANNA MD Provider ID: NM003X03 2100 DR MARTIN LUTHER KING JR , 88101 575-769-2141 Fax: 575-769-7337 Languages: Spanish Nutrition & Dietetics HARRIS, SHARON RD Provider ID: NM00RM07 2200 W 21ST ST , 88101 575-769-7577 Fax: 575-769-7595 86 Obstetrics-Gynecology AL SALEH, MAZIN MD Provider ID: NM002T53 2000 W 21ST ST STE A1, 88101 575-762-8055 Note: Female Patients Only ARGHAVANI, TRACY DO Provider ID: NM004E85 1521 W 13TH ST , 88101 575-769-0888 Fax: 575-763-7154 Languages: Spanish Occupational Therapy MECA LLC, Provider ID: NM00E351 810 E 21ST ST STE A6, 88101 575-763-9517 Fax: 575-742-2369 Languages: Sign Language Ophthalmology DIMONACO, MICHAEL DO Provider ID: NM004045 2000 W 21ST ST STE R1, 88101 505-342-4170 DURSO, FRANK MD Provider ID: NM000780 200 W 21ST ST STE R1, 88101 505-342-4170 HIMMEL, KENNETH MD Provider ID: NM001H33 2000 W 21ST ST STE R1, 88101 505-342-4170 Fax: 575-762-2690 Languages: Spanish LEVY, RENNY MD Provider ID: NM009539 2000 W 21 ST ST STE R 1, 88101 505-342-4170 Fax: 575-762-2690 Languages: Spanish MARES, FRANK MD Provider ID: NM001483 2000 W 21ST ST # R1 , 88101 505-342-4170 MARSH, BARBARA MD Provider ID: NM00PA37 2000 W 21ST ST STE R1, 88101 505-342-4170 Fax: 575-762-2690 Languages: German MELENDEZ, ROBERT MD Provider ID: NM009M97 2000 W 21ST ST STE R 1, 88101 505-342-4170 OGAWA, GREGORY MD Provider ID: NM004572 2000 W 21ST ST , 88101 505-342-4170 REDDY, ASHOK MD Provider ID: NM009W34 2000 W 21ST ST STE R 1, 88101 505-342-4170 Fax: 575-762-2690 REIDY, ROBERT MD Provider ID: NM002263 2000 W 21ST ST # R1 , 88101 505-342-4170 WATTERBERG, TINA MD Provider ID: NM002884 2000 W 21ST ST STE R 1, 88101 505-342-4170 Fax: 575-762-2690 WYANT, FRANK DO Provider ID: NM004657 2000 21ST ST STE R 1, 88101 505-342-4170 Fax: 575-762-2690 Orthopaedic Surgery GEORGE, JACOB MD Provider ID: NM004M64 2100 DR MARTIN LUTHER KING JR , 88101 575-769-7152 GEORGE, JACOB MD Provider ID: NM004M64 2200 W 21ST ST , 88101 575-769-7577 Fax: 575-769-7595 SISCO, WILLIAM MD Provider ID: NM001EH1 2100 DR MARTIN LUTHER KING JR , 88101 575-769-7152 Fax: 575-769-7147 SISCO, WILLIAM MD Provider ID: NM001EH0 2200 W 21ST ST , 88101 575-769-2141 Fax: 575-769-7596 SISCO, WILLIAM MD Provider ID: NM001EH0 2421 W 21ST ST STE B, 88101 575-742-7800 Fax: 575-742-7856 Otolaryngology ROWLEY, NICHOLAS MD Provider ID: NM012357 201 COMMERCE WAY STE 104, 88101 575-762-3385 Pediatric Cardiology DARA, BHARAT MD Provider ID: NM005Z83 2000 W 21ST ST STE F, 88101 505-848-3700 Fax: 505-848-3703 Note: No infants under 6 months old DAVENPORT, JENNIFER MD Provider ID: NM005FN9 2000 W 21ST ST STE E2, 88101 575-762-3726 HOLMES, GERARD MD Provider ID: NM003D11 2000 W 21ST ST STE E2, 88101 575-762-3726 Physical Medicine & Rehabilitation LINGALA, KRISHNA MD Provider ID: NM009U57 2100 N DR MARTIN L. KING JR , 88101 575-769-2141 Fax: 575-769-7337 LINGALA, KRISHNA MD Provider ID: NM009U57 2200 W 21ST ST , 88101 575-769-7577 Fax: 575-769-7337 Plastic Surgery Specialists FINLEY, JOHN MD Provider ID: NM001U85 2100 N DR MARTIN L. KING JR , 88101 575-769-2141 Fax: 575-769-7337 Podiatry STAMM, RICHARD DPM Provider ID: NM005C07 2100 DR MARTIN LUTHER KING JR , 88101 575-769-2141 Fax: 575-769-7337 Languages: Spanish STAMM, RICHARD DPM Provider ID: NM005C07 2200 W 21ST ST , 88101 575-769-7295 Fax: 575-769-7595 Languages: Spanish STAMM, RICHARD DPM Provider ID: NM005C07 2421 W 21ST ST , 88101 575-742-7800 Languages: Spanish Radiation Professional Service MARK, RUFUS MD Provider ID: NM019V38 2219 DILLION ST , 88101 575-769-7365 Fax: 575-624-8758 NEUMANN, THOMAS MD Provider ID: NM024796 2219 DILLION ST , 88101 575-624-8738 Fax: 575-624-8758 Languages: Spanish RUFUS J MARK MD PA, Provider ID: NM007M14 2219 DILLION ST , 88101 575-624-8738 Fax: 575-624-8758 THOMAS NEUMANN MD PA, Provider ID: NM007F89 2219 DILLION ST , 88101 575-624-8738 Fax: 575-624-8758 Radiology ANDERSON, PAUL MD Provider ID: NM02XZ72 2219 DILLION ST , 88101 575-769-7365 Fax: 575-624-8758 IMAGING CENTER OF CLOVIS LLC, Provider ID: NM007U93 2105 W 21ST ST , 88101 575-935-9729 Fax: 575-935-9731 February 2012
