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

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Specialists Deming GRUBB, KRISTEN MD Provider ID: NM004Z31 900 W ASH ST , 88030 952-595-1100 Fax: 952-942-3361 JONES, WILLIAM MD Provider ID: NM004Z11 900 W ASH ST , 88030 952-595-1100 Fax: 952-942-3361 KIM, DAVID MD Provider ID: NM004Z12 900 W ASH ST , 88030 952-595-1100 Fax: 952-942-3361 OKOH, JAMES MD Provider ID: NM001DD2 900 W ASH ST , 88030 952-595-1100 RULNICK, ADAM MD Provider ID: NM004U60 900 W ASH ST , 88030 952-595-1100 Fax: 952-942-3361 Languages: Hebrew TRAN, ANN MD Provider ID: NM00JHD3 900 W ASH ST , 88030 952-595-1100 Fax: 952-942-3361 Dexter Chaves County Rural Health Clinic VALLEY HEALTH CLINIC ENMMC, Provider ID: NM007095 116 E 2ND ST , 88230 575-734-5817 Languages: Spanish Edgewood Santa Fe County Cardiovascular Disease KOCHUKOSHY, KOSHY MD Provider ID: NM009320 8 MEDICAL CTR RD , 87015 505-281-3406 Family Practice EVANKO, MARK DO Provider ID: NM004B31 8 MEDICAL CTR RD , 87015 505-281-3406 Fax: 505-452-4023 Languages: Spanish MCLEOD, ORRIN DO Provider ID: NM004A72 03 GEORGE CT STE C, 87015 505-286-2396 Fax: 505-286-2398 88 Federally Qualified Health Clinic (FQHC) FIRST CHOICE COMM HLTHCARE, Provider ID: NM005096 8 MEDICAL CTR RD , 87015 505-281-3406 Fax: 505-452-4023 Languages: Spanish Internal Medicine ARIES, RICHARD MD Provider ID: NM001L94 8 MEDICAL CTR RD , 87015 505-281-3406 Fax: 505-224-8767 Languages: Spanish KLEIN, TIMOTHY MD Provider ID: NM005Z74 1851 OLD HWY 66 , 87015 505-286-2396 Fax: 505-286-2398 Obstetrics-Gynecology GODINEZ, MILTON MD Provider ID: NM001047 8 MEDICAL CTR RD , 87015 505-281-3406 Languages: Spanish ROWE, JULIAN MD Provider ID: NM004904 1950 C OLD ROUTE 66 , 87015 505-286-1900 Fax: 505-281-5157 Languages: Spanish El Rito Rio Arriba County Family Practice MALEY, KATHLEEN DO Provider ID: NM009X59 HWY 571 STE 28, 87530 575-581-4728 Fax: 575-581-4789 NORMAN, SUZANNE DO Provider ID: NM004C64 HWY 571 STE 28, 87530 575-581-4728 Fax: 575-581-0030 Languages: Spanish Federally Qualified Health Clinic (FQHC) LAS CLINICAS DEL NORTE, Provider ID: NM007526 HWY 571 STE 28, 87530 575-581-4728 Fax: 575-581-4789 Languages: Spanish LAS CLINICAS DEL NORTE, Provider ID: NM007526 HWY 84 BLDG 21192, 87530 505-685-4479 Fax: 505-685-4532 Languages: Spanish Embudo Rio Arriba County Federally Qualified Health Clinic (FQHC) EL CENTRO FAMILY HEALTH, Provider ID: NM007519 STATE RD 68 BLDG 2243 , 87531 505-579-4255 Fax: 505-579-4669 Espanola Rio Arriba County Cardiovascular Disease HARDING, MICHAEL MD Provider ID: NM004P04 1010 SPRUCE ST , 87532 505-841-1234 MANSFIELD, WILLIAM MD Provider ID: NM005FG1 835 SPRUCE ST UNIT A, 87532 505-841-1000 Fax: 505-988-2612 Languages: Spanish RONAN, ADAM MD Provider ID: NM005EI7 835 SPRUCE ST UNIT A, 87532 505-984-8012 Fax: 505-988-2612 Languages: Spanish SCHAUER, JANE MD Provider ID: NM003V50 1010 SPRUCE ST , 87532 505-753-7111 SHADOFF, NEAL MD Provider ID: NM004Y92 1010 SPRUCE ST , 87532 505-753-7111 Fax: 505-367-0288 STAMM, R BRAD MD Provider ID: NM012551 835 SPRUCE ST UNIT A, 87532 505-984-8012 Fax: 505-988-2612 STOUT, KIMBER MD Provider ID: NM019L61 835 SPRUCE ST UNIT A, 87532 505-984-8012 SUNDERMAN, HAROLD MD Provider ID: NM004V05 1010 SPRUCE ST , 87532 505-753-7111 Fax: 