UNM Hospitals - Blue Cross and Blue Shield of New Mexico
Transcription
UNM Hospitals - Blue Cross and Blue Shield of New Mexico
Network Directory Extended Network Plan Health Benefits for the employees of UNM Hospitals July 2005 www.bcbsnm.com National Committee For Quality Assurance (NCQA) Accreditation HMO New Mexico, Inc., has been granted Commendable status by the National Committee for Quality Assurance (NCQA), effective October 16, 2002. HMONM was also awarded Commendable Accreditation in 2000. NCQA is an independent, not-for-profit organization dedicated to measuring the quality of America's health care. Achieving an accreditation status of "Commendable" from NCQA is a sign that a health plan is serious about quality. It is awarded to plans whose service and clinical quality meet or exceed NCQA's rigorous requirements for consumer protection and quality improvement. NCQA Accreditation criteria include: • • • • • Access and Service Do health plan members have access to the care and services they need? Qualified Providers Does the health plan assess each doctor's qualifications and what health plan members say about its providers? Staying Healthy Does the health plan help members maintain good health and detect illness early? Getting Better How well does the health plan care for members when they become sick? Living with Illness How well does the health plan care for members when they have chronic conditions? Table of Contents Extended Network Plan Summary of Benefits ................. 3 Presbyterian Healthcare Services & Presbyterian Medical Group In-Network Access Zip Codes Listing ......... 5 Hospitals and Urgent Care Facilities ................ 6 Primary Care Physicians (PCPs) .................... 8 Primary Care Providers ............. 42 Specialists............ 47 COLORADO Cortez Hematology/Oncology ................ 47 Durango Allergy/Immunology .................... 47 Anesthesiology ........................... 47 Cardiology .................................. 47 Dermatology ............................... 47 Ear, Nose, and Throat ................ 47 General Surgery ......................... 47 Gynecology................................. 47 Hand Surgery ............................. 47 Hematology/Oncology ................ 47 Internal Medicine ........................ 47 Nephrology ................................. 48 Obstetrics/Gynecology ............... 48 Ophthalmology ........................... 48 Orthopedics ................................ 48 Physical Medicine ....................... 48 Pulmonary Medicine ................... 48 Radiation Oncology .................... 48 Thoracic and Vascular Surgery ....................................... 48 Urology ....................................... 48 Pagosa Springs Obstetrics/Gynecology ............... 48 Trinidad Allergy/Immunology .................... 49 Dermatology ............................... 49 General Surgery ......................... 49 Internal Medicine ........................ 49 Obstetrics/Gynecology ............... 49 Ophthalmology ........................... 49 Pediatrics .................................... 49 NEW MEXICO Alamogordo Anesthesiology ........................... 49 July 2005 Dermatology ............................... 49 Ear, Nose, and Throat ................ 49 Endocrinology ............................ 49 General Surgery ......................... 49 Hematology/Oncology ................ 49 Internal Medicine ........................ 49 Nephrology ................................. 49 Neurology ................................... 49 Obstetrics/Gynecology ............... 49 Ophthalmology ........................... 49 Orthopedics ................................ 49 Plastic Surgery ........................... 49 Pulmonary Medicine ................... 49 Radiation Oncology .................... 49 Sports Medicine ......................... 49 Urology ....................................... 50 Albuquerque Allergy/Immunology .................... 50 Anesthesiology ........................... 50 Cardiology .................................. 52 Cardiovascular Surgery .............. 54 Colon and Rectal Surgery .......... 54 Dermatology ............................... 54 Ear, Nose, and Throat ................ 55 Emergency Medicine .................. 55 Endocrinology ............................ 56 Family Practice ........................... 56 Gastroenterology ........................ 57 General Practice ........................ 58 General Surgery ......................... 58 Geriatrics .................................... 59 Gynecological Oncology ............ 59 Gynecology ................................ 59 Hand Surgery ............................. 59 Head and Neck Surgery ............. 60 Hematology/Oncology ................ 60 Infectious Diseases .................... 60 Internal Medicine ........................ 61 Medical Oncology ....................... 64 Neonatology ............................... 64 Nephrology ................................. 64 Neurology ................................... 65 Neurosurgery ............................. 66 Nuclear Medicine ....................... 66 Obstetrics/Gynecology ............... 66 Occupational Medicine ............... 68 Ophthalmology ........................... 68 Oral and Maxillofacial Surgery ....................................... 69 Orthopedics ................................ 69 Pathology ................................... 71 Pediatrics ................................... 72 Perinatology ............................... 73 Physical Medicine ...................... 73 Plastic Surgery ........................... 74 Pulmonary Medicine ................... 74 Radiation Oncology .................... 74 Radiology ................................... 75 Rheumatology ............................ 79 Sleep Disorders .......................... 79 Spinal Surgery ............................ 79 Sports Medicine ......................... 79 Thoracic and Vascular Surgery ....................................... 79 Urgent Care ................................ 80 Urology ....................................... 80 Amalia Orthopedics ................................ 80 Artesia Gastroenterology ........................ 80 General Surgery ......................... 80 Thoracic and Vascular Surgery ....................................... 80 Belen Cardiology .................................. 81 Dermatology ............................... 81 Nephrology ................................. 81 Capitan Gynecology ................................ 81 Carlsbad Cardiology .................................. 81 Ear, Nose, and Throat ................ 81 Gastroenterology ........................ 81 General Surgery ......................... 81 Hand Surgery ............................. 81 Hematology/Oncology ................ 81 Neurology ................................... 81 Obstetrics/Gynecology ................81 Ophthalmology ............................81 Orthopedics.................................81 Pathology ....................................81 Physical Medicine .......................81 Pulmonary Medicine ...................81 Radiology ....................................81 Urology........................................81 Cimarron Internal Medicine.........................81 Clayton General Surgery..........................82 Radiology ....................................82 Clovis Anesthesiology............................82 Cardiology ...................................82 Dermatology................................82 Ear, Nose, and Throat.................82 Family Practice ...........................82 General Surgery..........................82 Infectious Diseases .....................82 Internal Medicine.........................82 Nephrology..................................82 Neurology....................................82 Obstetrics/Gynecology ................82 Ophthalmology ............................82 Orthopedics.................................83 Pathology ....................................83 Pediatrics ....................................83 Pulmonary Medicine ...................83 Radiation Oncology.....................83 Radiology ....................................83 Urology........................................83 Deming Anesthesiology............................83 Family Practice ...........................83 Gastroenterology ........................83 General Surgery..........................83 Hematology/Oncology.................83 Internal Medicine.........................83 Obstetrics/Gynecology ................83 Ophthalmology ............................83 Orthopedics.................................83 Pulmonary Medicine ...................83 Radiology ....................................83 Edgewood Obstetrics/Gynecology ................83 El Rito Ophthalmology ............................83 Española Allergy/Immunology ....................84 Cardiology ...................................84 Ear, Nose, and Throat.................84 Endocrinology .............................84 General Surgery..........................84 Infectious Diseases .....................84 Internal Medicine.........................84 Obstetrics/Gynecology ................84 Ophthalmology ............................84 Orthopedics.................................84 Pediatrics ....................................84 Pulmonary Medicine ...................84 Radiology ....................................84 Urology........................................84 Farmington Anesthesiology............................84 Cardiology ...................................84 Dermatology................................85 Ear, Nose, and Throat.................85 Emergency Medicine ..................85 Endocrinology .............................85 Family Practice ...........................85 Gastroenterology ........................85 General Practice .........................85 General Surgery..........................85 Hematology/Oncology.................85 Internal Medicine.........................85 Nephrology..................................85 Neurology....................................85 Obstetrics/Gynecology ................86 Occupational Medicine................86 Ophthalmology ............................86 Orthopedics.................................86 Physical Medicine .......................86 Radiation Oncology.....................86 Radiology ....................................86 Rheumatology ............................ 86 Urgent Care ................................ 86 Gallup Anesthesiology ........................... 86 Cardiology .................................. 87 Ear, Nose, and Throat ................ 87 Emergency Medicine .................. 87 General Surgery ......................... 87 Infectious Diseases .................... 87 Nephrology ................................. 87 Neurology ................................... 87 Obstetrics/Gynecology ............... 87 Ophthalmology ........................... 87 Orthopedics ................................ 87 Pathology .................................... 87 Physical Medicine ....................... 87 Radiology .................................... 87 Urology ....................................... 87 Gila Pulmonary Medicine ................... 87 Grants General Surgery ......................... 87 Hobbs Anesthesiology ........................... 87 Cardiology .................................. 87 Ear, Nose, and Throat ................ 88 Gastroenterology ........................ 88 General Practice ......................... 88 General Surgery ......................... 88 Hand Surgery ............................. 88 Obstetrics/Gynecology ............... 88 Orthopedics ................................ 88 Pathology .................................... 88 Physical Medicine ....................... 88 Pulmonary Medicine ................... 88 Radiology .................................... 88 Sleep Disorders .......................... 88 Urology ....................................... 88 Las Cruces Allergy/Immunology .................... 88 Anesthesiology ........................... 88 Cardiology .................................. 89 Dermatology ............................... 89 Ear, Nose, and Throat ................ 89 Endocrinology ............................. 89 Gastroenterology ........................ 89 General Practice ......................... 89 General Surgery ......................... 89 Gynecology ................................. 89 Hematology/Oncology ................ 90 Internal Medicine ........................ 90 Medical Oncology ....................... 90 Nephrology ................................. 90 Neurology ................................... 90 Obstetrics/Gynecology ............... 90 Occupational Medicine ............... 90 Ophthalmology ........................... 90 Orthopedics ................................ 91 Pathology .................................... 91 Physical Medicine ....................... 91 Plastic Surgery ........................... 91 Pulmonary Medicine ................... 91 Radiation Oncology .................... 91 Radiology .................................... 91 Rheumatology ............................ 92 Sleep Disorders .......................... 92 Thoracic and Vascular Surgery ....................................... 92 Urology ....................................... 92 Las Vegas Allergy/Immunology .................... 92 Anesthesiology ........................... 92 Cardiology .................................. 92 Ear, Nose, and Throat ................ 92 General Surgery ......................... 92 Neurology ................................... 92 Obstetrics/Gynecology ............... 93 Ophthalmology ........................... 93 Orthopedics ................................ 93 Pulmonary Medicine ................... 93 Radiology .................................... 93 Sports Medicine .......................... 93 Urology ....................................... 93 Lordsburg Ophthalmology ........................... 93 i Table of Contents Extended Network Plan Introduction .......... 1 Table of Contents Los Alamos Table of Contents Allergy/Immunology ....................93 Anesthesiology ............................93 Cardiology ...................................93 Dermatology ................................93 Ear, Nose, and Throat .................93 Endocrinology .............................93 Gastroenterology ........................93 General Surgery ..........................93 Hematology/Oncology .................93 Internal Medicine .........................93 Obstetrics/Gynecology ................93 Ophthalmology ............................94 Pathology ....................................94 Physical Medicine .......................94 Radiology ....................................94 Rheumatology .............................94 Urology ........................................94 Los Lunas Cardiology ...................................94 Lovington Radiology ....................................94 Portales General Surgery ..........................94 Infectious Diseases .....................94 Obstetrics/Gynecology ................94 Rheumatology .............................94 Ranchos de Taos Emergency Medicine ..................94 Raton General Surgery ..........................94 Hematology/Oncology .................94 Internal Medicine .........................94 Ophthalmology ............................94 Radiology ....................................94 Rio Rancho Infectious Diseases .....................94 Ophthalmology ............................94 Urology ........................................95 Roswell Allergy/Immunology ....................95 Anesthesiology ............................95 Cardiology ...................................95 Dermatology ................................95 Ear, Nose, and Throat .................95 Endocrinology .............................95 Gastroenterology ........................95 General Surgery ..........................95 Hematology/Oncology .................95 Internal Medicine .........................95 Nephrology ..................................95 Neurology ....................................95 Neurosurgery ..............................95 Obstetrics/Gynecology ................96 Ophthalmology ............................96 Orthopedics .................................96 Pathology ....................................96 Physical Medicine .......................96 ii UNM Hospitals - Extended Network Plan Pulmonary Medicine ................... 96 Radiation Oncology .................... 96 Radiology .................................... 96 Rheumatology............................. 96 Sleep Disorders .......................... 96 Urology ....................................... 96 Ruidoso Family Practice ........................... 96 General Practice ......................... 96 General Surgery ......................... 96 Gynecology ................................. 96 Internal Medicine ........................ 96 Obstetrics/Gynecology ................ 97 Orthopedics ................................ 97 Pulmonary Medicine ................... 97 Radiology .................................... 97 Santa Fe Allergy/Immunology .................... 97 Anesthesiology ........................... 97 Cardiology ................................... 97 Dermatology ............................... 97 Ear, Nose, and Throat ................ 98 Endocrinology ............................. 98 Family Practice ........................... 98 Gastroenterology ........................ 98 General Surgery ......................... 98 Hand Surgery .............................. 98 Hematology/Oncology ................ 98 Infectious Diseases ..................... 98 Internal Medicine ........................ 98 Medical Oncology ....................... 99 Nephrology ................................. 99 Neurology ................................... 99 Neurosurgery .............................. 99 Obstetrics/Gynecology ................ 99 Occupational Medicine ............... 99 Ophthalmology ............................ 99 Orthopedics .............................. 100 Pathology .................................. 100 Perinatology .............................. 100 Physical Medicine ..................... 100 Pulmonary Medicine ................. 100 Radiation Oncology .................. 100 Radiology .................................. 101 Rheumatology........................... 101 Thoracic and Vascular Surgery ..................................... 101 Urology ..................................... 101 Santa Teresa Anesthesiology ......................... 101 Ophthalmology .......................... 101 Silver City Anesthesiology ......................... 101 Dermatology ............................. 101 Ear, Nose, and Throat .............. 101 General Surgery ....................... 102 Neurology ................................. 102 Obstetrics/Gynecology .............. 102 Ophthalmology .......................... 102 Orthopedics .............................. 102 Pathology ................................. 102 Pulmonary Medicine ................. 102 Radiology ................................. 102 Urology ..................................... 102 Socorro Ophthalmology ......................... 102 Sunland Park Thoracic and Vascular Surgery ..................................... 102 Taos Cardiology ................................ 102 Emergency Medicine ................ 102 General Surgery ....................... 102 Obstetrics/Gynecology ............. 102 Ophthalmology ......................... 102 Orthopedics .............................. 102 Radiology ................................. 102 Sports Medicine ........................ 103 Urology ..................................... 103 Truth or Consequences General Surgery ....................... 103 Ophthalmology ......................... 103 Tucumcari Family Practice ......................... 103 General Surgery ....................... 103 Internal Medicine ...................... 103 Ophthalmology ......................... 103 Radiology ................................. 103 TEXAS Andrews General Practice ....................... 103 Denver City Dermatology ............................. 103 El Paso Allergy/Immunology .................. 103 Anesthesiology ......................... 103 Cardiology ................................ 103 Colon and Rectal Surgery ........ 104 Ear, Nose, and Throat .............. 104 Endocrinology ........................... 104 Gastroenterology ...................... 104 General Surgery ....................... 104 Geriatrics .................................. 105 Gynecology .............................. 105 Hematology/Oncology .............. 105 Infectious Diseases .................. 105 Internal Medicine ...................... 105 Medical Oncology ..................... 105 Nephrology ............................... 106 Neurology ................................. 106 Neurosurgery ............................ 106 Obstetrics/Gynecology ............. 106 Ophthalmology ......................... 106 Orthopedics .............................. 106 Pathology ................................. 107 Perinatology ..............................107 Physical Medicine .....................108 Plastic Surgery ..........................108 Pulmonary Medicine..................108 Radiation Oncology ...................108 Radiology ..................................108 Spinal Surgery...........................108 Urology ......................................108 Lubbock Anesthesiology ..........................108 Cardiology .................................109 Cardiovascular Surgery.............109 Dermatology ..............................109 Family Practice..........................109 Gastroenterology.......................109 General Surgery ........................109 Hand Surgery ............................109 Hematology/Oncology ...............109 Internal Medicine .......................109 Medical Oncology......................109 Neurology .................................. 110 Obstetrics/Gynecology .............. 110 Orthopedics ............................... 110 Pediatrics .................................. 110 Thoracic and Vascular Surgery...................................... 110 Midland Thoracic and Vascular Surgery...................................... 110 Muleshoe Dermatology .............................. 110 Allied Health Practitioners .......111 Ancillary Services ..............156 Mesa Mental Health Network ..174 Pharmacy Network .............189 Alphabetical Index ..................195 Provider Language Codes..................235 July 2005 Welcome to the Extended Network Plan Welcome to the Extended Network Plan that is administered by HMO New Mexico (HMONM). As an Extended Network Plan member you have access to our entire HMONM network statewide. No PCP referral required to see a contracted Specialist You do not need a Primary Care Physician (PCP) referral in order to receive benefits at the Extended Network Plan level of coverage. You may visit any Extended Network Plan provider and receive in-network benefits for covered services. Accessing Providers affiliated with the Standard (LoboCare Network) Plan You may see any HMONM provider under the Extended Network Plan however, by using providers affiliated with the Standard (LoboCare Network) Plan you may have lower out-ofpocket expenses. Prior Authorizations Certain services require Prior Authorization. Examples of services requiring Prior Authorization are Short Term Rehabilitation, Acupuncture, Chiropractic, etc. Please refer to your Benefit Booklet or contact Customer Service at 1-800-423-1630 for a listing of these services. Out-of-Network Benefits You may choose to visit a provider who is not part of the Extended Network Plan however, you will need to first meet a deductible and pay a percentage of covered charges (certain exceptions, such as for emergency care are explained in the member’s Benefit Booklet). Outof-Network providers may bill you for amounts over the covered charge. The amount can sometimes be significant, and is not applied to your out-of-pocket maximum (see your Benefit Booklet for more details). In addition, some benefits are available only if received from Extended Network Plan providers. We’re also on the Web! You can view the printable directory on-line on our Web site, www.bcbsnm.com. From the home page select “UNM Hospitals – Extended Network Plan” from the “Are you a member of one of our largest groups?” drop-down menu. UNM Hospitals’ customized provider directories, forms and other information can be found here. Or you may contact Customer Service for assistance at 1-800-423-1630. Finding a Provider This directory is for both members and physicians. All of the providers in this directory are innetwork providers. Remember, the fact that a provider is listed in this directory does not make services received from that provider automatically eligible for benefits. Services must be medically necessary and covered under your health plan in order to be eligible for any UNMH benefits. 1 Extended Network Plan Introduction - continued There are several sections to this directory. Each lists providers alphabetically, within city and specialty, in the following manner: State City Name County Name Specialty ¾Provider Name Provider Number: NM001234 SPECIAL NOTE (if any) Languages the provider speaks (see last page for Provider Language Codes legend) Group Practice Name Street address, Zip Telephone Although this directory is current as of the date at the bottom of each page, it is subject to change without notice. To check if a physician/provider has been added to the network, or if you have any questions about how to use this directory, please call an HMONM Customer Service Representative at 1-800-423-1630. For Our Providers Please remember to contact your Network Services Department if there are errors in this directory or to report a change in your physical or legal location. Phone: 1-800-567-8540 or 505-837-8800. Fax: 1-866-290-7718 or 505-816-2688. The Provider Service Unit will take your calls concerning claims, eligibility, and benefits. They can be reached by calling 1-888-349-3706, Monday through Friday from 8 a.m. to 5 p.m. For Prior Authorizations, call our Health Services Department or fax your request. Phone: 1-800-325-8334 or 505-291-3585. Fax: 1-800-835-8704 or 505-237-5252. 2 UNM Hospitals Extended Network Plan Summary of Benefits This is a summary only that lists the deductible, out-of-pocket limit, and copayment and coinsurance amounts, and provides a brief description of UNM Hospitals Extended Network Plan benefits. UNM Hospitals Extended Network Plan Benefits Calendar Year Deductible Member’s Share of Covered Charges Standard Network Extended Network Out-of-Network * None None $1,500 $3,000 Family Aggregate Calendar Year Out-of-Pocket Limit (Includes coinsurance only. Does NOT include deductible, noncovered charges, or penalty amounts.) Annual and Lifetime Benefit Payment Limits $5,000 $10,000 Family Aggregate $4,600 per individual $2,000,000 per member per calendar year and a lifetime benefit pay maximum of $5,000,000 per member Primary Care Physician (PCP) Office Visit $20 per visit $30 per visit 40%* Specialist Physician Office Visit $30 per visit $45 per visit 40%* $30 per visit $45 per visit 40%* Office Surgery (including casts, splints, and dressings) Maternity Prenatal & Post-Partum Visits Lab Tests, X-Rays, EKGs, Other Diagnostic Tests Allergy Injections, Serum Allergy Testing Preventive Care Services Adult Wellness/Physical Exams Well Child Care Immunizations, Mammography, Pap Tests Acupuncture (max. 20 visits/year) ** Chiropractic Services ** $20 (or $30 specialist) initial visit only $30 (or $45 specialist) initial visit only $0 copay (included in office visit) $0 copay (included in office visit) 40%* 40%* $0 copay (included in office visit) $0 copay (included in office visit) Not Covered $30 per visit $45 per visit Not Covered $20 (or $30 specialist)/visit $20 (or $30 specialist)/visit $0 copay (included in office visit) $30 (or $45 for specialist)/visit $30 (or $45 for specialist)/visit $0 copay (included in office visit) Not Covered $30 per visit $45 per visit Not Covered Ground $50 or Air $100 Ambulance: Ground & Emergency Air $100 per visit (waived if admitted) $150 per visit (waived if admitted) 40%* Urgent Care Facility $50 per visit $50 per visit 40%* Home Health Care/Home I.V. Care (max. 100 visits/year) ** $20 per visit $30 per visit 40%* Hospice Services (lifetime max. $10,000; includes up to 7 days of respite care) ** $0 copay $0 copay 40%* Emergency Room Treatment Inpatient Hospital/Facility Services ** (See “Skilled Nursing Facility” for skilled nursing facility admissions. See “Psychotherapeutic Services” for inpatient treatments related to mental health or chemical dependency. See “Transplant Services,” if applicable.) Medical/Surgical and Maternity-Related Room $200 per admission (no charge for $600 per admission (no charge for 40%* and Board and Covered Ancillaries inpatient physician services) inpatient physician services) Psychotherapeutic Services – Inpatient ** 40% Mental Health * $200 per Mental Health admission $600 per Mental Health admission (no Mental Health charge for physician services) (no charge for physician services) 50% Detox * Chemical Dependency, Alcohol/Substance Abuse (up to Rehab - Not Covered 30% Detox; 25% Rehab 30% Detox; 25% Rehab 30 days/year; 60 days/lifetime for rehab) Psychotherapeutic Services – Outpatient ** 40% Mental Health * $30 per Mental Health visit $45 per Mental Health visit Mental Health 50% Detox * Chemical Dependency, Alcohol/Substance Abuse (up to 30% Detox; 25% Rehab 30% Detox; 25% Rehab Rehab – Not Covered 30 visits/year; 60 visits/lifetime for rehab) UNMhosp_ExtendedNet_080105 Customer Service: (800) 423-1630 3 UNM Hospitals Extended Network Plan Benefits Member’s Share of Covered Charges Standard Network $0 copay $0 copay Extended Network $100 facility copay $0 copay Out-of-Network 40%* 40%* Infertility Services, including drugs and injections (lifetime max. of 12 attempts per employee/spouse) ** 50% 50% Not Covered Lab, X-Ray, PET Scans ** and Other Diagnostic Tests Magnetic Resonance Imaging (MRI) $0 $100 copay $0 $250 copay 40%* 40%* 20% 20% 40%* $20 PCP visit $30 Specialist visit $30 PCP visit $45 Specialist visit Not Covered Surgery (Outpatient/Ambulatory Surgical Center) Skilled Nursing Facility (max. 60 days/lifetime) ** Medical Supplies, Durable Medical Equipment, Prosthetics, Orthotics ** Smoking/Tobacco Cessation Counseling (90 minutes total or 2 group sessions per calendar year) Therapy, Outpatient Treatment Facility: No charge No charge 40%* Chemotherapy, Radiation, Inhalation Therapy 20% 20% Dialysis Transplant Services ** (Must be received at a facility that contracts with a Standard or Extended Network provider for the transplant being received, including a facility in the national transplant network.) Cornea, Kidney, and Bone Marrow, Heart, HeartLung, Liver, Lung, and Pancreas-Kidney (Max. two transplants per lifetime. Max. $5000 per transplant for lodging and meal expenses and $5000 per transplant for travel expenses.) Usual copays based on place of treatment and type of service Not Covered Prescription Drugs, Insulin, Diabetic Supplies, Enteral Nutritional Products, Special Medical Foods, & Smoking/Tobacco Cessation (Lesser of a 30-day supply, 120-unit dosage, or standard trade package) Note: Deductible does not apply and copayments are not applied to the out-of-pocket limit nor waived once the limit is met. Certain drugs, nutritional products/special medical foods, and certain injectable medications require prior approval. Covered drugs and other items must be purchased at a pharmacy that participates in the Retail Pharmacy or Mail Order Service programs. (HMONM has contracted with a separate program for administration of the prescription drug benefits.) Generic Drug Brand – Formulary Drug Non-Formulary Drug Specialty Medications (May require prior authorization) Mail Order (Lesser of 90-day supply, 360 units, or three standard trade packages for two copays) Nonprescription enteral nutritional products and special medical foods (prior authorization required) $10 $30 $50 20% or $250 whichever is less $20/$60/$100 20% * Member’s share of out-of-network covered services after deductible is met. Member also pays difference between the covered charge, as determined by the Claims Administrator, and the provider’s billed charge. ** These services require prior authorization from HMONM (or Mesa Mental Health) or benefits wll be reduced or denied. See a benefit booklet for full limitations and requirements. Note: Extended Network Plan members have access to the entire HMONM statewide network, subject to normal plan provisions (prior authorization requirements, etc.). However, by using providers affiliated with the Standard Network, you may have lower out-of-pocket expenses. You do not need a PCP referral in order to receive benefits at the Extended Network or Standard Network level of coverage. You may visit any Standard Network provider and receive Standard Network benefits for covered services. If you choose to visit a provider who is not a member of the Standard Network, but is a member of the HMONM Network (Extended Network), you will receive Extended Network benefits for covered services. If you choose a provider that belongs to neither network, you will receive Out-of-Network benefits for covered services. However, you will have to first meet a deductible and pay a percentage of covered charges (some exceptions, such as for emergency care are explained in the member’s benefit booklet). Out-of-network providers may bill you for amounts that are over the covered charge. This amount can sometimes be significant, and is not applied to your out-of-pocket limit. Also, some benefits are available only if received from Network (either Extended or Standard) providers. Note: BCBSNM and HMONM provide administrative claims payment services only and does not assume any financial risk or obligation with respect to claims, except as may be specified in the Administrative Services Agreement. BCBSNM is a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association. 4 Customer Service: (800) 423-1630 UNM_ExtendedNet_080105 Presbyterian Healthcare Services & Presbyterian Medical Group In-Network Acces Zip Codes Listing Zip codes for members living outside Bernalillo, Sandoval, Valencia and Torrance counties are listed here. The PHS and PMG providers will continue to be considered in-network for specialty care. Catron 87820 87821 87824 87827 87829 87830 88039 Chaves 88201 88202 88203 88230 88232 88253 Cibola 87005 87007 87014 87020 87021 87026 87034 87038 87040 87049 87051 87315 87357 Doña Ana 87936 87937 87940 87941 88001 88002 88003 88004 88005 88006 88008 88009 88011 88012 88021 88024 88027 88032 88033 88044 88046 88047 88048 88052 88054 88058 88063 88072 88081 Eddy 87710 87714 87718 87728 87729 87740 87747 87749 88210 88211 88220 88221 88250 88254 88255 88256 88263 88268 Curry Grant 88101 88102 88103 88112 88120 88124 88133 88135 88022 88023 88025 88026 88028 88034 88036 88038 88040 88041 88043 88049 88051 88053 Colfax De Baca 88119 88134 88136 July 2005 88055 88061 88062 88065 Guadalupe 87711 87724 88353 88417 88431 88435 Harding 87730 87733 87743 87746 Hidalgo 88020 88045 88056 Lea 88114 88213 88231 88240 88241 88242 88252 88260 88262 88264 88265 88267 Lincoln 88301 88312 88316 88318 88323 88324 88336 88338 88341 88343 88345 88346 88348 88351 88355 Los Alamos 87544 87545 Luna 88029 88030 88031 McKinley 87045 87301 87302 87305 87310 87311 87312 87313 87316 87317 87319 87320 87321 87322 87323 87325 87326 87327 87328 87347 87365 87375 Mora 87712 87713 87715 87722 87723 87732 87734 87735 87736 87750 87752 87753 Otero 88310 88311 88314 88317 88325 88330 88337 88339 88340 88342 88344 88347 88349 88350 88352 88354 Quay 88121 88401 88411 88426 88427 88430 88433 88434 Rio Arriba 87012 87017 87029 87064 87510 87511 87515 87516 87518 87520 87522 87523 87527 87528 87530 87531 87532 87533 87537 87539 87548 87551 87554 87563 87566 87575 87578 87581 87582 Roosevelt 88113 88115 88116 88118 88122 88123 88125 88126 88130 88132 San Juan 87037 87364 87401 87402 87410 87412 87413 87415 87416 87417 87418 87419 87420 87421 87455 87461 87499 San Miguel 87536 87538 87552 87560 87562 87565 87568 87569 87573 87583 87701 87731 87742 87745 88416 88421 88439 88441 Santa Fe 87010 87015 87056 87501 87502 87503 87504 87505 87506 87507 87508 87535 87540 87567 87574 87592 87594 Sierra 87901 87930 87931 87933 87935 87939 87942 87943 88042 Socorro 87011 87028 87062 87801 87823 87825 87828 87831 87832 Taos 87512 87513 87514 87517 87519 87521 87524 87525 87529 87543 87549 87553 87556 87557 87558 87561 87564 87571 87576 87577 87579 87580 Union 88410 88414 88415 88418 88419 88422 88424 88429 88436 88437 5 Extended Network Plan Hospitals and Urgent Care Facilities COLORADO Durango La Plata County Acute Care Hospitals Mercy Medical Center Provider ID #NM00A002 BlueLINK ID: 969544847 375 E. Park Ave., 81301 (970) 247-4311 Fax No. (970) 385-5374 Hospitals and Urgent Care Facilities NEW MEXICO Alamogordo Otero County Acute Care Hospitals Gerald Champion Regional Medical Center Provider ID #NM000001 BlueLINK ID: 969545390 2669 N. Scenic Dr., 88310 (505) 439-6100 Urgent Care Facilities Immediate Care Clinic Provider ID #NM00UCAW BlueLINK ID: 5006947 1410 Aspen Dr., 88310 (505) 437-7000 Albuquerque Bernalillo County If you reside within this county and choose to visit a provider marked with this special symbol "¾", your visit will not be covered. See the introductory section of this directory for more details. Acute Care Children's Hospitals Carrie Tingley Hospital Provider ID #NM000062 BlueLINK ID: 969545520 University Physicians Associates 1127 University NE, 87102 (505) 272-5200 Children's Hospital of New Mexico Provider ID #NM000006 BlueLINK ID: 969545392 University Physicians Associates 2211 Lomas NE, 87106 (505) 272-5437 Acute Care Hospitals Albuquerque Regional Medical Center Provider ID #NM010084 BlueLINK ID: 969545394 formerly known as St. Joseph Medical Center 601 Dr. M. L. King Jr. NE, 87102 (505) 727-8000 Heart Hospital of New Mexico Provider ID #NM000082 BlueLINK ID: 969545431 504 Elm NE, 87102 (505) 242-5600 Fax No. (505) 246-9933 6 Lovelace Medical Center Provider ID #NM000017 5400 Gibson SE, 87108 (505) 262-7000 University Hospital Provider ID #NM000006 BlueLINK ID: 969545392 University Physicians Associates 2211 Lomas NE, 87106 (505) 272-2111 West Mesa Medical Center Provider ID #NM010088 BlueLINK ID: 969545398 formerly known as St. Joseph West Mesa Hospital 10501 Golf Course Rd. NW, 87114 (505) 727-2000 Women's Hospital Provider ID #NM010090 BlueLINK ID: 969545391 4701 Montgomery NE, 87109 (505) 727-7800 Pediatric Urgent Care Center Provider ID #NM00UCBI BlueLINK ID: 6001116 Office Hrs: M-F 4:00 pm-8:00 pm; weekends & holidays: 10:00 am-8:00 pm 4705 Montgomery NE, Ste. 101, 87109 (505) 727-6963 Artesia Eddy County Kindred Hospital Albuquerque Provider ID #NM000081 BlueLINK ID: 969545577 Sub-acute hospital 700 High St. NE, 87102 (505) 242-4444 Rehabilitation Hospital of New Mexico Provider ID #NM01CR51 BlueLINK ID: 969544985 formerly known as St. Joseph Rehabilitation Center 505 Elm St. NE, 87102 (505) 727-4700 Specialty Hospital of Albuquerque Provider ID #NM000095 Long term acute care 235 Elm St. NE, 87102 (505) 842-5550 Fax No. (505) 767-6460 Urgent Care Facilities Lovelace Journal Center Urgent Care Center Provider ID #NM00UCBG BlueLINK ID: 5009775 Office Hours: Mon-Fri: 8:00am8:00pm; weekends & holidays: 8:00am-8:00pm Lovelace Journal Center Health Care Center 5150 Journal Center Blvd. NE, 87109 (505) 262-3233 Fax No. (505) 262-3191 Lovelace Montgomery Urgent Care Center Provider ID #NM00UCBK BlueLINK ID: 6003566 Office Hours: Mon-Fri: 4:00pm8:00pm; weekends & holidays: 8:00am-8:00pm 9101 Montgomery NE, 87111 (505) 275-4259 Española Hospital Provider ID #NM000026 BlueLINK ID: 969545405 Española Multi-Specialty Clinic 1010 Spruce St., 87532 (505) 753-7111 Urgent Care Facilities Artesia General Hospital Provider ID #NM000025 BlueLINK ID: 969545404 702 N. 13th St., 88210 (505) 748-3333 Española Hospital Provider ID #NM00UCAM BlueLINK ID: 969545405 Española Multi-Specialty Clinic Urgent Care Center 1010 Spruce St., 87532 (505) 753-7111 Carlsbad HealthSouth Rehabilitation Hospital Provider ID #NM00CR04 BlueLINK ID: 969545447 7700 Jefferson NE, 87109 (505) 287-4526 Acute Care Hospitals Acute Care Hospitals Eddy County Specialty Hospital Española Rio Arriba County Acute Care Hospitals Carlsbad Medical Center Provider ID #NM000032 BlueLINK ID: 969545410 2430 W. Pierce St., 88220 (505) 887-6633 Clayton Union County Acute Care Hospitals Union County General Hospital Provider ID #NM000080 BlueLINK ID: 969545430 301 Harding St., 88415 (505) 374-2585 Fax No. (505) 374-8146 Clovis Curry County Acute Care Hospitals Plains Regional Medical Center Provider ID #NM000022 BlueLINK ID: 969545401 2100 N. Martin Luther King, 88101 (505) 769-2141 Urgent Care Facilities New Mexico QuickCare Provider ID #NM00UCAI 2000 W. 21st St., Ste. E3, 88101 (505) 769-2533 Fax No. (505) 769-1735 Plains Regional Medical Center Provider ID #NM00UCAR BlueLINK ID: 5005609 Urgent Care Center 2100 N. Martin Luther King, 88101 (505) 769-7139 Deming Luna County Acute Care Hospitals Mimbres Memorial Hospital Provider ID #NM000023 BlueLINK ID: 969545402 900 W. Ash St., 88030 (505) 546-2761 See special note Farmington San Juan County Specialty Hospital San Juan Regional Rehabilitation Hospital Provider ID #NM00CR05 525 Schwartz Ave., 87401 (505) 327-3422 Urgent Care Facilities Reliance Medical Group Provider ID #NM007E07 511 E. 20th St., 87401 (505) 566-1915 SJRMC Urgent Care Provider ID #NM00UCAL BlueLINK ID: 5005741 4820 E. Main St., 87402 (505) 326-0459 Gallup McKinley County Acute Care Hospitals Rehoboth McKinley Hospital Provider ID #NM000H16 BlueLINK ID: 969545397 1901 Red Rock Dr., 87301 (505) 863-7000 Grants Cibola County Acute Care Hospitals Cibola General Hospital Provider ID #NM000072 BlueLINK ID: 969545426 1016 E. Roosevelt Ave., 87020 (505) 287-4446 Hobbs Lea County Acute Care Hospitals Lea Regional Medical Center Provider ID #NM000079 BlueLINK ID: 969545429 5419 N. Lovington Hwy., 88240 (505) 492-5000 July 2005 Hospitals and Urgent Care Facilities El Paso Las Cruces Los Lunas Roswell Doña Ana County Valencia County Chaves County Acute Care Hospitals Memorial Medical Center Provider ID #NM000096 BlueLINK ID: 969545411 2450 S. Telshor Blvd., 88011 (505) 532-4480 Mountainview Regional Medical Center Provider ID #NM000083 4311 E. Lohman Ave., 88011 (505) 556-7600 Fax No. (505) 522-3891 Mountainview Regional Medical Center - Rehab Provider ID #NM00CR31 Inpatient rehabilitation 4311 E. Lohman Ave., 88011 (505) 556-7600 Urgent Care Facilities First Care Clinic Provider ID #NM00UCBC BlueLINK ID: 5009125 3530 Foothills, Ste. N, 88011 (505) 532-6054 Fax No. (505) 532-0215 New Mexico QuickCare Provider ID #NM00UCAI 530 N. Telshor Blvd., 88005 (505) 532-2004 Las Vegas San Miguel County Acute Care Hospitals Alta Vista Regional Hospital Provider ID #NM000068 BlueLINK ID: 969545424 104 Legion Dr., 87701 (505) 426-3500 Fax No. (505) 425-2010 Urgent Care Facilities Las Vegas StatCare, Inc. Provider ID #NM007E01 1622 7th St., 87701 (505) 425-6283 Fax No. (505) 425-7196 New Mexico QuickCare Provider ID #NM00UCAI 105 Mills Ave., Ste. 200, 87701 (505) 454-1109 Los Alamos Los Alamos County Acute Care Hospitals Los Alamos Medical Center Provider ID #NM010040 BlueLINK ID: 969545413 3917 West Rd., 87544 (505) 662-4201 July 2005 Acute Care Hospitals Eastern NM Medical Center Provider ID #NM000049 BlueLINK ID: 969545416 405 W. Country Club Rd., 88201 (505) 622-8170 Urgent Care Facilities Ruidoso New Mexico QuickCare Provider ID #NM00UCAI 1400 Main St., Ste. M, 87031 (505) 866-1692 Fax No. (505) 565-8199 Lincoln County Acute Care Hospitals Lincoln County Medical Center Provider ID #NM000052 BlueLINK ID: 969545417 211 Sudderth Dr., 88345 (505) 257-7381 Lovington Lea County Acute Care Hospitals Santa Fe Nor-Lea General Hospital Provider ID #NM000024 BlueLINK ID: 969545403 1600 N. Main, 88260 (505) 396-6611 Santa Fe County Acute Care Hospitals St. Vincent Hospital Provider ID #NM000054 BlueLINK ID: 969545419 455 St. Michaels Dr., 87505 (505) 983-3361 Portales Roosevelt County Acute Care Hospitals Roosevelt General Hospital Provider ID #NM000077 BlueLINK ID: 969550460 42121 US 70, 88130 (505) 359-1800 Fax No. (505) 356-9200 Raton Colfax County Acute Care Hospitals Miners Colfax Medical Center Provider ID #NM000020 BlueLINK ID: 969545399 200 Hospital Dr., 87740 (505) 445-2741 Rio Rancho Sandoval County If you reside within this county and choose to visit a provider marked with this special symbol "¾", your visit will not be covered. See the introductory section of this directory for more details. Urgent Care Facilities Lovelace Rio Rancho Urgent Care Center Provider ID #NM00UCBH BlueLINK ID: 6001385 3801 Southern Blvd., 87124 (505) 262-3233 Urgent Care Facilities Ultimed Provider ID #NM00UCBJ BlueLINK ID: 6002828 707 Paseo de Peralta, 87501 (505) 989-8707 Fax No. (505) 737-5181 Urgent Care Santa Fe Provider ID #NM00UCAV BlueLINK ID: 5005444 2801 Rodeo Rd., Ste. B13, 87507 (505) 474-0120 Fax No. (505) 474-3279 Santa Rosa Guadalupe County Acute Care Hospitals Guadalupe County Hospital Provider ID #NM000027 BlueLINK ID: 969545406 535 Lake Dr., 88435 (505) 472-3417 Fax No. (505) 472-3417 Silver City Grant County Acute Care Hospitals Gila Regional Medical Center Provider ID #NM000057 BlueLINK ID: 969545420 1313 E. 32nd St., 88061 (505) 538-4000 See special note After Hours Family Healthcare Provider ID #NM00UCAX BlueLINK ID: 5005700 1600 E. 32nd St., 88061 (505) 538-2981 Fax No. (505) 538-2824 Family Urgent Care Provider ID #NM00UCBB BlueLINK ID: 5008264 3202 Ridge Lp., 88061 (505) 388-5444 Fax No. (505) 388-5336 Socorro Socorro County Acute Care Hospitals Hospitals and Urgent Care Facilities Specialty Hospital If you reside within this county and choose to visit a provider marked with this special symbol "¾", your visit will not be covered. See the introductory section of this directory for more details. Urgent Care Facilities Socorro General Hospital Provider ID #NM000069 BlueLINK ID: 969545425 1202 Hwy. 60 West, 87801 (505) 835-1140 Taos Taos County Acute Care Hospitals Holy Cross Hospital Provider ID #NM000076 BlueLINK ID: 969545427 Taos Community Healthplan 1397 Weimer Rd., 87571 (505) 758-8883 Truth or Consequences Sierra County Acute Care Hospitals Sierra Vista Hospital, Inc. Provider ID #NM000063 BlueLINK ID: 969545422 800 E. 9th Ave., 87901 (505) 894-2111 Tucumcari Quay County Acute Care Hospitals Dan C. Trigg Memorial Hospital Provider ID #NM000064 BlueLINK ID: 969545423 301 E. Miel de Luna, 88401 (505) 461-0141 TEXAS El Paso El Paso County Specialty Hospital SCCI Hospital - El Paso Provider ID #NM000085 1740 Curie Dr., 79902 (915) 351-9044 Fax No. (915) 351-9066 7 Extended Network Plan Primary Care Physicians (PCPs) Physicians are professionals who have either an MD or DO degree and are licensed to practice medicine. PCPs focus on the "whole person" and help you coordinate your health care, including referrals. PCPs include General Practitioners (doctors who are licensed, but do not have residency training), as well as physicians who have had residency training in these medical specialties: Family Practice, Internal Medicine, and Pediatrics. Additionally, some Obstetrician/ Gynecologists choose to serve as PCPs for their women patients. COLORADO Cortez Montezuma County Family Practice Barkhurst, Hope K., MD Provider ID #NM009P29 BlueLINK ID: 4130608 Southwest Healthnet 2095 N. Dolores Rd., 81321 (970) 564-8086 Fax No. (970) 564-8087 Primary Care Physicians (PCPs) Bloink, Steven W., MD Provider ID #NM00YP62 BlueLINK ID: 2178449 118 N. Chesnut St., 81321 (970) 565-5463 Fax No. (970) 564-9245 Fury, Dianna L., MD Provider ID #NM009L99 BlueLINK ID: 3308420 Cortez Medical Clinic, Inc. 33 N. Elm St., 81321 (970) 565-8556 Fax No. (970) 564-1134 Johnson, Carolyn J., MD Provider ID #NM013292 BlueLINK ID: 3143181 1413 N. Mildred Rd., 81321 (970) 565-4436 Fax No. (970) 565-2007 Internal Medicine Demby, Karla J., MD Provider ID #NM009P19 BlueLINK ID: 3242968 Southwest Internal Medicine 111 N. Park St., 81321 (970) 564-8730 Fax No. (970) 565-5430 Lippard, Tracy E., MD Provider ID #NM009T60 BlueLINK ID: 4238661 Southwest Internal Medicine 111 N. Park St., 81321 (970) 546-8730 Fax No. (970) 565-5430 Page, Robin E., MD Provider ID #NM009P14 BlueLINK ID: 4245275 Southwest Internal Medicine 111 N. Park St., 81321 (970) 564-8730 Fax No. (970) 565-5430 Pyle, Blair W., MD Provider ID #NM00I958 BlueLINK ID: 3124510 1011 N. Mildred Rd., 81321 (970) 565-0813 Fax No. (970) 565-3940 8 Obstetrics/Gynecology Barkhurst, Hope K., MD Provider ID #NM009P29 BlueLINK ID: 4130608 Southwest Healthnet 2095 N. Dolores Rd., 81321 (970) 564-8086 Fax No. (970) 564-8087 Fury, Dianna L., MD Provider ID #NM009L99 BlueLINK ID: 3308420 Cortez Medical Clinic, Inc. 33 N. Elm St., 81321 (970) 565-8556 Fax No. (970) 564-1134 Durango La Plata County Family Practice Casias, Luke J., MD Provider ID #NM009P37 BlueLINK ID: 6003586 Durango Primary Care 375 E. Park Ave., Ste. 103, 81301 (970) 247-2611 Fax No. (970) 259-4091 Cristol, Marjorie J., MD Provider ID #NM00X750 BlueLINK ID: 3327099 Durango Primary Care 375 E. Park Ave., 81301 (970) 247-2611 Davidson, Adelia Marie, MD Provider ID #NM00YH71 BlueLINK ID: 3223625 SW Women's Health Associates 575 Rivergate Ln., Ste. 210, 81301 (970) 247-0042 Fax No. (970) 259-8837 Jackson, Alison W., MD Provider ID #NM01YV84 BlueLINK ID: 4147124 Durango Family Medicine 1800 E. Third Ave., Ste. 109, 81301 (970) 385-9850 Fax No. (970) 385-9854 Kearney, Patrick J., MD Provider ID #NM009J90 BlueLINK ID: 3124964 Durango Family Medicine 1800 E. Third Ave., Ste. 109, 81301 (970) 385-9850 Fax No. (970) 385-9854 Lavengood, John S., MD Provider ID #NM019A22 BlueLINK ID: 3223297 Durango Family Medicine 1800 E. Third Ave., Ste. 109, 81301 (970) 385-9850 Fax No. (970) 385-9854 Lewis, Megan E., MD Provider ID #NM019765 BlueLINK ID: 4170845 Durango Primary Care 375 E. Park Ave., Ste. 103, 81301 (970) 247-2611 Fax No. (970) 259-4091 Maxted, George H., MD Provider ID #NM009753 BlueLINK ID: 4243729 Durango Primary Care 375 E. Park Ave., Ste. 103, 81301 (970) 247-2611 Murphy, Joseph M., MD Provider ID #NM01XU20 BlueLINK ID: 3184546 Durango Family Medicine 1800 E. Third Ave., Ste. 109, 81301 (970) 385-9850 Fax No. (970) 385-9854 Ochsner, Frederick O., MD Provider ID #NM00XU80 BlueLINK ID: 3260277 Durango Primary Care 375 E. Park Ave., 81301 (970) 247-2611 Palko-Shraa, William, MD Provider ID #NM01E56K BlueLINK ID: 3328041 129 E. 32nd St., 81301 (970) 385-9193 Fax No. (970) 385-9194 Pirnat, Martin P., MD Provider ID #NM009J61 BlueLINK ID: 3223295 Durango Family Medicine 1800 E. Third Ave., Ste. 109, 81301 (970) 385-9850 Fax No. (970) 385-9854 Internal Medicine Cooke, W. Donald, MD Provider ID #NM01XU83 BlueLINK ID: 3103448 Patients over age 13 ES Allergy & Internal Medicine Specialist 3801 N. Main Ave., 81301 (970) 259-0780 Fax No. (970) 382-2620 Obstetrics/Gynecology Lifton, Lloyd, MD Provider ID #NM00E109 BlueLINK ID: 3124431 Gynecology female patients 575 Rivergate Ln., Ste. 207, 81302 (970) 259-0701 Fax No. (970) 259-0707 Pediatrics Chaudhuri, Pakhi, MD Provider ID #NM009T05 BlueLINK ID: 6003957 Patients birth to 18 years ES 1199 Main Ave., Ste. 205, 81301 (970) 259-7337 Fax No. (970) 259-7366 Fraley, Martha C., MD Provider ID #NM009J91 BlueLINK ID: 3384762 Pediatric females ages 12-21 Southwest Childrens Health Clinic 1810 E. 3rd Ave., Ste. 101, 81301 (970) 247-4567 Fax No. (970) 259-4091 See special note See last page for Provider Language Codes legend Huffman, Brenda L., MD Provider ID #NM009742 BlueLINK ID: 3271947 ES SW Childrens Health Clinic 1810 E. 3rd Ave., Ste. 101, 81301 (970) 247-4567 Fax No. (970) 582-1051 Hutt, P. Jesse, MD Provider ID #NM00YJ77 BlueLINK ID: 3341962 ES SW Childrens Health Clinic 1810 E. 3rd Ave., Ste. 101, 81301 (970) 247-4567 McGrath, Robert L., MD Provider ID #NM00W998 BlueLINK ID: 3223260 SW Childrens Health Clinic 1810 E. 3rd Ave., Ste. 101, 81301 (970) 247-4567 Miller, Kelly L., MD Provider ID #NM009A49 BlueLINK ID: 4262885 ES SW Childrens Health Clinic 1810 E. 3rd Ave., Ste. 101, 81301 (970) 247-4567 Fax No. (970) 582-1051 Zemach, Arthur M., MD Provider ID #NM00YJ76 BlueLINK ID: 4153036 FR SW Childrens Health Clinic 1810 E. 3rd Ave., Ste. 101, 81301 (970) 247-4567 Pagosa Springs Archuleta County Family Practice Piccaro, John C., MD Provider ID #NM009F33 BlueLINK ID: 3386556 ES Pagosa Springs Family Medicine 75 S. Pagosa Blvd., 81147 (970) 731-4131 Fax No. (970) 731-9384 Pruitt, James C., III, MD Provider ID #NM00Y342 BlueLINK ID: 3124142 ES Pagosa Springs Family Medicine 75 S. Pagosa Blvd., 81147 (970) 731-4131 Fax No. (970) 731-9384 Weinpahl, Mark, MD Provider ID #NM009J54 BlueLINK ID: 3184565 Pagosa Springs Family Medical Center 75 S. Pagosa Blvd., 81147 (970) 731-4131 Fax No. (970) 731-9384 July 2005 Primary Care Physicians (PCPs) Internal Medicine Polczynski, Evette S., MD Provider ID #NM009P01 BlueLINK ID: 4283260 Pagosa Springs Family Medical Center 75 S. Pagosa Blvd., 81147 (970) 731-4131 Fax No. (970) 731-9384 Trinidad Las Animas County Family Practice Fabec, Sally, MD Provider ID #NM00J864 BlueLINK ID: 3204703 328 Bonaventure, Ste. 5, 81082 (719) 846-4433 Fax No. (719) 846-4434 Jimenez, Joseph P., MD Provider ID #NM009P64 BlueLINK ID: 3124753 ES SV St. Vincent's Primary Care, LLC 400 Benedicta Ave., Ste. A, 81082 (719) 846-2206 Fax No. (719) 846-7823 Internal Medicine NEW MEXICO Abiquiu Rio Arriba County Family Practice Singleton, Tamara A., MD Provider ID #NM009330 BlueLINK ID: 4120085 ES Las Clinicas del Norte State Hwy. 84, Ste. 185, 87510 (505) 685-4479 Fax No. (505) 685-4532 Internal Medicine Rojas, Rogelio E., MD Provider ID #NM009330 BlueLINK ID: 4241538 ES Las Clinicas del Norte State Hwy. 84, Ste. 185, 87510 (505) 685-4479 Fax No. (505) 685-4532 Alamogordo Otero County Family Practice Afridi, Zahid H., MD Provider ID #NM009N53 BlueLINK ID: 4308803 ES UR HI Ben Archer Health Center 1501 E. 10th St., 88310 (505) 443-8133 Fax No. (505) 443-8055 July 2005 Baker, Brad R., MD Provider ID #NM009K33 BlueLINK ID: 3203417 Alamogordo Clinic, Ltd. 1410 Aspen Dr., 88310 (505) 437-7000 Singh, Jagdev I., MD Provider ID #NM002584 BlueLINK ID: 3209298 1909 Cuba Ave., 88310 (505) 437-1900 Fax No. (505) 437-3322 Banikarim, Kay, MD Provider ID #NM004370 BlueLINK ID: 4203145 Dan Moezzi, MD, PC 2814 Indian Wells Rd., 88310 (505) 443-0339 Fax No. (505) 434-5624 Thomas, Floyd O., MD Provider ID #NM009N51 BlueLINK ID: 3135995 Alamogordo Clinic, Ltd. 1410 Aspen Dr., 88310 (505) 437-7000 Bankston, Chandi D., DO Provider ID #NM014B53 BlueLINK ID: 5007566 923 9th St., Ste. A, 88310 (505) 437-5716 Draluck, Debra L., MD Provider ID #NM009N06 BlueLINK ID: 4249148 ES Ben Archer Health Center 1501 E. 10th St., 88310 (505) 443-8133 Fax No. (505) 443-8055 Grummert, Sandra E., MD Provider ID #NM009224 BlueLINK ID: 2399581 Established patients only Alamogordo Clinic, Ltd. 1410 Aspen Dr., 88310 (505) 443-8339 Heredia, Gilberto, MD Provider ID #NM009956 BlueLINK ID: 4170479 White Sands Family Practice Clinic 2010 Pecan Dr., 88310 (505) 434-9737 Jones, John R., MD Provider ID #NM009965 BlueLINK ID: 3124754 Alamogordo Family Practice 1909 Cuba Ave., Ste. 4, 88310 (505) 443-6262 Fax No. (505) 443-0672 Jun, Sungho, MD Provider ID #NM001201 BlueLINK ID: 4140577 2559 Medical Dr., Ste. B, 88310 (505) 437-8828 Fax No. (505) 437-4122 Lugo, Fernando, DO Provider ID #NM004B69 BlueLINK ID: 4271532 Osteopathic manipulation ES Ben Archer Health Center 1501 E. 10th St., 88310 (505) 443-8133 Fax No. (505) 443-8055 Martinez, Enrique, MD Provider ID #NM001726 BlueLINK ID: 3135814 ES Ben Archer Health Center 1501 E. 10th St., 88310 (505) 443-8133 Fax No. (505) 443-8055 Moezzi, Dan, MD Provider ID #NM004493 BlueLINK ID: 4117564 2814 Indian Wells Rd., 88310 (505) 443-0339 Paul, Allan L., MD Provider ID #NM002112 BlueLINK ID: 3209304 2559 Medical Dr., Ste. E, 88310 (505) 437-5595 Fax No. (505) 437-1330 Walcher, Joe B., II, MD Provider ID #NM000381 BlueLINK ID: 3143345 Alamogordo Clinic 1211 8th St., Ste. C, 88310 (505) 437-7979 Internal Medicine Abood, Ferial M., MD Provider ID #NM019809 BlueLINK ID: 4254743 Internal Medicine Specialists of Alamogordo 2559 Medical Dr., Ste. C, 88310 (505) 443-0323 Fax No. (505) 443-1818 Aday, D. Brent, MD Provider ID #NM002005 BlueLINK ID: 3214218 ES Alamogordo Clinic, Ltd. 1410 Aspen Dr., Ste. B, 88310 (505) 437-7000 Obstetrics/Gynecology Centenera, Leandro X., MD Provider ID #NM009N50 BlueLINK ID: 4314683 ES Women's Health Center 2559 Medical Dr., Ste. D, 88310 (505) 434-2229 Draluck, Debra L., MD Provider ID #NM009N06 BlueLINK ID: 4249148 ES Ben Archer Health Center 1501 E. 10th St., 88310 (505) 443-8133 Fax No. (505) 443-8055 Wenrich, Steven L., DO Provider ID #NM004092 BlueLINK ID: 3312657 Women's Health Center 2559 Medical Dr., Ste. D, 88310 (505) 434-2229 Fax No. (505) 439-5705 Pediatrics Dennig, Dieter W., MD Provider ID #NM004371 BlueLINK ID: 4210324 Critical care patients under age 18 Sierra Medicine & Pediatrics 50 High Sierra Dr., 88310 (505) 439-9845 Alqassem, Nasser J., MD Provider ID #NM009D30 BlueLINK ID: 4199401 Internal Medicine Associates of NM 1101 9th St., Ste. A, 88310 (505) 437-8411 Starr, Larry D., MD Provider ID #NM012678 BlueLINK ID: 2398111 Alamogordo Pediatric Associates 2559 Medical Dr., Ste. A, 88310 (505) 434-1500 Fax No. (505) 434-1680 Anireddy, Giridhar R., MD Provider ID #NM009B45 BlueLINK ID: 4182403 Alamogordo Internal Medicine 1212 9th St., Ste. C, 88310 (505) 434-2965 Fax No. (505) 439-8254 Starr, Nancy J., MD Provider ID #NM012682 BlueLINK ID: 5003490 Alamogordo Pediatric Associates 2559 Medical Dr., Ste. A, 88310 (505) 434-1500 Fax No. (505) 434-1680 Ashdown, Franklin D., MD Provider ID #NM000161 BlueLINK ID: 2397769 1301 Cuba Ave., 88310 (505) 437-4586 Austin, Arthur W., MD Provider ID #NM000166 BlueLINK ID: 3135482 Established patients only 1101 9th St., Ste. B, 88310 (505) 434-4955 Draney, Donald F., MD Provider ID #NM000759 BlueLINK ID: 2397725 Established patients only ES 1101 9th St., Ste. A, 88310 (505) 437-8411 Fellers, Neal H., MD Provider ID #NM009N55 BlueLINK ID: 3124216 2559 Medical Dr., Ste. D, 88310 (505) 443-0323 Hanumandla, Sarojana, MD Provider ID #NM009B44 BlueLINK ID: 4160636 Alamogordo Internal Medicine 1212 9th St., Ste. C, 88310 (505) 434-2965 Fax No. (505) 439-8254 See special note See last page for Provider Language Codes legend Primary Care Physicians (PCPs) Papari, Victor G., MD Provider ID #NM009A09 BlueLINK ID: 4189667 FR RO 328 Bonaventure, Ste. 5, 81082 (719) 846-4433 Fax No. (719) 846-8350 Albuquerque Albuquerque Bernalillo County Family Practice Bachofer, Sally, MD Provider ID #NM004780 BlueLINK ID: 3135483 Established patients only University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1734 Bair, R. Dean, DO Provider ID #NM014047 BlueLINK ID: 3143023 ES Albuquerque Family & Sports Medicine 101 Hospital Lp. NE, Ste. 209, 87109 (505) 872-8727 Barnett, Angela L., MD Provider ID #NM009M58 BlueLINK ID: 4135097 3924 Carlisle NE, 87107 (505) 855-5545 Fax No. (505) 855-5541 9 Albuquerque Bath, Barbara J., MD Provider ID #NM012751 BlueLINK ID: 3209043 ES First Choice Community Healthcare Alameda Clinic 7704 2nd St. NW, Ste. A, 87107 (505) 890-1458 Fax No. (505) 890-1599 Brown, Scott, MD Provider ID #NM003683 BlueLINK ID: 3214210 Established patients only University Physicians Associates UNM Dept. of Family & Community Medicine 7801 Academy NE, 87109 (505) 272-2700 Beeson, Debra A., MD Provider ID #NM029915 BlueLINK ID: 3222756 Lovelace Sandia Health Systems Carlisle Family Medicine 3901 Carlisle NE, 87107 (505) 888-8500 Burke, Kathleen, MD Provider ID #NM009U75 BlueLINK ID: 3143063 Developmental disabilities University Physicians Associates UNM Dept. of Pediatrics 2400 Tucker NE, 87106 (505) 272-5158 Bello, Damian R., MD Provider ID #NM009R66 BlueLINK ID: 4204997 ES First Choice Community Healthcare Alamosa Clinic 6900 Gonzales Rd. SW, Ste. I, 87121 (505) 831-2534 Fax No. (505) 831-4123 Berry, Lee Anne, MD Provider ID #NM009567 BlueLINK ID: 3178801 Health Choices Unlimited 4801 McMahon Blvd. NW, Ste. 110, 87114 (505) 892-4411 Fax No. (505) 792-0595 Primary Care Physicians (PCPs) Primary Care Physicians (PCPs) Bocian, Edward S., Jr., MD Provider ID #NM029317 BlueLINK ID: 3252074 Established patients only ES Physicians Group of Sandia Health Systems High Desert Medical Group 5041 Indian School NE, Ste. 400, 87110 (505) 255-3110 Fax No. (505) 255-3667 Bohan, Juliane N., MD Provider ID #NM003876 BlueLINK ID: 3213804 Established patients only University Physicians Associates UNM Dept. of Emergency Medicine 1209 University NE, 87102 (505) 272-4400 Bretton, Elizabeth M., MD Provider ID #NM009H46 BlueLINK ID: 3368495 Established patients only Lovelace Sandia Health Systems Carlisle Family Medicine 3901 Carlisle NE, 87107 (505) 888-8500 Brewer, Richard J., MD Provider ID #NM050374 BlueLINK ID: 3285916 ES Physicians Group of Sandia Health Systems Academy Family Medicine 8080 Academy NE, 87111 (505) 727-3400 Fax No. (505) 727-3444 Brown, David M., MD Provider ID #NM019E25 BlueLINK ID: 3246464 ES Physicians Group of Sandia Health Systems Academy Family Medicine 8080 Academy NE, 87111 (505) 727-3400 Fax No. (505) 727-3444 10 Canfield, Russell L., MD Provider ID #NM009K81 BlueLINK ID: 4238464 3924 Carlisle NE, 87107 (505) 855-5545 Fax No. (505) 855-5541 Carbajal, Patricia, MD Provider ID #NM009D98 BlueLINK ID: 3234974 Lovelace Sandia Health Systems Juan Tabo Family Medicine 2121 Juan Tabo NE, 87112 (505) 237-8800 Carr, Quito Osuna, MD Provider ID #NM014400 BlueLINK ID: 3252082 717 Encino Pl. NE, Ste. 12, 87102 (505) 242-5373 Fax No. (505) 242-1221 Childers, Edward L., DO Provider ID #NM00400E BlueLINK ID: 2399446 Hands on Healthcare 3825 Eubank NE, 87111 (505) 298-8020 Combs, Diane K., MD Provider ID #NM003149 BlueLINK ID: 2149857 FR Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 822-8122 Davis, B. J., DO Provider ID #NM004181 BlueLINK ID: 3215912 DE 3804 Montgomery NE, 87109 (505) 883-8099 Fax No. (505) 883-8060 Derksen, Daniel, MD Provider ID #NM000674 BlueLINK ID: 3212606 Established patients only University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1734 Dodson, William H., MD Provider ID #NM009148 BlueLINK ID: 4116409 Obstetrics care available University Physicians Associates UNM Dept. of Family & Community Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-2900 Erickson, Stephen J., MD Provider ID #NM020823 BlueLINK ID: 3252076 ES 4824 McMahon Blvd. NW, Ste. 115, 87114 (505) 792-2815 Fax No. (505) 792-2815 Evanko, Mark A., DO Provider ID #NM034184 BlueLINK ID: 3215926 ES Physicians Group of Sandia Health Systems Old Town Family Medicine 1806 Lomas Blvd. NW, 87104 (505) 727-3200 Fax No. (505) 727-3505 Ferguson, Bruce G., MD Provider ID #NM003047 BlueLINK ID: 3213798 1101 Medical Arts NE, Ste. 4B, 87102 (505) 242-1700 Fax No. (505) 242-1901 Finley, Margaret R., MD Provider ID #NM004854 BlueLINK ID: 4197806 Established patients over age 65 University Physicians Associates UNM Dept. of Family & Community Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-1754 Fitzpatrick, Anne A., MD Provider ID #NM009R75 BlueLINK ID: 2397764 ES First Choice Community Healthcare 2001 N. Centro Familiar SW, 87105 (505) 873-7400 Fax No. (505) 877-4400 Fitzpatrick, Anne A., MD Provider ID #NM009H55 BlueLINK ID: 2397764 Established patients only Lovelace Sandia Health Systems 5400 Gibson SE, 87108 (505) 262-7000 Galarza-Rios, Ximena, MD Provider ID #NM009M38 BlueLINK ID: 6003001 Lovelace Sandia Health Systems Westside Family Medicine 2929 Coors Blvd. NW, 87120 (505) 839-2300 Galbreth, Jarrett L., MD Provider ID #NM001015 BlueLINK ID: 3135643 Established patients only ES 1510 San Carlos SW, 87104 (505) 842-0720 Fax No. (505) 242-9046 Garcia de Ortega, Cecilia, MD Provider ID #NM009629 BlueLINK ID: 3214216 ES First Choice Community Healthcare South Valley Clinic 2001 N. Centro Familiar SW, 87105 (505) 873-7400 Fax No. (505) 873-7473 Ghuneim, Ghassan M., MD Provider ID #NM009U38 BlueLINK ID: 4240397 University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1740 Gieri, Val Albert, MD Provider ID #NM040911 BlueLINK ID: 4108135 IT Physicians Group of Sandia Health Systems Academy Family Medicine 8080 Academy NE, 87111 (505) 727-3400 Fax No. (505) 727-3444 See special note See last page for Provider Language Codes legend Gopman, Sarah B., MD Provider ID #NM009M34 BlueLINK ID: 6002973 ES First Choice Community Healthcare South Valley Clinic 2001 N. Centro Familiar SW, 87105 (505) 873-7400 Fax No. (505) 873-7473 Goshy, Marianne, MD Provider ID #NM031052 BlueLINK ID: 3135663 Lovelace Sandia Health Systems Tramway Family Medicine 13701 Encantado Rd. NE, 87123 (505) 237-8700 Grebosky, James M., MD Provider ID #NM009M71 BlueLINK ID: 3343137 University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1734 Greenberg, Jack J., MD Provider ID #NM009H22 BlueLINK ID: 3246474 Lovelace Sandia Health Systems Juan Tabo Family Medicine 2121 Juan Tabo NE, 87112 (505) 237-8800 Grenemyer, Timothy J., DO Provider ID #NM044023 BlueLINK ID: 3333780 ES Physicians Group of Sandia Health Systems Juan Tabo Family Medicine 1901 Juan Tabo NE, 87112 (505) 727-4100 Fax No. (505) 727-4107 Gross, Thomas L., MD Provider ID #NM000436 BlueLINK ID: 2390484 Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 822-8122 Guinn, Nancy A., MD Provider ID #NM009H60 BlueLINK ID: 4196685 Established patients only ES 1306 Rio Grande Blvd. NW, 87104 (505) 265-4943 Fax No. (505) 265-4986 Guinn, Nancy A., MD Provider ID #NM009U49 BlueLINK ID: 4196685 ES University Physicians Associates UNM Dept. of Famiy & Community Medicine 2400 Tucker NE, 87106 (505) 272-1740 Guttman, John L., MD Provider ID #NM009H45 BlueLINK ID: 3135683 Lovelace Sandia Health Systems Rio Bravo Family Medicine 200 Rio Bravo SW, 87105 (505) 873-6400 Heffron, Warren A., MD Provider ID #NM001238 BlueLINK ID: 3135700 Established patients only University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1734 July 2005 Primary Care Physicians (PCPs) Hennelly, Michael M., MD Provider ID #NM009R96 BlueLINK ID: 2397828 ES Southwest Medical Associates 6100 Pan Am. Fwy.NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 797-4503 Albuquerque Kaufman, Arthur, MD Provider ID #NM001467 BlueLINK ID: 3143195 Established patients only University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-1734 Kazaras, Alexandra L., MD Provider ID #NM009U52 BlueLINK ID: 4236490 University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1740 Hill-Mathews, Mary, MD Provider ID #NM009K09 BlueLINK ID: 3369358 Lovelace Sandia Health Systems Juan Tabo Family Medicine 2121 Juan Tabo NE, 87112 (505) 237-8800 Kent, Martha J., MD Provider ID #NM009G59 BlueLINK ID: 3135750 Lovelace Sandia Health Systems Journal Center Internal Medicine 5150 Journal Center NE, 87109 (505) 262-3212 Holten, David R., MD Provider ID #NM009G52 BlueLINK ID: 3143168 Established patients only Lovelace Sandia Health Systems Tramway Family Medicine 13701 Encantado Rd. NE, 87123 (505) 237-8700 Kilgore, David B., MD Provider ID #NM009S44 BlueLINK ID: 4307079 ES ZB Rio Grande Family Medicine 717 Encino Pl. NE, Ste. 24, 87102 (505) 224-7400 Fax No. (505) 224-7404 Houle, James P., MD Provider ID #NM009H14 BlueLINK ID: 3143170 Established patients only Lovelace Sandia Health Systems Juan Tabo Family Medicine 2121 Juan Tabo NE, 87112 (505) 237-8800 Kim, Ellen, MD Provider ID #NM009117 BlueLINK ID: 4155811 Established patients only Rio Grande Family Medicine 717 Encino Pl. NE, Ste. 24, 87102 (505) 224-7400 Fax No. (505) 224-7404 Hughes, William J., II, DO Provider ID #NM004A52 BlueLINK ID: 3226882 Lovelace Sandia Health Systems Rio Bravo Family Medicine 200 Rio Bravo SW, 87105 (505) 873-6400 Koenigsberg, Peter, MD Provider ID #NM009H44 BlueLINK ID: 4205843 Lovelace Sandia Health Systems Rio Bravo Family Medicine 200 Rio Bravo SW, 87105 (505) 873-6400 Jacobi, Jay P., MD Provider ID #NM001192 BlueLINK ID: 3161232 FR Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 822-8122 Kulkarni, Bhalachandra, MD Provider ID #NM000401 BlueLINK ID: 2397908 Patients over age 2 ES 12836 Lomas NE, Ste. D, 87112 (505) 298-0230 Jones, Anne, MD Provider ID #NM004789 BlueLINK ID: 4192048 Established patients only; also providing obstetrical care University Physicians Associates UNM Dept. of Family & Community Medicine 7801 Academy NE, 87109 (505) 272-2700 Kassicieh, Samir K., DO Provider ID #NM004323 BlueLINK ID: 3143194 AR 1010 Bridge SW, Ste. A, 87105 (505) 877-0212 Fax No. (505) 877-0139 Kaufman, Aaron B., DO Provider ID #NM00400Q BlueLINK ID: 3143002 No obstetric patients Integrative Medicine Clinic of Albuquerque 8324 Constitution NE, 87110 (505) 256-3648 Fax No. (505) 256-9778 July 2005 Lake, Anna, MD Provider ID #NM004468 BlueLINK ID: 3388934 ES First Choice Community Healthcare South Valley Clinic 2001 N. Centro Familiar SW, 87105 (505) 873-7400 Fax No. (505) 877-4400 Lee, Michelle Yeeting, MD Provider ID #NM009670 BlueLINK ID: 4263316 Established patients over age 65 University Physicians Associates UNM Dept. of Family & Community Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-1754 Leech, David C., DO Provider ID #NM00400N BlueLINK ID: 2396744 101 Hospital Lp. NE, Ste. 114, 87109 (505) 888-7770 Fax No. (505) 830-0846 Leggott, John A., MD Provider ID #NM009E24 BlueLINK ID: 3354779 ES First Choice Community Healthcare Rio Grande Clinic 2300 Arenal Rd. SW, 87105 (505) 873-0220 Leggott, John A., MD Provider ID #NM003675 BlueLINK ID: 3354779 Established patients only University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1734 Lemon, Mary, MD Provider ID #NM003635 BlueLINK ID: 3293594 Established patients only; also providing obstetrical care ES DE University Physicians Associates UNM Dept. of Family & Community Medicine 7801 Academy NE, 87109 (505) 272-2700 Lewis, Randal J., MD Provider ID #NM003030 BlueLINK ID: 3208284 ES Family Physicians of Albuquerque 3825 Eubank NE, Ste. F, 87111 (505) 292-4080 Link, John G., MD Provider ID #NM009L94 BlueLINK ID: 6003279 Established patients only Lovelace Sandia Health Systems Tramway Family Medicine 13701 Encantado Rd. NE, 87123 (505) 237-8700 Fax No. (505) 237-8703 Lopez-Colberg, Isabel, MD Provider ID #NM009H99 BlueLINK ID: 4292179 Lovelace Sandia Health Systems Montgomery Family Medicine 9101 Montgomery NE, 87111 (505) 275-4288 Lovato, Joseph M., MD Provider ID #NM014807 BlueLINK ID: 4181433 ES Geriatrics Associates, PC 5353 Wyoming NE, Ste. 5, 87109 (505) 858-1222 Fax No. (505) 858-1224 Lundblad, Bruce A., DO Provider ID #NM004A53 BlueLINK ID: 3248047 Lovelace Sandia Health Systems Carlisle Family Medicine 3901 Carlisle NE, 87107 (505) 888-8500 Matthews, Preston H., DO Provider ID #NM034351 BlueLINK ID: 3260271 Physicians Group of Sandia Health Systems Juan Tabo Family Medicine 1901 Juan Tabo NE, 87112 (505) 727-4100 Fax No. (505) 727-4107 See special note See last page for Provider Language Codes legend McCabe, Melvina, MD Provider ID #NM001837 BlueLINK ID: 3143234 Patients over age 65 University Physicians Associates UNM Dept. of Family & Community Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-1754 McElrath, Patricia, MD Provider ID #NM009D99 BlueLINK ID: 2282931 Lovelace Sandia Health Systems Tramway Family Medicine 13701 Encantado Rd. NE, 87123 (505) 237-8700 McGrew, Christopher A., MD Provider ID #NM003726 BlueLINK ID: 3253398 Established patients only University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1623 McGrew, Martha, MD Provider ID #NM000230 BlueLINK ID: 3287711 Established patients only; also providing obstetrical care University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1740 Meuli, Christian, MD Provider ID #NM009S13 BlueLINK ID: 2397974 Hands on Health Care, PC 3825 Eubank NE, Ste. C, 87111 (505) 298-8020 Fax No. (505) 292-5006 Primary Care Physicians (PCPs) Hickson, Amy, MD Provider ID #NM009K01 BlueLINK ID: 2180906 Lovelace Sandia Health Systems Rio Bravo Family Medicine 200 Rio Bravo SW, 87105 (505) 873-6400 Leeman, Lawrence M., MD Provider ID #NM004862 BlueLINK ID: 3210733 Established patients only; also providing obstetrical care University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1740 Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates Albuquerque Care Center 239 Elm St. NE, 87102 (505) 242-4116 Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates Integrated Specialty Hospital 239 Elm St. NE, 87102 (505) 842-5550 Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates Ladera Nursing & Rehab Center 5901 Quay Rd. NW, 87120 (505) 836-0023 Fax No. (505) 836-5169 Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates Las Palomas Nursing & Rehab Center 8100 Palomas NE, 87109 (505) 821-4200 Fax No. (505) 822-0234 Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates Mano Care Heights 2216 Lester Dr. NE, 87112 (505) 296-4808 11 Albuquerque Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates Manor Care Camino Vista 7900 Constitution Ave. NE, 87110 (505) 296-5565 Primary Care Physicians (PCPs) Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates Manor Care Sandia 5123 Juan Tabo NE, 87111 (505) 292-3333 Primary Care Physicians (PCPs) Penn, Sandra F., MD Provider ID #NM009S26 BlueLINK ID: 5003537 ES First Choice Community Healthcare South Valley Clinic 2001 N. Centro Familiar SW, 87105 (505) 873-7400 Fax No. (505) 877-4400 Pereira, Oswaldo L.T., MD Provider ID #NM009G58 BlueLINK ID: 3269689 Lovelace Sandia Health Systems Montgomery Family Medicine 9101 Montgomery NE, 87111 (505) 275-4288 Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates Mission Manor 10101 Lagrima de Oro, 87111 (505) 298-1231 Peterson, Dana W., MD Provider ID #NM002195 BlueLINK ID: 2393517 Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 822-8122 Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates Paloma Blanca Health & Rehab 1509 University NE, 87102 (505) 836-0023 Phillips, Karen J., MD Provider ID #NM009E57 BlueLINK ID: 4156196 University Physicians Associates UNM Dept. of Family Practice 2400 Tucker NE, 87106 (505) 272-1734 Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates The Woodmark at Uptown 7201 Prospect Pl. NE, 87110 (505) 881-0120 Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates Valle Norte