Specialists PAUL ANDERSON MD PA, Provider ID: NM007M15 2219 DILLION ST , 88101 575-769-7365 Fax: 575-624-8758 Urology PIENKOS, EDWARD MD Provider ID: NM001G69 2100 N DR MARTIN L. KING JR , 88101 575-769-2141 Fax: 575-769-7337 PIENKOS, EDWARD MD Provider ID: NM001G69 2200 W 21ST ST , 88101 575-769-7577 Fax: 575-769-7595 Columbus Luna County Federally Qualified Health Clinic (FQHC) BEN ARCHER HEALTH CTR, Provider ID: NM005149 626 TAFT , 88029 575-531-2165 Fax: 575-531-2172 Languages: Spanish Corona Lincoln County Obstetrics-Gynecology RATH, KERI MD Provider ID: NM005FT3 471 MAIN ST , 88318 575-849-1561 Fax: 575-849-1561 Corrales Sandoval County Audiology WENDY GALLEGOS MA LLC, Provider ID: NM00EE45 420 ASHLEY LN , 87048 505-898-2474 Fax: 505-899-8172 Counselor Sandoval County Federally Qualified Health Clinic (FQHC) PRESBYTERIAN MEDICAL SERVICE, Provider ID: NM007E23 9837 STATE HWY 550 , 87018 575-568-4328 Cuba Sandoval County Family Practice PRICE, TONI DO Provider ID: NM004D72 6349 STATE HWY 550 , 87013 575-289-3291 Fax: 575-289-3648 Languages: Spanish Federally Qualified Health Clinic (FQHC) PMS SANTA FE COMM GUIDANCE CTR, Provider ID: NM007A33 6349 STATE HWY 550 , 87013 575-289-3291 Fax: 575-289-3648 Languages: Spanish PRESBYTERIAN MEDICAL SERVICE, Provider ID: NM007E23 2 OJO ENCINO CHAPTER RD , 87013 505-731-2268 Fax: 505-731-2379 PRESBYTERIAN MEDICAL SERVICE, Provider ID: NM007E23 2500 STATE HWY 197 , 87013 505-731-2284 Fax: 505-731-2381 Deming Luna County Family Practice MURPHY, MICHAEL DO Provider ID: NM004E67 1110 W FLORIDA ST , 88030 575-546-4811 Fax: 575-546-4821 Languages: Spanish WILLIAMS, GEORGE DO Provider ID: NM00400D 1110 W FLORIDA ST , 88030 575-546-4811 Fax: 575-546-4821 Languages: Spanish Federally Qualified Health Clinic (FQHC) BEN ARCHER HEALTH CTR, Provider ID: NM005149 125 CHAPARREL BLVD NW , 88030 575-546-4800 Fax: 575-546-0685 Languages: Spanish PRESBYTERIAN MEDICAL SERVICE, Provider ID: NM007E23 205 E HEMLOCK ST , 88030 575-546-4663 PRESBYTERIAN MEDICAL SERVICE, Provider ID: NM007E23 501 W FLORIDA , 88030 575-546-8841 Fax: 505-546-4844 Gastroenterology PODILA, PRASAD MD Provider ID: NM004464 215 S SILVER AVE , 88030 575-546-4663 Languages: Spanish General Surgery CHAO, STAN MD Provider ID: NM004P46 1413 COLUMBUS RD , 88030 575-546-1365 Fax: 575-546-0391 Internal Medicine ASWAD, MOHAMED MD Provider ID: NM004U55 1020 S 8TH ST STE B, 88030 575-546-3750 Fax: 575-546-2770 Languages: Arabic TIMINS, BRUCE MD Provider ID: NM005Q71 900 W ASH ST , 88030 575-543-7283 Fax: 575-543-6918 Languages: Spanish Obstetrics-Gynecology BYRNE, THOMAS MD Provider ID: NM011H32 122 S GOLD STE 4, 88030 575-546-3340 Fax: 575-546-3958 SILETCHNIK, MARK MD Provider ID: NM004Y27 1413 COLUMBUS RD , 88030 575-546-6548 Fax: 575-546-6540 Languages: Spanish Ophthalmology FILLMORE, PARLEY MD Provider ID: NM014P65 850 W FLORIDA ST , 88030 575-544-2020 Fax: 575-522-3482 HALL, J ROGER MD Provider ID: NM019780 850 W FLORIDA ST , 88030 575-544-2020 Fax: 575-522-3482 HAM, DONALD MD Provider ID: NM011161 850 W FLORIDA ST , 88030 575-544-2020 Fax: 575-522-3482 KNIPPERS, JOHNNY MD Provider ID: NM001BS9 1515 S 8TH ST , 88030 575-546-2860 Fax: 575-546-2870 Languages: Spanish Orthopaedic Surgery ANTOCI, VALENTIN MD Provider ID: NM001V09 710 S GOLD ST , 88030 575-546-1177 Fax: 575-546-0803 Languages: Romanian CARREON, JESUS MD Provider ID: NM009F99 721 E HOLLY ST , 88030 575-546-3604 Fax: 575-546-3873 Languages: Spanish