505-367-0288 Note: Practice limited to Cardiology WYNDHAM, CHRISTOPHER MD Provider ID: NM019R10 835 SPRUCE ST UNIT A, 87532 505-984-8012 Fax: 505-988-2612 YATSKOWITZ, JEROME MD Provider ID: NM003T96 1010 SPRUCE , 87532 505-753-7111 Fax: 505-753-4438 Languages: Spanish Specialists ZOLNICK, MARK MD Provider ID: NM002Y32 835 SPRUCE ST UNIT A, 87532 575-894-8012 Fax: 505-988-2612 Federally Qualified Health Clinic (FQHC) EL CENTRO FAMILY HEALTH, Provider ID: NM007519 111 N RAILROAD AVE CORPORATE OFFICE, 87532 505-753-7395 Fax: 505-753-8373 EL CENTRO FAMILY HEALTH, Provider ID: NM007519 1111 EL LLANO RD , 87532 505-929-1629 Fax: 505-747-1547 EL CENTRO FAMILY HEALTH, Provider ID: NM007519 2010 INDUSTRIAL PARK RD , 87532 505-753-7395 Fax: 505-753-8373 EL CENTRO FAMILY HEALTH, Provider ID: NM007519 620 CORONADO AVE , 87532 505-753-7395 Fax: 505-753-8373 EL CENTRO FAMILY HEALTH, Provider ID: NM007519 711 BOND ST , 87532 505-753-9503 Fax: 505-747-1004 PMS SANTA FE COMM GUIDANCE CTR, Provider ID: NM007A33 1206 N RIVERSIDE DR , 87532 505-747-7400 Fax: 505-747-7403 Languages: Spanish General Surgery BOZORGNIA, MEHRZAD MD Provider ID: NM009W32 1010 SPRUCE ST , 87532 505-753-7111 Fax: 505-367-0257 ITURREGUI, MIGUEL MD Provider ID: NM003Y91 1010 SPRUCE ST , 87532 505-367-0340 Fax: 505-367-0346 Languages: Spanish JORDAN, MARSHALL MD Provider ID: NM001R53 1010 SPRUCE ST , 87532 505-367-0340 Fax: 505-367-0346 LARSEN, ANGIE MD Provider ID: NM001U75 1010 SPRUCE ST , 87532 505-753-7111 Fax: 505-753-4438 Languages: Spanish February 2012
Specialists Internal Medicine HELD, JERRY MD Provider ID: NM001C50 1010 SPRUCE ST , 87532 505-753-7111 Fax: 505-753-4438 Languages: Spanish PALESTINE, MICHAEL MD Provider ID: NM004923 1010 SPRUCE ST , 87532 505-753-7111 RYAN, WILLIAM MD Provider ID: NM009G43 1010 SPRUCE ST , 87532 505-367-0340 Fax: 505-367-0346 SENA, HEATHER MD Provider ID: NM004F92 1010 SPRUCE ST , 87532 505-753-7111 Fax: 505-367-0288 SUNDERMAN, HAROLD MD Provider ID: NM019F76 1010 SPRUCE ST , 87532 505-753-7111 Fax: 505-753-4438 Note: Practice limited to Cardiology Interventional Cardiology MARIN, GUILHERME MD Provider ID: NM004V24 1010 SPRUCE ST , 87532 505-753-7111 Fax: 505-367-0288 Obstetrics-Gynecology BASKIN, HAROLD MD Provider ID: NM004P99 1010 SPRUCE ST , 87532 505-367-0360 Languages: Spanish JOHNSON, DIANNE MD Provider ID: NM001405 1010 SPRUCE ST , 87532 505-367-0340 Fax: 505-367-0346 Languages: Spanish MASON, CLAUDIA MD Provider ID: NM009W30 1010 SPRUCE ST , 87532 505-367-0340 Fax: 505-367-0346 SWAN, GAYLORD MD Provider ID: NM009W40 1010 SPRUCE ST , 87532 505-367-0340 Fax: 505-367-0346 Note: Female Patients Only Ophthalmology BRATTON, ANGELA MD Provider ID: NM003195 412 PASEO DE ONATE STE 2, 87532 505-342-4170 Languages: Spanish MORRISON, JOHN MD Provider ID: NM011967 412 PASEO DE ONATE ST STE 2, 87532 505-342-4170 Fax: 505-753-6459 REIDY, KRISTIN DO Provider ID: NM004A00 412 PASEO DE ONATE # 2 , 87532 505-342-4170 Orthopaedic Surgery MCKINLEY, MATTHEW MD Provider ID: NM009Z63 1010 SPRUCE ST , 87532 505-367-0340 Fax: 505-367-0346 RACHELSON, HERBERT MD Provider ID: NM001E44 1010 SPRUCE ST , 87532 505-367-0340 Fax: 505-367-0346 SHEFFIELD, WILLIAM MD Provider ID: NM003M02 1010 SPRUCE ST , 87532 505-367-0340 Fax: 505-367-0346 Languages: Spanish Pathology SANTA FE