Caring Center 8820 Horizon Blvd. NE, 87113 (505) 823-1558 Murnik, Mike, MD Provider ID #NM004729 BlueLINK ID: 3337281 Established patients only; also providing obstetrical care University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1734 Ortega, Ricardo J., MD Provider ID #NM009630 BlueLINK ID: 3212632 ES First Choice Community Healthcare South Valley Clinic 2001 N. Centro Familiar SW, 87105 (505) 873-7400 Fax No. (505) 873-7473 Palley, Toby, MD Provider ID #NM003933 BlueLINK ID: 2190033 Established patients only; also providing obstetrical care University Physicians Associates UNM Dept. of Family & Community Medicine 1209 University NE, 87102 (505) 272-4400 Penn, Sandra F., MD Provider ID #NM009S26 BlueLINK ID: 5003537 ES First Choice Community Healthcare South Broadway Clinic 1316 Broadway SE, 87102 (505) 768-5450 Fax No. (505) 842-1185 12 Pickett, Kathrine S., MD Provider ID #NM009864 BlueLINK ID: 4257867 ES Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 797-4503 Rael, Ana-Marie Y., MD Provider ID #NM009H15 BlueLINK ID: 4260439 Lovelace Sandia Health Systems Juan Tabo Family Medicine 2121 Juan Tabo NE, 87112 (505) 237-8800 Ramos, Mary M., MD Provider ID #NM009541 BlueLINK ID: 5007015 ES First Choice Community Healthcare South Broadway Clinic 1316 Broadway SE, 87102 (505) 768-5450 Fax No. (505) 842-1185 Red, M. Carol, MD Provider ID #NM009G56 BlueLINK ID: 4159923 Established patients only Lovelace Sandia Health Systems Montgomery Family Medicine 9101 Montgomery NE, 87111 (505) 275-4288 Robinson, Gwenn S., MD Provider ID #NM002324 BlueLINK ID: 3135912 Established patients only 6100 Pan Am Frwy. NE, Ste. 430, 87109 (505) 821-2985 Robran-Marquez, Darcie L., MD Provider ID #NM009S56 BlueLINK ID: 6003862 Albuquerque Family & Sports Medicine 101 Hospital Lp. NE, Ste. 209, 87109 (505) 872-8727 Fax No. (505) 872-8728 Rodriguez, Carmen R., MD Provider ID #NM009M11 BlueLINK ID: 3214180 ES 124 Alvarado Dr. SE, 87108 (505) 262-6500 Fax No. (505) 262-6400 Romero, Linda, MD Provider ID #NM000231 BlueLINK ID: 3214217 Established patients over age 65 only ES University Physicians Associates Westside Family & Senior Health Center 4808 McMahon Blvd. NW, 87114 (505) 272-6082 Romero-Leggott, Valerie L., MD Provider ID #NM009M78 BlueLINK ID: 4178585 ES First Choice Community Healthcare 2001 N. Centro Familiar SW, 87105 (505) 873-7400 Fax No. (505) 873-7444 Romero-Leggott, Valerie L., MD Provider ID #NM014905 BlueLINK ID: 4178585 University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1740 Rossi, Cynthia L., MD Provider ID #NM014393 BlueLINK ID: 4152689 ES Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Rounds, Roger W., DO Provider ID #NM004447 BlueLINK ID: 3215933 ES Heights Family Medicine Associates 10421 Montgomery Pkwy. NE, 87111 (505) 298-5444 Rounseville, Matthew L., DO Provider ID #NM014451 BlueLINK ID: 2396814 Established patients only ES 3911 4th St. NW, 87107 (505) 345-3672 Fax No. (505) 345-5892 Royson, Margaret W., DO Provider ID #NM014025 BlueLINK ID: 3340225 6100 Pan Am Frwy. NE, Ste. 450, 87109 (505) 823-1805 Fax No. (505) 823-1844 Saavedra, Laura K., MD Provider ID #NM009131 BlueLINK ID: 3336575 Established patients only; offering obstetrics services University Physicians Associates UNM Dept. of Family & Community Medicine 1209 University NE, 87102 (505) 272-4400 Sautter, Ronald E., MD Provider ID #NM019G33 BlueLINK ID: 3194940 Physicians Group of Sandia Health Systems Academy Family Medicine 8080 Academy NE, 87111 (505) 727-3400 Fax No. (505) 727-3444 Sava, Severio J., MD Provider ID #NM003605 BlueLINK ID: 3301200 Established patients only; also providing obstetrical care University Physicians Associates UNM Dept. of Family & Community Medicine 302 San Pablo SE, Ste. B, 87108 (505) 268-5885 See special note See last page for Provider Language Codes legend Schlicht, Melinda, DO Provider ID #NM004732 BlueLINK ID: 4162739 University Physicians Associates UNM Dept. of Family & Community Medicine 1209 University NE, 87102 (505) 272-4400 Seeger, Kerrie, MD Provider ID #NM000232 BlueLINK ID: 3228905 Established patients only University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1734 Sharp, Cleveland J., MD Provider ID #NM009H50 BlueLINK ID: 3247718 Lovelace Sandia Health Systems Carlisle Family Medicine 3901 Carlisle NE, 87107 (505) 888-8500 Shelley, Brian M., MD Provider ID #NM009701 BlueLINK ID: 4238558 Established patients only ES University Physicians Associates UNM Dept. of Family & Community Medicine 2211 Lomas NE, 87106 (505) 272-2700 Snyder, Tiffany M., DO Provider ID #NM004A64 BlueLINK ID: 4294022 University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1722 Solan, Brian, MD Provider ID #NM004735 BlueLINK ID: 3252306 Established patients only; also providing obstetrical care ES University Physicians Associates UNM Dept. of Family & Community Medicine 1209 University NE, 87102 (505) 272-4400 Soto-Hernandez, Anti Nelly, MD Provider ID #NM009L97 BlueLINK ID: 6003305 ES First Choice Community Healthcare North Valley Clinic 1231 Candelaria NW, 87107 (505) 345-3244 Fax No. (505) 344-4056 Soto-Hernandez, Anti Nelly, MD Provider ID #NM009U70 BlueLINK ID: 6003305 ES University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1740 Steichen, Keith, MD Provider ID #NM009G53 BlueLINK ID: 4124908 Lovelace Sandia Health Systems Tramway Family Medicine 13701 Encantado Rd. NE, 87123 (505) 237-8700 Stern, Laura Rifka, MD Provider ID #NM043460 BlueLINK ID: 3351902 ES 2741 Indian School NE, 87106 (505) 255-8682 Fax No. (505) 265-9330 July 2005 Primary Care Physicians (PCPs) Stoltze, David A., MD Provider ID #NM009E32 BlueLINK ID: 2147683 Established patients only University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1740 Strain, Thomas W., MD Provider ID #NM009H43 BlueLINK ID: 3263655 Lovelace Sandia Health Systems Rio Bravo Family Medicine 200 Rio Bravo SW, 87105 (505) 873-6400 Thompson, Lee A., DO Provider ID #NM004146 BlueLINK ID: 3247903 Heights Family Medicine Associates 10421 Montgomery Pkwy. NE, 87111 (505) 298-5444 Tomedi, Angelo, MD Provider ID #NM004713 BlueLINK ID: 2398173 Established patients only University Physicians Associates UNM Dept. of Family & Community Medicine 302 San Pablo SE, Ste. B, 87108 (505) 268-5885 Umland, Berthold E., MD Provider ID #NM002825 BlueLINK ID: 2142334 Established patients only University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1734 Unverzagt, Mark E., MD Provider ID #NM003560 BlueLINK ID: 3320195 Established patients only; obstetrical services offered University Physicians Associates UNM Dept. of Family & Community Medicine 1209 University NE, 87102 (505) 272-4400 Vall-Spinosa, Barbara L., MD Provider ID #NM009S55 BlueLINK ID: 6003861 ES First Choice Community Healthcare Alamosa Clinic 6900 Gonzales Rd. SW, 87131 (505) 831-2534 Fax No. (505) 831-4123 Vall-Spinosa, Barbara L., MD Provider ID #NM009U48 BlueLINK ID: 6003861 ES University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1740 Vasilion, George A., DO Provider ID #NM034557 BlueLINK ID: 3260273 Physicians Group of Sandia Health Systems Juan Tabo Family Medicine 1901 Juan Tabo NE, 87112 (505) 727-4100 Fax No. (505) 727-4107 July 2005 Vega, Matias J., MD Provider ID #NM009U62 BlueLINK ID: 2325747 University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1740 Wagner, Lana K., MD Provider ID #NM009M35 BlueLINK ID: 6002974 First Choice Community Healthcare Alameda Clinic 7704 2nd St. NW, Ste. A, 87107 (505) 890-1458 Fax No. (505) 890-1599 Wagner-Mogle, Carmen M., MD Provider ID #NM009H97 BlueLINK ID: 5010169 Lovelace Sandia Health Systems Westside Family Medicine 2929 Coors Blvd. NW, 87120 (505) 839-2300 Walker, Dennis E., MD Provider ID #NM009H52 BlueLINK ID: 3124650 Lovelace Sandia Health Systems Westside Family Medicine 2929 Coors Blvd. NW, 87120 (505) 839-2300 Williams, Byrch E., MD Provider ID #NM013004 BlueLINK ID: 3136037 University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-2165 Williams, Robert, MD Provider ID #NM004853 BlueLINK ID: 3233343 Established patients only University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1734 Wilterding, James M., MD Provider ID #NM009M95 BlueLINK ID: 4297276 2741 Indian School Rd. NE, 87106 (505) 255-8682 Fax No. (888) 726-8573 Wilterding, James M., MD Provider ID #NM009U66 BlueLINK ID: 4297276 University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1740 Wong, Peter L., MD Provider ID #NM009G57 BlueLINK ID: 4188671 Lovelace Sandia Health Systems Montgomery Family Medicine 9101 Montgomery NE, 87111 (505) 275-4288 General Practice Henderson, William G., MD Provider ID #NM001249 BlueLINK ID: 3215921 Family Medicine 3825 Eubank NE, Ste. A, 87111 (505) 292-8575 McGrew, Martha, MD Provider ID #NM000230 BlueLINK ID: 3287711 Established patients only; also providing obstetrical care University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1740 Pichler, Donald E., MD Provider ID #NM002135 BlueLINK ID: 2254535 Family Physicians of Albuquerque 3825 Eubank NE, Ste. F, 87111 (505) 292-4080 Schneider, James A., MD Provider ID #NM002553 BlueLINK ID: 3143293 ES 1010 Bridge SW, 87105 (505) 873-4258 Fax No. (505) 873-4260 Shiveley, James R., DO Provider ID #NM004475 BlueLINK ID: 3270034 ES 1817 Central Ave. NW, 87104 (505) 243-7839 Fax No. (505) 768-0852 Geriatrics Barnett, Peter, MD Provider ID #NM004770 BlueLINK ID: 3133756 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3830 Bennahum, David, MD Provider ID #NM000285 BlueLINK ID: 3209284 Patients over age 65 University Physicians Associates UNM Dept. of Internal Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-1754 Dani, Roopa Prashant, MD Provider ID #NM009E35 BlueLINK ID: 4268482 University Physicians Associates UNM Dept. of Internal Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-1754 Finley, Margaret R., MD Provider ID #NM004854 BlueLINK ID: 4197806 Established patients over age 65 University Physicians Associates UNM Dept. of Family & Community Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-1754 Forman, Walter, MD Provider ID #NM009147 BlueLINK ID: 2300903 Patients over age 65 University Physicians Associates UNM Dept. of Internal Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-1754 Herman, Carla, MD Provider ID #NM003626 BlueLINK ID: 3276671 Established patients over age 65 University Physicians Associates UNM Dept. of Internal Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-1754 Lee, Michelle Yeeting, MD Provider ID #NM009670 BlueLINK ID: 4263316 Established patients over age 65 University Physicians Associates UNM Dept. of Family & Community Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-1754 See special note See last page for Provider Language Codes legend Merck, Daniel M., MD Provider ID #NM003975 BlueLINK ID: 4127232 Patients over age 18 SW Adult and Geriatric Associates 707 Broadway NE, Ste. 301, 87102 (505) 848-8413 Fax No. (505) 848-8414 Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates Albuquerque Care Center 239 Elm St. NE, 87102 (505) 242-4116 Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates Integrated Specialty Hospital 239 Elm St. NE, 87102 (505) 842-5550 Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates Ladera Nursing & Rehab Center 5901 Quay Rd. NW, 87120 (505) 836-0023 Fax No. (505) 836-5169 Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates Las Palomas Nursing & Rehab Center 8100 Palomas NE, 87109 (505) 821-4200 Fax No. (505) 822-0234 Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates Mano Care Heights 2216 Lester Dr. NE, 87112 (505) 296-4808 Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates Manor Care Camino Vista 7900 Constitution Ave. NE, 87110 (505) 296-5565 Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates Manor Care Sandia 5123 Juan Tabo NE, 87111 (505) 292-3333 Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates Mission Manor 10101 Lagrima de Oro, 87111 (505) 298-1231 Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates Paloma Blanca Health & Rehab 1509 University NE, 87102 (505) 836-0023 13 Primary Care Physicians (PCPs) Tryon, James R., MD Provider ID #NM053344 BlueLINK ID: 2227106 No OB, perinatal or newborn 4705 Montgomery NE, 87109 (505) 884-6742 Fax No. (505) 884-6845 Albuquerque Albuquerque Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates The Woodmark at Uptown 7201 Prospect Pl. NE, 87110 (505) 881-0120 Barnett, Anna, MD Provider ID #NM009K14 BlueLINK ID: 3135488 Established patients only Lovelace Sandia Health Systems Gibson Internal Medicine 5400 Gibson SE, 87108 (505) 262-7110 Chongsiriwatana, Krisna, MD Provider ID #NM000506 BlueLINK ID: 2397654 Established patients only Infectious Diseases & Internal Medicine Assoc. 500 Walter NE, Ste. 104, 87102 (505) 848-3730 Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates Valle Norte Caring Center 8820 Horizon Blvd. NE, 87113 (505) 823-1558 Barnett, Peter, MD Provider ID #NM004770 BlueLINK ID: 3133756 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3830 Comerci, George D., Jr., MD Provider ID #NM004791 BlueLINK ID: 3143804 Established patients only University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3850 Roche, Richard J., MD Provider ID #NM003812 BlueLINK ID: 3222726 Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 822-8122 Rubin, Richard H., MD Provider ID #NM002389 BlueLINK ID: 3254139 Established patients only University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3850 Internal Medicine Primary Care Physicians (PCPs) Primary Care Physicians (PCPs) Adolphe, Allen, MD Provider ID #NM010102 BlueLINK ID: 2378428 Lovelace Sandia Health Systems Gibson Internal Medicine 5400 Gibson SE, 87108 (505) 262-7110 Arndell, Cynthia L., MD Provider ID #NM009C29 BlueLINK ID: 4165328 University Physicians Associates UNM Dept. of Internal Medicine 1209 University NE, 87102 (505) 272-4400 Arora, Madhu, MD Provider ID #NM003668 BlueLINK ID: 3373480 University Physicians Associates UNM Dept. of Internal Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-2900 Baca, John, MD Provider ID #NM010240 BlueLINK ID: 4103335 ES Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 822-8122 Bali, Divya, MD Provider ID #NM019F68 BlueLINK ID: 4102387 Patients in long term care facilities only Geriatrics Associates, PC 5353 Wyoming NE, Ste. 5, 87109 (505) 858-1222 Fax No. (505) 858-1224 Barkoff, Lara, MD Provider ID #NM000482 BlueLINK ID: 4128237 Established patients only FR Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 822-8122 14 Beeley, Peggy Ann, MD Provider ID #NM003526 BlueLINK ID: 3292655 Established patients only University Physicians Associates UNM Dept. of Internal Medicine 1209 University NE, 87102 (505) 272-4400 Bennahum, David, MD Provider ID #NM000285 BlueLINK ID: 3209284 Patients over age 65 University Physicians Associates UNM Dept. of Internal Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-1754 Conlon, Christopher, MD Provider ID #NM009K17 BlueLINK ID: 3337794 Established patients only Lovelace Sandia Health Systems Gibson Internal Medicine 5400 Gibson SE, 87108 (505) 262-7110 Dani, Roopa Prashant, MD Provider ID #NM009E35 BlueLINK ID: 4268482 University Physicians Associates UNM Dept. of Internal Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-1754 Benton, Charles, MD Provider ID #NM009K16 BlueLINK ID: 3135506 Established patients only Lovelace Sandia Health Systems Gibson Internal Medicine 5400 Gibson SE, 87108 (505) 262-7110 Davis, Grace B., MD Provider ID #NM009D81 BlueLINK ID: 3324017 Established patients only Lovelace Sandia Health Systems Journal Center Internal Medicine 5150 Journal Center Blvd. NE, 87109 (505) 262-3210 Bigney, Jessica Broderick, MD Provider ID #NM003664 BlueLINK ID: 3391948 Established patients only University Physicians Associates UNM Dept. of Internal Medicine 1209 University NE, 87102 (505) 272-4400 Dominguez, David C., MD Provider ID #NM003877 BlueLINK ID: 3203502 University Physicians Associates UNM Dept. of Emergency Medicine 1209 University NE, 87102 (505) 272-4400 Bordenave, Kristine K., MD Provider ID #NM019005 BlueLINK ID: 4138138 ES Albuquerque Med PA 4640 Jefferson NE, Ste. B, 87109 (505) 883-1259 Fax No. (505) 883-3020 Email: [email protected] Broyles-Snyder, Julie M., MD Provider ID #NM003954 BlueLINK ID: 3354777 University Physicians Associates UNM Dept. of Internal Medicine 7801 Academy NE, 87109 (505) 272-2700 Bryant, Patricia Lynn, MD Provider ID #NM009353 BlueLINK ID: 3209276 ES Albuquerque Med PA 4640 Jefferson NE, Ste. B, 87109 (505) 883-1259 Fax No. (505) 883-3020 Castiglia, Clare, DO Provider ID #NM02400P BlueLINK ID: 3256070 Established patients only ES Physicians Group of Sandia Health Systems High Desert Medical Group 5041 Indian School NE, Ste. 400, 87110 (505) 255-3110 Fax No. (505) 255-3667 Donnellan, Michael J., MD Provider ID #NM000743 BlueLINK ID: 2397723 ES 200 Oak St. NE, 87106 (505) 242-8607 Fax No. (505) 242-2613 Easter, John E., MD Provider ID #NM000796 BlueLINK ID: 3222740 Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 822-8122 Fancovic, Edward R., MD Provider ID #NM004737 BlueLINK ID: 3132835 Established patients only University Physicians Associates UNM Dept. of Internal Medicine 7801 Academy NE, 87109 (505) 272-2700 Ferraro, Robert T., MD Provider ID #NM003137 BlueLINK ID: 3325679 Established patients only IT SW Endocrinology Associates 4600 Jefferson NE, Ste. A, 87109 (505) 872-1002 Fax No. (505) 888-3708 Finch, Kathy A., MD Provider ID #NM009D75 BlueLINK ID: 3310999 Lovelace Sandia Health Systems Journal Center Internal Medicine 5150 Journal Center Blvd. NE, 87109 (505) 262-3210 See special note See last page for Provider Language Codes legend Fontana, Matthew C., MD Provider ID #NM009C13 BlueLINK ID: 4215559 ES Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 797-4503 Forman, Walter, MD Provider ID #NM009147 BlueLINK ID: 2300903 Patients over age 65 University Physicians Associates UNM Dept. of Internal Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-1754 Fotieo, Dana L., MD Provider ID #NM003667 BlueLINK ID: 3388790 University Physicians Associates UNM Dept. of Internal Medicine 1209 University NE, 87102 (505) 272-4400 Frederick, Mary, MD Provider ID #NM000969 BlueLINK ID: 3261230 ES First Choice Community Healthcare South Broadway Clinic 1316 Broadway SE, 87102 (505) 768-5450 Fax No. (505) 842-1185 Frederick, Mary, MD Provider ID #NM009U58 BlueLINK ID: 3261230 ES University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-5062 Ganga, Lakshmi, MD Provider ID #NM000989 BlueLINK ID: 3135645 Patients over age 18 ES 6100 Pan Am Frwy. NE, Ste. 480, 87109 (505) 821-0321 Fax No. (505) 821-0662 Garcia, David A., MD Provider ID #NM004875 BlueLINK ID: 4137656 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3850 Goade, Diane E., MD Provider ID #NM003951 BlueLINK ID: 3252571 Established patients only; HIV/ AIDS University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-1312 Goldthwait, Jan, MD Provider ID #NM009F78 BlueLINK ID: 2304015 Established patients only Lovelace Sandia Health Systems Gibson Internal Medicine 5400 Gibson SE, 87108 (505) 262-7110 Gonzales, David V., MD Provider ID #NM001086 BlueLINK ID: 3143139 Established patients only ES University Physicians Associates UNM Dept. of Internal Medicine 1209 University NE, 87102 (505) 272-4400 July 2005 Primary Care Physicians (PCPs) Albuquerque Gorvetzian, Joseph, MD Provider ID #NM009F80 BlueLINK ID: 3220975 Established patients only; limited to infectious diseases only Lovelace Sandia Health Systems Gibson Internal Medicine 5400 Gibson SE, 87108 (505) 262-7110 Kamaromy, Miriam, MD Provider ID #NM009M77 BlueLINK ID: 6003346 ES First Choice Community Healthcare Alameda Clinic 7704 2nd St. NW, Ste. A, 87107 (505) 890-1458 Fax No. (505) 865-1062 Greces, Nancy, MD Provider ID #NM033956 BlueLINK ID: 4149058 Established patients only ES Physicians Group of Sandia Health Systems Towers Adult & Geriatric Medicine 500 Walter NE, Ste. 301, 87102 (505) 727-2850 Fax No. (505) 727-6555 Kamaromy, Miriam, MD Provider ID #NM009M77 BlueLINK ID: 6003346 ES First Choice Community Healthcare North Valley Clinic 1231 Candelaria NW, 87107 (505) 345-3244 Fax No. (505) 344-4056 Greenbaum, Paul J., MD Provider ID #NM001108 BlueLINK ID: 3135672 6609 Beau Chene Ct., 87111 (505) 299-2193 Gregg, Stephen L., MD Provider ID #NM001024 BlueLINK ID: 3135674 Established patients only 711 Encino Pl. NE, Ste. B, 87102 (505) 242-3335 Hashimoto, Frederick, MD Provider ID #NM001179 BlueLINK ID: 3135697 Established patients only University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3850 Herman, Carla, MD Provider ID #NM003626 BlueLINK ID: 3276671 Established patients over age 65 University Physicians Associates UNM Dept. of Internal Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-1754 Hernandez, Mathew R., MD Provider ID #NM009M04 BlueLINK ID: 5010182 Established patients only Lovelace Sandia Health Systems Journal Center Internal Medicine 5150 Journal Center Blvd. NE, 87109 (505) 262-3210 Hochstadt, Barry M., MD Provider ID #NM009D67 BlueLINK ID: 3107933 Established patients only Lovelace Sandia Health Systems Journal Center Internal Medicine 5150 Journal Center Blvd. NE, 87109 (505) 262-3210 Jernigan, Jennifer, MD Provider ID #NM004808 BlueLINK ID: 4195285 Established patients only University Physicians Associates UNM Dept. of Internal Medicine 1209 University NE, 87102 (505) 272-4400 July 2005 Kaufman, Arthur, MD Provider ID #NM001467 BlueLINK ID: 3143195 Established patients only University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-1734 Keating, Julia, MD Provider ID #NM009F81 BlueLINK ID: 3305203 Established patients only Lovelace Sandia Health Systems Gibson Internal Medicine 5400 Gibson SE, 87108 (505) 262-7110 Kelly, Maureen, MD Provider ID #NM004407 BlueLINK ID: 5004597 ES First Choice Community Healthcare South Valley Clinic 2001 N. Centro Familiar SW, 87105 (505) 873-7400 Fax No. (505) 877-4400 Kroth, Philip J., MD Provider ID #NM009S39 BlueLINK ID: 4193529 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-2147 Kupferer, Carl F., DO Provider ID #NM02400L BlueLINK ID: 2396743 Patients over age 18 Physicians Group of Sandia Health Systems Towers Adult & Geriatric Medicine 500 Walter NE, Ste. 301, 87102 (505) 727-2850 Fax No. (505) 727-2871 Ledesma, Steve D., MD Provider ID #NM061608 BlueLINK ID: 3143212 ES 718 Lomas Blvd. NW, 87102 (505) 842-0159 Fax No. (505) 764-9210 Leverance, Robert R., MD Provider ID #NM002024 BlueLINK ID: 3359201 Established patients only University Physicians Associates UNM Dept. of Internal Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-2345 Libby, Edward, MD Provider ID #NM001603 BlueLINK ID: 3247429 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3850 Mertz, Gregory, MD Provider ID #NM003833 BlueLINK ID: 3212581 Established patients only University Physicians Associates UNM Dept. of Internal Medicine 625 Truman St. NE, 87110 (505) 272-1312 Mitchell, William J., MD Provider ID #NM019E13 BlueLINK ID: 2364767 Physicians Group of Sandia Health Systems Towers Adult & Geriatric Medicine 500 Walter NE, Ste. 301, 87102 (505) 727-2850 Fax No. (505) 727-3505 Montgomery, Lorene P., MD Provider ID #NM004216 BlueLINK ID: 4127660 Established patients only University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3850 Moore, Richard A., MD Provider ID #NM009680 BlueLINK ID: 3146175 Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 797-4503 Morrison, Ann, MD Provider ID #NM009M61 BlueLINK ID: 3220332 Established patients only University Physicians Associates UNM Dept. of Internal Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-2900 Morrow, Patricia D., MD Provider ID #NM004691 BlueLINK ID: 3203393 1203 Coal Ave. SE, Ste. A, 87106 (505) 244-9040 Fax No. (505) 844-9005 Noya, Diana D., MD Provider ID #NM000181 BlueLINK ID: 2398008 500 Walter NE, Ste. 412, 87102 (505) 242-5222 Fax No. (505) 242-5221 Pergam, Steven A., MD Provider ID #NM009448 BlueLINK ID: 4242919 Established patients only University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3850 Prasad, Arti, MD Provider ID #NM003617 BlueLINK ID: 3397321 HI University Physicians Associates UNM Dept. of Internal Medicine 7801 Academy NE, 87109 (505) 272-2700 See special note See last page for Provider Language Codes legend Rajaee, Ali M., MD Provider ID #NM002234 BlueLINK ID: 3213795 717 Encino Pl. NE, Ste. 26, 87102 (505) 243-2883 Rhoades, Jody M., MD Provider ID #NM029323 BlueLINK ID: 4154884 Established patients over age 16 ES Physicians Group of Sandia Health Systems High Desert Medical Group 5041 Indian School NE, Ste. 400, 87110 (505) 255-3110 Fax No. (505) 255-3667 Roberts, Thomas C., MD Provider ID #NM001946 BlueLINK ID: 3330206 Established patients only Infectious Diseases & Internal Medicine Assoc. 500 Walter NE, Ste. 104, 87102 (505) 848-3730 Fax No. (505) 848-3732 Roche, Richard J., MD Provider ID #NM003812 BlueLINK ID: 3222726 Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 822-8122 Rogers, Kenneth N., MD Provider ID #NM002312 BlueLINK ID: 3135920 Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 822-8122 Ross, Jeffrey P., MD Provider ID #NM000185 BlueLINK ID: 3284996 Established patients only Infectious Diseases & Internal Medicine Assoc. 500 Walter NE, Ste. 104, 87102 (505) 848-3730 Rubin, Richard H., MD Provider ID #NM002389 BlueLINK ID: 3254139 Established patients only University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3850 Rudolph, Lance A., MD Provider ID #NM004414 BlueLINK ID: 3135930 ES NM Clinical Research & Osteoporosis 300 Oak St. NE, 87106 (505) 855-5525 Fax No. (505) 884-4006 Russo, James F., DO Provider ID #NM014171 BlueLINK ID: 3306373 Lovelace Sandia Health Systems Journal Center Internal Medicine 5150 Journal Center Blvd. NE, 87109 (505) 262-3210 Sears, David R., MD Provider ID #NM009M83 BlueLINK ID: 6003375 Lovelace Sandia Health Systems Juan Tabo Family Medicine 2121 Juan Tabo NE, 87112 (505) 237-8800 15 Primary Care Physicians (PCPs) Halpern, Neal, MD Provider ID #NM009F86 BlueLINK ID: 3135687 Lovelace Sandia Health Systems Gibson Internal Medicine 5400 Gibson SE, 87108 (505) 262-7110 Kapsner, Patricia, MD Provider ID #NM001470 BlueLINK ID: 3212637 Established patients only University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Lewiecki, E. Michael, MD Provider ID #NM011641 BlueLINK ID: 3135780 ES NM Clinical Research & Osteoporosis 300 Oak St. NE, 87106 (505) 855-5525 Fax No. (505) 884-4006 Albuquerque Sedas, Jorge, MD Provider ID #NM009F79 BlueLINK ID: 3135951 Established patients only Lovelace Sandia Health Systems Gibson Internal Medicine 5400 Gibson SE, 87108 (505) 262-7110 Thornton, Karla A., MD Provider ID #NM003543 BlueLINK ID: 3375492 HIV/AIDS patients University Physicians Associates UNM Dept. of Internal Medicine 625 Truman St. NE, 87110 (505) 272-1312 Shannon, Robert, MD Provider ID #NM009F92 BlueLINK ID: 3135955 Established patients only Lovelace Sandia Health Systems Gibson Internal Medicine 5400 Gibson SE, 87108 (505) 262-7110 Treeson, David M., MD Provider ID #NM004705 BlueLINK ID: 4154882 Established patients only University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3850 Sigala, Teresa J., MD Provider ID #NM014235 BlueLINK ID: 3389390 ES 717 Encino Pl. NE, Ste. 12, 87102 (505) 242-5373 Fax No. (505) 242-1221 Vaughn, Stephen, MD Provider ID #NM019560 BlueLINK ID: 4232224 Established patients only Lovelace Sandia Health Systems Gibson Internal Medicine 5400 Gibson SE, 87108 (505) 262-7110 Simpson, Anne R., MD Provider ID #NM004764 BlueLINK ID: 4175455 Established patients over age 65 University Physicians Associates UNM Dept. of Internal Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-1754 Primary Care Physicians (PCPs) Primary Care Physicians (PCPs) Snyder, Jerome S., MD Provider ID #NM009D77 BlueLINK ID: 2260957 Lovelace Sandia Health Systems Journal Center Internal Medicine 5150 Journal Center Blvd. NE, 87109 (505) 262-3210 Sollins, Jeffery S., MD Provider ID #NM002607 BlueLINK ID: 2398108 Established patients only ES 3924 Carlisle NE, 87107 (505) 855-5545 Fax No. (505) 855-5541 Stryker, David W., MD Provider ID #NM001062 BlueLINK ID: 3135990 Established patients only ES Infectious Diseases & Internal Medicine Assoc. 500 Walter NE, Ste. 104, 87102 (505) 848-3730 Suderman, Harold, MD Provider ID #NM009F76 BlueLINK ID: 5009535 Lovelace Sandia Health Systems Gibson Internal Medicine 5400 Gibson SE, 87108 (505) 262-7110 Summers, William K., MD Provider ID #NM001067 BlueLINK ID: 2144381 6000 Uptown NE, Ste. 308, 87110 (505) 878-0192 Fax No. (505) 878-0211 Tancik, Corey Alan, MD Provider ID #NM009593 BlueLINK ID: 3259262 HIV/AIDS patients University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-5666 Thomas, Elaine, MD Provider ID #NM003665 BlueLINK ID: 3369184 HIV/AIDS patients ES University Physicians Associates UNM Dept. of Internal Medicine 625 Truman St. NE, 87110 (505) 272-1312 16 Vining, Margaret, MD Provider ID #NM009F84 BlueLINK ID: 3136011 Lovelace Sandia Health Systems Gibson Internal Medicine 5400 Gibson SE, 87108 (505) 262-7000 Vining, Margaret, MD Provider ID #NM009F84 BlueLINK ID: 3136011 Physicians Group of Sandia Health Systems Inpatient Medicine Services 601 Dr. M. L. King Jr. NE, 87102 (505) 727-8040 Voss, Carolyn, MD Provider ID #NM002974 BlueLINK ID: 3212620 Established patients only University Physicians Associates UNM Dept. of Internal Medicine 1209 University NE, 87102 (505) 272-4400 Waitzkin, Howard, MD Provider ID #NM004954 BlueLINK ID: 2142689 Established patients only ES DE PT University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1722 Williams, Steven Bruce, MD Provider ID #NM002977 BlueLINK ID: 3232734 Established patients only University Physicians Associates UNM Dept. of Internal Medicine 625 Truman St. NE, 87110 (505) 272-1312 Wilson, Bronwyn, MD Provider ID #NM003007 BlueLINK ID: 3319526 Established patients only ES University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3930 Obstetrics/Gynecology Gordon, Robert A., MD Provider ID #NM013138 BlueLINK ID: 3250694 ES 1010 Lead SE, Ste. 4, 87122 (505) 842-5902 Hernandez-Burgos, Lisa, MD Provider ID #NM009M37 BlueLINK ID: 4271890 Lovelace Sandia Health Systems Journal Center OB/GYN 5150 Journal Center Blvd. NE, 87109 (505) 262-3218 Hurley, Timothy J., MD Provider ID #NM009R51 BlueLINK ID: 3285454 University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, 87106 (505) 272-2319 Spearman, Maridee J., MD Provider ID #NM009M10 BlueLINK ID: 5010176 Lovelace Sandia Health Systems Lovelace Women's Health 4705 Montgomery NE, Ste. 201, 87109 (505) 262-7291 Velazquez, Maria D., MD Provider ID #NM009R49 BlueLINK ID: 4268170 University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, 87106 (505) 272-2319 Pediatrics Aceves, Javier, MD Provider ID #NM003747 BlueLINK ID: 3271564 Established patients only; specializing in pediatric chronic diseases ES University Physicians Associates UNM Dept. of Pediatrics 306 San Pablo SE, Ste. A., 87108 (505) 272-2345 Aguirre, Joseph, MD Provider ID #NM000207 BlueLINK ID: 3214598 Established patients only ES University Physicians Associates UNM Dept. of Pediatrics 306 San Pablo SE, Ste. A, 87108 (505) 272-2345 Alderman, Sherri Louise, MD Provider ID #NM004702 BlueLINK ID: 4149562 Established patients only; patients under age 18 ES University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Allison, David P., MD Provider ID #NM007D67 BlueLINK ID: 5009490 Established patients only Lovelace Sandia Health Systems Journal Center Pediatrics 5150 Journal Center Blvd. NE, 87109 (505) 262-3219 Anaya, Theresa, MD Provider ID #NM003962 BlueLINK ID: 3361591 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Anderson, Teresa T., MD Provider ID #NM009C30 BlueLINK ID: 4161759 Established patients only University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 See special note See last page for Provider Language Codes legend Archuleta, Manuel, MD Provider ID #NM010145 BlueLINK ID: 2396825 Established patients only ES University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Behnken, Annalisa, MD Provider ID #NM003603 BlueLINK ID: 4106379 Established patients only University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Blewett, Elizabeth Hend, MD Provider ID #NM004751 BlueLINK ID: 4173769 Established patients only ES University Physicians Associates UNM Dept. of Pediatrics 306 San Pablo SE, Ste. A., 87108 (505) 272-9242 Bloedel-Clark, Carla, MD Provider ID #NM009D68 BlueLINK ID: 5009492 Lovelace Sandia Health Systems Academy Family Medicine 8080 Academy NE, 87111 (505) 727-9400 Bradshaw, Elaine A., MD Provider ID #NM010510 BlueLINK ID: 4118610 Established patients only University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Brandt, John R., MD Provider ID #NM004917 BlueLINK ID: 3292711 Pediatric nephrology University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-6632 Campbell, Karen, MD Provider ID #NM002047 BlueLINK ID: 4150072 Established patients only ES University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Chilton, Lance, MD Provider ID #NM009H39 BlueLINK ID: 2397641 Lovelace Sandia Health Systems Gibson Pediatrics 5400 Gibson SE, 87108 (505) 262-7594 Cohen, Stephen U., MD Provider ID #NM004861 BlueLINK ID: 3135571 Established patients only University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Connors, Connie, MD Provider ID #NM002050 BlueLINK ID: 3349368 Established patients only University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 July 2005 Primary Care Physicians (PCPs) Cordova de Ortega, Loretta M., MD Provider ID #NM003501 BlueLINK ID: 3320263 Established patients only; Children with special needs ES University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Crocetti, Guy, MD Provider ID #NM009H36 BlueLINK ID: 5009497 Established patients only Lovelace Sandia Health Systems Journal Center Pediatrics 5150 Journal Center Blvd. NE, 87109 (505) 262-3219 Dani, Prashant S., MD Provider ID #NM009571 BlueLINK ID: 4246949 Patients under age 21 ES GU Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 823-2868 Dankert, Mark E., MD Provider ID #NM009D73 BlueLINK ID: 2397702 Lovelace Sandia Health Systems Journal Center Pediatrics 5150 Journal Center Blvd. NE, 87109 (505) 262-3219 De La Torre, Luis F., MD Provider ID #NM000681 BlueLINK ID: 3298064 Patients under age 18 ES 4201 Montgomery NE, 87109 (505) 247-1471 Fax No. (505) 243-3994 Dean, W. Joseph, MD Provider ID #NM009634 BlueLINK ID: 3257498 ES First Choice Community Healthcare South Valley Clinic 2001 N. Centro Familiar SW, 87105 (505) 873-7400 Fax No. (505) 873-7473 Dehority, Walter N., MD Provider ID #NM009R89 BlueLINK ID: 6003653 ES First Choice Community Healthcare North Valley Clinic 1231 Candelaria NW, 87107 (505) 345-3244 Dozeman, Lynn A., MD Provider ID #NM004948 BlueLINK ID: 3387857 Patients under age 18 ES First Choice Community Healthcare Alamosa Clinic 6900 Gonzales Rd. SW, Ste. I, 87121 (505) 831-2534 Fax No. (505) 831-4123 July 2005 Duban, Stewart, MD Provider ID #NM003890 BlueLINK ID: 3135602 Established patients only University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Hardekopf, Libuse, MD Provider ID #NM009R91 BlueLINK ID: 5004469 ES CS ZH BeBe Care 3100 Monte Vista NE, 87106 (505) 266-3835 Fax No. (505) 266-3340 Fisk, James K., MD Provider ID #NM004776 BlueLINK ID: 3135624 Established patients only University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Harris, Gillian, MD Provider ID #NM004752 BlueLINK ID: 4171363 Established patients only ES University Physicians Associates UNM Dept. of Pediatrics 306 San Pablo SE, Ste. A., 87108 (505) 272-2345 Freedman, Marianne, MD Provider ID #NM001692 BlueLINK ID: 5002956 FR Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 822-8122 Gabay, Irwin, MD Provider ID #NM009D4 BlueLINK ID: 5009551 Lovelace Sandia Health Systems Academy Family Medicine 8080 Academy NE, 87111 (505) 727-9400 Gallagher, Isidora P., MD Provider ID #NM000559 BlueLINK ID: 4276901 ES Pediatric Associates 3410 Indian School NE, 87106 (505) 265-7817 Fax No. (505) 266-1543 Gandhi, Sanjay M., MD Provider ID #NM019278 BlueLINK ID: 4175029 Patients up to 18 yrs. Old 4201 Montgomery NE, 87109 (505) 247-1471 Fax No. (505) 243-3994 Gladwell, Jacqueline M., MD Provider ID #NM009C20 BlueLINK ID: 5008324 Newborns to age 18 ES Pediatric Associates 3410 Indian School NE, 87106 (505) 265-7817 Fax No. (505) 266-1543 Gonzales, Janis L., MD Provider ID #NM013386 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Grambort, Frederick D., MD Provider ID #NM001088 BlueLINK ID: 5002630 Albuquerque Pediatric Associates 8308 Constitution NE, 87110 (505) 293-1333 Han, Bebe, MD-PhD Provider ID #NM000281 BlueLINK ID: 5002203 Bebe Care 3100 Monte Vista NE, 87106 (505) 266-3835 Handmaker, Stanley, MD Provider ID #NM003989 BlueLINK ID: 2397815 Established patients only; developmental disabilities University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Hecht, Julia, MD Provider ID #NM004747 BlueLINK ID: 4170842 Deaf children/children of deaf parent(s) ES University Physicians Associates UNM Dept. of Pediatrics 306 San Pablo SE, Ste. A., 87108 (505) 272-2345 Hoffman, Benjamin, MD Provider ID #NM004226 BlueLINK ID: 3391206 Established patients only University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Hsi, Andrew, MD Provider ID #NM001363 BlueLINK ID: 3248046 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Jiminez, Lisa, MD Provider ID #NM009H38 BlueLINK ID: 4263578 Lovelace Sandia Health Systems Gibson Pediatrics 5400 Gibson SE, 87108 (505) 262-7594 Johnson, Courtney, MD Provider ID #NM004293 BlueLINK ID: 2113319 Established patients only University Physicians Associates UNM Dept. of Pediatrics 1127 University NE, 87102 (505) 272-2345 Knott, Randall, MD Provider ID #NM001541 BlueLINK ID: 4106385 Established patients only University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Koil, Alwyn A., MD Provider ID #NM009M06 BlueLINK ID: 5010172 Lovelace Sandia Health Systems Gibson Pediatrics 5400 Gibson SE, 87108 (505) 262-7594 Kulasinghe, Hareendra P., MD Provider ID #NM001539 BlueLINK ID: 3210740 Albuquerque Pediatric Associates 8308 Constitution NE, 87110 (505) 293-1333 Leverance, Robert R., MD Provider ID #NM004745 BlueLINK ID: 3359201 Established patients only University Physicians Associates UNM Dept. of Pediatrics 4808 McMahon Blvd. NW, 87114 (505) 272-2345 See special note See last page for Provider Language Codes legend Longfield, Lynn A., MD Provider ID #NM001562 BlueLINK ID: 3252085 ES FR Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 797-4503 Lord, Reginald O., MD Provider ID #NM001619 BlueLINK ID: 2176724 ES 101 Hospital Lp. NE, Ste. 211, 87109 (505) 888-1678 Marsh, Melinda, MD Provider ID #NM009621 BlueLINK ID: 3343760 Established patients only University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Martz, Robert G., MD Provider ID #NM009L26 BlueLINK ID: 5010122 Lovelace Sandia Health Systems Gibson Pediatrics 5400 Gibson SE, 87108 (505) 262-7594 Mason, Melissa E., MD Provider ID #NM009L78 BlueLINK ID: 6003190 ES Pediatric Associates 3410 Indian School NE, 87106 (505) 265-7817 Fax No. (505) 266-1543 Primary Care Physicians (PCPs) D'Arrigo, Kathleen J., MD Provider ID #NM014467 BlueLINK ID: 5004637 ES Albuquerque Pediatric Associates 8308 Constitution Pl. NE, 87110 (505) 293-1333 Fax No. (505) 293-4357 Albuquerque Matthews, Elizabeth, MD Provider ID #NM004786 BlueLINK ID: 3246456 Established patients only University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 McGrath, Jane, MD Provider ID #NM003754 BlueLINK ID: 3287708 Established patients only ES University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 McNamara, Loretta L., MD Provider ID #NM000843 BlueLINK ID: 5002502 Albuquerque Pediatric Associates 8308 Constitution NE, 87110 (505) 293-1333 Moody, Irene J., MD Provider ID #NM001962 BlueLINK ID: 3210767 Established patients only Pediatric Associates 3410 Indian School NE, 87106 (505) 265-7817 Fax No. (505) 266-1543 Mosman, John O., MD Provider ID #NM001961 BlueLINK ID: 3210748 Albuquerque Pediatric Associates 8308 Constitution NE, 87110 (505) 293-1333 Napoleone, Robin M., MD Provider ID #NM009G83 BlueLINK ID: 4255806 Lovelace Sandia Health Systems Gibson Pediatrics 5400 Gibson SE, 87108 (505) 262-7594 17 Primary Care Physicians (PCPs) Albuquerque Primary Care Physicians (PCPs) Negrete, Sylvia, MD Provider ID #NM004781 BlueLINK ID: 4101200 Established patients only University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Strasburger, Victor, MD Provider ID #NM002715 BlueLINK ID: 3210752 Established patients only University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Ornelas, Renee, MD Provider ID #NM000234 BlueLINK ID: 3258182 Established patients only University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-6849 Sumner, Weston W., DO Provider ID #NM004531 BlueLINK ID: 5004685 Patients under age 18 Pediatric Health Services 10110 Spain NE, 87111 (505) 294-5065 Overturf, Gary, MD Provider ID #NM003755 BlueLINK ID: 2190570 Established patients only University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Tang, Debra L., MD Provider ID #NM009668 BlueLINK ID: 5007301 ES Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 797-4503 Parveen-Jawadi, Nuzhath, MD Provider ID #NM012717 BlueLINK ID: 5003510 ES 101 Hospital Lp. NE, Ste. 206, 87109 (505) 855-6006 Upplegger, Jurgen H., MD Provider ID #NM000382 BlueLINK ID: 2398202 4233 Montgomery NE, Ste. S140, 87109 (505) 883-9570 Ridgway, Elizabeth W., MD Provider ID #NM009U12 BlueLINK ID: 3306834 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Waymier, Gina, MD Provider ID #NM009H35 BlueLINK ID: 4202959 Lovelace Sandia Health Systems Gibson Pediatrics 5400 Gibson SE, 87108 (505) 262-7594 Root, Susan, MD Provider ID #NM003599 BlueLINK ID: 4106382 Established patients only University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Whisler, Sandra, MD Provider ID #NM002641 BlueLINK ID: 3364527 University Physicians Associates UNM Dept. of Pediatrics 4808 McMahon Blvd. NW, 87114 (505) 272-2345 Roveto, Christopher A., MD Provider ID #NM002392 BlueLINK ID: 2398068 FR 4201 Montgomery NE, 87109 (505) 247-1471 Fax No. (505) 243-3994 Saland, Joel, MD Provider ID #NM002410 BlueLINK ID: 5003341 8012 Constitution Pl. NE, 87110 (505) 296-5514 Scott, Susan M., MD Provider ID #NM003884 BlueLINK ID: 3213815 Established patients only University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Seelinger, Gretchen E., MD Provider ID #NM002474 BlueLINK ID: 3210723 Pediatric Associates 3410 Indian School NE, 87106 (505) 265-7817 Fax No. (505) 266-1543 Stoltzfus, Winona, MD Provider ID #NM009340 BlueLINK ID: 5006924 ES First Choice Community Healthcare North Valley Clinic 1231 Candelaria NW, 87107 (505) 345-3244 Fax No. (505) 344-4056 18 Williams, Mareth, MD Provider ID #NM003760 BlueLINK ID: 3320261 Established patients only University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Yager, Eileen, MD Provider ID #NM003595 BlueLINK ID: 2250938 ES University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Young, Valerie L., MD Provider ID #NM009S04 BlueLINK ID: 4113769 ES Southwest Medical Associates 6100 Pan Am Fwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 797-4503 Zamora-Allen, Deborah, MD Provider ID #NM009L85 BlueLINK ID: 6003235 Lovelace Sandia Health Systems Gibson Pediatrics 5400 Gibson SE, 87108 (505) 262-7594 Angel Fire Colfax County Family Practice Cohen, Dennis A., MD Provider ID #NM000554 BlueLINK ID: 3143080 Moreno Valley Healthcare Clinic 11 Elliott Barker Ln., 87710 (505) 377-3301 Fax No. (505) 377-3991 Animas Hidalgo County Family Practice Johnson, Michael D., MD Provider ID #NM009D35 BlueLINK ID: 4269878 ES Animas Valley Clinic #1 Panther Blvd., 88020 (505) 548-2742 Fax No. (505) 548-2793 Anthony Doña Ana County Family Practice Bahr, Paolo, DO Provider ID #NM004B74 BlueLINK ID: 6000310 ES La Clinica de Familia 855 Anthony Dr., 88021 (505) 882-5706 Fax No. (505) 882-2909 Castrejon, Eduardo A., MD Provider ID #NM000505 BlueLINK ID: 3207866 600 N. Main St., 88021 (505) 882-2118 Gomez, Lorena, MD Provider ID #NM009B06 BlueLINK ID: 4269058 ES La Clinica de Familia 855 Anthony Dr., 88021 (505) 882-3607 Fax No. (505) 882-2909 Prezas, Roland, DO Provider ID #NM004B76 BlueLINK ID: 6002932 ES La Clinica de Familia 855 Anthony Dr., 88021 (505) 882-5706 Fax No. (505) 882-2909 Internal Medicine Attiogbe, Frances, MD Provider ID #NM019B09 BlueLINK ID: 4266715 Patients over age 17 ES Solano Medical Associates 600 N. Anthony Dr., 88021 (505) 882-2118 Fax No. (505) 882-3837 See special note See last page for Provider Language Codes legend Pediatrics DeAnda-Ortiz, Jose L., MD Provider ID #NM009K59 BlueLINK ID: 5010221 Patients up to age 20 ES St. Anthony Pediatrics 1265 Anthony Dr., 88021 (505) 882-2956 Fax No. (505) 882-1863 Ocaranza, Hector I., MD Provider ID #NM004129 BlueLINK ID: 4231257 Patients up to age 20 ES St. Anthony Pediatrics 1265 Anthony Dr., 88021 (505) 882-2956 Fax No. (505) 882-1863 Salloum, Hassan, MD Provider ID #NM009363 BlueLINK ID: 5004021 ES St. Anthony Pediatrics 1265 Anthony Dr., 88021 (505) 882-2956 Fax No. (505) 882-1863 Valenzuela, Manuel F., MD Provider ID #NM009V04 BlueLINK ID: 4314684 Patients up to age 18 ES St. Anthony Pediatrics 1265 Anthony Dr., 88021 (505) 882-2956 Fax No. (505) 882-1863 Artesia Eddy County Family Practice Abalos, Jorge, DO Provider ID #NM029197 BlueLINK ID: 3344952 ES Artesia Healthcare Professionals 612 N. 13th St., Ste. J, 88210 (505) 748-8356 Fax No. (505) 748-1360 Grafe, Michael J., DO Provider ID #NM004243 BlueLINK ID: 3247425 607 W. Grand, 88210 (505) 746-3616 Fax No. (505) 748-2544 Moreno, Johnny C., MD Provider ID #NM001892 BlueLINK ID: 3209302 No obstetric patients ES 612 N. 13th St., Ste. H, 88210 (505) 748-1266 Fax No. (505) 748-8822 Salgado, Jose, MD Provider ID #NM029421 BlueLINK ID: 4168046 ES Artesia Healthcare Professionals 612 N. 13th St., Ste. J, 88210 (505) 746-3119 Fax No. (505) 746-4708 July 2005 Primary Care Physicians (PCPs) Carlsbad General Practice Pediatrics Alaniz, Jerry, MD Provider ID #NM003353 BlueLINK ID: 2396819 Artesia Health Resources PMS is not affiliated with Presbyterian Healthcare Services 1105 Memorial Dr., 88210 (505) 746-9848 Fax No. (505) 746-9840 Olmsted, Michelle, MD Provider ID #NM013641 BlueLINK ID: 3385933 ES FR First Choice Community Healthcare Belen Clinic 120 S. 9th St., 87002 (505) 861-1013 Fax No. (505) 861-1042 Internal Medicine Ramoso, Jocelyn R., MD Provider ID #NM009V03 BlueLINK ID: 6004008 ES TL Artesia Healthcare Professionals 612 N. 13th St., Ste. G, 88210 (505) 748-8372 Fax No. (505) 748-8551 Pediatrics Carson, Karen L., MD Provider ID #NM004206 BlueLINK ID: 4219237 ES BCA Medical Associates 612 N. 13th St., 88210 (505) 622-2606 Fax No. (505) 622-6645 Aztec San Juan County Barkman, William R., DO Provider ID #NM004038 BlueLINK ID: 2396739 102 Llano St., 87410 (505) 334-9441 Fax No. (505) 334-8750 Belen Valencia County Family Practice Phillips, Karen J., MD Provider ID #NM024709 BlueLINK ID: 4156196 ES First Choice Community Healthcare Belen Clinic 120 S. 9th St., 87002 (505) 861-1013 Fax No. (505) 861-1042 Sanchez, Mark R., MD Provider ID #NM002480 BlueLINK ID: 3135936 703 S. Christopher Rd., 87002 (505) 864-7781 Sanchez, Roland K., MD Provider ID #NM002404 BlueLINK ID: 3135937 703 S. Christopher Rd., 87002 (505) 864-7781 Internal Medicine Schneider, David D., MD Provider ID #NM002745 BlueLINK ID: 3135942 ES 101 N. 6th St., 87002 (505) 864-4646 Fax No. (505) 861-1843 July 2005 Sandoval County Family Practice Chacon, Gayle Dine, MD Provider ID #NM004710 BlueLINK ID: 4135866 Established patients only; Native American patients only University Physicians Associates UNM Dept. of Family & Community Medicine 481 Sandia Lp., 87004 (505) 867-4487 Firestone, Alan M., MD Provider ID #NM000871 BlueLINK ID: 2397762 El Pueblo Health Services 121 Calle del Presidente, 87004 (505) 867-2324 Fax No. (505) 867-3511 Guerin, Peter T., MD Provider ID #NM012548 BlueLINK ID: 3293418 No ob services ES El Pueblo Health Services 121 Calle del Presidente, 87004 (505) 867-2324 Fax No. (505) 867-3511 Salsburg, Lee, MD Provider ID #NM009J74 BlueLINK ID: 6003121 No ob services ES El Pueblo Health Services 121 Calle del Presidente, 87004 (505) 867-2324 Fax No. (505) 867-3511 Pediatrics Reynolds, Meredith E., MD Provider ID #NM019977 BlueLINK ID: 4263970 Native American patients only University Physicians Associates UNM Dept. of Pediatrics 481 Sandia Lp., 87004 (505) 867-4487 Bloomfield San Juan County Family Practice Cantu, Jathan P., MD Provider ID #NM009J23 BlueLINK ID: 2314154 Lifecourse Bloomfield Health Center 100 N. Church, Ste. C, 87413 (505) 632-1807 Fax No. (505) 632-9203 Internal Medicine Saleheen, Kazi S., MD Provider ID #NM004782 BlueLINK ID: 4226304 ES Valencia Health Professionals 2230 Bosque Blvd., Ste. B, 87068 (505) 866-9300 Fax No. (505) 866-9360 Carlsbad Eddy County Family Practice Barajas, Jorge, MD Provider ID #NM009P50 BlueLINK ID: 6003642 No obstetrics ES St. Francis Family Medical Center PMS is not affiliated with Presbyterian Healthcare Services 105 N. Guadalupe St., 88220 (505) 887-2455 Fax No. (505) 992-4990 Gallegos, Marta C., MD Provider ID #NM029792 BlueLINK ID: 4236491 No obstetrics ES Family Practice 2402 W. Pierce St., Ste. 6A, 88220 (505) 234-2008 Fax No. (505) 885-1075 Lark, Kim P., DO Provider ID #NM004378 BlueLINK ID: 4118709 ES 2402 W. Pierce St., Ste. 4A, 88220 (505) 234-9964 Fax No. (505) 234-9962 McHarney-Brown, Caryn, MD Provider ID #NM009352 BlueLINK ID: 3214193 ES Pecos Valley of New Mexico 2402 W. Pierce St., Ste. 6E, 88220 (505) 885-4623 Fax No. (505) 885-4647 Powers, Melinda S., DO Provider ID #NM014B65 BlueLINK ID: 4177694 Patients over age 2 months ES Plaza de Salud 104 W. Fox, 88220 (505) 887-2583 Fax No. (505) 628-8773 Rivero, Jacobo A., MD Provider ID #NM019291 BlueLINK ID: 4155813 ES Santa Ana Family Health 1016 W. Pierce St., 88220 (505) 628-3244 Fax No. (505) 628-3296 General Practice Alaniz, Jerry, MD Provider ID #NM003353 BlueLINK ID: 2396819 St. Francis Family Medical Center PMS is not affiliated with Presbyterian Healthcare Services 105 N. Guadalupe St., 88220 (505) 887-2610 Fax No. (505) 234-2945 See special note See last page for Provider Language Codes legend Internal Medicine Ahmad, Mushtaq, MD Provider ID #NM019N26 BlueLINK ID: 4236692 Patients over age 15 ES 2402 W. Pierce St., Ste. 6D, 88220 (505) 628-1589 Fax No. (505) 234-1813 Howard, Mark A.K., MD Provider ID #NM001278 BlueLINK ID: 3143171 Patients over age 16 ES Family Practice 2402 W. Pierce St., Ste. 6A, 88220 (505) 885-1970 Fax No. (505) 885-6383 Lodhi, M. Aslam Khan, MD Provider ID #NM009505 BlueLINK ID: 4249908 ES 2409 W. Pierce St., 88220 (505) 887-1282 Fax No. (505) 885-8992 Muñoz, Julio C., MD Provider ID #NM009333 BlueLINK ID: 3358451 ES FR Pecos Valley of New Mexico 2420 W. Pierce St., Ste. 201, 88220 (505) 628-0598 Fax No. (505) 628-1490 Perkowski, Lisa J., MD Provider ID #NM002984 BlueLINK ID: 3265047 Patients over age 16 ES 2409 W. Pierce St., 88220 (505) 887-1282 Fax No. (505) 885-9923 Roberts, Martin S., MD Provider ID #NM009324 BlueLINK ID: 4186721 Pecos Valley of New Mexico 2420 W. Pierce St., Ste. 105, 88220 (505) 628-3589 Fax No. (505) 628-3598 Sims, Michael J., MD Provider ID #NM009K50 BlueLINK ID: 3137660 ES Pecos Valley of New Mexico 2420 W. Pierce St., Ste. 100, 88220 (505) 628-8837 Fax No. (505) 628-8848 Pediatrics Dara, Srichand S., MD Provider ID #NM000683 BlueLINK ID: 5002413 ES 110 S. Halagueno St., 88220 (505) 887-6556 Ramakrishna, Shila, MD Provider ID #NM00JD38 BlueLINK ID: 4296558 ES Santa Ana Family Health 1016 W. Pierce St., 88220 (505) 628-3244 Fax No. (505) 628-3296 Raney, J. Kent, MD Provider ID #NM004589 BlueLINK ID: 5004728 ES Pediatric Health Services 2420 W. Pierce St., Ste. 205, 88220 (505) 887-0530 19 Primary Care Physicians (PCPs) Family Practice Bernalillo Bosque Farms Valencia County Carlsbad Sung, Kwok K., MD Provider ID #NM009D17 BlueLINK ID: 2248396 Downtown Pediatrics 308 W. Church St., 88220 (505) 885-0805 Fax No. (505) 885-0793 Zink, Lori D., MD Provider ID #NM009K74 BlueLINK ID: 4296689 ES Pediatric Health Services 2420 W. Pierce St., Ste. 205, 88220 (505) 887-0530 Fax No. (505) 885-6309 Cerrillos Santa Fe County Family Practice Primary Care Physicians (PCPs) Reininga, Mark, MD Provider ID #NM004426 BlueLINK ID: 2116452 ES Ortiz Mountain Health Center PMS is not affiliated with Presbyterian Healthcare Services 8 Main St., Ste. A, 87010 (505) 471-6266 Fax No. (505) 471-5861 Umland, Berthold E., MD Provider ID #NM001211 BlueLINK ID: 2142334 Ortiz Mountain Health Center PMS is not affiliated with Presbyterian Healthcare Services 8 Main St., Ste. A, 87010 (505) 471-6266 Fax No. (505) 471-5861 Chaparral Doña Ana County Family Practice Ko, Kyong Y., MD Provider ID #NM009N44 BlueLINK ID: 6003646 ES KO La Clinica de Familia 510 Lisa Dr., 88081 (505) 824-0820 Fax No. (505) 824-1021 Lemez, Alma, MD Provider ID #NM009N67 BlueLINK ID: 4323935 ES La Clinica de Familia 510 E. Lisa Dr., 88081 (505) 824-0820 Fax No. (505) 824-1021 Cimarron Colfax County General Practice Hillman, Henry K., MD Provider ID #NM003210 BlueLINK ID: 2265013 ES Cimarron Healthcare Clinic 9th & Washington, 87714 (505) 376-2402 Primary Care Physicians (PCPs) Clayton Union County Family Practice Serrano, Steven E., DO Provider ID #NM009F48 BlueLINK ID: 4211626 Clayton Family Practice 301 Harding St., 88415 (505) 374-2585 Fax No. (505) 374-8146 Van Wormer, Mark E., MD Provider ID #NM002858 BlueLINK ID: 3143339 ES Union County Medical Center 314 N. 3rd Ave., 88415 (505) 374-8311 Fax No. (505) 374-8825 Cloudcroft Otero County Family Practice Montoya, Sylvia, MD Provider ID #NM004390 BlueLINK ID: 3308451 Sacramento Mountain Medical PMS is not affiliated with Presbyterian Healthcare Services 102 State Hwy. 82, 88317 (505) 682-2542 Clovis Curry County Family Practice Alexander, Lonnie D., MD Provider ID #NM009215 BlueLINK ID: 3135474 ES Women's Medical Center 2000 W. 21st St., Ste. A1, 88101 (505) 762-8055 Fax No. (505) 763-3351 Conard, Shawn L., MD Provider ID #NM009V02 BlueLINK ID: 4269066 ES Via Christi Medical Clinic of Clovis 1937 W. 21st St., 88101 (505) 742-2500 Fax No. (505) 742-9878 Felberg, James P., MD Provider ID #NM019936 BlueLINK ID: 4210700 912 W. 21st St., 88101 (505) 762-4455 Fax No. (505) 763-4029 Graham, Oswald C., MD Provider ID #NM001109 BlueLINK ID: 2397801 ES 814 W. 21st St., 88101 (505) 769-2674 Hannagan, Michele, DO Provider ID #NM014119 BlueLINK ID: 4154263 Clovis Pediatric Clinic 912 W. 21st St., 88101 (505) 762-4455 Haynes, Stephen, MD Provider ID #NM001182 BlueLINK ID: 2397826 Associated Physicians & Surgeons of NM 2211 Martin Luther King, 88101 (505) 763-5585 20 Kwan, Albert M., MD Provider ID #NM004128 BlueLINK ID: 2318086 ES 1820 W. 21st St., 88101 (505) 762-2207 Fax No. (505) 762-7108 Sawyer, James R., MD Provider ID #NM013414 BlueLINK ID: 3219001 ES JR Sawyer Family Practice 2301 N. Martin Luther King Blvd., 88101 (505) 742-2200 Fax No. (505) 742-2220 Filizzola, Marcelo, MD Provider ID #NM009K25 BlueLINK ID: 4288654 ES La Casa Family Health Center 1521 W. 13th St., 88101 (505) 769-0888 Fax No. (505) 763-9154 Gaspar, William A., MD Provider ID #NM004365 BlueLINK ID: 4100176 ES HU Clovis Family Healthcare Center 1937 W. 21st St., 88101 (505) 762-5045 Fax No. (505) 762-8411 Sharma, Kiran, MD Provider ID #NM004410 BlueLINK ID: 4167423 ES La Casa Family Health Center 1521 W. 13th St., 88101 (505) 769-0888 Fax No. (505) 763-9154 Kumar, Krishna P., MD Provider ID #NM009S89 BlueLINK ID: 6003911 BN HI Plains Regional Medical Center 2100 N. Martin Luther King, 88101 (505) 769-2141 Fax No. (505) 769-7595 Sheets, Harry K., MD Provider ID #NM009K65 BlueLINK ID: 4181346 Trinity Family Medicine 810 E. 21st St., Ste. A-10, 88101 (505) 742-3033 Fax No. (505) 742-1133 Stalker, David A., MD Provider ID #NM003469 BlueLINK ID: 3256234 ES Associated Physicians & Surgeons of NM 2211 Martin Luther King, 88101 (505) 763-5585 Sheets, Harry K., MD Provider ID #NM009K64 BlueLINK ID: 4181346 Via Christi Medical Clinic of Clovis 1937 W. 21st St., 88101 (505) 742-2500 Fax No. (505) 742-9878 Shrader, Jon M., MD Provider ID #NM01400K BlueLINK ID: 3343964 ES Clovis Family Healthcare Center 912 W. 21st St., 88101 (505) 762-3480 Fax No. (505) 763-4029 Sievers, Joel W., MD Provider ID #NM009K68 BlueLINK ID: 4209985 ES Trinity Family Medicine 810 E. 21st St., Ste. A10, 88101 (505) 742-3033 Fax No. (505) 742-1133 Torres, Maximo C., MD Provider ID #NM000692 BlueLINK ID: 3319279 ES La Casa Family Health Center 1521 W. 13th St., 88101 (505) 769-0888 Fax No. (505) 793-9154 Trance, Mario C., MD Provider ID #NM000678 BlueLINK ID: 4123451 ES La Casa Family Health Center 1521 W. 13th St., 88101 (505) 769-0888 Fax No. (505) 793-9154 Willmon, Brian E., MD Provider ID #NM003009 BlueLINK ID: 2398268 Patients over age 15 2000 W. 21st St., Ste. W8, 88101 (505) 763-4479 Zaman, Mohammed Y., MD Provider ID #NM009K31 BlueLINK ID: 4291045 PA Clovis Family Healthcare Center 1937 W. 21st St., 88101 (505) 762-5045 Fax No. (505) 762-5242 Obstetrics/Gynecology General Practice Cross, Bruce A., MD Provider ID #NM009185 BlueLINK ID: 3143091 Women's Medical Center 2000 W. 21st St., Ste. A1, 88101 (505) 762-8055 Fax No. (505) 763-3351 Ghaffari, Ali M., MD Provider ID #NM001051 BlueLINK ID: 2397783 ES 1501 W. 7th St., 88101 (505) 762-6492 Fax No. (505) 769-8236 Layman, Richard J., DO Provider ID #NM00400H BlueLINK ID: 3125110 ES Women's Medical Center 2000 W. 21st St., Ste. A1, 88101 (505) 762-8055 Fax No. (505) 763-3351 Internal Medicine Ferrari, Obadias, MD Provider ID #NM000859 BlueLINK ID: 3135620 Established patients only 1833 W. 21st St., 88101 (505) 762-2313 See special note See last page for Provider Language Codes legend Moore, William A., MD Provider ID #NM009186 BlueLINK ID: 3326884 Women's Medical Center 2000 W. 21st St., Ste. A1, 88101 (505) 762-8055 Fax No. (505) 763-3351 July 2005 Primary Care Physicians (PCPs) Pediatrics La Fata, Salvatore, MD Provider ID #NM001570 BlueLINK ID: 5002886 2020 Sheffield, 88101 (505) 762-4507 Luu, Thien T., MD Provider ID #NM001660 BlueLINK ID: 5002938 2000 W. 21st St., Ste. E2, 88101 (505) 762-3726 Vickers, David B., MD Provider ID #NM024200 BlueLINK ID: 4199127 Presbyterian Healthcare Services Clovis Pediatric Clinic 912 W. 21st St., 88101 (505) 762-4455 Fax No. (505) 763-4029 Winters, Kathryn E., MD Provider ID #NM022599 BlueLINK ID: 3326021 Clovis Pediatric Clinic 912 W. 21st St., 88101 (505) 762-4455 Fax No. (505) 763-4029 Deming Thal, Alyson P., MD Provider ID #NM009531 BlueLINK ID: 2398153 No OB or hospital care; refers to hospital intensivists ES 4436 Corrales Rd., 87048 (505) 792-3065 Fax No. (505) 792-4004 Cuba Sandoval County Family Practice Chacon, Gayle Dine, MD Provider ID #NM001198 BlueLINK ID: 4135866 Cuba Health Center PMS is not affiliated with Presbyterian Healthcare Services 6349 Hwy. 550, 87013 (505) 289-3291 Fax No. (505) 285-3648 Burke, Kathleen, MD Provider ID #NM009029 BlueLINK ID: 3143063 ES Ben Archer Health Center 626 Taft St., 88029 (505) 531-2165 Fax No. (505) 531-2172 Garcia, Timothy N., MD Provider ID #NM013240 BlueLINK ID: 3369468 Cuba Health Center PMS is not affiliated with Presbyterian Healthcare Services 6349 Hwy. 550, 87013 (505) 289-3291 Fax No. (505) 285-3648 Columbus Luna County Martinez, Enrique, MD Provider ID #NM001726 BlueLINK ID: 3135814 ES Ben Archer Health Center 626 Taft St., 88029 (505) 531-2165 Venegas, Julian L., DO Provider ID #NM004B80 BlueLINK ID: 6003468 ES PT Ben Archer Health Center 626 Taft St., 88029 (505) 531-2165 Fax No. (505) 531-2172 Internal Medicine Komaragiri, Ramesh, MD Provider ID #NM009K32 BlueLINK ID: 4289486 ES Ben Archer Health Center 626 Taft St., 88029 (505) 531-2165 Fax No. (505) 531-2172 Corrales Sandoval County Family Practice Fitzpatrick, William F., MD Provider ID #NM009335 BlueLINK ID: 3313709 No OB or hospital care; refers to hospital intensivists 10 Coyote Trail, 87048 (505) 792-3063 July 2005 Gibson, Lance R., MD Provider ID #NM009J97 BlueLINK ID: 6003312 ES Cuba Health Center PMS is not affiliated with Presbyterian Healthcare Services 6349 Hwy. 550, 87013 (505) 289-3291 Fax No. (505) 289-3648 Kozoll, Richard L., MD Provider ID #NM011517 BlueLINK ID: 2397902 Los Piños Family Healthcare 6362 Hwy. 44, 87013 (505) 289-3326 Fax No. (505) 289-3390 Norman, Suzanne E., DO Provider ID #NM012051 BlueLINK ID: 3279160 Los Piños Family Healthcare 6362 Hwy. 44, 87013 (505) 289-3326 Fax No. (505) 289-3390 Deming Luna County Family Practice Hatol, Maria, MD Provider ID #NM001224 BlueLINK ID: 2299504 TL 1000 S. 8th St., 88030 (505) 544-4975 Fax No. (505) 544-4575 LaFon, George I., MD Provider ID #NM001564 BlueLINK ID: 2397915 ES Florida Medical Clinic 850 W. Florida, 88030 (505) 544-2800 Lipana, Narcisa D., MD Provider ID #NM002801 BlueLINK ID: 2239989 Mimbres Medical Center 1020 S. 8th St., Ste. A, 88030 (505) 546-1059 Fax No. (505) 546-8388 Lundy, John E., MD Provider ID #NM000389 BlueLINK ID: 3135796 ES 220 E. Hemlock St., 88030 (505) 546-2705 Venegas, Julian L., DO Provider ID #NM004B80 BlueLINK ID: 6003468 ES PT Ben Archer Health Center 125 Chaparral, 88030 (505) 546-4800 Williams, George W., DO Provider ID #NM00400D BlueLINK ID: 3225949 ES Blue Skies Primary Care 1110 W. Florida, 88030 (505) 546-4811 Fax No. (505) 546-4821 Zischkau, Douglas D., MD Provider ID #NM012741 BlueLINK ID: 2239975 ES Blue Skies Primary Care 1110 W. Florida, 88030 (505) 546-4811 Fax No. (505) 546-4821 General Practice Tan, Manuel, MD Provider ID #NM003017 BlueLINK ID: 2243661 ES Mimbres Medical Center 1020 S. 8th St., Ste. A, 88030 (505) 546-1059 Geriatrics Sultan, Syed A., MD Provider ID #NM009K48 BlueLINK ID: 4292402 ES Mimbres Internal Medicine 122 S. Gold St., Ste. 3, 88030 (505) 544-7280 Fax No. (505) 544-7281 Internal Medicine Aswad, Mohamed, MD Provider ID #NM009V30 BlueLINK ID: 4295172 ES Mimbres Medical Center 1020 S. 8th St., Ste. A, 88030 (505) 546-3750 Fax No. (505) 546-2770 See special note See last page for Provider Language Codes legend Bassam, Al Homsi, MD Provider ID #NM011036 BlueLINK ID: 4133277 Mimbres Internal Medicine 122 S. Gold St., Ste. 3, 88030 (505) 544-7280 Davenport-Reed, Laura D., MD Provider ID #NM009D34 BlueLINK ID: 4168322 ES Silver Internal Medicine 900 W. Birch, 88030 (505) 546-4222 Fax No. (505) 544-4436 Kumar, Muskula P., MD Provider ID #NM009380 BlueLINK ID: 4120585 ES TE HI Silver Internal Medicine 900 W. Birch, 88030 (505) 544-4422 Meyerowitz, Colicia M., MD Provider ID #NM009K62 BlueLINK ID: 4293302 ES Silver Internal Medicine 900 W. Birch, 88030 (505) 544-4422 Fax No. (505) 544-4436 Sultan, Syed A., MD Provider ID #NM009K48 BlueLINK ID: 4292402 ES Mimbres Internal Medicine 122 S. Gold St., Ste. 3, 88030 (505) 544-7280 Fax No. (505) 544-7281 Primary Care Physicians (PCPs) Family Practice Emery, Michael R., DO Provider ID #NM004149 BlueLINK ID: 4169920 ES FR Cuba Health Center PMS is not affiliated with Presbyterian Healthcare Services 6349 Hwy. 550, 87013 (505) 289-3291 Fax No. (505) 285-3648 Jones, Joel M., DO Provider ID #NM014085 BlueLINK ID: 3381266 ES Blue Skies Primary Care 1110 W. Florida, 88030 (505) 546-4811 Fax No. (505) 546-4821 Pediatrics Adesanya, Olubukunola, MD Provider ID #NM009K99 BlueLINK ID: 6003125 Newborns to age 18 ES Mimbres Health Maintenance Associates 850 W. Florida, 88030 (505) 544-2800 Fax No. (505) 546-6540 Adnan, Hasan, MD Provider ID #NM004430 BlueLINK ID: 4142103 Patients under age 21 ES Rio Grande Medical Group 903 S. Gold, 88030 (505) 546-6577 Fax No. (505) 546-5418 Bader, Mohammad Y., MD Provider ID #NM009N35 BlueLINK ID: 6003648 Patients up to age 18 ES Rio Grande Medical Group 903 S. Gold, 88030 (505) 546-6577 Fax No. (505) 546-5418 Davenport-Reed, Laura D., MD Provider ID #NM009D34 BlueLINK ID: 4168322 ES Silver Internal Medicine 900 W. Birch, 88030 (505) 546-4222 Fax No. (505) 544-4436 21 Dexter Dexter Chaves County Family Practice Arnett, Ana P., MD Provider ID #NM009D08 BlueLINK ID: 4273422 Limited to family practice only Valley Health Clinic of ENMMC 116 E. 2nd St., 88230 (505) 734-5817 Fax No. (505) 734-6550 Edgewood Santa Fe County Family Practice Primary Care Physicians (PCPs) Ortega, Ricardo J., MD Provider ID #NM009630 BlueLINK ID: 3212632 ES First Choice Community Healthcare Edgewood Clinic #8 Medical Center Rd., 87105 (505) 281-3406 Fax No. (505) 286-3329 Sava, Severio J., MD Provider ID #NM009672 BlueLINK ID: 3301200 ES First Choice Community Healthcare Edgewood Clinic #8 Medical Center Rd., 87105 (505) 281-3406 Fax No. (505) 286-3329 Pediatrics Ma, Mary H., MD Provider ID #NM000749 BlueLINK ID: 4276727 NM Primary Care & Midwifery Services 02 Eunice Ct, Bldg. B, 87015 (505) 281-4620 El Prado Taos County Family Practice Ritchie, Elin M., MD Provider ID #NM029F92 BlueLINK ID: 6002079 No obstetrics Ritchie Medical 94 Hwy. 150, 87529 (505) 758-5884 Fax No. (505) 776-8535 El Rito Rio Arriba County Family Practice Keith, Kathryn, MD Provider ID #NM009386 BlueLINK ID: 3135742 ES Synergy 1167 State Hwy. 554, Ste. A, 87530 (505) 581-0033 Fax No. (505) 581-0034 Singleton, Tamara A., MD Provider ID #NM009331 BlueLINK ID: 4120085 ES Las Clinicas del Norte State Hwy. 571, Ste. 28, 87530 (505) 581-4728 Fax No. (505) 581-4789 22 Primary Care Physicians (PCPs) Internal Medicine Rojas, Rogelio E., MD Provider ID #NM009330 BlueLINK ID: 4241538 ES Las Clinicas del Norte State Hwy. 571, Ste. 28, 87530 (505) 581-4728 Fax No. (505) 581-4789 Embudo Rio Arriba County Family Practice Martin, Patrick A., MD Provider ID #NM009P80 BlueLINK ID: 4320173 No deliveries ES Health Centers of Northern NM Embudo Clinic Hwy. 68, 2243 Rinconada, 87531 (505) 579-4255 Española Rio Arriba County Family Practice Bjorklund, Mark D., MD Provider ID #NM003423 BlueLINK ID: 2239922 ES Health Centers of Northern NM Española Clinic 620 Coronado St., 87532 (505) 753-7395 Fax No. (505) 753-8373 Comly-VanAndel, Cynthia, MD Provider ID #NM009P82 BlueLINK ID: 4250871 ES Health Centers of Northern NM Española Clinic 620 Coronado St., 87532 (505) 753-7395 Fax No. (505) 753-8373 Hassemer, Donald W., MD Provider ID #NM011171 BlueLINK ID: 2397819 ES Española Multi-Specialty Clinic 1010 Spruce St., 87532 (505) 753-8031 Fax No. (505) 753-7433 Hayes, Leslie A., MD Provider ID #NM003424 BlueLINK ID: 3332380 Health Centers of Northern NM Española Clinic 620 Coronado St., 87532 (505) 753-7395 Fax No. (505) 753-8373 Khalsa, Silvia S., MD Provider ID #NM034815 BlueLINK ID: 4195625 ES FR IT HI PA 415 N. Paseo de Oñate, 87532 (505) 753-9645 Fax No. (505) 753-6853 Khalsa, Silvia S., MD Provider ID #NM009L96 BlueLINK ID: 4195625 ES FR IT HI PA Española Multi-specialty Clinic 1010 Spruce St., 87532 (505) 367-0257 Fax No. (505) 367-0346 Maley, Kathleen E., DO Provider ID #NM014543 BlueLINK ID: 3260274 Established patients only ES LAMC Family Care Center 98 Coronado Ave., 87532 (505) 753-9292 Fax No. (505) 753-1866 Martin, Patrick A., MD Provider ID #NM009P80 BlueLINK ID: 4320173 No deliveries ES Health Centers of Northern NM Española Clinic 620 Coronado St., 87532 (505) 753-7395 Singleton, Tamara A., MD Provider ID #NM001868 BlueLINK ID: 4120085 ES Health Centers of Northern NM Española Clinic 620 Coronado St., 87532 (505) 753-7395 Fax No. (505) 753-8373 Thatch, Leonard I., MD Provider ID #NM019J68 BlueLINK ID: 2175310 ES LAMC Family Care Center 1302 Calle De Merced, Ste. E, 87532 (505) 753-9292 Fax No. (505) 753-1866 Van Andel, Brent J., MD Provider ID #NM009P81 BlueLINK ID: 4312743 ES Health Centers of Northern NM Española Clinic 711 Bond St., 87532 (505) 753-9503 Fax No. (505) 747-1004 Vigil, Alfredo, MD Provider ID #NM009P89 BlueLINK ID: 3143341 ES Health Centers of Northern NM Española Clinic 620 Coronado St., 87532 (505) 753-7395 Fax No. (505) 753-8373 Webster, Jennifer N., MD Provider ID #NM009J43 BlueLINK ID: 4239167 ES Health Centers of Northern NM 620 Coronado St., 87532 (505) 579-4255 Fax No. (505) 579-4669 Internal Medicine Kaplan, Adolfo E., MD Provider ID #NM009540 BlueLINK ID: 4240394 ES FR Española Multi-Specialty Clinic 1010 Spruce St., 87532 (505) 753-8031 Fax No. (505) 753-7433 Ryan, W. Murray, MD Provider ID #NM002366 BlueLINK ID: 3143290 835 Spruce St., Ste. C, 87532 (505) 753-7121 Wagner, Michael D., MD Provider ID #NM002873 BlueLINK ID: 3136015 835 Spruce St., Ste. B, 87532 (505) 753-7499 See special note See last page for Provider Language Codes legend Wagner, Michael D., MD Provider ID #NM009658 BlueLINK ID: 3136015 Española Multi-Specialty Clinic 1010 Spruce St., 87532 (505) 367-0340 Fax No. (505) 367-0346 Pediatrics Kirby, Chelsea D., MD Provider ID #NM009578 BlueLINK ID: 4244594 Española Multi-Specialty Clinic 1010 Spruce St., 87532 (505) 753-8031 Fax No. (505) 753-7433 Trombley, Paul E., MD Provider ID #NM009R95 BlueLINK ID: 6003584 Española Multi-Specialty Clinic 1010 Spruce St., 87532 (505) 367-0340 Fax No. (505) 367-0346 Estancia Torrance County Family Practice Stogner, Linda M., MD Provider ID #NM002714 BlueLINK ID: 2398122 ES Esperanza Family Health Center PMS is not affiliated with Presbyterian Healthcare Services 903 5th St., Ste. C, 87016 (505) 384-2777 Fax No. (505) 384-2204 Farmington San Juan County Family Practice Bliss, Ronald S., MD Provider ID #NM004266 BlueLINK ID: 4145006 ES ZB Piñon Family Practice 2300 E. 30th St., Ste. 102, 87401 (505) 324-1000 Fax No. (505) 324-1199 Brenner, John M., DO Provider ID #NM014B01 BlueLINK ID: 2335350 No children under age 6 months ZB Farmington Community Health Center PMS is not affiliated with Presbyterian Healthcare Services 1001 W. Broadway, Ste. D, 87401 (505) 327-9149 Fax No. (505) 325-9113 Burns, Robert J., MD Provider ID #NM000432 BlueLINK ID: 3135542 Farmington Family Practice 622 W. Maple St., Ste. B, 87401 (505) 327-4867 Fax No. (505) 327-5355 Calcote, Ronald M., MD Provider ID #NM000650 BlueLINK ID: 2291137 No medicaid patients Farmington Family Practice 622 W. Maple St., Ste. B, 87401 (505) 327-4867 Fax No. (505) 327-5355 July 2005 Primary Care Physicians (PCPs) Fort Sumner Cassidy, Margaret L., MD Provider ID #NM002537 BlueLINK ID: 4163017 Established patients only Southwest Family Practice 304 N. Locke St., 87401 (505) 324-1100 Mosley, Frederick J., MD Provider ID #NM021780 BlueLINK ID: 3251967 Mesa Occupational & Sports Medicine 2700 Farmington Ave., Bldg. F, Ste. 1, 87401 (505) 325-1100 Chiha, Mona B., MD Provider ID #NM009J83 BlueLINK ID: 6003201 No OB/GYN AR Farmington Community Health Center PMS is not affiliated with Presbyterian Healthcare Services 1001 W. Broadway, Ste. D, 87401 (505) 327-4746 Fax No. (505) 325-9113 Payne, George L., MD Provider ID #NM004851 BlueLINK ID: 4177095 No medicaid patients Farmington Family Practice 622 W. Maple St., Ste. B, 87401 (505) 327-4867 Fax No. (505) 327-5355 Crider, Ken, MD Provider ID #NM000621 BlueLINK ID: 2397677 No medicaid patients Farmington Family Practice 622 W. Maple St., Ste. B, 87401 (505) 327-4867 Fax No. (505) 327-5355 DeKay, Matthew T., MD Provider ID #NM009021 BlueLINK ID: 3364297 Mesa Family Practice 2130 Farmington Ave., Ste. A, 87401 (505) 325-2323 Fax No. (505) 325-7172 Dunn, Dan A., MD Provider ID #NM014513 BlueLINK ID: 3272826 Primary Health Care 505 E. 20th St., 87401 (505) 324-6300 Fax No. (505) 327-2218 Faherty, Sean, MD Provider ID #NM004194 BlueLINK ID: 4150361 Established patients only ES ZB Piñon Family Practice 2300 E. 30th St., Ste. 102, 87401 (505) 324-1000 Fax No. (505) 324-1199 Gruber, Michael D., MD Provider ID #NM004264 BlueLINK ID: 3297734 Established patients only 903 W. Apache, 87401 (505) 326-5282 Fax No. (505) 326-5286 Harmon, Lance M., MD Provider ID #NM009J18 BlueLINK ID: 4227976 Farmington Family Practice 622 W. Maple St., Ste. B, 87401 (505) 327-4867 Fax No. (505) 327-5355 McFarling, Harold K., DO Provider ID #NM004340 BlueLINK ID: 2394592 607 E. Apache, 87401 (505) 326-1922 Fax No. (505) 327-4239 July 2005 Ruger, Jane A., MD Provider ID #NM009162 BlueLINK ID: 4174977 Established patients only: no obstetric patients High Desert Family Medicine 4801 N. Butler Ave., Ste. 3102, 87401 (505) 325-9555 Fax No. (505) 325-9306 Rutledge, Michael J., MD Provider ID #NM009P30 BlueLINK ID: 2226073 ES Mesa Family Practice 2130 Farmington Ave., Ste. A, 87401 (505) 325-2323 Fax No. (505) 325-7172 Schaefer, Daniel W., MD Provider ID #NM009J85 BlueLINK ID: 6003257 ES Farmington Community Health Center PMS is not affiliated with Presbyterian Healthcare Services 1001 W. Broadway, Ste. D, 87401 (505) 327-4796 Fax No. (505) 325-9113 Tso, Wilbur A., MD Provider ID #NM012811 BlueLINK ID: 2398185 903 W. Apache, 87401 (505) 327-9876 White, Jeri J., DO Provider ID #NM024B02 BlueLINK ID: 4236631 ES High Desert Family Medicine 4801 N. Butler Ave., Ste. 3102, 87401 (505) 325-9555 Fax No. (505) 325-9306 Williams, Wetzel, MD Provider ID #NM003013 BlueLINK ID: 3136041 608 E. Comanche, 87401 (505) 325-8332 General Practice Rousseau, Marie T., MD Provider ID #NM002373 BlueLINK ID: 3143287 804 E. Navajo St., 87401 (505) 327-5336 Fax No. (505) 326-9120 Abbott, Alice M., MD Provider ID #NM009F44 BlueLINK ID: 3295758 SJR Internal Medicine Clinic 655 W. Piñon, 87401 (505) 326-5359 Fax No. (505) 326-2467 Barry-Prather, Eleanore A., MD Provider ID #NM004695 BlueLINK ID: 4190937 Established patients only William Cumberworth, MD 657 W. Maple St., Ste. A, 87401 (505) 325-5025 Cumberworth, William A., MD Provider ID #NM004864 BlueLINK ID: 3135588 657 W. Maple St., Ste. A, 87401 (505) 325-5025 Glover, Donald K., MD Provider ID #NM004040 BlueLINK ID: 2396741 657 W. Maple St., Ste. A, 87401 (505) 326-4546 Diedrich, Richard G., MD Provider ID #NM010721 BlueLINK ID: 330753 ES ZB DE Farmington Community Health Center PMS is not affiliated with Presbyterian Healthcare Services 1001 W. Broadway, Ste. D, 87401 (505) 327-4796 Fax No. (505) 325-9113 Drinko, Lynn, MD Provider ID #NM009770 BlueLINK ID: 5007682 San Juan Pediatrics 622 W. Maple St., Ste. F, 87401 (505) 327-2570 Fax No. (505) 324-4570 Gelfand, Karen S., MD Provider ID #NM009N29 BlueLINK ID: 6003507 San Juan Pediatrics 622 W. Maple St., Ste. F, 87401 (505) 327-2570 Fax No. (505) 324-4570 Gray, Suzanne C., MD Provider ID #NM002159 BlueLINK ID: 3307096 228 N. Schwartz Ave., 87401 (505) 327-8881 Herrington, Preston, III, MD Provider ID #NM012782 BlueLINK ID: 3399788 Established patients only ES San Juan Pediatrics 622 W. Maple St., 87401 (505) 327-2570 Fax No. (505) 324-4570 Kompare, Edward A., MD Provider ID #NM000950 BlueLINK ID: 3258462 Established patients only SJR Internal Medicine Clinic 655 W. Piñon, 87401 (505) 326-5359 Fax No. (505) 326-2467 James, Brenda L., MD Provider ID #NM009J12 BlueLINK ID: 5009713 Established patients only San Juan Pediatrics 622 