Physical Medicine & Rehabilitation REDDY, SRAVANTHI MD Provider ID: NM009V94 721 E HOLLY , 88030 575-546-3604 Fax: 575-546-3873 Languages: Hindi Podiatry GOUGH, ADAM DPM Provider ID: NM00F66D 900 W BIRCH ST , 88030 575-544-4422 Languages: Spanish Radiology ADERHOLDT, KAREN MD Provider ID: NM004U82 900 W ASH ST , 88030 952-595-1100 Fax: 952-942-3361 ALEXANDER, JOHN MD Provider ID: NM004U83 900 W ASH ST , 88030 952-595-1100 Fax: 952-942-3361 BRICK, STEVEN MD Provider ID: NM004Z10 900 W ASH ST , 88030 952-595-1100 Fax: 952-942-3361 CLARKE, DELPHIA MD Provider ID: NM004Z71 900 W ASH ST , 88030 952-595-1100 Fax: 952-942-3361 DAVIS, MARK MD Provider ID: NM004Z23 900 W ASH ST , 88030 952-595-1100 Fax: 952-942-3361 DAVIS, THOMAS MD Provider ID: NM004Z39 900 W ASH ST , 88030 952-595-1100 Fax: 952-942-3361 EURMAN, DANIEL MD Provider ID: NM001FB6 900 W ASH ST , 88030 952-595-1100 Fax: 952-942-3361 Deming February 2012 87 Specialists
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Experience. Wellness. Everywhere. S
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Table of Contents Primary Care Prov
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Primary Care Providers HANUMANDLA,
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Primary Care Providers DERKSEN, DAN
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Primary Care Providers MCCOY, MEGAN
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Primary Care Providers STAPLETON, J
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Primary Care Providers YAMAMOTO, KE
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Primary Care Providers KULASINGHE,
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Primary Care Providers CONCENTRA UR
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Primary Care Providers PENTECOST, J
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Primary Care Providers WOSICK, LUAN
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Primary Care Providers Pediatrics C
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Primary Care Providers General Prac
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Primary Care Providers VEILLEUX, CA
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Primary Care Providers Grants Cibol
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Primary Care Providers ARMISTEAD, D
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Primary Care Providers SAAVEDRA, RA
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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 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: Specialists Cerrillos Santa Fe Coun
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
Page 99 and 100: Specialists LOPEZ, STEVEN MD Provid
Page 101 and 102: Specialists SHERER, KEVIN MD Provid
Page 103 and 104: Specialists Los Alamos Los Alamos C
Page 105 and 106: Specialists Ojo Caliente Taos Count
Page 107 and 108: Specialists YATSKOWITZ, JEROME MD P
Page 109 and 110: Specialists BRADY, CHAD DPM Provide
Page 111 and 112: Specialists JACKSON, CHRISTOPHER MD
Page 113 and 114: Specialists PMS SANTA FE COMM GUIDA
Page 115 and 116: Specialists MANSKE, ERIC MD Provide
Page 117 and 118: Specialists Pulmonary Diseases AL D
Page 119 and 120: Specialists GRUBER, CHRISTOPER MD P
Page 121 and 122: Specialists ROCKWOOD, JASON DPM Pro
Page 123 and 124: Specialists Neurology MORENO, MIGUE
Page 125 and 126: Specialists WILMS, HENRIK MD Provid
Page 127 and 128: Specialists JOHNSON, CARSON MD Prov
Page 129 and 130: CO Cortez Montezuma County Durable
Page 131 and 132: Hospitals,Facilities, and Other Car
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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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