PATHOLOGY SERV, Provider ID: NM005217 1010 SPRUCE ST , 87532 505-986-8620 Pediatrics ORTIZ Y PINO, LORETTA MD Provider ID: NM012504 1010 SPRUCE ST , 87532 505-367-0340 Fax: 505-367-0346 Languages: Spanish Podiatry BLAKE, WILLIAM DPM Provider ID: NM005445 835 SPRUCE ST STE C, 87532 505-753-0123 Fax: 505-982-5714 ROCKWOOD, JASON DPM Provider ID: NM005A59 835 SPRUCE ST STE C, 87532 505-753-0123 Fax: 505-982-5714 Languages: Spanish TOZZOLI, DOUGLAS DPM Provider ID: NM005C03 105 S CORONADO AVE STE 110, 87532 505-753-3322 Fax: 505-753-9482 Languages: Spanish TOZZOLI, DOUGLAS DPM Provider ID: NM005C03 706 LA JOYA ST STE A, 87532 505-988-8863 Fax: 505-988-5940 Languages: Spanish WILLIAMS, EDWARD DPM Provider ID: NM025315 835 SPRUCE ST STE C, 87532 505-753-0123 Fax: 505-982-5714 Languages: Spanish Pulmonary Diseases LAKSHMI NARAYANAN, SALVADEESWARAN MD Provider ID: NM009S25 1010 SPRUCE ST , 87532 505-753-7111 Fax: 505-367-0362 Radiology BURDICK, THOMAS MD Provider ID: NM002U29 528 N CORONADO AVE , 87532 505-983-9350 Fax: 505-986-0859 SANTA FE IMAGING LLC, Provider ID: NM007377 528 N CORONADO AVE , 87532 505-983-9350 Fax: 505-986-0859 Thoracic Surgery LUPINETTI, FLAVIAN MD Provider ID: NM007Z39 1010 SPRUCE ST , 87532 505-753-7111 Fax: 505-367-0288 Languages: Spanish Urgent Care Center VALLEY FIRST CARE, Provider ID: NM007L22 528 N CORONADO AVE , 87532 505-747-6939 Fax: 505-747-6816 Languages: Spanish Urology FRASIER, ROBERT MD Provider ID: NM003V96 612 N PASEO DE ONATE ST STE C, 87532 505-753-6771 Fax: 505-747-0312 Estancia Torrance County Federally Qualified Health Clinic (FQHC) PMS SANTA FE COMM GUIDANCE CTR, Provider ID: NM007A33 903 C NORTH 5TH ST , 87016 505-384-2777 Fax: 505-384-2204 Languages: Spanish Eunice Lea County Rural Health Clinic Farmington EUNICE SPEC HOSP DISTRICT, Provider ID: NM007G60 1109 MAIN ST , 88231 575-394-1091 Fax: 575-394-0215 Farmington San Juan County Cardic ElectroPhysiology MAZER, SEAN MD Provider ID: NM011J06 407 S SCHWARTZ STE 101, 87401 505-841-1000 Fax: 505-843-2592 Languages: Spanish MAZER, SEAN MD Provider ID: NM011J06 801 W MAPLE ST , 87401 505-841-1000 Fax: 505-843-2592 Languages: Spanish TIONGSON, JAY MD Provider ID: NM005FG3 407 S SCHWARTZ STE 101, 87401 505-841-1000 Fax: 505-843-2853 Languages: Spanish TIONGSON, JAY MD Provider ID: NM005FG3 801 W MAPLE ST , 87401 505-841-1000 Fax: 505-843-2592 Languages: Spanish Cardiovascular Disease DOWNEY, ROSS MD Provider ID: NM004M77 407 S SCHWARTZ STE 101, 87401 505-841-1000 Fax: 505-843-2592 Languages: Spanish DOWNEY, ROSS MD Provider ID: NM004M77 801 W MAPLE ST , 87401 505-841-1000 Fax: 505-843-2592 Languages: Spanish GABALDON, JUDE MD Provider ID: NM013V63 407 S SCHWARTZ STE 101, 87401 505-609-6770 Fax: 505-609-6775 GOOLSBY, JAMES MD Provider ID: NM004F68 407 S SCHWARTZ AVE STE 101, 87401 505-609-6770 Fax: 505-609-6775 RAISHER, BRADLEY MD Provider ID: NM001S91 622 W MAPLE ST STE F, 87401 505-324-4550 February 2012 89 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
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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 and 88: Specialists Cerrillos Santa Fe Coun
Page 89: Specialists PAUL ANDERSON MD PA, Pr
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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