W. Maple St., Ste. F, 87401 (505) 327-2570 Fax No. (505) 324-4570 Spence, James J., MD Provider ID #NM002609 BlueLINK ID: 3135978 Internal Medicine Associates, PC 301 S. Lake St., 87401 (505) 325-7531 Fax No. (505) 326-2186 Rankin, R. Stephen, MD Provider ID #NM012687 BlueLINK ID: 4100523 Established patients only ES San Juan Pediatrics 622 W. Maple St., 87401 (505) 327-2570 Fax No. (505) 324-4570 Vaidya, Shilpa, MD Provider ID #NM009A12 BlueLINK ID: 4251520 228 N. Schwartz Ave., 87401 (505) 325-8881 Vrushab, Basanti, MD Provider ID #NM009F28 BlueLINK ID: 4279309 Patients over age 17 only Gemstone Medical Corporation 903 W. Apache, 87401 (505) 326-5282 Fax No. (505) 326-5286 Vrushab, Rajesh, MD Provider ID #NM009A01 BlueLINK ID: 4266001 Silver Summit Medical Corporation 810 W. Maple St., 87401 (505) 564-8210 Pediatrics Clarke, Margaret M., MD Provider ID #NM004932 BlueLINK ID: 5005014 Established patients only San Juan Pediatrics 622 W. Maple St., 87401 (505) 327-2570 Fax No. (505) 324-4570 See special note See last page for Provider Language Codes legend Primary Care Physicians (PCPs) DiGioia, Sabrina L., DO Provider ID #NM009J27 BlueLINK ID: 4275778 GYN only, ages 14 and up ES ZB Farmington Community Health Center PMS is not affiliated with Presbyterian Healthcare Services 1001 W. Broadway, Ste. D, 87401 (505) 327-4796 Fax No. (505) 325-9113 Pope, Joseph P., MD Provider ID #NM003000 BlueLINK ID: 3351053 Established patients only ES Piñon Family Practice 2300 E. 30th St., Bldg. B, Ste. 102, 87401 (505) 324-1000 Fax No. (505) 324-1199 Internal Medicine Tolliver, Peggy R., MD Provider ID #NM009F53 BlueLINK ID: 5009333 San Juan Pediatrics 622 W. Maple St., Ste. F, 87401 (505) 327-2570 Fax No. (505) 324-4570 Fort Sumner De Baca County Family Practice Roberts, Joyce A., MD Provider ID #NM009N57 BlueLINK ID: 3209169 De Baca Family Practice Clinic 500 N. 10th St., 88119 (505) 355-2414 Fax No. (505) 355-7894 Internal Medicine Kokoricha, Tobore G., MD Provider ID #NM009N46 BlueLINK ID: 4319328 ES De Baca Family Practice Clinic 500 N. 10th St., 88119 (505) 355-2414 Fax No. (505) 355-7894 23 Gallup Gallup McKinley County Family Practice Amawi, Firas B., DO Provider ID #NM004B10 BlueLINK ID: 4277373 AR Western NM Medical Group PMS is not affiliated with Presbyterian Healthcare Services 610 N. 5th St., 87301 (505) 863-3120 Fax No. (505) 863-2961 Andrade, Aedra D., MD Provider ID #NM009J29 BlueLINK ID: 5010061 No OB/GYN or prenatal ES Western NM Medical Group PMS is not affiliated with Presbyterian Healthcare Services 610 N. 5th St., 87301 (505) 863-3120 Fax No. (505) 863-2961 Primary Care Physicians (PCPs) Andrade, Lawrence, MD Provider ID #NM009L08 BlueLINK ID: 4295627 ES Rehoboth McKinley Christian Clinic 650 Vanden Bosch Pkwy., 87301 (505) 726-6980 Fax No. (505) 726-6982 Arrowsmith, Janet N., MD Provider ID #NM001000 BlueLINK ID: 3254581 Rehoboth McKinley Christian Clinic 650 Vanden Bosch Pkwy., 87301 (505) 726-6980 Fax No. (505) 726-6982 Fronterotta, Adelfio, MD Provider ID #NM000932 BlueLINK ID: 2397773 Established patients only ES ZB 517 E. Nizhoni Blvd., 87301 (505) 722-6603 Fax No. (505) 722-1310 Hunte, Esther J., MD Provider ID #NM009631 BlueLINK ID: 4255345 Rehoboth McKinley Christian Clinic 650 Vanden Bosch Pkwy., 87301 (505) 726-6980 Martinez-Ferrate, Rodolfo S., MD Provider ID #NM004568 BlueLINK ID: 4174976 Rehoboth McKinley Christian Clinic 650 Vanden Bosch Pkwy., 87301 (505) 726-6980 Fax No. (505) 726-6982 Primary Care Physicians (PCPs) Shipley, Janice A., MD Provider ID #NM002564 BlueLINK ID: 3135962 ES FR Western NM Medical Group PMS is not affiliated with Presbyterian Healthcare Services 610 N. 5th St., 87301 (505) 863-3120 Fax No. (505) 863-2961 Internal Medicine Adeniyi, Oladipo A., MD Provider ID #NM009R52 BlueLINK ID: 6003539 YO Rehoboth McKinley Christian Health Care Services 1900 Red Rock Dr., 87301 (505) 863-7200 Fax No. (505) 863-7380 Braun, Charles R., MD Provider ID #NM009570 BlueLINK ID: 3135528 Specializing in pulmonology Rehoboth McKinley Christian Clinic 2111 College Dr., 87301 (505) 863-1820 Fax No. (505) 863-7329 Gonzaga, Christopher E., MD Provider ID #NM004423 BlueLINK ID: 4154201 Established patients only Rehoboth McKinley Christian Clinic 2111 College Dr., 87301 (505) 863-1820 Fax No. (505) 863-1898 Lim, Nelson T., MD Provider ID #NM000814 BlueLINK ID: 4134108 Established patients only Rehoboth McKinley Christian Clinic 2111 College Dr., 87301 (505) 863-1820 Fax No. (505) 863-1898 Nagaraju, Sivakumar, MD Provider ID #NM009E22 BlueLINK ID: 4249701 Patients over age 18 Rehoboth McKinley Christian Clinic 2111 College Dr., 87301 (505) 863-1820 Fax No. (505) 863-1898 Robertson, Gerald R., MD Provider ID #NM002282 BlueLINK ID: 3135911 Established patients only Rehoboth McKinley Christian Clinic 2111 College Dr., 87301 (505) 863-1820 Fax No. (505) 863-1989 McKenzie, David, MD Provider ID #NM001855 BlueLINK ID: 3135832 Established patients only 1808 E. Aztec Ave., Ste. 6, 87301 (505) 863-9375 Fax No. (505) 722-7400 Robinson, Thomas E., MD Provider ID #NM002302 BlueLINK ID: 3143279 Established patients only ES Rehoboth McKinley Christian Clinic 2111 College Dr., 87301 (505) 863-1820 Fax No. (505) 863-1898 Ranin, Carlos A., MD Provider ID #NM009561 BlueLINK ID: 4202731 ES Rehoboth McKinley Christian Clinic 2111 College Dr., 87301 (505) 863-1820 Fax No. (505) 863-1898 Whitfield, James W., MD Provider ID #NM002964 BlueLINK ID: 3156620 Established patients only Rehoboth McKinley Christian Clinic 1900 Red Rock Dr., 87301 (505) 863-7200 Fax No. (505) 863-7380 24 Pediatrics Abad, Maria, MD Provider ID #NM000887 BlueLINK ID: 4134107 Rehoboth McKinley Christian Clinic 2111 College Dr., 87301 (505) 863-1820 Fax No. (505) 863-1898 Bautista, Mario C., MD Provider ID #NM009R63 BlueLINK ID: 6003552 Patients under age 18 TL Rehoboth McKinley Christian Clinic 2111 College Dr., 87301 (505) 863-1820 Fax No. (505) 863-1898 Mezoff, Kathleen M., MD Provider ID #NM001861 BlueLINK ID: 2397975 Established patients only Rehoboth McKinley Christian Clinic 2111 College Dr., 87301 (505) 863-1820 Fax No. (505) 863-1989 Poel, Mary L., MD Provider ID #NM002153 BlueLINK ID: 2398033 Established patients only Rehoboth McKinley Christian Clinic 2111 College Dr., 87301 (505) 863-1820 Fax No. (505) 863-1989 Stam, Richard P., MD Provider ID #NM002667 BlueLINK ID: 3135982 Established patients only Rehoboth McKinley Christian Clinic 2111 College Dr., 87301 (505) 863-1820 Fax No. (505) 863-1989 Stam-MacLaren, Michelle A., MD Provider ID #NM004611 BlueLINK ID: 4175345 Rehoboth McKinley Christian Clinic 2111 College Dr., 87301 (505) 863-1820 Fax No. (505) 863-1898 Truex, Jonathan, MD Provider ID #NM009S64 BlueLINK ID: 3302047 Rehoboth McKinley Christian Clinic 1901 Red Rock Dr., 87301 (505) 863-7000 Grants Cibola County Family Practice Alexander, Vinu, MD Provider ID #NM009H64 BlueLINK ID: 4218125 ES Pitts Medical Bldg. 1040 SakeLares Blvd., 87020 (505) 287-4489 Fax No. (505) 287-8441 Banks, Diane C., MD Provider ID #NM000213 BlueLINK ID: 3212553 1041 Mesa Blvd., Ste. C, 87020 (505) 287-3135 Gibson, Monique H., MD Provider ID #NM004693 BlueLINK ID: 4178318 ES Western NM Medical Group PMS is not affiliated with Presbyterian Healthcare Services 1217 Bonita Ave., 87020 (505) 287-2958 Fax No. (505) 257-2403 See special note See last page for Provider Language Codes legend Kathard, Haresh M., MD Provider ID #NM009J94 BlueLINK ID: 6003292 No OB patients AF HI GU ZU Western NM Medical Group PMS is not affiliated with Presbyterian Healthcare Services 1217 Bonita Ave., 87020 (505) 287-2958 Fax No. (505) 992-4990 Shipley, Janice A., MD Provider ID #NM002564 BlueLINK ID: 3135962 ES FR Western NM Medical Group PMS is not affiliated with Presbyterian Healthcare Services 1217 Bonita Ave., 87020 (505) 287-2958 Fax No. (505) 989-4761 Valdivia, Arnold W., MD Provider ID #NM002384 BlueLINK ID: 2322894 ES Grants Medical Center 1208 Bonita Ave., 87020 (505) 287-4474 Internal Medicine Augenstein, H. Nicholas, MD Provider ID #NM009146 BlueLINK ID: 2205034 Patients over age 18 Internal Medicine of Grants 1040 Sakalares Blvd., 87020 (505) 287-4489 Pitts, David B., MD Provider ID #NM003218 BlueLINK ID: 2204472 ES Pitts & Pitts Medical 1040 Sakalares Blvd., 87020 (505) 287-4489 Pitts, Jane C., MD Provider ID #NM003231 BlueLINK ID: 2258888 Pitts & Pitts Medical 1040 Sakalares Blvd., 87020 (505) 287-4489 Pediatrics Flores, Marisa C., MD Provider ID #NM009L74 BlueLINK ID: 6003165 Patients up to age 18 ES Pitts & Pitts Medical 1040 Sakelares Blvd., 87020 (505) 287-4489 Hatch Doña Ana County Family Practice Lugo, Fernando, DO Provider ID #NM004B69 BlueLINK ID: 4271532 Osteopathic manipulation ES Ben Archer Health Center 255 Hwy. 187, 87937 (505) 267-3088 Fax No. (505) 267-1747 Martinez, Enrique, MD Provider ID #NM001726 BlueLINK ID: 3135814 ES Ben Archer Health Center 808 W. Hall St., 87937 (505) 267-3088 July 2005 Primary Care Physicians (PCPs) Hobbs Lea County Family Practice Braswell, William N., MD Provider ID #NM009154 BlueLINK ID: 4192049 ES Desert Medical Group 1801 N. Dal Paso St., 88240 (505) 393-0511 Fax No. (505) 393-0914 Bublis, Paul A., DO Provider ID #NM009155 BlueLINK ID: 4177595 ES Desert Medical Group 1801 N. Dal Paso St., 88240 (505) 393-0511 Fax No. (505) 393-0914 Jones, Terry D., DO Provider ID #NM004B56 BlueLINK ID: 3394911 Hobbs Family Practice 5419 N. Lovington Hwy., Ste. 5, 88240 (505) 492-0045 Fax No. (505) 492-0086 Kernan, Jack, MD Provider ID #NM001500 BlueLINK ID: 2397880 303 E. Taylor, 88240 (505) 393-0543 Fax No. (505) 397-2131 General Practice Lele, Geeta E., MD Provider ID #NM001628 BlueLINK ID: 2397925 921 N. Turner St., 88240 (505) 393-8562 Internal Medicine Fonseca, Jesus J., MD Provider ID #NM009390 BlueLINK ID: 3395520 Patients over age 18 ES The Medicine Clinic 5419 N. Lovington Hwy., Ste. 22, 88240 (505) 392-8943 Fax No. (505) 392-8960 Kankanala, Sambaiah, MD Provider ID #NM001466 BlueLINK ID: 2397875 5419 N. Lovington Hwy., Ste. 4, 88240 (505) 392-7537 Kernan, John B., MD Provider ID #NM001503 BlueLINK ID: 2397881 5419 N. Lovington Hwy., Ste. 13, 88240 (505) 392-7798 Fax No. (505) 392-4928 Mankad, Naishadh A., MD Provider ID #NM009793 BlueLINK ID: 4186724 5419 N. Lovington Hwy., Ste. 12, 88240 (505) 492-0220 Fax No. (505) 492-0429 July 2005 Obstetrics/Gynecology Driskill, Christopher S., MD Provider ID #NM009K63 BlueLINK ID: 4292178 OB/GYN, females only ES Hobbs Ob/Gyn Associates 5420 Lovington Hwy., 88240 (505) 433-4000 Fax No. (505) 392-7965 Gonzalez, Carmen R., MD Provider ID #NM009988 BlueLINK ID: 3209375 Females only ES 5419 N. Lovington Hwy., Ste. 24, 88240 (505) 392-0123 Fax No. (505) 392-9988 Ranka, Prakash M., MD Provider ID #NM014301 BlueLINK ID: 3135902 OB/GYN, females only ES HI Hobbs Ob/Gyn Associates 5420 Lovington Hwy., 88240 (505) 433-4000 Fax No. (505) 392-7965 Pediatrics Ganeshan, Deepa, MD-MBBS Provider ID #NM009K39 BlueLINK ID: 5010076 ES HI TA TE Lea County Children's Clinic 5419 N. Lovington Hwy., Ste. 2, 88240 (505) 392-1503 Fax No. (505) 392-5698 Murillo, Sonia L., MD Provider ID #NM009N38 BlueLINK ID: 6003600 ES Lea County Children's Clinic 5419 N. Lovington Hwy., Ste. 2, 88240 (505) 392-1503 Fax No. (505) 392-5698 Reddy, Yaratha, MD Provider ID #NM002855 BlueLINK ID: 5003587 Lea County Children's Clinic 5419 N. Lovington Hwy., Ste. 2, 88240 (505) 392-1503 Sager, Wayne L., MD Provider ID #NM009N85 BlueLINK ID: 3310839 ES Lea County Childrens Clinic 5419 N. Lovington Hwy., Ste.2, 88240 (505) 392-1503 Fax No. (505) 392-5698 Salguero, Jose J.E., MD Provider ID #NM019251 BlueLINK ID: 3395233 ES The Childrens Doctor & Family Care 2410 N. Fowler, 88240 (505) 492-2020 Fax No. (505) 492-9621 Jal Jemez Pueblo Sandoval County Family Practice Garcia, Timothy N., MD Provider ID #NM004676 BlueLINK ID: 3369468 Jemez Valley Medical Clinic PMS is not affiliated with Presbyterian Healthcare Services 8372 Hwy. 4, 87024 (505) 834-0802 Fax No. (505) 837-9315 La Loma Guadalupe County Family Practice Gallegos, Frank V., MD Provider ID #NM003252 BlueLINK ID: 3271494 Health Centers of Northern NM La Loma Clinic State Hwy. 84, 87724 (505) 427-5036 Stoltze, David A., MD Provider ID #NM002594 BlueLINK ID: 2147683 Health Centers of Northern NM La Loma Clinic State Hwy. 84, 87724 (505) 427-5036 Las Cruces Doña Ana County Family Practice Abramson, Mark A., MD Provider ID #NM012258 BlueLINK ID: 3390168 ES Ben Archer Health Center 1600 Thorpe Rd., 88012 (505) 382-9292 Fax No. (505) 382-2061 Baker, William T., DO Provider ID #NM004036 BlueLINK ID: 2363624 Established patients only 2020 S. Solano, Ste. A, 88001 (505) 522-7313 Barbosa, Louis E., MD Provider ID #NM009192 BlueLINK ID: 3115185 ES Rehabilitation & Occupational Medicine 3530 Foothills, Ste. N, 88001 (505) 532-6054 Carmody, Robert W., MD Provider ID #NM009078 BlueLINK ID: 3271496 ES Rio Grande Medical Group 4351 E. Lohman Ave., Ste. 301, 88011 (505) 532-8900 Fax No. (505) 522-0040 General Practice Castrejon, Eduardo A., MD Provider ID #NM000505 BlueLINK ID: 3207866 1205 S. Solano, 88001 (505) 524-9119 Chibueze, Dom, MD Provider ID #NM002489 BlueLINK ID: 4158138 ES Jal Clinic 101 E. Panther, Drawer Z, 88252 (505) 395-3400 Fax No. (505) 395-2781 Conty, Orlando, MD Provider ID #NM014299 BlueLINK ID: 4185971 ES Ben Archer Health Center 1600 Thorpe Rd., 88012 (505) 382-9292 Fax No. (505) 382-2061 Lea County See special note See last page for Provider Language Codes legend Draluck, Debra L., MD Provider ID #NM009N06 BlueLINK ID: 4249148 ES Ben Archer Health Center 1600 Thorpe Rd., 88012 (505) 382-9292 Fax No. (505) 382-2061 Duerksen, Susan D., MD Provider ID #NM009378 BlueLINK ID: 4204204 ES Zia Family Medicine 4351 E. Lohman Ave., Ste. 208, 88011 (505) 532-1456 Fax No. (505) 522-6789 Ewing, Joseph G., MD Provider ID #NM009K61 BlueLINK ID: 6001227 ES La Clinica de Familia 1160 Mall Dr., 88005 (505) 521-7181 Fax No. (505) 521-7199 Flores, Jose A., MD Provider ID #NM009B01 BlueLINK ID: 4271295 ES Rio Grande Medical Group 4351 E. Lohman Ave., Ste. 301, 88011 (505) 532-8900 Fax No. (505) 522-0040 Gallardo, Benito, Jr., MD Provider ID #NM009356 BlueLINK ID: 3238556 ES Occu-Care Medical Clinic 2170 E. Lohman Ave., Ste. C, 88001 (505) 524-8888 Garrett, Bertram D., MD Provider ID #NM019957 BlueLINK ID: 2111184 ES MMC-Family Practice 2450 S. Telshor Blvd., 88011 (505) 521-5370 Fax No. (505) 521-5647 Gomez, Teresa R., MD Provider ID #NM009N48 BlueLINK ID: 4277710 ES Rehabilitation & Occupational Medicine 3530 Foothills, Ste. N, 88011 (505) 532-6054 Fax No. (505) 532-0215 Guerrero, Rene A., MD Provider ID #NM000947 BlueLINK ID: 3213825 ES 2301 Saturn Cir., 88012 (505) 382-0014 Fax No. (505) 382-0015 Haese, Wolfgang H., MD Provider ID #NM009B10 BlueLINK ID: 3156914 DE 2465 Bataan Memorial West, Ste. 2, 88012 (505) 373-8415 Fax No. (505) 373-8416 Harrison, Norman D., DO Provider ID #NM014249 BlueLINK ID: 3215932 ES 225 E. Idaho, Ste. 26, 88005 (505) 647-5156 Fax No. (505) 647-5157 Hernandez, Guillermo, Jr., DO Provider ID #NM004263 BlueLINK ID: 3247427 4351 E. Lohman Ave., Ste. 202, 88011 (505) 522-8193 25 Primary Care Physicians (PCPs) Lampley, Joseph C., DO Provider ID #NM004B86 BlueLINK ID: 3267742 ES Sprocket Medical Management 5419 N. Lovington Hwy., Bldg. 5, Ste. 3, 88240 (505) 392-1973 Fax No. (505) 392-2030 Las Cruces Las Cruces Kowalski, Gregory A., DO-PA Provider ID #NM009429 BlueLINK ID: 3246475 Established patients only ES PT DE 2301 Saturn Cir., 88012 (505) 382-0014 Fax No. (505) 382-0015 LaFon, Fay A., MD Provider ID #NM009103 BlueLINK ID: 3143208 ES 2611 N. Main, 88001 (505) 525-3531 Fax No. (505) 525-3534 Landau, Marian, DO Provider ID #NM004B77 BlueLINK ID: 6002934 ES La Clinica de Familia 9400 Hwy. 70, 88012 (505) 373-9202 Fax No. (505) 373-9592 Primary Care Physicians (PCPs) Leonardi, Denise, MD Provider ID #NM011741 BlueLINK ID: 3212585 ES Family Care Associates 1135 S. Main St., Ste. B, 88005 (505) 525-4000 Fax No. (505) 525-4021 Marquez, Ramon L., MD Provider ID #NM011788 BlueLINK ID: 3143233 ES 1325 California St., 88001 (505) 524-9119 Fax No. (505) 525-1889 Martinez, Enrique, MD Provider ID #NM001726 BlueLINK ID: 3135814 ES Ben Archer Health Center 1600 Thorpe Rd., 88012 (505) 382-9292 Fax No. (505) 382-2061 McCarthy, Shane E., DO Provider ID #NM004B78 BlueLINK ID: 4297781 ES La Clinica de Familia 1160 Mall Dr., 88001 (505) 521-7181 Fax No. (505) 521-7199 Muralidhasan, Srirengam, MD Provider ID #NM024997 BlueLINK ID: 4185230 ES 1605 El Paseo Rd., 88001 (505) 527-2600 Fax No. (505) 527-5342 Murphy, Michael R., DO Provider ID #NM004B89 BlueLINK ID: 6003703 Alergy, asthma & related primary care illnesses ES Allergy & Asthma Clinic 2100 S. Triviz, Ste. A, 88001 (505) 522-6500 Fax No. (505) 522-0591 Paz, Conchita M., MD Provider ID #NM012118 BlueLINK ID: 3289103 ES Family Care Associates 1135 S. Main St., Ste. B, 88005 (505) 525-4000 Fax No. (505) 525-4021 26 Primary Care Physicians (PCPs) Prickett, William R., MD Provider ID #NM009Q13 BlueLINK ID: 2183717 ES DE Rehabilitation & Occupational Medicine 3530 Foothills, Ste. N, 88011 (505) 532-6054 Fax No. (505) 532-0215 Rowley, Mildred H., MD Provider ID #NM009095 BlueLINK ID: 3340669 ES 2435 S. Telshor Blvd., 88011 (505) 522-7798 Fax No. (505) 522-3415 Samuel, Roset D., MD Provider ID #NM009140 BlueLINK ID: 4154225 ES Rio Grande Medical Group 4351 E. Lohman Ave., Ste. 301, 88011 (505) 532-8900 Fax No. (505) 522-0040 Schaefer, Stefan C., MD Provider ID #NM009D15 BlueLINK ID: 4124065 Bone densitometry studies ES Health Care Solutions, PA 2810 N. Telshor Blvd., 88011 (505) 532-2033 Fax No. (505) 522-2045 Tellez, Cecilia M., MD Provider ID #NM019D10 BlueLINK ID: 4257956 ES MMC-Family Practice 2450 S. Telshor Blvd., 88011 (505) 521-5370 Fax No. (505) 521-5647 Thomas, Susan D., MD Provider ID #NM019B05 BlueLINK ID: 4179789 ES MMC-Family Practice 2450 S. Telshor Blvd., 88011 (505) 521-5370 Fax No. (505) 521-5647 Valenzuela, David M., MD Provider ID #NM012843 BlueLINK ID: 2398244 ES 1505 S. Don Roser Dr., Ste. A, 88011 (505) 521-9485 Fax No. (505) 532-7025 Vigil, Isabel C., MD Provider ID #NM012857 BlueLINK ID: 2398275 ES 2803 Doral Ct., 88011 (505) 522-1628 Fax No. (505) 522-1686 General Practice Garcia, Baldomero P., MD Provider ID #NM001001 BlueLINK ID: 3135647 Med Associates 1200 S. Telshor Blvd., 88011 (505) 521-7550 Garcia, Umberto I., MD Provider ID #NM001002 BlueLINK ID: 2397788 Med Associates 1200 S. Telshor Blvd., 88011 (505) 521-7411 Huerta, Sergio A., DO Provider ID #NM011473 BlueLINK ID: 3215927 ES 1505 S. Don Roser Dr., Ste. A, 88011 (505) 521-9485 Fax No. (505) 532-7000 Saavedra, Ramon A., MD Provider ID #NM009205 BlueLINK ID: 3360044 ES Rehabilitation & Occupational Medicine 3530 Foothills, Ste. N, 88011 (505) 532-6054 Fax No. (505) 522-5281 Internal Medicine Andrews, Patricia J., MD Provider ID #NM009313 BlueLINK ID: 3135478 Patients over age 18 ES Andrews & Johnson of the Mesilla Valley 225 E. Idaho, Ste. 17, 88005 (505) 526-5525 Fax No. (505) 541-0498 Attiogbe, Frances, MD Provider ID #NM019B09 BlueLINK ID: 4266715 Patients over age 17 ES Solano Medical Associates 1205 S. Solano, 88001 (505) 524-9119 Fax No. (505) 525-1889 Bass, Harry, MD Provider ID #NM000242 BlueLINK ID: 3143033 ES 2425 S. Telshor Blvd., 88011 (505) 522-0330 Fax No. (505) 522-8620 Benevento, Louis M., MD Provider ID #NM000263 BlueLINK ID: 2397248 ES 755 S. Telshor Blvd., Ste. G4, 88011 (505) 522-0423 Fax No. (505) 521-4829 Bradley, James P., MD Provider ID #NM009N08 BlueLINK ID: 4298938 ES 2735 Northrise Dr., 88011 (505) 522-3822 Fax No. (505) 532-4347 Caglia, Angelica A., MD Provider ID #NM009440 BlueLINK ID: 3270017 ES 1180 Mall Dr., Ste. C, 88011 (505) 532-5500 De La Vega, Osvaldo R., MD Provider ID #NM002196 BlueLINK ID: 3304433 IT Southwest Health Services 2525 S. Telshor Blvd., Ste. B, 88011 (505) 521-1575 Fax No. (505) 521-1940 Flores, John A., MD Provider ID #NM009953 BlueLINK ID: 3250889 Specializing in pain management; Patients over age 15 ES Flores Medical Corp. 2902 Hillrise Dr., 88011 (505) 522-5755 Fax No. (505) 556-1302 Ghei, Manisha, MD Provider ID #NM009B83 BlueLINK ID: 4271906 ES HI Rush Green Medical Associates 2735 Northside Dr., 88011 (505) 532-4344 Fax No. (505) 532-4347 See special note See last page for Provider Language Codes legend Johnson, Gregory E., MD Provider ID #NM009528 BlueLINK ID: 3135734 Patients over age 18 ES Andrews & Johnson of the Mesilla Valley 225 E. Idaho, Ste. 17, 88005 (505) 526-5525 Fax No. (505) 541-0498 Kannaeganti, Prasad V., MD Provider ID #NM009N36 BlueLINK ID: 6003647 Patients over age 13 ES TU La Clinica de Familia Ste. 7, Onate Plaza, 88046 (505) 524-3571 Fax No. (505) 525-8089 Krupp, Jason A., MD Provider ID #NM009N65 BlueLINK ID: 4291504 Patients over age 15 ES 4351 E. Lohman Ave., Ste. 204, 88011 (505) 523-4344 Fax No. (505) 523-4434 Lopez, George E., MD Provider ID #NM001764 BlueLINK ID: 3209275 Established patients only 2901 Hillrise Dr., 88011 (505) 522-0300 Maslona, Andrew, MD Provider ID #NM009795 BlueLINK ID: 4249909 Patients over age 12 ES La Clinica de Familia 8780 Hwy. 70, 88012 (505) 373-9202 Fax No. (505) 979-9592 Mercer, Ann S., MD Provider ID #NM001860 BlueLINK ID: 3108431 Established patients only 2801 E. Missouri Ave., Ste. 12, 88011 (505) 522-6900 Nattakom, Shiney T., MD Provider ID #NM009935 BlueLINK ID: 4254079 ES Internal Medicine Doctors of Las Cruces 1605 El Paseo Rd., 88001 (505) 524-2600 Fax No. (505) 527-5342 Pavia, Gaudencio O., MD Provider ID #NM009N09 BlueLINK ID: 4263143 Adult patients 18 years and up ES 2525 S. Telshor Blvd., Bldg. B, 88011 (505) 521-1575 Fax No. (505) 521-1940 Shanbhag, Sangeeth, MD Provider ID #NM009B67 BlueLINK ID: 4264134 ES Bonita Plaza 2801 E. Missouri Ave., Ste. 14, 88011 (505) 521-8500 Fax No. (505) 521-8400 Sierra, Silvia M., MD Provider ID #NM009808 BlueLINK ID: 4160761 Patients over age 18 ES Medical Associates 4141 Camino Coyote, Ste. B, 88011 (505) 522-1010 Fax No. (505) 522-7474 July 2005 Primary Care Physicians (PCPs) Webb, Sidney, MD Provider ID #NM019788 BlueLINK ID: 3136022 ES La Clinic de Familia, Inc. 9400 Hwy. 70, 88012 (505) 373-9202 Fax No. (505) 373-9592 Zahir, Azhar, MD Provider ID #NM009392 BlueLINK ID: 4118117 Patients over age 2 ES Southwest Healthcare Associates 1605 El Paseo Rd., 88001 (505) 527-2600 Obstetrics/Gynecology Cooper, Frank C., MD Provider ID #NM012892 BlueLINK ID: 2173057 Female patients over age 12 ES First Step Center 2450 S. Telshor Blvd., 88011 (505) 556-8175 Fax No. (505) 556-8180 Draluck, Debra L., MD Provider ID #NM009N06 BlueLINK ID: 4249148 ES Ben Archer Health Center 1600 Thorpe Rd., 88012 (505) 382-9292 Fax No. (505) 382-2061 Armendariz, Marina, MD Provider ID #NM014305 BlueLINK ID: 5004530 Patients under age 18 ES First Step Center 2450 S. Telshor Blvd., 88011 (505) 556-8200 Fax No. (505) 556-8230 Bader, Mohammad Y., MD Provider ID #NM009N35 BlueLINK ID: 6003648 Patients up to age 18 ES Rio Grande Medical Group 4351 E. Lohman Ave., Ste. 301, 88011 (505) 532-8900 Fax No. (505) 532-8974 Brown, Eileen L., MD Provider ID #NM019786 BlueLINK ID: 4255343 Patients under age 18 ES Nuestro Futuro 2904 Hillrise Dr., 88011 (505) 521-7227 Fax No. (505) 521-7233 Ciudad, Hernan, MD Provider ID #NM014552 BlueLINK ID: 5004700 Patients under age 18 ES First Step Center 2450 S. Telshor Blvd., 88011 (505) 556-8200 Fax No. (505) 556-8230 Crawley, Maria G., MD Provider ID #NM014602 BlueLINK ID: 5004735 Patients under age 18 ES First Step Pediatrics 2450 S. Telshor Blvd., 88011 (505) 556-8200 Fax No. (505) 556-8230 July 2005 Fresquez, Catherine T., MD Provider ID #NM009K23 BlueLINK ID: 5007936 Patients up to age 18 ES Rio Grande Medical Group 4351 E. Lohman Ave., Ste. 301, 88011 (505) 532-8900 Fax No. (505) 532-8963 Las Vegas San Miguel County Family Practice Herndon, Timothy E., MD Provider ID #NM001303 BlueLINK ID: 3144033 Rio Grande Medical Group 4351 E. Lohman Ave., Ste. 301, 88011 (505) 532-8900 Fax No. (505) 522-0040 Brady, Julie M., MD Provider ID #NM001989 BlueLINK ID: 4137423 ES Health Centers of Northern NM Las Vegas Clinic Hot Springs Blvd., 87701 (505) 425-6788 Fax No. (505) 425-5408 Khan, Rizwan H., MD Provider ID #NM009444 BlueLINK ID: 4255346 Patients under age 18 ES Rio Grande Medical Group 4351 E. Lohman Ave., Ste. 301, 88011 (505) 532-8900 Fax No. (505) 522-0040 Cambron, Bradford, MD Provider ID #NM001629 BlueLINK ID: 3368052 ES Health Centers of Northern NM Las Vegas Clinic Hot Springs Blvd., 87701 (505) 425-6788 Fax No. (505) 425-5408 Lichtenfels, Jennifer M., MD Provider ID #NM014608 BlueLINK ID: 5004738 Patients under age 18 ES First Step Pediatrics 2450 S. Telshor Blvd., 88011 (505) 556-8200 Fax No. (505) 556-8230 Lirio, Beverly Jane, MD Provider ID #NM009437 BlueLINK ID: 4255112 Patients under age 18 ES Rio Grande Medical Group 4351 E. Lohman Ave., Ste. 301, 88011 (505) 532-8900 Fax No. (505) 522-0040 Ray, Joanne M., DO Provider ID #NM014060 BlueLINK ID: 4132384 Patients under age 18 ES Casa Alegre Pediatrics, LLC 4351 E. Lohman Ave., Ste. 407, 88011 (505) 532-5912 Fax No. (505) 532-5915 Suina, Rita M., MD Provider ID #NM002897 BlueLINK ID: 4255113 ES Rio Grande Medical Group 4351 E. Lohman Ave., Ste. 301, 88011 (505) 532-8900 Fax No. (505) 522-0040 Talamantes, Roberto, MD Provider ID #NM002731 BlueLINK ID: 5003515 1250 Hillrise Cir., 88011 (505) 521-1378 Torres, Catherine D., MD Provider ID #NM020134 BlueLINK ID: 5002116 Patients under age 18 First Step Pediatrics 2450 S. Telshor Blvd., 88011 (505) 556-8200 Fax No. (505) 556-8230 Williams, Jana R., MD Provider ID #NM009370 BlueLINK ID: 4147259 Patients under age 18 ES Rio Grande Medical Group 4351 E. Lohman Ave., Ste. 301, 88011 (505) 532-8900 Fax No. (505) 522-0040 Gallegos, Frank V., MD Provider ID #NM000700 BlueLINK ID: 3271494 Health Centers of Northern NM Las Vegas Clinic Hot Springs Blvd., 87701 (505) 425-6788 Fax No. (505) 425-5408 Irwin, Alan, DO Provider ID #NM004B13 BlueLINK ID: 4294790 Health Centers of Northern NM Las Vegas Clinic 3031 Hot Springs Blvd., 87701 (505) 425-6788 Fax No. (505) 425-5408 Madrid, M. Eileen, MD Provider ID #NM001632 BlueLINK ID: 3209318 Established patients only 419 Manzanares, 87701 (505) 425-6773 Fax No. (505) 426-9238 Olivares, Melquiades, MD Provider ID #NM004689 BlueLINK ID: 2150990 Established patients only ES 260 Mills Ave., 87701 (505) 425-6731 Fax No. (505) 454-9193 Schweigert, Daniel, MD Provider ID #NM000765 BlueLINK ID: 3307243 Established patients only DE 1214 National Ave., 87701 (505) 425-7340 Fax No. (505) 425-7680 Stoltze, David A., MD Provider ID #NM002594 BlueLINK ID: 2147683 Health Centers of Northern NM Las Vegas Clinic Hot Springs Blvd., 87701 (505) 425-6788 Fax No. (505) 425-5408 Zwahlen-Minton, Denise, MD Provider ID #NM019409 BlueLINK ID: 4186043 HCNNM Las Vegas Clinic 3031 Hot Springs Blvd., 87701 (505) 425-6788 Fax No. (505) 425-5408 Geriatrics Zwahlen-Minton, Denise, MD Provider ID #NM019409 BlueLINK ID: 4186043 HCNNM Las Vegas Clinic 3031 Hot Springs Blvd., 87701 (505) 425-6788 Fax No. (505) 425-5408 Internal Medicine Elliott, David, MD Provider ID #NM000771 BlueLINK ID: 3135609 Established patients only 105 Mills Ave., Ste. 300, 87701 (505) 425-9311 Fax No. (505) 425-9047 Kanode, Bradley A., MD Provider ID #NM019118 BlueLINK ID: 4209709 Lifestyle Medicine 1301 8th St., 87701 (505) 425-2850 Fax No. (505) 425-2847 Lopez, G. Michael, MD Provider ID #NM001568 BlueLINK ID: 3135788 Established patients only 105 Mills Ave., Ste. 300, 87701 (505) 425-9311 Miller, Franklin, MD Provider ID #NM001926 BlueLINK ID: 3213797 1900 Hot Springs Blvd., 87701 (505) 425-3596 Fax No. (505) 425-2789 Obstetrics/Gynecology Swan, G. V., MD Provider ID #NM002719 BlueLINK ID: 2365310 Rio Vista Ob/Gyn 105 Mills Ave., Ste. 100, 87701 (505) 425-3569 Pediatrics Bunch, George P., MD Provider ID #NM000458 BlueLINK ID: 3143061 Las Vegas Clinic for Children & Youth 501 7th St., 87701 (505) 425-3566 Fax No. (505) 425-3568 Dronen, Nancy, MD Provider ID #NM009395 BlueLINK ID: 5007150 Las Vegas Clinic for Children & Youth 501 7th St., 87701 (505) 425-3566 Fax No. (505) 425-3568 Wiseman, Merle D., MD Provider ID #NM009J50 BlueLINK ID: 4174705 ES 1301 8th St., 87701 (505) 425-2850 Fax No. (505) 425-2847 Schipper, Mary S., MD Provider ID #NM009N28 BlueLINK ID: 6003486 Las Vegas Clinic for Children & Youth 501 7th St., 87701 (505) 425-3566 Fax No. (505) 425-3568 Zapf, Rosemarie I., DO Provider ID #NM004026 BlueLINK ID: 3265404 1900 Hot Springs Blvd., 87701 (505) 454-1400 Fax No. (505) 426-0362 Wright, Nancy, MD Provider ID #NM009A25 BlueLINK ID: 4280402 Las Vegas Clinic for Children & Youth 501 7th St., 87701 (505) 425-3566 Fax No. (505) 425-3568 See special note See last page for Provider Language Codes legend 27 Primary Care Physicians (PCPs) Pediatrics Las Vegas Lordsburg Lordsburg Hidalgo County Family Practice Johnson, Michael D., MD Provider ID #NM009D35 BlueLINK ID: 4269878 ES Hidalgo Medical Services 530 Demoss St., 88045 (505) 542-8384 Fax No. (505) 542-8387 Sergeant, Michael C., MD Provider ID #NM014261 BlueLINK ID: 3143303 ES Hidalgo Medical Services 530 Demoss St., 88045 (505) 542-8384 Fax No. (505) 542-8367 Los Alamos Los Alamos County Primary Care Physicians (PCPs) Family Practice Bouquin, Erin Jones, MD Provider ID #NM009T48 BlueLINK ID: 4157988 ES Medical Associates of Northern New Mexico PA 3917 West Rd., Ste. A, 87544 (505) 661-8900 Fax No. (505) 661-8961 Church, David R., MD Provider ID #NM000531 BlueLINK ID: 2397661 Patients over age 8 Medical Associates of Northern NM 3917 West Rd., Ste. A, 87544 (505) 661-8900 Fax No. (505) 661-8916 Cook, Roger H., MD Provider ID #NM009P28 BlueLINK ID: 338511 No obstetrics ES Los Alamos Medical Care Clinic 3917 West Rd., Ste. 150, 87544 (505) 662-4351 Fax No. (505) 662-2932 Daly, Paul C., MD Provider ID #NM010794 BlueLINK ID: 3392710 ES FR Medical Associates of Northern NM 3917 West Rd., Ste. A, 87544 (505) 661-8900 Fax No. (505) 661-8916 Hertzman, Phillip, MD Provider ID #NM001253 BlueLINK ID: 2397831 Los Alamos Family Practice Los Alamos PHO 3917 West Rd., Ste. 130, 87544 (505) 662-2900 Fax No. (505) 662-4333 Mesibov, David A., MD Provider ID #NM009P92 BlueLINK ID: 4147204 118 Central Park Sq., 87544 (505) 662-4798 Fax No. (505) 661-9637 Mulka, Linda Louise, MD Provider ID #NM009P93 BlueLINK ID: 3135853 Established patients only ES 118 Central Park Sq., 87544 (505) 662-4798 Fax No. (505) 661-9637 28 Primary Care Physicians (PCPs) Taylor, Daniel F., MD Provider ID #NM019F47 BlueLINK ID: 4193016 Patients over age 12 ES Los Alamos Medical Care Clinic 3917 West Rd., Ste. 150, 87544 (505) 662-4351 Fax No. (505) 662-2932 Taylor, H. Tyler, III, MD Provider ID #NM009T20 BlueLINK ID: 2209134 3491 Trinity Dr., Ste. D, 87544 (505) 661-2411 Fax No. (505) 661-2505 General Practice Jackson, B. Michael, MD Provider ID #NM011401 BlueLINK ID: 3135724 Urgent care only ES Los Alamos Medical Care Clinic 3917 West Rd., Ste. 150, 87544 (505) 662-4351 Fax No. (505) 662-2932 Internal Medicine Barnard, Kathryn G., MD Provider ID #NM009J14 BlueLINK ID: 4286610 Established patients only ES Los Alamos Medical Care Clinic 3917 West Rd., Ste. 150, 87544 (505) 662-4351 Fax No. (505) 662-2932 Ferris, Ann K., MD Provider ID #NM009A31 BlueLINK ID: 3225487 Patients over age 12 ES FR Medical Associates of Northern New Mexico 3917 West Rd., Ste. A, 87544 (505) 661-8900 Fax No. (505) 661-8916 Goddard, Lawrence W., MD Provider ID #NM001069 BlueLINK ID: 2397792 Patients over age 12 Medical Associates of Northern NM 3917 West Rd., Ste. A, 87544 (505) 661-8900 Fax No. (505) 661-8916 Linnebur, A. Carolyn, MD Provider ID #NM001661 BlueLINK ID: 2397933 Established patients over age 12 Medical Associates of Northern NM 3917 West Rd., Ste. A, 87544 (505) 661-8900 Fax No. (505) 661-8916 Smith, Fredrica E., MD Provider ID #NM002600 BlueLINK ID: 3209280 ES 3917 West Rd., Ste. D, 87544 (505) 662-9400 Vosburg, Molly J., MD Provider ID #NM004220 BlueLINK ID: 4204934 Patients over age 12 ES Medical Associates of Northern NM 3917 West Rd., Ste. A, 87544 (505) 661-8900 Fax No. (505) 661-8916 Ziomek, James J., MD Provider ID #NM010805 BlueLINK ID: 3399906 Established patients only Los Alamos Medical Care Clinic Los Alamos PHO 3917 West Rd., Ste. 150, 87544 (505) 662-4351 Fax No. (505) 662-2932 Pediatrics Csanadi, Mary E., MD Provider ID #NM002134 BlueLINK ID: 5003198 ES Children's Clinic 3917 West Rd., Ste. 128, 87544 (505) 662-4234 Fax No. (505) 662-7894 Romero, Melvin L., MD Provider ID #NM009R67 BlueLINK ID: 6003557 ES First Choice Community Healthcare Los Lunas Clinic 1259 Hwy. 314, 87031 (505) 865-4618 Fax No. (505) 265-1062 Walsh, Norah E., MD Provider ID #NM004221 BlueLINK ID: 3136018 ES Rio Abajo Family Practice 111 Sandoval, 87031 (505) 565-4355 Fax No. (505) 821-5047 General Practice Csanadi, Thomas A., MD Provider ID #NM004550 BlueLINK ID: 5004698 DE Children's Clinic 3917 West Rd., Ste. 128, 87544 (505) 662-4234 Fax No. (505) 662-7894 Aragon, Joseph R., MD Provider ID #NM004210 BlueLINK ID: 2145930 ES Los Lunas Family Practice 127 Sandoval, 87031 (505) 865-3373 Krohn, Jacqueline A., MD Provider ID #NM011552 BlueLINK ID: 3135764 Los Alamos Pediatric Clinic Los Alamos PHO 3917 West Rd., Ste. 136, 87544 (505) 662-9620 Fax No. (505) 662-0024 Internal Medicine Neal, John Bennett, MD Provider ID #NM002010 BlueLINK ID: 5003141 Children's Clinic 3917 West Rd., Ste. 128, 87544 (505) 662-4234 Nichols, Michael W., MD Provider ID #NM002032 BlueLINK ID: 5003154 Children's Clinic 3917 West Rd., Ste. 128, 87544 (505) 662-4234 Schoonover, Shelley P., MD Provider ID #NM003241 BlueLINK ID: 5003808 ES Children's Clinic 3917 West Rd., Ste. 128, 87544 (505) 662-4234 Los Lunas Valencia County Family Practice Noce, Michael A., MD Provider ID #NM009S09 BlueLINK ID: 3124763 ES DE Rio Abajo Family Practice 111 Sandoval, 87031 (505) 565-4355 Fax No. (505) 565-4360 Pentecost, Jennifer, MD Provider ID #NM009E21 BlueLINK ID: 3370580 ES First Choice Community Healthcare Los Lunas Clinic 1259 Hwy. 314, 87031 (505) 865-4618 Fax No. (505) 265-1062 See special note See last page for Provider Language Codes legend Saleheen, Kazi S., MD Provider ID #NM004782 BlueLINK ID: 4226304 ES Valencia Health Professionals 311 S. Los Lentes, 87031 (505) 866-9300 Fax No. (505) 866-9360 Yamamoto, Kenneth A., MD Provider ID #NM003089 BlueLINK ID: 3143365 No obstetric patients ES First Choice Community Healthcare Los Lunas Clinic 1259 Hwy. 314, 87031 (505) 865-4618 Fax No. (505) 865-1062 Pediatrics Olmsted, Michelle, MD Provider ID #NM013641 BlueLINK ID: 3385933 ES FR First Choice Community Healthcare Los Lunas Clinic 1259 Hwy. 314, 87031 (505) 865-4618 Fax No. (505) 864-4618 Lovington Lea County Family Practice Bains, Amar, MD Provider ID #NM003360 BlueLINK ID: 3391122 Lovington Clinic 1600 N. Main, Ste. A, 88260 (505) 396-3529 Fax No. (505) 396-5640 Carver, Ronald C., MD Provider ID #NM009B54 BlueLINK ID: 4122397 ES Lovington Clinic 1600 N. Main, Ste. A, 88260 (505) 396-3529 Fax No. (505) 396-5640 July 2005 Primary Care Physicians (PCPs) Homer, Patrick J., DO Provider ID #NM004865 BlueLINK ID: 4171450 Lovington Clinic 1600 N. Main, Ste. A, 88260 (505) 396-3529 Fax No. (505) 396-5640 Hopkins, Ronald D., DO Provider ID #NM004102 BlueLINK ID: 3215924 Lovington Clinic 1600 N. Main, Ste. A, 88260 (505) 396-3529 Fax No. (505) 396-5640 Wagner, Lenard D., MD Provider ID #NM022930 BlueLINK ID: 3136014 ES Lovington Clinic 1600 N. Main, 88260 (505) 396-3529 Fax No. (505) 396-5640 General Practice Flores, Walter, DO Provider ID #NM004239 BlueLINK ID: 3215923 ES Flores Clinic 828 W. Jackson Ave., 88260 (505) 396-2474 Fax No. (505) 396-5712 Magdalena Socorro County Family Practice Brady, Charles F., DO Provider ID #NM00400M BlueLINK ID: 3315034 ES Magdalena Area Health Center PMS is not affiliated with Presbyterian Healthcare Services 108 N. Main, 87825 (505) 854-3161 Fax No. (505) 854-3160 Mimbres Grant County Family Practice King, Shelby H., MD Provider ID #NM019960 BlueLINK ID: 3135757 ES Hidalgo Medical Services Mimbres Clinic 2743 Hwy. 35, Ste. B, 88049 (505) 536-3990 Fax No. (505) 536-3991 Mora County Young, Lucien D., DO Provider ID #NM004B12 BlueLINK ID: 3123346 ES Pecos Valley Medical Center State Hwy. 50, 87552 (505) 757-6482 Fax No. (505) 757-2700 Internal Medicine Gaspar, William A., MD Provider ID #NM009771 BlueLINK ID: 4100176 ES HU Mora Valley Community Health Services State Hwy. 518, 87732 (505) 387-2201 Fax No. (505) 387-9006 Pediatrics Smelser, Chad, MD Provider ID #NM009P88 BlueLINK ID: 6003835 Mora Valley Community Health Services Hwy. 518, 87732 (505) 387-2201 Fax No. (505) 387-9006 Moriarty Torrance County Family Practice McLeod, Orrin K., DO Provider ID #NM004844 BlueLINK ID: 3184408 Center For Aesthetic Medicine 1108 Central Ave., 87035 (505) 832-4434 Fax No. (505) 832-5024 Doña Ana County Torrance County Internal Medicine Family Practice Gismondi-Eagan, Carmella L., MD Provider ID #NM004268 BlueLINK ID: 4195916 La Clinica de Familia Oñate Plaza, Ste. 7, 88046 (505) 524-3571 Fax No. (505) 525-8089 Minnick, Deborah J., DO Provider ID #NM00400R BlueLINK ID: 4240203 ES Mountainair Family Health Center PMS is not affiliated with Presbyterian Healthcare Services 105 E. Piñon St., 87036 (505) 847-2271 July 2005 Pecos San Miguel County Internal Medicine Mountainair Webb, Sidney, MD Provider ID #NM019788 BlueLINK ID: 3136022 ES La Clinic de Familia, Inc. Oñate Plaza, Ste. 7, 88046 (505) 524-3571 Fax No. (505) 525-8089 Rojas, Rogelio E., MD Provider ID #NM009330 BlueLINK ID: 4241538 ES Las Clinicas del Norte Hwy. 285, Bldg. 35319, 87549 (505) 583-2191 Fax No. (505) 583-2192 Mora Mesilla Maslona, Andrew, MD Provider ID #NM009795 BlueLINK ID: 4249909 Patients over age 12 ES La Clinica de Familia Oñate Plaza, Ste. 7, 88046 (505) 524-3571 Fax No. (505) 541-9249 Internal Medicine Ojo Caliente Peñasco Taos County Family Practice Fraker, Lesa D., MD Provider ID #NM014104 BlueLINK ID: 2336392 ES Taos Community Health Plan Peñasco Clinic 24 Hwy. 73, 87553 (505) 587-1833 Nolan, Kevin J., MD Provider ID #NM009F41 BlueLINK ID: 4272488 ES Health Centers of Northern NM Peñasco Clinic 15136 State Rd. 75, 87553 (505) 587-2205 Fax No. (505) 587-1944 Singleton, Tamara A., MD Provider ID #NM001868 BlueLINK ID: 4120085 ES Health Centers of Northern NM Peñasco Clinic 15136 State Rd. 75, 87553 (505) 587-2205 Fax No. (505) 587-1944 Pine Hill Cibola County Family Practice Heath, Ann, MD Provider ID #NM009139 BlueLINK ID: 5006090 ES ZB Pine Hill Health Center BIA Rural Route 125, 87357 (505) 775-3271 Fax No. (505) 775-3655 Taos County Family Practice Singleton, Tamara A., MD Provider ID #NM009330 BlueLINK ID: 4120085 ES Las Clinicas del Norte Hwy. 285, Bldg. 35319, 87549 (505) 583-2191 Fax No. (505) 583-2192 See special note See last page for Provider Language Codes legend Pojoaque Santa Fe County Family Practice Delgado, James R., MD Provider ID #NM009726 BlueLINK ID: 4194899 ES Pojoaque Primary Care 5 Petroglyph Cir. Cities of Gold Rd., Ste. A, 87501 (505) 455-1962 Fax No. (505) 455-2355 Maestas, Charles J., MD Provider ID #NM009161 BlueLINK ID: 2397949 ES Pojoaque Family Practice 5 Petroglyph Cir., Ste. B, 87501 (505) 455-2842 Fax No. (505) 455-2941 Pacheco, Mario F., MD Provider ID #NM012107 BlueLINK ID: 3214593 ES Pojoaque Primary Care 5 Petroglyph Circle, Ste. A, 87506 (505) 455-1962 Fax No. (505) 455-2355 Portales Roosevelt County Family Practice Primary Care Physicians (PCPs) Smith, Robert E., DO Provider ID #NM004499 BlueLINK ID: 3215913 Smith Clinic 518 S. 11th St., 88260 (505) 396-5336 Portales Alexander, Lonnie D., MD Provider ID #NM020153 BlueLINK ID: 3135474 ES Eastern Medical Associates 42121 US 70, 88130 (505) 356-6652 Fax No. (505) 359-6827 Donaldson, Leslie A., MD Provider ID #NM019973 BlueLINK ID: 4259987 ES Eastern Medical Associates 42121 US 70, 88130 (505) 356-6652 Fax No. (505) 359-6827 Lindo, Rolando J., MD Provider ID #NM009367 BlueLINK ID: 4245007 ES La Casa de Buena Salud 1515 W. Fir, 88130 (505) 356-6695 Fax No. (505) 356-5948 Patel, Amina, MD Provider ID #NM009K35 BlueLINK ID: 6000721 ES UR La Casa de Buena Salud 1515 W. Fir, 88130 (505) 356-6695 Fax No. (505) 356-5948 Sharma, Kiran, MD Provider ID #NM004410 BlueLINK ID: 4167423 ES La Casa de Buena Salud 1515 W. Fir, 88130 (505) 356-6695 Fax No. (505) 356-5948 Sievers, Joel W., MD Provider ID #NM019972 BlueLINK ID: 4209985 Eastern Medical Associates 42121 US 70, 88130 (505) 356-6652 Fax No. (505) 359-6827 29 Portales Torres, Maximo C., MD Provider ID #NM000692 BlueLINK ID: 3319279 ES La Casa de Buena Salud 1515 W. Fir, 88130 (505) 356-6695 Fax No. (505) 356-5948 General Practice Green, Patricia J., MD Provider ID #NM014966 BlueLINK ID: 4207024 ES Sparrow Family Medical Center 1402 S. Avenue O, 88130 (505) 356-2153 Fax No. (505) 356-2155 Internal Medicine Filizzola, Marcelo, MD Provider ID #NM009K25 BlueLINK ID: 4288654 ES La Casa de Buena Salud 1515 W. Fir, 88130 (505) 356-6695 Fax No. (505) 356-5948 Primary Care Physicians (PCPs) Sahay, Bhaskar, MD Provider ID #NM019N10 BlueLINK ID: 6003264 Eastern Medical Associates 42142 US 70, 88130 (505) 356-6652 Fax No. (505) 359-6827 Sinha, Jayashree, MD Provider ID #NM019B70 BlueLINK ID: 4270275 Eastern Medical Associates 42121 US 70, 88130 (505) 356-6652 Fax No. (505) 359-6827 Trance, Mario C., MD Provider ID #NM000678 BlueLINK ID: 4123451 ES La Casa de Buena Salud 1515 W. Fir, 88130 (505) 356-6695 Fax No. (505) 356-5948 Obstetrics/Gynecology Al Saleh, Mazin A., MD Provider ID #NM009V01 BlueLINK ID: 4310237 Female patients only AR La Casa Family Health Center 1515 W. Fir, 88130 (505) 356-6695 Fax No. (505) 356-5948 Pediatrics Arif, Khuram, MD Provider ID #NM009790 BlueLINK ID: 4251816 Patients under age 18 ES La Casa de Buena Salud 1515 W. Fir, 88130 (505) 356-6695 Fax No. (505) 356-5948 Primary Care Physicians (PCPs) Questa Taos County Family Practice Gomez, Anita Paiz, MD Provider ID #NM013259 BlueLINK ID: 3207865 ES Questa Health Clinic PMS is not affiliated with Presbyterian Healthcare Services State Hwy. 522, Bldg. 2573, 87556 (505) 586-0315 Fax No. (505) 586-0234 Ranchos de Taos Taos County Family Practice Cardasis, James P., DO Provider ID #NM01400A BlueLINK ID: 2207368 No obstetric patients ES Taos Community Healthplan Ranchos Health Center - Española Clinic 4151 Paseo de Pueblo Sur, 87557 (505) 758-4287 Raton Colfax County Family Practice Caruana, Lee C., MD Provider ID #NM000509 BlueLINK ID: 3252073 ES Family Practice Associates of Raton 411 S. 3rd St., 87740 (505) 445-3626 Fax No. (505) 445-8649 Duran, Michelle S., MD Provider ID #NM009J33 BlueLINK ID: 4290833 ES Family Practice Associates of Raton 411 S. 3rd St., 87740 (505) 445-3626 Fax No. (505) 445-8649 Internal Medicine Abdo, Wa'el M., MD Provider ID #NM029F39 BlueLINK ID: 4166181 Patients over age 14 FR AR Raton Colfax Medical Services 166 Hospital Dr., 87740 (505) 445-4111 Fax No. (505) 445-2666 Conder, Loretta A., MD Provider ID #NM001422 BlueLINK ID: 3284281 Established patients only Internal Medicine Associates 166 Hospital Dr., 87740 (505) 445-4111 Fax No. (505) 445-2666 Naylor, Hugh E., III, MD Provider ID #NM002014 BlueLINK ID: 3135860 Internal Medicine Associates 190 Hospital Dr., 87740 (505) 445-5563 Fax No. (505) 445-5566 30 Zmily, Misbah D., MD Provider ID #NM013085 BlueLINK ID: 4116480 AR 190 Hospital Dr., 87740 (505) 445-5563 Fax No. (505) 445-5566 Anderson, William W., MD Provider ID #NM004404 BlueLINK ID: 3143012 Established patients only 1400 Barbara Lp. SE, 87124 (505) 892-9711 Fax No. (505) 892-5206 Zmily, Misbah D., MD Provider ID #NM009P99 BlueLINK ID: 4116480 AR Miners Colfax Medical Center 200 Hospital Dr., 87740 (505) 445-3661 Chelist, Edward R., MD Provider ID #NM009F64 BlueLINK ID: 2397637 Lovelace Sandia Health Systems Rio Rancho Family Medicine 3801 Southern Blvd., 87124 (505) 896-8600 Obstetrics/Gynecology Tiku, Jameela Bai, MD Provider ID #NM002749 BlueLINK ID: 2398171 130 S. 3rd St., 87740 (505) 445-5548 Reserve Catron County Family Practice Brady, Charles F., DO Provider ID #NM004081 BlueLINK ID: 3315034 ES Catron County Medical Center PMS is not affiliated with Presbyterian Healthcare Services 1 Foster Ln., 87830 (505) 887-2610 Fax No. (505) 533-6767 Nebblett, Edwin, MD Provider ID #NM009024 BlueLINK ID: 3232554 Catron County Medical Center PMS is not affiliated with Presbyterian Healthcare Services 1 Foster Ln., 87830 (505) 533-6456 Fax No. (505) 533-6767 Ribera San Miguel County Family Practice Gallegos, Frank V., MD Provider ID #NM003251 BlueLINK ID: 3271494 Health Centers of Northern NM San Miguel Clinic Hwy. 3, 87560 (505) 421-1113 Stoltze, David A., MD Provider ID #NM002594 BlueLINK ID: 2147683 Health Centers of Northern NM San Miguel Clinic Hwy. 3, 87560 (505) 421-1113 Rio Rancho Sandoval County Family Practice Aamodt, Denise, MD Provider ID #NM011199 BlueLINK ID: 4117595 Lovelace Sandia Health Systems Rio Rancho Family Medicine 3801 Southern Blvd., 87124 (505) 896-8600 See special note See last page for Provider Language Codes legend Garcia, Henry, MD Provider ID #NM029319 BlueLINK ID: 3136886 ES Physicians Group of Sandia Health Systems Rio Rancho Adult & Geriatric Medicine 1721 Rio Rancho NW, 87124 (505) 727-3500 Gibson, Lance R., MD Provider ID #NM009J97 BlueLINK ID: 6003312 ES Rio Rancho Family Health Center PMS is not affiliated with Presbyterian Healthcare Services 1424 Deborah SE, Ste. 101, 87124 (505) 896-0928 Fax No. (505) 896-0585 Gibula, Richard A., MD Provider ID #NM001050 BlueLINK ID: 2397787 1400 Barbara Lp. SE, Ste. G, 87124 (505) 792-2828 Hughson, Paula, MD Provider ID #NM009P15 BlueLINK ID: 3135722 ES Rio Rancho Family Health Center PMS is not affiliated with Presbyterian Healthcare Services 1424 Deborah SE, Ste. 101, 87124 (505) 896-0929 Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates Rio Rancho Nursing & Rehab Center 4210 Sabana Grande SE, 87124 (505) 892-6603 Robak, Lee M., MD Provider ID #NM002311 BlueLINK ID: 2101635 Westside Family Medicine 1316 Jackie Rd., Ste. 900, 87124 (505) 892-7518 Rodriguez, Ana Lisa, MD Provider ID #NM009F65 BlueLINK ID: 4243231 Lovelace Sandia Health Systems Rio Rancho Family Medicine 3801 Southern Blvd., 87124 (505) 896-8600 Schmidt, Amy, MD Provider ID #NM009667 BlueLINK ID: 3212598 ES Southwest Medical Associates 1721 Rio Rancho NW, Ste. B, 87124 (505) 823-1010 Fax No. (505) 823-6544 Valdez, Celia B., MD Provider ID #NM009666 BlueLINK ID: 3202274 ES Southwest Medical Associates 1721 Rio Rancho NW, Ste. B, 87124 (505) 823-1010 Fax No. (505) 823-6544 July 2005 Primary Care Physicians (PCPs) Vick, Jack, MD Provider ID #NM029568 BlueLINK ID: 3349357 Physicians Group of Sandia Health Systems Rio Rancho Adult & Geriatric Medicine 1721 Rio Rancho NW, 87124 (505) 727-3500 General Practice Haines, Charles E., MD Provider ID #NM003192 BlueLINK ID: 3307443 Rio Rancho Family Health Center PMS is not affiliated with Presbyterian Healthcare Services 1424 Deborah SE, Ste. 101, 87124 (505) 896-0928 Fax No. (505) 896-0585 Geriatrics Muraida, Gerard E., MD Provider ID #NM031757 BlueLINK ID: 3256709 ES Southwest Geriatric Associates Rio Rancho Nursing & Rehab Center 4210 Sabana Grande SE, 87124 (505) 892-6603 Internal Medicine Fontana, Matthew C., MD Provider ID #NM009C13 BlueLINK ID: 4215559 ES Southwest Medical Associates 1721 Rio Rancho NW, Ste. B, 87124 (505) 823-1010 Fax No. (505) 797-4503 Moore, Richard A., MD Provider ID #NM009680 BlueLINK ID: 3146175 Southwest Medical Associates 1721 Rio Rancho NW, Ste. B, 87124 (505) 823-1010 Fax No. (505) 822-8122 Mpoy, Kanyinda K., MD Provider ID #NM034170 BlueLINK ID: 4110742 FR Physicians Group of Sandia Health Systems Rio Rancho Adult & Geriatric Medicine 1721 Rio Rancho NW, 87124 (505) 727-3500 Pediatrics Freedman, Marianne, MD Provider ID #NM001692 BlueLINK ID: 5002956 FR Southwest Medical Associates 1721 Rio Rancho NW, Ste. B, 87124 (505) 823-1010 Fax No. (505) 822-8122 Good, John M., MD Provider ID #NM011975 BlueLINK ID: 4260329 Lovelace Sandia Health Systems Rio Rancho Pediatrics 3801 Southern Blvd., 87124 (505) 896-8600 July 2005 Gutierrez-Barela, Kristina M., MD Provider ID #NM009F66 BlueLINK ID: 4225449 Lovelace Sandia Health Systems Rio Rancho Pediatrics 3801 Southern Blvd., 87124 (505) 896-8600 Kasemsap, Pawitta, MD Provider ID #NM014405 BlueLINK ID: 4155812 Lovelace Sandia Health Systems Rio Rancho Pediatrics 3801 Southern Blvd., 87124 (505) 896-8600 Feroze, Amna, MD Provider ID #NM009K47 BlueLINK ID: 4293869 UR Covenant Family Health Center 402 W. Country Club Rd., 88201 (505) 637-7000 Fax No. (505) 637-7018 Raes, Daniel E., MD Provider ID #NM013450 BlueLINK ID: 4100877 FR Roswell Clinic Corp. 115 E. 23rd St., 88201 (505) 625-1292 Fax No. (505) 625-1302 George, David M., DO Provider ID #NM024B70 BlueLINK ID: 4387280 1621 N. Washington, 88201 (505) 625-8430 Fax No. (505) 625-8452 Renteria, Homero, MD Provider ID #NM009232 BlueLINK ID: 4132512 ES Covenant Family Health Center 402 W. Country Club Rd., 88201 (505) 637-7000 Fax No. (505) 637-7019 Leonardelli, Philip J., MD Provider ID #NM021616 BlueLINK ID: 3223618 Patients under age 18 Dr. Phil Pediatrics 1704 Southern Blvd. SE, 87124 (505) 994-3256 Fax No. (603) 947-3608 Gilbreth, Jane M., MD Provider ID #NM009229 BlueLINK ID: 3136909 ES Covenant Family Health Center 402 W. Country Club Rd., 88201 (505) 637-7000 Fax No. (505) 637-7019 Longfield, Lynn A., MD Provider ID #NM001562 BlueLINK ID: 3252085 ES FR ZD Southwest Medical Associates 1721 Rio Rancho NW, Ste. B, 87124 (505) 823-1010 Fax No. (505) 823-6544 Herrin, Virgle O., Jr., MD Provider ID #NM013275 BlueLINK ID: 2350916 Alto Medical Services 2110 S. Main St., 88201 (505) 622-4328 Fax No. (505) 624-2862 Rolston, Richard, MD Provider ID #NM009H42 BlueLINK ID: 5009501 Lovelace Sandia Health Systems Rio Rancho Pediatrics 3801 Southern Blvd., 87124 (505) 869-8600 Snyder, Cynthia K., MD Provider ID #NM009M85 BlueLINK ID: 6003015 ES Southwest Medical Associates 1721 Rio Rancho NW, Ste. B, 87124 (505) 823-1010 Jakins, Alan R., MD Provider ID #NM001439 BlueLINK ID: 2397868 ES 110 W. College, Ste. F, 88201 (505) 627-6849 Fax No. (505) 627-0080 Lashinsky, Dennis R., MD Provider ID #NM019115 BlueLINK ID: 3263580 Choice Medical Clinic 1621 N. Washington, 88201 (505) 625-8430 Fax No. (505) 625-8452 Tang, Debra L., MD Provider ID #NM009668 BlueLINK ID: 5007301 ES Southwest Medical Associates 1721 Rio Rancho NW, Ste. B, 87124 (505) 823-1010 Fax No. (505) 822-8122 Linnell, Larry W., MD Provider ID #NM004278 BlueLINK ID: 2286390 ES Eastern NM Family Practice Residency Center 603 W. Country Club Rd., 88201 (505) 624-5622 Fax No. (505) 624-5603 Young, Valerie L., MD Provider ID #NM009S04 BlueLINK ID: 4113769 ES Southwest Medical Associates 1721 Rio Rancho Blvd., Ste. B, 87124 (505) 823-1010 Fax No. (505) 797-4503 Martinez, Reynaldo R., MD Provider ID #NM009975 BlueLINK ID: 4259337 ES 313 W. Country Club Rd. Ste. 4A, 88201 (505) 622-2882 Fax No. (505) 622-2883 Roswell Chaves County Family Practice Davis, Patricia L., MD Provider ID #NM000659 BlueLINK ID: 3143100 1206 W. 2nd St., 88201 (505) 623-9330 Fax No. (505) 623-5651 Fenzi, Charles C., MD Provider ID #NM000860 BlueLINK ID: 2397753 Established patients only FR 808 N. Union, Ste. A, 88201 (505) 622-1411 Nelson, Evan L., MD Provider ID #NM009825 BlueLINK ID: 3214215 ES Covenant Family Health Center 402 W. Country Club Rd., 88201 (505) 637-7000 Fax No. (505) 637-7019 Piñon, Richard, Jr., MD Provider ID #NM014491 BlueLINK ID: 4174978 ES Roswell Clinic Corp. 1717 W. 2nd St., Ste. 101, 88201 (505) 622-1841 Fax No. (505) 624-8711 Rader, Robert, MD Provider ID #NM009233 BlueLINK ID: 3252084 Covenant Family Health Center 402 W. Country Club Rd., 88201 (505) 637-7000 Fax No. (505) 637-7019 See special note See last page for Provider Language Codes legend Saleemi, Muzaffar M., MD Provider ID #NM009K27 BlueLINK ID: 4287531 ES La Casa Family Health Center 1511 S. Grand, 88203 (505) 623-3255 Fax No. (505) 625-9901 Tabrez, Salma A., MD Provider ID #NM009N33 BlueLINK ID: 6003565 ES HI UR La Casa Family Health Center 1511 S. Grand, 88203 (505) 623-3255 Fax No. (505) 625-9901 Torrez, Ruben, MD Provider ID #NM009N31 BlueLINK ID: 6003528 ES Rio Pecos Medical Associates 305 W. Country Club Rd., 88201 (505) 622-6322 Fax No. (505) 622-6888 Vaillant, Karen, MD Provider ID #NM001370 BlueLINK ID: 4120584 Eastern NM Family Practice Residency Center 603 W. Country Club Rd., 88201 (505) 624-5622 Vega, Audrey M., MD Provider ID #NM019177 BlueLINK ID: 4102771 ES Roswell Clinic Corp. 1717 W. 2nd St., Ste. 101, 88201 (505) 622-1841 Fax No. (505) 624-8711 Willis, Donald, DO Provider ID #NM004126 BlueLINK ID: 3215925 313 W. Country Club Rd, Ste. 9, 88201 (505) 624-1333 Fax No. (505) 624-0303 General Practice English, Frank A., MD Provider ID #NM000804 BlueLINK ID: 2397743 Established patients only ES 313 W. Country Club Rd., Ste. 4, 88201 (505) 622-1761 Fax No. (505) 622-3005 Green, Patricia J., MD Provider ID #NM009K75 BlueLINK ID: 4207024 ES Roswell Osteopathic Medical Clinic 111 W. Hobbs, 88201 (505) 623-3311 Fax No. (505) 622-1273 31 Primary Care Physicians (PCPs) Armstrong, Richard G., MD Provider ID #NM009H78 BlueLINK ID: 2251237 Lovelace Sandia Health Systems Rio Rancho Family Medicine 3801 Southern Blvd., 87124 (505) 896-8600 Roswell Roswell Stiller, Gabriele, MD Provider ID #NM003574 BlueLINK ID: 4173744 FR PRN Medical 1717 W. 2nd St., Ste. 115, 88201 (505) 627-5700 Fax No. (505) 627-9419 Geriatrics Bolaños, Karla P., MD Provider ID #NM009K26 BlueLINK ID: 4289910 ES La Casa Family Health Center 1511 S. Grand, 88203 (505) 623-3255 Fax No. (505) 625-9901 Gynecology Lowe, Kevin D., MD Provider ID #NM001667 BlueLINK ID: 3135793 Established patients only ES Rio Pecos Medical Associates 305 W. Country Club Rd., 88201 (505) 622-6322 Fax No. (505) 622-6888 Primary Care Physicians (PCPs) Internal Medicine Primary Care Physicians (PCPs) Hobbs, Crit, MD Provider ID #NM000597 BlueLINK ID: 2397838 313 W. Country Club Rd., Ste. 15, 88201 (505) 623-8021 Fax No. (505) 623-0193 Jinnah, Shehzad, MD Provider ID #NM009796 BlueLINK ID: 4158469 ES Covenant Family Health Center 402 W. Country Club Rd., 88201 (505) 637-7000 Fax No. (505) 637-7019 Yassa, Hany N., MD Provider ID #NM009D51 BlueLINK ID: 4276903 ES Roswell Osteopathic Medical Clinic 111 W. Hobbs, 88201 (505) 623-3311 Fax No. (505) 622-1273 Obstetrics/Gynecology Mooney, Richard C., MD Provider ID #NM001953 BlueLINK ID: 2367278 ES Rio Pecos Medical Associates 305 W. Country Club Rd., 88201 (505) 622-6322 Fax No. (505) 622-6888 Bolaños, Karla P., MD Provider ID #NM009K26 BlueLINK ID: 4289910 ES La Casa Family Health Center 1511 S. Grand, 88203 (505) 623-3255 Fax No. (505) 625-9901 North, Steven C., MD Provider ID #NM002503 BlueLINK ID: 3330730 ES Rio Pecos Medical Associates 305 W. Country Club Rd., 88201 (505) 622-6322 Fax No. (505) 622-6888 Denton, Margaret V., MD Provider ID #NM011928 BlueLINK ID: 2153569 711 W. Alameda, 88203 (505) 623-4448 Fax No. (505) 623-9571 Peterson, Eric Y., MD Provider ID #NM003464 BlueLINK ID: 4106581 ES Rio Pecos Medical Associates 305 W. Country Club Rd., 88201 (505) 622-6322 Fax No. (505) 622-6888 Feroze, Hamid, MD Provider ID #NM009827 BlueLINK ID: 3384388 PA Covenant Family Health Center 402 W. Country Club Rd., 88201 (505) 637-7000 Fax No. (505) 637-7019 French, Frederick, MD Provider ID #NM009127 BlueLINK ID: 3135639 Established patients only Southern NM Medical Association 303 W. Country Club Rd., 88201 (505) 623-1442 Fax No. (505) 622-6888 Gillan, Muhammad M., MD Provider ID #NM019976 BlueLINK ID: 4263575 ES La Casa Family Health Center 1511 S. Grand, 88203 (505) 623-3255 Fax No. (505) 625-9901 Herrera, Xavier, MD Provider ID #NM009N62 BlueLINK ID: 6003685 ES Roswell Clinic Corp. 313 W. Country Club Rd., Ste. 7, 88201 (505) 622-0278 Fax No. (505) 622-2156 32 Pediatrics Carson, Karen L., MD Provider ID #NM004206 BlueLINK ID: 4219237 ES BCA Medical Associates 813 N. Washington, 88201 (505) 622-2606 Fax No. (505) 622-6645 Elliott, Beverley A., MD Provider ID #NM003297 BlueLINK ID: 3385563 ES BCA Medical Associates 813 N. Washington, 88201 (505) 622-2606 Fax No. (505) 622-6645 Liakos, William G., Sr., MD Provider ID #NM001648 BlueLINK ID: 2397931 ES BCA Medical Associates 813 N. Washington, 88201 (505) 622-2606 Fax No. (505) 622-6645 Seidel, Walter Ray, Jr., MD Provider ID #NM014436 BlueLINK ID: 3392709 DE Rio Pecos Family Practice of Lincoln County 159 Mescalero Trail, 88345 (505) 257-3681 McKelvy, Warren D., MD Provider ID #NM004205 BlueLINK ID: 2397964 313 W. Country Club Rd., Ste. 13, 88201 (505) 625-1371 Fax No. (505) 625-1490 Spence, Michael D., MD Provider ID #NM009N81 BlueLINK ID: 3135979 Tall Pines Medical Inc. 121 El Paso, 88345 (505) 257-4061 Fax No. (505) 257-4445 McMahon, Scott W., MD Provider ID #NM012635 BlueLINK ID: 3346143 Established patients only ES Covenant Care Pediatrics 200 W. Wilshire Blvd., Ste. A, 88201 (505) 622-5956 Fax No. (505) 622-5452 Roy Harding County Family Practice Gallegos, Frank V., MD Provider ID #NM003250 BlueLINK ID: 3271494 Health Centers of Northern NM Roy Clinic Hwy. 120, P. O. Box 158, 87743 (505) 485-2484 Stoltze, David A., MD Provider ID #NM003253 BlueLINK ID: 2147683 Health Centers of Northern NM Roy Clinic Hwy. 120, P. O. Box 158, 87743 (505) 485-2484 Ruidoso Lincoln County Family Practice Brown, Arlene M., MD Provider ID #NM002060 BlueLINK ID: 3143056 Family Practice Associates of Ruidoso 1401 Sudderth Dr., 88345 (505) 257-7712 Clements, Michael P., MD Provider ID #NM001701 BlueLINK ID: 2148611 1096 Mechem Dr., Ste. G5, 88345 (505) 258-3811 Fax No. (505) 258-3813 DiMotta, Francis J., MD Provider ID #NM009126 BlueLINK ID: 2189667 Southern NM Medical Association 208 Porr Dr., 88345 (505) 630-1214 Garcia, Abelardo, MD Provider ID #NM009B77 BlueLINK ID: 4270750 ES BCA Medical Associates 813 N. Washington, 88201 (505) 622-2606 Fax No. (505) 622-6645 Martinez, Mary S., MD Provider ID #NM012141 BlueLINK ID: 4159817 Established patients only White Mountain Medical Clinic 129 El Paso Rd., 88345 (505) 257-6500 Fax No. (505) 257-4055 Liakos, William G., Jr., MD Provider ID #NM004356 BlueLINK ID: 4189739 BCA Medical Associates 813 N. Washington, 88201 (505) 622-2606 Fax No. (505) 622-6645 Otero, Stephen J., MD Provider ID #NM009N47 BlueLINK ID: 4302420 ES Immediate Care Clinic 721 Mechem Dr., 88345 (505) 630-5300 Fax No. (505) 630-5301 See special note See last page for Provider Language Codes legend General Practice Beechie, Roger A., MD Provider ID #NM000333 BlueLINK ID: 3135499 ES White Mountain Medical Clinic 129 El Paso Rd., 88345 (505) 257-6500 Fax No. (505) 257-4055 Worthington, Dennis V., MD Provider ID #NM009349 BlueLINK ID: 2149302 Established patients only 1701 Sudderth Dr., 88345 (505) 257-7600 Fax No. (505) 257-3497 Internal Medicine Robinson, W. Christopher, MD Provider ID #NM002310 BlueLINK ID: 2321173 Internal Medicine Associates 125 El Paso Rd., 88345 (505) 257-2151 Fax No. (505) 257-2153 Watson, Wayne K., MD Provider ID #NM009673 BlueLINK ID: 3392671 ES Internal Medicine Associates 125 El Paso Rd., 88345 (505) 257-2151 Fax No. (505) 257-2153 San Miguel Doña Ana County Family Practice Armistead, Daniel E., MD Provider ID #NM004826 BlueLINK ID: 3258474 ES La Clinica de Familia 18424 S. Hwy. 28, 88058 (505) 233-3830 Fax No. (505) 233-4542 Crespin, Frank H., MD Provider ID #NM000583 BlueLINK ID: 3246819 ES La Clinica de Familia 18424 S. Hwy. 28, 88058 (505) 233-3830 Fax No. (505) 233-4542 Serrano, Luz M., MD Provider ID #NM009N63 BlueLINK ID: 6003687 ES La Clinica de Familia 18424 S. Hwy. 28, 88058 (505) 233-3830 Fax No. (505) 233-4542 July 2005 Primary Care Physicians (PCPs) Santa Fe Santa Fe County Family Practice Becker, John D., MD Provider ID #NM009749 BlueLINK ID: 2196178 Eldorado Family Practice 7 Avenida Vista Grande, Ste. B3, 87508 (505) 466-6080 Fax No. (505) 466-6081 Berkowitz, Ira C., MD Provider ID #NM020295 BlueLINK ID: 3135510 Established patients only ES 2019 Galisteo St., Unit J-1, 87505 (505) 820-0446 Fax No. (505) 820-6142 Bray-Morris, John D., MD Provider ID #NM009J20 BlueLINK ID: 4187384 ES TL La Familia Medical Center 1035 Alto St., 87501 (505) 982-4425 Fax No. (505) 982-8440 Briggs, Philip D., MD Provider ID #NM020408 BlueLINK ID: 2397514 Santa Fe Family Health Center 2801 Rodeo Rd., Ste. B13, 87507 (505) 474-0120 Fax No. (505) 474-4693 Chavez, Frances L., MD Provider ID #NM019775 BlueLINK ID: 4256134 ES 435 St. Michaels Dr., Ste. B203, 87505 (505) 983-9366 Fax No. (505) 983-0661 Chavez, Gerzain H., MD Provider ID #NM009008 BlueLINK ID: 4176384 ES Rodeo Family Medicine 4001 W. Rodeo Rd., 87507 (505) 471-8994 Fax No. (505) 473-1274 Cook, Roger H., MD Provider ID #NM009P28 BlueLINK ID: 338511 No obstetrics ES Allergy & Asthma Satellite Office 465 St. Michaels Dr., Ste. 203, 87505 (505) 982-7533 Fax No. (505) 216-0028 Devitt, Neal F., MD Provider ID #NM000698 BlueLINK ID: 2397715 Established patients only La Familia Medical Center 1035 Alto St., 87501 (505) 982-4425 Fax No. (505) 982-8440 Devitt, Neal F., MD Provider ID #NM000698 BlueLINK ID: 2397715 Established patients only La Familia Medical Center 2145 Caja de Oro Grant Rd., 87501 (505) 438-3195 Fax No. (505) 424-5699 July 2005 Dodge, Rita J., MD Provider ID #NM009P36 BlueLINK ID: 4279604 ES DE Anasazi Medical Associates 2055 S. Pacheco St., Ste. 600, 87505 (505) 473-0390 Fax No. (505) 473-0375 Kastendieck, Kurt D., MD Provider ID #NM019748 BlueLINK ID: 4245888 ES La Familia Medical Center 1035 Alto St., 87501 (505) 982-4599 Fax No. (505) 982-8440 Lutz, James, MD Provider ID #NM009P10 BlueLINK ID: 6003434 ES PT La Familia Medical Center 1035 Alto St., 87501 (505) 982-4425 Fax No. (505) 982-6280 Dunlap, Stephen A., MD Provider ID #NM009F59 BlueLINK ID: 3268561 Lovelace Sandia Health Systems Santa Fe Family Medicine 440 St. Michaels Dr., 87505 (505) 995-2400 Kastendieck, Kurt D., MD Provider ID #NM019748 BlueLINK ID: 4245888 ES La Familia Medical Center 2145 Caja de Oro Grant Rd., 87501 (505) 438-3195 Fax No. (505) 424-5699 Lutz, James, MD Provider ID #NM009P10 BlueLINK ID: 6003434 ES PT La Familia Medical Center 2145 Caja de Oro Grant Rd., 87507 (505) 438-3195 Fax No. (505) 982-6280 Katz, Sue, MD Provider ID #NM000946 BlueLINK ID: 3212618 Monday/Tuesday only ES La Familia Medical Center 1035 Alto St., 87501 (505) 982-4425 Fax No. (505) 982-8440 Maas, Janeen D., MD Provider ID #NM009J62 BlueLINK ID: 3390172 Alan Rogers, MD, PC 530 Harkle Rd., Ste. A, 87505 (505) 983-6911 Fax No. (505) 983-7212 Evans, S. Karen, MD Provider ID #NM009A06 BlueLINK ID: 4259986 Alan Rogers, MD, PC 530 Harkle Rd., Ste. A, 87505 (505) 983-6911 Fax No. (505) 983-7212 Fletcher, Christopher, MD Provider ID #NM004585 BlueLINK ID: 3135629 Santa Fe Family Practice 2015 Galisteo St., 87505 (505) 989-9144 Fax No. (505) 989-1550 Friedman, Diane E., MD Provider ID #NM009P17 BlueLINK ID: 4135808 ES 435 St. Michaels Dr., Ste. B104, 87505 (505) 992-3334 Fax No. (505) 992-1998 Friedrichs, Carl C., III, MD Provider ID #NM014420 BlueLINK ID: 3397481 ES Anasazi Medical Associates 2055 S. Pacheco, Ste. 600, 87505 (505) 473-0390 Fax No. (505) 473-0375 Giblin, Gary, MD Provider ID #NM000384 BlueLINK ID: 4102349 ES La Familia Medical Center 1035 Alto St., 87501 (505) 982-4425 Fax No. (505) 982-8440 Giblin, Gary, MD Provider ID #NM000384 BlueLINK ID: 4102349 ES La Familia Medical Center 2145 Caja de Oro Grant Rd., 87501 (505) 438-3195 Fax No. (505) 424-5699 Gollub, Bruce E., MD Provider ID #NM001092 BlueLINK ID: 2397793 Established patients only; also providing obstetrical care Isis Medicine 401 Botulph Ln., 87505 (505) 983-8387 Fax No. (505) 820-2735 Gregory, Michael E., MD Provider ID #NM009P32 BlueLINK ID: 4299209 Santa Fe Family Health Center 2801 Rodeo Rd., Ste. B13, 87507 (505) 474-0120 Fax No. (505) 474-4693 Higginbotham, Debra K., MD Provider ID #NM009051 BlueLINK ID: 4232052 ES Santa Fe Family Health Center 2801 Rodeo Rd., Ste. B13, 87507 (505) 474-0120 Fax No. (505) 474-4693 Katz, Sue, MD Provider ID #NM000946 BlueLINK ID: 3212618 Monday/Tuesday only ES La Familia Medical Center 2145 Caja de Oro Grant Rd., 87501 (505) 438-3195 Fax No. (505) 424-5699 Kingston, Caroline, MD Provider ID #NM014432 BlueLINK ID: 4162740 ES DE Anasazi Medical Associates 2055 S. Pacheco, Ste. 600, 87505 (505) 473-0390 Fax No. (505) 473-0375 Kullman, Frederick M., MD Provider ID #NM001553 BlueLINK ID: 2397909 Family Practice Associates 433 St. Michaels Dr., 87501 (505) 988-1232 Fax No. (505) 984-1603 Law, John L., MD Provider ID #NM019732 BlueLINK ID: 2334260 ES Santa Fe Family Health Center 2801 Rodeo Rd., Ste. B13, 87507 (505) 474-0120 Fax No. (505) 474-4693 Law, John L., MD Provider ID #NM019732 BlueLINK ID: 2334260 ES Santa Fe Family Health Center 4001 W. Rodeo Rd., 87507 (505) 471-8994 Fax No. (505) 473-1274 Lopez, Leonora J., MD Provider ID #NM011715 BlueLINK ID: 3143223 Established patients only Santa Ana Medical Clinic 683 Harkle Rd., Ste. B, 87505 (505) 954-4422 Fax No. (505) 954-4433 Lundgren, Alston C., MD Provider ID #NM009328 BlueLINK ID: 2196338 ES Santa Fe Medical Acupuncture 460 St. Michaels Dr., Ste. 801, 87505 (505) 986-0910 Fax No. (505) 986-0904 See special note See last page for Provider Language Codes legend Macias, David M., MD Provider ID #NM001703 BlueLINK ID: 3135798 Established patients only ES 1925 Rosina, Ste. D, 87505 (505) 984-8206 Fax No. (505) 984-8274 McCormick, Robert A., MD Provider ID #NM001813 BlueLINK ID: 3143236 Established patients only; no obstetric patients ES Santa Fe Family Health Center 465 St. Michaels Dr., Ste. 211, 87505 (505) 983-1003 Fax No. (505) 983-1008 Parke, Kristine M., MD Provider ID #NM009P05 ES La Familia Medical Center 1035 Alto St., 87501 (505) 982-4425 Fax No. (505) 982-6280 Parke, Kristine M., MD Provider ID #NM009P05 ES La Familia Medical Center 2145 Caja del Oro Grant Rd., 87507 (505) 438-3195 Fax No. (505) 425-5699 Press, Ron J., MD Provider ID #NM023191 BlueLINK ID: 3135893 ES 435 St. Michaels Dr., Ste. B104, 87505 (505) 992-3334 Fax No. (505) 995-1998 Quay, Anthony G., MD Provider ID #NM009F57 BlueLINK ID: 3229226 Lovelace Sandia Health Systems Santa Fe Family Medicine 440 St. Michaels Dr., 87505 (505) 995-2400 Reininga, Mark, MD Provider ID #NM004427 BlueLINK ID: 2116452 ES MCHC Teen Health Center PMS is not affiliated with Presbyterian Healthcare Services 2100 Yucca Rd., 87505 (505) 989-5577 33 Primary Care Physicians (PCPs) Bray-Morris, John D., MD Provider ID #NM009J20 BlueLINK ID: 4187384 ES TL La Familia Medical Center 2145 Caja de Oro Grant Rd., 87507 (505) 438-3195 Fax No. (505) 424-5699 Santa Fe Santa Fe Reininga, Mark, MD Provider ID #NM004427 BlueLINK ID: 2116452 ES MCHC Teen Health Center PMS is not affiliated with Presbyterian Healthcare Services 4851 Paseo del Sol, 87505 (505) 954-1081 Fax No. (505) 989-5579 Reininga, Mark, MD Provider ID #NM014425 BlueLINK ID: 2116452 ES Santa Fe Community Guidance Center PMS is not affiliated with Presbyterian Healthcare Services 820 Paseo de Peralta, 87504 (505) 986-9633 Fax No. (505) 820-1209 Rigales, Luis, MD Provider ID #NM019779 BlueLINK ID: 4245779 ES PT La Familia Medical Center 1035 Alto St., 87501 (505) 982-4425 Fax No. (505) 982-8440 Primary Care Physicians (PCPs) Rigales, Luis, MD Provider ID #NM019779 BlueLINK ID: 4245779 ES PT La Familia Medical Center 2145 Caja de Oro Grant Rd., 87501 (505) 438-3995 Fax No. (505) 424-5699 Rogers, Alan S., MD Provider ID #NM010320 BlueLINK ID: 3143281 ES 530 Harkle Rd., Ste. A, 87505 (505) 983-6911 Fax No. (505) 983-6911 Ruiz, Gloria, MD Provider ID #NM009F62 BlueLINK ID: 2398076 Lovelace Sandia Health Systems Santa Fe Family Medicine 440 St. Michaels Dr., 87505 (505) 995-2400 Sartorius, Fen, MD Provider ID #NM022528 BlueLINK ID: 3246830 ES Rodeo Family Medicine 4001 W. Rodeo Rd., 87507 (505) 471-8994 Fax No. (505) 473-1274 Scher, Sandra, MD Provider ID #NM009F52 BlueLINK ID: 4257471 ES 1925 Aspen Dr., Ste. 201A, 87505 (505) 424-9602 Fax No. (505) 424-9205 Werenko, Debra D., MD Provider ID #NM019757 BlueLINK ID: 4240035 ES Santa Fe Family Health Center 2801 Rodeo Rd., Ste. B13, 87507 (505) 474-0120 Fax No. (505) 474-3279 General Practice Cies, Lucia, MD Provider ID #NM000525 BlueLINK ID: 2397657 FR 465 St. Michaels Dr., Ste. 106, 87505 (505) 983-1213 Fax No. (505) 983-9546 34 Primary Care Physicians (PCPs) McCanna, Charles B., MD Provider ID #NM003278 BlueLINK ID: 3135822 Established patients only Santa Fe Family Health Center 1486 S. St. Francis Dr., 87505 (505) 983-6774 Fax No. (505) 820-6760 Dickinson, Mark W., MD Provider ID #NM009P55 BlueLINK ID: 3350797 ES Arroyo Chamiso Pediatric Center 2025 Galisteo, 87505 (505) 995-4901 Fax No. (505) 946-3063 Ting, Mai, MD Provider ID #NM001917 BlueLINK ID: 3251481 ZH 1037 W. Don Diego Ave., 87501 (505) 820-1200 Fax No. (505) 989-4860 Egli, Douglas R., MD Provider ID #NM011936 BlueLINK ID: 3224283 Hospice patients only ES The Hospice Center PMS is not affiliated with Presbyterian Healthcare Services 1400 Chama St., 87505 (505) 988-2211 Fax No. (505) 986-8299 Geriatrics Rhymes, Jill A., MD Provider ID #NM009J48 BlueLINK ID: 3224548 ES 465 St. Michaels Dr., Ste. 114, 87505 (505) 983-9622 Fax No. (505) 983-9644 Internal Medicine Abel, Louise, MD Provider ID #NM010931 BlueLINK ID: 4136340 FR Adult Medicine Specialists of Santa Fe 1650 Hospital Dr., Ste. 400, 87505 (505) 984-7400 Fax No. (505) 986-8028 Amer, Lyle B., MD Provider ID #NM020199 BlueLINK ID: 3214192 2212 Brothers Rd., 87505 (505) 983-9460 Fax No. (505) 983-0568 Atterbury, Boudinot T., MD Provider ID #NM013461 BlueLINK ID: 4101760 Established patients only ES Adult Medicine Specialists of Santa Fe 1650 Hospital Dr., Ste. 400, 87505 (505) 984-7400 Fax No. (505) 986-8028 Barkey, Elisabeth M., MD Provider ID #NM009280 BlueLINK ID: 3271508 ES 435 St. Michaels Dr., Ste. A201, 87505 (505) 982-9282 Fax No. (505) 988-1106 Brown, Joshua S., MD Provider ID #NM009F35 BlueLINK ID: 4210793 ES Internal Medicine Associates 1650 Hospital Dr., Ste. 200, 87505 (505) 982-4276 Fax No. (505) 983-7571 Crabtree, Rodney, MD Provider ID #NM009F89 BlueLINK ID: 3261153 Lovelace Sandia Health Systems Santa Fe Internal Medicine 440 St. Michaels Dr., 87505 (505) 995-2400 DeStefano, Paul M., MD Provider ID #NM014619 BlueLINK ID: 2258012 Patients over age 15 ES 1650 Hospital Dr., Ste. 500, 87505 (505) 954-4290 Fax No. (505) 954-4058 Greene, Janet, MD Provider ID #NM009383 BlueLINK ID: 3268354 Patients over age 18 2019 Galisteo St., Ste. N4, 87505 (505) 982-1910 Fax No. (505) 982-1473 Greenfield, Bruce M., MD Provider ID #NM011105 BlueLINK ID: 2397800 Established patients only New Mexico Cancer Care Associates 490 W. Zia Rd., Ste. A, 87505 (505) 955-7900 Fax No. (505) 983-5364 Harris, Gary D., MD Provider ID #NM009774 BlueLINK ID: 3149689 Established patients only; specializing in pulmonary disease for patients over age 12 ES La Familia Medical Center 1035 Alto St., 87501 (505) 982-4425 Fax No. (505) 982-8440 Harris, Gary D., MD Provider ID #NM009774 BlueLINK ID: 3149689 Established patients only; specializing in pulmonary disease for patients over age 12 ES La Familia Medical Center 2145 Caja de Oro Grant Rd., 87502 (505) 438-3195 Fax No. (505) 424-5699 Kossmann, Robert J., MD Provider ID #NM003322 BlueLINK ID: 3358137 Established patients only Nephrophiles 1650 Hospital Dr., Ste. 200, 87505 (505) 982-4276 Fax No. (505) 983-7571 Kovnat, Paul J., MD Provider ID #NM001519 BlueLINK ID: 2397900 Established patients only Nephrophiles 1650 Hospital Dr., Ste. 200, 87505 (505) 982-4276 Fax No. (505) 983-7571 Kravitz, Thomas W., MD Provider ID #NM001556 BlueLINK ID: 2397903 435 St. Michaels Dr., Ste. B204, 87505 (505) 984-1141 Fax No. (505) 983-1679 Lawrence, Mary E., MD Provider ID #NM009P43 BlueLINK ID: 6003611 1482 St. Francis Dr., Ste. C, 87505 (505) 984-1981 Fax No. (505) 984-8971 See special note See last page for Provider Language Codes legend Lenetsky, Allan M., MD Provider ID #NM001769 BlueLINK ID: 2397926 Nephrophiles 1650 Hospital Dr., Ste. 200, 87505 (505) 982-4276 Fax No. (505) 983-7571 Levin, Lee S., MD Provider ID #NM002957 BlueLINK ID: 3248470 Santa Fe Family Health Center 2212 Brothers Rd., 87505 (505) 983-9460 Fax No. (505) 983-0568 Rhymes, Jill A., MD Provider ID #NM009J48 BlueLINK ID: 3224548 ES 465 St. Michaels Dr., Ste. 114, 87505 (505) 983-9622 Fax No. (505) 983-9644 Robles, Lisa S., MD Provider ID #NM029745 BlueLINK ID: 4239410 Patients over age 12 years ES 435 St. Michaels Dr., Ste. B104, 87505 (505) 992-3334 Fax No. (505) 992-1998 Seredowych, Mark G., MD Provider ID #NM009096 BlueLINK ID: 3228635 ES FR IT RU UK 1650 Hospital Dr., Ste. 200, 87505 (505) 982-4276 Fax No. (505) 983-7571 Shaffer, Bruce A., MD Provider ID #NM000921 BlueLINK ID: 3222722 Established patients only 1925 Aspen Dr., Ste. 802A, 87505 (505) 473-2972 Fax No. (505) 473-1759 Suhre, E. Dow, MD Provider ID #NM002709 BlueLINK ID: 2398139 Established patients only 465 St. Michaels Dr., Ste. 105, 87505 (505) 984-2600 Fax No. (505) 983-7299 Thompson, Derek L., MD Provider ID #NM009432 BlueLINK ID: 4238775 Patients over age 16 ES Adult Medicine Specialists of Santa Fe 1650 Hospital Dr., Ste. 200, 87505 (505) 989-7400 Fax No. (505) 986-8028 Trott, Justina, MD Provider ID #NM003169 BlueLINK ID: 3136002 Women's Health Services 901 W. Alameda St., Ste. 25, 87501 (505) 988-8869 Fax No. (505) 982-7321 Obstetrics/Gynecology See Family Practice section for physicians also providing obstetrical care. Friedman, Diane E., MD Provider ID #NM009P17 BlueLINK ID: 4135808 ES 435 St. Michaels Dr., Ste. B104, 87505 (505) 992-3334 Fax No. (505) 992-1998 July 2005 Primary Care Physicians (PCPs) Krell, Douglas J., MD Provider ID #NM023426 BlueLINK ID: 3214196 Female patients only ES 2019 Galisteo St., Ste. G5, 87505 (505) 995-0505 Fax No. (505) 995-0670 Pediatrics Dickinson, Mark W., MD Provider ID #NM009P55 BlueLINK ID: 3350797 ES Arroyo Chamiso Pediatric Center 2025 Galisteo, 87505 (505) 995-4901 Fax No. (505) 946-3063 Edward, Robin M., MD Provider ID #NM024401 BlueLINK ID: 3382111 Lovelace Sandia Health Systems Santa Fe Pediatrics 440 St. Michaels Dr., 87505 (505) 995-2400 Gordon, Lowell A., MD Provider ID #NM009P44 BlueLINK ID: 3317208 ES Solana Pediatric Care 907 W. Alameda, 87501 (505) 982-1117 Fax No. (505) 955-9493 Iturbe, Javier, MD Provider ID #NM009F61 BlueLINK ID: 5009434 ES Lovelace Sandia Health Systems Santa Fe Pediatrics 440 St. Michaels Dr., 87505 (505) 995-2400 Kleiner, Edward, MD Provider ID #NM001515 BlueLINK ID: 2397890 Patients under age 21 Arroyo Chamiso Pediatric Clinic 2025 Galisteo St., 87505 (505) 995-4901 Fax No. (505) 989-6483 Patterson, Michael S., MD Provider ID #NM009F60 BlueLINK ID: 5009433 Established patients only Lovelace Sandia Health Systems Santa Fe Pediatrics 440 St. Michaels Dr., 87505 (505) 995-2400 Rock, Alice L., MD Provider ID #NM009P54 BlueLINK ID: 3326467 ES Arroyo Chamiso Pediatric Clinic 2025 Galisteo St., 87505 (505) 995-4901 Fax No. (505) 946-3063 Shandler, Laurence, MD Provider ID #NM002567 BlueLINK ID: 2398095 Santa Fe Pediatric Associates 1418 Luisa St., Ste. 5, 87501 (505) 988-8024 Fax No. (505) 984-8967 July 2005 Skillman, Jennifer L., MD Provider ID #NM009J71 BlueLINK ID: 6003119 ES Arroyo Chamiso Pediatric Clinic 2025 Galisteo St., 87505 (505) 995-4901 Fax No. (505) 820-5438 Stelzer, Matthew A., MD Provider ID #NM009J47 BlueLINK ID: 4217318 Pediatrics ES Arroyo Chamiso Pediatric Clinic 2025 Galisteo St., 87505 (505) 995-4901 Fax No. (505) 820-5752 Stoller, Kenneth P., MD Provider ID #NM004914 BlueLINK ID: 4273884 Patients under age 21 404 Brunn School Rd., Ste. D, 87505 (505) 820-6234 Fax No. (505) 982-1473 Email: [email protected] Whitman, Cheryl, MD Provider ID #NM003054 BlueLINK ID: 2398263 Patients under age 21 Arroyo Chamiso Pediatric Clinic 2025 Galisteo St., 87505 (505) 995-4901 Fax No. (505) 989-6483 Santa Rosa Guadalupe County Family Practice Brown, Randal W., MD Provider ID #NM004139 BlueLINK ID: 3361145 Santa Rosa Medical Clinic 533 Lake Dr., 88435 (505) 472-4311 Internal Medicine Abriola, Sergio E., MD Provider ID #NM009A32 BlueLINK ID: 4260409 ES Santa Rosa Medical Clinic Guadalupe Hospital 535 Lake Dr., 88435 (505) 472-3417 Fax No. (505) 472-4587 Khawaja, Mubarak, MD Provider ID #NM021964 BlueLINK ID: 4161209 ES Santa Rosa Medical Clinic 533 Lake Dr., 88435 (505) 472-4311 Santa Teresa Doña Ana County Family Practice Juarez, Edward C., MD Provider ID #NM001042 BlueLINK ID: 2178336 ES Santa Teresa Medical Care Center 5055 McNutt Rd., 88008 (505) 589-5005 Fax No. (505) 589-1333 General Practice Gault, Dorothy, MD Provider ID #NM001020 BlueLINK ID: 2397778 ES Doctors of Santa Teresa 5290 McNutt Rd., 88008 (505) 589-1144 Nichols, Robert L., MD Provider ID #NM012037 BlueLINK ID: 3393620 ES 1300 Country Club Rd., Ste. D, 88008 (505) 589-4000 Fax No. (505) 589-7225 Rivera, Emilio T., MD Provider ID #NM011595 BlueLINK ID: 3213676 ES Doctors of Santa Teresa 5290 McNutt Rd., 88008 (505) 589-1144 Fax No. (505) 589-2008 Varela, Alfred B., MD Provider ID #NM000966 BlueLINK ID: 3247836 ES Santa Teresa Medical Care Center 5055 McNutt Rd., 88008 (505) 589-5005 Fax No. (505) 589-1333 Internal Medicine Juarez, Edward C., MD Provider ID #NM001042 BlueLINK ID: 2178336 ES Santa Teresa Medical Care Center 5055 McNutt Rd., 88008 (505) 589-5005 Fax No. (505) 589-1333 Silver City Grant County Family Practice Cummings, David L., MD Provider ID #NM013214 BlueLINK ID: 3266704 ES 2600 N. Silver St., 88061 (505) 534-3004 Fax No. (505) 534-3017 Fowler, William R., MD Provider ID #NM010927 BlueLINK ID: 3209313 Copper Medical Center 3185 N. Leslie Rd., 88061 (505) 388-3393 Fax No. (505) 388-2696 Koury, Gregory K., MD Provider ID #NM009V11 BlueLINK ID: 3252059 ES Zia Family Healthcare, PC 1000 N. Hudson St., 88061 (505) 388-9141 Fax No. (505) 538-9179 Meyer, David R., DO Provider ID #NM004B60 BlueLINK ID: 4227773 No obstetric patients ES SW Family Medicine 1318 E. 32nd St., 88061 (505) 388-1913 Fax No. (505) 388-5176 See special note See last page for Provider Language Codes legend Murphy, Michael R., DO Provider ID #NM004B87 BlueLINK ID: 6003703 ES Hidalgo Medical Services Med Square 114 W. 11th St., 88061 (505) 388-1511 Fax No. (505) 388-3465 Sergeant, Michael C., MD Provider ID #NM014261 BlueLINK ID: 3143303 ES Hidalgo Medical Services Med Square 114 W. 11th St., 88061 (505) 388-1511 Fax No. (505) 388-3465 Smoker, Linda A., MD Provider ID #NM004124 BlueLINK ID: 4155554 ES The Family Clinic 1280 E. 32nd St., 88061 (505) 388-1242 Stanley, John M., MD Provider ID #NM002659 BlueLINK ID: 2322178 SW Family Medicine 1318 E. 32nd St., 88061 (505) 388-1913 Gynecology Steinzig, Richard M., MD Provider ID #NM002674 BlueLINK ID: 3135986 Gynecology ES 3201 Ridge Lp., 88061 (505) 538-2936 Primary Care Physicians (PCPs) Guggina, Thomas J., MD Provider ID #NM009P35 BlueLINK ID: 6003569 ES Arroyo Chamiso Pediatric Center 2025 Galisteo St., 87505 (505) 995-4901 Fax No. (505) 820-5438 Silver City Internal Medicine Bell, John O., MD Provider ID #NM000286 BlueLINK ID: 3135500 Silver Internal Medicine 1600 E. 32nd St., 88061 (505) 538-2981 Fax No. (505) 388-3373 Davenport-Reed, Laura D., MD Provider ID #NM009D34 BlueLINK ID: 4168322 ES Silver Internal Medicine 1600 E. 32nd St., 88061 (505) 538-2981 Fax No. (505) 538-2484 Dye, Samuel D., MD Provider ID #NM000766 BlueLINK ID: 2397730 Silver Internal Medicine 1600 E. 32nd St., 88061 (505) 538-2981 Fax No. (505) 388-3373 Hickey, Thomas, MD Provider ID #NM013096 BlueLINK ID: 4163524 Patients over age 15 ES 508 W. Broadway, 88061 (505) 388-4000 Fax No. (505) 388-4027 Kumar, Muskula P., MD Provider ID #NM009380 BlueLINK ID: 4120585 ES TE HI Silver Internal Medicine 1600 E. 32nd St., 88061 (505) 538-2981 Fax No. (505) 388-3373 35 Silver City Meyerowitz, Colicia M., MD Provider ID #NM009K62 BlueLINK ID: 4293302 ES Silver Internal Medicine 1600 E. 32nd St., 88061 (505) 538-2981 Fax No. (505) 388-3373 Skee, James R., MD Provider ID #NM000666 BlueLINK ID: 3135972 Silver Internal Medicine 1600 E. 32nd St., 88061 (505) 538-2981 Fax No. (505) 388-3373 Obstetrics/Gynecology Montoya, Donald, MD Provider ID #NM003164 BlueLINK ID: 2393340 ES 1290 E. 32nd St., 88061 (505) 538-3200 Nwachuku, Victor A., MD Provider ID #NM009942 BlueLINK ID: 4228164 Female patients only ES Cassie Health Center 1290 E. 32nd St., 88061 (505) 388-1561 Primary Care Physicians (PCPs) Pediatrics Davenport-Reed, Laura D., MD Provider ID #NM009D34 BlueLINK ID: 4168322 ES Silver Internal Medicine 1600 E. 32nd St., 88061 (505) 538-2981 Fax No. (505) 538-2484 Johnson, Donald F., MD Provider ID #NM000375 BlueLINK ID: 5002257 ES Gila Pediatrics 1105 Pope St., Ste. 2, 88061 (505) 388-1956 McNew, Milo G., MD Provider ID #NM001873 BlueLINK ID: 3362796 ES Gila Pediatrics 1105 Pope St., Ste. 2, 88061 (505) 388-1956 Mora, Barbara, MD Provider ID #NM001407 BlueLINK ID: 5002799 Pediatric Care 3185 N. Leslie Rd., 88061 (505) 388-3393 Fax No. (505) 388-2696 Socorro Socorro County Family Practice Bhasker, Ravi, MD Provider ID #NM000305 BlueLINK ID: 2397299 Bhasker Medical Clinic 200 Neel Ave. NW, 87801 (505) 835-2940 Clancy, Naomi R., MD Provider ID #NM009R81 BlueLINK ID: 6003585 ES Socorro Medical Associates 1204 Hwy. 60 West, 87801 (505) 835-0705 Fax No. (505) 835-3828 36 Primary Care Physicians (PCPs) Comstock, Eileen D., MD Provider ID #NM001548 BlueLINK ID: 4130346 ES Socorro Medical Associates 1200 Hwy. 60 West, 87801 (505) 835-0705 Evans, Rachael B., MD Provider ID #NM009P45 BlueLINK ID: 6003636 ES Socorro Community Health Center PMS is not affiliated with Presbyterian Healthcare Services 1300 Enterprise, 87801 (505) 835-4444 Fax No. (505) 835-1010 Markwell, Robert E., MD Provider ID #NM001738 BlueLINK ID: 3135809 Socorro Medical Associates 1200 Hwy. 60 West, 87801 (505) 835-0705 Reid, Norman J., MD Provider ID #NM002255 BlueLINK ID: 2398049 Socorro Medical Associates 1200 Hwy. 60 West, 87801 (505) 835-0705 Smith, Kameo L., DO Provider ID #NM009P53 BlueLINK ID: 6003654 Socorro Community Health Center PMS is not affiliated with Presbyterian Healthcare Services 1300 Enterprise, 87801 (505) 835-4444 Fax No. (505) 835-1010 Internal Medicine Din, Sabeen U., MD Provider ID #NM009258 BlueLINK ID: 4232986 ES Bhasker Medical Clinic 200 Neel Ave. NW, 87801 (505) 835-2940 Fax No. (505) 835-2216 Kirkhart, Beth E., MD Provider ID #NM003200 BlueLINK ID: 3286468 ES Bhasker Medical Clinic 200 Neel Ave. NW, 87801 (505) 835-2940 Pediatrics Johnson, Leslie S., MD Provider ID #NM001434 BlueLINK ID: 3214211 Socorro Medical Associates 1200 Hwy. 60 West, 87801 (505) 835-0705 Springer Colfax County Family Practice Gallegos, Frank V., MD Provider ID #NM002251 BlueLINK ID: 3271494 Health Centers of Northern NM Springer Clinic 400 Prospect Ave., 87747 (505) 483-0282 Rutschman, Robert F., MD Provider ID #NM004630 BlueLINK ID: 3222711 ES Health Centers of Northern NM Springer Clinic 400 Prospect Ave., 87747 (505) 483-0282 Fax No. (505) 483-0381 General Practice Trujillo, Martin, MD Provider ID #NM002550 BlueLINK ID: 2145240 ES 714 3rd St., 87747 (505) 483-3046 Sunland Park Doña Ana County General Practice Robledo, Laura L., MD Provider ID #NM019B08 BlueLINK ID: 4263576 ES La Clinica de Familia 2625 McNutt Rd., 88063 (505) 589-0887 Taos Taos County Family Practice Jaramillo, Cipry L., MD Provider ID #NM004985 BlueLINK ID: 4198226 ES Taos Community Healthplan Family Practice Associates of Taos 630 Paseo del Pueblo Sur, Ste. 150, 87571 (505) 758-3005 Schreiber, Larry, MD Provider ID #NM002536 BlueLINK ID: 3209315 Taos Community Healthplan Family Practice Associates of Taos 630 Paseo del Pueblo Sur, Ste. 150, 87571 (505) 758-3005 Schreiber, Lucas E., MD Provider ID #NM009J52 BlueLINK ID: 6002994 ES Taos Community Healthplan Family Practice Associates of Taos 630 Paseo del Pueblo Sur, Ste. 150, 87571 (505) 758-3005 Fax No. (505) 758-7002 Steinberg, Marc H., MD Provider ID #NM002646 BlueLINK ID: 3320765 Taos Community Healthplan Family Practice Associates of Taos 630 Paseo del Pueblo Sur, Ste. 150, 87571 (505) 758-3005 Warren, Ellen R., MD Provider ID #NM002883 BlueLINK ID: 3136019 Taos Community Healthplan Family Practice Associates of Taos 630 Paseo del Pueblo Sur, Ste. 150, 87571 (505) 758-3005 See special note See last page for Provider Language Codes legend General Practice Kilgore, William R., MD Provider ID #NM001518 BlueLINK ID: 3143203 Taos Community Healthplan 404 Paseo del Pueblo Norte, Box 798, 87571 (505) 758-4468 Internal Medicine Doherty, Erin C., MD Provider ID #NM019151 BlueLINK ID: 4227807 Specializing in women's health; females over age 18 ES Taos Community Healthplan Women's Health Institute 1329 Gusdorf Rd., 87571 (505) 758-5001 Fax No. (505) 737-5046 Foster, John D., MD Provider ID #NM009P31 BlueLINK ID: 4167892 Adult patients only ES Taos Medical Group 1399 Weimer Rd., 87571 (505) 758-2224 Fax No. (505) 758-4903 Kaufman, Michael H., MD Provider ID #NM001475 BlueLINK ID: 3135740 Taos Community Healthplan Taos Medical Group 1399 Weimer Rd., Box 5775, 87571 (505) 758-2224 White, Robert, MD Provider ID #NM001193 BlueLINK ID: 3260258 Taos Community Healthplan Taos Medical Group 1399 Weimer Rd., Box 5775, 87571 (505) 758-2224 Obstetrics/Gynecology Berryman, John D., MD Provider ID #NM009P34 BlueLINK ID: 2294055 Female patients only ES 1399 Weimer Rd., Ste. 300, 87571 (505) 758-5442 Fax No. (505) 758-7607 Pediatrics Anderson, Charles W., MD Provider ID #NM000131 BlueLINK ID: 3143009 Established patients only Taos Community Healthplan Taos Clinic for Children & Youth 123 Cruz Alta Rd., 87571 (505) 758-8651 Fax No. (505) 758-7811 Gilbert, Jonathan M., MD Provider ID #NM009J75 BlueLINK ID: 4170586 Patients under age 18 Taos Community Healthplan Taos Clinic for Children & Youth 123 Cruz Alta Rd., 87571 (505) 758-8651 Fax No. (505) 758-7811 July 2005 Primary Care Physicians (PCPs) Ortiz y Pino, Loretta M., MD Provider ID #NM002504 BlueLINK ID: 5003387 Taos Community Healthplan Taos Clinic for Children & Youth 123 Cruz Alta Rd., 87571 (505) 758-8651 Fax No. (505) 758-7811 Villarreal, Sylvia F., MD Provider ID #NM004913 BlueLINK ID: 4141896 Patients under age 18 ES Taos Community Healthplan Taos Clinic for Children & Youth 123 Cruz Alta Rd., 87571 (505) 758-8651 Fax No. (505) 758-7811 Tatum Lea County Family Practice Bains, Amar, MD Provider ID #NM003360 BlueLINK ID: 3391122 ES Tatum Clinic 204 N. Main, 88267 (505) 398-2111 Fax No. (505) 398-6112 Thoreau McKinley County Truth or Consequences Tucumcari Tularosa Sierra County Quay County Otero County Family Practice Family Practice Family Practice Kunz, David, DO Provider ID #NM009438 BlueLINK ID: 4138152 Sierra Vista Community Health Center 800 E. 9th Ave., 87901 (505) 894-2111 Fax No. (505) 894-7659 Brown, Randal W., MD Provider ID #NM004139 BlueLINK ID: 3361145 Quay County Medical Clinic 614 S. 2nd St., 88401 (505) 461-8631 Fax No. (505) 461-8633 Martinez, Enrique, MD Provider ID #NM001726 BlueLINK ID: 3135814 ES Ben Archer Health Center 1960 N. Date St., 87901 (505) 894-7662 Fax No. (505) 894-7930 Faith, Johnny L., MD Provider ID #NM009294 BlueLINK ID: 3308104 523 S. 2nd St., 88401 (505) 461-4509 George, Christiane, DO Provider ID #NM009P51 BlueLINK ID: 6003643 ES Tularosa Health Center PMS is not affiliated with Presbyterian Healthcare Services 111 Central Ave., 88352 (505) 585-1250 Fax No. (505) 986-8299 Spruce, Haruhuani C., MD Provider ID #NM019K86 BlueLINK ID: 4294779 ES Ben Archer Health Center 1960 N. Date St., 87901 (505) 894-7662 Fax No. (505) 894-7930 Wilde, Olusegun, MD Provider ID #NM009K66 BlueLINK ID: 4292300 ES Sierra Vista Community Health Center 800 E. 9th Ave., 87901 (505) 894-3221 Fax No. (505) 894-7659 Amawi, Firas B., DO Provider ID #NM004B10 BlueLINK ID: 4277373 AR Western NM Medical Group PMS is not affiliated with Presbyterian Healthcare Services 15 Navarre Blvd., 87323 (505) 863-7417 Fax No. (505) 862-8300 Internal Medicine Andrade, Aedra D., MD Provider ID #NM009J29 BlueLINK ID: 5010061 No OB/GYN or prenatal ES Western NM Medical Group PMS is not affiliated with Presbyterian Healthcare Services 15 Navarre Blvd., 87323 (505) 862-7417 Fax No. (505) 862-8300 Malcolmson, James F., MD Provider ID #NM011750 BlueLINK ID: 3246448 Patients over age 17; no OB patients ES Sierra Vista Community Health Center 800 E. 9th Ave., 87901 (505) 894-7213 Fax No. (505) 894-7659 Tierra Amarilla Rio Arriba County Family Practice Gerling, M. Paige, MD Provider ID #NM009750 BlueLINK ID: 4178921 ES La Clinica del Pueblo de Rio Arriba US 84 CR 324, Ste. 14, 87575 (505) 588-7252 Fax No. (505) 588-7771 Internal Medicine Schwartz, Howard N., MD Provider ID #NM009P67 BlueLINK ID: 2278733 ES La Clinica del Pueblo US 84 CR 324, Ste. 14, 87575 (505) 588-7252 Fax No. (505) 588-7771 July 2005 Mahindra, Anuj K., MD Provider ID #NM009813 BlueLINK ID: 4251701 ES Ben Archer Health Center 1960 N. Date St., 87901 (505) 894-7662 Fax No. (505) 894-7930 Ortiz, David M., MD Provider ID #NM009K60 BlueLINK ID: 4282459 ES Sierra Vista Hospital 800 E. 9th Ave., 87901 (505) 894-3221 Fax No. (505) 894-7659 Rivera-Rosales, Julio R., MD Provider ID #NM009K21 BlueLINK ID: 4288653 ES Ben Archer Health Center 1960 N. Date St., 87901 (505) 894-7662 Fax No. (505) 894-7930 Obstetrics/Gynecology Wilde, Olusegun, MD Provider ID #NM009K66 BlueLINK ID: 4292300 ES Sierra Vista Community Health Center 800 E. 9th Ave., 87901 (505) 894-3221 Fax No. (505) 894-7659 Saleemi, Mudassir M., MD Provider ID #NM09J24 BlueLINK ID: 4296313 UR PA Quay County Family Health Center PMS is not affiliated with Presbyterian Healthcare Services 1302 E. Main St., 88401 (505) 461-2200 Fax No. (505) 461-2213 Saltz, James E., MD Provider ID #NM002411 BlueLINK ID: 3135934 ES 325 S. 1st St., 88401 (505) 461-2222 General Practice Nguyen, Thanh V., MD Provider ID #NM002043 BlueLINK ID: 3143255 309 E. Washington, 88401 (505) 461-2616 Internal Medicine Alhazim, Dina, MD Provider ID #NM009J30 BlueLINK ID: 4286611 ES Quay County Medical Clinic 220 S. 3rd St., 88401 (505) 461-8631 Fax No. (505) 461-8633 Khawaja, Mubarak, MD Provider ID #NM021964 BlueLINK ID: 4161209 ES Quay County Medical Clinic 614 S. 2nd St., 88401 (505) 461-8631 Fax No. (505) 461-8633 Muralidharan, Sethu, MD Provider ID #NM009J31 BlueLINK ID: 4284292 ES Quay County Medical Clinic 220 S. 3rd St., 88401 (505) 461-8631 Fax No. (505) 461-8633 Pediatrics Saltz, James E., MD Provider ID #NM002411 BlueLINK ID: 3135934 ES 325 S. 1st St., 88401 (505) 461-2222 See special note See last page for Provider Language Codes legend Wagon Mound Mora County Family Practice Gallegos, Frank V., MD Provider ID #NM002251 BlueLINK ID: 3271494 Health Centers of Northern NM Wagon Mound Clinic 604 Catron Ave., 87752 (505) 666-2288 Stoltze, David A., MD Provider ID #NM003255 BlueLINK ID: 2147683 Health Centers of Northern NM Wagon Mound Clinic 604 Catron Ave., 87752 (505) 666-2288 White Rock Primary Care Physicians (PCPs) Family Practice White Rock Los Alamos County Pediatrics Csanadi, Mary E., MD Provider ID #NM002134 BlueLINK ID: 5003198 ES Children's Clinic White Rock Shopping Ctr., Ste. C, 87544 (505) 672-3993 Csanadi, Thomas A., MD Provider ID #NM004550 BlueLINK ID: 5004698 DE Children's Clinic White Rock Shopping Ctr., Ste. C, 87544 (505) 672-3993 Neal, John Bennett, MD Provider ID #NM002010 BlueLINK ID: 5003141 Children's Clinic White Rock Shopping Ctr., Ste. C, 87544 (505) 672-3993 Nichols, Michael W., MD Provider ID #NM002032 BlueLINK ID: 5003154 Children's Clinic White Rock Shopping Ctr., Ste. C, 87544 (505) 672-3993 Schoonover, Shelley P., MD Provider ID #NM003241 BlueLINK ID: 5003808 ES Children's Clinic White Rock Shopping Ctr., Ste. C, 87544 (505) 672-3993 37 Andrews TEXAS Andrews Andrews County Family Practice Nayak, Satish, MD Provider ID #NM019D32 BlueLINK ID: 4157718 Also sees OB/gyn patients 714 Hospital Dr., 79714 (432) 523-3001 Fax No. (432) 464-2563 Internal Medicine Primary Care Physicians (PCPs) Cala, Ruben G., MD Provider ID #NM01YJ43 BlueLINK ID: 2314070 ES TL 1411 N. Main, 79714 (432) 523-3203 Fax No. (432) 523-6181 Primary Care Physicians (PCPs) Cotton, Christopher D., MD Provider ID #NM009946 BlueLINK ID: 4101374 ES West Texas Medical Center 415 N. Avenue F, 79323 (806) 592-9501 Fax No. (806) 592-3052 Internal Medicine Memon, Amir A.G., MD Provider ID #NM009980 BlueLINK ID: 4202150 ES West Texas Medical Center 415 N. Avenue F, 79323 (806) 592-9501 Fax No. (806) 592-3052 Thepchatri, Bodindr, MD Provider ID #NM009940 BlueLINK ID: 2226952 ES West Texas Medical Center 415 N. Avenue F, 79323 (806) 592-9501 Fax No. (806) 592-3052 Obstetrics/Gynecology El Paso Wiltz, Armand L., MD Provider ID #NM009V25 BlueLINK ID: 2323657 TL 712 Hospital Dr., 79714 (432) 523-2565 Fax No. (432) 464-2566 El Paso County Pediatrics Cala, Sylvia O., MD Provider ID #NM01YJ44 BlueLINK ID: 3148064 ES TL 1411 N. Main, 79714 (432) 523-3203 Brownfield Terry County Obstetrics/Gynecology Tedford, Dennis Duane, MD Provider ID #NM009B43 BlueLINK ID: 3228412 Covenant Medical Group 901 Tahoka Rd., 79316 (806) 637-2551 Crosbyton Crosby County Family Practice Hannel, Jeffrey Wayne, MD Provider ID #NM009B23 BlueLINK ID: 4169754 Covenant Medical Group 710 W. Main St., 79322 (806) 675-7382 Fax No. (806) 675-7257 Denver City Yoakum County General Practice Boyd, Larry C., MD Provider ID #NM009944 BlueLINK ID: 3360484 ES West Texas Medical Center 415 N. Avenue F, 79323 (806) 592-9501 Fax No. (806) 592-3052 38 Family Practice Aziz, Rommana, DO Provider ID #NM004B88 BlueLINK ID: 4317353 ES Physicians Healthcare Associates 9870 Gateway North, Ste. B7, 79924 (915) 751-5245 Fax No. (915) 751-5255 Baker, Ronald F., MD Provider ID #NM009N83 BlueLINK ID: 4292438 ES Physicians Healthcare Associates 2260 Trawood, 79935 (915) 591-4436 Fax No. (915) 591-4531 Behrens, Kenyon R., DO Provider ID #NM00E59P BlueLINK ID: 3192704 No obstetric patients ES 7878 Gateway East Blvd., Ste. 102, 79915 (915) 592-8223 Fax No. (915) 592-8328 Belocura, Jonnalyn R., MD Provider ID #NM019225 BlueLINK ID: 4113574 Natural family planning, no artificial birth controls ES TL 11345 Montwood, St. A1, 79936 (915) 921-5200 Fax No. (915) 921-5298 Culton, Reid E., DO Provider ID #NM004B79 BlueLINK ID: 4159574 No obstetrics ES 6955 N. Mesa, Ste. 108, 79912 (915) 585-7016 Fax No. (915) 585-7340 Enriquez, Andres S., MD Provider ID #NM009379 BlueLINK ID: 4191755 ES Franklin Medical Center 836 Redd Rd., 79912 (915) 833-8444 Fax No. (915) 833-8767 Jackson, George W., MD Provider ID #NM00X979 BlueLINK ID: 3166622 ES Physicians Healthcare Associates 7430 Remcon, 79912 (915) 584-0051 Fax No. (915) 833-1114 Brooker, Olmer R., MD Provider ID #NM01Y066 BlueLINK ID: 2221520 ES Physicians Healthcare Associates 2260 Trawood, 79935 (915) 591-4436 Fax No. (915) 590-7500 Lopez, Hector, DO Provider ID #NM00E601 BlueLINK ID: 2167345 ES Community Medical Clinic 9955 Dyer St., 79924 (915) 751-1249 Fax No. (915) 757-9454 Cardenas, Maria G., MD Provider ID #NM01VG17 BlueLINK ID: 3343023 ES Physicians Healthcare Associates 2260 Trawood, 79935 (915) 591-4436 Fax No. (915) 590-7500 Molina, Melissa A., MD Provider ID #NM009933 BlueLINK ID: 4237422 No newborns or prenatal patients ES 6955 N. Mesa, Ste. 102, 79912 (915) 842-0600 Fax No. (915) 842-0601 De Jesus, Eduardo M., MD Provider ID #NM00YJ36 BlueLINK ID: 4116163 No obstetric patients ES 7878 Gateway East Blvd., Ste. 102, 79915 (915) 592-8223 Fax No. (915) 592-8328 Pitchford, William A., MD Provider ID #NM01X095 BlueLINK ID: 2225533 ES Physicians Healthcare Associates 7430 Remcon, 79912 (915) 584-0051 Fax No. (915) 584-6764 Remirez, Carlos, MD Provider ID #NM00YJ30 BlueLINK ID: 2225874 ES El Paso Primary Care Associates 9530 Viscount Blvd., Ste. 2L, 79925 (915) 594-7787 Sands, Natasha A., MD Provider ID #NM009N64 BlueLINK ID: 4254169 ES Physicians Healthcare Associates PA 7430 Remcon, 79912 (915) 584-0057 Fax No. (915) 584-6764 Walker, Vernoy A., MD Provider ID #NM00YJ18 BlueLINK ID: 2323091 ES Physicians Healthcare Associates 7430 Remcon, 79912 (915) 584-3478 Zegarra, Ted, MD Provider ID #NM00YJ31 BlueLINK ID: 2227815 ES El Paso Primary Care Associates 9530 Viscount Blvd., Ste. 2L, 79925 (915) 594-7787 Internal Medicine Aboud, Ambrose, MD Provider ID #NM00I093 BlueLINK ID: 2220761 ES St. Jude International Cancer Associates 1900 N. Oregon, Ste. 500, 79902 (915) 544-8844 Fax No. (915) 541-8585 Assi, Muneer E., DO Provider ID #NM009141 BlueLINK ID: 4104688 ES 1700 Curie Dr., Ste. 1000, 79902 (915) 351-6200 See special note See last page for Provider Language Codes legend Famatigan, Maria G., MD Provider ID #NM009K69 BlueLINK ID: 3384313 ES Guadalupe Medical Clinic 1250 E. Cliff, Ste. 5A, 79902 (915) 351-6100 Fax No. (915) 351-6112 Hunko, Gabriela, MD Provider ID #NM009782 BlueLINK ID: 4134240 Patients over age 18 ES DE AR E P Premier Medical Group 10420 Montwood Dr., Ste. H, 79935 (915) 598-2721 Fax No. (915) 598-3289 Julian, Marilyn P., MD Provider ID #NM009N76 BlueLINK ID: 3145484 Patients over age 16 ES TL 1250 E. Cliff, Ste. 5B, 79902 (915) 533-7913 Fax No. (915) 533-7914 May, Robert P., MD Provider ID #NM00W921 BlueLINK ID: 2318980 Patients over age 18 ES 1700 Curie Dr., Ste. 5000, 79902 (915) 532-7881 Fax No. (915) 532-0939 Pinaroc, Teresa R., MD Provider ID #NM009D39 BlueLINK ID: 4126662 ES TL 1700 N. Oregon, Ste. 780, 79902 (915) 577-0111 Fax No. (915) 533-2568 Polanco, Daniel, MD Provider ID #NM009D57 BlueLINK ID: 4242069 Patients over age 14; no complex Ob/Gyn ES Physicians Healthcare Associates 7403 Remcon, 79912 (915) 584-0051 Fax No. (915) 833-1114 Rovner, Sergio, MD Provider ID #NM00YP72 BlueLINK ID: 4131225 ES E P Premier Medical Group 10420 Montwood Dr., Ste. H, 79935 (915) 598-2721 Fax No. (915) 598-3289 July 2005 Primary Care Physicians (PCPs) Rovner, Sergio, MD Provider ID #NM00YP72 BlueLINK ID: 4131225 ES E P Premier Medical Group 6065 Montana Ave., Ste. A2, 79925 (915) 771-7200 Fax No. (915) 771-7293 Soleja, Nusrat B., MD Provider ID #NM00YT64 BlueLINK ID: 3394691 Patients over age 18 ES E P Premier Medical Group 10420 Montwood Dr., Ste. H, 79935 (915) 598-2721 Soleja, Nusrat B., MD Provider ID #NM00YT64 BlueLINK ID: 3394691 Patients over age 18 ES E P Premier Medical Group 6065 Montana Ave., Ste. A2, 79925 (915) 772-7200 Tolbert-Bornstein, Natalie, MD Provider ID #NM01UU99 BlueLINK ID: 2313624 Patients over age 18 ES Physicians Healthcare Associates 2260 Trawood, 79935 (915) 591-4436 Fax No. (915) 591-4531 Velez, Carlos A., MD Provider ID #NM00X738 BlueLINK ID: 2322961 ES 2820 N. Stanton St., 79902 (915) 544-0817 Obstetrics/Gynecology Cordova-Hoy, Annette, MD Provider ID #NM009N49 BlueLINK ID: 3371876 OB/GYN females only ES 1700 N. Oregon, Ste. 620, 79902 (915) 521-1623 Fax No. (915) 838-0314 Ivy, Roy, Jr., MD Provider ID #NM00Y335 BlueLINK ID: 2223714 ES Ob/Gyn Consultants 1700 Curie Dr., Ste. 2000, 79902 (915) 532-4631 Levine, Neil M., DO Provider ID #NM00E59L BlueLINK ID: 2302237 Patients over age 14 ES Physicians Healthcare Associates 7430 Remcon, 79912 (915) 584-0051 Fax No. (915) 833-1114 Phipps, Wendy D., MD Provider ID #NM019N21 BlueLINK ID: 4264785 ES 125 W. Hague, Ste. 360, 79902 (915) 544-9700 Fax No. (915) 544-9701 July 2005 Rosen, Andrew P., MD Provider ID #NM009939 BlueLINK ID: 4249288 Female patients only ES 1600 Medical Center Dr., Ste. 307, 79902 (915) 838-7940 Fax No. (915) 838-7936 Coleman, Scott Keith, MD Provider ID #NM00YJ59 BlueLINK ID: 4156539 Patients under age 18 ES El Paso Pediatric Associates 9398 Viscount Blvd., Bldg. 2, 79925 (915) 593-2033 Fax No. (915) 595-3916 Rodriguez, Kim Veronica, MD Provider ID #NM00YJ61 BlueLINK ID: 3275051 Patients under age 18 ES El Paso Pediatric Associates 1733 Curie Dr., Ste. 200, 79902 (915) 533-1441 Fax No. (915) 532-5841 Villarreal, Jose Jorge, MD Provider ID #NM00VG71 BlueLINK ID: 3236586 3100 N. Stantion St., Ste. A, 79902 (915) 532-9477 Fax No. (915) 545-4813 Covarrubias, Eduardo, MD Provider ID #NM01VD39 BlueLINK ID: 3315222 Patients under age 18 ES 1570 Lomaland Dr., Ste. A, 79935 (915) 590-4555 Fax No. (915) 590-4718 Rodriguez, Kim Veronica, MD Provider ID #NM00YJ61 BlueLINK ID: 3275051 Patients under age 18 ES El Paso Pediatric Associates 9398 Viscount Blvd., Bldg. 2, 79925 (915) 593-2033 Fax No. (915) 595-3916 Pediatrics Akinjaiyeju, Akintoluwa A., MD Provider ID #NM009N78 BlueLINK ID: 4323045 ES PL NI Physicians Healthcare Associates 2260 Trawood, 79935 (915) 591-4436 Fax No. (915) 591-4531 Alpard, Allan Joseph, MD Provider ID #NM00V001 BlueLINK ID: 2312772 Patients under age 18 ES El Paso Pediatric Associates 1733 Curie Dr., Ste. 200, 79902 (915) 533-1441 Fax No. (915) 532-5841 Alpard, Allan Joseph, MD Provider ID #NM00V001 BlueLINK ID: 2312772 Patients under age 18 ES El Paso Pediatric Associates 9398 Viscount Blvd., Bldg. 2, 79925 (915) 593-2033 Fax No. (915) 595-3916 Alva, Jose D., MD Provider ID #NM00X953 BlueLINK ID: 2312787 ES 2311 N. Mesa, Bldg. G, 79902 (915) 542-1751 Fax No. (915) 545-1660 Brower, Mary Carrizal, MD Provider ID #NM00YJ57 BlueLINK ID: 3250522 Patients under age 18 ES El Paso Pediatric Associates 1733 Curie Dr., Ste. 200, 79902 (915) 533-1441 Fax No. (915) 532-5841 Brower, Mary Carrizal, MD Provider ID #NM00YJ57 BlueLINK ID: 3250522 Patients under age 18 ES El Paso Pediatric Associates 9398 Viscount Blvd., Bldg. 2, 79925 (915) 593-2033 Fax No. (915) 595-3916 Coleman, Scott Keith, MD Provider ID #NM00YJ59 BlueLINK ID: 4156539 Patients under age 18 ES El Paso Pediatric Associates 1733 Curie Dr., Ste. 200, 79902 (915) 533-1441 Fax No. (915) 532-5841 Frausto, Marcella A., MD Provider ID #NM009D36 BlueLINK ID: 5008685 Patients under age 18 El Paso Pediatric Associates 1733 Curie Dr., Ste. 210, 79902 (915) 533-1441 Fax No. (915) 532-5841 Frausto, Marcella A., MD Provider ID #NM009D36 BlueLINK ID: 5008685 Patients under age 18 El Paso Pediatric Associates 9398 Viscount Blvd., Bldg. 2, 79925 (915) 593-2033 Fax No. (915) 595-3916 Ibarra, Miguel H., MD-PA Provider ID #NM00Z902 BlueLINK ID: 3277193 ES 1900 N. Mesa, 79902 (915) 532-8187 Fax No. (915) 532-8191 Kahn, Stuart Warren, MD Provider ID #NM00YJ58 BlueLINK ID: 3277867 Patients under age 18 ES El Paso Pediatric Associates 1733 Curie Dr., Ste. 200, 79902 (915) 533-1441 Fax No. (915) 532-5841 Kahn, Stuart Warren, MD Provider ID #NM00YJ58 BlueLINK ID: 3277867 Patients under age 18 ES El Paso Pediatric Associates 9398 Viscount Blvd., Bldg. 2, 79925 (915) 593-2033 Fax No. (915) 595-3916 Liptakova, Helena H., MD Provider ID #NM01YJ20 BlueLINK ID: 4157284 ES Physicians Healthcare Associates 9870 Gateway North, Ste. B7, 79924 (915) 751-5245 Lodhi, Huma Y., MD Provider ID #NM00YJ21 BlueLINK ID: 4197528 ES Physicians Healthcare Associates 2260 Trawood, 79935 (915) 591-4436 Fax No. (915) 590-7590 Prieto, Jose, Jr., MD Provider ID #NM00YJ22 BlueLINK ID: 4185483 ES Physicians Healthcare Associates 2260 Trawood, 79935 (915) 591-4436 Fax No. (915) 591-4531 See special note See last page for Provider Language Codes legend Segapeli, Joseph Harry, MD Provider ID #NM00YJ60 BlueLINK ID: 3277552 Patients under age 18 ES El Paso Pediatric Associates 1733 Curie Dr., Ste. 200, 79902 (915) 533-1441 Fax No. (915) 532-5841 Segapeli, Joseph Harry, MD Provider ID #NM00YJ60 BlueLINK ID: 3277552 Patients under age 18 ES El Paso Pediatric Associates 9398 Viscount Blvd., Bldg. 2, 79925 (915) 593-2033 Fax No. (915) 595-3916 Farwell Primary Care Physicians (PCPs) Tran, Minh V., MD Provider ID #NM009144 BlueLINK ID: 3331531 ES FR 10500 Vista del Sol, Ste. E, 79925 (915) 591-6637 Fax No. (915) 591-6600 Friona Parmer County Family Practice Conard, Shawn L., MD Provider ID #NM009Q01 BlueLINK ID: 4269066 ES Farwell Medical Clinic 301 3rd St., 79325 (806) 481-1000 Fax No. (806) 481-1005 Conard, Shawn L., MD ES Farwell Medical Clinic 301 3rd St. (806) 481-1000 Johnson, Ryan, MD Provider ID #NM009D41 BlueLINK ID: 4234931 ES Farwell Medical Clinic 305 S. 3rd, 79325 (806) 481-1000 Fax No. (806) 481-1005 Johnson, Ryan, MD ES Farwell Medical Clinic 305 S. 3rd (806) 481-1000 Friona Parmer County Family Practice Alexander, Robert S., MD Provider ID #NM00YM40 BlueLINK ID: 2312686 ES Friona Rural Health Clinic 1307 Cleveland, 79035 (806) 247-2781 Fax No. (806) 247-2085 39 Friona Dickson, Jeffery S., MD Provider ID #NM009778 BlueLINK ID: 4227193 ES Friona Rural Health Clinic 1307 Cleveland, 79035 (806) 250-2781 Fax No. (806) 250-2088 Internal Medicine Jubay, Felipe L., MD Provider ID #NM00YM41 BlueLINK ID: 3109168 ES Friona Rural Health Clinic 1307 Cleveland, 79035 (806) 247-2781 Fax No. (806) 247-2085 Kermit Winkler County Internal Medicine Primary Care Physicians (PCPs) Choudhary, Smiriti D., MD Provider ID #NM009N56 BlueLINK ID: 6003655 ES HI Winkler County Memorial Hospital 821 Jeffee Dr., 79745 (432) 586-5864 Fax No. (432) 586-5031 Choudhary, Smiriti D., MD Provider ID #NM009N56 BlueLINK ID: 6003655 ES HI Winkler County Rural Health Clinic 828 Myer Ln., 79745 (432) 586-2040 Fax No. (432) 586-5031 Lubbock Lubbock County Family Practice Allas, Jose, MD Provider ID #NM02UU29 BlueLINK ID: 3282514 Covenant Medical Group 4102 24th St., Ste. 100, 79410 (806) 797-4422 Fax No. (806) 799-1817 Boynton, Steve, MD Provider ID #NM009A70 BlueLINK ID: 4155888 Covenant Medical Group 7601 Quaker Ave., 79424 (806) 725-9444 Fax No. (806) 725-9500 Chen, Shen, MD Provider ID #NM01J411 BlueLINK ID: 2314410 Covenant Medical Group 6502 Slide Rd., 79424 (806) 725-9900 Fax No. (806) 762-3701 Chungchansat, Porntip, MD Provider ID #NM01YG13 BlueLINK ID: 2221856 Covenant Medical Group 416 Frankford, 79416 (806) 725-5410 Fax No. (806) 792-8905 Clemmons, Tom J., MD Provider ID #NM01XW84 BlueLINK ID: 2221903 Covenant Medical Group 7601 Quaker Ave., 79413 (806) 725-9444 Fax No. (806) 725-9500 40 Primary Care Physicians (PCPs) Cole, Jeanetta, MD Provider ID #NM009A66 BlueLINK ID: 4119837 Covenant Medical Group 7601 Quaker Ave., 79424 (806) 725-9444 Fax No. (806) 725-9650 Rozean, Randy, MD Provider ID #NM01YM13 BlueLINK ID: 2321381 Covenant Medical Group 4102 24th St., Ste. 101, 79410 (806) 797-4422 Fax No. (806) 799-1817 Broselow, Andrew M., MD Provider ID #NM009997 BlueLINK ID: 4190927 Covenant Medical Group 4102 24th St., Ste. 300, 79410 (806) 795-9020 Fax No. (806) 795-4726 Collier, Raymond Harvey, MD Provider ID #NM009994 BlueLINK ID: 3394870 Covenant Medical Group 7601 Quaker Ave., 79424 (806) 725-9444 Fax No. (806) 725-9500 Sneed, Alvin L., MD Provider ID #NM009A57 BlueLINK ID: 2226538 Covenant Medical Group 7601 Quaker Ave., 79413 (806) 725-9444 Fax No. (806) 725-9600 Burkholder, Duncan M., MD Provider ID #NM01L157 BlueLINK ID: 2221590 Covenant Medical Group 2102 Oxford Ave., 79410 (806) 795-9300 Fax No. (806) 796-3466 Crow, Steven Michael, MD Provider ID #NM009A65 BlueLINK ID: 4134598 Covenant Medical Group 4102 24th St., Ste. 101, 79410 (806) 797-4422 Fax No. (806) 799-1817 Williams, Gary B., MD Provider ID #NM009A58 BlueLINK ID: 3120416 Covenant Medical Group 7601 Quaker Ave., 79413 (806) 725-9444 Fax No. (806) 725-9500 Burley, Ronnele Sheri, MD Provider ID #NM009995 BlueLINK ID: 4143736 Covenant Medical Group 2215 Nashville Ave., 79410 (806) 725-6977 Fax No. (806) 795-5863 Edwards, Patrick J., MD Provider ID #NM01YG24 BlueLINK ID: 2315438 Covenant Medical Group 4102 24th St., Ste. 101, 79410 (806) 797-4422 Fax No. (806) 799-1817 Hammond, Debra Lyn, MD Provider ID #NM009A67 BlueLINK ID: 4142688 Covenant Medical Group 7601 Quaker Ave., 79424 (806) 725-9444 Fax No. (806) 725-9650 Hendershot, Kerry, MD Provider ID #NM019B19 BlueLINK ID: 4170176 Covenant Health System 7601 Quaker Ave., 79424 (806) 725-9444 Fax No. (806) 725-9440 Hickle, Suzelle L., MD Provider ID #NM01YG21 BlueLINK ID: 3274405 Covenant Medical Group 427 Slide Rd., 79416 (806) 725-5410 Fax No. (806) 792-8905 Hnatek, Joyce L., MD Provider ID #NM009N11 BlueLINK ID: 6003265 Covenant Medical Group 7601 Quaker Ave., 79424 (806) 725-9401 Fax No. (806) 725-9400 Hyde, Walter V., MD Provider ID #NM01UO32 BlueLINK ID: 2317280 Covenant Medical Group 7601 Quaker Ave., 79413 (806) 725-9444 Fax No. (806) 725-9650 Johnson, Lowell S., MD Provider ID #NM01W599 BlueLINK ID: 2317508 Covenant Medical Group 7601 Quaker Ave., 79413 (806) 725-9444 Fax No. (806) 725-9650 Lear, Kye, MD Provider ID #NM009A68 BlueLINK ID: 2224283 Covenant Medical Group 7601 Quaker Ave., 79413 (806) 725-9444 Fax No. (806) 725-9650 Reynolds, Charles A., MD Provider ID #NM01VZ50 BlueLINK ID: 2321022 Covenant Medical Group 7601 Quaker Ave., 79413 (806) 725-9444 Fax No. (806) 725-9650 Gynecology Filippone, John M., MD Provider ID #NM01Y760 BlueLINK ID: 2222700 Covenant Medical Group 3506 21st St., Ste. 606, 79410 (806) 797-3456 Fax No. (806) 797-4491 Internal Medicine Aguas, Enrico G., MD Provider ID #NM01YG07 BlueLINK ID: 3334668 Covenant Medical Group 3506 21st St., Ste. 105, 79410 (806) 725-4130 Fax No. (806) 723-7137 Batra, Swaran L., MD Provider ID #NM01YG16 BlueLINK ID: 3392343 Covenant Medical Group 416 Frankford, 79416 (806) 725-5410 Fax No. (806) 792-8905 Owens, Bruce A., DO Provider ID #NM014077 BlueLINK ID: 3294003 ES 2516 22nd Pl., 79410 (806) 725-6565 Fax No. (806) 723-6377 Patel, Nilesh, MD Provider ID #NM01YG06 BlueLINK ID: 3378148 Covenant Medical Group 6502 Slide Rd., 79424 (806) 725-9900 Fax No. (806) 798-7567 Killeen, Joseph K., MD Provider ID #NM009A64 BlueLINK ID: 3201640 Covenant Medical Group 4102 24th St., Ste. 502, 79410 (806) 725-6745 Fax No. (806) 723-3715 Nall, Brent B., MD Provider ID #NM01Y005 BlueLINK ID: 2225082 Covenant Medical Group 4102 24th St., Ste. 502, 79410 (806) 725-6745 Fax No. (806) 723-6715 Owen, Michael F., MD Provider ID #NM01L676 BlueLINK ID: 2320100 Covenant Medical Group 2102 Oxford Ave., 79410 (806) 795-9878 Fax No. (806) 795-2116 Weitlauf, Kayla D., MD Provider ID #NM01YM15 BlueLINK ID: 3360713 Covenant Medical Group 2215 Nashville Ave., 79410 (806) 725-6977 Fax No. (806) 795-5863 Obstetrics/Gynecology Dickey, John C., MD Provider ID #NM009A56 BlueLINK ID: 2315245 Covenant Medical Group 3802 21st St., Ste. B, 79410 (806) 795-6417 Fax No. (806) 795-7421 Pediatrics Robins, Scott, MD Provider ID #NM01YQ17 BlueLINK ID: 2321151 Covenant Medical Group 4102 24th St., 79410 (806) 788-1111 Fax No. (806) 788-1113 Alkul, Mohamad, MD Provider ID #NM01YM09 BlueLINK ID: 3371861 Covenant Medical Group 3606 21st St., Ste. 305, 79410 (806) 799-0038 Fax No. (806) 780-7167 Tarafdar, Kaiser R., MD Provider ID #NM019989 BlueLINK ID: 4263969 350621st St., Ste. 105, 79410 (806) 725-4130 Fax No. (806) 723-7137 Boris, Glenn, MD Provider ID #NM01Y657 BlueLINK ID: 3344966 Covenant Medical Group 3204 44th St., 79411 (806) 795-1984 Obstetrics Broome, Edward, MD Provider ID #NM01W549 BlueLINK ID: 2313813 Covenant Medical Group 2215 Nashville Ave., 79410 (806) 725-6977 Fax No. (806) 795-5863 See special note See last page for Provider Language Codes legend Farmer, Ray, MD Provider ID #NM01YF85 BlueLINK ID: 3277061 Covenant Medical Group 3606 21st St., Ste. 207, 79410 (806) 799-8332 Fax No. (806) 797-7935 July 2005 Primary Care Physicians (PCPs) Seminole Gray, David A., DO Provider ID #NM01E58U BlueLINK ID: 4125728 Covenant Medical Group 3606 21st St., Ste. 207, 79410 (806) 799-8332 Fax No. (806) 797-7935 Pandya, Yogesh, MD Provider ID #NM01XY58 BlueLINK ID: 3281290 Covenant Medical Group 3606 21st St., Ste. 302, 79410 (806) 797-1882 Fax No. (806) 797-3616 Guetersloh, Amanda, MD Provider ID #NM009B58 BlueLINK ID: 4264933 Covenant Medical Group 3606 21st St., Ste. 102, 79410 (806) 796-1251 Fax No. (806) 796-0161 Reddy, Yasodhara M., MD Provider ID #NM01YG19 BlueLINK ID: 2225830 Covenant Medical Group 3606 21th St., Ste. 309, 79410 (806) 725-1240 Fax No. (806) 792-8905 Haefner, Susan M., MD Provider ID #NM009B61 BlueLINK ID: 4265420 Pediatric critical care Covenant Medical Group 3606 21st St., Ste. 107, 79410 (806) 725-4566 Fax No. (806) 797-7935 Robins, Linda, MD Provider ID #NM01YR42 BlueLINK ID: 2321150 Covenant Medical Group 3606 21st St., Ste. 303, 79410 (806) 725-3850 Fax No. (806) 723-7349 Hart, Merry B., MD Provider ID #NM009N74 BlueLINK ID: 6003767 Covenant Pediatrics 3606 21st St., Ste. 107, 79410 (806) 725-0550 Fax No. (806) 723-0569 Iacuone, John, MD Provider ID #NM01I779 BlueLINK ID: 2223680 Covenant Medical Group 3606 21st St., Ste. 102, 79410 (806) 796-1251 Fax No. (806) 796-0161 Landry, Joel, MD Provider ID #NM009A62 BlueLINK ID: 4219932 Covenant Medical Group 4102 24th St., Ste. 100, 79410 (806) 797-4422 Fax No. (806) 799-1817 July 2005 Stripling, Stephen, MD Provider ID #NM009998 BlueLINK ID: 4191264 Covenant Medical Group 3606 21st St., Ste. 200, 79410 (806) 725-0550 Fax No. (806) 791-0569 Muleshoe Bailey County Family Practice Claborn, Jobey, DO Provider ID #NM009K34 BlueLINK ID: 3277532 ES Family Practice & Dermatology Clinic 708 S. First St., 79347 (806) 272-6825 Conard, Shawn L., MD Provider ID #NM009V10 BlueLINK ID: 4269066 ES Muleshoe Area Medical 610 S. 1st St., 79347 (806) 272-7544 Fax No. (806) 272-5155 Johnson, Ryan, MD Provider ID #NM009D41 BlueLINK ID: 4234931 ES Medical Clinic of Muleshoe 610 S. 1st St., 79347 (806) 272-7544 Fax No. (806) 272-5155 Johnson, Ryan, MD ES Medical Clinic of Muleshoe 610 S. 1st St. (806) 272-7544 Sheets, Harry K., MD Provider ID #NM00YJ54 BlueLINK ID: 4181346 ES 610 S. 1st St., 79347 (806) 272-7544 Fax No. (806) 272-5155 Sheets, Harry K., MD Provider ID #NM00YJ54 BlueLINK ID: 4181346 ES Farwell Medical Clinic 301 3rd St., 79325 (806) 481-3200 See special note See last page for Provider Language Codes legend Smith, Thomas E., MD Provider ID #NM00YJ71 BlueLINK ID: 4231281 ES Medical Clinic of Muleshoe 717 W. 2nd St., 79347 (806) 272-4495 Fax No. (806) 272-5155 General Practice Purdy, Bruce, MD Provider ID #NM00YJ62 BlueLINK ID: 2225695 ES Muleshoe Family Medicine 701 S. 1st St., 79347 (806) 272-7531 Plains Yoakum County Internal Medicine Memon, Amir A.G., MD Provider ID #NM009980 BlueLINK ID: 4202150 ES Plains Clinic 703 Avenue G, 79355 (806) 592-9501 Fax No. (806) 592-3052 Seminole Gaines County Internal Medicine Primary Care Physicians (PCPs) Landry, Cheryl, MD Provider ID #NM009A51 BlueLINK ID: 3391162 Covenant Medical Group 3606 21st St., Ste. 102, 79410 (806) 796-1251 Fax No. (806) 796-0161 Stripling, Robert, MD Provider ID #NM009A53 BlueLINK ID: 3280934 Covenant Medical Group 3606 21st St., Ste. 200, 79410 (806) 792-2384 Fax No. (806) 791-0569 Conard, Shawn L., MD Provider ID #NM009Q01 BlueLINK ID: 4269066 ES Medical Clinic of Muleshoe 610 S. 1st St., 79347 (806) 272-7544 Fax No. (806) 272-5155 Layman, Mark B., MD Provider ID #NM009986 BlueLINK ID: 4205133 Patients over age 1 208 NW 8th St., Ste. 1, 79360 (915) 758-6363 Fax No. (915) 758-6550 41 Extended Network Plan Primary Care Providers Non-physician health care professionals such as Certified Nurse Practitioners who have had additional advanced training in providing primary care. They focus on the "whole person" and can coordinate your health care, including referrals. COLORADO Durango La Plata County Rakita, Barbara B., CNP Provider ID: NM006959 BlueLINK ID: 7438994 Specializing in family medicine Durango Family Medicine 1800 E. Third Ave., Ste. 109, 81301 (970) 385-9850 Fax No. (970) 385-9854 NEW MEXICO Alamogordo Otero County Thomas, Terry S., CNP Provider ID: NM006924 BlueLINK ID: 7200750 Specializing in family medicine DE White Sands Family Practice 2010 Pecan Dr., 88310 (505) 434-9737 Waggoner, Christopher G., FNP Provider ID: NM006356 BlueLINK ID: 5005321 Specializing in family medicine ES Ben Archer Health Center 1501 E. 10th St., 88310 (505) 443-8133 Fax No. (505) 433-8055 Albuquerque Bernalillo County Primary Care Providers Baptista, Diane, CFNP Provider ID: NM016344 BlueLINK ID: 7464682 Established patients only University Physicians Associates University Hospital 7801 Academy NE, 87109 (505) 272-2700 Barnett, Karen A., FNP Provider ID: NM006A23 BlueLINK ID: 7483613 Specializing in family medicine University Physicians Associates UNM Dept. of Family & Community Medicine 1231 Candelaria NW, 87107 (505) 272-2158 Black, Keri D., CNP Provider ID: NM006723 BlueLINK ID: 7463301 Specializing in family medicine Lovelace Sandia Health Systems Juan Tabo Internal Medicine 2121 Juan Tabo NE, 87112 (505) 237-8800 Eaves, Susette L., CFNP Provider ID: NM006684 BlueLINK ID: 7159445 Specializing in family medicine University Physicians Associates UNM Dept. of Family & Community Medicine 1231 Candelaria NW, 87107 (505) 272-2158 42 Evans, Elizabeth C., CNP Provider ID: NM006666 BlueLINK ID: 7494364 Specializing in internal medicine Lovelace Sandia Health Systems Gibson Internal Medicine 5400 Gibson SE, 87108 (505) 262-7731 Honeycutt, Mary, CNP Provider ID: NM006840 BlueLINK ID: 7461425 Specializing in internal medicine Lovelace Sandia Health Systems Gibson Internal Medicine 5400 Gibson SE, 87108 (505) 262-7110 Leas, Candace, CNP Provider ID: NM006741 BlueLINK ID: 5009750 Specializing in family medicine Lovelace Sandia Health Systems Montgomery Family Medicine 9101 Montgomery NE, 87111 (505) 275-4288 McCollum, Jeff P., CNP Provider ID: NM006781 BlueLINK ID: 7176854 Specializing in pediatric medicine Lovelace Journal Center Health Care Center 5150 Journal Center Blvd. NE, 87109 (505) 262-3219 McGough, Nancy, CNP Provider ID: NM006784 BlueLINK ID: 7447906 Specializing in internal medicine Lovelace Sandia Health Systems Gibson Internal Medicine 5400 Gibson SE, 87108 (505) 262-7110 Newby, Marilyn A., CNP Provider ID: NM006819 BlueLINK ID: 7467308 Specializing in family medicine Lovelace Sandia Health Systems Montgomery Internal Medicine 9101 Montgomery NE, 87111 (505) 275-4288 Parra, Melissa M., CNP Provider ID: NM006818 BlueLINK ID: 7129909 Specializing in family medicine Lovelace Sandia Health Systems Tramway Family Medicine 13701 Encantado Rd. NE, 87123 (505) 237-8700 Sanchez, Clyde P., CNP Provider ID: NM01R90R BlueLINK ID: 7313481 Specializing in family & geriatric medicine ES Albuquerque Care Center 239 Elm St. NE, 87102 (505) 242-4116 Sanchez, Clyde P., CNP Provider ID: NM01R90R BlueLINK ID: 7313481 Specializing in family & geriatric medicine ES Ladera Nursing & Rehab Center 5901 Ouray Rd. NW, 87120 (505) 836-0023 Sanchez, Clyde P., CNP Provider ID: NM01R90R BlueLINK ID: 7313481 Specializing in family & geriatric medicine ES Las Palomas Nursing & Rehab Center 8100 Palomas Ave. NE, 87109 (505) 821-4200 Sanchez, Clyde P., CNP Provider ID: NM01R90R BlueLINK ID: 7313481 Specializing in family & geriatric medicine ES Manor Care Camino Vista 7900 Constitution NE, 87110 (505) 296-5565 Sanchez, Clyde P., CNP Provider ID: NM01R90R BlueLINK ID: 7313481 Specializing in family & geriatric medicine ES Manor Care Heights 2216 Lester Dr. NE, 87112 (505) 296-4808 Sanchez, Clyde P., CNP Provider ID: NM01R90R BlueLINK ID: 7313481 Specializing in family & geriatric medicine ES Manor Care Sandia 5123 Juan Tabo NE, 87111 (505) 292-3333 Sanchez, Clyde P., CNP Provider ID: NM01R90R BlueLINK ID: 7313481 Specializing in family & geriatric medicine ES Mission Manor 10101 Lagrima de Oro, 87111 (505) 298-1231 Sanchez, Clyde P., CNP Provider ID: NM01R90R BlueLINK ID: 7313481 Specializing in family & geriatric medicine ES Paloma Blanca Health & Rehab 1509 University NE, 87102 (505) 243-2257 Sanchez, Clyde P., CNP Provider ID: NM01R90R BlueLINK ID: 7313481 Specializing in family & geriatric medicine ES Valle Norte Caring Center 8820 Horizon Blvd. NE, 87113 (505) 823-1558 Umberger, Paul, CNP Provider ID: NM006700 BlueLINK ID: 7439364 University Physicians Associates UNM Dept. of Internal Medicine 1209 University NE, 87102 (505) 272-4400 See special note See last page for Provider Language Codes legend. Wright, Barbara Anne F., CFNP Provider ID: NM01R81B BlueLINK ID: 7448703 Specializing in family medicine Lovelace Sandia Health Systems Tramway Family Medicine 13701 Encantado Rd. NE, 87123 (505) 237-8700 Angel Fire Colfax County Hand, Ruth A., CNP Provider ID: NM006861 BlueLINK ID: 6003018 Specializing in family medicine Moreno Valley Healthcare Clinic 11 Elliott Barker Ln., 87710 (505) 377-3301 Anthony Doña Ana County Macklin, Lydia, CNP Provider ID: NM006A53 BlueLINK ID: 7234155 Specializing in family medicine ES La Clinica de Familia 755 Anthony Dr., 88021 (505) 882-3607 Fax No. (505) 882-2909 Artesia Eddy County Kaydahzinne, Carol S., CNP Provider ID: NM016316 BlueLINK ID: 7419485 Specializing in family medicine Johnny Moreno, MD 612 N. 13th St., Ste. H, 88210 (505) 748-1266 Fax No. (505) 748-8822 Belen Valencia County Devine, Mary J., CNP Provider ID: NM026A50 BlueLINK ID: 7170835 Specializing in family medicine ES Devine Family Health Care, Inc. 103 N. 6th St., 87002 (505) 864-6311 Fax No. (505) 864-6323 Bernalillo Sandoval County Mueller-Reuben, Gretchen, CNP Provider ID: NM006944 BlueLINK ID: 6003274 Specializing in family medicine; no OB/GYN care ES El Pueblo Health Services 121 Calle del Presidente, 87004 (505) 867-2324 Fax No. (505) 867-3511 July 2005 Primary Care Providers Steffens, Geoffrey, CFNP Provider ID: NM006884 BlueLINK ID: 7499926 Specializing in family medicine; no OB/GYN care ES El Pueblo Health Services 121 Calle del Presidente, 87004 (505) 867-2324 Fax No. (505) 867-3571 Capitan Lincoln County Smith, Kathleen, CNP Provider ID: NM01RD03 BlueLINK ID: 7498366 Specializing in family medicine Presbyterian Healthcare Services Rose Clinic 330 Smokey Bear Blvd., 88316 (505) 354-0057 Fax No. (505) 354-0056 Carlsbad Eddy County Ryan, Marie E., CNP Provider ID: NM01R94X BlueLINK ID: 7457580 Pecos Valley of New Mexico 2402 W. Pierce St., Ste. 6E, 88220 (505) 885-4623 Fax No. (505) 885-4647 Chaparral Doña Ana County Macklin, Lydia, CNP Provider ID: NM006A53 BlueLINK ID: 7234155 Specializing in family medicine ES La Clinica de Familia 510 E. Lisa Dr., 88081 (505) 824-0820 Fax No. (505) 824-1021 Williams, Gwen R., CNP Provider ID: NM006799 BlueLINK ID: 7202650 Specializing in family medicine ES La Clinica de Familia 510 E. Lisa, 88081 (505) 824-0820 Clayton Union County Clovis Curry County Fielden, Melvina E., CNP Provider ID: NM006917 BlueLINK ID: 6003510 Specializing in family medicine Associated Physicians & Surgeons 2211 Martin Luther King, 88101 (505) 763-5585 Fax No. (505) 762-9876 McCarty, Sherri L., CNP Provider ID: NM006899 BlueLINK ID: 6003508 Specializing in family medicine Associated Physicians & Surgeons 2211 Martin Luther King, 88101 (505) 763-5585 Fax No. (505) 762-9876 July 2005 Columbus Luna County Borries, Cheryl D., CNP Provider ID: NM006922 BlueLINK ID: 7226715 Specializing in family medicine ES Ben Archer Health Center 626 Taft St., 88029 (505) 531-2165 Fax No. (505) 531-2172 Deming Luna County Knoop, Sherron J., CNP Provider ID: NM01R81K BlueLINK ID: 33PP000 Specializing in family medicine ES Deming Heath Clinic PMS is not affiliated with Presbyterian Healthcare Services 205 E. Hemlock St., 88030 (505) 546-4663 Fax No. (505) 546-4844 Kuhlmann, Kristin L., CNP Provider ID: NM006667 BlueLINK ID: 5009815 Specializing in family medicine ES Deming Heath Clinic PMS is not affiliated with Presbyterian Healthcare Services 205 E. Hemlock St., 88030 (505) 546-4663 Fax No. (505) 546-4844 Lenhardt, Randy M., CNP Provider ID: NM006927 BlueLINK ID: 7312933 Specializing in family medicine ES Ben Archer Health Center 125 Chaparral NW, 88030 (505) 546-4800 Fax No. (505) 546-0685 Stansbury-Dunn, Kathryn A., CNP Provider ID: NM006934 BlueLINK ID: 7217009 Specializing in family medicine; patients over age 15 ES Ben Archer Health Center 125 Chaparral, 88030 (505) 546-4800 Edgewood Santa Fe County Fresquez-Chavez, Kathy R., CFNP Provider ID: NM006A12 BlueLINK ID: 7199503 Specializing in family medicine McLeod Medical Center 3 George Ct., Ste. C, 87015 (505) 286-2396 Fax No. (505) 286-2398 Lovett, Karen C., CNP Provider ID: NM006227 BlueLINK ID: 5007514 Specializing in family medicine NM Primary Care & Midwifery Services 1841 Hwy. 66, Ste. B, 87015 (505) 286-3100 Fax No. (505) 286-3102 Farmington San Juan County Brown, Dawn M., CNP Provider ID: NM006877 BlueLINK ID: 6003117 Specializing in family medicine Farmington Community Health Center PMS is not affiliated with Presbyterian Healthcare Services 1001 W. Broadway, Ste. D, 87401 (505) 327-4796 Fax No. (505) 599-9351 Connelly, Carol G., CNP Provider ID: NM006949 BlueLINK ID: 6003340 Specializing in pediatric medicine San Juan Pediatrics 622 W. Maple St., Ste. F, 87401 (505) 327-2570 Fax No. (505) 324-4570 Gallup McKinley County Costley, Casey, CNP Provider ID: NM006251 BlueLINK ID: 7179687 Specializing in family medicine Rehoboth McKinley Christian Clinic 2111 College Dr., 87301 (505) 863-1820 Fax No. (505) 863-1898 Duval, Patricia R., CNP Provider ID: NM00R80T BlueLINK ID: 5001103 Heavenly Health, Inc. 308 E. Hill Ave., 87301 (505) 722-6770 Fax No. (505) 722-6799 Liesveld, Judy A., CNP Provider ID: NM006180 BlueLINK ID: 7313404 Specializing in family medicine Rehoboth McKinley Christian Clinic 2111 College Dr., 87301 (505) 863-1820 Fax No. (505) 863-1898 Lynch, Durward, CNP Provider ID: NM00BTI6 BlueLINK ID: 7301483 Specializing in family medicine Rehoboth McKinley Christian Clinic 650 Vanden Bosch Pkwy., Ste. B, 87301 (505) 726-6980 Fax No. (505) 726-6982 Grants Cibola County Iwan, Edith Ann, CNP-RN Provider ID: NM00R82V BlueLINK ID: 7467307 Specializing in family medicine Western NM Medical Group PMS is not affiliated with Presbyterian Healthcare Services 1217 Bonita Ave., 87020 (505) 287-2950 Fax No. (505) 287-2403 Hatch Doña Ana County Greis, Lauri K., CNP Provider ID: NM006355 BlueLINK ID: 7474992 Specializing in family medicine ES Ben Archer Health Center 255 Hwy. 187, 87937 (505) 267-3088 Fax No. (505) 267-4606 See special note See last page for Provider Language Codes legend. Locke, Janice E., CNP Provider ID: NM006923 BlueLINK ID: 6003650 Specializing in family medicine ES Ben Archer Health Center 255 Hwy. 187, 87937 (505) 267-3088 Fax No. (505) 267-1747 Waggoner, Christopher G., FNP Provider ID: NM006356 BlueLINK ID: 5005321 Specializing in family medicine ES Ben Archer Health Center 255 Hwy. 187, 87937 (505) 267-3088 Fax No. (505) 267-4606 Hobbs Lea County Lane, Barbara, RNCNP Provider ID: NM02R95N BlueLINK ID: 7301498 Specializing in family medicine Hobbs Ob/Gyn Associates 5420 Lovington Hwy., 88240 (505) 433-4000 Fax No. (505) 392-7965 Montgomery, Cindy A., CNP Provider ID: NM00R90P BlueLINK ID: 5001245 Specializing in family medicine ES Montgomery Health Offices of Lea County 200 W. Lea St., 88240 (505) 391-7477 Fax No. (505) 391-9716 Hondo Lincoln County Mallion, Katherine, CNP Provider ID: NM00RD01 BlueLINK ID: 7381963 Specializing in family medicine ES La Casa Family Health Center 70 Mile Marker 386, 88336 (505) 653-4830 Fax No. (505) 653-4833 Las Cruces Doña Ana County Alleman, Jennifer B., CFNP Provider ID: NM016466 BlueLINK ID: 7427225 Specializing in family medicine ES Health Care Solutions, PA 2810 N. Telshor Blvd., 88011 (505) 532-2033 Fax No. (505) 522-2045 Carver, Angelina P., MSN-FNP Provider ID: NM006312 BlueLINK ID: 7424961 Specializing in family medicine ES ZA Mesilla Valley Healthcare Associates 2020 S. Solano, Ste. C, 88001 (505) 523-4880 Fax No. (505) 523-1796 Ellison, Gail M., CFNP Provider ID: NM006373 BlueLINK ID: 5009292 Specializing in family medicine; providing women's health services ES Terra Rosa Health Services 741 N. Alameda, Ste. 11, 88005 (505) 522-1100 Fax No. (505) 522-0100 43 Primary Care Providers Fluhman, Jessie J., CNP Provider ID: NM006651 BlueLINK ID: 5009163 Specializing in family medicine Clayton Family Practice 301 Harding St., 88415 (505) 374-2585 Fax No. (505) 374-8146 Las Cruces Las Cruces Greis, Lauri K., CNP Provider ID: NM006355 BlueLINK ID: 7474992 Specializing in family medicine ES Ben Archer Health Center 1600 Thorpe Rd., 88012 (505) 382-9292 Fax No. (505) 382-2061 Taylor, Lynn, CFNP Provider ID: NM006972 BlueLINK ID: 6003981 Specializing in family medicine Health Centers of Northern NM Las Vegas Clinic 3031 Hot Springs Blvd., 87701 (505) 425-6788 Fax No. (505) 425-5408 Macklin, Lydia, CNP Provider ID: NM006A53 BlueLINK ID: 7234155 Specializing in family medicine ES La Clinica de Familia 1160 Mall Dr., 88001 (505) 521-7181 Fax No. (505) 521-7199 Wayne, Susan K., CFNP Provider ID: NM016274 BlueLINK ID: 7423529 Specializing in family medicine ES New Mexico Quickcare Medical Group 105 Mills Ave., Ste. 200, 87701 (505) 454-1109 Fax No. (505) 454-1779 Macklin, Lydia, CNP Provider ID: NM006A53 BlueLINK ID: 7234155 Specializing in family medicine ES La Clinica de Familia 9400 Hwy. 70, 88012 (505) 373-9202 Fax No. (505) 373-9592 Ray, Kathryn P., CFNP Provider ID: NM016368 BlueLINK ID: 7467309 Specializing in family medicine ES ZA Mesilla Valley Healthcare Associates 2020 S. Solano, Ste. C, 88001 (505) 523-4880 Fax No. (505) 523-1796 Udo, Regina G., CFNP Provider ID: NM016614 BlueLINK ID: 7159890 Specializing in family medicine; providing women's health services ES Greeg Family Healthcare Services 2020 S. Solano, Ste. B, 88001 (505) 532-5700 Fax No. (505) 532-5733 Vancott, Christine, CNM-FNPC Provider ID: NM016595 BlueLINK ID: 7442814 Specializing in family medicine ES 2905 Hillrise, Bldg. 2, Unit A, 88011 (505) 532-6061 Fax No. (505) 532-6063 Las Vegas San Miguel County Primary Care Providers Primary Care Providers Byers, Mary T., CNP Provider ID: NM006881 BlueLINK ID: 7151251 Specializing in family medicine ES New Mexico QuickCare Medical Group 105 Mills Ave., Ste. 200, 87701 (505) 454-1109 Fax No. (505) 454-1779 Mahoney, Moriah, CNP Provider ID: NM006980 BlueLINK ID: 6004061 Specializing in family medicine ES Health Centers of Northern NM Las Vegas Clinic 3031 Hot Springs Blvd., 87701 (505) 425-6788 Fax No. (505) 425-5408 44 Logan Quay County Rogers, Martin J., CFNP Provider ID: NM006646 BlueLINK ID: 5009040 Specializing in family medicine ES Logan Family Health Center PMS is not affiliated with Presbyterian Healthcare Services 600 Gallegos St., 88426 (505) 487-5488 Fax No. (505) 487-5489 Los Lunas Valencia County Hancock, Janet S., CNP Provider ID: NM006A25 BlueLINK ID: 6003694 Specializing in family medicine ES DE Rio Abajo Family Practice 111 Sandoval, 87031 (505) 565-4355 Fax No. (505) 565-4360 Lovington Lea County Taylor, Carol Lee, CNP Provider ID: NM006933 BlueLINK ID: 7478374 Specializing in family medicine ES Rural Health Care LLC 399 Thorn Hill Rd., 88260 (505) 396-3589 Mesilla Doña Ana County Macklin, Lydia, CNP Provider ID: NM006A53 BlueLINK ID: 7234155 Specializing in family medicine ES La Clinica de Familia Oñate Plaza, Ste. 7, 88046 (505) 524-3571 Fax No. (505) 525-8089 Mora Portales Mora County Roosevelt County Bunker, Mary T., CFNP Provider ID: NM016404 BlueLINK ID: 7466611 Specializing in family medicine & pediatrics Agnes Martinez Family Health Clinic State Hwy. 518, MM29, 87732 (505) 387-5503 Fax No. (505) 387-5503 Cullen, Johanna C., CFNP Provider ID: NM006415 BlueLINK ID: 5007165 Specializing in family medicine ES La Casa de Buena Salud 1515 W. Fir, 88130 (505) 356-6695 Fax No. (505) 356-5948 Montaño, Elaine, CNP Provider ID: NM006940 BlueLINK ID: 6003213 Specializing in family medicine ES Mora Valley Community Health Services Hwy. 518, 87732 (505) 387-2201 Fax No. (505) 387-9006 Thorsen, Martha J., CNP Provider ID: NM006396 BlueLINK ID: 5006944 Specializing in family medicine ES La Casa de Buena Salud 1515 W. Fir, 88130 (505) 356-6695 Fax No. (505) 356-5948 Vigil, Geraldine, CFNP Provider ID: NM006939 BlueLINK ID: 6003213 Specializing in family medicine ES Mora Valley Community Health Services Hwy. 518, 87732 (505) 387-2201 Fax No. (505) 387-9006 Ojo Caliente Taos County McClelland, Joan Q., CFNP Provider ID: NM006864 BlueLINK ID: 7439697 Specializing in family medicine; no prenatal care; no obstetrics ES Las Clinicas del Norte Hwy. 285, Bldg. 35319, 87549 (505) 583-2191 Fax No. (505) 583-2192 Pecos San Miguel County Banks, Susan K., CFNP Provider ID: NM009J34 BlueLINK ID: 5010207 Specializing in family medicine ES Pecos Valley Medical Center State Hwy. 50, 87552 (505) 757-6482 Fax No. (505) 757-6482 Rhoades, Clare D., CFNP Provider ID: NM006883 BlueLINK ID: 6003175 Established patients only; specializing in family medicine ES Pecos Valley Medical Center State Hwy. 50, 87552 (505) 757-6482 Fax No. (505) 757-2700 Mimbres Peñasco Grant County Taos County Sinden, Mary, CNP Provider ID: NM006A54 BlueLINK ID: 7234156 Specializing in family medicine ES Hidalgo Medical Services Mimbres Clinic 2743 Hwy. 35, Ste. B, 88046 (505) 536-3990 Fax No. (505) 536-3991 Rizzo, Brandy M., CNP Provider ID: NM006943 BlueLINK ID: 6003273 Specializing in family medicine ES Taos Community Healthplan Holy Cross Penasco Clinic 24 State Hwy. 73, 87553 (505) 587-1833 Fax No. (505) 587-1918 See special note See last page for Provider Language Codes legend. Raton Colfax County Ford, Amy C., CFNP Provider ID: NM006668 BlueLINK ID: 7184948 Specializing in family medicine ES Family Practice Associates of Raton 411 S. 3rd St., 87740 (505) 445-3626 Fax No. (505) 445-8649 Rio Rancho Sandoval County Conkling, Patricia, CNP Provider ID: NM016863 BlueLINK ID: 7129907 Specializing in family medicine Meadowlark Family Healthcare 4200 Meadowlark Lande SE, Ste. 2, 87124 (505) 891-9990 Fax No. (505) 891-9007 Garcia, Jodie L., CNP Provider ID: NM006663 BlueLINK ID: 7118458 Specializing in family medicine Lovelace Sandia Health Systems Rio Rancho Family Medicine 3801 Southern Blvd., 87124 (505) 896-8600 Healer, Lynne T., CNP Provider ID: NM006661 BlueLINK ID: 7463423 Specializing in family medicine Lovelace Sandia Health Systems Rio Rancho Family Medicine 3801 Southern Blvd., 87124 (505) 896-8600 James, Harriet L., CNP Provider ID: NM006225 BlueLINK ID: 7150115 Specializing in family medicine ES Enchanted Hills Family Healthcare 4351 Jager St., Ste. C, 87144 (505) 771-1180 Fax No. (505) 771-2688 Sanchez, Clyde P., CNP Provider ID: NM01R90R BlueLINK ID: 7313481 Specializing in family & geriatric medicine ES Rio Rancho Nursing & Rehab Center 4210 Sabana Grande Ave., 87124 (505) 892-6603 July 2005 Primary Care Providers Tucumcari Roswell Santa Fe Chaves County Santa Fe County Hall, Toni C., CNP Provider ID: NM006358 BlueLINK ID: 5005323 Specializing in family medicine ES Rio Pecos Medical Associates 305 W. Country Club Rd., 88201 (505) 622-1410 Fax No. (505) 624-2453 McGuire, Mary Ann, CFNP Provider ID: NM026436 BlueLINK ID: 5007850 Specializing in family medicine ES 711 W. Alameda St., 88203 (505) 623-4448 Fax No. (505) 623-9571 N.Caloor, S. Hassan, CNP Provider ID: NM016464 BlueLINK ID: 5008254 Specializing in family medicine ES Caloor Family Medical Practice 612 W. 8th St., 88201 (505) 623-6161 Fax No. (505) 623-6464 Whiteman, Jo Ann, CNP Provider ID: NM016352 BlueLINK ID: 73A0425 Specializing in family medicine ES Roswell Osteopathic Medical Clinic 111 W. Hobbs, 88203 (505) 623-3311 Fax No. (505) 622-1273 Ruidoso Lincoln County Miller-Shultz, Marilyn D., CNP Provider ID: NM016789 BlueLINK ID: 7186556 Specializing in family medicine ES White Mountain Medical Clinic 129 El Paso Rd., 88345 (505) 257-6500 Fax No. (505) 257-4055 Nishitani, Marilyn D., CFNP Provider ID: NM006381 BlueLINK ID: 7451064 Specializing in family medicine ES Immediate Care Clinic 721 Mechem Sierra Mall, 88345 (505) 630-5300 Fax No. (505) 630-5301 Doña Ana County Macklin, Lydia, CNP Provider ID: NM006A53 BlueLINK ID: 7234155 Specializing in family medicine ES La Clinica de Familia 18424 S. Hwy. 28, 88058 (505) 233-3830 Fax No. (505) 233-4542 Williams, Gwen R., CNP Provider ID: NM006799 BlueLINK ID: 7202650 Specializing in family medicine ES La Clinica de Familia 18424 S. Hwy. 28, 88058 (505) 233-3830 July 2005 Belinsky, Jacqueline, CNP Provider ID: NM006950 BlueLINK ID: 6003370 Specializing in pediatric medicine Arroyo Chamiso Pediatric Center 2025 Galisteo St., 87505 (505) 995-4901 Fax No. (505) 820-5483 Bregin, Mariann, CNP Provider ID: NM006853 BlueLINK ID: NPP000 Specializing in family medicine Lovelace Sandia Health Systems Santa Fe Family Medicine 440 St. Michaels Dr., 87505 (505) 995-2400 Dowell, Donna L., CNP Provider ID: NM016475 BlueLINK ID: 5007929 Specializing in family medicine ES Santa Fe Family Health Center 2801 Rodeo Rd., Ste. B13, 87507 (505) 474-6097 Fax No. (505) 474-3279 Gonzales, Camille M., CFNP Provider ID: NM009J86 BlueLINK ID: 6003258 Specializing in family medicine ES PT La Familia Medical Center 1035 Alto St., 87501 (505) 982-4425 Fax No. (505) 982-6280 Gonzales, Camille M., CFNP Provider ID: NM009J86 BlueLINK ID: 6003258 Specializing in family medicine ES PT La Familia Medical Center 2145 Caja de Oro Grant Rd., 87507 (505) 438-3195 Fax No. (505) 982-6280 Jung, Dennis J., CNP Provider ID: NM006954 BlueLINK ID: 6003480 Specializing in pediatric medicine ES Arroyo Chamiso Pediatric Center 2025 Galisteo St., 87505 (505) 995-4901 Fax No. (505) 946-3036 Kargul, JoAnn M., CFNP Provider ID: NM00R84Q BlueLINK ID: 576483 Specializing in family medicine; no obstetrics ES Eldorado Medical Care 1 Caliente Rd., Ste. C, 87508 (505) 466-1400 Fax No. (505) 466-3332 Salas, Barbara R., CNP Provider ID: NM006043 BlueLINK ID: 7165868 Specializing in family medicine ES Santa Fe Nurse Practitioners Associates 1533 St. Francis Dr., Ste. A, 87505 (505) 982-2991 Fax No. (505) 982-4508 Sutter, Corey A., CFNP Provider ID: NM016471 BlueLINK ID: 5007880 Specializing in family medicine 2019 Galisteo St., Ste. J., 87505 (505) 820-0446 Wayne, Susan K., CFNP Provider ID: NM01R85F BlueLINK ID: 7423529 Specializing in family medicine; no obstetrics ES Integral Healing & Wellness Services 2 Calle Medico, Ste. 1, 87505 (505) 984-8262 Fax No. (505) 984-1312 Silver City Grant County Brickley, Christine, CNP Provider ID: NM026585 BlueLINK ID: 7310765 Specializing in family medicine ES Hidalgo Medical Services Med Square Clinic 114 W. 11th St., 88061 (505) 388-1511 Fax No. (505) 388-3465 Harsh, Alexis, CNP Provider ID: NM006591 BlueLINK ID: 7476484 Specializing in family medicine ES 2592 N. Silver St., 88061 (505) 388-0664 Fax No. (505) 388-0663 Socorro Socorro County Mills, Carol A., CNP Provider ID: NM006855 BlueLINK ID: 5010165 Specializing in family medicine ES Bhasker Medical Clinic 200 Neel Ave. NW, 87801 (505) 835-2940 Fax No. (505) 835-2216 Sunland Park Doña Ana County Macklin, Lydia, CNP Provider ID: NM006A53 BlueLINK ID: 7234155 Specializing in family medicine ES La Clinica de Familia 2625 McNutt Rd., 88063 (505) 589-0887 Fax No. (505) 589-0898 Payan, Crista A., CNP Provider ID: NM006804 BlueLINK ID: 6003026 Specializing in family medicine ES La Clinica de Familia 2625 McNutt Rd., 88063 (505) 589-0887 Fax No. (505) 389-0898 See special note See last page for Provider Language Codes legend. Taos Taos County Beatty, Marcia L., CFNP Provider ID: NM006474 BlueLINK ID: 5007926 Specializing in family & internal medicine Taos Community Healthplan Taos Medical Group 1399 Weimer Rd., 87571 (505) 758-2224 Fax No. (505) 758-4903 Purtee, Paula Jill, CNP Provider ID: NM006376 BlueLINK ID: 5006103 Specializing in pediatric medicine ES Taos Community Healthplan Taos Clinic for Children & Youth 123 Cruz Alta Rd., 87571 (505) 758-8651 Fax No. (505) 758-7811 Rizzo, Brandy M., CNP Provider ID: NM006943 BlueLINK ID: 6003273 Specializing in family medicine ES Taos Community Healthplan Holy Cross Hospital ER 1397 Weimer Rd., 87571 (505) 587-1833 Fax No. (505) 587-1918 Thoreau McKinley County Iwan, Edith Ann, CNP-RN Provider ID: NM00R82V BlueLINK ID: 7467307 Specializing in family medicine Western NM Medical Group PMS is not affiliated with Presbyterian Healthcare Services 15 Navarre Blvd., 87323 (505) 863-7417 Fax No. (505) 862-8300 Truth or Consequences Sierra County Moore, Wietske W., CNP Provider ID: NM006796 BlueLINK ID: 7199937 Specializing in family medicine ES Ben Archer Health Center 1960 N. Date St., 87901 (505) 894-7662 Fax No. (505) 894-7930 Tucumcari Quay County Rogers, Martin J., CFNP Provider ID: NM006646 BlueLINK ID: 5009040 Specializing in family medicine ES Logan Family Health Center PMS is not affiliated with Presbyterian Healthcare Services 1302 E. Main St., 88401 (505) 487-5488 Fax No. (505) 487-5489 Vick, Jina R., CNP Provider ID: NM009J49 BlueLINK ID: 7495288 Specializing in family medicine ES 303 E. Washington, 88401 (505) 461-4464 Fax No. (505) 461-4474 45 Primary Care Providers San Miguel Anllo, Pilar M., CFNP Provider ID: NM01R83H BlueLINK ID: 7448866 ES 2019 Galisteo St., Ste. J, 87505 (505) 820-0446 Sisneros, Alice, CNP Provider ID: NM006643 BlueLINK ID: 7489548 Specializing in family medicine ES Santa Fe Medical Arts & Wellness Center 1651 Galisteo St., Ste. 6, 87505 (505) 954-0003 Fax No. (505) 954-0008 Kermit Primary Care Providers TEXAS Kermit Winkler County Primary Care Providers Warren, Naomi R., FNP-LPA Provider ID: NM006655 BlueLINK ID: 7104134 Specializing in family medicine ES Winkler County Rural Health Clinic 821 Jeffee Dr., 79745 (915) 586-2040 Fax No. (915) 586-9136 46 See special note See last page for Provider Language Codes legend. July 2005 Extended Network Plan Specialists COLORADO Cortez Montezuma County Hematology/Oncology Barzdins, Atis, MD Provider ID #NM009J87 BlueLINK ID: 6003272 RU LV Four Corners Oncology Hematology 1021 N. Mildred Rd., Ste. C, 81321 (970) 564-9098 Fax No. (970) 247-0902 Durango La Plata County Allergy/Immunology Cooke, W. Donald, MD Provider ID #NM01XU83 BlueLINK ID: 3103448 ES Allergy & Internal Medicine Specialist 3801 N. Main Ave., 81301 (970) 259-0780 Fax No. (970) 382-2620 Anesthesiology Allison, Timothy D., MD Provider ID #NM00YN22 BlueLINK ID: 4177854 Durango SurgiCenter 316 Sawyer Dr., 81303 (970) 259-2525 Fax No. (970) 247-0421 Allison, Timothy D., MD Provider ID #NM00YN22 BlueLINK ID: 4177854 Mercy Medical Center 375 E. Park Ave., 81301 (970) 259-2525 Fax No. (970) 247-0421 Edmiston, Mark S., MD Provider ID #NM009A48 BlueLINK ID: 3186216 Edmiston Anesthesia Services, PC 1910 Main Ave., Unit A, 81301 (970) 247-3537 Fax No. (970) 247-1254 Mayer, David N., MD Provider ID #NM009P41 BlueLINK ID: 4165949 Mercy Medical Center 375 E. Park Ave., 81301 (970) 382-1380 Fax No. (970) 382-1065 McCallum, Michael D., MD Provider ID #NM009P42 BlueLINK ID: 4245575 Mercy Medical Center 375 E. Park Ave., 81301 (970) 382-1380 Fax No. (970) 382-1065 July 2005 Murphy, Mark T., MD Provider ID #NM009P68 BlueLINK ID: 3338721 Mercy Medical Center 375 E. Park Ave., 81301 (970) 247-4311 Fax No. (970) 382-1065 Miller, Eugenia M., MD Provider ID #NM01XQ86 BlueLINK ID: 2335972 Four Corners Heart Clinic 375 E. Park Ave., 81301 (970) 382-1260 Fax No. (970) 382-1065 Rice, Randall B., MD Provider ID #NM00XE65 BlueLINK ID: 3284722 Mercy Medical Center 375 E. Park Ave., 81301 (970) 247-4311 Miller, Eugenia M., MD Provider ID #NM009J77 BlueLINK ID: 2335972 ES DE FR Mercy Medical Center 375 E. Park Ave., 81301 (970) 382-1260 Fax No. (970) 382-1065 Seeley, Neil R., MD Provider ID #NM009J65 BlueLINK ID: 4159117 Anesthesiologist Partners of Durango, LLC 375 E. Park Ave., 81301 (970) 382-1380 Verow, Anthony F., MD Provider ID #NM00YS69 BlueLINK ID: 4171444 Mercy Medical Center 375 E. Park Ave., 81301 (970) 259-2525 Fax No. (970) 247-0421 Cardiology Andrea, Bruce E., MD Provider ID #NM01XQ85 BlueLINK ID: 2284658 Four Corners Heart Clinic 1800 E. 3rd Ave., Ste. 112, 81301 (970) 247-1120 Fax No. (970) 247-1128 Andrea, Bruce E., MD Provider ID #NM01XQ85 BlueLINK ID: 2284658 Four Corners Heart Clinic 375 E. Park Ave., 81301 (970) 382-1260 Fax No. (970) 382-1065 Andrea, Bruce E., MD Provider ID #NM009J69 BlueLINK ID: 2284658 ES DE FR Mercy Medical Center 375 E. Park Ave., 81301 (970) 382-1260 Fax No. (970) 382-1065 Curtiss, Carl M., MD Provider ID #NM009J40 BlueLINK ID: 3299059 ES FR DE Mercy Medical Center 375 E. Park Ave., 81301 (970) 382-1260 Fax No. (970) 382-1065 DeRook, Frances A., MD Provider ID #NM009F16 BlueLINK ID: 3256229 ES NL FR Four Corners Heart Clinic 1800 E. 3rd Ave., Ste. 112, 81301 (970) 247-1120 Fax No. (970) 247-1128 Miller, Eugenia M., MD Provider ID #NM01XQ86 BlueLINK ID: 2335972 Four Corners Heart Clinic 1800 E. 3rd Ave., Ste. 112, 81301 (970) 247-1120 Fax No. (970) 247-1128 Dermatology Gaughan, Lawrence J., MD Provider ID #NM009T18 BlueLINK ID: 3128249 Durango Dermatology 523 S. Camino del Rio, Ste. B, 81303 (970) 247-1970 Fax No. (970) 259-1668 Gaughan, Mark D., MD Provider ID #NM009T19 BlueLINK ID: 4210047 Durango Dermatology 523 S. Camino del Rio, Ste. B, 81303 (970) 247-1970 Fax No. (970) 259-1668 Sanders, Susan F., MD Provider ID #NM01XJ59 BlueLINK ID: 2179631 Mercy Medical Center 3649 Main Ave., 81301 (970) 259-4131 Ear, Nose, and Throat Wiley, Philip, MD Provider ID #NM01XQ95 BlueLINK ID: 4131159 1165 S. Camino del Rio, 81303 (970) 247-2920 Williams, William T., MD Provider ID #NM01WH76 BlueLINK ID: 3361959 Animas Ear & Sinus Clinic 1165 S. Camino del Rio, 81301 (970) 259-1669 General Surgery Deaver, David C., III, MD Provider ID #NM00L300 BlueLINK ID: 3124715 Southwest Surgical Associates 1800 E. 3rd Ave., Ste. 102, 81301 (970) 247-4448 Fax No. (970) 247-0421 Desko, Robert C., MD Provider ID #NM009F54 BlueLINK ID: 3208286 ES FR IT Southwest Surgical Associates 1810 E. 3rd Ave., Ste. 102, 81301 (970) 247-4448 Fax No. (970) 382-1880 See special note See last page for Provider Language Codes legend Specialists Physicians who have taken additional training and provide specialty care. Examples include: Surgery, Allergy & Immunology, Anesthesiology, Cardiology, Dermatology, Gastroenterology, Ear, Nose & Throat (ENT), Endocrinology, Neurology, Nephrology (kidneys), Obstetrics/ Gynecology, Ophthalmology (eyes), Orthopedics, Pulmonology (lungs), and Urology. Stern, Mark E., MD Provider ID #NM02XP87 BlueLINK ID: 2183235 Southwest Surgical Associates 1810 E. 3rd Ave., Ste. 102, 81301 (970) 247-4448 Fax No. (970) 247-0421 Gynecology Irish, James M., MD-PhD Provider ID #NM01J720 BlueLINK ID: 3232538 Gynecology & infertility 1199 Main Ave., Ste. 218, 81301 (970) 382-9505 Fax No. (970) 382-9558 Hand Surgery Chen, Li, MD Provider ID #NM009P47 BlueLINK ID: 6003671 ES CH Durango Orthopedic Associates 375 E. Park Ave., Ste. 200, 81301 (970) 247-5362 Fax No. (970) 259-6045 Hematology/Oncology Barzdins, Atis, MD Provider ID #NM009J87 BlueLINK ID: 6003272 RU LV Four Corners Oncology Hematology 1800 E. 3rd Ave., Ste. 104, 81301 (970) 247-0777 Fax No. (970) 247-0902 Bush, Steven E., MD Provider ID #NM000470 BlueLINK ID: 3143066 Durango Cancer Center 3801 N. Main Ave., 81301 (970) 385-4746 Cathcart, Cynthia K., MD Provider ID #NM009T08 BlueLINK ID: 2314310 Southwest Oncology Associates 3801 N. Main Ave., 81301 (970) 385-7977 Heller, Henry M., MD Provider ID #NM01I348 BlueLINK ID: 3206400 Four Corners Oncology Hematology 1800 E. 3rd Ave., Ste. 104, 81301 (970) 247-0777 Smith, Richard G., MD Provider ID #NM009755 BlueLINK ID: 3169119 ES ZB Southwest Oncology Associates 3801 N. Main Ave., 81301 (970) 385-7977 Fax No. (970) 385-6727 Internal Medicine Andrea, Bruce E., MD Provider ID #NM009J69 BlueLINK ID: 2284658 ES DE FR Mercy Medical Center 375 E. Park Ave., 81301 (970) 382-1260 Fax No. (970) 382-1065 47 Specialists Specialists Durango Curtiss, Carl M., MD Provider ID #NM009J46 BlueLINK ID: 3299059 ES FR DE Four Corners Heart Clinic 1800 E. Third Ave., Ste. 112, 81301 (970) 247-1120 Fax No. (970) 247-1128 Lasich, Betty J., MD Provider ID #NM009J78 BlueLINK ID: 3380067 ES Piñon Ob/Gyn 2243 Main St., Ste. 3, 81301 (970) 375-1352 Fax No. (970) 375-1372 Curtiss, Carl M., MD Provider ID #NM009J40 BlueLINK ID: 3299059 ES FR DE Mercy Medical Center 375 E. Park Ave., 81301 (970) 382-1260 Fax No. (970) 382-1065 Priebe, Kimberly, MD Provider ID #NM009P38 BlueLINK ID: 4295294 Four Corners Ob/Gyn 375 E. Park Ave., Ste. 3C, 81301 (970) 382-8800 Fax No. (970) 382-0122 James, David S., MD Provider ID #NM009J15 BlueLINK ID: 3291279 ES FR DE Four Corners Pulmonary & Critical Care 1810 E. 3rd Ave., Ste. 303, 81301 (970) 247-9122 Fax No. (970) 382-1077 Saddler, Mark C., MD Provider ID #NM009P97 BlueLINK ID: 3346953 Providing services for inpatient dialysis patients Mercy Medical Center 1810 E. 3rd Ave., Ste. 201, 81301 (970) 382-1864 Fax No. (970) 382-1054 Salka, Carl, MD Provider ID #NM00XQ93 BlueLINK ID: 4129753 Four Corners Infectious Diseases Internal Medicine & Travel Health Services 1810 E. 3rd Ave., Ste. 203, 81301 (505) 382-1808 Nephrology Saddler, Mark C., MD Provider ID #NM009P97 BlueLINK ID: 3346953 Providing services for inpatient dialysis patients Mercy Medical Center 1810 E. 3rd Ave., Ste. 201, 81301 (970) 382-1864 Fax No. (970) 382-1054 Obstetrics/Gynecology Baca, Elizabeth H., MD Provider ID #NM001844 BlueLINK ID: 3298084 Female patients over age 13 ES 2243 Main St., Ste. 3, 81301 (970) 375-1352 Fax No. (970) 375-1372 Grossman, Richard, MD Provider ID #NM001107 BlueLINK ID: 3123783 375 E. Park Ave., Ste. 3C, 81301 (970) 382-8800 Fax No. (970) 382-0122 Jordan, LeAnne E., MD Provider ID #NM01YM93 BlueLINK ID: 3399274 Female patients over age 18 DE Four Corners Ob/Gyn 375 E. Park Ave., Ste. 3C, 81301 (970) 382-8800 Fax No. (970) 382-0122 48 Roach, Christopher J., MD Provider ID #NM02W269 BlueLINK ID: 2321115 Female patients over age 18 Four Corners Ob/Gyn 375 E. Park Ave., Ste. 3C, 81301 (970) 382-8800 Fax No. (970) 382-0122 Ophthalmology Meyer, Eric C., MD Provider ID #NM009751 BlueLINK ID: 4235201 Four Corners Eye Clinic 575 Rivergate Ln., Ste. 212, 81301 (970) 259-2202 Fax No. (970) 259-2837 Parkinson, John M., MD Provider ID #NM01Z714 BlueLINK ID: 5002084 Four Corners Eye Clinic 575 Rivergate Ln., Ste. 212, 81301 (970) 259-2202 Fax No. (970) 259-2837 Orthopedics Blevins, Field T., MD Provider ID #NM00YS80 BlueLINK ID: 3285582 Specializing in sports medicine 575 Rivergate Ln., Ste. 105, 81301 (970) 375-7786 Dvirnak, Paul D., MD Provider ID #NM01YH31 BlueLINK ID: 4129270 575 Rivergate Ln., Ste. 105, 81301 (970) 375-7786 Fax No. (970) 259-9766 Forrest, Jennifer L., MD Provider ID #NM009P00 BlueLINK ID: 6003338 Jennifer Forrest Orthopedics, Inc. 1800 E. 3rd Ave., Ste. 109, 81301 (970) 385-1883 Fax No. (970) 259-7091 Forrest, Jennifer L., MD Jennifer Forrest Orthopedics, Inc. 1800 E. 3rd Ave., Ste. 109 (970) 385-1883 Furry, Kimberly L., MD Provider ID #NM00YQ89 BlueLINK ID: 4209605 Durango Orthopedic Associates 375 E. Park Ave., Ste. 200, 81301 (970) 247-5362 Fax No. (970) 259-6045 Goodman, Robert F., MD Provider ID #NM01I627 BlueLINK ID: 3128312 Mercy Medical Center 575 Rivergate Ln., Ste. 105, 81301 (970) 375-7786 Kircher, Mark H., MD Provider ID #NM01WO60 BlueLINK ID: 2223982 575 Rivergate, Ste. 105, 81301 (970) 375-7786 Lawton, Richard L., MD Provider ID #NM009A14 BlueLINK ID: 4152653 ES Durango Orthopedic Associates 375 E. Park Ave., Ste. 200, 81301 (970) 247-5362 Fax No. (970) 259-6045 Scott, Gary A., MD Provider ID #NM01WX87 BlueLINK ID: 3124721 Durango Orthopedic Associates 375 E. Park Ave., Ste. 200, 81301 (970) 247-5362 Fax No. (970) 259-6045 Youssef, Jim, MD Provider ID #NM01YK67 BlueLINK ID: 4146032 Durango Orthopedic Associates 375 E. Park Ave., Ste. 200, 81301 (970) 247-5362 Fax No. (970) 259-6045 Physical Medicine Bohachevsky, Cyril A., MD Provider ID #NM00YQ90 BlueLINK ID: 4217663 ES Durango Orthopedic Associates 375 E. Park Ave., Ste. 200, 81301 (970) 247-5362 Fax No. (970) 259-6045 Isser, Mara, DO Provider ID #NM004B15 BlueLINK ID: 4289990 ES CH Durango Orthopedic Associates Spine Colorado 130 Rock Point Dr., 81301 (970) 382-9500 Fax No. (970) 375-0007 Marsh, Daniel R., MD Provider ID #NM009A05 BlueLINK ID: 4240161 ES Durango Orthopedic Associates 375 E. Park Ave., Ste. 200, 81301 (970) 247-5362 Fax No. (970) 259-6045 Silva, David R., DO Provider ID #NM01E55A BlueLINK ID: 3343152 SW Colorado Spine & Musculoskeletal Center 575 Rivergate Ln., Ste. 204, 81301 (970) 382-8292 Fax No. (970) 382-0073 Hallin, Gustav W., MD Provider ID #NM00E110 BlueLINK ID: 3385873 Four Corners Pulmonary & Critical Care 1810 E. 3rd Ave., Ste. 303, 81301 (970) 247-9122 Fax No. (970) 382-1077 James, David S., MD Provider ID #NM009J15 BlueLINK ID: 3291279 ES FR DE Four Corners Pulmonary & Critical Care 1810 E. 3rd Ave., Ste. 303, 81301 (970) 247-9122 Fax No. (970) 382-1077 Radiation Oncology Bush, Steven E., MD Provider ID #NM000470 BlueLINK ID: 3143066 Durango Cancer Center 3801 N. Main Ave., 81301 (970) 385-4746 Fax No. (970) 259-5787 Elconin, Joel H., MD Provider ID #NM009279 BlueLINK ID: 4224231 Durango Cancer Center 3801 N. Main Ave., 81301 (970) 385-4746 Fax No. (970) 259-5787 Thoracic and Vascular Surgery Stern, Mark E., MD Provider ID #NM02XP87 BlueLINK ID: 2183235 Southwest Surgical Associates 1810 E. 3rd Ave., Ste. 102, 81301 (970) 247-4448 Fax No. (970) 247-0421 Urology Forrest, Mark R., MD Provider ID #NM009J17 BlueLINK ID: 4235223 ES Durango Urological Associates 1800 E. 3rd Ave., Ste. 102, 81301 (970) 259-0440 Fax No. (970) 259-7091 Mayer, Frank J., MD Provider ID #NM019F45 BlueLINK ID: 3362309 ES Durango Urological Associates 575 RiverGate Ln., Ste. 209, 81301 (970) 259-0440 Fax No. (970) 259-7091 Pulmonary Medicine Pagosa Springs Brown, Richard A., MD Provider ID #NM00XQ59 BlueLINK ID: 2395833 Four Corners Pulmonary & Critical Care 1810 E. 3rd Ave., Ste. 303, 81301 (970) 247-9122 Archuleta County Bustamante, Enrique, MD Provider ID #NM00XU90 BlueLINK ID: 3376020 Four Corners Pulmonary & Critical Care 1810 E. 3rd Ave., Ste. 303, 81301 (970) 247-9122 See special note See last page for Provider Language Codes legend Obstetrics/Gynecology Jordan, LeAnne E., MD Provider ID #NM01YM93 BlueLINK ID: 3399274 Female patients over age 18 DE Four Corners Ob/Gyn 95 S. Pagosa Blvd., 81147 (970) 382-8800 Fax No. (970) 382-0122 July 2005 Specialists Trinidad Las Animas County Gloria, Cesar J., MD Provider ID #NM009P76 BlueLINK ID: 4282382 ES TL Ashok PC 400 Benedicta Ave., Ste. B, 81082 (719) 542-7222 Fax No. (719) 542-5034 Tolosa-Gloria, Caroline A., MD Provider ID #NM009P78 BlueLINK ID: 4267204 Ashok PC 400 Benedicta Ave., Ste. B, 81082 (719) 542-7222 Fax No. (719) 542-5034 Dermatology Gangadhariah, Raviindrakumar, MD Provider ID #NM009P77 BlueLINK ID: 4295829 ES Ashok PC 400 Benedicta Ave., Ste. B, 81082 (719) 542-7222 Fax No. (719) 542-5034 General Surgery Yeagle, Charles F., MD Provider ID #NM009N34 BlueLINK ID: 3152618 General surgery only, no patients under age 5 ES DE 400 Benedicta Ave., Ste. F, 81082 (719) 846-1700 Fax No. (719) 846-1704 Internal Medicine Gangadhariah, Raviindrakumar, MD Provider ID #NM009P77 BlueLINK ID: 4295829 ES Ashok PC 400 Benedicta Ave., Ste. B, 81082 (719) 542-7222 Fax No. (719) 542-5034 Ophthalmology Coatney, Michael W., DO Provider ID #NM004B11 BlueLINK ID: 3239568 ES Rocky Mountain Eye Center 2120 Freedom Rd., 81082 (719) 846-9236 Fax No. (719) 846-3768 Rastrelli, Paul D., MD Provider ID #NM009J51 BlueLINK ID: 4115394 ES Rocky Mountain Eye Center 2120 Freedom Rd., 81082 (719) 846-9236 Fax No. (719) 846-3768 Pediatrics Tolosa-Gloria, Caroline A., MD Provider ID #NM009P78 BlueLINK ID: 4267204 Ashok PC 400 Benedicta Ave., Ste. B, 81082 (719) 542-7222 Fax No. (719) 542-5034 NEW MEXICO Alamogordo Otero County Anesthesiology Beauchamp, David A., MD Provider ID #NM009N75 BlueLINK ID: 4117592 ES DE 2669 N. Scenic Dr., 88310 (505) 443-7581 Dermatology Richardson, Gregory B., MD Provider ID #NM002271 BlueLINK ID: 3135908 Alamogordo Surgical Associates 1100 10th St., 88310 (505) 437-2244 Hematology/Oncology Korec, Stefan, MD Provider ID #NM009296 BlueLINK ID: 2293426 Otero Oncology 2559 Medical Dr., Ste. G, 88310 (505) 437-8126 Internal Medicine Velasquez, Michael A., DO Provider ID #NM009381 BlueLINK ID: 4200137 ES Alamogordo Nephrology 1211 Eighth St., Ste. A, 88310 (505) 443-1001 Fax No. (505) 443-1771 Nephrology Velasquez, Michael A., DO Provider ID #NM009381 BlueLINK ID: 4200137 ES Alamogordo Nephrology 1211 Eighth St., Ste. A, 88310 (505) 443-1001 Fax No. (505) 443-1771 Neurology Rolan, Terry D., MD Provider ID #NM009216 BlueLINK ID: 7317152 New Mexico Brain Institute 108 Cottonwood Dr., 88310 (505) 434-0901 Fax No. (505) 437-1992 Toncray, Jennifer L., DO Provider ID #NM009374 BlueLINK ID: 4185226 ES Tularosa Basin Dermatology 1212 9th St., Ste. A, 88310 (505) 437-6700 Fax No. (505) 437-6644 Simmons, John P., MD Provider ID #NM019949 BlueLINK ID: 4174374 New Mexico Brain Institute 108 Cottonwood Dr., 88310 (505) 434-0901 Ear, Nose, and Throat Byers, Margaret J., DO Provider ID #NM004B73 BlueLINK ID: 3307670 Women's Health Center 2559 Medical Dr., Ste. D, 88310 (505) 434-2229 Gloria, Cesar J., MD Provider ID #NM009P76 BlueLINK ID: 4282382 ES TL Ashok PC 400 Benedicta Ave., Ste. B, 81082 (719) 542-7222 Fax No. (719) 542-5034 Frost, Timothy, MD Provider ID #NM013135 BlueLINK ID: 3290692 Alamogordo Ear, Nose, Throat & Plastic Surgery 1401 10th St., Ste. C, 88310 (505) 437-4533 Fax No. (505) 437-5009 Obstetrics/Gynecology Endocrinology Bowers, Marci L., MD Provider ID #NM009F55 BlueLINK ID: 3272307 ES DE FR 328 Bonaventure, Ste. 5, 81082 (719) 846-4433 Fax No. (719) 846-8350 Mishkin, Michael S., MD Provider ID #NM009N22 BlueLINK ID: 3182541 923 9th St., Ste. A, 88310 (505) 437-5716 Fax No. (505) 437-5733 General Surgery Obstetrics/Gynecology Cortes, Jose, MD Provider ID #NM010596 BlueLINK ID: 3213783 Women's Health Center 2559 Medical Dr., Ste. D, 88310 (505) 434-2229 Sampath, Ruthven N., MD Provider ID #NM012432 BlueLINK ID: 3338413 Gyn only ES Women's Specialty Services 2050 N. Scenic Dr., 88310 (505) 443-2999 Ophthalmology Ham, Donald J., MD Provider ID #NM001161 BlueLINK ID: 3135689 Alamogordo Eye Clinic 1124 10th St., 88310 (505) 434-1200 Fax No. (505) 437-3947 Specialists Allergy/Immunology Alamogordo Yang, Michelle S., MD Provider ID #NM009783 BlueLINK ID: 4117567 923 E. 9th St., Ste. B, 88310 (505) 437-9900 Fax No. (505) 437-5500 Orthopedics Bryant, Frank T., MD Provider ID #NM022360 BlueLINK ID: 3143059 Southwest Orthopedics 2559 Medical Dr., Ste. F, 88310 (505) 434-1400 Fax No. (505) 434-1452 Dodson, Douglas R., DO Provider ID #NM004006 BlueLINK ID: 3382233 Alamogordo Orthopedics & Sports Medicine 1401 10th St., Ste. 2, 88310 (505) 434-0639 Freeh, Eric J., DO Provider ID #NM014064 BlueLINK ID: 3244888 Alamogordo Orthopedics & Sports Medicine 1401 10th St., Ste. 2, 88310 (505) 434-0639 Plastic Surgery Frost, Timothy, MD Provider ID #NM013135 BlueLINK ID: 3290692 Alamogordo Ear, Nose, Throat & Plastic Surgery 1401 10th St., Ste. C, 88310 (505) 437-4533 Fax No. (505) 437-5009 Pulmonary Medicine Fellers, Neal H., MD Provider ID #NM009N55 BlueLINK ID: 3124216 2559 Medical Dr., Ste. D, 88310 (505) 443-0323 Radiation Oncology Hadzic, Ejub Carlos, MD Provider ID #NM039200 BlueLINK ID: 3346293 Otero Community Cancer Center 2559 Medical Drive, Ste. G, 88310 (505) 437-8126 Sports Medicine Rickman, Allan F., MD Provider ID #NM011755 BlueLINK ID: 3277350 Alamogordo Orthopedics & Sports Medicine 1401 10th St., Ste. 2, 88310 (505) 434-0639 Pollard, William L., MD Provider ID #NM009K90 BlueLINK ID: 4257112 Alamogordo Surgical Associates 1100 10th St., 88310 (505) 437-2244 July 2005 See special note See last page for Provider Language Codes legend 49 Specialists Specialists Alamogordo Urology Anesthesiology Smaltz, Robert C., MD Provider ID #NM009364 BlueLINK ID: 4243878 Alamogordo Urology 1315 12th St., 88310 (505) 437-4909 Bailey, Steven L., MD Provider ID #NM009R19 BlueLINK ID: 6003464 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7724 Albuquerque Bernalillo County If you reside within this county and choose to visit a provider marked with special symbol "¾", your visit will not be covered. See the introductory section of this directory for more details. Allergy/Immunology Abernathy-Carver, Katherine, MD Provider ID #NM003311 BlueLINK ID: 3395407 Pediatrics & adults Allergy & Asthma Care Inc. 2509 Virginia NE, Ste. B, 87110 (505) 294-1471 Clayton, Michael H., MD Provider ID #NM003358 BlueLINK ID: 3360043 Pediatrics 2509 Virginia NE, Ste. A, 87110 (505) 296-5426 Fax No. (505) 296-1248 Feldman, Bruce H., MD Provider ID #NM000857 BlueLINK ID: 3135616 Allergy & Asthma Associates 8010 Mountain Rd. NE, 87110 (505) 265-6782 Keslin, Michael, MD Provider ID #NM009H01 BlueLINK ID: 2123298 Lovelace Sandia Health Systems Gibson Allergy & Immunology 5400 Gibson SE, 87108 (505) 262-7905 Marosi, Alice, MD Provider ID #NM009H41 BlueLINK ID: 5009500 Lovelace Sandia Health Systems Gibson Pediatrics 5400 Gibson SE, 87108 (505) 262-7594 Mathew, Susan, MD Provider ID #NM004778 BlueLINK ID: 4114340 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Rosandich, Ronald J., MD Provider ID #NM002355 BlueLINK ID: 2398062 Patients over age 10 8010 Mountain Rd. NE, 87110 (505) 268-2481 Tolber, Steven G., MD Provider ID #NM002786 BlueLINK ID: 2398181 7121 Prospect Pl. NE, 87110 (505) 883-2574 50 Ballard, David E., MD Provider ID #NM009H02 BlueLINK ID: 2313110 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Becich, Joan N., MD Provider ID #NM009R68 BlueLINK ID: 6003560 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 2nd Flr., 87108 (505) 262-7197 Fax No. (505) 262-3159 Berg, Adam E., MD Provider ID #NM009C57 BlueLINK ID: 3135507 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Biazak, Gary J., MD Provider ID #NM009C58 BlueLINK ID: 2397300 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Biazak, Robert A., MD Provider ID #NM009C59 BlueLINK ID: 2282508 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Birgenheier, James A., Jr., MD Provider ID #NM019J60 BlueLINK ID: 4110997 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Fax No. (505) 262-3159 Blazek, Gerald J., MD Provider ID #NM000325 BlueLINK ID: 3135518 Anesthesia Specialists of Albuquerque 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 Brierley, Janet, MD Provider ID #NM009865 BlueLINK ID: 3312339 FR University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Brooks, Phillip M., MD Provider ID #NM004176 BlueLINK ID: 2108344 1720 Wyoming NE, 87112 (505) 292-9200 Brown, Donald C., MD Provider ID #NM009R18 BlueLINK ID: 6003463 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Brown, Douglas L., MD Provider ID #NM009L15 BlueLINK ID: 4130741 Anesthesia Specialists of Albuquerque 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Burstrom, Ruth E., MD Provider ID #NM009866 BlueLINK ID: 3367130 Geriatric anesthesiology University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Castillo, Paul A., MD Provider ID #NM009R13 BlueLINK ID: 6003442 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Fax No. (505) 262-3159 Chapman, Niels, MD Provider ID #NM009868 BlueLINK ID: 3368760 DE University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Compton, Clara H., MD Provider ID #NM009H03 BlueLINK ID: 3300235 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Coy, David C., MD Provider ID #NM019E17 BlueLINK ID: 4263744 Anesthesia Specialists of Albuquerque 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 Culling, Robert D., DO Provider ID #NM009H04 BlueLINK ID: 3248472 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Depper, Jane A., MD Provider ID #NM009649 BlueLINK ID: 4149939 ES Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Diana, Paul, MD Provider ID #NM009873 BlueLINK ID: 2330066 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Dixon, K. Todd, MD Provider ID #NM001896 BlueLINK ID: 3139034 Anesthesia Specialists of Albuquerque 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 Dominguez, Luis M., MD Provider ID #NM001592 BlueLINK ID: 3143107 Anesthesia Specialists of Albuquerque 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 See special note See last page for Provider Language Codes legend Dominguez, William F., MD Provider ID #NM009C60 BlueLINK ID: 3362982 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Doran, Nivine H., MD Provider ID #NM009874 BlueLINK ID: 3367149 Intensive care University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Dunagan, James R., MD Provider ID #NM009E38 BlueLINK ID: 2287579 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Farley, Jon S., MD Provider ID #NM009E89 BlueLINK ID: 3135614 Ophthalmic Anesthesia Services 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 Ferguson, Will, MD Provider ID #NM012338 BlueLINK ID: 2199759 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Fleischer, Jerry E., MD Provider ID #NM009C61 BlueLINK ID: 2250419 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Fortner, Sally A., MD Provider ID #NM009869 BlueLINK ID: 4183585 Cardiac anesthesiology University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Furlong, Monica W., MD Provider ID #NM009H73 BlueLINK ID: 2215114 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Gallagher, Christopher, MD Provider ID #NM009U56 BlueLINK ID: 3374679 Anesthesia Specialists of Albuquerque 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 Ganga, Choudary C., MD Provider ID #NM009C62 BlueLINK ID: 3135644 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Garson, Leslie M., MD Provider ID #NM009S65 BlueLINK ID: 3136891 Also specializing in critical care medicine University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 July 2005 Specialists Godwin, Earl R., MD Provider ID #NM009C63 BlueLINK ID: 3135657 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Gonzalez, Diego J., MD Provider ID #NM009R90 BlueLINK ID: 6003657 ES Anesthesia Specialists of Albuquerque 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 Gonzalez, Herbert Francisco, MD Provider ID #NM009M40 BlueLINK ID: 3333953 ES Anesthesia Specialists of Albuquerque 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 Gonzalez, Herbert Francisco, MD Provider ID #NM029553 BlueLINK ID: 3333953 Physicians Group of Sandia Health Systems NE Heights Anesthesiology 4701 Montgomery NE, 87109 (505) 727-7810 Fax No. (505) 727-7888 Gordon, Tracy A., MD Provider ID #NM009C64 BlueLINK ID: 4145957 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Gronert, Brian J., MD Provider ID #NM005122 BlueLINK ID: 3257867 ES Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Guaderrama, Lauro G., MD Provider ID #NM009H11 BlueLINK ID: 3210759 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Hansen, Timothy E., DO Provider ID #NM009E27 BlueLINK ID: 3332395 Pain management only SW Intervential Pain Specialists 4700 Jefferson NE, Ste. 700, 87111 (505) 881-5080 Fax No. (505) 872-2306 Harding, James, MD Provider ID #NM012542 BlueLINK ID: 3327098 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Herceg, Ivan, MD Provider ID #NM009S92 BlueLINK ID: 4188451 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 July 2005 Hermes, Robin N., MD Provider ID #NM009C66 BlueLINK ID: 4179166 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 King, Melinda, MD Provider ID #NM009L46 BlueLINK ID: 4109425 Lovelace Sandia Health System Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 McMurry, Melanie B., MD Provider ID #NM009E51 BlueLINK ID: 3384494 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Hinds, Ervin, MD Provider ID #NM009C67 BlueLINK ID: 3135711 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Leachman, David P., MD Provider ID #NM009R14 BlueLINK ID: 6003444 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Fax No. (505) 262-3159 Melbihess, Eric J., MD Provider ID #NM009S93 BlueLINK ID: 6003952 ES University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Leon, Raimundo F., MD Provider ID #NM007986 BlueLINK ID: 4239377 Anesthesia Specialists of Albuquerque 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 Merck, Daniel M., MD Provider ID #NM003975 BlueLINK ID: 4127232 SW Adult and Geriatric Associates 707 Broadway NE, Ste. 301, 87102 (505) 848-8413 Fax No. (505) 848-8414 Hoefner, Ernest J., DO Provider ID #NM004A67 BlueLINK ID: 6004021 Anesthesia Specialists of Albuquerque 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 Lindgren, Penny J., MD Provider ID #NM009C70 BlueLINK ID: 3246827 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Horowitz, Marc H., MD Provider ID #NM009M98 BlueLINK ID: 3370783 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Mainzer, Jacob, Jr., MD Provider ID #NM009M31 BlueLINK ID: 2397497 Anesthesia Specialists of Albuquerque 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 Mickelsen, Phillip L., MD Provider ID #NM009R60 BlueLINK ID: 6003549 ES Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Hudson, Rick H., MD Provider ID #NM009C68 BlueLINK ID: 3246826 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Malizzo, Michael F., MD Provider ID #NM009M93 BlueLINK ID: 6003392 Lovelace Sandia Health Systems Gibson Pain Management 5400 Gibson SE, 87108 (505) 262-7724 Fax No. (505) 262-3476 Hirst, Roger P., MD Provider ID #NM01YQ51 BlueLINK ID: 6003415 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Fax No. (505) 262-3159 Isaacs, Irwin J., MD Provider ID #NM009R83 BlueLINK ID: 4199908 ES Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Jaime, Francisco, MD Provider ID #NM009879 BlueLINK ID: 4192050 Obstetrical anesthesiology University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Jaros, Joseph A., MD Provider ID #NM001476 BlueLINK ID: 3271477 Anesthesia Specialists of Albuquerque 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 Kakumanu, Mark, MD Provider ID #NM009C69 BlueLINK ID: 2397873 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Khoshyomn, Mani, MD Provider ID #NM009S99 BlueLINK ID: 6003958 ES Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Manne, Kishore B., MD Provider ID #NM009C71 BlueLINK ID: 3135801 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Margel, Stephen E., DO Provider ID #NM004041 BlueLINK ID: 2396747 Anesthesia Specialists of Albuquerque 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Marler, Kenneth E., MD Provider ID #NM009H13 BlueLINK ID: 3212613 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Marquez, Raul C., MD Provider ID #NM009H89 BlueLINK ID: 3315273 Anesthesia Specialists of Albuquerque 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Martin, Hugh B., MD Provider ID #NM009E50 BlueLINK ID: 3255188 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 McCullough, Tom, MD Provider ID #NM009C73 BlueLINK ID: 327503 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 See special note See last page for Provider Language Codes legend Specialists Gerstein, Neal S., MD Provider ID #NM009U45 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Albuquerque Moerman, David J., MD Provider ID #NM009C74 BlueLINK ID: 2397984 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Moore, Brian D., MD Provider ID #NM011947 BlueLINK ID: 3135848 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Moro, Michele A., MD Provider ID #NM009E54 BlueLINK ID: 3232579 Pediatrics University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Nairn, Craig S., MD Provider ID #NM009L80 BlueLINK ID: 4144975 Pain Solutions 715 Dr. M. L. King Jr. NE, Ste. 201, 87102 (505) 247-9700 Fax No. (505) 247-4333 O'Brien, Timothy, MD Provider ID #NM009C53 BlueLINK ID: 4153759 Anesthesia Specialists of Albuquerque 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 Orr, Joanne P., MD Provider ID #NM009C75 BlueLINK ID: 2299046 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Pace, Charles F., MD Provider ID #NM009L89 BlueLINK ID: 6003261 Interventional pain management Interventional Pain Specialists of NM 4824 McMahan NE, Ste. 119, 87114 (505) 898-1595 Fax No. (505) 898-0846 51 Specialists Specialists Albuquerque Pham, Lang Ha, MD Provider ID #NM009C77 BlueLINK ID: 3397301 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Rosenthal, Valerie A., MD Provider ID #NM009H19 BlueLINK ID: 3212603 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Singh, Jai P., MD Provider ID #NM009M57 BlueLINK ID: 3247974 Anesthesia Specialists of Albuquerque 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 Whittier, Steven G., MD Provider ID #NM009C93 BlueLINK ID: 4153696 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Phillips, Joyce F., MD Provider ID #NM009H17 BlueLINK ID: 3252577 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Rosett, Randy Layne, MD Provider ID #NM012309 BlueLINK ID: 3135926 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Skibba, Joseph, MD Provider ID #NM009E63 BlueLINK ID: 2285265 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Whittington, John S., MD Provider ID #NM009H86 BlueLINK ID: 4269345 ES Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Pivar, Neil, MD Provider ID #NM002145 BlueLINK ID: 2398029 6301 Wilmington NE, 87154 (505) 828-1455 Rubin, Jeffrey N., DO Provider ID #NM019565 BlueLINK ID: 3281459 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Solove, Gregg J., MD Provider ID #NM009E90 BlueLINK ID: 3135976 Ophthalmic Anesthesia Services 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 Wiesel, Saul, MD Provider ID #NM009893 BlueLINK ID: 3361592 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Rudawsky, Robert, MD Provider ID #NM013849 BlueLINK ID: 3248032 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Styka, Phillip E., MD Provider ID #NM009M41 BlueLINK ID: 2398126 Anesthesia Specialists of Albuquerque 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 Wilks, David H., MD Provider ID #NM009899 BlueLINK ID: 2329725 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Sady, Stanley P., MD Provider ID #NM009C89 BlueLINK ID: 3359958 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Szabo, Eva Erzsebet, MD Provider ID #NM009897 BlueLINK ID: 4240005 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Wills, John H. A., MD Provider ID #NM009906 BlueLINK ID: 3213782 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Samper, Frances M., MD Provider ID #NM009H20 BlueLINK ID: 3135935 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Topf, Norbert, MD Provider ID #NM009R06 BlueLINK ID: 6003414 ES Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Woog, David A., MD Provider ID #NM009C94 BlueLINK ID: 3120978 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Poteet-Schwartz, Kim L., MD Provider ID #NM009L84 BlueLINK ID: 4273405 Anesthesia Specialists of Albuquerque 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Prabhakar, Kusum R., MD Provider ID #NM002180 BlueLINK ID: 3209272 1336 Wyoming NE, Ste. F, 87112 (505) 275-2442 Primm, Polly, MD Provider ID #NM009C79 BlueLINK ID: 3303254 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Rask, John P., MD Provider ID #NM009R61 BlueLINK ID: 3187595 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Rave, Bruce P., MD Provider ID #NM019602 BlueLINK ID: 3252569 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Ray, David G., MD Provider ID #NM009S32 BlueLINK ID: 6003778 ES Anesthesia Associates of NM, PC 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Rice, James H., MD Provider ID #NM009E26 BlueLINK ID: 3271491 Pain management only SW Intervential Pain Specialists 4700 Jefferson NE, Ste. 700, 87111 (505) 881-5080 Fax No. (505) 872-2306 Ritchie, William J., MD Provider ID #NM009L48 BlueLINK ID: 4169847 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Rockefeller, James J., MD Provider ID #NM009C54 BlueLINK ID: 4173179 Anesthesia Specialists of Albuquerque 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 52 Sanders, John, MD Provider ID #NM009894 BlueLINK ID: 3375381 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Schneidmiller, James A., MD Provider ID #NM009R62 BlueLINK ID: 6003551 ES Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Scott, James C., MD Provider ID #NM009H21 BlueLINK ID: 2149214 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Shydohub, Alexander V., MD Provider ID #NM009H25 BlueLINK ID: 3135964 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Siegel, David W., MD Provider ID #NM009H24 BlueLINK ID: 3222721 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Vagh, Firoz S., MD Provider ID #NM012803 BlueLINK ID: 3136006 HI University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Vig, Sanjiv, MD Provider ID #NM009C91 BlueLINK ID: 4195560 ES Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Villescas, Ernie O., MD Provider ID #NM009H23 BlueLINK ID: 2398236 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Whalen, Thomas J., MD Provider ID #NM029262 BlueLINK ID: 3178526 8314 Kaseman Ct. NE, 87110 (505) 246-9190 Fax No. (505) 246-9617 Whalen, Thomas J., MD ES 8314 Kaseman Ct. NE (505) 246-9190 Whalen, Thomas J., MD 8314 Kaseman Ct. NE (505) 246-9190 See special note See last page for Provider Language Codes legend Yager, Eileen, MD Provider ID #NM003595 BlueLINK ID: 2250938 ES University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Yeo-Lee, Siang, MD Provider ID #NM009C95 BlueLINK ID: 4108969 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Zolyomi, Arpad, MD Provider ID #NM009E73 BlueLINK ID: 4212129 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Zuniga, Robert, MD Provider ID #NM009907 BlueLINK ID: 3358959 ES University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Cardiology Abrams, Jonathan, MD Provider ID #NM000151 BlueLINK ID: 3214202 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 July 2005 Specialists Albuquerque Cochran, Paul T., MD Provider ID #NM009U36 BlueLINK ID: 3143079 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-5062 German, Lawrence D., MD Provider ID #NM004276 BlueLINK ID: 2199729 New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 King, Alan S., MD Provider ID #NM001522 BlueLINK ID: 3135756 New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Baker, David, MD Provider ID #NM009H28 BlueLINK ID: 4175910 Lovelace Sandia Health Systems Gibson Cardiology 5400 Gibson SE, 87108 (505) 262-7451 Constanin, Luis, MD Provider ID #NM019618 BlueLINK ID: 2102526 ES New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Guerra, Ricardo, MD Provider ID #NM009H32 BlueLINK ID: 3367895 Lovelace Sandia Health Systems Gibson Cardiology 5400 Gibson SE, 87108 (505) 262-7451 Kochukoshy, Koshy N., MD Provider ID #NM009320 BlueLINK ID: 2397895 ES ML First Choice Community Healthcare North Valley Clinic 1231 Candelaria NW, 87107 (505) 345-3244 Fax No. (505) 345-4056 Baker, David, MD Provider ID #NM009H28 BlueLINK ID: 4175910 Lovelace Sandia Health Systems West Mesa Cardiology 4801 McMahon NW, Ste. 250, 87114 (505) 727-2233 Batty, John W., MD Provider ID #NM000247 BlueLINK ID: 3135496 New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Bendersky, Ruby G., MD Provider ID #NM009R05 BlueLINK ID: 2136610 Lovelace Sandia Health Systems Gibson Cardiology 5400 Gibson SE, 87108 (505) 262-7451 Fax No. (505) 262-3159 DuBroff, Robert J., MD Provider ID #NM012906 BlueLINK ID: 2147250 New Mexico Heart Institute 4824 McMahon Blvd. NW, Ste. 109, 87114 (505) 792-1137 DuBroff, Robert J., MD Provider ID #NM012906 BlueLINK ID: 2147250 New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Federici, Robert E., MD Provider ID #NM009299 BlueLINK ID: 3398675 New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Berman, William, Jr., MD Provider ID #NM000293 BlueLINK ID: 3143049 Pediatrics Pediatric Cardiology Associates of NM 201 Cedar SE, Ste. 700, 87106 (505) 848-3700 Fax No. (505) 848-3703 Figueredo, Vincent M., MD Provider ID #NM009U37 BlueLINK ID: 3274705 ES University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-5062 Blake, Kathleen, MD Provider ID #NM000347 BlueLINK ID: 2304246 New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Figueredo, Vincent, MD Provider ID #NM009H34 BlueLINK ID: 3274705 Lovelace Sandia Health Systems Gibson Cardiology 5400 Gibson SE, 87108 (505) 262-7451 Bujoi, Mihaela, MD Provider ID #NM009L68 BlueLINK ID: 4191097 RO New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Frankis, Mary B., MD Provider ID #NM009S03 BlueLINK ID: 4114509 ES New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Cadman, Christopher S., MD Provider ID #NM009R16 BlueLINK ID: 4115717 Lovelace Sandia Health Systems Gibson Cardiology 5400 Gibson SE, 87108 (505) 262-7451 Fax No. (505) 262-7870 Cadman, Christopher S., MD Provider ID #NM004708 BlueLINK ID: 4115717 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Charlton, Gerald Anthony, MD Provider ID #NM003529 BlueLINK ID: 4132746 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 July 2005 Funk, Erik J., MD Provider ID #NM009S06 BlueLINK ID: 3218220 ES New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2931 Garcia, Ignacio, MD Provider ID #NM001008 BlueLINK ID: 3143131 Cardiac Care Consultants of NM 4801 McMahon Blvd. NW, Ste. 235, 87114 (800) 228-1917 Garcia, Ignacio, MD Provider ID #NM001008 BlueLINK ID: 3143131 Cardiac Care Consultants of NM 715 Dr. M. L. King Jr. NE, Ste. 101, 87102 (505) 248-1800 Gurule, Michael E., MD Provider ID #NM002723 BlueLINK ID: 3225039 Cardiac Care Consultants of NM 4801 McMahon Blvd. NW, Ste. 235, 87114 (800) 228-1917 Gurule, Michael E., MD Provider ID #NM002723 BlueLINK ID: 3225039 Cardiac Care Consultants of NM 715 Dr. M. L. King Jr. NE, Ste. 101, 87102 (505) 248-1800 Hoffman, Irwin, MD Provider ID #NM009R87 BlueLINK ID: 3252072 Lovelace Sandia Health Systems Gibson Cardiology 5400 Gibson SE, 87108 (505) 262-7451 Fax No. (505) 262-7870 Holmes, Gerard, MD Provider ID #NM013650 BlueLINK ID: 3249357 Pediatrics ES Pediatric Cardiology Associates of NM 201 Cedar SE, Ste. 700, 87106 (505) 848-3700 Fax No. (505) 848-3703 Kochukoshy, Koshy N., MD Provider ID #NM009E77 BlueLINK ID: 2397895 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4253 Kuo, Lawrence, MD Provider ID #NM009H30 BlueLINK ID: 5009484 Lovelace Sandia Health Systems Gibson Cardiology 5400 Gibson SE, 87108 (505) 262-7110 Kuo, Lawrence, MD Provider ID #NM009H30 BlueLINK ID: 5009484 Lovelace Sandia Health Systems West Mesa Cardiology 4801 McMahon Blvd. NW, Ste. 250, 87114 (505) 727-2233 Laskey, Warren K., MD Provider ID #NM009U24 BlueLINK ID: 2330371 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Icenogle, Milton V., MD Provider ID #NM003953 BlueLINK ID: 3367123 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3850 Leach, John, MD Provider ID #NM003804 BlueLINK ID: 3213811 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4253 Ierides, Loutsios K., MD Provider ID #NM009285 BlueLINK ID: 2397865 ES DE Cardiac Care Consultants of NM 715 Dr. M. L. King Jr. NE, Ste. 101, 87102 (505) 248-1800 Liem, L. Bing, DO Provider ID #NM004A60 BlueLINK ID: 6003418 ES New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Jutila, Charlotte K., MD Provider ID #NM011442 BlueLINK ID: 2397870 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4750 Lovekin, William S., MD Provider ID #NM001671 BlueLINK ID: 2397936 ES New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Kedia, Anita, MD Provider ID #NM009R22 BlueLINK ID: 6003465 Lovelace Sandia Health Systems Gibson Cardiology 5400 Gibson SE, 87108 (505) 262-7451 Fax No. (505) 262-7870 Kim, Charles, MD Provider ID #NM009H29 BlueLINK ID: 3396963 Lovelace Sandia Health Systems Gibson Cardiology 5400 Gibson SE, 87108 (505) 262-7451 See special note See last page for Provider Language Codes legend Lueker, Richard D., MD Provider ID #NM013274 BlueLINK ID: 2397939 New Heart, Inc. 601 Lomas NE, 87102 (505) 881-8195 Fax No. (505) 830-4975 Madera, George J., MD Provider ID #NM009M99 BlueLINK ID: 2192081 ES University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4750 53 Specialists Allen, Kathleen M., MD Provider ID #NM014736 BlueLINK ID: 3327702 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Specialists Specialists Albuquerque Madonna, John T., Jr., MD Provider ID #NM009M39 BlueLINK ID: 4137160 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Sandoval, Anthony B., MD Provider ID #NM022954 BlueLINK ID: 3227822 New Mexico Heart 1101 Medical Arts NE, Bldg. 3, 87102 (505) 842-8321 Fax No. (505) 247-0368 Mowry, Frank, MD Provider ID #NM001966 BlueLINK ID: 2398034 New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Sheldon, Mark W., MD Provider ID #NM009414 BlueLINK ID: 4245633 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Orchard, Robert C., MD Provider ID #NM004982 BlueLINK ID: 4205374 ES New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Taylor, Robert A., MD Provider ID #NM009173 BlueLINK ID: 4109679 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Ortiz-Palmer, Elizabeth, MD Provider ID #NM013477 BlueLINK ID: 3271489 New Mexico Heart 1101 Medical Arts NE, Bldg. 5, 87102 (505) 842-8321 Fax No. (505) 247-0368 Osborn, Larry, MD Provider ID #NM003810 BlueLINK ID: 3214208 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Piatek, Marek Z., MD Provider ID #NM009S52 BlueLINK ID: 6003856 ES New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Timm, Thomas Craig, MD Provider ID #NM003818 BlueLINK ID: 3319527 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Vaidya, Kedernath A., MD Provider ID #NM009326 BlueLINK ID: 4235083 ES New Mexico Heart Institute 1001 Coal Ave. SE, 87106 (505) 841-1000 Fax No. (505) 224-7033 Vos, Evert, MD Provider ID #NM009M68 BlueLINK ID: 6003233 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4253 Raisher, Bradley D., MD Provider ID #NM000953 BlueLINK ID: 3339708 Pediatrics Pediatric Cardiology Associates of NM 201 Cedar SE, Ste. 700, 87106 (505) 848-3700 Fax No. (505) 848-3703 Waldman, Jon Deane, MD Provider ID #NM003597 BlueLINK ID: 2189506 Pediatrics DE University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Raizada, Veena, MD Provider ID #NM003834 BlueLINK ID: 3173186 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 West, Michael, MD Provider ID #NM009H31 BlueLINK ID: 3222696 Lovelace Sandia Health Systems Gibson Cardiology 5400 Gibson SE, 87108 (505) 262-7451 Ramo, Barry W., MD Provider ID #NM002235 BlueLINK ID: 3135899 New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 White, Harvey J., MD Provider ID #NM012913 BlueLINK ID: 2389851 New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Ratliff, D. Michelle, MD Provider ID #NM009U47 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Yabek, Steven M., MD Provider ID #NM003064 BlueLINK ID: 2398279 Pediatrics Pediatric Cardiology Associates of NM 201 Cedar SE, Ste. 700, 87106 (505) 848-3700 Fax No. (505) 848-3703 Roldan, Carlos, MD Provider ID #NM003546 BlueLINK ID: 3396127 ES University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-5062 54 Zeman, Howard S., MD Provider ID #NM001599 BlueLINK ID: 3285634 New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Cardiovascular Surgery Deane, William M., MD Provider ID #NM000686 BlueLINK ID: 3143102 New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Gerety, Richard L., MD Provider ID #NM001037 BlueLINK ID: 3135652 New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Walji, Salim M., MD Provider ID #NM013497 BlueLINK ID: 3269371 New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Colon and Rectal Surgery Abbott, William C., MD Provider ID #NM010130 BlueLINK ID: 2396816 ES 4705 Montgomery NE, Ste. 203, 87109 (505) 884-6742 Fax No. (505) 884-6845 Dudley, Calvin, MD Provider ID #NM010744 BlueLINK ID: 2397727 NM Colon & Rectal Surgery 500 Walter NE, Ste. 510, 87102 (505) 243-3514 Williams, James B., II, MD Provider ID #NM013343 BlueLINK ID: 3216362 NM Colon & Rectal Surgery 500 Walter NE, Ste. 510, 87102 (505) 246-8283 Dermatology Bang, Ran, MD Provider ID #NM004758 BlueLINK ID: 4177290 University Physicians Associates UNM Dept. of Dermatology 1021 Medical Arts NE, 87102 (505) 272-6222 Barkoff, Joel R., MD Provider ID #NM000212 BlueLINK ID: 2397149 Albuquerque Dermatology Associates 4610 Jefferson NE, 87109 (505) 872-4700 Fax No. (505) 872-4709 Bommelaere, Gary L., MD Provider ID #NM004730 BlueLINK ID: 2397434 University Physicians Associates UNM Dept. of Dermatology 1021 Medical Arts NE, 87102 (505) 272-6222 Carey, John D., MD Provider ID #NM009L30 BlueLINK ID: 8281078 ES Albuquerque Dermatology Associates 4610 Jefferson NE, 87109 (505) 872-4700 Fax No. (505) 872-4709 See special note See last page for Provider Language Codes legend Chapman, William G., MD Provider ID #NM000511 BlueLINK ID: 3246813 Dermatology Consultants of Albuquerque 8316 Kaseman Ct. NE, 87110 (505) 292-5850 Connolly, Sky B., MD Provider ID #NM009032 BlueLINK ID: 4123038 ES Albuquerque Dermatology Associates 4610 Jefferson NE, 87109 (505) 872-4700 Fax No. (505) 872-4709 Davis, David, MD Provider ID #NM009D88 BlueLINK ID: 4175017 Lovelace Sandia Health Systems Gibson Dermatology 5400 Gibson SE, 87108 (505) 262-7097 Einhorn, Barbara L., MD Provider ID #NM010266 BlueLINK ID: 3389348 Western Dermatology Consultants 4700 Jefferson NE, Ste. 100, 87109 (505) 855-5503 Fax No. (505) 855-5533 Einhorn, Barbara L., MD Provider ID #NM010266 BlueLINK ID: 3389348 Western Dermatology Consultants 4801 McMahon Blvd. NW, Ste. 270, 87114 (505) 897-1313 Fax No. (505) 897-2323 Flandermeyer, Kenneth L., MD Provider ID #NM000902 BlueLINK ID: 2397765 ES 7520 Montgomery NE, Ste. D4, 87109 (505) 881-0088 Fax No. (505) 881-8839 Fleischmann, Heidi E., MD Provider ID #NM009D91 BlueLINK ID: 2151316 Lovelace Sandia Health Systems Gibson Dermatology 5400 Gibson SE, 87108 (505) 262-7097 Glass, Leslie A., MD Provider ID #NM013112 BlueLINK ID: 3135654 Western Dermatology Consultants 4700 Jefferson NE, Ste. 100, 87109 (505) 855-5503 Fax No. (505) 855-5533 Glass, Leslie A., MD Provider ID #NM013112 BlueLINK ID: 3135654 Western Dermatology Consultants 4801 McMahon Blvd. NW, Ste. 270, 87114 (505) 897-1313 Fax No. (505) 897-2323 Harper, Kenneth E., MD Provider ID #NM011225 BlueLINK ID: 3143153 New Mexico Dermatology Associates 7520 Montgomery NE, Ste. D5, 87109 (505) 884-7070 Harville, Donald D., MD Provider ID #NM001227 BlueLINK ID: 2397818 8200 Constitution NE, 87110 (505) 299-4414 Harville, Donald D., MD Provider ID #NM009U50 BlueLINK ID: 2397818 University Physicians Associates UNM Dept. of Dermatology 1021 Medical Arts NE, 87102 (505) 272-6000 July 2005 Specialists Albuquerque Smith, Edgar Ben, MD Provider ID #NM004952 BlueLINK ID: 2321916 University Physicians Associates UNM Dept. of Dermatology 1021 Medical Arts NE, 87102 (505) 272-6222 Jester, Beth A., MD Provider ID #NM009R57 BlueLINK ID: 4179643 ES Dermatology Consultants of Albuquerque 8316 Kaseman Ct. NE, 87110 (505) 292-5850 Fax No. (505) 292-9724 Strange, Phillip, MD Provider ID #NM009982 BlueLINK ID: 3104457 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 Mason, William Van H., MD Provider ID #NM001781 BlueLINK ID: 3135817 200 Oak St. NE, 87106 (505) 842-1904 Fax No. (505) 842-4210 Strange, Phillip, MD Provider ID #NM004953 BlueLINK ID: 3104457 University Physicians Associates UNM Dept. of Dermatology 1021 Medical Arts NE, 87102 (505) 272-6222 McKay, Marilynne B., MD Provider ID #NM009D74 BlueLINK ID: 3140617 Lovelace Sandia Health Systems Journal Center Dermatology 5150 Journal Center Blvd. NE, 87109 (505) 262-7097 Thompson, Matthew, MD Provider ID #NM009D90 BlueLINK ID: 4201529 Lovelace Sandia Health Systems Gibson Dermatology 5400 Gibson SE, 87108 (505) 262-7097 Mills, Sara A., MD Provider ID #NM013368 BlueLINK ID: 3384794 Western Dermatology Consultants 4700 Jefferson NE, Ste. 100, 87109 (505) 855-5503 Fax No. (505) 855-5533 Willis, William F., MD Provider ID #NM003002 BlueLINK ID: 3136042 New Mexico Dermatology Associates 7520 Montgomery NE, Ste. D5, 87109 (505) 884-7070 Mills, Sara A., MD Provider ID #NM013368 BlueLINK ID: 3384794 Western Dermatology Consultants 4801 McMahon Blvd. NW, Ste. 270, 87114 (505) 897-1313 Fax No. (505) 897-2323 Muscarella, Vincent A., MD Provider ID #NM001997 BlueLINK ID: 3135857 Albuquerque Center for Dermatology 8100 Constitution NE, Ste. 3100, 87110 (505) 293-5333 Padilla, R. Steven, MD Provider ID #NM009981 BlueLINK ID: 3214206 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 Padilla, R. Steven, MD Provider ID #NM003825 BlueLINK ID: 3214206 University Physicians Associates UNM Dept. of Dermatology 1021 Medical Arts NE, 87102 (505) 272-6222 Robison, J. Wendall, MD Provider ID #NM002305 BlueLINK ID: 3135914 8400 Osuna NE, Ste. 3A, 87111 (505) 271-1866 Schneider, Brenda K., MD Provider ID #NM009S75 BlueLINK ID: 6003912 ES Dermatology Consultants of Albuquerque 8316 Kaseman Ct. NE, 87110 (505) 292-5850 Fax No. (505) 292-9724 July 2005 Ear, Nose, and Throat Beauchamp, Mark, MD Provider ID #NM009K07 BlueLINK ID: 3167378 Lovelace Sandia Health Systems Gibson Otolaryngology 5400 Gibson SE, 87108 (505) 262-7905 Bennett, Erica C., MD Provider ID #NM009S60 BlueLINK ID: 4269724 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Escudero, Ronald J., MD Provider ID #NM003068 BlueLINK ID: 3282564 ES 4100 Wolcott NE, Ste. A, 87109 (505) 855-5500 Fax No. (505) 855-5501 Fiber, Frederick M., MD Provider ID #NM011153 BlueLINK ID: 2397763 RU IW New Mexico Ear, Nose and Throat Associates 500 Walter NE, Ste. 210, 87102 (505) 243-8030 Fax No. (505) 842-1158 Gerencer, Roland Z., MD Provider ID #NM024902 BlueLINK ID: 4196306 ES New Mexico Ear, Nose and Throat Associates 500 Walter NE, Ste. 210, 87102 (505) 243-8030 Fax No. (505) 842-1158 Horn, Karl L., MD Provider ID #NM001310 BlueLINK ID: 2146563 Albuquerque Otolaryngology Associates 415 Cedar SE, 87106 (505) 224-7610 Fax No. (505) 224-7619 Lowell, Seth, MD Provider ID #NM009D96 BlueLINK ID: 2265513 Lovelace Sandia Health Systems Gibson Otolaryngology 5400 Gibson SE, 87108 (505) 262-7905 Matteucci, Raymond C., MD Provider ID #NM004886 BlueLINK ID: 2397956 Albuquerque Otolaryngology Associates 415 Cedar SE, 87106 (505) 224-7610 Fax No. (505) 224-7619 Silver, Harris, MD Provider ID #NM019690 BlueLINK ID: 4100024 Lovelace Sandia Health Systems Gibson Otolaryngology 5400 Gibson SE, 87108 (505) 262-7905 Sokol, Donald Z., MD Provider ID #NM004722 BlueLINK ID: 4154881 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Spafford, Michael F., MD Provider ID #NM004872 BlueLINK ID: 4156858 Pediatrics University Physicians Associates Cancer Research Treatment Center 2211 Lomas NE, 87106 (505) 272-2336 Miller, Timothy R., MD Provider ID #NM009U07 BlueLINK ID: 6003978 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Spafford, Michael F., MD Provider ID #NM004872 BlueLINK ID: 4156858 Pediatrics University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Morrison, Daniel Henry, MD Provider ID #NM009E12 BlueLINK ID: 3286497 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Tipirmeni, Ajit, MD Provider ID #NM009D95 BlueLINK ID: 4263317 Lovelace Sandia Health Systems Gibson Otolaryngology 5400 Gibson SE, 87108 (505) 262-7905 Nagel, Barry D., MD Provider ID #NM003124 BlueLINK ID: 3143253 ES Albuquerque Otolaryngology Associates 201 Cedar SE, Ste. 302, 87106 (505) 224-7727 Fax No. (505) 224-7991 Wasylenki, Eugene W., MD Provider ID #NM012885 BlueLINK ID: 2398255 ES New Mexico Ear, Nose and Throat Associates 500 Walter NE, Ste. 210, 87102 (505) 243-8030 Fax No. (505) 842-1158 Neal, G. David, MD Provider ID #NM009K08 BlueLINK ID: 2319803 Lovelace Sandia Health Systems Gibson Otolaryngology 5400 Gibson SE, 87108 (505) 262-7905 Olson, Garth Trygve, MD Provider ID #NM009588 BlueLINK ID: 4214066 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Pickett, Bradley P., MD Provider ID #NM009759 BlueLINK ID: 4124691 Southwestern ENT Associates 1628 Alameda NW, 87114 (505) 890-5900 Fax No. (505) 890-6587 Raterink, Mark H., MD Provider ID #NM019Q04 BlueLINK ID: 6003531 2741 Indian School Rd. NE, 87106 (505) 255-8682 Fax No. (505) 254-4985 Ray, Allyson M., MD Provider ID #NM002015 BlueLINK ID: 412810 Albuquerque Otolaryngology Associates 1020 Tijeras NE, Ste. 22, 87106 (505) 848-3124 Fax No. (505) 848-8077 See special note See last page for Provider Language Codes legend Specialists Icken, James, MD Provider ID #NM009D89 BlueLINK ID: 2253759 Lovelace Sandia Health Systems Gibson Dermatology 5400 Gibson SE, 87108 (505) 262-7097 Emergency Medicine Agostini, Irene, MD Provider ID #NM003941 BlueLINK ID: 3222747 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Arguelles, Carlos A., MD Provider ID #NM007471 BlueLINK ID: 4269679 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Binder, Douglas S., MD Provider ID #NM007471 BlueLINK ID: 4132382 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Braude, Darren A., MD Provider ID #NM007471 BlueLINK ID: 4191278 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Brillman, Judith, MD Provider ID #NM003864 BlueLINK ID: 2152843 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 55 Specialists Specialists Albuquerque Cheney, Paul R., MD Provider ID #NM003848 BlueLINK ID: 3252567 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Lemke, Don W., MD Provider ID #NM007471 BlueLINK ID: 3143215 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-2241 Tandberg, W. Dan, MD Provider ID #NM007471 BlueLINK ID: 3210727 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Crandall, Cameron S., MD-PhD Provider ID #NM007471 BlueLINK ID: 3399566 ES FR University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Macias, Darryl, MD Provider ID #NM007471 BlueLINK ID: 3285876 ES FR University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Wachter, David A., MD Provider ID #NM007471 BlueLINK ID: 4145224 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Doezema, David, MD Provider ID #NM007471 BlueLINK ID: 2397720 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 McLaughlin, Steven, MD Provider ID #NM007471 BlueLINK ID: 4166659 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Doyle, M. France, MD Provider ID #NM007471 BlueLINK ID: 2125769 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-2241 Nufer, Kevin, MD Provider ID #NM007471 BlueLINK ID: 4203186 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Ernst, Amy, MD Provider ID #NM009R31 BlueLINK ID: 3235560 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Richards, Michael E., MD Provider ID #NM007471 BlueLINK ID: 4220141 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Hauswald, Mark, MD Provider ID #NM003896 BlueLINK ID: 3212622 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Rimple, Diane, MD Provider ID #NM007471 BlueLINK ID: 4149040 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Hazen, Justin L., MD Provider ID #NM009S68 BlueLINK ID: 4323863 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Roth, Paul B., MD Provider ID #NM007471 BlueLINK ID: 3212563 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Huyler, Frank, MD Provider ID #NM007471 BlueLINK ID: 4204406 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Sapien, Robert E., MD Provider ID #NM003863 BlueLINK ID: 3223413 Pediatrics University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Kay, Laura S., MD Provider ID #NM007471 BlueLINK ID: 4124200 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Keisling, Doreen Teoh, MD Provider ID #NM009U72 BlueLINK ID: 4222457 Pediatric emergency medicine University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Kresovich, Kimberly A., MD Provider ID #NM007471 BlueLINK ID: 3324016 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 56 Sklar, David P., MD Provider ID #NM007471 BlueLINK ID: 3212556 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Slishman, Samuel Hans, MD Provider ID #NM007471 BlueLINK ID: 4202958 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Small, Maureen D., MD Provider ID #NM007471 BlueLINK ID: 3320641 University Physicians Associates 2211 Lomas NE, 87106 (505) 272-5062 Weiss, Steven J., MD Provider ID #NM009R30 BlueLINK ID: 3225180 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Wilson, Lance, MD Provider ID #NM009U64 BlueLINK ID: 4225033 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Wilson-Ramirez, Gina, MD Provider ID #NM009U65 BlueLINK ID: 4236217 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Endocrinology Boyle, Patrick J., MD Provider ID #NM003787 BlueLINK ID: 3222743 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Burge, Mark R., MD Provider ID #NM003938 BlueLINK ID: 3361078 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Colleran, Kathleen M., MD Provider ID #NM004704 BlueLINK ID: 4123430 University Physicians Associates UNM Dept. of Internal Medicine 1209 University NE, 87102 (505) 272-5062 Edwards, Terry, MD Provider ID #NM009D94 BlueLINK ID: 2150732 Lovelace Sandia Health Systems Gibson Endocrinology 5400 Gibson SE, 87108 (505) 262-7455 Ferraro, Robert T., MD Provider ID #NM003137 BlueLINK ID: 3325679 IT SW Endocrinology Associates 4600 Jefferson NE, Ste. A, 87109 (505) 872-1002 Fax No. (505) 888-3708 Gleeson, Jeremy, MD Provider ID #NM009D92 BlueLINK ID: 3120376 Lovelace Sandia Health Systems Gibson Endocrinology 5400 Gibson SE, 87108 (505) 262-7455 See special note See last page for Provider Language Codes legend Greger, Nancy Gay, MD Provider ID #NM009598 BlueLINK ID: 3117308 Pediatrics University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Kapsner, Patricia, MD Provider ID #NM001470 BlueLINK ID: 3212637 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Schade, David S., MD Provider ID #NM002456 BlueLINK ID: 3212626 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Scott, Susan M., MD Provider ID #NM003884 BlueLINK ID: 3213815 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Seibel, John A., MD Provider ID #NM002487 BlueLINK ID: 3135953 201 Cedar SE, Ste. 502, 87106 (505) 224-7700 Sood, Vidushi, MD Provider ID #NM009551 BlueLINK ID: 4239315 Patients over age 18 ES IT SW Endocrinology Associates 4600 Jefferson NE, Ste. A, 87109 (505) 872-1002 Fax No. (505) 888-3708 Terlecki, Marta, MD Provider ID #NM009D93 BlueLINK ID: 3287146 Lovelace Sandia Health Systems Gibson Endocrinology 5400 Gibson SE, 87108 (505) 262-7455 Family Practice Bachofer, Sally, MD Provider ID #NM009M76 BlueLINK ID: 3135483 Hereditary cancer assessment program University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 McConnell, William L., MD Provider ID #NM019S20 BlueLINK ID: 3143235 ES 7000 Jefferson NE, 87109 (505) 344-9478 McGrew, Christopher A., MD Provider ID #NM003726 BlueLINK ID: 3253398 University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-2140 Mody, Sapan V., MD Provider ID #NM009R76 BlueLINK ID: 6003579 ES Concentra Medical Centers 3811 Commons NE, 87109 (505) 345-9599 July 2005 Specialists Mody, Sapan V., MD Provider ID #NM009R76 BlueLINK ID: 6003579 ES Concentra Medical Centers 801 Encino Pl. NE, Ste. E12, 87102 (505) 842-5151 Rodriguez, Magda, MD Provider ID #NM003621 BlueLINK ID: 3270037 ES FR University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Roth, Paul B., MD Provider ID #NM002356 BlueLINK ID: 3212563 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Rothman, Emily, DO Provider ID #NM004A55 BlueLINK ID: 4266886 Special interest in pregnancy termination ES 801 Encino Pl. NE, Ste. C-2, 87102 (505) 242-7512 Fax No. (505) 242-0540 Shelley, Brian M., MD Provider ID #NM009701 BlueLINK ID: 4238558 ES University Physicians Associates UNM Dept. of Family & Community Medicine 2211 Lomas NE, 87106 (505) 272-2700 Umland, Berthold E., MD Provider ID #NM009684 BlueLINK ID: 2142334 ES Planned Parenthood of New Mexico 701 San Mateo NE, 87108 (505) 265-9511 Fax No. (505) 268-4350 Yates, Isaure E., MD Provider ID #NM019G34 BlueLINK ID: 3305446 Lovelace Sandia Health Systems Nursing Home Department 5400 Gibson SE, 87108 (505) 262-7000 Gastroenterology Adams, Gabrielle, MD Provider ID #NM001949 BlueLINK ID: 3358596 SW Gastroenterology Associates 201 Cedar SE, Ste. 4600, 87106 (505) 563-8018 Fax No. (505) 843-6075 Agarwal, Vijay P., MD Provider ID #NM003258 BlueLINK ID: 2158580 Albuquerque Gastroenterology Associates 200 Oak St. NE, Ste. 3, 87106 (505) 766-5471 Fax No. (505) 766-6889 July 2005 Agarwal, Vijay P., MD Provider ID #NM003258 BlueLINK ID: 2158580 Albuquerque Gastroenterology Associates 4801 McMahon Blvd. NW, Ste. 235, 87114 (505) 890-6609 Fax No. (505) 766-6883 Alcorn, Joseph M., MD Provider ID #NM003784 BlueLINK ID: 3274241 SW Gastroenterology Associates 201 Cedar SE, Ste. 4600, 87106 (505) 563-8018 Fax No. (505) 843-6075 Arora, Sanjeev, MD Provider ID #NM003948 BlueLINK ID: 2298019 HI University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Barakat, Jehad, MD Provider ID #NM009R36 BlueLINK ID: 6003498 AR University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4750 Bettinger, John R., MD Provider ID #NM000306 BlueLINK ID: 3227745 SW Gastroenterology Associates 201 Cedar SE, Ste. 4600, 87106 (505) 563-8018 Fax No. (505) 843-6075 Bettinger, John R., MD Provider ID #NM000306 BlueLINK ID: 3227745 SW Gastroenterology Associates 8020 Constitution NE, 87111 (505) 293-5505 Burdon, John A., MD Provider ID #NM000426 BlueLINK ID: 3135541 SW Gastroenterology Associates 201 Cedar SE, Ste. 4600, 87106 (505) 563-8018 Fax No. (505) 843-6075 Burdon, John A., MD Provider ID #NM000426 BlueLINK ID: 3135541 SW Gastroenterology Associates 8401 Constitution NE, Ste. E, 87110 (505) 293-5986 Danemann, Hershel A., MD Provider ID #NM009596 BlueLINK ID: 2397705 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3850 DeFlice, John, MD Provider ID #NM009K03 BlueLINK ID: 3143101 Lovelace Sandia Health Systems Gibson Gastroenterology 5400 Gibson SE, 87108 (505) 262-7174 Dunkelberg, Jeffrey C., MD Provider ID #NM009K04 BlueLINK ID: 3305239 Lovelace Medical Center 5400 Gibson SE, 87108 (505) 262-7000 Dunkelberg, Jeffrey C., MD Provider ID #NM009M27 BlueLINK ID: 3305239 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 Dunkelberg, Jeffrey C., MD Provider ID #NM009H74 BlueLINK ID: 3305239 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-1623 Fahl, Jeffrey, MD Provider ID #NM004896 BlueLINK ID: 2241671 Pediatrics Pediatric Gastroenterology of NM 717 Encino Pl. NE, Ste. 7, 87102 (505) 842-6601 Fahl, Jeffrey, MD Provider ID #NM004896 BlueLINK ID: 2241671 Pediatrics University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Gavin, Michael W., MD Provider ID #NM013949 BlueLINK ID: 2200013 Lovelace Sandia Health Systems Gibson Gastroenterology 5400 Gibson SE, 87108 (505) 262-7174 Gogel, Howard K., MD Provider ID #NM001124 BlueLINK ID: 3135659 SW Gastroenterology Associates 201 Cedar SE, Ste. 4600, 87106 (505) 563-8018 Fax No. (505) 843-6075 Gogel, Howard K., MD Provider ID #NM001124 BlueLINK ID: 3135659 SW Gastroenterology Associates 8401 Constitution NE, Ste. E, 87110 (505) 293-5986 Jakiche, Antoine F., MD Provider ID #NM009S08 BlueLINK ID: 4132101 Patients over age 17 ES Southwest Gastroenterology Associates, PC 201 Cedar SE, Ste. 4600, 87106 (505) 563-8039 Fax No. (505) 563-8012 Jakiche, Antoine F., MD Provider ID #NM009S08 BlueLINK ID: 4132101 Patients over age 17 ES Southwest Gastroenterology Associates, PC 4705 Montgomery NE, Ste. 202, 87109 (505) 563-8039 Fax No. (505) 563-8012 Jakiche, Antoine F., MD Provider ID #NM009M65 BlueLINK ID: 4132101 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4756 See special note See last page for Provider Language Codes legend Kistin, Martin, MD Provider ID #NM011511 BlueLINK ID: 2397889 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Specialists Mody, Sapan V., MD Provider ID #NM009R76 BlueLINK ID: 6003579 ES Concentra Medical Centers 5700 Harper NE, Ste. 110, 87109 (505) 823-9166 Fax No. (505) 858-0030 Albuquerque Klein, Martin S., MD Provider ID #NM001533 BlueLINK ID: 3135760 Digestive Disease Consultants, PC Maytag Bldg., Presbyterian Hosp. 1001 Silver SE, Ste. 200, 87106 (505) 224-7000 Lynn, Robert M., MD Provider ID #NM001689 BlueLINK ID: 3135797 SW Gastroenterology Associates 201 Cedar SE, Ste. 4600, 87106 (505) 563-8018 Fax No. (505) 843-6075 Martinez, James E., MD Provider ID #NM001752 BlueLINK ID: 3284182 SW Gastroenterology Associates 201 Cedar SE, Ste. 702, 87106 (505) 563-8018 Fax No. (505) 843-6075 Martinez, James E., MD Provider ID #NM001752 BlueLINK ID: 3284182 SW Gastroenterology Associates 4705 Montgomery NE, Ste. 202, 87109 (505) 727-6776 Fax No. (505) 727-6794 Mason, Andrew C., MD Provider ID #NM009284 BlueLINK ID: 4210325 Patients over age 18 ES SW Gastroenterology Associates 201 Cedar SE, Ste. 4600, 87106 (505) 563-8018 Fax No. (505) 843-6075 Mason, Andrew C., MD Provider ID #NM009284 BlueLINK ID: 4210325 Patients over age 18 ES SW Gastroenterology Associates 4705 Montgomery NE, Ste. 202, 87109 (505) 727-6776 Fax No. (505) 727-6794 McCarthy, Denis M., MD Provider ID #NM009U69 BlueLINK ID: 3212615 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Mojtahed, Hossein, MD Provider ID #NM011883 BlueLINK ID: 3359831 SW Gastroenterology Associates 201 Cedar SE, Ste. 4600, 87106 (505) 563-8018 Fax No. (505) 843-6075 Mojtahed, Hossein, MD Provider ID #NM011883 BlueLINK ID: 3359831 SW Gastroenterology Associates 8020 Constitution NE, 87110 (505) 243-8018 Fax No. (505) 843-6075 Parasher, Gulshan, MD Provider ID #NM009E11 BlueLINK ID: 4276322 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4755 57 Specialists Specialists Albuquerque Pierce, Paul E., MD Provider ID #NM002148 BlueLINK ID: 3135887 Digestive Disease Consultants, PC Maytag Bldg., Presbyterian Hosp. 1001 Silver SE, Ste. 200, 87106 (505) 224-7000 Qaseem, Tahir, MD Provider ID #NM009837 BlueLINK ID: 4187656 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 Rose, Edward L., MD Provider ID #NM003986 BlueLINK ID: 3212629 Pediatrics University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Roy, Praveen K., MD Provider ID #NM009U05 BlueLINK ID: 4324651 HI University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Soni, Anurag, MD Provider ID #NM009643 BlueLINK ID: 4247551 ES HI Albuquerque Gastroenterology Associates 200 Oak St. NE, Ste. 1, 87106 (505) 766-5471 Fax No. (505) 766-6883 Spector, Monroe H., MD Provider ID #NM009M29 BlueLINK ID: 2398114 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 Spector, Monroe H., MD Provider ID #NM004289 BlueLINK ID: 2398114 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-3840 General Practice Middleton, H. Huson, III, MD Provider ID #NM009635 BlueLINK ID: 3209296 Nursing home residents Geriatrics Associates, PC 5353 Wyoming NE, Ste. 5, 87109 (505) 858-1222 Fax No. (505) 858-1224 General Surgery Gibel, Lawrence, Jr., MD Provider ID #NM003771 BlueLINK ID: 3210735 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Abbott, William C., MD Provider ID #NM010130 BlueLINK ID: 2396816 ES 4705 Montgomery NE, Ste. 203, 87109 (505) 884-6742 Fax No. (505) 884-6845 Gooden, Michael A., MD Provider ID #NM009R11 BlueLINK ID: 6003430 Lovelace Sandia Health Systems Gibson Surgery 5400 Gibson SE, 87108 (505) 262-7281 Fax No. (505) 262-7371 Arredondo, H. David, MD Provider ID #NM000155 BlueLINK ID: 2396828 ES 715 Dr. M. L. King Jr. NE, Ste. 312, 87102 (505) 246-0164 Fax No. (505) 246-0166 Azzie, Georges R., MD Provider ID #NM009C31 BlueLINK ID: 4273388 Pediatric surgery University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Bowers, E. Diane, MD Provider ID #NM009G24 BlueLINK ID: 3271026 Lovelace Sandia Health Systems Gibson General Surgery 5400 Gibson SE, 87108 (505) 262-7281 Brown, William A., MD Provider ID #NM009C56 BlueLINK ID: 4183195 Patients over age 12 ES NM Colon & Rectal Surgery 500 Walter NE, Ste. 510, 87102 (505) 243-3514 Fax No. (505) 243-3451 Strickland, Robert, MD Provider ID #NM009M30 BlueLINK ID: 3143324 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-1623 Chun, Karen, MD Provider ID #NM004818 BlueLINK ID: 3364577 Pediatrics University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-5913 Strickland, Robert, MD Provider ID #NM003817 BlueLINK ID: 3143324 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Davis, Michael, MD Provider ID #NM009586 BlueLINK ID: 4252813 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Volpicelli, Nicholas A., MD Provider ID #NM002862 BlueLINK ID: 2398239 Digestive Disease Consultants, PC Maytag Bldg., Presbyterian Hosp. 1001 Silver SE, Ste. 200, 87106 (505) 224-7000 Demarest, Gerald B., MD Provider ID #NM004706 BlueLINK ID: 3213790 Trauma/critical care University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Weiss, Barry, MD Provider ID #NM009K06 BlueLINK ID: 3107839 Lovelace Sandia Health Systems Gibson Gastroenterology 5400 Gibson SE, 87108 (505) 262-7174 58 Fry, Donald E., MD Provider ID #NM003769 BlueLINK ID: 3246460 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Heywood, Glenroy, MD Provider ID #NM009721 BlueLINK ID: 4187684 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 Heywood, Glenroy, MD Provider ID #NM009609 BlueLINK ID: 4187684 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-6612 Hill, Carey Sue, MD Provider ID #NM009E33 BlueLINK ID: 4269681 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Howdieshell, Thomas R., MD Provider ID #NM009912 BlueLINK ID: 3129802 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Kwiatkowski, Linda D., MD Provider ID #NM019288 BlueLINK ID: 4189538 Lovelace Sandia Health Systems Gibson Surgery 5400 Gibson SE, 87108 (505) 262-7281 Last, Reuben E., MD Provider ID #NM013093 BlueLINK ID: 4162298 ES 2746 San Joaquin SE, 87106 (505) 615-8878 Fax No. (505) 524-2655 Lemon, David, MD Provider ID #NM012164 BlueLINK ID: 2390232 Pediatrics University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-5913 Lopez, Joseph P., MD Provider ID #NM011699 BlueLINK ID: 3135789 Vascular surgery New Mexico Surgical Associates 711 Encino Pl. NE, 87102 (505) 843-7901 Fax No. (505) 843-6384 See special note See last page for Provider Language Codes legend Lovato, Richard G., MD Provider ID #NM004880 BlueLINK ID: 4196447 ES New Mexico Surgical Associates 711 Encino Pl. NE, 87102 (505) 843-7901 Fax No. (505) 843-6384 Lowe, Robert J., MD Provider ID #NM011673 BlueLINK ID: 3143226 New Mexico Surgical Associates 711 Encino Pl. NE, 87102 (505) 843-7901 Fax No. (505) 843-6384 Lu, Stephen, MD Provider ID #NM009135 BlueLINK ID: 4226399 Trauma/critical care University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Massen, Richard J., MD Provider ID #NM019L11 BlueLINK ID: 4219824 Physicians Group of Sandia Health Systems Sandia Surgical Consultants 500 Walter NE, Ste. 406, 87102 (505) 727-4044 Fax No. (505) 727-4046 Mathis, Bruce V., MD Provider ID #NM009S72 BlueLINK ID: 4301238 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Matteson, Brian, MD Provider ID #NM009833 BlueLINK ID: 4213483 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Morris, Shari L., MD Provider ID #NM009G37 BlueLINK ID: 4209825 ES Perez Surgical Care 201 Cedar NE, Ste. 304, 87106 (505) 224-7874 Fax No. (505) 224-7559 Nelson, Michael T., MD Provider ID #NM009E55 BlueLINK ID: 3305777 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Peloso, Ole Anthony, MD Provider ID #NM012133 BlueLINK ID: 2398024 Practice limited to phlebotomy ES Vein Center of New Mexico 801 Encino Pl. NE, Ste. C-12, 87102 (505) 247-4849 Fax No. (505) 247-4850 Perez, Timothy W., MD Provider ID #NM013494 BlueLINK ID: 4107918 ES Perez Surgical Care 201 Cedar NE, Ste. 304, 87106 (505) 224-7545 Fax No. (505) 224-7559 July 2005 Specialists Albuquerque Wallace, Anne M., MD Provider ID #NM009R93 BlueLINK ID: 4318242 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Knoefel, Janice Emma, MD Provider ID #NM003553 BlueLINK ID: 2154942 University Physicians Associates UNM Dept. of Internal Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-1754 Graham, Susan B., MD Provider ID #NM001085 BlueLINK ID: 3293889 Gynecology 4705 Montgomery NE, Ste. 102, 87109 (505) 884-9488 Reddy, Gopal K. N., MD Provider ID #NM002254 BlueLINK ID: 3143267 500 Walter NE, Ste. 204, 87102 (505) 842-5518 Fax No. (505) 247-8509 Westbury, Daniel B., MD Provider ID #NM009457 BlueLINK ID: 4211537 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 McCabe, Melvina, MD Provider ID #NM001837 BlueLINK ID: 3143234 Patients over age 65 University Physicians Associates UNM Dept. of Family & Community Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-1754 Halverson, Cordell K., MD Provider ID #NM009023 BlueLINK ID: 2397813 ES Planned Parenthood of New Mexico 701 San Mateo NE, 87108 (505) 425-3569 Russell, John C., MD Provider ID #NM009M70 BlueLINK ID: 2364907 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Schermer, Carol, MD Provider ID #NM004720 BlueLINK ID: 4144521 Trauma/critical care University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Woods, R. John, MD Provider ID #NM003025 BlueLINK ID: 3136048 ES 717 Encino Pl. NE, Ste. 8, 87102 (505) 243-4189 Fax No. (505) 766-6820 Wright, Jean, MD Provider ID #NM009G29 BlueLINK ID: 3236761 Lovelace Sandia Health Systems Gibson General Surgery 5400 Gibson SE, 87108 (505) 262-7281 Seedman, Susan A., MD Provider ID #NM010758 BlueLINK ID: 2398088 Breast surgery 717 Encino Pl. NE, Ste. 16, 87102 (505) 248-1518 Fax No. (505) 248-1610 Yates, William D., MD Provider ID #NM009G30 BlueLINK ID: 3250631 Lovelace Sandia Health Systems Gibson General Surgery 5400 Gibson SE, 87108 (505) 262-7281 Smith, Linda Ann, MD Provider ID #NM012617 BlueLINK ID: 3135973 ES 6100 Pan Am Frwy. NE, Ste. 330, 87109 (505) 828-0404 Fax No. (505) 797-2850 Yates, William D., MD Provider ID #NM009G30 BlueLINK ID: 3250631 Lovelace Sandia Health Systems West Mesa General Surgery Clinic 4801 McMahon Blvd. NW, Ste. 210, 87114 (505) 727-2110 Strawn, Dale J., MD Provider ID #NM009G25 BlueLINK ID: 2147952 Lovelace Sandia Health Systems Gibson General Surgery 5400 Gibson SE, 87108 (505) 262-7281 Geriatrics Syme, William C., MD Provider ID #NM009G26 BlueLINK ID: 3252575 Lovelace Sandia Health Systems Gibson General Surgery 5400 Gibson SE, 87108 (505) 262-7281 Terry, Maria L., MD Provider ID #NM009417 BlueLINK ID: 4220977 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Thomas, Marguerite J., MD Provider ID #NM009G28 BlueLINK ID: 3214594 Lovelace Sandia Health Systems Gibson General Surgery 5400 Gibson SE, 87108 (505) 262-7281 Thomas, Marguerite J., MD Provider ID #NM009G28 BlueLINK ID: 3214594 Lovelace Sandia Health Systems West Mesa General Surgery Clinic 4801 McMahon Blvd. NW, Ste. 210, 87114 (505) 727-2110 July 2005 Beck, Amanda, MD Provider ID #NM003636 BlueLINK ID: 3234972 Patients over age 55 University Physicians Associates Medical Arts Center 1101 Medical Arts Ave. NE, Bldg. 2, 87102 (505) 272-6110 Ganga, Lakshmi, MD Provider ID #NM000989 BlueLINK ID: 3135645 Patients over age 18 ES 6100 Pan Am Frwy. NE, Ste. 480, 87109 (505) 821-0321 Fax No. (505) 821-0662 Herman, Carla, MD Provider ID #NM003626 BlueLINK ID: 3276671 Patients over age 65 University Physicians Associates UNM Dept. of Internal Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-1754 Kitzes, Judith Ann, MD Provider ID #NM009E30 BlueLINK ID: 4222380 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4761 Piñon, Suzanne M., MD Provider ID #NM010580 BlueLINK ID: 4134849 Patients age 55 and over University Physicians Associates UNM Dept. of Internal Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-1754 Qaseem, Sandra, MD Provider ID #NM009U28 BlueLINK ID: 6004135 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4750 Romero, Linda, MD Provider ID #NM000231 BlueLINK ID: 3214217 Patients over age 65 ES University Physicians Associates Westside Family & Senior Health Center 4808 McMahon Blvd. NW, 87114 (505) 272-6082 Simpson, Anne R., MD Provider ID #NM004764 BlueLINK ID: 4175455 Patients over age 65 University Physicians Associates UNM Dept. of Internal Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-1754 Gynecological Oncology Ampuero, Francisco, MD Provider ID #NM000149 BlueLINK ID: 2396823 Gyn-oncology only SW Gynecology & Oncology St. Joseph Towers 500 Walter NE, Ste. 508, 87102 (505) 843-7813 Fax No. (505) 843-6947 Ritcher, Nick, MD Provider ID #NM002273 BlueLINK ID: 2323426 Gyn-oncology only SW Gynecology & Oncology St. Joseph Towers 500 Walter NE, Ste. 508, 87102 (505) 843-7813 Fax No. (505) 843-6947 Gynecology Carmona, Consuelo, MD Provider ID #NM000538 BlueLINK ID: 3212596 Gynecology Women's Specialists of NM 6320 Riverside Plaza Ln. NW, Ste. A, 87120 (505) 843-6168 Fax No. (505) 247-9743 See special note See last page for Provider Language Codes legend Jamison, Shauna F., MD Provider ID #NM014846 BlueLINK ID: 3222736 ES Planned Parenthood of New Mexico 719 San Mateo NE, 87108 (505) 265-9511 Fax No. (505) 268-4350 Reuss, Mary L., MD Provider ID #NM009L79 BlueLINK ID: 2145630 Gynecology only, no obstetrics Southwest Women's Sonography 4600 Montgomery NE, Ste. A105, 87109 (505) 875-1583 Fax No. (505) 830-2023 Reuss, Mary L., MD Provider ID #NM009L58 BlueLINK ID: 2145630 ES Women's Specialists of NM 201 Cedar SE, Ste. 5640, 87106 (505) 843-6168 Fax No. (505) 242-9743 Rogers, Rebecca G., MD Provider ID #NM004909 BlueLINK ID: 4133230 ES Planned Parenthood of New Mexico 701 San Mateo NE, 87108 (505) 265-9511 Fax No. (505) 268-4350 Williams, Karen A., MD Provider ID #NM002971 BlueLINK ID: 3136039 Gynecology 883 Lead SE, Ste. A, 87102 (505) 843-7131 Hand Surgery Baack, Brett, MD Provider ID #NM003761 BlueLINK ID: 3271500 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Bernstein, David A., MD Provider ID #NM001823 BlueLINK ID: 3248425 New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4382 Cheema, Tahseen A., MD Provider ID #NM009E43 BlueLINK ID: 2128002 University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-4107 Cuadros, C. Luis, MD Provider ID #NM000545 BlueLINK ID: 3214596 801 Encino Pl. NE, Ste. E1, 87102 (505) 243-7670 59 Specialists Pitcher, David E., MD Provider ID #NM003905 BlueLINK ID: 3334436 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Specialists Specialists Albuquerque Mikola, Elizabeth A., MD Provider ID #NM009612 BlueLINK ID: 4188504 University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-1623 Moneim, Moheb S., MD Provider ID #NM000993 BlueLINK ID: 3135844 University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-1623 Veitch, John M., MD Provider ID #NM009E40 BlueLINK ID: 2398222 University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-4107 Head and Neck Surgery Olson, Garth Trygve, MD Provider ID #NM009588 BlueLINK ID: 4214066 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Hematology/Oncology Agbemadzo, Bernard M., MD Provider ID #NM009F67 BlueLINK ID: 4263403 Lovelace Sandia Health Systems Gibson Hematology/Oncology 5400 Gibson SE, 87108 (505) 262-7170 Ampuero, Francisco, MD Provider ID #NM000149 BlueLINK ID: 2396823 Gyn-oncology only SW Gynecology & Oncology St. Joseph Towers 500 Walter NE, Ste. 508, 87102 (505) 843-7813 Fax No. (505) 843-6947 Binder, Mitchell, MD Provider ID #NM009K12 BlueLINK ID: 2333147 Lovelace Sandia Health Systems Gibson Hematology/Oncology 5400 Gibson SE, 87108 (505) 262-7170 Butros, Linda J., MD Provider ID #NM009S29 BlueLINK ID: 4300395 Pediatrics hematology University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Clark, Douglas A., MD Provider ID #NM004641 BlueLINK ID: 3246467 NM Oncology/Hematology Consultants, Ltd. 4901 Lang Ave. NE, 87109 (505) 842-8171 Duncan, Paul R., MD Provider ID #NM010778 BlueLINK ID: 3135604 Hematology-Oncology Associates 1001 Coal Ave. SE, 87106 (505) 938-5858 Fax No. (505) 938-5859 60 Frost, Jami Dalene, MD Provider ID #NM003544 BlueLINK ID: 3392037 Pediatrics University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Giudice, Richard O., MD Provider ID #NM001035 BlueLINK ID: 3287706 NM Oncology/Hematology Consultants, Ltd. 4901 Lang Ave. NE, 87109 (505) 842-8171 Haskins, Clark E., MD Provider ID #NM001231 BlueLINK ID: 3135698 NM Oncology/Hematology Consultants, Ltd. 4901 Lang Ave. NE, 87109 (505) 842-8171 Heideman, Richard L., MD Provider ID #NM009852 BlueLINK ID: 4151402 ES University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Hochman, Ronald N., MD Provider ID #NM009R72 BlueLINK ID: 6003570 Lovelace Sandia Health Systems Gibson Hematology/Oncology 5400 Gibson SE, 87108 (505) 262-7170 Hromas, Robert A., MD Provider ID #NM009E87 BlueLINK ID: 2102830 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 Hromas, Robert A., MD Provider ID #NM009E86 BlueLINK ID: 2102830 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-5837 Lee, Fa-Chyi, MD Provider ID #NM004876 BlueLINK ID: 4150030 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-5837 Liebmann, James E., MD Provider ID #NM003666 BlueLINK ID: 3389693 NM Oncology/Hematology Consultants, Ltd. 4901 Lang Ave. NE, 87109 (505) 842-8171 Lin, James T., MD Provider ID #NM009M36 BlueLINK ID: 3266400 Patients age 18 and above ES Hematology-Oncology Associates 1001 Coal Ave. SE, 87106 (505) 938-5858 Fax No. (505) 938-5859 Lyons, C. Rick, MD Provider ID #NM009713 BlueLINK ID: 3349316 University Physicians Associates UNM Dept. of Internal Medicine 900 Camino de Salud NE, 87106 (505) 272-6337 Mangalik, Aroop, MD Provider ID #NM009714 BlueLINK ID: 2397953 University Physicians Associates UNM Dept. of Internal Medicine 900 Camino de Salud NE, 87106 (505) 272-6337 Royce, Melanie E., MD Provider ID #NM009M67 BlueLINK ID: 4166081 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-6337 Marshall, Natalie A., MD Provider ID #NM009558 BlueLINK ID: 3370777 Patients over age 18 ES NM Oncology/Hematology Consultants, Ltd. 4901 Lang Ave. NE, 87109 (505) 842-8171 Royce, Melanie E., MD Provider ID #NM009M69 BlueLINK ID: 4166081 University Physicians Associates UNM Dept. of Internal Medicine 900 Camino de Salud NE, 87106 (505) 272-6337 Mathew, Prasad, MD Provider ID #NM004779 BlueLINK ID: 3234867 Pediatrics University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 McAneny, Barbara, MD Provider ID #NM001832 BlueLINK ID: 3135820 NM Oncology/Hematology Consultants, Ltd. 4901 Lang Ave. NE, 87109 (505) 842-8171 McKinnell, James Vance, MD Provider ID #NM009599 BlueLINK ID: 4253755 Pediatrics University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Merin, Jan M., MD Provider ID #NM034518 BlueLINK ID: 3375740 ES New Mexico Oncology Hematology Consultants, Ltd. 4901 Lang Ave. NE, 87109 (505) 842-8171 Fax No. (505) 246-0684 Purdy, Malcolm H., MD Provider ID #NM014805 BlueLINK ID: 3345629 ES Hematology-Oncology Associates 1001 Coal Ave. SE, 87106 (505) 938-5858 Fax No. (505) 938-5859 Rabinowitz, Ian, MD Provider ID #NM009715 BlueLINK ID: 4152292 University Physicians Associates UNM Dept. of Internal Medicine 900 Camino de Salud NE, 87106 (505) 272-6337 Reichard, Kaaren K., MD Provider ID #NM009H90 BlueLINK ID: 4292301 University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-2445 Ritcher, Nick, MD Provider ID #NM002273 BlueLINK ID: 2323426 Gyn-oncology only SW Gynecology & Oncology St. Joseph Towers 500 Walter NE, Ste. 508, 87102 (505) 843-7813 Fax No. (505) 843-6947 See special note See last page for Provider Language Codes legend Saiki, John H., MD Provider ID #NM002396 BlueLINK ID: 3143291 University Physicians Associates UNM Dept. of Internal Medicine 900 Camino de Salud NE, 87106 (505) 272-6337 Sanchez, P. Lorraine, MD Provider ID #NM013370 BlueLINK ID: 3386527 ES Hematology-Oncology Associates 1001 Coal Ave. SE, 87106 (505) 938-5858 Fax No. (505) 938-5859 Verschraegen, Claire F., MD Provider ID #NM009E03 BlueLINK ID: 3372312 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 Vigil, Victor V., MD Provider ID #NM013320 BlueLINK ID: 3355283 Hematology-Oncology Associates 1001 Coal Ave. SE, 87106 (505) 938-5858 Fax No. (505) 938-5859 Weiler, Robert J., MD Provider ID #NM009R17 BlueLINK ID: 3143351 Lovelace Health Systems Gibson Hematology/Oncology 5400 Gibson SE, 87108 (505) 262-7170 Wilson, Carla S., MD-PhD Provider ID #NM009E72 BlueLINK ID: 3389520 Hematopathology University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-2445 Winter, Stuart, MD Provider ID #NM003596 BlueLINK ID: 4106381 Pediatrics University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Infectious Diseases Albanese, Bernadette, MD Provider ID #NM009594 BlueLINK ID: 3254065 Pediatrics University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 July 2005 Specialists Albuquerque Quenzer, Ronald W., MD Provider ID #NM009E37 BlueLINK ID: 3212602 ES TH Infectious Diseases & Internal Medicine Associates 500 Walter NE, Ste. 104, 87102 (505) 848-3730 Fax No. (505) 848-3730 Williams, Steven Bruce, MD Provider ID #NM002977 BlueLINK ID: 3232734 HIV positive only University Physicians Associates UNM Dept. of Internal Medicine 625 Truman St. NE, 87110 (505) 272-1312 Beeley, Peggy Ann, MD Provider ID #NM003526 BlueLINK ID: 3292655 University Physicians Associates UNM Dept. of Internal Medicine 1209 University NE, 87102 (505) 272-4400 Roberts, Thomas C., MD Provider ID #NM001946 BlueLINK ID: 3330206 Infectious Diseases & Internal Medicine Assoc. 500 Walter NE, Ste. 104, 87102 (505) 848-3730 Fax No. (505) 848-3732 Internal Medicine Cerna, Felix, MD Provider ID #NM009F71 BlueLINK ID: 3258023 Lovelace Sandia Health Systems Infectious Disease & Travel Health 5400 Gibson SE, 87108 (505) 262-3730 Chongsiriwatana, Krisna, MD Provider ID #NM000506 BlueLINK ID: 2397654 Infectious Diseases & Internal Medicine Assoc. 500 Walter NE, Ste. 104, 87102 (505) 848-3730 Goade, Diane E., MD Provider ID #NM003951 BlueLINK ID: 3252571 HIV/AIDS University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-1312 Hickey, Sheila, MD Provider ID #NM003602 BlueLINK ID: 4104634 Pediatrics University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Hodgin, Ulton G., MD Provider ID #NM004281 BlueLINK ID: 2397842 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Ross, Jeffrey P., MD Provider ID #NM000185 BlueLINK ID: 3284996 Patients over age 13 Infectious Diseases & Internal Medicine Assoc. 500 Walter NE, Ste. 104, 87102 (505) 848-3730 Scully, Gail, MD Provider ID #NM004881 BlueLINK ID: 3396024 Patients over age 16 ES TH Infectious Diseases & Internal Medicine Assoc. 500 Walter NE, Ste. 104, 87102 (505) 848-3730 Fax No. (505) 848-3732 Sidney, David C., MD Provider ID #NM019A40 BlueLINK ID: 4268484 Patients over age 17 ES TH Infectious Diseases & Internal Medicine Associates 500 Walter NE, Ste. 104, 87102 (505) 848-3730 Fax No. (505) 848-3732 Spyropoulos, Alex, MD Provider ID #NM009F72 BlueLINK ID: 3367122 Lovelace Sandia Health Systems Clinical Thrombosis Center 5400 Gibson SE, 87108 (505) 262-3851 Irizarry, Lourdes M., MD Provider ID #NM01AB40 BlueLINK ID: 3214205 ES University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Stryker, David W., MD Provider ID #NM001062 BlueLINK ID: 3135990 Patients over age 13 ES Infectious Diseases & Internal Medicine Assoc. 500 Walter NE, Ste. 104, 87102 (505) 848-3730 Kellie, Susan, MD Provider ID #NM012794 BlueLINK ID: 3332190 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-5666 Tancik, Corey Alan, MD Provider ID #NM009593 BlueLINK ID: 3259262 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-5666 Mertz, Gregory, MD Provider ID #NM003833 BlueLINK ID: 3212581 University Physicians Associates UNM Dept. of Internal Medicine 625 Truman St. NE, 87110 (505) 272-1312 Thomas, Elaine, MD Provider ID #NM003665 BlueLINK ID: 3369184 ES University Physicians Associates UNM Dept. of Internal Medicine 625 Truman St. NE, 87110 (505) 272-1312 Overturf, Gary, MD Provider ID #NM003755 BlueLINK ID: 2190570 Pediatrics University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 July 2005 Thornton, Karla A., MD Provider ID #NM003543 BlueLINK ID: 3375492 University Physicians Associates UNM Dept. of Internal Medicine 625 Truman St. NE, 87110 (505) 272-1312 Abrams, Jonathan, MD Provider ID #NM000151 BlueLINK ID: 3214202 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Arndell, Cynthia L., MD Provider ID #NM009C29 BlueLINK ID: 4165328 University Physicians Associates UNM Dept. of Internal Medicine 1209 University NE, 87102 (505) 272-4400 Arora, Madhu, MD Provider ID #NM003668 BlueLINK ID: 3373480 University Physicians Associates UNM Dept. of Internal Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-2900 Arora, Sanjeev, MD Provider ID #NM003948 BlueLINK ID: 2298019 HI University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Baker, Bonita K., MD Provider ID #NM031987 BlueLINK ID: 3361848 Physicians Group of Sandia Health Systems Albuquerque Pulmonary Consultants 4705 Montgomery NE, 87109 (505) 727-3100 Fax No. (505) 727-3131 Baker, Bonita K., MD Provider ID #NM031987 BlueLINK ID: 3361848 Physicians Group of Sandia Health Systems Albuquerque Pulmonary Consultants 500 Walter NE, Ste. 206, 87109 (505) 727-3100 Fax No. (505) 727-3131 Bankhurst, Arthur, MD Provider ID #NM003785 BlueLINK ID: 3210750 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-5062 Barakat, Jehad, MD Provider ID #NM009R36 BlueLINK ID: 6003498 AR University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4750 Barol, Samuel, MD Provider ID #NM009E10 BlueLINK ID: 3135489 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4661 See special note See last page for Provider Language Codes legend Baron, Sarah L., MD Provider ID #NM019289 BlueLINK ID: 4231286 Kindred Hospital 700 High St. NE, 87102 (505) 242-4444 Fax No. (505) 242-4445 Specialists Allen, Sarah, MD Provider ID #NM001927 BlueLINK ID: 3212616 HIV/AIDS patients FR University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-5062 Baron, Sarah L., MD Provider ID #NM019289 BlueLINK ID: 4231286 Kindred Sandia 601 Dr. M. L. King Jr. NE, 87102 (505) 727-8802 Fax No. (505) 727-8811 Baron, Sarah L., MD Provider ID #NM019289 BlueLINK ID: 4231286 The Rehabilitation Hospital of NM 505 Elm St. NE, 87102 (505) 727-8000 Beaulieu, James A., MD Provider ID #NM009R15 BlueLINK ID: 6003462 Lovelace Sandia Health Systems Gibson Nephrology 5400 Gibson SE, 87108 (505) 262-7579 Beck, Amanda, MD Provider ID #NM003636 BlueLINK ID: 3234972 Patients over age 55 University Physicians Associates Medical Arts Center 1101 Medical Arts Ave. NE, Bldg. 2, 87102 (505) 272-6110 Boivin, Michael, MD Provider ID #NM009411 BlueLINK ID: 4275031 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4661 Boyle, Patrick J., MD Provider ID #NM003787 BlueLINK ID: 3222743 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Burge, Mark R., MD Provider ID #NM003938 BlueLINK ID: 3361078 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Busby, Helen, MD Provider ID #NM004757 BlueLINK ID: 3340824 ES FR University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Cadman, Christopher S., MD Provider ID #NM009R16 BlueLINK ID: 4115717 Lovelace Sandia Health Systems Gibson Cardiology 5400 Gibson SE, 87108 (505) 262-7451 Fax No. (505) 262-7870 Chang, Betty, MD Provider ID #NM009E31 BlueLINK ID: 4201472 Specializing in pulmonary critical care University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 61 Specialists Specialists Albuquerque Charlton, Gerald Anthony, MD Provider ID #NM003529 BlueLINK ID: 4132746 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Fleet, Margaret E., MD Provider ID #NM009S28 BlueLINK ID: 4248617 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4750 Hromas, Robert A., MD Provider ID #NM009E86 BlueLINK ID: 2102830 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-5837 Colleran, Kathleen M., MD Provider ID #NM004704 BlueLINK ID: 4123430 University Physicians Associates UNM Dept. of Internal Medicine 1209 University NE, 87102 (505) 272-5062 Frankis, Mary B., MD Provider ID #NM009S03 BlueLINK ID: 4114509 ES New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Icenogle, Milton V., MD Provider ID #NM003953 BlueLINK ID: 3367123 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3850 Crowell, Richard E., MD Provider ID #NM003789 BlueLINK ID: 3212571 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 German, Lawrence D., MD Provider ID #NM004276 BlueLINK ID: 2199729 New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Iwamoto, Gary K., MD Provider ID #NM003541 BlueLINK ID: 2102479 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Danemann, Hershel A., MD Provider ID #NM009596 BlueLINK ID: 2397705 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3850 Gerstein, Wendy H., MD Provider ID #NM019214 BlueLINK ID: 5006262 Physicians Group of Sandia Health Systems Inpatient Medicine Services 601 Dr. M. L. King Jr. NE, 87102 (505) 727-8040 Fax No. (505) 727-8086 Jakiche, Antoine F., MD Provider ID #NM009M65 BlueLINK ID: 4132101 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4756 Davis, Dana, MD Provider ID #NM009316 BlueLINK ID: 3263658 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3850 Dipprey, Trisha L., MD Provider ID #NM024899 BlueLINK ID: 4152690 ES Physicians Group of Sandia Health Systems Albuquerque Pulmonary Consultants 505 Walter NE, Ste. 206, 87102 (505) 727-3100 Fax No. (505) 727-3131 Gonzales, David V., MD Provider ID #NM001086 BlueLINK ID: 3143139 ES University Physicians Associates UNM Dept. of Internal Medicine 1209 University NE, 87102 (505) 272-4400 Harding, James, MD Provider ID #NM012542 BlueLINK ID: 3327098 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Doezema, David, MD Provider ID #NM003865 BlueLINK ID: 2397720 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Harford, Antonia, MD Provider ID #NM009088 BlueLINK ID: 3135690 University Physicians Associates UNM Dept. of Internal Medicine 1500 Indian School NE, 87102 (505) 272-4750 Doggett, John W., MD Provider ID #NM009H61 BlueLINK ID: 3331013 Lovelace Sandia Health Systems NM Center for Sleep Medicine 4700 Jefferson NE, Ste. 800, 87109 (505) 872-6000 Harkins, Michelle S., MD Provider ID #NM004858 BlueLINK ID: 4119403 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Dorf, Jeffrey M., MD Provider ID #NM039636 BlueLINK ID: 2252487 ES Chest Medicine of New Mexico 4273 Montgomery NE, Ste. 200E, 87109 (505) 821-5992 Herman, Carla, MD Provider ID #NM003626 BlueLINK ID: 3276671 Patients over age 65 University Physicians Associates UNM Dept. of Internal Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-1754 Dunkelberg, Jeffrey C., MD Provider ID #NM009M27 BlueLINK ID: 3305239 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 Hochman, Ronald N., MD Provider ID #NM009R72 BlueLINK ID: 6003570 Lovelace Sandia Health Systems Gibson Hematology/Oncology 5400 Gibson SE, 87108 (505) 262-7170 Dunkelberg, Jeffrey C., MD Provider ID #NM009H74 BlueLINK ID: 3305239 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-1623 62 Hromas, Robert A., MD Provider ID #NM009E87 BlueLINK ID: 2102830 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 Jutila, Charlotte K., MD Provider ID #NM011442 BlueLINK ID: 2397870 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4750 Kellie, Susan, MD Provider ID #NM012794 BlueLINK ID: 3332190 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-5666 Ketai, Loren, MD Provider ID #NM009E49 BlueLINK ID: 2302963 University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Kistin, Martin, MD Provider ID #NM011511 BlueLINK ID: 2397889 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Kitzes, Judith Ann, MD Provider ID #NM009E30 BlueLINK ID: 4222380 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4761 Klepper, Diane, MD Provider ID #NM003800 BlueLINK ID: 2397904 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Kloeppel, Beverly K., MD Provider ID #NM009405 BlueLINK ID: 4242280 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3850 Krakow, Barry J., MD Provider ID #NM013850 BlueLINK ID: 3212625 ES Maimonides Sleep Arts & Sciences 6739 Academy NE, Ste. 380, 87109 (505) 998-7204 Fax No. (505) 998-7220 Leach, John, MD Provider ID #NM003804 BlueLINK ID: 3213811 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4253 Lee, Fa-Chyi, MD Provider ID #NM004876 BlueLINK ID: 4150030 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-5837 Levy, Howard, MD Provider ID #NM003805 BlueLINK ID: 3242670 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4751 Libby, Edward, MD Provider ID #NM009712 BlueLINK ID: 3247429 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 Lieberman, Margaret A., MD Provider ID #NM042837 BlueLINK ID: 4164671 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-2147 Liem, L. Bing, DO Provider ID #NM004A60 BlueLINK ID: 6003418 ES New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Lovekin, William S., MD Provider ID #NM001671 BlueLINK ID: 2397936 ES New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Lyons, C. Rick, MD Provider ID #NM009713 BlueLINK ID: 3349316 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 Ma, Thomas Y., MD Provider ID #NM009M28 BlueLINK ID: 3304368 ES University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 Kochukoshy, Koshy N., MD Provider ID #NM009E77 BlueLINK ID: 2397895 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4253 See special note See last page for Provider Language Codes legend July 2005 Specialists Madera, George J., MD Provider ID #NM009M99 BlueLINK ID: 2192081 ES University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4750 Madonna, John T., Jr., MD Provider ID #NM009M39 BlueLINK ID: 4137160 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Moseley, Pope L., MD Provider ID #NM003624 BlueLINK ID: 2102205 FR ZA University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Mulloy, Karen, DO Provider ID #NM004738 BlueLINK ID: 3246125 University Physicians Associates UNM Dept. of Internal Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-2900 Newville, Betty L., MD Provider ID #NM019292 BlueLINK ID: 3317017 Kindred Hospital 700 High St. NE, 87102 (505) 242-4444 Fax No. (505) 242-4445 Newville, Betty L., MD Provider ID #NM019292 BlueLINK ID: 3317017 Kindred Sandia 601 Dr. M. L. King Jr. NE, 87102 (505) 727-8802 Fax No. (505) 727-8811 Newville, Betty L., MD Provider ID #NM019292 BlueLINK ID: 3317017 The Rehabilitation Hospital of NM 505 Elm St. NE, 87102 (505) 727-8000 Olmstead, Francine M., MD Provider ID #NM009R09 BlueLINK ID: 5006048 ES Concentra Medical Centers 3811 Commons NE, 87109 (505) 345-9959 Olmstead, Francine M., MD Provider ID #NM009R09 BlueLINK ID: 5006048 ES Concentra Medical Centers 5700 Harper NE, Ste. 110, 87109 (505) 823-9166 Fax No. (505) 858-0030 Olmstead, Francine M., MD Provider ID #NM009R09 BlueLINK ID: 5006048 ES Concentra Medical Centers 801 Encino Pl. NE, Ste. E12, 87102 (505) 842-5151 Fax No. (505) 842-5676 July 2005 Osborn, Larry, MD Provider ID #NM003810 BlueLINK ID: 3214208 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Raizada, Veena, MD Provider ID #NM003834 BlueLINK ID: 3173186 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Schade, David S., MD Provider ID #NM002456 BlueLINK ID: 3212626 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Osman, Farid, MD Provider ID #NM014251 BlueLINK ID: 4225517 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4750 Raj, Domonic, MD Provider ID #NM004217 BlueLINK ID: 4223453 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Ott, Stephanie J., MD Provider ID #NM009P83 BlueLINK ID: 4304679 Albuquerque Regional MC 601 Dr. M. L. King Jr. NE, 87102 (505) 366-2600 Rohrscheib, Mark Robert, MD Provider ID #NM014707 BlueLINK ID: 4158875 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3850 Schuyler, Mark, MD Provider ID #NM003679 BlueLINK ID: 3390813 Adult allergy University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-2553 Ott, Stephanie J., MD Provider ID #NM009P83 BlueLINK ID: 4304679 Northeast Heights MC 4701 Montgomery NE, 87109 (505) 727-7800 Parasher, Gulshan, MD Provider ID #NM009E79 BlueLINK ID: 4276322 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-4755 Parasher, Gulshan, MD Provider ID #NM009E11 BlueLINK ID: 4276322 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4755 Piatek, Marek Z., MD Provider ID #NM009S52 BlueLINK ID: 6003856 ES New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Piñon, Suzanne M., MD Provider ID #NM010580 BlueLINK ID: 4134849 Patients age 55 and over University Physicians Associates UNM Dept. of Internal Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-1754 Qaseem, Sandra, MD Provider ID #NM009U28 BlueLINK ID: 6004135 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4750 Qaseem, Tahir, MD Provider ID #NM009837 BlueLINK ID: 4187656 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 Rabinowitz, Ian, MD Provider ID #NM009715 BlueLINK ID: 4152292 University Physicians Associates UNM Dept. of Internal Medicine 900 Camino de Salud NE, 87106 (505) 272-6337 Roldan, Carlos, MD Provider ID #NM003546 BlueLINK ID: 3396127 ES University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-5062 Ross, Duane L., MD Provider ID #NM033157 BlueLINK ID: 5003762 ES Concentra Medical Centers 5700 Harper NE, Ste. 110, 87109 (505) 823-9166 Fax No. (505) 858-0030 Ross, Duane L., MD Provider ID #NM033157 BlueLINK ID: 5003762 ES Concentra Medical Centers 801 Encino Pl. NE, Ste. E12, 87102 (505) 842-5151 Fax No. (505) 842-5676 Ross, Jeffrey P., MD Provider ID #NM009U61 BlueLINK ID: 3284996 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Roy, Praveen K., MD Provider ID #NM009U05 BlueLINK ID: 4324651 HI University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Royce, Melanie E., MD Provider ID #NM009M67 BlueLINK ID: 4166081 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-6337 Royce, Melanie E., MD Provider ID #NM009M69 BlueLINK ID: 4166081 University Physicians Associates UNM Dept. of Internal Medicine 900 Camino de Salud NE, 87106 (505) 272-6337 Saiki, John H., MD Provider ID #NM002396 BlueLINK ID: 3143291 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 See special note See last page for Provider Language Codes legend Specialists Ma, Thomas Y., MD Provider ID #NM009703 BlueLINK ID: 3304368 ES University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Albuquerque Seibel, John A., MD Provider ID #NM002487 BlueLINK ID: 3135953 201 Cedar SE, Ste. 502, 87106 (505) 224-7700 Serkland, Lori A., MD Provider ID #NM009S40 BlueLINK ID: 4323920 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4253 Seyko, Robert S., MD Provider ID #NM019300 BlueLINK ID: 3249655 Associated Hospitalists, PC 700 High St. NE, 87102 (505) 465-2879 Fax No. (505) 465-5424 Sheldon, Mark W., MD Provider ID #NM009414 BlueLINK ID: 4245633 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Sibbitt, Wilmer L., Jr., MD Provider ID #NM002572 BlueLINK ID: 3212631 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Sklar, David P., MD Provider ID #NM003882 BlueLINK ID: 3212556 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Spector, Monroe H., MD Provider ID #NM009M29 BlueLINK ID: 2398114 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 Spector, Monroe H., MD Provider ID #NM004289 BlueLINK ID: 2398114 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Strickland, Robert, MD Provider ID #NM009M30 BlueLINK ID: 3143324 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-1623 63 Specialists Specialists Albuquerque Strickland, Robert, MD Provider ID #NM003817 BlueLINK ID: 3143324 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Stutzman, Charles D., MD Provider ID #NM009665 BlueLINK ID: 2398130 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-5622 Stutzman, Charles D., MD Provider ID #NM014799 BlueLINK ID: 2398130 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3850 Sun, Yijuan, MD Provider ID #NM009M88 BlueLINK ID: 6003384 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4750 Tandberg, W. Dan, MD Provider ID #NM003904 BlueLINK ID: 3210727 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-5062 Taylor, Robert A., MD Provider ID #NM009173 BlueLINK ID: 4109679 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Timm, Thomas Craig, MD Provider ID #NM003818 BlueLINK ID: 3319527 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Tzamaloukas, Antonios Helias, MD Provider ID #NM009E36 BlueLINK ID: 4168815 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Vall Spinosa, Arthur, MD Provider ID #NM019637 BlueLINK ID: 2398208 Manzano Medical Group 505 Elm NE, 87125 (505) 727-4919 Fax No. (505) 727-4915 Van Pelt, Jean E., MD Provider ID #NM009R44 BlueLINK ID: 6003517 Lovelace Sandia Health Systems 5400 Gibson SE, 87108 (505) 262-7000 Vos, Evert, MD Provider ID #NM009M68 BlueLINK ID: 6003233 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4253 64 Waitzkin, Howard, MD Provider ID #NM004954 BlueLINK ID: 2142689 ES DE PT University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1722 Weiler, Robert J., MD Provider ID #NM009R17 BlueLINK ID: 3143351 Lovelace Health Systems Gibson Hematology/Oncology 5400 Gibson SE, 87108 (505) 262-7170 Wiener, Melissa, MD Provider ID #NM009M42 BlueLINK ID: 6003030 Physicians Group of Sandia Health Systems 601 Dr. M. L. King Jr. NE, 87102 (505) 727-8855 Zager, Phillip, MD Provider ID #NM009087 BlueLINK ID: 2142279 University Physicians Associates UNM Dept. of Internal Medicine 1500 Indian School NE, 87102 (505) 272-4750 Zamanian, Mahmood R., MD Provider ID #NM029E28 BlueLINK ID: 4177592 ES FR FA Geriatrics Associates, PC 103 Hospital Lp. NE, 87109 (505) 348-8300 Fax No. (505) 348-8270 Zamanian, Mahmood R., MD Provider ID #NM029E28 BlueLINK ID: 4177592 ES FR FA Geriatrics Associates, PC 500 Louisiana NE, 87108 (505) 255-1717 Fax No. (505) 266-9362 Zerate, Calina B., MD Provider ID #NM019G11 BlueLINK ID: 3397397 Lovelace Sandia Health Systems Gibson Rehabilitation 601 Dr. M. L. King Jr. NE, 87102 (505) 727-8040 Fax No. (505) 727-8086 Medical Oncology Patt, Yehuda Z., MD Provider ID #NM009U30 BlueLINK ID: 6004140 ES IW EL University Physicians Associates UNM Dept. of Internal Medicine 900 Camino de Salud NE, 87106 (505) 272-6337 Neonatology Alverson, Dale C., MD Provider ID #NM003837 BlueLINK ID: 3210741 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Gray, Susan M., MD Provider ID #NM009M32 BlueLINK ID: 3135671 Newborn to 18 months Pediatrix Medical Group 1100 Central Ave. SE, 87106 (505) 841-1994 Fax No. (505) 222-2346 Hallinan, Virginia, MD Provider ID #NM001298 BlueLINK ID: 5002743 Pediatrix Medical Group 1100 Central Ave. SE, 87106 (505) 841-1049 Fax No. (505) 841-3371 Lauriello, Naomi, MD Provider ID #NM001273 BlueLINK ID: 5002729 Pediatrix Medical Group 1100 Central Ave. SE, 87106 (505) 841-1049 Fax No. (505) 841-3371 Leonard, Rebecca, MD Provider ID #NM001295 BlueLINK ID: 5002740 Pediatrix Medical Group 1100 Central Ave. SE, 87106 (505) 841-3371 Lopez, Suzanne M., MD Provider ID #NM009M54 BlueLINK ID: 3273257 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Nederoff, Randy, MD Provider ID #NM001274 BlueLINK ID: 5002730 Pediatrix Medical Group 1100 Central Ave. SE, 87106 (505) 841-1049 Fax No. (505) 841-3371 Ohls, Robin K., MD Provider ID #NM003600 BlueLINK ID: 3330830 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Papile, Lucille A., MD Provider ID #NM003888 BlueLINK ID: 3212555 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Poland, Ronald L., MD Provider ID #NM009601 BlueLINK ID: 2248318 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Savich, Renate D., MD Provider ID #NM003758 BlueLINK ID: 3222723 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Swetnam, Sydney, MD Provider ID #NM002700 BlueLINK ID: 3214219 Pediatrix Medical Group 1100 Central Ave. SE, 87106 (505) 841-1049 Fax No. (505) 841-3371 Watterberg, Kristi, MD Provider ID #NM003022 BlueLINK ID: 3255905 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Wilson, Odell, MD Provider ID #NM009S85 BlueLINK ID: 6003930 Pediatrix Medical Group 1100 Central Ave. SE, 87106 (505) 563-6391 Fax No. (505) 222-2346 See special note See last page for Provider Language Codes legend Nephrology Brandt, John R., MD Provider ID #NM004917 BlueLINK ID: 3292711 Pediatric nephrology University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-6632 Chattopadhyay, Pranab K., MD Provider ID #NM009L41 BlueLINK ID: 3253444 Lovelace Sandia Health Systems Gibson Nephrology 5400 Gibson SE, 87108 (505) 262-7579 Fleet, Margaret E., MD Provider ID #NM009S28 BlueLINK ID: 4248617 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4750 Fox, Lucy, MD Provider ID #NM013906 BlueLINK ID: 3331015 Renal Medicine Associates 201 Cedar SE, Ste. 800, 87106 (505) 563-2800 Fax No. (505) 242-4462 Gabrys, Kirby D., MD Provider ID #NM003328 BlueLINK ID: 3278806 Renal Medicine Associates 201 Cedar SE, Ste. 800, 87106 (505) 563-2800 Harford, Antonia, MD Provider ID #NM009088 BlueLINK ID: 3135690 Transplant University Physicians Associates UNM Dept. of Internal Medicine 1500 Indian School NE, 87102 (505) 272-4750 Helms, Elizabeth J., MD Provider ID #NM009G84 BlueLINK ID: 4279524 ES DE Renal Medicine Associates 201 Cedar SE, Ste. 800, 87106 (505) 563-2800 Fax No. (505) 563-2821 Kundeling, Sonam P., MD Provider ID #NM009047 BlueLINK ID: 4221373 ES HI Renal Medicine Associates 201 Cedar SE, Ste. 800, 87106 (505) 563-2800 Fax No. (505) 563-2821 Miller, Robert B., MD Provider ID #NM009304 BlueLINK ID: 4121285 Pediatrics ES Renal Medicine Associates 201 Cedar SE, Ste. 800, 87106 (505) 563-2800 Osman, Farid, MD Provider ID #NM014251 BlueLINK ID: 4225517 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4750 July 2005 Specialists Rohrscheib, Mark Robert, MD Provider ID #NM014707 BlueLINK ID: 4158875 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3850 Saddler, Mark C., MD Provider ID #NM009025 BlueLINK ID: 3346953 ES Renal Medicine Associates 201 Cedar SE, Ste. 800, 87106 (505) 563-2800 Fax No. (505) 563-2821 Saenz, Kristin K., MD Provider ID #NM009E91 BlueLINK ID: 3347413 ES Renal Medicine Associates 201 Cedar SE, Ste. 800, 87106 (505) 563-2800 Fax No. (505) 563-2821 Sanders, Leonard, MD Provider ID #NM009F98 BlueLINK ID: 4172672 Lovelace Sandia Health Systems Gibson Nephrology 5400 Gibson SE, 87108 (505) 262-7579 Sun, Yijuan, MD Provider ID #NM009M88 BlueLINK ID: 6003384 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4750 Tzamaloukas, Antonios Helias, MD Provider ID #NM009E36 BlueLINK ID: 4168815 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Wong, Craig, MD Provider ID #NM009206 BlueLINK ID: 4179310 Pediatrics University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-6632 Barrett, Douglas W., MD Provider ID #NM010308 BlueLINK ID: 3135490 Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 822-8122 Berger, Mark L., MD Provider ID #NM000301 BlueLINK ID: 3135508 New Mexico Neurology Associates St. Joseph Medical Towers 500 Walter NE, Ste. 306, 87102 (505) 727-7565 Fax No. (505) 727-7557 Berger, Mark L., MD Provider ID #NM009E18 BlueLINK ID: 3135508 University Physicians Associates UNM Dept. of Neurology 2211 Lomas NE, 87106 (505) 272-1623 Bicknell, Joseph M., MD Provider ID #NM003734 BlueLINK ID: 3135512 Electromyography University Physicians Associates UNM Dept. of Neurology 2211 Lomas NE, 87106 (505) 272-1623 Carlow, Thomas J., MD Provider ID #NM009582 BlueLINK ID: 3135552 Neuroopthalmology University Physicians Associates UNM Dept. of Neurology 2211 Lomas NE, 87106 (505) 272-1623 Chapin, John E., MD Provider ID #NM009669 BlueLINK ID: 3383781 University Physicians Associates UNM Dept. of Neurology 2211 Lomas NE, 87106 (505) 272-3160 Davis, Larry E., MD Provider ID #NM009U73 BlueLINK ID: 32320234 University Physicians Associates UNM Dept. of Neurology 2211 Lomas NE, 87106 (505) 272-3160 Edmonds, Elaine S., MD Provider ID #NM009S27 BlueLINK ID: 3292465 University Physicians Associates UNM Dept. of Neurology 2211 Lomas NE, 87106 (505) 272-3160 Zager, Phillip, MD Provider ID #NM009087 BlueLINK ID: 2142279 University Physicians Associates UNM Dept. of Internal Medicine 1500 Indian School NE, 87102 (505) 272-4750 Ford, Corey, MD Provider ID #NM003736 BlueLINK ID: 3101766 Multiple sclerosis University Physicians Associates UNM Dept. of Neurology 2211 Lomas NE, 87106 (505) 272-1623 Neurology Freedman, Michael, MD Provider ID #NM010981 BlueLINK ID: 3143124 Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87102 (505) 823-1010 Fax No. (505) 822-8122 Adair, John, MD Provider ID #NM003623 BlueLINK ID: 3290900 Specializing in alzheimers/ dementia University Physicians Associates UNM Dept. of Neurology 2211 Lomas NE, 87106 (505) 272-1623 July 2005 Graham, Glenn D., MD-PhD Provider ID #NM004759 BlueLINK ID: 3230443 Cerebrovascular diseases FR University Physicians Associates UNM Dept. of Neurology 2211 Lomas NE, 87106 (505) 272-1623 Grigg-Damberger, Madeline M., MD Provider ID #NM011679 BlueLINK ID: 3115174 University Physicians Associates UNM Dept. of Neurology 2211 Lomas NE, 87106 (505) 272-1623 Gurule, Manuel A., MD Provider ID #NM009677 BlueLINK ID: 4245635 ES New Mexico Neurology Associates St. Joseph Medical Towers 500 Walter NE, Ste. 306, 87102 (505) 727-7565 Fax No. (505) 727-7557 Harris, Susan, MD Provider ID #NM009F96 BlueLINK ID: 5009652 Lovelace Medical Center 5400 Gibson SE, 87108 (505) 262-7250 Johnson, Mary Ida, MD Provider ID #NM004282 BlueLINK ID: 3228372 Pediatrics University Physicians Associates UNM Dept. of Neurology 2211 Lomas NE, 87106 (505) 272-3342 Katzman, Joanna, MD Provider ID #NM004726 BlueLINK ID: 3376812 Neurorehabilitation ES University Physicians Associates UNM Dept. of Neurology 915 Camino de Salud NE, 87106 (505) 272-3160 Keene, Camille, MD Provider ID #NM009F95 BlueLINK ID: 3360634 Lovelace Sandia Health Systems Gibson Neurology 5400 Gibson SE, 87108 (505) 262-7250 Knoefel, Janice Emma, MD Provider ID #NM003553 BlueLINK ID: 2154942 University Physicians Associates UNM Dept. of Internal Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-1754 Marjama-Lyons, Jill, MD Provider ID #NM009S48 BlueLINK ID: 3384243 Marjama, Inc. 7000 Jefferson NE, 87109 (505) 344-9478 Marjama-Lyons, Jill, MD Provider ID #NM009U76 BlueLINK ID: 3384243 ES University Physicians Associates UNM Dept. of Neurology 2211 Lomas NE, 87106 (505) 272-3160 Mladinich, E. Kenneth, MD Provider ID #NM009M63 BlueLINK ID: 3207873 University Physicians Associates UNM Dept. of Neurology 2211 Lomas NE, 87106 (505) 272-1623 See special note See last page for Provider Language Codes legend Moravek, Jonathan F., MD Provider ID #NM009R27 BlueLINK ID: 6003492 University Physicians Associates UNM Dept. of Neurology 2211 Lomas NE, 87106 (505) 272-1623 Specialists Raj, Domonic, MD Provider ID #NM004217 BlueLINK ID: 4223453 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-3840 Albuquerque Morrison, Leslie A., MD Provider ID #NM003910 BlueLINK ID: 3334441 Pediatric neurology University Physicians Associates UNM Dept. of Neurology 2211 Lomas NE, 87106 (505) 272-1623 Phillips, John Patrick, MD Provider ID #NM004768 BlueLINK ID: 3222728 Pediatric neurorehabilitation University Physicians Associates Carrie Tingley Hospital 1127 University NE, 87102 (505) 272-5200 Quintana, George J., MD Provider ID #NM009L90 BlueLINK ID: 6003262 Lovelace Sandia Health Systems Gibson Neurology 5400 Gibson SE, 87108 (505) 262-7250 Rosenberg, Gary, MD Provider ID #NM003741 BlueLINK ID: 3143285 Dementia University Physicians Associates UNM Dept. of Neurology 2211 Lomas NE, 87106 (505) 272-1623 Seelinger, Donald F., MD Provider ID #NM009060 BlueLINK ID: 2398089 University Physicians Associates UNM Dept. of Neurology 2211 Lomas NE, 87106 (505) 272-1623 Shibuya, Daniel G., MD Provider ID #NM012707 BlueLINK ID: 4104105 Patients over age 4 Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 822-8122 Shih, Jerry J., MD Provider ID #NM003979 BlueLINK ID: 3340649 Electrophysiology ZH University Physicians Associates UNM Dept. of Neurology 2211 Lomas NE, 87106 (505) 272-1623 Snyder, Russell D., MD Provider ID #NM003824 BlueLINK ID: 3143318 Pediatrics University Physicians Associates UNM Dept. of Neurology 2211 Lomas NE, 87106 (505) 272-1623 Suter, Cary, MD Provider ID #NM009F77 BlueLINK ID: 3135992 Lovelace Sandia Health Systems Gibson Neurology 5400 Gibson SE, 87108 (505) 262-7250 65 Specialists Specialists Albuquerque Thompson, Stephen, MD Provider ID #NM003742 BlueLINK ID: 3191055 University Physicians Associates UNM Dept. of Neurology 2211 Lomas NE, 87106 (505) 272-1623 Sos, Alejandro, MD Provider ID #NM009R74 BlueLINK ID: 2179851 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-3160 Vickers, Jennifer, MD Provider ID #NM003658 BlueLINK ID: 3384793 Specializing in pediatric neurology University Physicians Associates UNM Dept. of Neurology 2211 Lomas NE, 87106 (505) 272-1623 Turner, Paul T., MD Provider ID #NM009671 BlueLINK ID: 3136003 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-3160 Yonas, Howard, MD Provider ID #NM009U85 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-3160 Neurosurgery Erasmus, Mark D., MD Provider ID #NM019176 BlueLINK ID: 3143113 Lovelace Sandia Health Systems NM Neurosurgery 522 Lomas NE, 87102 (505) 247-4253 Hankinson, Hal L., MD Provider ID #NM019175 BlueLINK ID: 2397814 Lovelace Sandia Health Systems NM Neurosurgery 522 Lomas NE, 87102 (505) 247-4253 Henderson, Brett R., MD Provider ID #NM009600 BlueLINK ID: 4243271 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-3160 Keep, Marcus F., MD Provider ID #NM009853 BlueLINK ID: 4120356 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-3160 McMorrow, Christine M., MD Provider ID #NM009M81 BlueLINK ID: 6003358 Lovelace Sandia Health Systems NM Neurosurgery 522 Lomas NE, 87102 (505) 247-4253 Fax No. (505) 242-3414 Metzger, Andrew K., MD Provider ID #NM029548 BlueLINK ID: 4202358 Southwest Neurosurgical Associates 500 Walter NE, Ste. 501, 87102 (505) 244-0080 Fax No. (505) 244-9048 Oldershaw, John, MD Provider ID #NM009610 BlueLINK ID: 3113639 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-3160 Shields, Phillip T., MD Provider ID #NM009S62 BlueLINK ID: 3311956 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-3160 66 Nuclear Medicine Agha, Farooq P., MD Provider ID #NM009C34 BlueLINK ID: 2349305 Radiology Associates of Albuquerque Imaging 4411 The 25 Way NE, Ste. 150, 87109 (505) 559-6266 Fax No. (505) 247-9108 Akiya, Fredrick I., MD Provider ID #NM009C35 BlueLINK ID: 3275004 Radiology Associates of Albuquerque Imaging 4411 The 25 Way NE, Ste. 150, 87109 (505) 559-6266 Fax No. (505) 247-9108 Lee, Ihn P., MD Provider ID #NM009C41 BlueLINK ID: 3274963 Radiology Associates of Albuquerque Imaging 4411 The 25 Way NE, Ste. 150, 87109 (505) 559-6266 Fax No. (505) 247-9108 Boyd, Curtis W., MD Provider ID #NM000353 BlueLINK ID: 3214177 Pregnant females ES 801 Encino Pl. NE, Ste. C-2, 87102 (505) 242-7512 Fax No. (505) 242-0540 Bramanti, Henry R., MD Provider ID #NM024647 BlueLINK ID: 2221455 Pregnant females ES 801 Encino Pl. NE, Ste. C2, 87102 (505) 242-7512 Fax No. (505) 242-0540 Byrn, Francis, MD Provider ID #NM003704 BlueLINK ID: 3178563 Reproductive endocrinology & infertility University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-1272 Chavez, Louisa G., MD Provider ID #NM001900 BlueLINK ID: 3299561 4705 Montgomery NE, Ste. 102, 87109 (505) 880-1234 Clapp, Nadine A., MD Provider ID #NM002285 BlueLINK ID: 2397357 ES 4705 Montgomery NE, Ste. 301, 87109 (505) 888-0443 Meholic, Andrew, MD Provider ID #NM009E52 BlueLINK ID: 3212587 University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Connors, Carl J., DO Provider ID #NM004926 BlueLINK ID: 3279131 Sandia Ob/Gyn Associates 4705 Montgomery NE, Ste. 105, 87109 (505) 727-3280 Fax No. (505) 727-3282 Stevenson, James R., MD Provider ID #NM009C43 BlueLINK ID: 3209305 Radiology Associates of Albuquerque Imaging 4411 The 25 Way NE, Ste. 150, 87109 (505) 559-6266 Fax No. (505) 247-9108 Cunnane, Mary, MD Provider ID #NM000606 BlueLINK ID: 3135590 ES Women's Specialists of NM 201 Cedar SE, Ste. 5640, 87106 (505) 843-6168 Fax No. (505) 247-9743 Williamson, Michael, MD Provider ID #NM003870 BlueLINK ID: 2346490 University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Curet, Luis B., MD Provider ID #NM003706 BlueLINK ID: 2284784 Maternal fetal medicine University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-2319 Obstetrics/Gynecology Baskin, Harold F., MD Provider ID #NM000221 BlueLINK ID: 2397175 1010 Lead SE, Ste. 2, 87106 (505) 843-6181 Bennett, John A., MD Provider ID #NM010298 BlueLINK ID: 3143041 Assisting gynecology & surgery 8200 Rio Grande Blvd. NW, 87114 (505) 890-1730 Deyhle, Ronald R., MD Provider ID #NM010682 BlueLINK ID: 2397712 Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 822-8122 Dorin, Maxine H., MD Provider ID #NM009G44 BlueLINK ID: 3212617 ES Planned Parenthood of New Mexico 701 San Mateo NE, 87108 (505) 265-9511 Fax No. (505) 266-1017 See special note See last page for Provider Language Codes legend Dorin, Maxine H., MD Provider ID #NM009923 BlueLINK ID: 3212617 Gynecology/urogynecology University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-2245 Dorin, Maxine H., MD Provider ID #NM013708 BlueLINK ID: 3212617 Gynecology/urogynecology University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-2319 Elder, Gileen G., MD Provider ID #NM000468 BlueLINK ID: 4124379 ES Women's Specialists of NM 6320 Riverside Plaza Ln. NW, Ste. A, 87120 (505) 843-6168 Fax No. (505) 247-9743 Espey, Eve L., MD Provider ID #NM009L13 BlueLINK ID: 3311235 ES Planned Parenthood of New Mexico 701 San Mateo NE, 87108 (505) 265-4511 Fax No. (505) 266-1017 Espey, Eve L., MD Provider ID #NM002027 BlueLINK ID: 3311235 University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-2319 Fernandez, Joseph I., MD Provider ID #NM012505 BlueLINK ID: 3334433 FR Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 822-8122 Fisk, Frances M., MD Provider ID #NM010929 BlueLINK ID: 3246820 801 Encino Pl. NE, Ste. D5, 87102 (505) 242-5353 Fax No. (505) 242-9788 Flax, Michael G., MD Provider ID #NM000908 BlueLINK ID: 3135626 8120 Constitution NE, Ste. 220, 87110 (505) 292-5534 Garcia, Amy L., MD Provider ID #NM009C65 BlueLINK ID: 4235088 ES Women's Specialists of NM 201 Cedar SE, Ste. 5640, 87106 (505) 843-6168 Fax No. (505) 247-9743 Garcia, Elizabeth G., MD Provider ID #NM004156 BlueLINK ID: 4191003 ES Women's Specialists of NM 6320 Riverside Plaza Ln. NW, Ste. A, 87120 (505) 843-6168 Fax No. (505) 247-9743 July 2005 Specialists Albuquerque Krell, Douglas J., MD Provider ID #NM019L12 BlueLINK ID: 3214196 Physicians Group of Sandia Health Systems Lovelace Women's Health 4705 Montgomery NE, Ste. 201, 87109 (505) 262-7291 Gough, Steven R., MD Provider ID #NM009623 BlueLINK ID: 6316844 Women's Specialists of NM 201 Cedar SE, Ste. 5640, 87106 (505) 843-6168 Fax No. (505) 247-9743 Leeman, Lawrence M., MD Provider ID #NM009L44 BlueLINK ID: 3210733 ES Planned Parenthood of New Mexico 701 San Mateo NE, 87108 (505) 265-5976 Fax No. (505) 266-1017 Harrison, William A., MD Provider ID #NM001175 BlueLINK ID: 3135693 Gynecology 4705 Montgomery NE, Ste. 201, 87109 (505) 888-0443 Hopkins, Frederick W., MD Provider ID #NM009R88 BlueLINK ID: 6003652 Pregnancy terminations through 22.5 ES SW 801 Encino Pl. NE, Ste. C-2, 87102 (505) 242-7512 Fax No. (505) 242-0540 Email: [email protected] Jamison, Shauna F., MD Provider ID #NM003713 BlueLINK ID: 3222736 Adolescent gynecology University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-2319 Joffe, Gary M., MD Provider ID #NM009U74 BlueLINK ID: 3263663 University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, 87106 (505) 272-4051 Kennedy, Kathleen, MD Provider ID #NM004888 BlueLINK ID: 4181621 University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, 87106 (505) 272-2245 Kerr, Nancy L., MD Provider ID #NM003145 BlueLINK ID: 3135751 4705 Montgomery NE, Ste. 301, 87109 (505) 888-0443 Fax No. (505) 888-1398 Komadina, Steven A., MD Provider ID #NM009535 BlueLINK ID: 2397898 Women's Health Horizons 4705 Montgomery NE, Ste. 105, 87109 (505) 893-2840 Komadina, Steven A., MD Provider ID #NM009535 BlueLINK ID: 2397898 Women's Health Horizons 4801 McMahon Blvd. NW, Ste. 101, 87114 (505) 893-2840 Komesu, Yuko, MD Provider ID #NM009G66 BlueLINK ID: 2397899 Lovelace Medical Center 5400 Gibson SE, 87108 (505) 262-7000 July 2005 Leonard, Lisa A., MD Provider ID #NM009M07 BlueLINK ID: 5010173 Lovelace Sandia Health Systems Lovelace Women's Health 4705 Montgomery NE, Ste. 201, 87109 (505) 262-7291 Leslie, Kimberly K., MD Provider ID #NM009851 BlueLINK ID: 3290733 ES University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-2245 Lewis-Bliehall, Cynthia, MD Provider ID #NM009A42 BlueLINK ID: 4267561 University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, 87106 (505) 272-2245 Magarelli, Paul C., MD Provider ID #NM009M72 BlueLINK ID: 3385642 University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, 87106 (505) 272-3886 Mark, Mary E., MD Provider ID #NM001727 BlueLINK ID: 3135807 ES Women's Specialists of NM 6320 Riverside Plaza Ln. NW, Ste. A, 87120 (505) 843-6168 Fax No. (505) 247-9743 McGinnis, Patrick, MD Provider ID #NM014562 BlueLINK ID: 4214235 Lovelace Sandia Health Systems Journal Center OB/GYN 5150 Journal Center Blvd. NE, 87109 (505) 262-3218 Moore, Lisa E., MD Provider ID #NM009M12 BlueLINK ID: 4221868 University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, 87106 (505) 272-2245 Muller, Carolyn, MD Provider ID #NM009U06 BlueLINK ID: 3326065 University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, 87106 (505) 272-2319 Ogburn, Joseph A., MD Provider ID #NM009G90 BlueLINK ID: 4153757 ES Planned Parenthood of New Mexico 701 San Mateo NE, 87108 (505) 265-4511 Fax No. (505) 266-1017 Ogburn, Joseph A., MD Provider ID #NM004717 BlueLINK ID: 4153757 University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-2245 Okun, Rebecca C., MD Provider ID #NM001759 BlueLINK ID: 3282950 Women's Specialists of NM 201 Cedar SE, Ste. 5640, 87106 (505) 843-6168 Fax No. (505) 247-9743 Padilla, Luis A., MD Provider ID #NM009N40 BlueLINK ID: 4178393 ES Southwest Gynecologic Oncology Associates, Inc. 500 Walter NE, 87102 (505) 843-7813 Fax No. (505) 843-6947 Padilla, Luis A., MD Provider ID #NM009830 BlueLINK ID: 4178393 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 Peng, Vicky, MD Provider ID #NM009J04 BlueLINK ID: 4244593 Lovelace Sandia Health Systems Gibson OB/GYN 5400 Gibson SE, 87108 (505) 262-7291 Penikas, Jeffrey, MD Provider ID #NM009J03 BlueLINK ID: 3334565 Lovelace Sandia Health Systems Lovelace Women's Health 4705 Montgomery NE, Ste. 302, 87109 (505) 262-7291 Phelan, Sharon, MD Provider ID #NM009203 BlueLINK ID: 3210726 University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-2245 Pucka, Beverly A., MD Provider ID #NM002210 BlueLINK ID: 2398039 1010 Lead SE, Ste. 1, 87106 (505) 842-8741 Quinama, Finda L., MD Provider ID #NM009L32 BlueLINK ID: 4295938 ES Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 797-4503 Musello, Kate M., MD Provider ID #NM004142 BlueLINK ID: 2270052 881 Lead SE, 87102 (505) 242-6899 Fax No. (505) 247-9064 See special note See last page for Provider Language Codes legend Rappaport, Valerie J., MD Provider ID #NM003555 BlueLINK ID: 2193428 Maternal fetal medicine University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-6611 Specialists Godinez, Milton, MD Provider ID #NM001047 BlueLINK ID: 2346482 ES First Choice Community Healthcare South Valley Clinic 2001 N. Centro Familiar SW, 87105 (505) 873-7400 Fax No. (505) 877-4400 Rayburn, William F., MD Provider ID #NM004775 BlueLINK ID: 2268077 Maternal fetal medicine University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-2319 Rogers, Rebecca G., MD Provider ID #NM003537 BlueLINK ID: 4133230 ES University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-2319 Shelburne, Paul, MD Provider ID #NM009J01 BlueLINK ID: 3339461 Lovelace Sandia Health Systems Lovelace Women's Health 4705 Montgomery NE, Ste. 302, 87109 (505) 262-7291 Shoden, Rebecca J., MD Provider ID #NM002681 BlueLINK ID: 3207884 DE 883 Lead SE, Ste. A, 87102 (505) 247-8820 Fax No. (505) 247-9064 Smith, Harriet, MD Provider ID #NM009716 BlueLINK ID: 3142253 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 Smith, Harriet, MD Provider ID #NM003717 BlueLINK ID: 3142253 University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-2839 Smith, Mary E., MD Provider ID #NM009S58 BlueLINK ID: 6003871 Female pregnancy terminations ES 801 Encino Pl. NE, Ste. C-2, 87102 (505) 242-7512 Fax No. (505) 242-0540 Teicher, Joel, MD Provider ID #NM009J02 BlueLINK ID: 3317876 Lovelace Sandia Health Systems Gibson OB/GYN 5400 Gibson SE, 87108 (505) 262-7291 Thompson, D. James, MD Provider ID #NM009632 BlueLINK ID: 3143332 Reproductive endocrinology & infertility Center for Reproductive Medicine of NM 201 Cedar SE, Ste. LL20, 87106 (505) 247-3333 Fax No. (505) 224-7476 67 Specialists Specialists Albuquerque Van Someren, Julie K., MD Provider ID #NM001792 BlueLINK ID: 4155551 Women's Specialists of NM 201 Cedar SE, Ste. 5640, 87106 (505) 843-6168 Fax No. (505) 247-9743 Villarreal, Analisa, MD Provider ID #NM009534 BlueLINK ID: 4242918 ES Women's Specialists of NM 201 Cedar SE, Ste. 5640, 87106 (505) 843-6168 Fax No. (505) 247-9743 Lewis, Wood V., MD Provider ID #NM009S12 BlueLINK ID: 3212584 ES Concentra Medical Centers 801 Encino Pl. NE, Ste. E12, 87102 (505) 842-5151 Fax No. (505) 842-5676 Mulloy, Karen, DO Provider ID #NM004738 BlueLINK ID: 3246125 University Physicians Associates UNM Dept. of Internal Medicine 4808 McMahon Blvd. NW, 87114 (505) 272-2900 Waxman, Alan G., MD Provider ID #NM009134 BlueLINK ID: 4227459 University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-2245 Zepeda, Maria C., MD Provider ID #NM009R40 BlueLINK ID: 3210743 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4750 Wills, Krista M., MD Provider ID #NM010261 BlueLINK ID: 3212610 Women's Specialists of NM 201 Cedar SE, Ste. 5640, 87106 (505) 843-6168 Fax No. (505) 247-9743 Ophthalmology Wurzel, James P., MD Provider ID #NM009M19 BlueLINK ID: 4295174 ES Women's Specialists of NM 201 Cedar SE, Ste. 5640, 87106 (505) 843-6168 Fax No. (505) 247-9743 Ziwasimon, Andru, MD Provider ID #NM009L86 BlueLINK ID: 4259332 Pregnant females ES 801 Encino Pl. NE, Ste. C-2, 87102 (505) 242-7512 Fax No. (505) 242-0540 Zsemlye, Meggan, MD Provider ID #NM004877 BlueLINK ID: 4202960 University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-2245 Occupational Medicine Cohn, Thomas G., MD Provider ID #NM000641 BlueLINK ID: 5002394 Rehabilitation & Occupational Medicine 3811 Commons NE, 87109 (505) 345-9599 Lewis, Wood V., MD Provider ID #NM009S12 BlueLINK ID: 3212584 ES Concentra Medical Centers 3811 Commons NE, 87109 (505) 345-9599 Lewis, Wood V., MD Provider ID #NM009S12 BlueLINK ID: 3212584 ES Concentra Medical Centers 5700 Harper NE, Ste. 110, 87109 (505) 823-9166 Fax No. (505) 858-0030 68 Allen, Richard Cutler, MD Provider ID #NM009E34 BlueLINK ID: 4209677 ES University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2553 Avery, Robert B., MD Provider ID #NM009R94 BlueLINK ID: 4310851 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2553 Beaudette, Peter T., MD Provider ID #NM009Q21 BlueLINK ID: 2135584 Southwest Eye Care Specialists 7110 Wyoming NE, 87109 (505) 346-0500 Fax No. (505) 346-0164 Bernitsky, David A., MD Provider ID #NM010346 BlueLINK ID: 2397297 5501 Jefferson NE, Ste. 700, 87109 (505) 323-0800 Fax No. (505) 323-6621 Black, Randolph E., MD Provider ID #NM004232 BlueLINK ID: 3135514 Eye & Facial Surgery of NM 6500 Jefferson St. NE, Ste. 100, 87109 (505) 875-0103 Fax No. (505) 875-0388 Cannon, R. Joe, MD Provider ID #NM009Q14 BlueLINK ID: 3209294 ES Southwest Eye Care Specialists 7110 Wyoming NE, 87109 (505) 346-0500 Fax No. (505) 346-0164 Carlow, Thomas J., MD Provider ID #NM000485 BlueLINK ID: 3135552 Eye Associates of NM 101 Hospital Lp. NE, Ste. 103, 87109 (505) 883-6800 Fax No. (505) 889-3589 Chang, Brian M., MD Provider ID #NM009657 BlueLINK ID: 4254679 ES Eye Associates of NM 101 Hospital Lp. NE, Ste. 103, 87109 (505) 883-6800 Fax No. (505) 889-3589 Chiu, Mark T., MD Provider ID #NM000562 BlueLINK ID: 3135563 Eye Associates of NM 806 Dr. M. L. King Jr. NE, 87102 (505) 842-6575 Fax No. (505) 243-3475 Graham, John E., MD Provider ID #NM009G19 BlueLINK ID: 2316250 Lovelace Sandia Health Systems Gibson Ophthalmology 5400 Gibson SE, 87108 (505) 262-3937 Cornelius, Curtis R., MD Provider ID #NM009G18 BlueLINK ID: 3334522 Lovelace Sandia Health Systems Gibson Ophthalmology 5400 Gibson SE, 87108 (505) 262-3937 Hepner, Paul E., MD Provider ID #NM001246 BlueLINK ID: 3143163 8010 Mountain Rd. NE, Ste. 300, 87110 (505) 266-8200 Das, Arup, MD Provider ID #NM003594 BlueLINK ID: 3361138 Vitreoretinology HI BN University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2553 De La Torre, Alfonso, MD Provider ID #NM000691 BlueLINK ID: 3135593 303 Mulberry NE, Ste. E, 87106 (505) 247-0181 Fax No. (505) 247-1949 De La Torre, Alfonso, MD Provider ID #NM009U09 BlueLINK ID: 3135593 ES Eye & Facial Surgery of NM 6500 Jefferson St. NE, Ste. 100, 87109 (505) 875-0103 Fax No. (505) 875-0388 DiMonaco, Michael L., DO Provider ID #NM004045 BlueLINK ID: 2396740 Eye Associates of NM 101 Hospital Lp. NE, Ste. 103, 87109 (505) 883-6800 Fax No. (505) 889-3589 Durso, Frank, MD Provider ID #NM000780 BlueLINK ID: 3114017 Eye Associates of NM 101 Hospital Lp. NE, Ste. 210, 87109 (505) 883-4294 Fax No. (505) 875-0160 Edwards, William O., MD Provider ID #NM000770 BlueLINK ID: 3135608 New Mexico Eye Clinic 1100 Lead SE, 87106 (505) 842-1844 Friederich, Ronald, MD Provider ID #NM000975 BlueLINK ID: 2397776 1235 Wyoming NE, 87112 (505) 292-2220 Huaman, Ana G., MD Provider ID #NM002822 BlueLINK ID: 3263659 New Mexico Eye Clinic 1100 Lead SE, 87106 (505) 842-1844 Fax No. (505) 768-1360 Huaman, Ana G., MD Provider ID #NM009M96 BlueLINK ID: 3263659 ES Southwest Retina 7110 Wyoming NE, 87109 (505) 346-0500 Fax No. (505) 346-0164 Hudson, Hal C., MD Provider ID #NM009S88 BlueLINK ID: 3135720 ES Eye Associates of NM 101 Hospital Lp. NE, Ste. 103, 87109 (505) 883-6800 Fax No. (505) 889-3589 Email: www.eyenm.com Hudson, Hal C., MD Provider ID #NM009S88 BlueLINK ID: 3135720 ES Eye Associates of NM 5200 Eubank Blvd. NE, Ste. A4, 87111 (505) 298-4419 Fax No. (505) 298-0878 Email: [email protected] Hudson, Hal C., MD Provider ID #NM009S88 BlueLINK ID: 3135720 ES Eye Associates of NM 806 Dr. M. L. King Jr. NE, 87102 (505) 842-6575 Fax No. (505) 764-8796 Email: [email protected] Lesher, Mark P., MD Provider ID #NM003129 BlueLINK ID: 3322555 Eye Associates of NM 101 Hospital Lp. NE, Ste. 203, 87109 (505) 883-5082 Fax No. (505) 889-3589 Goldblum, Kenneth P., MD Provider ID #NM001056 BlueLINK ID: 2397798 Goldblum Family Eye Care Center 303 Mulberry NE, Ste. D, 87106 (505) 243-9739 Fax No. (505) 842-0650 Lovato, Alfred A., MD Provider ID #NM009156 BlueLINK ID: 2153734 ES Eye Institute of Albuquerque 1001 Dr. M. L. King Jr. NE, 87106 (505) 247-1073 Fax No. (505) 247-2153 Goldblum, Todd A., MD Provider ID #NM003454 BlueLINK ID: 4101895 Pediatric opthamology Goldblum Family Eye Care Center 303 Mulberry NE, Ste. D, 87106 (505) 243-9739 Fax No. (505) 243-9739 Lovato, Alfred A., MD Provider ID #NM009156 BlueLINK ID: 2153734 ES Eye Institute of Albuquerque 1414 Bridge SW, 87105 (505) 243-4066 Fax No. (505) 243-7476 See special note See last page for Provider Language Codes legend July 2005 Specialists Melendez, Robert F., MD Provider ID #NM009M97 BlueLINK ID: 4303134 Eye Associates of NM 101 Hospital Lp. NE, Ste. 103, 87109 (505) 883-6800 Fax No. (505) 889-3589 Ogawa, Gregory S. H., MD Provider ID #NM004572 BlueLINK ID: 3364194 Eye Associates of NM 101 Hospital Lp. NE, Ste. 111, 87109 (505) 883-6800 Fax No. (505) 889-3589 Ogawa, Gregory S. H., MD Provider ID #NM003642 BlueLINK ID: 3364194 Cornea & external disease FR University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2553 Reidy, Kristin E., DO Provider ID #NM004A00 BlueLINK ID: 4264237 Eye Associates of NM 806 Dr. M. L. King Jr. NE, 87102 (505) 842-6575 Fax No. (505) 764-8796 Reidy, Robert W., MD Provider ID #NM002263 BlueLINK ID: 2287056 Eye Associates of NM 806 Dr. M. L. King Jr. NE, 87102 (505) 842-6575 Fax No. (505) 243-3475 Rodgers, Donald E., MD Provider ID #NM002318 BlueLINK ID: 3135917 New Mexico Eye Clinic 1100 Lead SE, 87106 (505) 842-1844 Rosenberg, Arthur M., MD Provider ID #NM002342 BlueLINK ID: 3143284 Eye Associates of NM 101 Hospital Lp. NE, Ste. 110, 87109 (505) 883-6800 Fax No. (505) 889-3589 Rothberg, Keith R., MD Provider ID #NM009G31 BlueLINK ID: 3214183 Lovelace Sandia Health Systems Journal Center Ophthalmology 5150 Journal Center Blvd. NE, 87109 (505) 262-3937 Sandoval, Dennis, MD Provider ID #NM004233 BlueLINK ID: 2226155 Eye & Facial Surgery of NM 6500 Jefferson St. NE, Ste. 100, 87109 (505) 875-0103 Fax No. (505) 875-0388 Schluter, Mark L., MD Provider ID #NM002705 BlueLINK ID: 3135940 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2553 July 2005 Seligson, Michael S., MD Provider ID #NM009U16 BlueLINK ID: 3356602 At this location one day per week Eye Institute of Albuquerque, PC 1001 Dr. M. L. King Jr. NE, 87106 (505) 247-1073 Fax No. (505) 247-2153 Song, Mi-Kyoung, MD Provider ID #NM004260 BlueLINK ID: 4169589 ES Eye Associates of NM 806 Dr. M. L. King Jr. NE, 87102 (505) 842-6575 Fax No. (505) 243-3475 Song, Mi-Kyoung, MD Provider ID #NM004260 BlueLINK ID: 4169589 ES Eye Associates of NM High Desert Laser Eye Center 1600 University NE, 87102 (505) 942-2020 Fax No. (505) 247-0245 Sonntag, Richard W., MD Provider ID #NM002653 BlueLINK ID: 2398105 10433 Montgomery Pkwy. NE, Ste. 100, 87111 (505) 292-7994 Stinchcomb, David E., MD Provider ID #NM002686 BlueLINK ID: 2398199 1701 Moon NE, 87112 (505) 296-9581 Teahan, John J., MD Provider ID #NM012979 BlueLINK ID: 3307576 ES Southwest Eye Care Specialists 7110 Wyoming NE, 87109 (505) 346-0500 Fax No. (505) 346-0164 Weinstein, Arthur J., MD Provider ID #NM002933 BlueLINK ID: 3136024 Eye Associates of NM 806 Dr. M. L. King Jr. NE, 87102 (505) 842-6575 Fax No. (505) 243-3475 Wiggins, Duane A., MD Provider ID #NM009642 BlueLINK ID: 4255007 ES Eye Associates of NM High Desert Laser Eye Center 1600 University NE, 87102 (505) 924-2020 Fax No. (505) 247-0245 Wood, Mark G., MD Provider ID #NM003622 BlueLINK ID: 2143311 Pediatrics DE University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2553 Wyant, Frank W., Jr., DO Provider ID #NM004657 BlueLINK ID: 2396760 Eye Associates of NM 806 Dr. M. L. King Jr. NE, 87102 (505) 842-6575 Fax No. (505) 243-3475 Oral and Maxillofacial Surgery Jones, Jerry L., MD-DDS Provider ID #NM008421 BlueLINK ID: 8140802 5900 Cubero NE, Ste. A, 87109 (505) 797-3530 Wagner, Jon D., MD Provider ID #NM003588 BlueLINK ID: 4127554 Maxillofacial trauma University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Orthopedics Allen, Douglas C., MD Provider ID #NM009L35 BlueLINK ID: 4264080 Lovelace Sandia Health Systems Gibson Orthopaedics 5400 Gibson SE, 87108 (505) 262-7161 Altman, Alan L., MD Provider ID #NM000152 BlueLINK ID: 3135476 Orthopedic Bone & Joint Specialists 4801 McMahon Blvd. NW, Ste. 155, 87102 (505) 843-7798 Fax No. (505) 247-3265 Altman, Alan L., MD Provider ID #NM000152 BlueLINK ID: 3135476 Orthopedic Bone & Joint Specialists 700 Lomas NE, 87102 (505) 843-7798 Fax No. (505) 247-3265 Archibeck, Michael J., MD Provider ID #NM004258 BlueLINK ID: 4209291 ES New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4384 Atler, Edward J., MD Provider ID #NM000164 BlueLINK ID: 2396830 New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4384 Babinski, Kari M., MD Provider ID #NM009L70 BlueLINK ID: 4173685 ES New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4384 Balcomb, Teresa, MD Provider ID #NM009G67 BlueLINK ID: 2221068 Lovelace Sandia Health Systems Gibson Orthopaedics 5400 Gibson SE, 87108 (505) 262-7161 Ball, Richard, MD Provider ID #NM000187 BlueLINK ID: 3143025 6100 Pan Am Frwy. NE, Ste. 455, 87109 (505) 823-1145 See special note See last page for Provider Language Codes legend Becker, Jeremy R., MD Provider ID #NM009L38 BlueLINK ID: 2153666 Lovelace Sandia Health Systems Gibson Orthopaedics 5400 Gibson SE, 87108 (505) 262-7161 Specialists Mares, Frank J., MD Provider ID #NM001483 BlueLINK ID: 3135805 Eye Associates of NM 101 Hospital Lp. NE, Ste. 103, 87109 (505) 883-6800 Fax No. (505) 889-3589 Albuquerque Benson, Robert W., MD Provider ID #NM000265 BlueLINK ID: 3143043 7520 Montgomery NE, Ste. D10, 87109 (505) 883-5192 Bernstein, David A., MD Provider ID #NM001823 BlueLINK ID: 3248425 Specializing in hand surgery New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4382 Bosch, Patrick P., MD Provider ID #NM009M20 BlueLINK ID: 4231168 University Physicians Associates UNM Dept. of Orthopedics 1127 University NE, 87102 (505) 272-5200 Burney, Dwight W., MD Provider ID #NM000480 BlueLINK ID: 3143064 New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4382 Castillo, Richard N., MD Provider ID #NM010549 BlueLINK ID: 3257497 New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4384 Cheema, Tahseen A., MD Provider ID #NM009E43 BlueLINK ID: 2128002 University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-4107 Chesnut, William J., MD Provider ID #NM010587 BlueLINK ID: 3251948 ES Orthopedic Bone & Joint Specialists 700 Lomas NE, 1 Woodward Ctr., 87102 (505) 242-2764 Fax No. (505) 247-3765 DeCoster, Thomas A., MD Provider ID #NM003722 BlueLINK ID: 2397710 Trauma/sports medicine University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-1623 Durrani, Shakeel Farrukh, MD Provider ID #NM009M13 BlueLINK ID: 4297481 University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-4107 Echols, Paul G., MD Provider ID #NM000782 BlueLINK ID: 2397734 University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-1623 69 Specialists Specialists Albuquerque Epstein, Rosalind, MD Provider ID #NM009G68 BlueLINK ID: 3230240 Lovelace Sandia Health Systems Gibson Orthopaedics 5400 Gibson SE, 87108 (505) 262-7161 Junick, Daniel W., MD Provider ID #NM003307 BlueLINK ID: 3387195 New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4382 Orbon, Richard J., MD Provider ID #NM019B32 BlueLINK ID: 2166382 Lovelace Sandia Health Systems Gibson Orthopaedics 5400 Gibson SE, 87108 (505) 262-7161 Ritchie, William L., MD Provider ID #NM000528 BlueLINK ID: 2321095 New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4382 Felter, Jeffrie B., MD Provider ID #NM009E23 BlueLINK ID: 2154192 ES FA FR Academy Orthopaedic Clinic 8301 Spain NE, 87109 (505) 821-6663 Legant, Paul M., MD Provider ID #NM011631 BlueLINK ID: 2397923 Three Woodward Center 700 Lomas NE, 87106 (505) 242-1711 Fax No. (505) 242-0189 Pachelli, Anthony F., MD Provider ID #NM002120 BlueLINK ID: 2398013 New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4382 Franco, John C., MD Provider ID #NM009R79 BlueLINK ID: 6003583 ES New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4384 McCutcheon, Michael E., MD Provider ID #NM001797 BlueLINK ID: 3135826 New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 242-5205 Fax No. (505) 724-4384 Patton, Matthew W., MD Provider ID #NM009H82 BlueLINK ID: 4294438 Specializing in orthopedic hand surgery New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4384 Rivero, Dennis P., MD Provider ID #NM003894 BlueLINK ID: 3286269 Adult reconstruction University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-1623 Gehlert, Rick J., MD Provider ID #NM014292 BlueLINK ID: 4173745 Specializing in trauma University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-1623 Gelinas, Allen R., MD Provider ID #NM011022 BlueLINK ID: 2397779 ES 700 Lomas NE, 87102 (505) 242-1711 Fax No. (505) 353-0189 Gelinas, Claude D., MD Provider ID #NM009654 BlueLINK ID: 4150607 Specializing in spinal conditions ES Three Woodward Center 700 Lomas NE, 87120 (505) 242-1711 Fax No. (505) 242-0189 Grace, Thomas G., MD Provider ID #NM009306 BlueLINK ID: 3135664 Academy Orthopaedic Clinic 8301 Spain NE, 87109 (505) 821-6663 Fax No. (505) 823-2683 Harvie, Keith W., DO Provider ID #NM004247 BlueLINK ID: 2396742 Orthopedic Consultants 4325 Carlisle NE, 87107 (505) 883-1506 Harvie, Keith W., DO Provider ID #NM014A05 BlueLINK ID: 2396742 ES Physicians Group of Sandia Health Systems Orthopedic Consultants 4325 Carlisle NE, 87107 (505) 883-1506 Fax No. (505) 883-1507 Heckl, Frank R., MD Provider ID #NM001176 BlueLINK ID: 2397821 New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4382 Hollinger, Joseph, MD Provider ID #NM001297 BlueLINK ID: 2397846 700 Lomas NE, 87109 (505) 242-2500 70 McEnnerney, Thomas, MD Provider ID #NM009G71 BlueLINK ID: 2397966 Lovelace Sandia Health Systems Gibson Orthopaedics 5400 Gibson SE, 87108 (505) 262-7161 McGinty, Laurel, MD Provider ID #NM009G69 BlueLINK ID: 3300161 Lovelace Sandia Health Systems Gibson Orthopaedics 5400 Gibson SE, 87108 (505) 262-7161 McKinley, Matthew, MD Provider ID #NM014539 BlueLINK ID: 4169347 Lovelace Sandia Health Systems West Mesa Orthopaedics 10501 Golf Course Rd. NW, 87114 (505) 727-2400 McRoberts, Robert L., MD Provider ID #NM001827 BlueLINK ID: 2397969 Academy Orthopaedic Clinic 8301 Spain NE, 87109 (505) 821-6663 Fax No. (505) 823-2683 McRoberts, Robert L., MD Provider ID #NM009E39 BlueLINK ID: 2397969 University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-2231 Mikola, Elizabeth A., MD Provider ID #NM009612 BlueLINK ID: 4188504 University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-1623 Miller, Richard A., MD Provider ID #NM003727 BlueLINK ID: 3271498 Foot/ankle surgery University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-1623 Mitnik, Michael S., MD Provider ID #NM001922 BlueLINK ID: 3135843 4801 McMahon Blvd. NW, Ste. 155, 87114 (505) 893-2880 Moneim, Moheb S., MD Provider ID #NM000993 BlueLINK ID: 3135844 University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-1623 Pribyl, Charles, MD Provider ID #NM013885 BlueLINK ID: 3212594 Lovelace Sandia Health Systems Gibson Orthopaedics 5400 Gibson SE, 87108 (505) 262-7161 Quinn, Robert H., MD Provider ID #NM009R29 BlueLINK ID: 3248575 University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-4107 Racca, Jeffrey, MD Provider ID #NM009G82 BlueLINK ID: 4213535 Lovelace Sandia Health Systems Gibson Orthopedics 5400 Gibson SE, 87108 (505) 727-2400 Racca, Jeffrey, MD Provider ID #NM009G82 BlueLINK ID: 4213535 Lovelace Sandia Health Systems West Mesa Orthopaedics 10501 Golf Course Rd. NW, 87114 (505) 727-2400 Rachelson, Herbert V., MD Provider ID #NM002232 BlueLINK ID: 2398040 Northside Orthopedics 6100 Pan American Fwy., Ste. 420, 87109 (505) 823-8170 Fax No. (505) 823-8175 Raducan, Viorel, MD Provider ID #NM009M73 BlueLINK ID: 4107541 University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87121 (505) 272-1623 Reyna, Jose R., MD Provider ID #NM019310 BlueLINK ID: 4204931 ES University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-1623 Richards, Allison Alexander, MD Provider ID #NM009A46 BlueLINK ID: 4275032 University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-1623 See special note See last page for Provider Language Codes legend Rock, Richard A., MD Provider ID #NM002322 BlueLINK ID: 3135915 Rock Professional Associates 8012 Pennsylvania Cir. NE, 87110 (505) 256-9849 Schenck, Robert C., MD Provider ID #NM009101 BlueLINK ID: 3236632 Specializing in sports medicine University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-1623 Schillen, Jack D., MD Provider ID #NM009U08 BlueLINK ID: 6003667 ES University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-4107 Schwend, Richard, MD Provider ID #NM004219 BlueLINK ID: 3301091 Pediatric orthopedics & spine deformities ES University Physicians Associates UNM Dept. of Orthopedics 1127 University NE, 87102 (505) 272-5200 Sherman, Frederick C., MD Provider ID #NM012568 BlueLINK ID: 3135960 Pediatrics University Physicians Associates UNM Dept. of Orthopedics 1127 University NE, 87102 (505) 272-5271 Szalay, Elizabeth A., MD Provider ID #NM009704 BlueLINK ID: 2326820 Specializing in pediatric orthopaedics ES University Physicians Associates UNM Dept. of Orthopedics 1127 University NE, 87102 (505) 272-5271 Tabet, Samuel K., MD Provider ID #NM002732 BlueLINK ID: 2398140 New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4382 Turner, Robert, MD Provider ID #NM009G70 BlueLINK ID: 3143337 Lovelace Sandia Health Systems Gibson Orthopaedics 5400 Gibson SE, 87108 (505) 262-7161 July 2005 Specialists Veitch, John M., MD Provider ID #NM009E40 BlueLINK ID: 2398222 University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-4107 Wascher, Daniel C., MD Provider ID #NM003732 BlueLINK ID: 3272956 University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-1623 Weber, Richard R., DO Provider ID #NM004542 BlueLINK ID: 2396756 101 Hospital Lp. NE, Ste. 105, 87109 (505) 727-7711 Welch, Robert L., MD Provider ID #NM004911 BlueLINK ID: 3377406 ES Orthopedic Bone & Joint Specialists 700 Lomas NE, 1 Woodward Ctr., 87102 (505) 242-2764 Fax No. (505) 247-3265 White, Richard E., Jr., MD Provider ID #NM002947 BlueLINK ID: 2346374 New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4382 Pathology Avasthi, Pushpa, MD Provider ID #NM009H10 BlueLINK ID: 3143021 Lovelace Sandia Health Systems Gibson Pathology 5400 Gibson SE, 87108 (505) 262-7131 Bocklage, Therese, MD Provider ID #NM003873 BlueLINK ID: 3323508 Anatomic & clinical pathology; cytopathology University Physicians Associates UNM Dept. of Pathology 915 Camino de Salud NE, 87106 (505) 272-2446 Burke, Theodore, MD Provider ID #NM009G78 BlueLINK ID: 4100400 Lovelace Sandia Health Systems Gibson Pathology 5400 Gibson SE, 87108 (505) 262-7131 Cerilli, Lisa Ann, MD Provider ID #NM009R41 BlueLINK ID: 4198702 University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-4548 Crookston, Kendall Paul, MD-PhD Provider ID #NM009E45 BlueLINK ID: 4198167 Transfusion medicine University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-2448 July 2005 Elliott, James C., MD Provider ID #NM009R34 BlueLINK ID: 6003496 University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-4548 Foucar, Mary Kathryn, MD Provider ID #NM009871 BlueLINK ID: 3210760 Hematopathology University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-2445 Garner, Ronnie J., MD Provider ID #NM009U77 BlueLINK ID: 3314127 Anatomic & clinical pathology; blood banking University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-2444 Joste, Nancy, MD Provider ID #NM009880 BlueLINK ID: 3396614 Cytopathology University Physicians Associates UNM Dept. of Pathology 915 Camino de Salud NE, 87106 (505) 272-2446 Reichard, Richard R., MD Provider ID #NM009S70 BlueLINK ID: 4323603 Also specializing in neuropathology University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-4422 Key, Charles R., MD-PhD Provider ID #NM009882 BlueLINK ID: 3213824 University Physicians Associates UNM Dept. of Pathology 915 Camino de Salud NE, 87106 (505) 272-5873 Rose, Judy, MD Provider ID #NM009G74 BlueLINK ID: 3341395 Lovelace Sandia Health Systems Gibson Pathology 5400 Gibson SE, 87108 (505) 262-7131 Kornfeld, Mario, MD Provider ID #NM009883 BlueLINK ID: 3212558 Neuropathology University Physicians Associates UNM Dept. of Pathology 915 Camino de Salud NE, 87106 (505) 272-4814 Simon, Toby L., MD Provider ID #NM009U29 BlueLINK ID: 6004139 University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-2445 Gates, Lee, MD Provider ID #NM009G75 BlueLINK ID: 5009682 Lovelace Sandia Health Systems Gibson Pathology 5400 Gibson SE, 87108 (505) 262-7131 Larson, Richard, MD-PhD Provider ID #NM009884 BlueLINK ID: 4132757 Hematopathology University Physicians Associates UNM Dept. of Pathology 915 Camino de Salud NE, 87106 (505) 272-5873 Griego, Janet E., MD Provider ID #NM009U78 BlueLINK ID: 4143050 Anatomic & clinical pathology University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-2444 Lipscomb, Mary, MD Provider ID #NM009886 BlueLINK ID: 5006084 Immunopath University Physicians Associates UNM Dept. of Pathology 915 Camino de Salud NE, 87106 (505) 272-9228 Harris, Alexis, MD Provider ID #NM009875 BlueLINK ID: 4163933 University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-2445 Luke, Matthew, MD Provider ID #NM009888 BlueLINK ID: 4168976 University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-2445 Hjelle, Brian L., MD Provider ID #NM009U79 BlueLINK ID: 3222737 Clinical pathology University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-2444 McFeeley, Patricia J., MD Provider ID #NM009U84 BlueLINK ID: 3212605 Anatomic, clinical & forensic pathology University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-2444 Horvath, Andrew E., MD Provider ID #NM009U81 BlueLINK ID: 3314778 Anatomic, clinical & radioisotopic pathology University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-2444 Huser, Jeffrey W., MD Provider ID #NM009U71 BlueLINK ID: 3314779 University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-2445 Irani, Mehraboon S., MD Provider ID #NM009U80 BlueLINK ID: 3358009 Anatomic & clinical pathology; blood banking HI GU University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-2444 Mones, David, MD Provider ID #NM009G48 BlueLINK ID: 3330729 Lovelace Sandia Health Systems Pathology 601 Dr. M. L. King Jr. NE, 87102 (505) 727-6300 Fax No. (505) 727-8319 Nine, Jeffrey S., MD Provider ID #NM009U82 BlueLINK ID: 4251702 Anatomic, clinical & forensic pathology University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-2444 Reichard, Kaaren K., MD Provider ID #NM009H90 BlueLINK ID: 4292301 University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-2445 See special note See last page for Provider Language Codes legend Spevecek, Sandra M., MD Provider ID #NM009G50 BlueLINK ID: 4149145 Lovelace Sandia Health Systems Pathology 601 Dr. M. L. King Jr. NE, 87102 (505) 727-6300 Fax No. (505) 727-8319 Stoddard, Lanu, MD Provider ID #NM009G49 BlueLINK ID: 4209467 Lovelace Sandia Health Systems Pathology 601 Dr. M. L. King Jr. NE, 87102 (505) 727-6300 Fax No. (505) 727-8319 Stuart, Thomas, MD Provider ID #NM009G77 BlueLINK ID: 3135991 Lovelace Sandia Health Systems Gibson Pathology 5400 Gibson SE, 87108 (505) 262-7131 Viswanatha, David, MD Provider ID #NM009E67 BlueLINK ID: 4109994 University Physicians Associates UNM Dept. of Pathology 915 Camino de Salud NE, 87106 (505) 272-5873 Williams, Thomas M., MD Provider ID #NM009900 BlueLINK ID: 3263606 University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-2444 Willman, Cheryl, MD Provider ID #NM009E70 BlueLINK ID: 3214182 Hematopathology University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-5622 Willman, Cheryl, MD Provider ID #NM009U41 BlueLINK ID: 3214182 Hematopathology University Physicians Associates UNM Dept. of Pathology 2325 Camino de Salud NE, 87131 (505) 272-5622 Wills, Marcia L., MD Provider ID #NM019E71 BlueLINK ID: 4173578 Lovelace Sandia Health Systems Gibson Pathology 5400 Gibson SE, 87108 (505) 262-7131 Fax No. (505) 262-7020 71 Specialists Veitch, Andrew J., MD Provider ID #NM009R37 University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-4107 Albuquerque Specialists Specialists Albuquerque Wilson, Carla S., MD-PhD Provider ID #NM009E72 BlueLINK ID: 3389520 Hematopathology University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-2445 Zhang, Gian-Yun, MD Provider ID #NM009G51 BlueLINK ID: 5009370 Lovelace Sandia Health Systems Pathology 601 Dr. M. L. King Jr. NE, 87102 (505) 727-6300 Fax No. (505) 727-8319 Zumwalt, Ross E., MD Provider ID #NM009U83 BlueLINK ID: 3212577 Anatomic, clinical & forensic pathology University Physicians Associates UNM Dept. of Pathology 2211 Lomas NE, 87106 (505) 272-2444 Pediatrics Abernathy-Carver, Katherine, MD Provider ID #NM003311 BlueLINK ID: 3395407 Allergy & Asthma Care Inc. 2509 Virginia NE, Ste. B, 87110 (505) 294-1471 Albanese, Bernadette, MD Provider ID #NM009594 BlueLINK ID: 3254065 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Alderman, Sherri Louise, MD Provider ID #NM004702 BlueLINK ID: 4149562 Patients under age 18 ES University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Alverson, Dale C., MD Provider ID #NM003837 BlueLINK ID: 3210741 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Armstrong, Margaret A., MD Provider ID #NM003748 BlueLINK ID: 3287714 Pediatric chronic diseases University Physicians Associates UNM Dept. of Pediatrics 1127 University NE, 87102 (505) 272-2345 Bashir, Naim S., MD Provider ID #NM004866 BlueLINK ID: 3351094 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-0236 Bommelaere, Gary L., MD Provider ID #NM004730 BlueLINK ID: 2397434 University Physicians Associates UNM Dept. of Dermatology 1021 Medical Arts NE, 87102 (505) 272-6222 72 Brock, Sonja Gail, MD Provider ID #NM009E80 BlueLINK ID: 4163119 University Physicians Associates UNM Dept. of Pediatrics 1001 Yale NE, 87106 (505) 272-5002 Fuller, Janell, MD Provider ID #NM009R50 BlueLINK ID: 4310855 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Butros, Linda J., MD Provider ID #NM009S29 BlueLINK ID: 4300395 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Goens, M. Beth, MD Provider ID #NM004889 BlueLINK ID: 4109942 Pediatric cardiology University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Caffey, Laura F., MD Provider ID #NM004767 BlueLINK ID: 4176386 Pediatric pulmonary medicine University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-0236 Campbell, Karen, MD Provider ID #NM002047 BlueLINK ID: 4150072 ES University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Clayton, Michael H., MD Provider ID #NM003358 BlueLINK ID: 3360043 2509 Virginia NE, Ste. A, 87110 (505) 296-5426 Fax No. (505) 296-1248 Clericuzio, Carol, MD Provider ID #NM003839 BlueLINK ID: 3212627 Dysmorphology/genetics University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Coleman, Denise M., MD Provider ID #NM003561 BlueLINK ID: 4145226 Critical care University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Crowley, Mark, MD Provider ID #NM003749 BlueLINK ID: 3252572 Pediatric intensive care University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-0236 Duban, Stewart, MD Provider ID #NM003890 BlueLINK ID: 3135602 Child development University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Fahl, Jeffrey, MD Provider ID #NM004896 BlueLINK ID: 2241671 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Frost, Jami Dalene, MD Provider ID #NM003544 BlueLINK ID: 3392037 Hematology/oncology University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Gray, Susan M., MD Provider ID #NM009M32 BlueLINK ID: 3135671 Newborn to 18 months Pediatrix Medical Group 1100 Central Ave. SE, 87106 (505) 841-1994 Fax No. (505) 222-2346 Greger, Nancy Gay, MD Provider ID #NM009598 BlueLINK ID: 3117308 Pediatrics University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Katz, Robert, MD Provider ID #NM003886 BlueLINK ID: 3246445 Critical care University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-0236 Kong, Alberta, MD Provider ID #NM004627 BlueLINK ID: 4150071 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Lattimore, Gwendolyn S., MD Provider ID #NM009A44 BlueLINK ID: 4268007 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Ledman, Judy, MD Provider ID #NM004783 BlueLINK ID: 3167040 Preschool & infant development University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Gustave, Jodi E., MD Provider ID #NM009R73 BlueLINK ID: 6003341 Lovelace Sandia Health Systems Gibson Pediatrics 5400 Gibson SE, 87108 (505) 262-7594 Leonard, Claire, MD Provider ID #NM009844 BlueLINK ID: 3349711 Dysmorphology University Physicians Associates Carrie Tingley Hospital 1127 University NE, 87106 (505) 272-5551 Hall, Deborah C., MD Provider ID #NM001216 BlueLINK ID: 3212612 University Physicians Associates UNM Dept. of Pediatrics 2300 Menaul NE, 87107 (505) 272-2345 Lopez, Suzanne M., MD Provider ID #NM009M54 BlueLINK ID: 3273257 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Handmaker, Stanley, MD Provider ID #NM003989 BlueLINK ID: 2397815 Developmental disabilities University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Madhok, Ashish B., MD Provider ID #NM009U53 BlueLINK ID: 4297077 Pediatric cardiology HI University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2551 Hawk, William B., MD Provider ID #NM009C14 BlueLINK ID: 5008273 Urgent care services only ES After Hours Pediatrics 9201 Montgomery NE, Ste. 201, 87111 (505) 298-2505 Fax No. (505) 298-2322 Heideman, Richard L., MD Provider ID #NM009852 BlueLINK ID: 4151402 ES University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Hickey, Sheila, MD Provider ID #NM003602 BlueLINK ID: 4104634 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 See special note See last page for Provider Language Codes legend Marosi, Alice, MD Provider ID #NM009H41 BlueLINK ID: 5009500 Lovelace Sandia Health Systems Gibson Pediatrics 5400 Gibson SE, 87108 (505) 262-7594 Mathew, Prasad, MD Provider ID #NM004779 BlueLINK ID: 3234867 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Mathew, Susan, MD Provider ID #NM004778 BlueLINK ID: 4114340 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 McClain, Cate, MD Provider ID #NM003984 BlueLINK ID: 3292653 Developmental disabilities University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 July 2005 Specialists Albuquerque Sebesta, Emilie A., MD Provider ID #NM009S69 BlueLINK ID: 4323553 Also specializing in pediatric critical care University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 McLoughlin, Lucille C., MD Provider ID #NM009M23 BlueLINK ID: 4108264 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Short-Bartlett, Sandra, MD Provider ID #NM009R08 BlueLINK ID: 3368798 Newborns only ES Pediatrix Medical Group 1100 Central Ave. SE, 87106 (505) 841-1994 Fax No. (505) 222-2346 Monge, Tito R., MD Provider ID #NM009S30 BlueLINK ID: 4319459 Also specializing in pediatric critical care University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Ohls, Robin K., MD Provider ID #NM003600 BlueLINK ID: 3330830 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Ornelas, Renee, MD Provider ID #NM000234 BlueLINK ID: 3258182 Pediatric sexual abuse University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-6849 Papile, Lucille A., MD Provider ID #NM003888 BlueLINK ID: 3212555 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Perkett, Elizabeth, MD Provider ID #NM004868 BlueLINK ID: 2199231 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-0236 Poland, Ronald L., MD Provider ID #NM009601 BlueLINK ID: 2248318 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Root, Susan, MD Provider ID #NM003599 BlueLINK ID: 4106382 Genetics/dysmorphology University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Rose, Edward L., MD Provider ID #NM003986 BlueLINK ID: 3212629 Gastroenterology University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Savich, Renate D., MD Provider ID #NM003758 BlueLINK ID: 3222723 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 July 2005 Hurley, Timothy J., MD Provider ID #NM002734 BlueLINK ID: 3285454 Perinatal Associates of NM 201 Cedar SE, Ste. 405, 87106 (505) 764-9535 Fax No. (505) 843-9646 Joffe, Gary M., MD Provider ID #NM013714 BlueLINK ID: 3263663 ES Perinatal Associates of NM 201 Cedar SE, Ste. 405, 87106 (505) 764-9535 Fax No. (505) 843-9646 Physical Medicine Garza, Ernesto, MD Provider ID #NM019138 BlueLINK ID: 4153285 Patients 17 years and older ES 7000 Jefferson NE, 87122 (505) 563-4044 Fax No. (505) 341-0426 Pacheco, Eva C., MD Provider ID #NM013227 BlueLINK ID: 3372982 ES Albuquerque Rehabilitation & Rheumatology 1617 University NE, 87102 (505) 341-4148 Fax No. (505) 345-9914 Patton, Christopher P., DO Provider ID #NM004A59 BlueLINK ID: 4298535 ES New Mexico Orthopaedic Associates 201 Cedar Se, Ste. 6600, 87106 (505) 242-5205 Fax No. (505) 742-4384 Staples, Amy O., MD Provider ID #NM009U40 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Ahmed, Altaf, MD Provider ID #NM009E41 BlueLINK ID: 3347089 7000 Jefferson NE, 87109 (505) 563-4050 Fax No. (505) 345-6722 Strasburger, Victor, MD Provider ID #NM002715 BlueLINK ID: 3210752 Adolescent medicine University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Black, Pamela, MD Provider ID #NM009655 BlueLINK ID: 3293885 Specializing in spinal conditions ES FR 3811 Commons Ave. NE, 87109 (505) 343-1711 Fax No. (505) 343-1862 Waldman, Jon Deane, MD Provider ID #NM003597 BlueLINK ID: 2189506 Cardiology DE University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Cheng, Emil S., MD Provider ID #NM009S10 BlueLINK ID: 4257799 ES New Mexico Spine 201 Cedar SE, Ste. 6600, 87106 (505) 242-5205 Fax No. (505) 724-4384 Radecki, Richard T., MD Provider ID #NM023654 BlueLINK ID: 3203479 ES Three Woodward Center 700 Lomas NE, 87102 (505) 242-1711 Fax No. (505) 242-0189 Cohn, Thomas G., MD Provider ID #NM000641 BlueLINK ID: 5002394 Rehabilitation & Occupational Medicine 3811 Commons NE, 87109 (505) 345-9599 Ross, Barrie W., MD Provider ID #NM003146 BlueLINK ID: 3361316 7301 Jefferson NE, Ste. E, 87109 (505) 341-0000 Fax No. (505) 341-1495 Winter, Stuart, MD Provider ID #NM003596 BlueLINK ID: 4106381 Oncology University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Wong, Craig, MD Provider ID #NM009206 BlueLINK ID: 4179310 Nephrology University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-6632 Perinatology Aisenbrey, Gary A., MD Provider ID #NM000205 BlueLINK ID: 3210751 Perinatal Associates of NM 201 Cedar SE, Ste. 405, 87106 (505) 764-9535 Fax No. (505) 843-9646 Argubright, Kent, MD Provider ID #NM000174 BlueLINK ID: 3210720 ES Perinatal Associates of NM 201 Cedar SE, Ste. 405, 87106 (505) 764-9535 Fax No. (505) 843-9646 Hedstrom, Stephanie A., MD Provider ID #NM011772 BlueLINK ID: 3386756 ES Southwest Perinatology 101 Hospital Lp. NE, Ste. 106, 87109 (505) 883-5657 Specialists McGrath, Jane, MD Provider ID #NM003754 BlueLINK ID: 3287708 Adolescent medicine ES University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Radecki, Richard T., MD Provider ID #NM023654 BlueLINK ID: 3203479 ES 801 Encino Pl. NE, Ste. A1, 87102 (505) 242-1711 Fax No. (505) 242-0189 Esparza, Carlos J., MD Provider ID #NM009046 BlueLINK ID: 4136683 ES 801 Encino Pl. NE, Ste. A1, 87102 (505) 242-1711 Fax No. (505) 242-0189 Santos, James A., MD Provider ID #NM009616 BlueLINK ID: 4247031 ES New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 242-5202 Fax No. (505) 724-4384 Esparza, Carlos J., MD Provider ID #NM009046 BlueLINK ID: 4136683 ES Three Woodward Center 700 Lomas NE, 87102 (505) 242-1711 Fax No. (505) 242-0189 Sloan, John Henry, MD Provider ID #NM002721 BlueLINK ID: 2106042 Manzano Medical Group 505 Elm NE, 87102 (505) 727-4919 Fax No. (505) 727-4915 Esparza, Carlos J., MD Provider ID #NM009679 BlueLINK ID: 4136683 ES New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 242-5205 Fax No. (505) 764-9770 Farr, Arnold W., MD Provider ID #NM009S63 BlueLINK ID: 4308597 ES Manzano Medical Group 505 Elm NE, 87102 (505) 727-4919 Fax No. (505) 727-4915 See special note See last page for Provider Language Codes legend Stoller, Clifford R., MD Provider ID #NM002692 BlueLINK ID: 3135988 6100 Seagull NE, Ste. 106, 87109 (505) 883-4395 Taylor, Denise E., MD Provider ID #NM009H67 BlueLINK ID: 4292302 University Physicians Associates UNM Dept. of Pediatrics 1127 University NE, 87102 (505) 272-5200 Wellborn, J. William, MD Provider ID #NM002907 BlueLINK ID: 3169247 Physical Rehabilitation Associates 5971 Jefferson NE, Ste. 103, 87109 (505) 345-3686 73 Specialists Albuquerque Specialists Plastic Surgery Baack, Brett, MD Provider ID #NM003761 BlueLINK ID: 3271500 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Chen, Neil T., MD Provider ID #NM004678 BlueLINK ID: 3251296 500 Walter NE, Ste. 308, 87102 (505) 842-8889 Fax No. (505) 842-8886 Cuadros, C. Luis, MD Provider ID #NM000545 BlueLINK ID: 3214596 801 Encino Pl. NE, Ste. E1, 87102 (505) 243-7670 Gallegos, Miguel L., MD Provider ID #NM004890 BlueLINK ID: 4188984 ES Hermosa Clinic for Plastic & Reconstructive Surgery 8004 Constitution Pl. NE, 87110 (505) 924-2225 Fax No. (505) 924-1063 Mayberry, Aaron, MD Provider ID #NM009D86 BlueLINK ID: 4121346 Lovelace Cosmetic Surgery Center 5006 Gibson SE, 87108 (505) 262-7777 Morehouse, Jeffrey, MD Provider ID #NM009D87 BlueLINK ID: 3320051 Lovelace Cosmetic Surgery Center 5006 Gibson SE, 87108 (505) 262-7777 Wagner, Jon D., MD Provider ID #NM003588 BlueLINK ID: 4127554 Maxillofacial trauma University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Pulmonary Medicine Baker, Bonita K., MD Provider ID #NM031987 BlueLINK ID: 3361848 Physicians Group of Sandia Health Systems Albuquerque Pulmonary Consultants 4705 Montgomery NE, 87109 (505) 727-3100 Fax No. (505) 727-3131 Baker, Bonita K., MD Provider ID #NM031987 BlueLINK ID: 3361848 Physicians Group of Sandia Health Systems Albuquerque Pulmonary Consultants 500 Walter NE, Ste. 206, 87109 (505) 727-3100 Fax No. (505) 727-3131 Bashir, Naim S., MD Provider ID #NM004866 BlueLINK ID: 3351094 Pediatrics University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-0236 Boivin, Michael, MD Provider ID #NM009411 BlueLINK ID: 4275031 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4661 Ray, Allyson M., MD Provider ID #NM002015 BlueLINK ID: 412810 ES Albuquerque Otolaryngology Associates 1020 Tijeras NE, Ste. 22, 87106 (505) 848-3124 Fax No. (505) 848-8077 Busby, Helen, MD Provider ID #NM004757 BlueLINK ID: 3340824 ES FR University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Ronel, Daniel N., MD Provider ID #NM009R77 BlueLINK ID: 4124487 FR New Mexico Plastic Surgery 1020 Tijeras NE, Ste. 16, 87106 (505) 842-6868 Fax No. (505) 842-9325 Caffey, Laura F., MD Provider ID #NM004767 BlueLINK ID: 4176386 Pediatric pulmonary medicine University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-0236 Ronel, Daniel N., MD Provider ID #NM009R77 BlueLINK ID: 4124487 FR New Mexico Plastic Surgery 4801 McMahon NW, 87114 (505) 842-6868 Fax No. (505) 842-9325 Chang, Betty, MD Provider ID #NM009E31 BlueLINK ID: 4201472 Specializing in pulmonary critical care University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Sakura, Chester Y., MD Provider ID #NM002405 BlueLINK ID: 3135933 New Mexico Plastic Surgery 1020 Tijeras NE, Ste. 16, 87106 (505) 842-6868 Shimanek, Jean M., MD Provider ID #NM002557 BlueLINK ID: 2116106 101 Hospital Lp. NE, Ste. 214, 87109 (505) 883-6600 Fax No. (505) 883-0022 74 Crowell, Richard E., MD Provider ID #NM009724 BlueLINK ID: 3212571 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 Crowell, Richard E., MD Provider ID #NM003789 BlueLINK ID: 3212571 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Davies, Lea, MD Provider ID #NM009R48 BlueLINK ID: 4138367 Specializing in pediatric pulmonology University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-0236 Dipprey, Trisha L., MD Provider ID #NM024899 BlueLINK ID: 4152690 ES Physicians Group of Sandia Health Systems Albuquerque Pulmonary Consultants 505 Walter NE, Ste. 206, 87102 (505) 727-3100 Fax No. (505) 727-3131 Dorf, Jeffrey M., MD Provider ID #NM039636 BlueLINK ID: 2252487 ES Chest Medicine of New Mexico 4273 Montgomery NE, Ste. 200E, 87109 (505) 821-5992 Economou, Peter, MD Provider ID #NM009G35 BlueLINK ID: 3291278 Lovelace Sandia Health Systems NM Center for Sleep Medicine 4700 Jefferson NE, Ste. 800, 87109 (505) 872-6000 Goldstein, Robert A., MD Provider ID #NM009G36 BlueLINK ID: 3143138 Lovelace Sandia Health Systems Journal Center Pulmonary 5150 Journal Center Blvd. NE, 87109 (505) 262-7223 Guido, Peter S., MD Provider ID #NM009H58 BlueLINK ID: 4114159 Lovelace Sandia Health Systems NM Center for Sleep Medicine 4700 Jefferson NE, Ste. 800, 87109 (505) 872-6000 Levy, Howard, MD Provider ID #NM003805 BlueLINK ID: 3242670 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-4751 Magana, Eric, MD Provider ID #NM009G21 BlueLINK ID: 4170526 Lovelace Sandia Health Systems Gibson Pulmonary 5400 Gibson SE, 87108 (505) 262-7223 Moseley, Pope L., MD Provider ID #NM003624 BlueLINK ID: 2102205 FR ZA University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Osafo Mensah, Kwaku A., MD Provider ID #NM029533 BlueLINK ID: 4239151 Physicians Group of Sandia Health Systems Albuquerque Pulmonary Consultants 500 Walter NE, Ste. 206, 87102 (505) 727-3100 Fax No. (505) 727-3131 Perkett, Elizabeth, MD Provider ID #NM004868 BlueLINK ID: 2199231 Pediatrics University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-0236 Poliner, James K., MD Provider ID #NM009G22 BlueLINK ID: 3210729 Lovelace Sandia Health Systems Gibson Pulmonary 5400 Gibson SE, 87108 (505) 262-7223 Harkins, Michelle S., MD Provider ID #NM004858 BlueLINK ID: 4119403 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Sandoval, Vesta M., MD Provider ID #NM014612 BlueLINK ID: 2283916 Physicians Group of Sandia Health Systems Albuquerque Pulmonary Consultants 500 Walter NE, Ste. 206, 87102 (505) 727-3100 Fax No. (505) 727-3131 Iwamoto, Gary K., MD Provider ID #NM003541 BlueLINK ID: 2102479 Critical care University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Schuyler, Mark, MD Provider ID #NM003679 BlueLINK ID: 3390813 Adult allergy University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-2553 Katz, Robert, MD Provider ID #NM003886 BlueLINK ID: 3246445 Pediatric critical care University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-0236 Taub, Lewis D., MD Provider ID #NM009G23 BlueLINK ID: 4110113 Lovelace Sandia Health Systems Gibson Pulmonary 5400 Gibson SE, 87108 (505) 262-7223 Klepper, Diane, MD Provider ID #NM003800 BlueLINK ID: 2397904 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 See special note See last page for Provider Language Codes legend Radiation Oncology Anders, Jon C., MD Provider ID #NM009R82 BlueLINK ID: 6003401 Radiation Oncology Associates, PA 4650 Jefferson Ln. NE, 87103 (505) 727-7900 Fax No. (505) 889-2978 July 2005 Specialists Anders, Jon C., MD Provider ID #NM009R20 BlueLINK ID: 6003401 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-4946 Anders, Jon C., MD Provider ID #NM009R01 BlueLINK ID: 6003401 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-0086 Anthony, Paul A., MD Provider ID #NM000168 BlueLINK ID: 3143015 Radiation Oncology Associates 4650 Jefferson NE, 87109 (505) 883-8515 Berle, Lisa P., DO Provider ID #NM004A63 BlueLINK ID: 6003693 ES Radiation Oncology Associates, PA 4650 Jefferson Ln. NE, 87109 (505) 727-7900 Fax No. (505) 889-2978 Berle, Lisa P., DO Provider ID #NM004A63 BlueLINK ID: 6003693 ES Radiation Oncology Associates, PA 601 Dr. M. L. King Jr. NE, 87102 (505) 727-8240 Fax No. (505) 889-2978 Bush, Steven E., MD Provider ID #NM009309 BlueLINK ID: 3143066 ES NM Oncology/Hematology Consultants, Ltd. 4901 Lang Ave. NE, 87109 (505) 842-8171 Elconin, Joel H., MD Provider ID #NM009314 BlueLINK ID: 4224231 ES NM Oncology/Hematology Consultants, Ltd. 4901 Lang Ave. NE, 87109 (505) 842-8171 Fleck, Ronda S., MD Provider ID #NM022213 BlueLINK ID: 3284280 ES Radiation Oncology Associates 4650 Jefferson NE, 87109 (505) 727-7900 Fax No. (505) 889-2978 Fleck, Ronda S., MD Provider ID #NM022213 BlueLINK ID: 3284280 ES Radiation Oncology Associates 601 Dr. M. L. King Jr. NE, 87102 (505) 727-7900 Fax No. (505) 727-7938 Goss, Bryan W., MD Provider ID #NM009S14 BlueLINK ID: 6003720 NM Oncology/Hematology Consultants, Ltd. 4901 Lang Ave. NE, 87109 (505) 842-8171 Fax No. (505) 796-3069 July 2005 Liem, Benny J., MD Provider ID #NM009678 BlueLINK ID: 4244726 ES Radiation Oncology Associates 4650 Jefferson NE, 87109 (505) 889-9639 Fax No. (505) 889-2978 Liem, Benny J., MD Provider ID #NM009678 BlueLINK ID: 4244726 ES Radiation Oncology Associates 8300 Constitution NE, 87110 (505) 291-2606 Fax No. (505) 291-2622 Liem, Benny J., MD Provider ID #NM009661 BlueLINK ID: 4244726 ES University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 Liem, Benny J., MD Provider ID #NM009702 BlueLINK ID: 4244726 ES University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 889-9639 Lipsett, James, MD Provider ID #NM003465 BlueLINK ID: 2138596 Radiation Oncology Associates 4650 Jefferson NE, 87109 (505) 883-8515 Story, Amanda J., MD Provider ID #NM001968 BlueLINK ID: 3262325 Radiation Oncology Associates 4650 Jefferson NE, 87109 (505) 883-8515 Stutzman, Charles D., MD Provider ID #NM002552 BlueLINK ID: 2398130 Radiation Oncology Associates 4650 Jefferson NE, 87109 (505) 883-8515 Thompson, William R., MD Provider ID #NM002758 BlueLINK ID: 3223289 Radiation Oncology Associates 4650 Jefferson NE, 87109 (505) 883-8515 Wong, Gene, MD Provider ID #NM003921 BlueLINK ID: 3262046 Radiation Oncology Associates 4650 Jefferson NE, 87109 (505) 883-8515 Wong, Gene, MD Provider ID #NM009710 BlueLINK ID: 3262046 ZH University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 Wong, Gene, MD Provider ID #NM009710 BlueLINK ID: 3262046 ZH University Physicians Associates UNM Dept. of Internal Medicine 4650 Jefferson NE, 87109 (505) 272-8871 Radiology Agha, Farooq P., MD Provider ID #NM009C34 BlueLINK ID: 2349305 Radiology Associates of Albuquerque Imaging 4411 The 25 Way NE, Ste. 150, 87109 (505) 559-6266 Fax No. (505) 247-9108 Akiya, Fredrick I., MD Provider ID #NM009C35 BlueLINK ID: 3275004 Radiology Associates of Albuquerque Imaging 4411 The 25 Way NE, Ste. 150, 87109 (505) 559-6266 Fax No. (505) 247-9108 Ashby, Robert N., MD Provider ID #NM009858 BlueLINK ID: 2243795 University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Babel, Stephen G., MD Provider ID #NM009C98 BlueLINK ID: 2251305 X-Ray Associates of New Mexico Breast Imaging Center 4630 Jefferson Ln. NE, 87109 (505) 998-1911 Babel, Stephen G., MD Provider ID #NM009C98 BlueLINK ID: 2251305 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution Pl. NE, 87110 (505) 998-1317 Babel, Stephen G., MD Provider ID #NM009C98 BlueLINK ID: 2251305 X-Ray Associates of New Mexico Heights MRI Center 102 Hospital Lp. NE, 87109 (505) 998-5925 Babel, Stephen G., MD Provider ID #NM009C98 BlueLINK ID: 2251305 X-Ray Associates of New Mexico Medical Center MRI 601 Dr. M. L. King Jr. NE, 87102 (505) 998-5925 Babel, Stephen G., MD Provider ID #NM009C98 BlueLINK ID: 2251305 X-Ray Associates of New Mexico Northwest Imaging Center 10200 Corrales Rd. NW, Ste. B6, 87114 (505) 559-5800 Bahouth, John M., MD Provider ID #NM009C36 BlueLINK ID: 3207431 ES Radiology Associates of Albuquerque Imaging 4411 The 25 Way NE, Ste. 150, 87109 (505) 559-6266 Fax No. (505) 247-9108 Barron, Scott, MD Provider ID #NM009J09 BlueLINK ID: 3302238 Lovelace Sandia Health Systems Gibson Radiology 5400 Gibson SE, 87108 (505) 262-7115 See special note See last page for Provider Language Codes legend Bauman, Christopher G.W., MD Provider ID #NM009R45 BlueLINK ID: 4263323 University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Specialists Anders, Jon C., MD Provider ID #NM009R82 BlueLINK ID: 6003401 Radiation Oncology Associates, PA 601 Dr. M. L. King Jr. NE, 87102 (505) 727-8240 Fax No. (505) 889-2978 Albuquerque Bernhardi, Louis A., DO Provider ID #NM009R69 BlueLINK ID: 6003561 Lovelace Sandia Health Systems Gibson Radiology 5400 Gibson SE, 87108 (505) 262-7115 Blackley, Fredric, MD Provider ID #NM009J10 BlueLINK ID: 3320189 Lovelace Sandia Health Systems Gibson Radiology 5400 Gibson SE, 87108 (505) 262-7115 Brock, Jack A., MD Provider ID #NM009C37 BlueLINK ID: 3274960 Radiology Associates of Albuquerque Imaging 4411 The 25 Way NE, Ste. 150, 87109 (505) 559-6266 Fax No. (505) 247-9108 Brown, Garry M., MD Provider ID #NM010398 BlueLINK ID: 3184977 X-Ray Associates of New Mexico Breast Imaging Center 4630 Jefferson Ln. NE, 87109 (505) 998-1911 Brown, Garry M., MD Provider ID #NM010398 BlueLINK ID: 3184977 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution Pl. NE, 87110 (505) 998-1317 Brown, Garry M., MD Provider ID #NM010398 BlueLINK ID: 3184977 X-Ray Associates of New Mexico Heights MRI Center 102 Hospital Lp. NE, 87109 (505) 998-5925 Brown, Garry M., MD Provider ID #NM010398 BlueLINK ID: 3184977 X-Ray Associates of New Mexico Medical Center MRI 601 Dr. M. L. King Jr. NE, 87102 (505) 998-5925 Brown, Garry M., MD Provider ID #NM010398 BlueLINK ID: 3184977 X-Ray Associates of New Mexico Northwest Imaging Center 10200 Corrales Rd. NW, Ste. B6, 87114 (505) 559-5800 Burstein, Jerome, MD Provider ID #NM009G81 BlueLINK ID: 3348388 X-Ray Associates of New Mexico Breast Imaging Center 4630 Jefferson Ln. NE, 87109 (505) 998-1911 Burstein, Jerome, MD Provider ID #NM009G81 BlueLINK ID: 3348388 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution Pl. NE, 87110 (505) 998-1317 Fax No. (505) 998-1308 75 Specialists Specialists Albuquerque Burstein, Jerome, MD Provider ID #NM009G81 BlueLINK ID: 3348388 X-Ray Associates of New Mexico Heights MRI Center 102 Hospital Lp. NE, 87109 (505) 998-5925 Fax No. (505) 998-1907 Campbell, Karien, MD Provider ID #NM009G86 BlueLINK ID: 4226302 X-Ray Associates of New Mexico Heights MRI Center 102 Hospital Lp. NE, 87109 (505) 998-5925 Fax No. (505) 998-1907 Burstein, Jerome, MD Provider ID #NM009G81 BlueLINK ID: 3348388 X-Ray Associates of New Mexico Medical Center MRI 601 Dr. M. L. King Jr. NE, 87102 (505) 998-5925 Campbell, Karien, MD Provider ID #NM009G86 BlueLINK ID: 4226302 X-Ray Associates of New Mexico Medical Center MRI 601 Dr. M. L. King Jr. NE, 87102 (505) 998-5925 Burstein, Jerome, MD Provider ID #NM009G81 BlueLINK ID: 3348388 X-Ray Associates of New Mexico Northwest Imaging Center 10200 Corrales Rd. NW, Ste. B6, 87114 (505) 559-5800 Campbell, Karien, MD Provider ID #NM009G86 BlueLINK ID: 4226302 X-Ray Associates of New Mexico Northwest Imaging Center 10200 Corrales Rd. NW, Ste. B6, 87114 (505) 559-5800 Buschman, Dennis L., MD Provider ID #NM009S78 BlueLINK ID: A06408 X-Ray Associates of New Mexico Breast Imaging Center 4630 Jefferson Ln. NE, 87109 (505) 998-1911 Carmody, Phillip W., MD Provider ID #NM009E61 BlueLINK ID: 3274961 Diagnostic radiology National Clinical Technology 10400 Academy NE, Ste. 340, 87112 (505) 298-1558 Fax No. (505) 298-7012 Buschman, Dennis L., MD Provider ID #NM009S78 BlueLINK ID: A06408 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution Pl. NE, 87110 (505) 998-1317 Fax No. (505) 998-1308 Buschman, Dennis L., MD Provider ID #NM009S78 BlueLINK ID: A06408 X-Ray Associates of New Mexico Heights MRI Center 102 Hospital Lp. NE, 87109 (505) 998-5925 Fax No. (505) 998-1907 Buschman, Dennis L., MD Provider ID #NM009S78 BlueLINK ID: A06408 X-Ray Associates of New Mexico Medical Center MRI 601 Dr. M. L. King Jr. NE, 87102 (505) 998-6689 Buschman, Dennis L., MD Provider ID #NM009S78 BlueLINK ID: A06408 X-Ray Associates of New Mexico Northwest Imaging Center 10200 Corrales Rd. NW, Ste. B-6, 87114 (505) 890-2818 Butler-Lewis, Renee J., MD Provider ID #NM009C38 BlueLINK ID: 4155236 Radiology Associates of Albuquerque Imaging 4411 The 25 Way NE, Ste. 150, 87109 (505) 559-6266 Fax No. (505) 247-9108 Campbell, Karien, MD Provider ID #NM009G86 BlueLINK ID: 4226302 X-Ray Associates of New Mexico Breast Imaging Center 4630 Jefferson Ln. NE, 87109 (505) 998-1911 Campbell, Karien, MD Provider ID #NM009G86 BlueLINK ID: 4226302 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution Pl. NE, 87110 (505) 998-1317 Fax No. (505) 998-1308 76 Casey, Linda, MD Provider ID #NM009J08 BlueLINK ID: 3306956 Lovelace Sandia Health Systems Gibson Radiology 5400 Gibson SE, 87108 (505) 262-7115 Centenera, Luis V., MD Provider ID #NM009L40 BlueLINK ID: 4249147 Lovelace Sandia Health Systems Gibson Radiology 5400 Gibson SE, 87108 (505) 262-7115 Chaffey, Margaret H., MD Provider ID #NM009G40 BlueLINK ID: 3333672 X-Ray Associates of New Mexico Breast Imaging Center 4630 Jefferson Ln. NE, 87109 (505) 998-1911 Chaffey, Margaret H., MD Provider ID #NM009G40 BlueLINK ID: 3333672 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution Pl. NE, 87110 (505) 998-1317 Fax No. (505) 998-1308 Chaffey, Margaret H., MD Provider ID #NM009G40 BlueLINK ID: 3333672 X-Ray Associates of New Mexico Heights MRI Center 102 Hospital Lp. NE, 87109 (505) 998-5925 Fax No. (505) 998-1907 Chaffey, Margaret H., MD Provider ID #NM009G40 BlueLINK ID: 3333672 X-Ray Associates of New Mexico Medical Center MRI 601 Dr. M. L. King Jr. NE, 87102 (505) 998-5925 Chaffey, Margaret H., MD Provider ID #NM009G40 BlueLINK ID: 3333672 X-Ray Associates of New Mexico Northwest Imaging Center 10200 Corrales Rd. NW, Ste. B6, 87114 (505) 559-5800 Colvin, Agnew H., MD Provider ID #NM009G02 BlueLINK ID: 3196133 X-Ray Associates of New Mexico Breast Imaging Center 4630 Jefferson Ln. NE, 87109 (505) 998-1911 Dehadrai, Gaulam, MD Provider ID #NM009M25 BlueLINK ID: 4296284 University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Colvin, Agnew H., MD Provider ID #NM009G02 BlueLINK ID: 3196133 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution Pl. NE, 87110 (505) 998-1317 Dehadrai, Gautam, MD Provider ID #NM009R43 BlueLINK ID: 4296284 Lovelace Sandia Health Systems Gibson Radiology 5400 Gibson SE, 87108 (505) 262-7115 Colvin, Agnew H., MD Provider ID #NM009G02 BlueLINK ID: 3196133 X-Ray Associates of New Mexico Heights MRI Center 102 Hospital Lp. NE, 87109 (505) 998-5925 Dell, Lance, MD Provider ID #NM010722 BlueLINK ID: 3234967 Lovelace Sandia Health Systems Gibson Radiology 5400 Gibson SE, 87108 (505) 262-7115 Colvin, Agnew H., MD Provider ID #NM009G02 BlueLINK ID: 3196133 X-Ray Associates of New Mexico Medical Center MRI 601 Dr. M. L. King Jr. NE, 87102 (505) 998-5925 Depper, Mark H., MD Provider ID #NM009G03 BlueLINK ID: 3383130 X-Ray Associates of New Mexico Breast Imaging Center 4630 Jefferson Ln. NE, 87109 (505) 998-1911 Colvin, Agnew H., MD Provider ID #NM009G02 BlueLINK ID: 3196133 X-Ray Associates of New Mexico Northwest Imaging Center 10200 Corrales Rd. NW, Ste. B6, 87114 (505) 559-5800 Depper, Mark H., MD Provider ID #NM009G03 BlueLINK ID: 3383130 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution Pl. NE, 87110 (505) 998-1317 Crews, Michael A., MD Provider ID #NM009C39 BlueLINK ID: 2314882 Radiology Associates of Albuquerque Imaging 4411 The 25 Way NE, Ste. 150, 87109 (505) 559-6266 Fax No. (505) 247-9108 Cronk, Roger L., DO Provider ID #NM004A03 BlueLINK ID: 3293335 X-Ray Associates of New Mexico Breast Imaging Center 4630 Jefferson Ln. NE, 87109 (505) 998-1911 Cronk, Roger L., DO Provider ID #NM004A03 BlueLINK ID: 3293335 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution Pl. NE, 87110 (505) 998-1317 Cronk, Roger L., DO Provider ID #NM004A03 BlueLINK ID: 3293335 X-Ray Associates of New Mexico Heights MRI Center 102 Hospital Lp. NE, 87109 (505) 998-5925 Cronk, Roger L., DO Provider ID #NM004A03 BlueLINK ID: 3293335 X-Ray Associates of New Mexico Medical Center MRI 601 Dr. M. L. King Jr. NE, 87102 (505) 998-5925 Cronk, Roger L., DO Provider ID #NM004A03 BlueLINK ID: 3293335 X-Ray Associates of New Mexico Northwest Imaging Center 10200 Corrales Rd. NW, Ste. B6, 87114 (505) 559-5800 See special note See last page for Provider Language Codes legend Depper, Mark H., MD Provider ID #NM009G03 BlueLINK ID: 3383130 X-Ray Associates of New Mexico Heights MRI Center 102 Hospital Lp. NE, 87109 (505) 998-5925 Depper, Mark H., MD Provider ID #NM009G03 BlueLINK ID: 3383130 X-Ray Associates of New Mexico Medical Center MRI 601 Dr. M. L. King Jr. NE, 87102 (505) 998-5925 Depper, Mark H., MD Provider ID #NM009G03 BlueLINK ID: 3383130 X-Ray Associates of New Mexico Northwest Imaging Center 10200 Corrales Rd. NW, Ste. B6, 87114 (505) 559-5800 Dowdell, Timothy R., MD Provider ID #NM009M50 BlueLINK ID: 6003069 University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2269 Eberhardt, Steven C., MD Provider ID #NM009R46 BlueLINK ID: 4246595 University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Feldman, Laura, MD Provider ID #NM009S16 BlueLINK ID: 2273784 Radiology Associates of Albuquerque Imaging 4411 The 25 Way NE, Ste. 150, 87109 (505) 332-6900 Fax No. (505) 332-6921 July 2005 Specialists Hammer, Richard A., MD Provider ID #NM009M01 BlueLINK ID: 2344609 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution Pl. NE, Ste. 202, 87110 (505) 998-3089 Fax No. (505) 998-3107 Hart, Blaine L., MD Provider ID #NM009877 BlueLINK ID: 3271507 Specializing in neuroradiology University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Hartshorne, Michael, MD Provider ID #NM007473 BlueLINK ID: 3214212 University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Hayes, Amy S., MD Provider ID #NM009G39 BlueLINK ID: 4226302 X-Ray Associates of New Mexico Breast Imaging Center 4630 Jefferson Ln. NE, 87109 (505) 998-1911 Hayes, Amy S., MD Provider ID #NM009G39 BlueLINK ID: 4226302 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution Pl. NE, 87110 (505) 998-1317 Fax No. (505) 998-1308 Hayes, Amy S., MD Provider ID #NM009G39 BlueLINK ID: 4226302 X-Ray Associates of New Mexico Heights MRI Center 102 Hospital Lp. NE, 87109 (505) 998-5925 Fax No. (505) 998-1907 Hayes, Amy S., MD Provider ID #NM009G39 BlueLINK ID: 4226302 X-Ray Associates of New Mexico Medical Center MRI 601 Dr. M. L. King Jr. NE, 87102 (505) 998-5925 Hayes, Amy S., MD Provider ID #NM009G39 BlueLINK ID: 4226302 X-Ray Associates of New Mexico Northwest Imaging Center 10200 Corrales Rd. NW, Ste. B6, 87114 (505) 559-5800 Ichel, Daniel A., MD Provider ID #NM009C21 BlueLINK ID: 2263983 Radiology Associates of Albuquerque Imaging 4411 The 25 Way NE, Ste. 150, 87109 (505) 559-6266 Fax No. (505) 247-9108 July 2005 Ketai, Loren, MD Provider ID #NM009E49 BlueLINK ID: 2302963 University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Lowry, James L., MD Provider ID #NM009L54 BlueLINK ID: 3293339 X-Ray Associates of New Mexico Breast Imaging Center 4630 Jefferson Ln. NE, 87109 (505) 998-1911 Martinez, Gilbert, MD Provider ID #NM009J05 BlueLINK ID: 4177640 Lovelace Sandia Health Systems Gibson Radiology 5400 Gibson SE, 87108 (505) 262-7115 King, Jerry N., MD Provider ID #NM009C40 BlueLINK ID: 3105794 Radiology Associates of Albuquerque Imaging 4411 The 25 Way NE, Ste. 150, 87109 (505) 559-6266 Fax No. (505) 247-9108 Lowry, James L., MD Provider ID #NM009L54 BlueLINK ID: 3293339 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution Pl. NE, 87110 (505) 998-1317 Fax No. (505) 998-1308 Meholic, Andrew, MD Provider ID #NM009E52 BlueLINK ID: 3212587 University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Lee, Fa-Chyi, MD Provider ID #NM009711 BlueLINK ID: 4150030 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-2151 Lowry, James L., MD Provider ID #NM009L54 BlueLINK ID: 3293339 X-Ray Associates of New Mexico Heights MRI Center 102 Hospital Lp. NE, 87109 (505) 998-5925 Fax No. (505) 998-1907 Lee, Ihn P., MD Provider ID #NM009C41 BlueLINK ID: 3274963 Radiology Associates of Albuquerque Imaging 4411 The 25 Way NE, Ste. 150, 87109 (505) 559-6266 Fax No. (505) 247-9108 Lowry, James L., MD Provider ID #NM009L54 BlueLINK ID: 3293339 X-Ray Associates of New Mexico Medical Center MRI 601 Dr. M. L. King Jr. NE, 87120 (505) 998-5925 Lill, Duncan W., MD Provider ID #NM009C42 BlueLINK ID: 4209809 ES Radiology Associates of Albuquerque Imaging 4411 The 25 Way NE, Ste. 150, 87109 (505) 559-6266 Fax No. (505) 247-9108 Linver, Michael N., MD Provider ID #NM009L72 BlueLINK ID: 3293338 X-Ray Associates of New Mexico Breast Imaging Center 4630 Jefferson Ln. NE, 87109 (505) 998-1911 Linver, Michael N., MD Provider ID #NM009L72 BlueLINK ID: 3293338 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution Pl. NE, Ste. 202, 87110 (505) 998-1317 Fax No. (505) 998-1308 Linver, Michael N., MD Provider ID #NM009L72 BlueLINK ID: 3293338 X-Ray Associates of New Mexico Heights MRI Center 102 Hospital Lp. NE, 87109 (505) 889-5925 Fax No. (505) 998-1907 Linver, Michael N., MD Provider ID #NM009L72 BlueLINK ID: 3293338 X-Ray Associates of New Mexico Medical Center MRI 601 Dr. M. L. King Jr. NE, 87102 (505) 998-6689 Linver, Michael N., MD Provider ID #NM009L72 BlueLINK ID: 3293338 X-Ray Associates of New Mexico Northwest Imaging Center 10200 Corrales Rd. NW, Ste. B6, 87114 (505) 890-2818 Lowry, James L., MD Provider ID #NM009L54 BlueLINK ID: 3293339 X-Ray Associates of New Mexico Northwest Imaging Center 10200 Corrales Rd. NW, Ste. B6, 87114 (505) 559-5800 Mals, Robert S., MD Provider ID #NM009M08 BlueLINK ID: 3187390 Lovelace Sandia Health Systems Gibson Radiology 5400 Gibson SE, 87108 (505) 262-7115 Martin, Thomas P., MD Provider ID #NM009C97 BlueLINK ID: 3355281 X-Ray Associates of New Mexico Breast Imaging Center 4630 Jefferson Ln. NE, 87109 (505) 998-1911 Martin, Thomas P., MD Provider ID #NM009C97 BlueLINK ID: 3355281 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution NE, Ste. 101, 87110 (505) 998-1317 Martin, Thomas P., MD Provider ID #NM009C97 BlueLINK ID: 3355281 X-Ray Associates of New Mexico Heights MRI Center 102 Hospital Lp. NE, 87109 (505) 998-5925 Martin, Thomas P., MD Provider ID #NM009C97 BlueLINK ID: 3355281 X-Ray Associates of New Mexico Medical Center MRI 601 Dr. M. L. King Jr. NE, 87102 (505) 998-5925 Martin, Thomas P., MD Provider ID #NM009C97 BlueLINK ID: 3355281 X-Ray Associates of New Mexico Northwest Imaging Center 10200 Corrales Rd. NW, Ste. B6, 87114 (505) 559-5800 See special note See last page for Provider Language Codes legend Specialists Garcia, Jose F., MD Provider ID #NM009E85 BlueLINK ID: 3212562 ES University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Albuquerque Meints, Jeffery S., MD Provider ID #NM009M09 BlueLINK ID: 3120856 Lovelace Sandia Health Systems Gibson Radiology 5400 Gibson SE, 87108 (505) 262-7115 Miller, Kathryn, MD Provider ID #NM009M03 BlueLINK ID: 3320192 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution Pl. NE, Ste. 202, 87110 (505) 998-3089 Fax No. (505) 998-3107 Mlady, Gary W., MD Provider ID #NM009R47 BlueLINK ID: 4308908 University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Mullen, Sean E., DO Provider ID #NM004A01 BlueLINK ID: 4233656 Radiology Associates of Albuquerque 4411 The 25 Way NE, Ste. 150, 87110 (505) 559-6266 Fax No. (505) 247-9108 Nenoff, Richard S., MD Provider ID #NM009M55 BlueLINK ID: 3303325 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution NE, Ste. 202, 87110 (505) 998-3096 Fax No. (505) 998-3100 Nisenbaum, Josef, DO Provider ID #NM004A02 BlueLINK ID: 3326137 JI Radiology Associates of Albuquerque 4411 The 25 Way NE, Ste. 150, 87110 (505) 559-6266 Fax No. (505) 247-9108 Parker, Russell K., MD Provider ID #NM009G05 BlueLINK ID: 4194639 X-Ray Associates of New Mexico Breast Imaging Center 4630 Jefferson Ln. NE, 87109 (505) 998-1911 Parker, Russell K., MD Provider ID #NM009G05 BlueLINK ID: 4194639 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution Pl. NE, 87110 (505) 998-1317 Parker, Russell K., MD Provider ID #NM009G05 BlueLINK ID: 4194639 X-Ray Associates of New Mexico Heights MRI Center 102 Hospital Lp. NE, 87109 (505) 998-5925 77 Specialists Specialists Albuquerque Patriquin, Lara M., MD Provider ID #NM009S11 BlueLINK ID: 4241986 X-Ray Associates of New Mexico Northwest Imaging Center 10200 Corrales Rd. NW, Ste. B-6, 87114 (505) 890-2818 Rupp, Frederick W., MD Provider ID #NM009E59 BlueLINK ID: 3288211 Neuroradiology University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Phung, David, MD Provider ID #NM009C12 BlueLINK ID: 4254782 Radiology Associates of Albuquerque 4411 The 25 Way NE, Ste. 150, 87110 (505) 559-6266 Fax No. (505) 247-9108 Sell, James J., MD Provider ID #NM009896 BlueLINK ID: 3212570 University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Williams, Arvis, MD Provider ID #NM009R23 BlueLINK ID: 3165106 X-Ray Associates of New Mexico Northwest Imaging Center 10200 Corrales Rd. NW, Ste. B-6, 87114 (505) 559-5800 Parker, Timothy W., MD Provider ID #NM009G38 BlueLINK ID: 2106283 X-Ray Associates of New Mexico Breast Imaging Center 4630 Jefferson Ln. NE, 87109 (505) 998-1911 Pohl, Jennifer, MD Provider ID #NM009H69 BlueLINK ID: 4292404 University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Spar, Jon, MD Provider ID #NM009J07 BlueLINK ID: 3260270 Lovelace Sandia Health Systems Gibson Radiology 5400 Gibson SE, 87108 (505) 262-7115 Williams, Kevin T., MD Provider ID #NM009E69 BlueLINK ID: 4268481 University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Parker, Timothy W., MD Provider ID #NM009G38 BlueLINK ID: 2106283 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution Pl. NE, 87110 (505) 998-1317 Fax No. (505) 998-1308 Rael, Jesse, MD Provider ID #NM009J06 BlueLINK ID: 2289629 Lovelace Sandia Health Systems Gibson Radiology 5400 Gibson SE, 87108 (505) 262-7115 Stella, John Phillip, MD Provider ID #NM009L47 BlueLINK ID: 6002924 Lovelace Sandia Health Systems Gibson Radiology 5400 Gibson SE, 87108 (505) 262-7115 Williamson, Michael, MD Provider ID #NM007473 BlueLINK ID: 2346490 University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Redd, Bernadette A., MD Provider ID #NM009G05 BlueLINK ID: 4231253 X-Ray Associates of New Mexico Breast Imaging Center 4630 Jefferson Ln. NE, 87109 (505) 998-1911 Stevenson, James R., MD Provider ID #NM009C43 BlueLINK ID: 3209305 Radiology Associates of Albuquerque Imaging 4411 The 25 Way NE, Ste. 150, 87109 (505) 559-6266 Fax No. (505) 247-9108 Williamson, Susan, MD Provider ID #NM003872 BlueLINK ID: 3117185 University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Parker, Russell K., MD Provider ID #NM009G05 BlueLINK ID: 4194639 X-Ray Associates of New Mexico Medical Center MRI 601 Dr. M. L. King Jr. NE, 87102 (505) 998-5925 Parker, Russell K., MD Provider ID #NM009G05 BlueLINK ID: 4194639 X-Ray Associates of New Mexico Northwest Imaging Center 10200 Corrales Rd. NW, Ste. B6, 87114 (505) 559-5800 Parker, Timothy W., MD Provider ID #NM009G38 BlueLINK ID: 2106283 X-Ray Associates of New Mexico Heights MRI Center 102 Hospital Lp. NE, 87109 (505) 998-5925 Fax No. (505) 998-1907 Parker, Timothy W., MD Provider ID #NM009G38 BlueLINK ID: 2106283 X-Ray Associates of New Mexico Medical Center MRI 601 Dr. M. L. King Jr. NE, 87102 (505) 998-5925 Parker, Timothy W., MD Provider ID #NM009G38 BlueLINK ID: 2106283 X-Ray Associates of New Mexico Northwest Imaging Center 10200 Corrales Rd. NW, Ste. B6, 87114 (505) 559-5800 Patriquin, Lara M., MD Provider ID #NM009S11 BlueLINK ID: 4241986 X-Ray Associates of New Mexico Breast Imaging Center 4630 Jefferson Ln. NE, 87109 (505) 998-1911 Patriquin, Lara M., MD Provider ID #NM009S11 BlueLINK ID: 4241986 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution Pl. NE, 87110 (505) 998-1317 Fax No. (505) 998-1308 Patriquin, Lara M., MD Provider ID #NM009S11 BlueLINK ID: 4241986 X-Ray Associates of New Mexico Heights MRI Center 102 Hospital Lp. NE, 87109 (505) 998-5925 Fax No. (505) 998-1907 Patriquin, Lara M., MD Provider ID #NM009S11 BlueLINK ID: 4241986 X-Ray Associates of New Mexico Medical Center MRI 601 Dr. M. L. King Jr. NE, 87102 (505) 998-6689 78 Redd, Bernadette A., MD Provider ID #NM009G05 BlueLINK ID: 4231253 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution Pl. NE, 87110 (505) 998-1317 Redd, Bernadette A., MD Provider ID #NM009G05 BlueLINK ID: 4231253 X-Ray Associates of New Mexico Heights MRI Center 102 Hospital Lp. NE, 87109 (505) 998-5925 Redd, Bernadette A., MD Provider ID #NM009G05 BlueLINK ID: 4231253 X-Ray Associates of New Mexico Medical Center MRI 601 Dr. M. L. King Jr. NE, 87102 (505) 998-5925 Redd, Bernadette A., MD Provider ID #NM009G05 BlueLINK ID: 4231253 X-Ray Associates of New Mexico Northwest Imaging Center 10200 Corrales Rd. NW, Ste. B6, 87114 (505) 559-5800 Rio, Carlos E., MD Provider ID #NM009E98 BlueLINK ID: 3167632 University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Rosenberg, Robert, MD Provider ID #NM009891 BlueLINK ID: 3214597 University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Van Dyk, Edward O, MD Provider ID #NM009G42 BlueLINK ID: 4244102 Patients over age 18 ES NM Oncology/Hematology Consultants, Ltd. 4901 Lang Ave. NE, 87109 (505) 842-8171 Fax No. (505) 246-0684 Wells, Stanley D., MD Provider ID #NM009H70 BlueLINK ID: 2350743 University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Wiest, Philip W., MD Provider ID #NM009898 BlueLINK ID: 3334439 University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 Williams, Arvis, MD Provider ID #NM009R23 BlueLINK ID: 3165106 X-Ray Associates of New Mexico Breast Imaging Center 4630 Jefferson Ln. NE, 87109 (505) 998-1911 Williams, Arvis, MD Provider ID #NM009R23 BlueLINK ID: 3165106 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution Pl. NE, 87110 (505) 998-1317 Fax No. (505) 998-1308 Williams, Arvis, MD Provider ID #NM009R23 BlueLINK ID: 3165106 X-Ray Associates of New Mexico Heights MRI Center 102 Hospital Lp. NE, 87109 (505) 998-5925 Fax No. (505) 998-1907 See special note See last page for Provider Language Codes legend Williams, Arvis, MD Provider ID #NM009R23 BlueLINK ID: 3165106 X-Ray Associates of New Mexico Medical Center MRI 601 Dr. M. L. King Jr. NE, 87102 (505) 998-5925 Wilson, Glen P., MD Provider ID #NM009C44 BlueLINK ID: 4225447 Radiology Associates of Albuquerque Imaging 4411 The 25 Way NE, Ste. 150, 87109 (505) 559-6266 Fax No. (505) 247-9108 Winterkorn, Keith G., MD Provider ID #NM009L53 BlueLINK ID: 3294923 X-Ray Associates of New Mexico Breast Imaging Center 4630 Jefferson Ln. NE, 87109 (505) 998-1911 Winterkorn, Keith G., MD Provider ID #NM009L53 BlueLINK ID: 3294923 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution Pl. NE, 87110 (505) 998-1317 Fax No. (505) 998-1308 Winterkorn, Keith G., MD Provider ID #NM009L53 BlueLINK ID: 3294923 X-Ray Associates of New Mexico Heights MRI Center 102 Hospital Lp. NE, 87109 (505) 998-5925 Fax No. (505) 998-1907 Winterkorn, Keith G., MD Provider ID #NM009L53 BlueLINK ID: 3294923 X-Ray Associates of New Mexico Medical Center MRI 601 Dr. M. L. King Jr. NE, 87102 (505) 998-5925 Winterkorn, Keith G., MD Provider ID #NM009L53 BlueLINK ID: 3294923 X-Ray Associates of New Mexico Northwest Imaging Center 10200 Corrales Rd. NW, Ste. B6, 87114 (505) 559-5800 July 2005 Specialists Zimmer, William D., MD Provider ID #NM009L69 BlueLINK ID: 3205293 X-Ray Associates of New Mexico Breast Imaging Center 4630 Jefferson Ln. NE, 87109 (505) 998-1911 Zimmer, William D., MD Provider ID #NM009L69 BlueLINK ID: 3205293 X-Ray Associates of New Mexico El Camino Imaging Center 8020 Constitution Pl. NE, Ste. 202, 87110 (505) 998-1317 Fax No. (505) 998-1308 Zimmer, William D., MD Provider ID #NM009L69 BlueLINK ID: 3205293 X-Ray Associates of New Mexico Heights MRI Center 102 Hospital Lp. NE, 87109 (505) 889-5925 Fax No. (505) 998-1907 Zimmer, William D., MD Provider ID #NM009L69 BlueLINK ID: 3205293 X-Ray Associates of New Mexico Medical Center MRI 601 Dr. M. L. King Jr. NE, 87102 (505) 998-6689 Zimmer, William D., MD Provider ID #NM009L69 BlueLINK ID: 3205293 X-Ray Associates of New Mexico Northwest Imaging Center 10200 Corrales Rd. NW, Ste. B6, 87114 (505) 890-2818 Rheumatology Bankhurst, Arthur, MD Provider ID #NM003785 BlueLINK ID: 3210750 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-5062 Cohen, Mark, MD Provider ID #NM010582 BlueLINK ID: 3143082 Lovelace Sandia Health Systems Gibson Rheumatology 5400 Gibson SE, 87108 (505) 262-7248 Dean, Jacqueline K., MD Provider ID #NM009638 BlueLINK ID: 4110740 Adults ES Albuquerque Rehabilitation & Rheumatology 1617 University NE, 87102 (505) 341-4148 Fax No. (505) 345-9914 Johnson, Courtney, MD Provider ID #NM004293 BlueLINK ID: 2113319 Pediatrics University Physicians Associates UNM Dept. of Pediatrics 1127 University NE, 87102 (505) 272-2345 July 2005 Konstantinov, Konstantin N., MD Provider ID #NM009U39 BlueLINK ID: 6004184 BG DE RU University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Kumar, Vijayalkshmi, MD Provider ID #NM009R42 BlueLINK ID: 6003516 Lovelace Sandia Health Systems Gibson Rheumatology 5400 Gibson SE, 87108 (505) 262-7248 O'Sullivan, Frank, MD Provider ID #NM011162 BlueLINK ID: 2113045 Lovelace Sandia Health Systems Gibson Rheumatology 5400 Gibson SE, 87108 (505) 262-7248 Pacheco, Leroy A., MD Provider ID #NM010537 BlueLINK ID: 3314762 ES Albuquerque Rehabilitation & Rheumatology 1617 University NE, 87102 (505) 341-4148 Fax No. (505) 345-9914 Sibbitt, Wilmer L., Jr., MD Provider ID #NM002572 BlueLINK ID: 3212631 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 Spencer-Smith, Elizabeth M., MD Provider ID #NM009L82 BlueLINK ID: 6003211 Lovelace Sandia Health Systems Gibson Rheumatology 5400 Gibson SE, 87108 (505) 262-7248 Fax No. (505) 262-3190 Sleep Disorders Reyna, Jose R., MD Provider ID #NM019310 BlueLINK ID: 4204931 ES University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-1623 Sports Medicine DeCoster, Thomas A., MD Provider ID #NM003722 BlueLINK ID: 2397710 Specializing in trauma University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-1623 Galbreth, Jarrett L., MD Provider ID #NM001015 BlueLINK ID: 3135643 ES 1510 San Carlos SW, 87104 (505) 842-0720 Fax No. (505) 242-9046 McGrew, Christopher A., MD Provider ID #NM003726 BlueLINK ID: 3253398 University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1623 McGrew, Christopher A., MD Provider ID #NM003726 BlueLINK ID: 3253398 University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-2140 Schenck, Robert C., MD Provider ID #NM009101 BlueLINK ID: 3236632 Orthopedic surgery University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-1623 Boxer, Richard B., MD Provider ID #NM009L39 BlueLINK ID: 5010167 Lovelace Sandia Health Systems NM Center for Sleep Medicine 4700 Jefferson NE, Ste. 800, 87109 (505) 872-6000 Wascher, Daniel C., MD Provider ID #NM003732 BlueLINK ID: 3272956 University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-1623 Grigg-Damberger, Madeline M., MD Provider ID #NM011679 BlueLINK ID: 3115174 University Physicians Associates UNM Dept. of Neurology 2211 Lomas NE, 87106 (505) 272-1623 Wilson, Robert H., MD Provider ID #NM002742 BlueLINK ID: 3334443 New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4382 Spinal Surgery Thoracic and Vascular Surgery Durrani, Shakeel Farrukh, MD Provider ID #NM009M13 BlueLINK ID: 4297481 University Physicians Associates UNM Dept. of Orthopedics 2211 Lomas NE, 87106 (505) 272-4107 Ray, John D., MD Provider ID #NM009H80 BlueLINK ID: 4241515 New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4384 Arredondo, H. David, MD Provider ID #NM000155 BlueLINK ID: 2396828 ES 715 Dr. M. L. King Jr. NE, Ste. 312, 87102 (505) 246-0164 Fax No. (505) 246-0166 Chandran, George, MD Provider ID #NM000507 BlueLINK ID: 2397619 717 Encino Pl. NE, Ste. 5, 87102 (505) 247-1744 See special note See last page for Provider Language Codes legend Deane, William M., MD Provider ID #NM000686 BlueLINK ID: 3143102 New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Dietl, Charles A., MD Provider ID #NM009725 BlueLINK ID: 2294891 ES DE FR IT University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-6337 Dietl, Charles A., MD Provider ID #NM004870 BlueLINK ID: 2294891 ES DE FR IT University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-6901 Gerety, Richard L., MD Provider ID #NM001037 BlueLINK ID: 3135652 New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Jacob, T. Philip, MD Provider ID #NM001393 BlueLINK ID: 3135725 SW Vascular & Thoracic Surgical Associates 1010 Lead SE, Ste. 3, 87106 (505) 224-7500 Fax No. (505) 224-7505 Langsfeld, Mark, MD Provider ID #NM003773 BlueLINK ID: 3220533 Vascular surgery University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Levy, Paul S., MD Provider ID #NM009073 BlueLINK ID: 3266442 ES New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Lowe, Robert J., MD Provider ID #NM011673 BlueLINK ID: 3143226 Vascular surgery New Mexico Surgical Associates 711 Encino Pl. NE, 87102 (505) 843-7901 Fax No. (505) 843-6384 Marek, John M., MD Provider ID #NM003518 BlueLINK ID: 3358532 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Matteson, Brian, MD Provider ID #NM009833 BlueLINK ID: 4213483 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Nguyen, Hoang Chau, MD Provider ID #NM009H12 BlueLINK ID: 4228762 Lovelace Sandia Health Systems Gibson Cardiology 5400 Gibson SE, 87108 (505) 262-7451 79 Specialists Wood, Gary L., MD Provider ID #NM009C45 BlueLINK ID: 2269139 ES Radiology Associates of Albuquerque Imaging 4411 The 25 Way NE, Ste. 150, 87109 (505) 559-6266 Fax No. (505) 247-9108 Albuquerque Specialists Specialists Albuquerque Pett, Stuart B., Jr., MD Provider ID #NM003777 BlueLINK ID: 3212611 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-6901 Reddy, Gopal K. N., MD Provider ID #NM002254 BlueLINK ID: 3143267 500 Walter NE, Ste. 204, 87102 (505) 842-5518 Fax No. (505) 247-8509 Richardson, Kevin, MD Provider ID #NM009574 BlueLINK ID: 5007138 New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Talbot, William A., MD Provider ID #NM009G27 BlueLINK ID: 3143327 Lovelace Sandia Health Systems Gibson General Surgery 5400 Gibson SE, 87108 (505) 262-7281 Walji, Salim M., MD Provider ID #NM013497 BlueLINK ID: 3269371 New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Wernly, Jorge A., MD Provider ID #NM003830 BlueLINK ID: 3210739 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-6901 Yassin, Said Fadi, MD Provider ID #NM009U51 BlueLINK ID: 4295564 AR University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Urgent Care Bohan, Juliane N., MD Provider ID #NM003876 BlueLINK ID: 3213804 University Physicians Associates UNM Dept. of Emergency Medicine 1209 University NE, 87102 (505) 272-4400 Dominguez, David C., MD Provider ID #NM003877 BlueLINK ID: 3203502 University Physicians Associates UNM Dept. of Emergency Medicine 1209 University NE, 87102 (505) 272-4400 Urology Borden, Thomas A., MD Provider ID #NM003826 BlueLINK ID: 3256243 Pediatrics University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Conn, Richard, MD Provider ID #NM009G64 BlueLINK ID: 3143086 Lovelace Sandia Health Systems Gibson Urology 5400 Gibson SE, 87108 (505) 262-7275 80 Floyd, V. Taylor, Jr., MD Provider ID #NM000897 BlueLINK ID: 3213800 Albuquerque Urology Associates 718 Encino Pl. NE, Ste. B, 87102 (505) 242-3991 Ortolano, Vincent, MD Provider ID #NM002203 BlueLINK ID: 2397555 8100 Constitution NE, Ste. 250, 87110 (505) 294-6979 Fax No. (505) 294-6315 Gibel, Lawrence, Jr., MD Provider ID #NM003771 BlueLINK ID: 3210735 Renal transplant University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Ortolano, Vincent, MD Provider ID #NM009E06 BlueLINK ID: 2397555 Albuquerque Urology Associates 8100 Constitution NE, Ste. 250, 87110 (505) 294-6979 Fax No. (505) 294-6315 Gray, Todd, MD Provider ID #NM009G65 BlueLINK ID: 3222755 Lovelace Sandia Health Systems Gibson Urology 5400 Gibson SE, 87108 (505) 262-7275 Hanson, J. Alison, MD Provider ID #NM004688 BlueLINK ID: 3347946 Urology Group of NM 4161 Montgomery NE, 87109 (505) 872-4090 Fax No. (505) 872-4097 Hanson, J. Alison, MD Provider ID #NM004688 BlueLINK ID: 3347946 Urology Group of NM 4801 McMahon Blvd. NW, Ste. 225, 87114 (505) 872-4090 Fax No. (505) 872-4097 Kammerer-Doak, Dorothy, MD Provider ID #NM009D79 BlueLINK ID: 3322691 Lovelace Sandia Health Systems Journal Center Urology 5150 Journal Center Blvd. NE, 87109 (505) 262-3224 Kaplan, Damara L., MD-PhD Provider ID #NM009E07 BlueLINK ID: 4240875 ES DE Albuquerque Urology Associates 711 Encino Pl. NE, Ste. C, 87102 (505) 242-3991 Fax No. (505) 243-8405 Kettwich, Donald L., MD Provider ID #NM019E05 BlueLINK ID: 2397883 ES 711 Encino Pl. NE, Ste. E, 87102 (505) 245-5737 Fax No. (505) 245-5739 Lackner, Jonathan E., MD Provider ID #NM004697 BlueLINK ID: 4188254 711 Encino Pl. NE, Ste. D, 87102 (505) 243-6624 Fax No. (505) 243-6527 Lackner, Jonathan E., MD Provider ID #NM009E04 BlueLINK ID: 4188254 Albuquerque Urology Associates 711 Encino Pl. NE, Ste. D, 87102 (505) 243-6624 Fax No. (505) 243-6527 Ochadlik, Mary, MD Provider ID #NM009G63 BlueLINK ID: 5009502 Lovelace Sandia Health Systems Gibson Urology 5400 Gibson SE, 87108 (505) 262-7275 Robbins, David, MD Provider ID #NM009G62 BlueLINK ID: 3143276 Lovelace Sandia Health Systems Gibson Urology 5400 Gibson SE, 87108 (505) 262-7275 Schomer, N. Scott, MD Provider ID #NM002541 BlueLINK ID: 3327627 Urology Group of NM 4161 Montgomery NE, 87109 (505) 872-4090 Fax No. (505) 872-4097 Schomer, N. Scott, MD Provider ID #NM002541 BlueLINK ID: 3327627 Urology Group of NM 4801 McMahon Blvd. NW, Ste. 225, 87114 (505) 872-4090 Fax No. (505) 872-4097 Smith, Anthony Y., MD Provider ID #NM009722 BlueLINK ID: 2321990 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-2336 Smith, Anthony Y., MD Provider ID #NM003780 BlueLINK ID: 2321990 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-5504 Snoy, Frederick J., MD Provider ID #NM002631 BlueLINK ID: 2398100 Urology Group of NM 4161 Montgomery NE, 87109 (505) 872-4090 Fax No. (505) 872-4097 Snoy, Frederick J., MD Provider ID #NM002631 BlueLINK ID: 2398100 Urology Group of NM 4801 McMahon Blvd. NW, Ste. 225, 87114 (505) 872-4090 Fax No. (505) 872-4097 Thomas, Mark D., MD Provider ID #NM000732 BlueLINK ID: 2322603 Albuquerque Urology Associates 718 Encino Pl. NE, Ste. B, 87102 (505) 242-3991 Wilson, Jason, MD Provider ID #NM009589 BlueLINK ID: 4249149 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Zamilpa, Ismael, MD Provider ID #NM009R92 BlueLINK ID: 4317998 University Physicians Associates UNM Dept. of Surgery 2211 Lomas NE, 87106 (505) 272-2336 Amalia Taos County Orthopedics Rachelson, Herbert V., MD Provider ID #NM002232 BlueLINK ID: 2398040 Taos Orthopedic Clinic State Hwy. 196, 87512 (505) 758-7707 Artesia Eddy County Gastroenterology Tabrez, Shams S.M., MD Provider ID #NM009365 BlueLINK ID: 4238583 612 N. 13th St., Ste. D, 88210 (505) 623-1442 Fax No. (505) 623-3835 General Surgery Cimpean, Claudiu A., MD Provider ID #NM009B76 BlueLINK ID: 4267449 ES RO Artesia Healthcare Professionals 702 N. 13th St., 88210 (505) 748-3751 Fax No. (505) 748-3160 MacFarlane, J. Ralph, MD Provider ID #NM009350 BlueLINK ID: 3120370 ES Artesia Healthcare Professionals 702 N. 13th St., 88210 (505) 748-3751 Fax No. (505) 748-1360 Thoracic and Vascular Surgery MacFarlane, J. Ralph, MD Provider ID #NM009350 BlueLINK ID: 3120370 ES Artesia Healthcare Professionals 702 N. 13th St., 88210 (505) 748-3751 Fax No. (505) 748-1360 Vitale, Phillip J., MD Provider ID #NM009D70 BlueLINK ID: 3136012 Lovelace Sandia Health Systems Journal Center Urology 5150 Journal Center Blvd. NE, 87109 (505) 262-3224 O'Cleireachain, Feidhlim, MD Provider ID #NM002074 BlueLINK ID: 3210746 8100 Constitution NE, Ste. 240, 87110 (505) 293-1660 Fax No. (505) 293-0083 See special note See last page for Provider Language Codes legend July 2005 Specialists Belen Valencia County Cardiology Garcia, Ignacio, MD Provider ID #NM001008 BlueLINK ID: 3143131 Cardiac Care Consultants of NM 704 S. Christopher Rd., 87002 (800) 228-1917 Gurule, Michael E., MD Provider ID #NM002723 BlueLINK ID: 3225039 Cardiac Care Consultants of NM 704 S. Christopher Rd., 87002 (800) 228-1917 Dermatology Robison, J. Wendall, MD Provider ID #NM002305 BlueLINK ID: 3135914 Belen Dermatology 711 S. Christopher Rd., 87002 (505) 271-1866 Nephrology Miller, Robert B., MD Provider ID #NM009304 BlueLINK ID: 4121285 Pediatrics ES Renal Medicine Associates Central NM Kidney Center 609 S. Christopher Rd., 87002 (505) 861-1771 Capitan Lincoln County Gynecology Seaton, Robert W., MD Provider ID #NM009U01 BlueLINK ID: 2202123 ES Rose Clinic 330 Smokey Bear Blvd., 88316 (505) 354-0057 Fax No. (505) 354-0056 Carlsbad Eddy County Cardiology Pearson, Clarence E., MD Provider ID #NM009M02 BlueLINK ID: 3326901 ES New Mexico Heart Institute 2420 W. Pierce St., Ste. 204, 88220 (505) 234-1855 Fax No. (505) 234-2854 Tsiouris, Nikolaos J., MD Provider ID #NM009L33 BlueLINK ID: 4236521 ES New Mexico Heart Institute 2430 W. Pierce St., 88220 (505) 234-1855 Fax No. (505) 234-2854 July 2005 Ear, Nose, and Throat Hematology/Oncology Physical Medicine Davies, Richard J., DO Provider ID #NM004169 BlueLINK ID: 3215922 2402 W. Pierce St., Ste. 3C, 88220 (505) 887-0771 Fax No. (505) 885-1993 Latif, Tahir, MD Provider ID #NM009N39 BlueLINK ID: 4308290 Patients over age 17 ES FA DE UR Southeastern NM Internal Medicine, Hematology & Oncology 2427 W. Pierce, 88220 (505) 885-3370 Fax No. (505) 885-1841 Nieves, Ricardo A., MD Provider ID #NM009179 BlueLINK ID: 4112632 Patients over age 12 ES Carlsbad Spine, Pain & Sports Med. 2319 W. Pierce, 88220 (505) 628-1548 Fax No. (505) 628-1552 Overman, Mary A., MD Provider ID #NM019D49 BlueLINK ID: 3296276 ES Pecos ENT 2420 W. Pierce St., Ste. 101, 88220 (505) 885-7326 Fax No. (505) 628-1219 Gastroenterology Caos, Antonoio, MD Provider ID #NM009N84 BlueLINK ID: 3162171 ES 2420 W. Pierce St., Ste. 100, 88220 (505) 887-0692 Fax No. (505) 628-8848 Farooq, Omar, MD Provider ID #NM009D53 BlueLINK ID: 2124349 2402 W. Pierce St., Ste. 5A, 88220 (505) 628-0926 Fax No. (505) 628-0493 General Surgery Athigaman, Murugan, MD Provider ID #NM009V18 BlueLINK ID: 4258156 ES The Surgery Group of Carlsbad 2402 W. Pierce St., Ste. 5B, 88220 (505) 885-0766 Fax No. (505) 887-3791 Bauer, Paul, MD Provider ID #NM011935 BlueLINK ID: 3372536 St. Francis Family Medical Center PMS is not affiliated with Presbyterian Healthcare Services 105 N. Guadalupe St., 88220 (505) 887-2610 Fax No. (505) 885-2252 Levin, Jon I., DO Provider ID #NM014B51 BlueLINK ID: 2167330 Pecos Valley of New Mexico 2402 W. Pierce St., Ste. 3A, 88220 (505) 885-7690 Fax No. (505) 885-7694 Robillard, David M., MD Provider ID #NM009V19 BlueLINK ID: 2398058 ES The Surgery Group of Carlsbad 2402 W. Pierce St., Ste. 5B, 88220 (505) 885-0766 Fax No. (505) 887-3791 Hand Surgery Baggs, William J., MD Provider ID #NM000206 BlueLINK ID: 2396835 ES 2410 W. Pierce St., 88220 (505) 885-2188 Fax No. (505) 885-6486 Neurology Ramasamy, Senthilkumar, MD Provider ID #NM009K77 BlueLINK ID: 6002993 TA 2402 W. Pierce St., Ste. 5C, 88220 (505) 887-7300 Fax No. (505) 887-5511 Obstetrics/Gynecology Pai, Ramnath K., MD Provider ID #NM009801 BlueLINK ID: 3135872 2420 W. Pierce St., Ste. 104, 88220 (505) 887-5528 Fax No. (505) 885-3366 Secora, Charles L., MD Provider ID #NM009220 BlueLINK ID: 3271492 ES Women's Health Services 2402 W. Pierce St., Ste. 6F, 88220 (505) 887-6685 Fax No. (505) 885-0795 Ophthalmology Lim, Michael G., MD Provider ID #NM003136 BlueLINK ID: 3276621 2402 W. Pierce St., Ste. 1B, 88220 (505) 887-5325 Fax No. (505) 887-6449 Orthopedics Baca, Marshall G., MD Provider ID #NM000178 BlueLINK ID: 3313673 Orthopedic Specialist 2410 W. Pierce St., 88220 (505) 885-2188 Fax No. (505) 885-6486 Baggs, William J., MD Provider ID #NM000206 BlueLINK ID: 2396835 ES 2410 W. Pierce St., 88220 (505) 885-2188 Fax No. (505) 885-6486 Ford, Joseph K., MD Provider ID #NM023409 BlueLINK ID: 2122725 Orthopedic Specialists 2410 W. Pierce, 88220 (505) 885-2188 Pathology Nieves, Ricardo A., MD Provider ID #NM009179 BlueLINK ID: 4112632 Patients over age 12 ES Carlsbad Spine, Pain & Sports Med. 2430 W. Pierce St., 88220 (505) 887-4570 Email: [email protected] Ray, Thaddeus, DO Provider ID #NM009N61 BlueLINK ID: 6003678 Patients over age 13 ES Carlsbad Spine, Pain & Sports Medicine PC 2319 W. Pierce, 88220 (505) 628-1548 Fax No. (505) 628-1552 Pulmonary Medicine Ahmad, Mushtaq, MD Provider ID #NM019N26 BlueLINK ID: 4236692 Patients over age 15 ES 2402 W. Pierce St., Ste. 6D, 88220 (505) 628-1589 Fax No. (505) 234-1813 Radiology Sullesta, Otoniel R., MD Provider ID #NM002711 BlueLINK ID: 3207872 ES TL Medical Imaging of Carlsbad 2430 W. Pierce St., 88220 (505) 887-4580 Urology Rybka, Sergio J., MD Provider ID #NM004208 BlueLINK ID: 2398073 ES 1031 N. Thomas, 88220 (505) 887-5542 Cimarron Colfax County Internal Medicine Laursen, Abbie L., MD Provider ID #NM009U23 BlueLINK ID: 4112491 Cimarron Healthcare Clinic 9th & Washington, 87714 (505) 376-2402 Zwiener, John R., MD Provider ID #NM003107 BlueLINK ID: 3252079 1008 W. Pierce St., Ste. 1A, 88220 (505) 887-0412 See special note See last page for Provider Language Codes legend 81 Specialists If you reside within this county and choose to visit a provider marked with special symbol "¾", your visit will not be covered. See the introductory section of this directory for more details. Cimarron Specialists Clayton Clayton Specialists Union County General Surgery Jenkins, Michael L., MD Provider ID #NM001406 BlueLINK ID: 3135731 315 N. 3rd Ave., 88415 (505) 374-2521 Fax No. (505) 374-2498 Van Wormer, Mark E., MD Provider ID #NM002858 BlueLINK ID: 3143339 ES Union County Medical Center 314 N. 3rd Ave., 88415 (505) 374-8311 Fax No. (505) 374-8825 Radiology Karrer, John W., MD Provider ID #NM002871 BlueLINK ID: 2397891 ES 301 Harding St., 88415 (505) 374-2585 Clovis Curry County Anesthesiology Paladugu, Mythili, MD Provider ID #NM009S66 BlueLINK ID: 6003855 Plains Regional Medical Center 2100 N. Martin Luther King, 88101 (505) 769-2141 Fax No. (505) 769-7337 Paladugu, Mythili, MD Provider ID #NM009S51 BlueLINK ID: 6003855 Plains Regional Medical Group 2200 W. 21st St., 88101 (505) 769-7577 Fax No. (505) 769-7595 Siddiqui, Saud I., MD Provider ID #NM009G07 BlueLINK ID: 4243118 UR AR Presbyterian Healthcare Services Clovis Clinic 2000 W. 21st St., Ste. E1, 88101 (505) 763-0680 Fax No. (505) 763-0776 Hassan, Mohammed, MD Provider ID #NM009N80 BlueLINK ID: 6003814 Cardiology Associates 912 W. 21st St., 88101 (505) 763-3666 Fax No. (505) 763-4029 Hurd, Howard P., MD Provider ID #NM00VP13 BlueLINK ID: 2317246 Patients over age 15 ES Cardiologists of Lubbock, PA 2708 N. Prince, 88101 (505) 742-2200 Rizzo, Joseph A., MD Provider ID #NM009N23 BlueLINK ID: 2365194 Patients over age 15 ES Cardiologists of Lubbock, PA 2708 N. Prince, 88101 (505) 742-2200 Sharif, M. Alan, MD Provider ID #NM009N04 BlueLINK ID: 4113259 Patients over age 15 ES Cardiologists of Lubbock, PA 2708 N. Prince, 88101 (505) 742-2200 Solis, Roberto E., MD Provider ID #NM009N20 BlueLINK ID: 3387399 Patients over age 15 ES Cardiologists of Lubbock, PA 2708 N. Prince, 88101 (505) 742-2200 Dermatology Brown, Donald, DO Provider ID #NM024070 BlueLINK ID: 3394267 ES Clovis Dermatology 818 Parkland, 88101 (505) 762-8890 Fax No. (505) 762-8892 Ear, Nose, and Throat General Surgery Barnwell-Grayson, Anne B., MD Provider ID #NM009S59 BlueLINK ID: 3275122 Plains Regional Medical Group 2200 W. 21st St., 88101 (505) 769-7577 Fax No. (505) 769-7595 Haynes, Stephen, MD Provider ID #NM001182 BlueLINK ID: 2397826 Associated Physicians & Surgeons of NM 2211 Martin Luther King, 88101 (505) 763-5585 Kwan, Albert M., MD Provider ID #NM004128 BlueLINK ID: 2318086 ES 1820 W. 21st St., 88101 (505) 762-2207 Fax No. (505) 762-7108 Paladugu, Ramesh, MD Provider ID #NM009S34 BlueLINK ID: 6003756 HI TE Plains Regional Medical Center 2100 N. Martin Luther King, 88101 (505) 769-2141 Fax No. (505) 769-7337 Paladugu, Ramesh, MD Provider ID #NM009S24 BlueLINK ID: 6003756 HI TE Plains Regional Medical Group 2200 W. 21st St., 88101 (505) 769-7577 Fax No. (505) 769-7595 Stalker, David A., MD Provider ID #NM003469 BlueLINK ID: 3256234 ES Associated Physicians & Surgeons of NM 2211 Martin Luther King, 88101 (505) 763-5585 Infectious Diseases Rowley, Nicholas J., MD Provider ID #NM002357 BlueLINK ID: 2398071 Otology 201 Commerce Way, Ste. 104, 88101 (505) 762-3385 Filizzola, Marcelo, MD Provider ID #NM009K25 BlueLINK ID: 4288654 ES La Casa Family Health Center 1521 W. 13th St., 88101 (505) 769-0888 Fax No. (505) 763-9154 Cardiology Family Practice Internal Medicine Borno, Mounir Y., MD Provider ID #NM00YQ01 BlueLINK ID: 3351679 Patients over age 15 ES AR Cardiologists of Lubbock, PA 2708 N. Prince, 88101 (505) 742-2200 Fax No. (806) 784-4202 Alter, Bruce R., MD Provider ID #NM009L65 BlueLINK ID: 2291271 Plains Regional Medical Center 2100 N. Martin Luther King, 88101 (505) 769-2141 Fax No. (505) 769-7337 Dhingra, Hemant, MD Provider ID #NM009G89 BlueLINK ID: 5009716 HI PA UR Presbyterian Healthcare Services Clovis Clinic 2000 W. 21st St., Ste. E1, 88101 (505) 763-0680 Fax No. (505) 769-7337 Grattan, James G., MD Provider ID #NM019N16 BlueLINK ID: 2192332 Patients over age 15 ES Cardiologists of Lubbock, PA 2708 N. Prince, 88101 (505) 742-2200 82 Hillis, Timothy C., DO Provider ID #NM01E620 BlueLINK ID: 5010168 Presbyterian Healthcare Services Clovis Clinic 2000 W. 21st St., Ste. E1, 88101 (505) 763-0680 Fax No. (505) 763-0766 Filizzola, Marcelo, MD Provider ID #NM009U32 BlueLINK ID: 4288654 ES Plains Regional Medical Center 2100 N. Martin Luther King, 88101 (505) 769-2141 Fax No. (505) 769-7337 See special note See last page for Provider Language Codes legend Fuseini, Mahamadu A., MD Provider ID #NM009U27 BlueLINK ID: 4221679 Plains Regional Medical Center 2100 N. Martin Luther King, 88101 (505) 769-2141 Fax No. (505) 769-7337 Fuseini, Mahamadu A., MD Provider ID #NM009R86 BlueLINK ID: 4221679 Plains Regional Medical Group 2200 W. 21st St., 88101 (505) 769-7577 Fax No. (505) 769-7595 Hassan, Mohammed, MD Provider ID #NM009S83 BlueLINK ID: 6003814 Plains Regional Medical Center 2100 N. Martin Luther King, 88101 (505) 769-2141 Fax No. (505) 769-7337 Nephrology Blas, Alfredo L., III, MD Provider ID #NM009G85 BlueLINK ID: 4281975 TL Renal Medicine Associates 2301 N. Martin Luther King, 88101 (505) 762-9004 Fax No. (505) 762-9006 Manjunath, Guruprasad, MD Provider ID #NM009C22 BlueLINK ID: 4232077 ES Renal Medicine Associates 2301 N. Martin Luther King, 88101 (505) 762-9004 Fax No. (505) 767-4000 Miller, Robert B., MD Provider ID #NM009304 BlueLINK ID: 4121285 Pediatrics ES Renal Medicine Associates Plains Regional Dialysis Center 2301 N. Martin Luther King, 88101 (505) 769-7115 Neurology Ogunro, Charles, MD Provider ID #NM014992 BlueLINK ID: 2162198 Clovis Neurology Clinic 811 Lexington, 88101 (505) 769-3070 Fax No. (505) 762-7037 Obstetrics/Gynecology Sharma, Kiran, MD Provider ID #NM004410 BlueLINK ID: 4167423 ES La Casa Family Health Center 1521 W. 13th St., 88101 (505) 769-0888 Fax No. (505) 763-9154 Ophthalmology Chang, Brian M., MD Provider ID #NM009657 BlueLINK ID: 4254679 ES Eye Associates of NM 2000 W. 21st St., Ste. R1, 88101 (505) 763-3445 Fax No. (505) 762-2690 July 2005 Specialists Levy, Renny H., MD Provider ID #NM009539 BlueLINK ID: 3356711 ES Eye Associates of NM 2000 W. 21st St., Ste. R1, 88101 (505) 763-3445 Fax No. (505) 762-2690 Ogawa, Gregory S. H., MD Provider ID #NM004572 BlueLINK ID: 3364194 Eye Associates of NM 2000 W. 21st St., Ste. R1, 88101 (505) 763-3445 Fax No. (505) 762-2690 Watterberg, Tina M., MD Provider ID #NM002884 BlueLINK ID: 2398277 Eye Associates of NM 2000 W. 21st St., Ste. R1, 88101 (505) 763-3445 Fax No. (505) 762-2690 Radiation Oncology Gastroenterology Anderson, Paul, MD Provider ID #NM01XZ72 BlueLINK ID: 3311163 ES Plains Regional Cancer Center 2219 Dillion St., 88101 (806) 796-1122 Al Hamad, Thanaa, MD Provider ID #NM004988 BlueLINK ID: 4207481 ES AR Mimbres Internal Medicine 122 S. Gold St., 88030 (505) 544-7280 Fax No. (505) 544-7281 Neumann, Thomas R., MD Provider ID #NM024796 BlueLINK ID: 3202152 ES Plains Regional Cancer Center 2219 Dillion St., 88101 (806) 796-1122 Radiology Rowley, Michael A., MD Provider ID #NM002329 BlueLINK ID: 3135927 305 Pile St., 88101 (505) 762-5955 Urology Wyant, Frank W., Jr., DO Provider ID #NM004657 BlueLINK ID: 2396760 Eye Associates of NM 2000 W. 21st St., Ste. R1, 88101 (505) 763-3445 Fax No. (505) 762-2690 Haynes, Allan L., Jr., MD Provider ID #NM014203 BlueLINK ID: 3143159 ES 2000 W. 21st St., Ste. W1, 88101 (505) 769-2689 Fax No. (505) 769-0075 Orthopedics Smith, Cynthia K., MD Provider ID #NM014204 BlueLINK ID: 4154263 Plains Regional Medical Center 2100 N. Martin Luther King, 88101 (505) 769-2141 Fax No. (505) 769-7337 George, Jacob, MD Provider ID #NM003483 BlueLINK ID: 2253035 2301 N. Thomas St., 88101 (505) 763-1197 Fax No. (505) 769-1998 Pathology Harris, John D., MD Provider ID #NM001217 BlueLINK ID: 2103903 Professional Pathology Services 2100 N. Martin Luther King, 88101 (505) 769-7257 Fax No. (505) 769-7252 Pediatrics Alcazar-Pesante, Lisa G., MD Provider ID #NM009V31 BlueLINK ID: 6004107 Plains Regional Medical Center 2100 N. Martin Luther King, 88101 (505) 769-2141 Fax No. (505) 769-7337 Arif, Khuram, MD Provider ID #NM009H92 BlueLINK ID: 4251816 ES HI UR PA Presbyterian Heart Group 2100 N. Martin Luther King, 88101 (505) 769-2141 Fax No. (505) 769-7337 Pulmonary Medicine Bobadilla, Arnel Anthony S., MD Provider ID #NM009C86 BlueLINK ID: 4274446 Plains Regional Medical Center Clovis Clinic 2000 W. 21st St., Ste. E1, 88101 (505) 763-0680 Fax No. (505) 763-0776 July 2005 Smith, Cynthia K., MD Provider ID #NM014204 BlueLINK ID: 4154263 Plains Regional Medical Center 912 W. 21st St., 88101 (505) 762-4455 Deming Luna County Anesthesiology Al-Nouri, Mohammad, MD Provider ID #NM009K24 BlueLINK ID: 4255114 AR Mimbres Memorial Hospital 900 W. Ash St., 88030 (505) 546-2761 Fax No. (505) 543-6507 Family Practice Gary, Clifford M., DO Provider ID #NM014B67 BlueLINK ID: 2303165 Female patients only Deming Women's Center 850 W. Florida, 88031 (505) 546-6548 Fax No. (505) 546-6540 General Surgery Lindsey, Tom G., DO Provider ID #NM004082 BlueLINK ID: 3278144 Mimbres Surgical Consultants 1110 W. Florida, 88030 (505) 546-5444 Fax No. (505) 544-3170 Hematology/Oncology Aswad, Mohamed, MD Provider ID #NM009K30 BlueLINK ID: 4295172 ES Mimbres Medical Center 1020 S. 8th St., Ste. A, 88030 (505) 546-1059 Fax No. (505) 546-8388 Internal Medicine Aswad, Mohamed, MD Provider ID #NM009K30 BlueLINK ID: 4295172 ES Mimbres Medical Center 1020 S. 8th St., Ste. A, 88030 (505) 546-1059 Fax No. (505) 546-8388 Obstetrics/Gynecology Gary, Clifford M., DO Provider ID #NM014B67 BlueLINK ID: 2303165 Female patients only Deming Women's Center 850 W. Florida, 88031 (505) 546-6548 Fax No. (505) 546-6540 Ophthalmology Dahlstrom, Ralph, MD Provider ID #NM009805 BlueLINK ID: 2397699 ES DE FR RU UZ Deming Opthalmology 429 E. Olive, 88030 (505) 546-4115 Fax No. (505) 546-2205 Foster, John M., MD Provider ID #NM000905 BlueLINK ID: 3143122 ES Southwest Orthopaedic Clinics 1515 S. 8th St., 88030 (505) 544-4627 Fax No. (505) 544-7379 Pulmonary Medicine Stinar, Donald, MD Provider ID #NM011920 BlueLINK ID: 2177834 ES 122 S. Gold St., 88030 (505) 534-2631 Radiology Furlong, Joseph B., MD Provider ID #NM019D37 BlueLINK ID: 4212747 Mimbres Memorial Hospital 900 W. Ash St., 88030 (505) 546-5800 Fax No. (505) 543-6907 Lipana, Oscar N., MD Provider ID #NM002639 BlueLINK ID: 2236994 ES Mimbres Medical Center 1020 S. 8th St., Ste. A, 88030 (505) 546-1059 Fax No. (505) 546-8388 Lipana, Oscar N., MD Provider ID #NM002639 BlueLINK ID: 2236994 ES Mimbres Medical Center 900 W. Ash St., 88030 (505) 546-2761 Silverthorne, Patrick E., MD Provider ID #NM001280 BlueLINK ID: 2398102 900 W. Ash St., 88030 (505) 546-2761 Edgewood Santa Fe County Obstetrics/Gynecology Rowe, Julian F., MD Provider ID #NM004904 BlueLINK ID: 3293070 ES New Mexico Inner Wellness Center 1950 Old Route 66, Ste. C, 87015 (505) 286-1900 Fax No. (505) 281-5157 El Rito Rio Arriba County Orthopedics Ophthalmology Dericks, Gerard H., MD Provider ID #NM009B66 BlueLINK ID: 2398410 Arthroscopic surgery ES Orthopaedic & Sports Medicine Clinic of NM 710 S. Gold Ave., 88030 (505) 546-0770 Fax No. (505) 546-0900 Puro, Gary V., MD Provider ID #NM009A34 BlueLINK ID: 3135895 ES Las Clinicas del Norte State Hwy. 571, Ste. 28, 87530 (505) 581-4728 Fax No. (505) 581-4789 See special note See last page for Provider Language Codes legend Specialists Engstrom, Paul F., MD Provider ID #NM009129 BlueLINK ID: 2222546 ES 801 Parkland, Ste. B, 88101 (505) 762-9200 El Rito 83 Specialists Española Española Specialists Rio Arriba County Allergy/Immunology Schackel, Gregory M., MD Provider ID #NM000429 BlueLINK ID: 3235359 Southwestern ENT Associates 1010 Spruce St., Ste. D, 87532 (505) 753-2050 Cardiology Diamandopoulos, Laura A., MD Provider ID #NM009R78 BlueLINK ID: 6003582 ES New Mexico Heart Institute 835 Spruce Ave., 87532 (505) 747-1234 Fax No. (505) 747-1236 Sandoval, Anthony B., MD Provider ID #NM022954 BlueLINK ID: 3227822 New Mexico Heart 1009 Spruce St., 87532 (505) 747-1234 Fax No. (505) 742-1236 Ear, Nose, and Throat Schackel, Gregory M., MD Provider ID #NM000429 BlueLINK ID: 3235359 Southwestern ENT Associates 1010 Spruce St., Ste. D, 87532 (505) 753-2050 Endocrinology Perez, Vicente O., MD Provider ID #NM00G80 BlueLINK ID: 5009692 Española Multi-Specialty Clinic 1010 Spruce St., 87532 (505) 367-0340 Fax No. (505) 365-0346 General Surgery Azimuddin, Khawaja, MD Provider ID #NM009563 BlueLINK ID: 5007124 ES Española Multi-Specialty Clinic 1010 Spruce St., 87532 (505) 753-8031 Fax No. (505) 753-7433 Bell, Lawrence C., MD Provider ID #NM002450 BlueLINK ID: 3135501 Española Multi-Specialty Clinic 1010 Spruce St., 87532 (505) 753-8031 Fax No. (505) 753-7433 Infectious Diseases Palestine, Michael D., MD Provider ID #NM004923 BlueLINK ID: 3100085 Espanola Hospital 1010 Spruce St., 87532 (505) 753-7111 84 Internal Medicine Ophthalmology Radiology Aguilar, Jorge A., MD Provider ID #NM009545 BlueLINK ID: 4227537 ES Española Multi-Specialty Clinic 1010 Spruce St., 87532 (505) 753-8031 Fax No. (505) 753-7433 Bratton, Angela R., MD Provider ID #NM003195 BlueLINK ID: 3201491 Eye Associates of NM 412 N. Paseo de Oñate, Ste. 2, 87532 (505) 753-7868 Fax No. (505) 753-6459 Asad, Mohammad, MD Provider ID #NM009L51 BlueLINK ID: 4263324 Española Hospital 1010 Spruce St., 87532 (505) 753-7111 Fax No. (505) 367-0257 Asad, Mohammad, MD Provider ID #NM009L51 BlueLINK ID: 4263324 Española Hospital 1010 Spruce St., 87532 (505) 753-7111 Fax No. (505) 367-0257 Diamandopoulos, Laura A., MD Provider ID #NM009R78 BlueLINK ID: 6003582 ES New Mexico Heart Institute 835 Spruce Ave., 87532 (505) 747-1234 Fax No. (505) 747-1236 Dickinson, Mark W., MD Provider ID #NM001730 BlueLINK ID: 3350797 ES Española Hospital 1010 Spruce St., 87532 (505) 753-7111 Palestine, Michael D., MD Provider ID #NM004923 BlueLINK ID: 5005006 1010 Spruce St., 87532 (505) 753-7111 Rojas, Rogelio E., MD Provider ID #NM009G16 BlueLINK ID: 4241538 ES Espanola Multi-Specialty Clinic 1010 Spruce St., 87532 (505) 367-0340 Fax No. (505) 367-0346 Ryan, W. Murray, MD Provider ID #NM009G43 BlueLINK ID: 3143290 Española Multi-Specialty Clinic 1010 Spruce St., 87532 (505) 753-8031 Fax No. (505) 747-0369 Obstetrics/Gynecology Halverson, Cordell K., MD Provider ID #NM009136 BlueLINK ID: 2397813 Española Multi-Specialty Clinic 1010 Spruce St., 87532 (505) 753-8031 Fax No. (505) 753-7433 Johnson, Dianne D., MD Provider ID #NM001405 BlueLINK ID: 3257796 Española Multi-Specialty Clinic 1010 Spruce St., 87532 (505) 753-8031 Fax No. (505) 753-7433 O'Connor, Anne M., MD Provider ID #NM009681 BlueLINK ID: 4257866 Española Multi-Specialty Clinic 1010 Spruce St., 87532 (505) 753-8031 Fax No. (505) 753-7433 Puro, Gary V., MD Provider ID #NM012209 BlueLINK ID: 3135895 Eye Care For You 110 N. Coronado St., 87532 (505) 753-7391 Fax No. (505) 753-2749 Reidy, Kristin E., DO Provider ID #NM004A00 BlueLINK ID: 4264237 Eye Associates of NM 412 N. Paseo de Oñate, Ste. 2, 87532 (505) 753-7868 Fax No. (505) 753-6459 Orthopedics Auge, Wayne, MD Provider ID #NM003079 BlueLINK ID: 4113491 Northern NM Orthopaedic Center 1009 Spruce St., 87532 (505) 747-4144 Fax No. (505) 747-3213 Wise, Arnold, MD Provider ID #NM003084 BlueLINK ID: 2281638 Northern NM Orthopaedic Center 1009 Spruce St., 87532 (505) 747-4144 Fax No. (505) 747-3213 Pediatrics Dickinson, Mark W., MD Provider ID #NM001730 BlueLINK ID: 3350797 ES Española Hospital 1010 Spruce St., 87532 (505) 753-7111 Pulmonary Medicine Lakshmi-Narayanan, Salvadeeswaran, MD Provider ID #NM009S25 BlueLINK ID: 6003757 HI TA Española Hospital 1010 Spruce St., 87532 (505) 753-7111 Fax No. (505) 367-0257 Lakshmi-Narayanan, Salvadeeswaran, MD Provider ID #NM009S31 BlueLINK ID: 6003757 HI TA Española Multi Specialty Clinic 1010 Spruce St., 87532 (505) 753-7111 Fax No. (505) 367-0257 Wagner, Michael D., MD Provider ID #NM002873 BlueLINK ID: 3136015 835 Spruce St., Ste. B, 87532 (505) 753-7499 See special note See last page for Provider Language Codes legend Urology Frasier, Robert W., III, MD Provider ID #NM000974 BlueLINK ID: 3135637 Taos Community Healthplan Medical Arts Bldg. 1010 Spruce St., Ste. G, 87532 (505) 753-6771 Farmington San Juan County Anesthesiology Bruerd, Charles E., DO Provider ID #NM004B05 BlueLINK ID: 3233111 Four Corners Anesthesia 801 W. Maple St., 87401 (505) 326-6400 Fax No. (505) 326-4606 Goldstein, David P., MD Provider ID #NM009F03 BlueLINK ID: 3143977 Four Corners Anesthesia 801 W. Maple St., 87401 (505) 326-6400 Fax No. (505) 326-4606 Gotta, Jan A., MD Provider ID #NM009T46 BlueLINK ID: 4244109 DE Four Corners Anesthesia 2300 E. 30th St., Bldg. A, 87401 (505) 326-7246 Fax No. (505) 546-2210 Gotta, Jan A., MD Provider ID #NM009T46 BlueLINK ID: 4244109 DE Four Corners Anesthesia 801 W. Maple St., 87401 (505) 325-5011 Fax No. (505) 599-6056 Latif, Shariq, MD Provider ID #NM009T47 BlueLINK ID: 6004092 Four Corners Anesthesia 801 W. Maple St., 87401 (505) 326-7246 Fax No. (505) 564-2210 Cardiology Kapoor, Gaurav, MD Provider ID #NM009P07 BlueLINK ID: 6003403 ES Silver Summit Medical Corp. 810 W. Maple St., 87401 (505) 564-8210 Fax No. (505) 564-8148 Loveday, Gonzalo J., MD Provider ID #NM009H85 BlueLINK ID: 4282457 ES New Mexico Heart Institute 2700 Farmington Ave., Bldg. 1, Ste. B, 87401 (505) 324-6322 July 2005 Specialists Farmington Koelliker, Diana E., MD Provider ID #NM007E09 BlueLINK ID: 4188702 San Juan Reg. Med. Cntr. Emergency Physicians 801 W. Maple St., 87499 (505) 599-6102 Schramm, Mark S., MD Provider ID #NM012632 BlueLINK ID: 4123883 Adult cardiology ES New Mexico Heart Institute 2700 Farmington Ave., Bldg. 1, Ste. B., 87401 (505) 324-6322 Fax No. (505) 324-6344 Koelliker, Paul D., MD Provider ID #NM007E09 BlueLINK ID: 4160987 San Juan Reg. Med. Cntr. Emergency Physicians 801 W. Maple St., 87499 (505) 599-6102 Vaidya, Kedernath A., MD Provider ID #NM009326 BlueLINK ID: 4235083 ES New Mexico Heart Institute 634 W. Piñon, 87401 (505) 841-1000 Vrushab, Rajesh, MD Provider ID #NM009A01 BlueLINK ID: 4266001 Silver Summit Medical Corporation 810 W. Maple St., 87401 (505) 564-8210 Dermatology Curry, Mary Catherine, MD Provider ID #NM004246 BlueLINK ID: 3135591 San Juan Medical Group 316 N. Locke St., 87401 (505) 327-6164 Fax No. (505) 327-6467 Graham, Jean Ann, MD Provider ID #NM012425 BlueLINK ID: 4155809 Animas Dermatology 4801 N. Butler Ave., Ste. 9101, 87401 (505) 324-8375 Fax No. (505) 327-4638 Ear, Nose, and Throat Eberhart, Jack H., MD Provider ID #NM002437 BlueLINK ID: 2209651 Piñon Hills ENT Associates 2300 E. 30th St., Bldg. D, Ste. 102, 87401 (505) 327-4429 Fax No. (505) 327-4420 Emergency Medicine Caplin, Daniel, DO Provider ID #NM007E09 BlueLINK ID: 3379882 San Juan Reg. Med. Cntr. Emergency Physicians 801 W. Maple St., 87499 (505) 599-6102 Hill, Russell, MD Provider ID #NM007E09 BlueLINK ID: 3327625 San Juan Reg. Med. Cntr. Emergency Physicians 801 W. Maple St., 87499 (505) 599-6102 Kester, Dale E., MD Provider ID #NM007E09 BlueLINK ID: 2317829 San Juan Reg. Med. Cntr. Emergency Physicians 801 W. Maple St., 87499 (505) 599-6102 July 2005 Novey, Walter, MD Provider ID #NM007E09 BlueLINK ID: 3367140 San Juan Reg. Med. Cntr. Emergency Physicians 801 W. Maple St., 87499 (505) 599-6102 Paine, Michael, MD Provider ID #NM007E09 BlueLINK ID: 2320133 San Juan Reg. Med. Cntr. Emergency Physicians 801 W. Maple St., 87499 (505) 599-6102 Stradling, Kennard, MD Provider ID #NM007E09 BlueLINK ID: 3281831 San Juan Reg. Med. Cntr. Emergency Physicians 801 W. Maple St., 87499 (505) 599-6102 Wilmes, Janet, MD Provider ID #NM007E09 BlueLINK ID: 3324834 San Juan Reg. Med. Cntr. Emergency Physicians 801 W. Maple St., 87499 (505) 599-6102 Endocrinology Abbott, Alice M., MD Provider ID #NM009F44 BlueLINK ID: 3295758 SJR Internal Medicine Clinic 655 W. Piñon, 87401 (505) 326-5359 Fax No. (505) 326-2467 Family Practice Hoffman, Charles L., MD Provider ID #NM014626 BlueLINK ID: 4120938 San Juan Regional Medical Center 801 W. Maple St., 87401 (505) 564-6903 Gastroenterology Colon, Francisco, MD Provider ID #NM009066 BlueLINK ID: 2260700 ES Four Corners Gastroenterology Consultants 814 W. Maple St., 87401 (505) 326-5552 Fax No. (505) 324-2299 Lopez De Victoria, Armando, MD Provider ID #NM010310 BlueLINK ID: 3166844 ES Four Corners Gastroenterology Consultants 814 W. Maple, 87401 (505) 326-5552 Fax No. (505) 324-2299 General Practice Peacock, George, MD Provider ID #NM002114 BlueLINK ID: 2398026 304 S. Lake St., Ste. A, 87401 (505) 327-6026 Fax No. (505) 326-2773 General Surgery Gibbs, Dwayne L., MD Provider ID #NM002125 BlueLINK ID: 3269632 San Juan Surgical Associates 622 W. Maple St., Ste. C, 87401 (505) 327-9694 Fax No. (505) 327-7524 McCray, David W., MD Provider ID #NM009P06 BlueLINK ID: 3107374 San Juan Surgical Associates 622 W. Maple St., Ste. C, 87401 (505) 327-9694 Fax No. (505) 327-7524 Robison, Dennis J., MD Provider ID #NM002315 BlueLINK ID: 2398064 San Juan Surgical Associates 622 W. Maple St., Ste. C, 87401 (505) 327-9694 Fax No. (505) 327-7524 Yeats, Melania, MD Provider ID #NM009J32 BlueLINK ID: 6000461 San Juan Surgical Associates 622 W. Maple St., Ste. C, 87401 (505) 327-9694 Fax No. (505) 327-7524 Hematology/Oncology Begum, Hosne A., MD Provider ID #NM009T23 BlueLINK ID: 6004050 San Juan Oncology 800 W. Maple St., 87401 (505) 324-6851 Neidhart, Jeffrey D., MD Provider ID #NM019A39 BlueLINK ID: 4164699 San Juan Oncology 800 W. Maple St., 87401 (505) 324-6851 Fax No. (505) 599-6016 Smith, Richard G., MD Provider ID #NM009S50 BlueLINK ID: 3169119 New Mexico Oncology Hematology Consultants, Ltd. 2300 30th St., Bldg. B, Ste. 104, 87401 (505) 327-7700 Fax No. (505) 324-0740 Internal Medicine Begum, Hosne A., MD Provider ID #NM009T23 BlueLINK ID: 6004050 San Juan Oncology 800 W. Maple St., 87401 (505) 324-6851 Clark, Clifford, MD Provider ID #NM009762 BlueLINK ID: 3135566 Specializing in palliative medicine 5500 Johnson Terrace, 87401 (505) 324-3371 See special note See last page for Provider Language Codes legend Kaur, Prabhjote, MD Provider ID #NM009F42 BlueLINK ID: 4254275 Four Corners Nephrology Associates 622 W. Maple St., Ste. H, 87401 (505) 326-6521 Fax No. (505) 325-6699 Neidhart, James A., MD Provider ID #NM009P70 BlueLINK ID: 2174373 ES San Juan Oncology 800 W. Maple St., 87401 (505) 324-6851 Fax No. (505) 599-6016 Norman, John R., MD Provider ID #NM009A50 BlueLINK ID: 3135865 Silver Summit Medical Corporation 810 W. Maple St., 87401 (505) 564-8210 Fax No. (505) 564-8148 Nephrology Bevan, Mark F., MD Provider ID #NM000267 BlueLINK ID: 3124560 Four Corners Nephrology Associates 622 W. Maple St., 87401 (505) 326-6521 Isreb, Majd A., MD Provider ID #NM009J98 BlueLINK ID: 6003333 San Juan Nephrology Associates 634 W. Piñon, 87401 (505) 564-9332 Fax No. (505) 564-9362 Kaur, Prabhjote, MD Provider ID #NM009F42 BlueLINK ID: 4254275 Four Corners Nephrology Associates 622 W. Maple St., Ste. H, 87401 (505) 326-6521 Fax No. (505) 325-6699 Murphy, Marjorie G., MD Provider ID #NM009007 BlueLINK ID: 3135856 San Juan Nephrology Associates 301 S. Lake St., 87401 (505) 654-9332 Fax No. (505) 564-9362 Rohloff, Walter, MD Provider ID #NM009739 BlueLINK ID: 4231158 Four Corners Nephrology Associates 622 W. Maple St., Ste. H, 87401 (505) 326-6521 Voinescu, Catalina G., MD Provider ID #NM009A33 BlueLINK ID: 4268008 DE RO TA Four Corners Nephrology Associates 622 W. Maple St., Ste. H, 87401 (505) 326-6521 Fax No. (505) 325-6699 Neurology Breeden, Richard L., MD Provider ID #NM009027 BlueLINK ID: 2113657 Neurodiagnostics, Ltd. 4800 College Blvd., Ste. 102, 87402 (505) 326-7153 Fax No. (505) 326-7767 Ramneantu, Maria I., MD Provider ID #NM009P24 BlueLINK ID: 6003472 RO FR Neurodiagnostics, Ltd. 4800 College Blvd., Ste. 102, 87402 (505) 326-7153 Fax No. (505) 326-7767 85 Specialists Norman, John R., MD Provider ID #NM009A50 BlueLINK ID: 3135865 Silver Summit Medical Corporation 810 W. Maple St., 87401 (505) 564-8210 Fax No. (505) 564-8148 Specialists Specialists Farmington Kloberdanz, Dennis R., MD Provider ID #NM001536 BlueLINK ID: 2397892 Orthopedic Associates 2300 E. 30th St., Bldg. D, Ste. 101, 87401 (505) 327-1400 Fax No. (505) 564-3202 Obstetrics/Gynecology Ophthalmology Baca, Elizabeth H., MD Provider ID #NM001844 BlueLINK ID: 3298084 Female patients over age 13 ES 1390 E. 20th St., 87401 (915) 375-1352 Fax No. (505) 327-0898 Allen, Scott D., MD Provider ID #NM003476 BlueLINK ID: 3398142 New Mexico Eye Clinic of Farmington 2300 E. 30th St., Bldg. B, Ste. 105, 87401 (505) 327-0406 Fax No. (505) 326-4691 Bradley, Elizabeth Ann, MD Provider ID #NM024600 BlueLINK ID: 4170844 Northwest Womens Health Specialists 630 W. Maple St., 87401 (505) 325-1123 Fax No. (505) 325-3054 Chiu, Mark T., MD Provider ID #NM000562 BlueLINK ID: 3135563 Eye Associates of NM 622 W. Maple St., Ste. E, 87401 (505) 325-4003 Fax No. (505) 327-6140 Cepeda, Sheila Ann, MD Provider ID #NM014945 BlueLINK ID: 4203417 Northwest Womens Health Specialists 630 W. Maple St., 87401 (505) 325-1123 Fax No. (505) 325-3054 Durso, Frank, MD Provider ID #NM000780 BlueLINK ID: 3114017 Eye Associates of NM 622 W. Maple St., Ste. E, 87401 (505) 325-4003 Fax No. (505) 327-6140 Chang, Daniel W., MD Provider ID #NM014521 BlueLINK ID: 3398310 Northwest Womens Health Specialists 630 W. Maple St., 87401 (505) 325-1123 Fax No. (505) 325-3054 Huaman, Ana G., MD Provider ID #NM004412 BlueLINK ID: 3263659 New Mexico Eye Clinic of Farmington 2300 E. 30th St., Bldg. B, Ste. 105, 87401 (505) 327-0406 Fax No. (505) 326-4691 Stemsrud, Robert C., MD Provider ID #NM002675 BlueLINK ID: 2398116 Orthopedic Associates 2300 E. 30th St., Bldg. D, Ste. 101, 87401 (505) 327-1400 Fax No. (505) 564-3202 Rodgers, Donald E., MD Provider ID #NM003452 BlueLINK ID: 3135917 New Mexico Eye Clinic of Farmington 2300 E. 30th St., Bldg. B, Ste. 105, 87401 (505) 327-0406 Fax No. (505) 326-4691 Physical Medicine Slack, Kenneth D., MD Provider ID #NM009T26 BlueLINK ID: 4190888 FOGA Enterprises, LLC 656 W. Maple St., 87401 (505) 327-2206 Fax No. (505) 325-4969 Szekely, Joseph C., MD Provider ID #NM019A28 BlueLINK ID: 4273204 Northwest Womens Health Specialists 630 W. Maple St., 87401 (505) 325-1123 Fax No. (505) 325-3054 Vanderslice, Duane E., MD Provider ID #NM002836 BlueLINK ID: 2398246 816 W. Maple St., 87401 (505) 327-3634 Vassall, Alford N., Jr., MD Provider ID #NM009T27 BlueLINK ID: 3143340 FOGA Enterprises, LLC 656 W. Maple St., 87401 (505) 327-2206 Fax No. (505) 325-4969 Occupational Medicine Mosley, Frederick J., MD Provider ID #NM009P11 BlueLINK ID: 3251967 Animas Valley Back Center 2700 Farmington Ave., Ste. F, 87401 (505) 320-3121 Fax No. (505) 325-5044 Mosley, Frederick J., MD Provider ID #NM021780 BlueLINK ID: 3251967 Mesa Occupational & Sports Medicine 2700 Farmington Ave., Bldg. F, Ste. 1, 87401 (505) 325-1100 86 Whitehurst, Fred O., DO Provider ID #NM009575 BlueLINK ID: 3123654 ES Eye Associates of NM 622 W. Maple St., Ste. E, 87401 (505) 325-4003 Fax No. (505) 327-6140 Wiggins, Duane A., MD Provider ID #NM009642 BlueLINK ID: 4255007 ES Eye Associates of NM 622 W. Maple St., Ste. E, 87401 (505) 325-4003 Orthopedics Garard, Markus E., MD Provider ID #NM009J26 BlueLINK ID: 4290629 Orthopedic Associates 2300 E. 30th St., Bldg. D, Ste. 101, 87401 (505) 327-1400 Fax No. (505) 327-3474 Grossheim, Robert L., MD Provider ID #NM001137 BlueLINK ID: 3135678 Orthopedic Associates 2300 E. 30th St., Bldg. D, Ste. 101, 87401 (505) 327-1400 Fax No. (505) 564-3202 Gurley, William D., MD Provider ID #NM009T49 BlueLINK ID: 3124709 Orthopedic Associates 2300 E. 30th St., Bldg. D, Ste. 101, 87401 (505) 327-1400 Fax No. (505) 564-3202 Lehmer, Robert C., MD Provider ID #NM001642 BlueLINK ID: 2397924 Orthopedic Associates 2300 E. 30th St., Bldg. D, Ste. 101, 87401 (505) 327-1400 Fax No. (505) 564-3202 Lucas, Jason, DO Provider ID #NM009P18 BlueLINK ID: 6003474 FR Orthopedic Associates 2300 E. 30th St., Bldg. D, Ste. 101, 87401 (505) 327-1400 Fax No. (505) 564-3202 Bohachevsky, Cyril A., MD Provider ID #NM00YQ90 BlueLINK ID: 4217663 ES Durango Orthopedic Associates 2700 Farmington Ave., Bldg. E, 87401 (505) 325-2323 Grant, Jeffrey S., MD Provider ID #NM009J88 BlueLINK ID: 4204569 650 W. Main St., Ste. B, 87401 (505) 325-0072 Fax No. (505) 327-1739 Thompson, Carletta H., MD Provider ID #NM009J39 BlueLINK ID: 4177118 San Juan Regional Rehabilitation Hospital 525 Schwartz Ave., 87401 (505) 327-3422 Fax No. (505) 327-6562 Radiation Oncology Nguyen, Linh N., MD Provider ID #NM009P20 BlueLINK ID: 4119830 VI Four Corners Radiation Oncology 800 W. Maple, 87401 (505) 599-6259 Fax No. (505) 599-6104 Radiology Ainbinder, Martin B., MD Provider ID #NM009J89 BlueLINK ID: 4169045 Four Corners Radiology Associates 801 W. Maple St., 87401 (505) 325-1572 Fax No. (505) 327-4887 See special note See last page for Provider Language Codes legend Bliss, Lynn, MD Provider ID #NM009A26 BlueLINK ID: 4249363 Four Corners Radiology Associates 801 W. Maple St., 87401 (505) 325-1572 Fax No. (505) 327-4887 Orbelo, Robert, MD Provider ID #NM009F30 BlueLINK ID: 3358278 Four Corners Radiology Associates 801 W. Maple St., 87401 (505) 325-1572 Fax No. (505) 327-4887 Rizzi, John, MD Provider ID #NM009F29 BlueLINK ID: 3270088 Four Corners Radiology Associates 801 W. Maple St., 87401 (505) 325-1572 Fax No. (505) 327-4887 Rheumatology Gray, Suzanne C., MD Provider ID #NM002159 BlueLINK ID: 3307096 228 N. Schwartz Ave., 87401 (505) 327-8881 Urgent Care Bynum, Marlene G., MD Provider ID #NM00UCAL BlueLINK ID: 3208014 SJRMC Urgent Care 4820 E. Main St., 87402 (505) 326-0459 Lewis, Megan E., MD Provider ID #NM00UCAL BlueLINK ID: 3322555 SJRMC Urgent Care 4820 E. Main St., 87402 (505) 326-0459 Sproston, Laura, MD Provider ID #NM00UCAL BlueLINK ID: 4214713 SJRMC Urgent Care 4820 E. Main St., 87402 (505) 326-0459 Weiss, Allegra, MD Provider ID #NM00UCAL BlueLINK ID: 3386814 SJRMC Urgent Care 4820 E. Main St., 87402 (505) 326-0459 Young, Robert, MD Provider ID #NM00UCAL BlueLINK ID: 3162700 SJRMC Urgent Care 4820 E. Main St., 87402 (505) 326-0459 Gallup McKinley County Anesthesiology Agondon, Carmelita, MD Provider ID #NM009E83 BlueLINK ID: 5009318 TL Rehoboth McKinley Christian Health Care Services 1901 Red Rock Dr., 87301 (505) 863-7000 Fax No. (505) 863-5608 July 2005 Specialists Cardiology Swaminathan, Anandan, MD Provider ID #NM014614 BlueLINK ID: 4183235 ES AR New Mexico Heart Institute 501 E. Nizhoni Blvd., Ste. B, 87301 (505) 863-2208 Fax No. (505) 863-2236 Ear, Nose, and Throat Elber, Erwin R., MD Provider ID #NM009E29 BlueLINK ID: 2165977 Rehoboth McKinley Christian Health Care Services 1900 Red Rock Dr., 87301 (505) 863-7200 Fax No. (505) 863-7380 Emergency Medicine Beamsley, Alan C., DO Provider ID #NM001550 BlueLINK ID: 2397210 Rehoboth McKinley Christian Clinic 1901 Red Rock Dr., 87301 (505) 863-7000 Fax No. (505) 863-5806 General Surgery Collins, Kimberly, MD Provider ID #NM009H62 BlueLINK ID: 4294437 Rehoboth McKinley Christian Clinic 1900 Red Rock Dr., 87301 (505) 863-7000 Fax No. (505) 863-5608 Guimaraes, Charles J. S., MD Provider ID #NM004683 BlueLINK ID: 4191527 ES ZB ZC Rehoboth McKinley Christian Clinic 1900 Red Rock Dr., 87301 (505) 863-7200 Fax No. (505) 722-6037 Tempest, Peter, MD Provider ID #NM002030 BlueLINK ID: 4143404 Rehoboth McKinley Christian Clinic 1900 Red Rock Dr., 87301 (505) 863-7200 Voss, Carol J., MD Provider ID #NM002830 BlueLINK ID: 2398254 Rehoboth McKinley Christian Clinic 1900 Red Rock Dr., 87301 (505) 863-7200 Fax No. (505) 722-6037 Infectious Diseases Gonzaga, Christopher E., MD Provider ID #NM004423 BlueLINK ID: 4154201 Rehoboth McKinley Christian Clinic 2111 College Dr., 87301 (505) 863-1820 Fax No. (505) 863-1898 July 2005 Nephrology Khanna, Apurv, MD Provider ID #NM009645 BlueLINK ID: 4255447 HI Rehoboth McKinley Christian Clinic 1900 Red Rock Dr., 87301 (505) 863-7200 Fax No. (505) 863-7380 Whitfield, James W., MD Provider ID #NM002964 BlueLINK ID: 3156620 Rehoboth McKinley Christian Clinic 1900 Red Rock Dr., 87301 (505) 863-7200 Fax No. (505) 863-7380 Neurology Caballar-Gonzaga, Flor, MD Provider ID #NM013076 BlueLINK ID: 4162569 TL Rehoboth McKinley Christian Clinic 2111 College Dr., 87301 (505) 863-1820 Fax No. (505) 863-1898 Obstetrics/Gynecology Cullum, Lawrence M., MD Provider ID #NM000627 BlueLINK ID: 3123364 Rehoboth McKinley Christian Clinic 1900 Red Rock Dr., 87301 (505) 863-7200 Fax No. (505) 863-7380 Etsitty, E. Virgil, MD Provider ID #NM009C04 BlueLINK ID: 4270931 ZB Rehoboth McKinley Christian Clinic 1900 Red Rock Dr., 87301 (505) 863-7200 Fax No. (505) 863-7380 Kamps, Philip L., MD Provider ID #NM001458 BlueLINK ID: 3143190 Rehoboth McKinley Christian Clinic 1900 Red Rock Dr., 87301 (505) 863-7200 Fax No. (505) 863-7380 Ophthalmology Mezoff, John M., MD Provider ID #NM001869 BlueLINK ID: 2397976 Eye Associates of NM 231 E. Nizhoni Blvd., 87301 (505) 722-2268 Fax No. (505) 863-2874 Rosenberg, Arthur M., MD Provider ID #NM002342 BlueLINK ID: 3143284 Eye Associates of NM 231 Nizhoni Blvd., 87301 (505) 722-2278 Watterberg, Tina M., MD Provider ID #NM002884 BlueLINK ID: 2398277 Eye Associates of NM 231 Nizhoni Blvd., 87301 (505) 722-2278 Whitehurst, Fred O., DO Provider ID #NM009575 BlueLINK ID: 3123654 ES Eye Associates of NM 231 Nizhoni Blvd., 87301 (505) 722-2278 Wyant, Frank W., Jr., DO Provider ID #NM004657 BlueLINK ID: 2396760 Eye Associates of NM 231 E. Nizhoni Blvd., 87301 (505) 722-2268 Fax No. (505) 863-2874 Orthopedics Forbes, Alvis R., MD Provider ID #NM009R54 BlueLINK ID: 6003540 Rehoboth McKinley Christian Health Care Services 1900 Red Rock Dr., 87301 (505) 863-7200 Fax No. (505) 863-7380 Kamps, Bryan S., MD Provider ID #NM001455 BlueLINK ID: 4112283 Rehoboth McKinley Christian Clinic 1900 Red Rock Dr., 87301 (505) 863-7200 Fax No. (505) 722-6037 Webb, David R., MD Provider ID #NM009562 BlueLINK ID: 3310692 Specializing in sports medicine Rehoboth McKinley Christian Clinic 1900 Red Rock Dr., 87301 (505) 863-7200 Pathology Hathaway, James A., MD Provider ID #NM001260 BlueLINK ID: 3323724 Rehoboth McKinley Christian Clinic 1901 Red Rock Dr., 87301 (505) 639-0931 Physical Medicine Esparza, Carlos J., MD Provider ID #NM009046 BlueLINK ID: 4136683 ES 1901 Red Rock Dr., 87301 (505) 863-7114 Fax No. (505) 242-0189 Radiology Durham, Walter, DO Provider ID #NM004A68 BlueLINK ID: 2398211 Rehoboth McKinley Christian Health Care Services 1901 Red Rock Dr., 87301 (505) 863-7000 Urology Arrowsmith, Steven D., MD Provider ID #NM000894 BlueLINK ID: 3359338 Rehoboth McKinley Christian Clinic 1900 Red Rock Dr., 87301 (505) 863-7200 Fax No. (505) 722-6037 Gila Grant County Pulmonary Medicine Stinar, Donald, MD Provider ID #NM011920 BlueLINK ID: 2177834 ES 411 Hwy. 11, 88038 (505) 535-2184 See special note See last page for Provider Language Codes legend Grants Cibola County Specialists Gandhoke, Ronnie, MD Provider ID #NM009R53 BlueLINK ID: 4290437 PA Rehoboth McKinley Christian Health Care Services 1901 Redrock Dr., 87301 (505) 863-7000 Fax No. (505) 863-5806 Hobbs General Surgery Gutierrez, Karl R., MD Provider ID #NM001119 BlueLINK ID: 3246823 Gutierrez Medical Group 1010 Roosevelt Ave., 87020 (505) 287-2948 Hobbs Lea County Anesthesiology Ayyagari, Suryaprakash, MD Provider ID #NM009N82 BlueLINK ID: 3303142 HI Anesthesiology Associates of S.E. New Mexico 5419 N. Lovington Hwy., 88240 (505) 492-5678 Fax No. (505) 492-5666 Rafique, Adnan, MD Provider ID #NM009K85 BlueLINK ID: 6003014 ES Anesthesiology Associates of S.E. New Mexico 5419 N. Lovington Hwy., Ste. 20, 88240 (505) 392-2533 Cardiology Borno, Mounir Y., MD Provider ID #NM00YQ01 BlueLINK ID: 3351679 Patients over age 15 ES AR Cardiologists of Lubbock, PA 812 E. Sanger, Ste. B, 88240 (505) 393-2316 Fax No. (806) 784-4202 Grattan, James G., MD Provider ID #NM019N16 BlueLINK ID: 2192332 Patients over age 15 ES Cardiologists of Lubbock, PA 812 E. Sanger, Ste. B, 88240 (505) 393-2311 Hurd, Howard P., MD Provider ID #NM00VP13 BlueLINK ID: 2317246 Patients over age 15 ES Cardiologists of Lubbock, PA 812 E. Sanger, Ste. B, 88240 (505) 393-2311 Rizzo, Joseph A., MD Provider ID #NM009N23 BlueLINK ID: 2365194 Patients over age 15 ES Cardiologists of Lubbock, PA 812 E. Sanger, Ste. B, 88240 (505) 393-2311 Sharif, M. Alan, MD Provider ID #NM009N04 BlueLINK ID: 4113259 Patients over age 15 ES Cardiologists of Lubbock, PA 812 E. Sanger, Ste. B, 88240 (505) 393-2311 87 Specialists Specialists Hobbs Solis, Roberto E., MD Provider ID #NM009N20 BlueLINK ID: 3387399 Patients over age 15 ES Cardiologists of Lubbock, PA 812 E. Sanger, Ste. B, 88240 (505) 393-2311 Ear, Nose, and Throat Farrell, George J., III, MD Provider ID #NM009D16 BlueLINK ID: 3272166 ES ENT Associates of Southeastern NM 5419 N. Lovington Hwy., Bldg. 5, Ste. 7, 88240 (505) 392-0495 Fax No. (505) 392-0562 Gastroenterology Ruiz, Francisco R., MD Provider ID #NM009368 BlueLINK ID: 3375076 ES Ruiz Digestive Disease 5419 N. Lovington Hwy., Ste. 18, 88240 (505) 392-8593 Fax No. (505) 392-1087 General Practice Hurt, Allen V., MD Provider ID #NM009N45 BlueLINK ID: 2184188 ES American Medical Group 2410 N. Fowler, 88240 (505) 392-2040 Fax No. (505) 392-4114 General Surgery Jecius, Algimantas L., MD Provider ID #NM009D27 BlueLINK ID: 3249856 ES 5419 N. Lovington Hwy., Ste. 23, 88240 (505) 492-1561 Fax No. (505) 492-1564 McLaughlin, Jerry D., II, MD Provider ID #NM019252 BlueLINK ID: 4106383 Female patients only ES Hobbstetrics & Gynecology 5419 N. Lovington Hwy., Ste. 25, 88240 (505) 392-0077 Orthopedics Cahill, Daniel P., MD Provider ID #NM009D26 BlueLINK ID: 3249728 Orthopaedic Center 5419 N. Lovington Hwy., Bldg. 5, Ste. 4, 88240 (505) 392-7000 Fax No. (505) 392-7015 Fenner, Harold A., Jr., MD Provider ID #NM009N72 BlueLINK ID: 3135618 ES Desert Medical Group, LLC 1801 N. Dal Paso, 88240 (505) 393-0511 Fax No. (505) 393-0914 Harmston, John C., MD Provider ID #NM014983 BlueLINK ID: 2397816 ES 5419 N. Lovington Hwy., Ste. 15, 88240 (505) 392-5191 Fax No. (505) 392-0008 Pathology Otteson, Scott P., MD Provider ID #NM009D38 BlueLINK ID: 3361589 Hospital-based pathology Southeastern NM Pathology 5419 N. Lovington Hwy., 88240 (505) 492-5000 Physical Medicine Kankanala, Snehalatha, MD Provider ID #NM001450 BlueLINK ID: 2397877 5419 N. Lovington Hwy., Ste. 4, 88240 (505) 392-7537 Hand Surgery Pulmonary Medicine Fenner, Harold A., Jr., MD Provider ID #NM009N72 BlueLINK ID: 3135618 ES Desert Medical Group, LLC 1801 N. Dal Paso, 88240 (505) 393-0511 Fax No. (505) 393-0914 Kankanala, Sambaiah, MD Provider ID #NM001466 BlueLINK ID: 2397875 5419 N. Lovington Hwy., Ste. 4, 88240 (505) 392-7537 Obstetrics/Gynecology Techeira, Aemon R., MD Provider ID #NM009947 BlueLINK ID: 4195925 Hospital radiology Lea Regional Medical Center 5419 N. Lovington Hwy., 88240 (505) 492-5063 Fax No. (505) 492-5562 Callaghan, Kathleen M., MDFACOG Provider ID #NM009N07 BlueLINK ID: 6003232 Females only ES Hobbs Ob/Gyn Associates 5420 Lovington Hwy., 88240 (505) 433-4000 Fax No. (505) 392-7965 88 Radiology Sleep Disorders Doggett, John W., MD Provider ID #NM009K88 BlueLINK ID: 3331013 Sleep disorders only Eastern NM Sleep Disorder Center 909 N. Grimes, 88240 (505) 397-0006 Fax No. (505) 397-0077 Krakow, Barry J., MD Provider ID #NM009031 BlueLINK ID: 3212625 ES Eastern NM Sleep Disorder Center 909 N. Grimes, 88240 (505) 397-0006 Fax No. (505) 397-0077 Urology Landrigan, Richard R., MD Provider ID #NM009D76 BlueLINK ID: 3154465 ES 1900 N. Dal Paso St., 88240 (505) 492-9675 Fax No. (505) 397-0218 Vallabhan, Girish C., MD Provider ID #NM009064 BlueLINK ID: 3365563 ES Lubbock Urology Clinic 2410 N. Fowler, 88240 (505) 492-2000 Fax No. (505) 492-2006 Las Cruces Doña Ana County Allergy/Immunology Khan, Rizwan H., MD Provider ID #NM009444 BlueLINK ID: 4255346 Patients under age 18 ES Rio Grande Medical Group 4351 E. Lohman Ave., Ste. 301, 88011 (505) 532-8900 Fax No. (505) 522-0040 Ting, Stanislaus, MD Provider ID #NM002744 BlueLINK ID: 3136000 1141 Mall Dr., Ste. A, 88001 (505) 522-2400 Anesthesiology Eidel, James M., MD Provider ID #NM009D28 BlueLINK ID: 3328855 ES Mesilla Valley Anesthesia, PC 2450 S. Telshor Blvd., 88011 (505) 532-7033 Fax No. (505) 532-7025 Goldsworthy, Vernon P., MD Provider ID #NM011816 BlueLINK ID: 2304279 ES Mesilla Valley Anesthesia Associates 2450 S. Telshor Blvd., 88011 (505) 522-8641 Fax No. (505) 532-7025 Gordon, Tracy A., MD Provider ID #NM009V08 BlueLINK ID: 4145957 ES Las Cruces Surgical Center 1205 S. Telshor Blvd., 88011 (505) 260-4300 Fax No. (505) 260-4338 Kafka, William J., III, MD Provider ID #NM003069 BlueLINK ID: 3135737 Mesilla Valley Anesthesia Associates 2450 S. Telshor Blvd., 88011 (505) 522-8641 See special note See last page for Provider Language Codes legend Koerper, Karl P., MD Provider ID #NM003144 BlueLINK ID: 3354889 Mesilla Valley Anesthesia Associates 2450 S. Telshor Blvd., 88011 (505) 522-8641 Lopez, Fernando A., MD Provider ID #NM000715 BlueLINK ID: 3281978 Mesilla Valley Anesthesia Associates 2450 S. Telshor Blvd., 88011 (505) 522-8641 Marketto, Don L., III, DO Provider ID #NM004015 BlueLINK ID: 3377997 Mesilla Valley Anesthesia Associates 2450 S. Telshor Blvd., 88011 (505) 522-8641 McComas, Timothy S., MD Provider ID #NM009D04 BlueLINK ID: 2371495 Mesilla Valley Anesthesia Associates 2450 S. Telshor Blvd., 88011 (505) 522-8641 Owen, Philip G., MD Provider ID #NM013372 BlueLINK ID: 3286109 Mesilla Valley Anesthesia Associates 2450 S. Telshor Blvd., 88011 (505) 522-8641 Pardillo, Armando A., MD Provider ID #NM009B81 BlueLINK ID: 3178919 ES Memorial Medical Center 2450 S. Telshor Blvd., 88011 (505) 532-7033 Fax No. (505) 532-7025 Pardillo, Armando A., MD Provider ID #NM009B81 BlueLINK ID: 3178919 ES Mt. View Regional Medical Center 4311 E. Lohman Ave., 88011 (505) 556-7610 Fax No. (505) 556-7619 Perales, Gameliel, MD Provider ID #NM002129 BlueLINK ID: 2204690 Mesilla Valley Anesthesia Associates 2450 S. Telshor Blvd., 88011 (505) 522-8641 Pritchard, David G., MD Provider ID #NM01WA48 BlueLINK ID: 2225653 Mesilla Valley Anesthesia Associates 2450 S. Telshor Blvd., 88011 (505) 522-8641 Rave, Bruce P., MD Provider ID #NM009V09 BlueLINK ID: 3252569 ES Las Cruces Surgical Center 1205 S. Telshor Blvd., 88011 (505) 260-4300 Fax No. (505) 260-4338 Rivera, Emilio T., MD Provider ID #NM009D02 BlueLINK ID: 3213676 ES Mesilla Valley Anesthesia Associates 2450 S. Telshor Blvd., 88011 (505) 522-8641 Rubin, Jeffrey N., DO Provider ID #NM014A51 BlueLINK ID: 3281459 ES Las Cruces Surgical Center 1205 S. Telshor Blvd., 88011 (505) 260-4300 Fax No. (505) 260-4338 July 2005 Specialists Las Cruces Nava, Guillermo, MD Provider ID #NM009N30 BlueLINK ID: 6003500 ES New Mexico Cardiac Care 4351 E. Lohman Ave., Ste. 100, 88011 (505) 521-3270 Fax No. (505) 521-3504 Schavz, Alfredo, MD Provider ID #NM009N54 BlueLINK ID: 4245809 ES Mt. View Regional Medical Center 4311 E. Lohman Ave., 88011 (505) 556-6700 Fax No. (505) 532-7025 Richards, Kent L., MD Provider ID #NM002284 BlueLINK ID: 2321055 Associated Cardiology Consultants of NM 2405 S. Telshor Blvd., 88011 (505) 522-5353 Fax No. (505) 522-7571 Shirsat, Kiran D., MD Provider ID #NM003282 BlueLINK ID: 2290975 1205 S. Telshor Blvd., 88011 (615) 451-1198 Fax No. (614) 451-5846 Urias, Jorge A., MD Provider ID #NM003172 BlueLINK ID: 3347667 Mesilla Valley Anesthesia Associates 2450 S. Telshor Blvd., 88011 (505) 522-8641 Velarde, Cesar A., MD Provider ID #NM009D05 BlueLINK ID: 4219825 Mesilla Valley Anesthesia Associates 2450 S. Telshor Blvd., 88011 (505) 522-8641 Dermatology Cannon, Craig F., MD Provider ID #NM020756 BlueLINK ID: 631301 ES New Mexico Cardiac Care 4351 E. Lohman Ave., Ste. 100, 88011 (505) 521-3270 Gillihan, Matthew D., MD Provider ID #NM009985 BlueLINK ID: 4260410 ES 1130 Commerce Dr., 88011 (505) 521-3025 Fax No. (505) 521-3565 July 2005 Reynolds, John, MD Provider ID #NM002350 BlueLINK ID: 3143272 2447 S. Telshor Blvd., 88011 (505) 522-5805 Fax No. (505) 522-8117 Nattakom, Thomas V., MD Provider ID #NM002291 BlueLINK ID: 3341668 ES Digestive Disease Consultants 2525 S. Telshor Blvd., Bldg. 15, Ste. 104, 88011 (505) 522-7697 Ear, Nose, and Throat Meltzer, Richard S., MD Provider ID #NM011965 BlueLINK ID: 2271904 ES NL ZS IT Organ Mountains Cardiology 4351 E. Lohman Ave., Ste. 101, 88011 (505) 532-1155 Fax No. (505) 532-5771 Collins, Charles D., MD-FACS Provider ID #NM009K22 BlueLINK ID: 5381532 ES FR DE 755 S. Telshor Blvd., Ste. G3, 88011 (505) 532-0880 Fax No. (505) 532-6466 Ondo, Andrew L., MD Provider ID #NM001341 BlueLINK ID: 4155549 2930 Hillrise Dr., 88011 (505) 521-7117 Fax No. (505) 521-7226 Cardiology Main, Ronald H., MD Provider ID #NM009V22 BlueLINK ID: 2148386 Cardiovascular disease only ES New Mexico Cardiac Care 4351 E. Lohman Ave., Ste. 100, 88011 (505) 521-3270 Fax No. (505) 521-3504 Johnson, Gregory E., MD Provider ID #NM009528 BlueLINK ID: 3135734 ES Andrews & Johnson of the Mesilla Valley 225 E. Idaho, Ste. 17, 88005 (505) 526-5525 Fax No. (505) 541-0498 Gastroenterology Williams, Nathan L., MD Provider ID #NM002993 BlueLINK ID: 3136040 Mesilla Valley Anesthesia Associates 2450 S. Telshor Blvd., 88011 (505) 522-8641 Leon, Guido, MD Provider ID #NM001633 BlueLINK ID: 3135776 Southwest Cardiovascular Center 1255 S. Telshor Blvd., 88011 (505) 522-0300 General Surgery Hempstead, Richard W., MD Provider ID #NM001245 BlueLINK ID: 2397830 ES 509 S. Main St., Ste. B, 88001 (505) 525-0505 Fax No. (505) 532-7025 Segal, Robert J., MD Provider ID #NM013457 BlueLINK ID: 3110501 Dermatology Center 2525 S. Telshor Blvd., Bldg. 15, Ste. 200, 88011 (505) 522-3636 Fax No. (505) 522-0722 Hoekenga, David E., MD Provider ID #NM011348 BlueLINK ID: 2397844 Cardiac Specialists of NM 2525 S. Telshor Blvd., Bldg. 14, Ste. 100, 88011 (505) 522-7247 Fax No. (505) 522-2029 Endocrinology Gorav, Ravi, MD Provider ID #NM019B68 BlueLINK ID: 4270276 ES 2477 S. Telshor Blvd., 88011 (505) 522-7982 Fax No. (505) 522-7987 McMillan, Terry H., MD Provider ID #NM013167 BlueLINK ID: 3204523 ES Rio Grande Ear, Nose & Throat, PA 1130 Commerce Dr., 88011 (505) 521-3025 Fax No. (505) 521-3565 Pai, Vittal T., MD Provider ID #NM002086 BlueLINK ID: 2398021 2415 S. Telshor Blvd., 88011 (505) 522-7977 Pai, Vittal T., MD Provider ID #NM002086 BlueLINK ID: 2398021 2477 S. Telshor Blvd., 88011 (505) 522-7982 Fax No. (505) 522-7987 Idriss, Imad, MD Provider ID #NM001382 BlueLINK ID: 2397861 2427 S. Telshor Blvd., 88011 (505) 522-1059 Podila, Prasad, MD Provider ID #NM004464 BlueLINK ID: 3369325 ES Digestive Disease Consultants 2525 S. Telshor Blvd., Bldg. 14, Ste. 104, 88011 (505) 522-7697 Fax No. (505) 522-5136 Taylor, Celeste, MD Provider ID #NM003312 BlueLINK ID: 3325842 2457 S. Telshor Blvd., 88011 (505) 521-4690 Fax No. (505) 521-4699 Wong, Dominic K. H., MD Provider ID #NM009D22 BlueLINK ID: 3304749 ES Memorial Medical Center 2450 S. Telshor Blvd., 88011 (505) 522-8641 Fax No. (505) 521-5450 Wong, Dominic K. H., MD Provider ID #NM009D22 BlueLINK ID: 3304749 ES Mountainview Regional 4311 E. Lohman Ave., 88011 (505) 556-7600 Fax No. (505) 526-7619 General Practice Gaines, Eddie L., MD Provider ID #NM004123 BlueLINK ID: 2126107 ES Allergy & Asthma Clinic Southern NM 2100 S. Triviz Dr., Ste. A, 88001 (505) 522-6500 Fax No. (505) 522-0591 See special note See last page for Provider Language Codes legend Friedman, David J., MD Provider ID #NM009B63 BlueLINK ID: 3265735 ES Memorial Medical Center 2450 S. Telshor Blvd., 88011 (505) 532-7038 Fax No. (505) 532-7025 Friedman, David J., MD Provider ID #NM009B63 BlueLINK ID: 3265735 ES Mt. View Regional Medical Center 2810 N. Telshor Blvd., 88011 (505) 532-2033 Fax No. (505) 532-2441 Kamali, Kamran, MD-FACS Provider ID #NM009N68 BlueLINK ID: 4217378 4351 E. Lohman, Ste. 402, 88011 (505) 522-0329 Fax No. (505) 522-6228 Kamali, Kamran, MD-FACS Provider ID #NM009N68 BlueLINK ID: 4217378 Mt. View Regional Medical Center 4311 E. Lohman, 88011 (505) 556-7600 Kampe, Delmar F., Jr, DO Provider ID #NM00400G BlueLINK ID: 3116805 ES 2021 Northpark Dr., 88005 (505) 524-4028 Fax No. (505) 524-4028 Ramirez, John M., MD Provider ID #NM002280 BlueLINK ID: 3135898 4351 E. Lohman Ave., Ste. 402, 88011 (505) 522-0329 Fax No. (505) 521-3606 Vakselis, Paul A., MD Provider ID #NM009426 BlueLINK ID: 2344380 ES LT 2909 Hillrise Dr., 88011 (505) 647-8366 Fax No. (505) 647-8381 Gynecology Kemmer, Catherine T., MD Provider ID #NM010415 BlueLINK ID: 3262049 Gynecology ES Women's Medical Associates 2100 S. Triviz Dr., Ste. H, 88001 (505) 522-9793 Siebersma, Jan K., MD Provider ID #NM009818 BlueLINK ID: 3342876 Gynecology ES Women's Medical Associates 2100 S. Triviz Dr., Ste. H, 88001 (505) 522-9793 Fax No. (505) 532-9019 89 Specialists Schavz, Alfredo, MD Provider ID #NM009N54 BlueLINK ID: 4245809 ES Memorial Medical Center 2450 S. Telshor Blvd., 88011 (505) 522-8641 Fax No. (505) 532-7025 Specialists Specialists Las Cruces Hematology/Oncology Medical Oncology Nandhagopalan, Kugathasan, MD Provider ID #NM009822 BlueLINK ID: 4253325 Patients over age 18 ES New Hope Cancer Care 4351 E. Lohman Ave., Ste. 209, 88011 (505) 522-5944 Fax No. (505) 522-0636 Fuller, M. Darvy, MD Provider ID #NM012495 BlueLINK ID: 3148266 Patients over age 17 ES Southern NM Cancer Care 150 Road Runner Pkwy., 88011 (505) 521-5900 Fax No. (505) 521-5959 Rauth, Bishnu J., MD Provider ID #NM002240 BlueLINK ID: 2390624 ES New Hope Cancer Care 4351 E. Lohman Ave., 88011 (505) 522-5944 Fax No. (505) 522-0636 Lopez, Arsenio G., III, MD Provider ID #NM009951 BlueLINK ID: 4128527 Patients over age 16 ES Southern NM Cancer Care 150 Road Runner Pkwy., 88011 (505) 556-8600 Fax No. (505) 556-8700 Ross, Richard B., MD Provider ID #NM002333 BlueLINK ID: 2321338 2801 E. Missouri Ave., Ste. 8, 88011 (505) 522-7118 Senyszyn, John J., MD Provider ID #NM012796 BlueLINK ID: 2226352 Patients over age 16 Southern NM Cancer Care 150 Road Runner Pkwy., 88011 (505) 556-8600 Fax No. (505) 556-8700 Internal Medicine Nattakom, Thomas V., MD Provider ID #NM002291 BlueLINK ID: 3341668 ES Digestive Disease Consultants 2525 S. Telshor Blvd., Bldg. 14, Ste. 104, 88011 (505) 522-7697 Podila, Prasad, MD Provider ID #NM004464 BlueLINK ID: 3369325 ES Digestive Disease Consultants 2525 S. Telshor Blvd., Bldg. 15, Ste. 104, 88011 (505) 522-7697 Fax No. (505) 522-5136 Wash, Constance D., MD Provider ID #NM009966 BlueLINK ID: 4131221 Patients over age 16 ES Southern NM Cancer Care 150 Road Runner Pkwy., 88011 (505) 556-8600 Fax No. (505) 556-8700 Wong, Dominic K. H., MD Provider ID #NM009D22 BlueLINK ID: 3304749 ES Memorial Medical Center 2450 S. Telshor Blvd., 88011 (505) 522-8641 Fax No. (505) 521-5450 Wong, Dominic K. H., MD Provider ID #NM009D22 BlueLINK ID: 3304749 ES Mountainview Regional 4311 E. Lohman Ave., 88011 (505) 556-7600 Fax No. (505) 526-7619 90 Lopez, Arsenio G., III, MD Patients over age 16 ES Southern NM Cancer Care 150 Road Runner Pkwy. (505) 556-8600 Rauth, Bishnu J., MD Provider ID #NM002240 BlueLINK ID: 2390624 ES New Hope Cancer Care 4351 E. Lohman Ave., 88011 (505) 522-5944 Fax No. (505) 522-0636 Wash, Constance D., MD Provider ID #NM009966 BlueLINK ID: 4131221 Patients over age 16 ES Southern NM Cancer Care 150 Road Runner Pkwy., 88011 (505) 556-8600 Fax No. (505) 556-8700 Nephrology Corro, Lucia T., MD Provider ID #NM009L75 BlueLINK ID: 6003188 ES Renal Medicine Associates 4351 E. Lohman Ave., Ste. 208, 88011 (505) 521-0008 Fax No. (505) 521-0063 De La Vega, Osvaldo R., MD Provider ID #NM002196 BlueLINK ID: 3304433 IT Southwest Health Services 2525 S. Telshor Blvd., Ste. B, 88011 (505) 521-1575 Fax No. (505) 521-1940 Neurology Aguilar, Mario R., MD Provider ID #NM000150 BlueLINK ID: 3143004 1240 S. Telshor Blvd., Ste. C, 88011 (505) 522-1212 Iqbal, Javed, MD Provider ID #NM011959 BlueLINK ID: 3353912 Neurology Associates of Mesilla Valley 3855 Foothills, 88011 (505) 532-8561 Fax No. (505) 532-8567 Jain, Pawankumar, MD Provider ID #NM009152 BlueLINK ID: 4169284 ES FR Southwest Neurology Consultants 2467 S. Telshor Blvd., 88001 (505) 522-5558 Fax No. (505) 522-5561 Polsky, Michael, MD Provider ID #NM012154 BlueLINK ID: 3135888 FR Southwest Neurology Consultants 755 S. Telshor Blvd., Ste. 101F, 88011 (505) 521-3662 Fax No. (505) 522-4338 Rehman, Atta U., MD Provider ID #NM009382 BlueLINK ID: 4242175 ES ZR Neurology Associates of Mesilla Valley 3855 Foothills, 88011 (505) 532-8561 Fax No. (505) 532-8567 Obstetrics/Gynecology Castillo, Kristen, MD Provider ID #NM009079 BlueLINK ID: 4224525 Female patients only ES Ob/Gyn Consultants 4351 E. Lohman Ave., Ste. 401, 88011 (505) 522-4767 Fax No. (505) 522-3607 Duarte, Marco A., MD Provider ID #NM000761 BlueLINK ID: 3135600 1765 S. Telshor Blvd., 88011 (505) 521-4777 Levatino, Anthony P., MD Provider ID #NM009B59 BlueLINK ID: 3102258 ES Ob/Gyn Consultants 4351 E. Lohman Ave., Ste. 401, 88011 (505) 522-4767 Fax No. (505) 522-3607 Lopez, Ismael P., MD Provider ID #NM002774 BlueLINK ID: 3329316 Ob/Gyn Consultants 4351 E. Lohman Ave., Ste. 401, 88011 (505) 522-4767 Fax No. (505) 522-3607 Lopez, Steven J., MD Provider ID #NM011697 BlueLINK ID: 3135790 Female patients only ES La Clinica de Familia 1180 Mall Dr., 88011 (505) 532-2044 Love, Gene P., MD Provider ID #NM009163 BlueLINK ID: 3135792 ES Mesilla Valley Women's Health 419 Bason Dr., 88005 (505) 526-5209 Fax No. (505) 524-7135 Ortiz, Joseph E., MD Provider ID #NM009K58 BlueLINK ID: 4294435 ES OB/Gyn Consultants 4351 E. Lohman Ave., Ste. 401, 88011 (505) 522-4767 Fax No. (505) 522-3607 See special note See last page for Provider Language Codes legend Occupational Medicine Delahoussaye, Brian P., MD Provider ID #NM009210 BlueLINK ID: 2191547 ES Rehabilitation & Occupational Medicine 3530 Foothills, Ste. N, 88011 (505) 532-6054 Kennedy, Edwin L., MD Provider ID #NM009969 BlueLINK ID: 2103175 Rehabilitation & Occupational Medicine 3530 Foothills, Ste. N, 88011 (505) 532-6054 Fax No. (505) 532-0215 Ophthalmology Hall, J. Roger, MD Provider ID #NM009780 BlueLINK ID: 2136327 ES Alamogordo Eye Clinic 755 S. Telshor Blvd., Ste. C, 88001 (505) 522-3393 Fax No. (505) 522-3393 Ham, Donald J., MD Provider ID #NM001161 BlueLINK ID: 3135689 Alamogordo Eye Clinic 755 S. Telshor Blvd., Ste. C101, 88001 (505) 522-3393 Fax No. (505) 522-3482 Hernandez, Edward, MD Provider ID #NM004431 BlueLINK ID: 4168986 ES Southwest Eye Clinic 2030 S. Solano, 88001 (505) 521-1158 Fax No. (505) 521-1007 Lazaro, Richard W., MD Provider ID #NM011622 BlueLINK ID: 2182921 ES Lazaro Surgical Center 1131 Mall Dr., 88011 (505) 522-7676 Fax No. (505) 522-8121 Levit, Roy A., MD Provider ID #NM00W499 BlueLINK ID: 2318372 Specializing in retina & vitreous ES Southwest Retina Consultants 2903 Hillrise Dr., 88001 (505) 522-4774 Fax No. (505) 522-4884 Metrikin, David C., MD Provider ID #NM009963 BlueLINK ID: 3372519 Specializing in retina & vitreous ES Southwest Retina Consultants 2903 Hillrise Dr., 88001 (505) 522-4774 Fax No. (505) 522-4884 Trubowitsch, Gregory, MD Provider ID #NM009954 BlueLINK ID: 3295840 Specializing in retina & vitreous ES Southwest Retina Consultants 2903 Hillrise Dr., 88001 (505) 522-4774 Fax No. (505) 522-4884 July 2005 Specialists Orthopedics Auleta, Douglas G., MD Provider ID #NM009377 BlueLINK ID: 3375455 No spine surgery ES 675 Avenida de Mesilla, 88005 (505) 525-3535 Fax No. (505) 527-0217 Barham, Gary D., MD Provider ID #NM000219 BlueLINK ID: 3135487 2911 Hillrise Dr., 88011 (505) 521-9729 Campbell, Everett, MD Provider ID #NM000488 BlueLINK ID: 3135548 ES 2911 Hillrise Dr., Ste. B, 88001 (505) 522-5773 Davis, Alan C., MD Provider ID #NM000137 BlueLINK ID: 3135592 3005 Hillrise Dr., 88011 (505) 521-1122 Gelinas, Claude D., MD Provider ID #NM009654 BlueLINK ID: 4150607 Specializing in spinal conditions ES 3530 Foothills, Ste. N, 88011 (505) 532-6054 Lindsey, Wayne, MD Provider ID #NM009D46 BlueLINK ID: 2389262 ES Orthopaedic & Sports Medicine Institute 4351 E. Lohman Ave., Ste. 200, 88011 (505) 532-9755 Fax No. (505) 532-8881 McGuire, Michael S., MD Provider ID #NM000642 BlueLINK ID: 4107509 Las Cruces Orthopaedic Associates 675 Avenida de Mesilla, 88005 (505) 525-3535 Fax No. (505) 527-0217 Stack, Robert M., MD Provider ID #NM002666 BlueLINK ID: 3135981 Las Cruces Orthopaedic Associates 675 Avenida de Mesilla, 88005 (505) 525-3535 Fax No. (505) 527-0217 Sweetser, Edward R., MD Provider ID #NM009D23 BlueLINK ID: 3135993 ES Orthopaedic & Sports Medicine Institute 4351 E. Lohman Ave., Ste. 200, 88011 (505) 532-9755 Fax No. (505) 532-8881 Watson, Donald, MD Provider ID #NM01L780 BlueLINK ID: 3100674 ES Orthopaedic & Sports Medicine Institute 4351 E. Lohman Ave., Ste. 200, 88011 (505) 532-9755 Fax No. (505) 532-8881 July 2005 Pathology Hall, Elisa R., MD Provider ID #NM009B96 BlueLINK ID: 2316489 Pathology Associates 2450 S. Telshor Blvd., 88011 (505) 526-3625 Hall, Elisa R., MD Provider ID #NM009B96 BlueLINK ID: 2316489 Pathology Associates 4311 E. Lohman Ave., 88011 (505) 526-3625 Jones, Jack D., MD Provider ID #NM011443 BlueLINK ID: 3265044 Organ Mountain Pathology 4311 E. Lohman Ave., 88011 (505) 556-6707 Fax No. (505) 526-7112 Lopez, Robert L., MD Provider ID #NM009B95 BlueLINK ID: 2334566 Pathology Associates 2450 S. Telshor Blvd., 88011 (505) 526-3625 Lopez, Robert L., MD Provider ID #NM009B95 BlueLINK ID: 2334566 Pathology Associates 4311 E. Lohman Ave., 88011 (505) 526-3625 Fax No. (505) 526-7112 Topalovski, Margarita, MD Provider ID #NM009991 BlueLINK ID: 4255650 ES KO Pathology Associates 2450 S. Telshor Blvd., 88011 (505) 526-3625 Topalovski, Margarita, MD Provider ID #NM009991 BlueLINK ID: 4255650 ES KO Pathology Associates 4311 E. Lohman Ave., 88011 (505) 526-3625 Physical Medicine Black, Pamela, MD Provider ID #NM009655 BlueLINK ID: 3293885 Specializing in spinal conditions ES FR 2801 E. Missouri Ave., Ste. 7, 88001 (505) 522-3337 Delahoussaye, Brian P., MD Provider ID #NM009210 BlueLINK ID: 2191547 ES Rehabilitation & Occupational Medicine 3530 Foothills, Ste. N, 88011 (505) 532-6054 Sloan, John Henry, MD Provider ID #NM002721 BlueLINK ID: 2106042 Manzano Medical Group 2445 Missouri Ave., Ste. A, 88001 (505) 932-5102 Plastic Surgery Allan, Daniel M., MD Provider ID #NM000112 BlueLINK ID: 2117658 780 S. Walnut St., Ste. 1, 88001 (505) 523-6554 Martin, Scot A., MD Provider ID #NM019760 BlueLINK ID: 4231298 4351 E. Lohman Ave., Ste. 103, 88011 (505) 521-7111 Welsh, Clinton F., MD Provider ID #NM001874 BlueLINK ID: 2113716 2930 Hillrise Dr., Ste. 6, 88001 (505) 521-1944 Pulmonary Medicine Bass, Harry, MD Provider ID #NM000242 BlueLINK ID: 3143033 ES 2425 S. Telshor Blvd., 88011 (505) 522-0330 Fax No. (505) 522-8620 Bradley, James P., MD Provider ID #NM009N08 BlueLINK ID: 4298938 ES 2735 Northrise Dr., 88011 (505) 522-3822 Fax No. (505) 532-4347 Feil, Paul A., MD Provider ID #NM000863 BlueLINK ID: 3143117 2437 S. Telshor Blvd., 88011 (505) 522-2777 Fax No. (505) 522-4532 Jabour, E. Rhett, MD Provider ID #NM004386 BlueLINK ID: 3259193 Patients over age 5 2900 Hillrise Dr., 88011 (505) 556-1300 Fax No. (505) 556-1301 Hadzic, Ejub Carlos, MD Provider ID #NM009307 BlueLINK ID: 3346293 ES FR RU Valley Radiotherapy Assoc. Medical Group 2450 S. Telshor Blvd., 88011 (505) 556-5800 Fax No. (505) 556-5899 Ketting, Case H., MD Provider ID #NM009811 BlueLINK ID: 3361205 Valley Radiotherapy Assoc. Medical Group 2450 S. Telshor Blvd., 88011 (505) 556-5800 Fax No. (505) 556-5899 Khan, Kutub Mir, MD Provider ID #NM001506 BlueLINK ID: 3135752 Radiation Oncology Associates 2450 S. Telshor Blvd., 88011 (505) 556-5800 Liem, Benny J., MD Provider ID #NM009678 BlueLINK ID: 4244726 ES Radiation Oncology Associates 2450 S. Telshor Blvd., 88011 (505) 556-5800 Senyszyn, John J., MD Provider ID #NM00XN58 BlueLINK ID: 2226352 Southern NM Cancer Care 150 Road Runner Pkwy., 88011 (505) 556-8600 Fax No. (505) 556-8700 Radiation Oncology Stutzman, Charles D., MD Provider ID #NM002552 BlueLINK ID: 2398130 Radiation Oncology Associates 2450 S. Telshor Blvd., 88011 (505) 556-5800 Anders, Jon C., MD Provider ID #NM009R82 BlueLINK ID: 6003401 Radiation Oncology Associates, PA 2450 S. Telshor Blvd., 88011 (505) 556-5800 Thompson, William R., MD Provider ID #NM002758 BlueLINK ID: 3223289 Radiation Oncology Associates 2450 S. Telshor Blvd., 88011 (505) 556-5800 Anthony, Paul A., MD Provider ID #NM000168 BlueLINK ID: 3143015 Radiation Oncology Associates 2450 S. Telshor Blvd., 88011 (505) 556-5800 Wong, Gene, MD Provider ID #NM003921 BlueLINK ID: 3262046 Radiation Oncology Associates 2450 S. Telshor Blvd., 88011 (505) 556-5800 Berle, Lisa P., DO Provider ID #NM004A63 BlueLINK ID: 6003693 ES Radiation Oncology Associates, PA 2450 S. Telshor Blvd., 88011 (505) 556-5800 Radiology Beron, Phillip J., MD Provider ID #NM009797 BlueLINK ID: 4140480 Valley Radiotherapy Assoc. Medical Group 2450 S. Telshor Blvd., 88011 (505) 556-5800 Fax No. (505) 556-5899 Ellerbroek, Nancy A., MD Provider ID #NM009799 BlueLINK ID: 3256197 Valley Radiotherapy Assoc. Medical Group 2450 S. Telshor Blvd., 88011 (505) 556-5800 Fax No. (505) 556-5899 See special note See last page for Provider Language Codes legend Alvi, Naveed, MD Provider ID #NM019B46 BlueLINK ID: 4245006 HI Las Cruces Imaging 160 Roadrunner Pkwy., 88011 (505) 522-1802 Fax No. (505) 522-1178 Alvi, Naveed, MD Provider ID #NM019B46 BlueLINK ID: 4245006 HI Mt. View Regional Medical Center 4311 E. Lohman Ave., 88011 (505) 556-7600 Clarke, Delphia M., MD Provider ID #NM009K57 BlueLINK ID: 2314532 Foothills Imaging 3530 Foothills, Ste. N, 88011 (505) 532-6054 Fax No. (505) 532-0215 91 Specialists Villalobos, Robert L., MD Provider ID #NM002878 BlueLINK ID: 2204736 Southwest Eye Clinic 2030 S. Solano, 88001 (505) 521-1158 Fax No. (505) 521-1007 Las Cruces Specialists Specialists Las Cruces Cottingham, C. Sinclaire, MD Provider ID #NM009K92 BlueLINK ID: 4152639 Foothills Imaging 3530 Foothills, Ste. N, 88011 (505) 532-6054 Fax No. (505) 532-0215 Devasthali, RamaKrishna, MD Provider ID #NM010679 BlueLINK ID: 2347520 Las Cruces Imaging 160 Roadrunner Pkwy., 88011 (505) 522-1802 Fax No. (505) 522-1178 Devasthali, RamaKrishna, MD Provider ID #NM010679 BlueLINK ID: 2347520 Mt. View Regional Medical Center 4311 E. Lohman Ave., 88011 (505) 556-7600 Dobson, Carl L., MD Provider ID #NM009N01 BlueLINK ID: 6003128 First Care Urgent Care 3530 Foothills, Ste. N, 88011 (505) 532-6054 Fax No. (505) 532-0215 Furlong, Joseph B., MD Provider ID #NM009V06 BlueLINK ID: 4212747 ES DE Foothills Imaging 3530 Foothills, Ste. N, 88011 (505) 532-6054 Fax No. (505) 532-0215 Ghei, Puneet, MD Provider ID #NM019D01 BlueLINK ID: 4242761 Las Cruces Imaging 160 Roadrunner Pkwy., 88011 (505) 522-1802 Fax No. (505) 522-1178 Ghei, Puneet, MD Provider ID #NM019D01 BlueLINK ID: 4242761 Mt. View Regional Medical Center 4311 E. Lohman Ave., 88011 (505) 556-7600 Lim, Felipe N., MD Provider ID #NM011650 BlueLINK ID: 3143220 ES Sun View Imaging Services 755 S. Telshor Blvd., Ste. 101, 88011 (505) 522-6236 Martinez, Eduardo J., MD Provider ID #NM011707 BlueLINK ID: 3234971 ES 2450 S. Telshor Blvd., 88011 (505) 522-1952 Moreno, Albert J., MD Provider ID #NM012011 BlueLINK ID: 3232931 ES Sun View Imaging Services 755 S. Telshor Blvd., Ste. 101, 88011 (505) 522-6236 Fax No. (505) 522-2157 Rogers, William, MD Provider ID #NM012340 BlueLINK ID: 3293344 ES Las Cruces Imaging 160 Roadrunner Pkwy., 88011 (505) 522-1802 Fax No. (505) 522-1178 92 Rogers, William, MD Provider ID #NM012340 BlueLINK ID: 3293344 ES Mt. View Regional Medical Center 4311 E. Lohman Ave., 88011 (505) 556-7600 Fax No. (505) 522-1178 Shah, Biren, MD Provider ID #NM019B99 BlueLINK ID: 4243780 Las Cruces Imaging 160 Roadrunner Pkwy., 88011 (505) 522-1802 Fax No. (505) 522-1178 Shah, Biren, MD Provider ID #NM019B99 BlueLINK ID: 4243780 Mt. View Regional Medical Center 4311 E. Lohman Ave., 88011 (505) 556-7600 Singh, Heramb K., MD Provider ID #NM009N24 BlueLINK ID: 3265425 Specializing in interventional radiology ES HI Memorial Medical Center 2450 S. Telshor Blvd., 88011 (505) 556-5848 Fax No. (505) 556-5897 Singh, Heramb K., MD Provider ID #NM009N24 BlueLINK ID: 3265425 Specializing in interventional radiology ES HI Memorial Medical Center 2735 Northrise Dr., 88011 (505) 532-4320 Thibeaux, Albert, MD Provider ID #NM009K42 BlueLINK ID: 3279511 Foothills Imaging 3530 Foothills, Ste. N, 88011 (505) 532-6130 Fax No. (505) 532-6144 Rheumatology Fields, Roderick A., MD Provider ID #NM021318 BlueLINK ID: 3135622 ES SW Urology 2701 E. Missouri Ave., Ste. B, 88011 (505) 521-3128 Fax No. (505) 521-3137 Snyder, Art R., MD Provider ID #NM009394 BlueLINK ID: 3117585 Adults ES 2801 E. Missouri Ave., Ste. 14, 88011 (505) 521-3128 Fax No. (505) 521-3137 Sleep Disorders Feil, Paul A., MD Provider ID #NM000863 BlueLINK ID: 3143117 2437 S. Telshor Blvd., 88011 (505) 522-2777 Fax No. (505) 522-4532 Thoracic and Vascular Surgery Keller, Michael P., MD Provider ID #NM009810 BlueLINK ID: 3366748 ES 4351 E. Lohman, Ste. 402, 88011 (505) 532-7000 Fax No. (505) 532-7025 Khan, Khalid Y., MD Provider ID #NM003134 BlueLINK ID: 2317843 530 N. Telshor Blvd., Ste. B, 88011 (505) 522-1974 Fax No. (505) 522-5209 Weinstein, Gerald S., MD Provider ID #NM009337 BlueLINK ID: 3237766 ES New Mexico Cardiovascular Associates 4351 E. Lohman, Ste. 403, 88011 (505) 522-6806 Fax No. (505) 521-8033 Urology Bieri, Mark, MD Provider ID #NM004961 BlueLINK ID: 4167637 ES 4351 E. Lohman Ave., Ste. 405, 88011 (505) 521-0121 Fax No. (505) 532-5949 Gormley, Thomas, MD Provider ID #NM003023 BlueLINK ID: 4164753 SW Urology 2701 E. Missouri Ave., Ste. A, 88011 (505) 522-7880 Fax No. (505) 522-7226 Kolosseus, Ray C., MD Provider ID #NM001504 BlueLINK ID: 2397896 755 S. Telshor Blvd., Ste. R102, 88011 (505) 522-5666 Kolosseus, Robert C., MD Provider ID #NM009784 BlueLINK ID: 4210125 ES 755 S. Telshor Blvd., Ste. 102R, 88011 (505) 522-5666 Fax No. (505) 522-5680 Las Vegas San Miguel County Allergy/Immunology Brown, David R., MD Provider ID #NM000391 BlueLINK ID: 3143057 Including allergy Southwestern ENT Associates 501 7th St., 87701 (505) 982-4848 Fax No. (505) 984-1149 Anesthesiology Chaffee, William H., MD Provider ID #NM004646 BlueLINK ID: 3205851 Advanced Anesthesia Care 1235 8th St., 87701 (505) 425-2095 Fax No. (505) 425-2008 See special note See last page for Provider Language Codes legend Cardiology Garcia, Ignacio, MD Provider ID #NM001008 BlueLINK ID: 3143131 Cardiac Care Consultants of NM 105 Mills Ave., 87701 (800) 228-1917 Garcia, Ignacio, MD Provider ID #NM001008 BlueLINK ID: 3143131 Health Centers of Northern NM Las Vegas Clinic Hot Springs Blvd., 87701 (505) 425-6788 Fax No. (505) 425-5408 Gurule, Michael E., MD Provider ID #NM002723 BlueLINK ID: 3225039 Cardiac Care Consultants of NM 105 Mills Ave., 87701 (800) 228-1917 Ear, Nose, and Throat Brown, David R., MD Provider ID #NM000391 BlueLINK ID: 3143057 Including allergy Southwestern ENT Associates 501 7th St., 87701 (505) 982-4848 Fax No. (505) 984-1149 General Surgery Igwe, Daniel, MD Provider ID #NM009J70 BlueLINK ID: 3287963 Alta Vista Surgical Specialists 624 University Ave., Ste. 300, 87701 (505) 454-9499 Fax No. (505) 454-9907 James, Donovan C., MD Provider ID #NM019689 BlueLINK ID: 4206369 Alta Vista Surgical Specialists 624 University Ave., 87701 (505) 426-8010 Fax No. (505) 426-8011 Sanchez-Geswaldo, Lilibeth, DO Provider ID #NM004B14 BlueLINK ID: 6003725 Alta Vista Surgical Specialists 624 University Ave., 87701 (505) 454-9499 Fax No. (505) 454-9907 Neurology Dimmette, Wendy, MD Provider ID #NM000764 BlueLINK ID: 4137984 1214 National Ave., 87701 (505) 425-7340 Fax No. (505) 425-7680 Williams, Jerry K., MD Provider ID #NM009T07 BlueLINK ID: 3323565 Also specializing in pediatric neurology High Desert Neurology 2301 7th St., Ste. B, 87701 (505) 426-1200 Fax No. (505) 426-1202 July 2005 Specialists Obstetrics/Gynecology Ophthalmology Levy, Renny H., MD Provider ID #NM009539 BlueLINK ID: 3356711 ES Eye Associates of NM 248 Mills Ave., 87701 (505) 426-8866 Reidy, Kristin E., DO Provider ID #NM004A00 BlueLINK ID: 4264237 Eye Associates of NM 248 Mills Ave., 87701 (505) 246-2622 Fax No. (505) 246-2478 Soloway, Mahlon R., MD Provider ID #NM001819 BlueLINK ID: 3135977 Eye Associates of NM 248 Mills Ave., 87701 (505) 426-8866 Das, Akhil K., MD ESHI Northern NM Urology 2301 7th St. (505) 454-4000 Das, Akhil K., MD ESHI Northern NM Urology 2301 7th St. (505) 454-4000 Lucero, Stephen P., MD Provider ID #NM009295 BlueLINK ID: 2397937 105 Mills Ave., Ste. 100, 87701 (505) 425-3569 Lordsburg Hidalgo County Ophthalmology Apple, Neal L., MD Provider ID #NM009N95 BlueLINK ID: 2147848 ES Hidalgo Medical Services 530 Demoss St., 88045 (505) 542-8384 Fax No. (505) 542-8367 Los Alamos Los Alamos County Orthopedics Allergy/Immunology Conescu, Paul V., MD Provider ID #NM019104 BlueLINK ID: 3129167 Alta Vista Surgical Specialists 624 University Ave., 87701 (505) 426-8010 Fax No. (505) 426-8011 Brown, David R., MD Provider ID #NM000391 BlueLINK ID: 3143057 Including allergy Southwestern ENT Associates 3917 West Rd., Ste. 191, 87544 (505) 662-2464 Pulmonary Medicine Miller, Franklin, MD Provider ID #NM001926 BlueLINK ID: 3213797 1900 Hot Springs Blvd., 87701 (505) 425-3596 Fax No. (505) 425-2789 Radiology Ozoude, Kingsley, MD Provider ID #NM009A35 BlueLINK ID: 4265155 Gabrielle Radiology Associates 1235 8th St., 87701 (505) 425-2044 Fax No. (505) 425-2102 Honsinger, Richard W., MD Provider ID #NM001301 BlueLINK ID: 3135714 Los Alamos Medical Care Clinic Los Alamos PHO 3917 West Rd., Ste. 150, 87544 (505) 662-4351 Kaufman, Paul W., MD Provider ID #NM001459 BlueLINK ID: 3135741 Including allergy Southwestern ENT Associates 3917 West Rd., Ste. 191, 87544 (505) 662-2464 Sports Medicine Petrick, Maria M., MD Provider ID #NM009T25 BlueLINK ID: 4276344 Los Alamos Medical Care Clinic 3917 West Rd., Ste. 150, 87544 (505) 662-4351 Fax No. (505) 662-2932 Schweigert, Daniel, MD Provider ID #NM000765 BlueLINK ID: 3307243 DE 1214 National Ave., 87701 (505) 425-7340 Fax No. (505) 425-7680 Sussman, James H., DO Provider ID #NM004B16 BlueLINK ID: 3234907 ES Allergy Partners of New Mexico 118 Central Park Sq., 87544 (505) 662-9870 Fax No. (505) 661-9935 Urology Anesthesiology Das, Akhil K., MD Provider ID #NM009159 BlueLINK ID: 4181450 ES HI Northern NM Urology 2301 7th St., 87701 (505) 661-8500 Fax No. (505) 661-0096 Charsley, Margaret M., MD Provider ID #NM009F37 BlueLINK ID: 3337634 Emcare Anesthesia Services 3917 West Rd., Ste. 321, 87544 (505) 662-9256 Fax No. (505) 662-9300 July 2005 Evans, Steven E., MD Provider ID #NM013126 BlueLINK ID: 3143115 Emcare Anesthesia Services 3917 West Rd., Ste. 321, 87544 (505) 662-9256 Fax No. (505) 662-9300 Lopez-Romero, Jose, MD Provider ID #NM009F36 BlueLINK ID: 5349901 Emcare Anesthesia Services 3917 West Rd., Ste. 321, 87544 (505) 662-9256 Fax No. (505) 662-9300 Cardiology Linnebur, A. Carolyn, MD Provider ID #NM001661 BlueLINK ID: 2397933 Patients over age 12 Medical Associates of Northern NM 3917 West Rd., Ste. A, 87544 (505) 661-8900 Fax No. (505) 661-8916 Sandoval, Anthony B., MD Provider ID #NM022954 BlueLINK ID: 3227822 New Mexico Heart 3917 West Rd., Ste. 139, 87544 (505) 662-7611 Fax No. (505) 662-7507 Dermatology Thomsen, Robert J., MD Provider ID #NM012755 BlueLINK ID: 3135998 PL Los Alamos Medical Care Clinic 3917 West Rd., Ste. 150, 87544 (505) 662-4351 Fax No. (505) 662-2932 Ear, Nose, and Throat Brown, David R., MD Provider ID #NM000391 BlueLINK ID: 3143057 Including allergy Southwestern ENT Associates 3917 West Rd., Ste. 191, 87544 (505) 662-2464 Kaufman, Paul W., MD Provider ID #NM001459 BlueLINK ID: 3135741 Including allergy Southwestern ENT Associates 3917 West Rd., Ste. 191, 87544 (505) 662-2464 Thomason, Thomas B., MD Provider ID #NM002776 BlueLINK ID: 2398167 Including allergy Southwestern ENT Associates 3917 West Rd., Ste. 191, 87544 (505) 662-2464 Endocrinology Lahiri, Aparimita, MD Provider ID #NM009P91 BlueLINK ID: 3367259 ES PL 118 Central Park Sq., 87544 (505) 662-4798 Fax No. (505) 661-9637 See special note See last page for Provider Language Codes legend Gastroenterology Rowberry, Bradley B., MD Provider ID #NM009F49 BlueLINK ID: 2226042 Patients over age 17 ES Northern NM Gastroenterology Associates 3917 West Rd., Ste. 164, 87544 (505) 662-7244 Specialists Halverson, Cordell K., MD Provider ID #NM001163 BlueLINK ID: 2397813 Assisting in surgery or tubal ligation-no private practice 105 Mills Ave., Ste. 100, 87701 (505) 425-3569 Los Alamos General Surgery Barker, Rodney J., MD Provider ID #NM019P61 BlueLINK ID: 3325161 ES Northern New Mexico Surgery, PC 3917 West Rd., Ste. 125, 87544 (505) 661-3030 Fax No. (505) 662-9024 Desko, Robert C., MD Provider ID #NM014823 BlueLINK ID: 3208286 ES FR IT LAMC Family Care Center 3917 West Rd. 100, 87544 (505) 662-6747 Fax No. (505) 662-0666 Email: [email protected] Jackson, B. Michael, MD Provider ID #NM009J44 BlueLINK ID: 3135724 ES Los Alamos Medical Care Clinic 3917 West Rd., Ste. 150, 87544 (505) 662-4351 Fax No. (505) 662-2932 Parra, James E., MD Provider ID #NM014824 BlueLINK ID: 2320235 LAMC Family Care Center 3917 West Rd. 100, 87544 (505) 662-6747 Fax No. (505) 662-0666 Hematology/Oncology Lindberg, Peter J., MD Provider ID #NM011653 BlueLINK ID: 2346152 ES LAMC Family Care Center 3917 West Rd. 100, 87544 (505) 662-3450 Internal Medicine Sussman, James H., DO Provider ID #NM004B16 BlueLINK ID: 3234907 ES Allergy Partners of New Mexico 118 Central Park Sq., 87544 (505) 662-9870 Fax No. (505) 661-9935 Obstetrics/Gynecology Carlos, Christine E., MD Provider ID #NM000459 BlueLINK ID: 3135551 ES FR Los Alamos Women's Health Services LAMC 3917 West Rd., Ste. 250, 87544 (505) 662-4412 Fax No. (505) 661-6536 Email: [email protected] 93 Specialists Specialists Los Alamos Combs, Patricia A., MD Provider ID #NM013887 BlueLINK ID: 3296651 ES FR Los Alamos Women's Health Services LAMC 3917 West Rd., Ste. 250, 87544 (505) 662-4412 Fax No. (505) 661-6536 Email: [email protected] McPherson, David D., MD Provider ID #NM009A47 BlueLINK ID: 3189214 Female-adolescent to geriatric ES 3917 West Rd., Ste. 138, 87544 (505) 662-0032 Fax No. (505) 662-7360 Ophthalmology Bratton, Angela R., MD Provider ID #NM003195 BlueLINK ID: 3201491 Eye Associates of NM LAMC 3917 West Rd., Ste. 137, 87544 (505) 662-5444 Fax No. (505) 662-6109 Pathology Rogers, Lynn A., MD Provider ID #NM001029 BlueLINK ID: 3295235 Santa Fe Pathology Services 3917 West Rd., 87544 (505) 991-9590 Physical Medicine Barnard, Kathryn G., MD Provider ID #NM009J14 BlueLINK ID: 4286610 ES Los Alamos Medical Care Clinic 3917 West Rd., Ste. 150, 87544 (505) 662-4351 Fax No. (505) 662-2932 Milroy, Michael, MD Provider ID #NM001912 BlueLINK ID: 2397980 Los Alamos PHO 3917 West Rd., Ste. 149, 87544 (505) 820-0484 Los Lunas Valencia County If you reside within this county and choose to visit a provider marked with special symbol "¾", your visit will not be covered. See the introductory section of this directory for more details. Cardiology Garcia, Ignacio, MD Provider ID #NM001008 BlueLINK ID: 3143131 Cardiac Care Consultants of NM 601 Main St. SE, 87031 (800) 228-1917 Gurule, Michael E., MD Provider ID #NM002723 BlueLINK ID: 3225039 Cardiac Care Consultants of NM 601 Main St. SE, 87031 (800) 228-1917 Lovington Lea County Radiology Shippey, Dean U., MD Provider ID #NM009804 BlueLINK ID: 2268690 ES 1600 N. Main, 88260 (505) 396-4371 Fax No. (505) 396-4465 Portales Roosevelt County Radiology General Surgery Riether, Robert J., DO Provider ID #NM009A30 BlueLINK ID: 2301510 New Mexico Diagnostic Imaging 3917 West Rd., 87544 (800) 222-8629 Fax No. (330) 832-7864 Jex, James P., MD Provider ID #NM02XX38 BlueLINK ID: 3306357 ES Eastern Medical Associates 42121 US 70, 88130 (505) 356-6652 Fax No. (505) 359-6827 Rheumatology Smith, Fredrica E., MD Provider ID #NM002600 BlueLINK ID: 3209280 ES 3917 West Rd., Ste. D, 87544 (505) 662-9400 Urology Das, Akhil K., MD Provider ID #NM009J59 BlueLINK ID: 4181450 ES HI Northern NM Urology 3917 West Rd., Ste. 137, 87544 (505) 661-8500 Fax No. (505) 661-0096 94 Infectious Diseases Filizzola, Marcelo, MD Provider ID #NM009K25 BlueLINK ID: 4288654 ES La Casa de Buena Salud 1515 W. Fir, 88130 (505) 356-6695 Fax No. (505) 356-5948 Obstetrics/Gynecology Sharma, Kiran, MD Provider ID #NM004410 BlueLINK ID: 4167423 ES La Casa de Buena Salud 1515 W. Fir, 88130 (505) 356-6695 Fax No. (505) 356-5948 Rheumatology Ophthalmology Sinha, Jayashree, MD Provider ID #NM019B70 BlueLINK ID: 4270275 Eastern Medical Associates 42121 US 70, 88130 (505) 356-6652 Fax No. (505) 359-6827 Coatney, Michael W., DO Provider ID #NM004B11 BlueLINK ID: 3239568 ES Rocky Mountain Eye Center 168 Hospital Dr., 87740 (505) 445-2789 Fax No. (505) 445-2780 Ranchos de Taos Taos County Emergency Medicine Cardasis, James P., DO Provider ID #NM01400A BlueLINK ID: 2207368 No obstetric patients ES Taos Community Healthplan Ranchos Health Center 4151 Paseo de Pueblo Sur, 87557 (505) 758-4287 Raton Colfax County General Surgery Gilliam, Paul E., MD Provider ID #NM009T11 BlueLINK ID: 3291302 Specializing in trauma/critical care FR AR Raton Colfax Medical Services, PC 166 Hospital Dr., 87740 (505) 445-4111 Fax No. (505) 445-2666 Tiku, Omkar N., MD Provider ID #NM002756 BlueLINK ID: 3209268 130 S. 3rd St., 87740 (505) 445-5548 Hematology/Oncology Judson, Patrick H., MD Provider ID #NM009T10 BlueLINK ID: 3382229 Miners Colfax Medical Center 200 Hospital Dr., 87740 (505) 445-3661 Fax No. (505) 445-7708 Scott-Timperley, Leanna J., MD Provider ID #NM009J55 BlueLINK ID: 4172448 Adult patients only Miners Colfax Medical Center 200 Hospital Dr., 87740 (505) 445-3661 Fax No. (505) 445-7708 Internal Medicine Judson, Patrick H., MD Provider ID #NM009T10 BlueLINK ID: 3382229 Miners Colfax Medical Center 200 Hospital Dr., 87740 (505) 445-3661 Fax No. (505) 445-7708 See special note See last page for Provider Language Codes legend Rastrelli, Paul D., MD Provider ID #NM009J51 BlueLINK ID: 4115394 ES Rocky Mountain Eye Center 168 Hospital Dr., 87740 (505) 445-2789 Fax No. (505) 445-2780 Radiology Karrer, John W., MD Provider ID #NM002871 BlueLINK ID: 2397891 ES 200 Hospital Dr., 87740 (505) 445-9367 Rio Rancho Sandoval County If you reside within this county and choose to visit a provider marked with special symbol "¾", your visit will not be covered. See the introductory section of this directory for more details. Infectious Diseases Mpoy, Kanyinda K., MD Provider ID #NM034170 BlueLINK ID: 4110742 FR Physicians Group of Sandia Health Systems Rio Rancho Adult & Geriatric Medicine 1721 Rio Rancho NW, 87124 (505) 727-3500 Ophthalmology Chang, Brian M., MD Provider ID #NM009657 BlueLINK ID: 4254679 ES Eye Associates of NM 1740 Grande Blvd., Ste. B, 87124 (505) 892-3434 Fax No. (505) 891-2402 Edwards, William O., MD Provider ID #NM000770 BlueLINK ID: 3135608 New Mexico Eye Clinic 1316 Jackie Rd., Ste. 300, 87124 (505) 891-0880 Huaman, Ana G., MD Provider ID #NM002822 BlueLINK ID: 3263659 New Mexico Eye Clinic 1316 Jackie Rd., Ste. 300, 87124 (505) 891-0880 Huaman, Ana G., MD Provider ID #NM009M96 BlueLINK ID: 3263659 ES Southwest Retina 1316 Jackie Rd., Ste. 850, 87124 (505) 891-0880 Fax No. (505) 891-5415 July 2005 Specialists Rodgers, Donald E., MD Provider ID #NM002318 BlueLINK ID: 3135917 New Mexico Eye Clinic 1316 Jackie Rd., Ste. 300, 87124 (505) 891-0880 Dermatology Graham, Jack L., MD Provider ID #NM001087 BlueLINK ID: 3135666 ES 1600 SE Main St., Ste. E, 88203 (505) 623-8100 Fax No. (505) 623-8101 Ear, Nose, and Throat Watterberg, Tina M., MD Provider ID #NM002884 BlueLINK ID: 2398277 Eye Associates of NM 1740 Grande Blvd., Ste. B, 87124 (505) 892-3434 Fax No. (505) 891-2402 Bailey, Peter, MD Provider ID #NM002206 BlueLINK ID: 2139572 313 W. Country Club Rd., Ste. 2, 88201 (505) 623-4111 Fax No. (505) 623-2951 Urology Hobbs, Jan D., MD Provider ID #NM009D18 BlueLINK ID: 3124282 ES Roswell Ear, Nose, Throat & Allergy 342 W. Sherrill Ln., Ste. A, 88201 (505) 622-2911 Fax No. (505) 622-2598 Floyd, V. Taylor, Jr., MD Provider ID #NM002938 BlueLINK ID: 3213800 4100 High Resort Blvd., 87124 (505) 891-1088 Roswell Chaves County Allergy/Immunology English, Frank A., MD Provider ID #NM000804 BlueLINK ID: 2397743 ES 313 W. Country Club Rd., Ste. 4, 88201 (505) 622-1761 Fax No. (505) 622-3005 Anesthesiology Chadha, Amrita, MD Provider ID #NM009K72 BlueLINK ID: 6002954 HI 1600 SE Main St., Ste. F, 88201 (505) 622-4374 Fax No. (505) 623-1161 Cardiology Adajar, Fundador L., MD Provider ID #NM009699 BlueLINK ID: 4255006 TL New Mexico Heart Institute 115 E. Country Club Rd., 88201 (505) 622-2524 Feroze, Hamid, MD Provider ID #NM009827 BlueLINK ID: 3384388 PA Covenant Family Health Center 402 W. Country Club Rd., 88201 (505) 637-7000 Fax No. (505) 637-7019 Toth, Zoltan K., MD Provider ID #NM009401 BlueLINK ID: 4243375 ES HU New Mexico Heart Institute 115 E. Country Club Rd., 88201 (505) 244-2524 July 2005 Endocrinology Carroll, Mary F., MD Provider ID #NM009984 BlueLINK ID: 4264252 Diabetes and Endocrinology Center 601 W. Country Club Rd., Ste. 202, 88201 (505) 622-2273 Fax No. (505) 622-2259 Sood, Vidushi, MD Provider ID #NM009N66 BlueLINK ID: 4239315 HI Diabetes and Endocrinology Associates Roswell Clinic 601 W. Country Club Rd., 88201 (505) 622-2273 Fax No. (505) 622-2259 Gastroenterology Choudhary, Adil Mushtag, MD Provider ID #NM009128 BlueLINK ID: 4197572 Southern NM Medical Association 303 W. Country Club Rd., 88201 (505) 623-1442 Fax No. (505) 623-3835 French, Frederick, MD Provider ID #NM009127 BlueLINK ID: 3135639 Southern NM Medical Association 303 W. Country Club Rd., 88201 (505) 623-1442 Fax No. (505) 622-6888 Hobbs, Crit, MD Provider ID #NM000597 BlueLINK ID: 2397838 313 W. Country Club Rd., Ste. 15, 88201 (505) 623-8021 Fax No. (505) 623-0193 Soni, Anurag, MD Provider ID #NM009N92 BlueLINK ID: 4247551 HI Surgical Specialist of Southeastern NM Roswell Clinic 601 W. Country Club Rd., 88201 (505) 627-0535 Fax No. (505) 627-5590 Tabrez, Shams S.M., MD Provider ID #NM009365 BlueLINK ID: 4238583 303 W. Country Club Rd., 88201 (505) 623-1442 Fax No. (505) 623-3835 General Surgery Davis, Richard A., MD Provider ID #NM009K51 BlueLINK ID: 2115669 ES Roswell Clinic Corp. 601 W. Country Club Rd., Ste. 201, 88201 (505) 627-0535 Fax No. (505) 627-5590 Wenner, Donald, MD Provider ID #NM002921 BlueLINK ID: 3136028 1600 SE Main St., Ste. F, 88201 (505) 622-4374 Fax No. (505) 623-1161 Dayao, Zoneddy R., MD Provider ID #NM009K28 BlueLINK ID: 4291749 Patients over age 17 ES TL FA DE Southeastern NM Internal Medicine, Hematology & Oncology 407 W. Country Club Rd., 88201 (505) 627-9110 Fax No. (505) 624-8703 Soni, Anurag, MD Provider ID #NM009N92 BlueLINK ID: 4247551 HI Surgical Specialist of Southeastern NM Roswell Clinic 601 W. Country Club Rd., 88201 (505) 627-0535 Fax No. (505) 627-5590 Whitwam, Paul, MD Provider ID #NM002949 BlueLINK ID: 3136032 1600 SE Main St., Ste. F, 88201 (505) 623-3333 Fax No. (505) 623-1161 Sood, Vidushi, MD Provider ID #NM009N66 BlueLINK ID: 4239315 HI Diabetes and Endocrinology Associates Roswell Clinic 601 W. Country Club Rd., 88201 (505) 622-2273 Fax No. (505) 622-2259 Hematology/Oncology Nephrology Dayao, Zoneddy R., MD Provider ID #NM009K28 BlueLINK ID: 4291749 Patients over age 17 ES TL FA DE Southeastern NM Internal Medicine, Hematology & Oncology 407 W. Country Club Rd., 88201 (505) 627-9110 Fax No. (505) 624-8703 Blas, Alfredo L., III, MD Provider ID #NM009G85 BlueLINK ID: 4281975 TL Renal Medicine Associates 313 W. Country Club Rd., Ste. 12, 88201 (505) 627-5828 Fax No. (505) 627-5835 Khorsand-Sahbaie, Masoud, MD Provider ID #NM001214 BlueLINK ID: 3380506 ES DE FA Southeastern NM Internal Medicine, Hematology & Oncology 407 W. Country Club Rd., 88202 (505) 624-8723 Fax No. (505) 624-8703 Latif, Tahir, MD Provider ID #NM009N39 BlueLINK ID: 4308290 Patients over age 17 ES FA DE UR Southeastern NM Internal Medicine, Hematology & Oncology 407 W. Country Club Rd., 88201 (505) 627-9110 Fax No. (505) 627-4127 Sanyal, Amit, MD Provider ID #NM014621 BlueLINK ID: 4182523 ES DE FA Southeastern NM Internal Medicine, Hematology & Oncology 407 W. Country Club Rd., 88202 (505) 624-8723 Fax No. (505) 624-8703 Internal Medicine Carroll, Mary F., MD Provider ID #NM009984 BlueLINK ID: 4264252 Diabetes and Endocrinology Center 601 W. Country Club Rd., Ste. 202, 88201 (505) 622-2273 Fax No. (505) 622-2259 See special note See last page for Provider Language Codes legend Espino, Gustavo A., MD Provider ID #NM004664 BlueLINK ID: 3366975 ES Renal Medicine Associates 313 W. Country Club Rd., Ste. 3, 88201 (505) 627-5828 Fax No. (505) 627-5835 Manjunath, Guruprasad, MD Provider ID #NM009C22 BlueLINK ID: 4232077 ES Renal Medicine Associates 313 W. Country Club Rd., Ste. 12, 88201 (505) 627-5828 Fax No. (505) 627-5835 Neurology Van Pelt, James F., III, MD Provider ID #NM002889 BlueLINK ID: 2250303 Pecos Neurosurgical Associates 313 W. Country Club Rd., Ste. 10, 88201 (505) 622-0816 Neurosurgery Gutierrez, Mario A., MD Provider ID #NM002189 BlueLINK ID: 3303920 ES 313 W. Country Club Rd. Ste. 14, 88201 (505) 625-0977 Fax No. (505) 625-1027 95 Specialists Melendez, Robert F., MD Provider ID #NM009M97 BlueLINK ID: 4303134 Eye Associates of NM 1740 Grande Blvd. SE, Ste. B, 87124 (505) 892-3434 Fax No. (505) 891-2402 Roswell Specialists Roswell Osmani, Omar N., MD Provider ID #NM009K91 BlueLINK ID: 4280628 ES FR SCOR, PC 115 E. 19th St., 88201 (505) 622-7600 Fax No. (505) 622-3856 Neumann, Thomas R., MD Provider ID #NM024796 BlueLINK ID: 3202152 ES Eastern NM Cancer Center 405 W. Country Club Rd., 88201 (505) 624-8738 Fax No. (505) 624-8758 Pathology Radiology Hale, Anne V., MD Provider ID #NM020123 BlueLINK ID: 3358736 Roswell Clinic Corp. Sage OB/GYN 808 N. Union St., 88201 (505) 622-8170 Fax No. (505) 637-7492 Atkinson, George A., MD Provider ID #NM009B90 BlueLINK ID: 5008330 ES Pathology Consultants of NM 600 N. Richardson, 88201 (505) 622-5600 Fax No. (505) 622-3720 Durand, Phillip W., DO Provider ID #NM004B61 BlueLINK ID: 2352050 Piñon Radiology Services 601 W. 2nd St., Ste. 18, 88201 (505) 625-0593 Fax No. (505) 625-0680 Reid, Randall J., MD Provider ID #NM009N05 BlueLINK ID: 5364958 Roswell Clinic Corp. Sage OB/GYN 808 N. Union St., 88201 (505) 627-4004 Fax No. (505) 624-8726 Koshy, Valsala C., MD Provider ID #NM009B93 BlueLINK ID: 5008333 ES Pathology Consultants of NM 600 N. Richardson, 88201 (505) 622-5600 Fax No. (505) 622-3720 Ophthalmology Physical Medicine Delamater, Wayne A., MD Provider ID #NM011578 BlueLINK ID: 2397709 1600 SE Main St., 88201 (505) 624-0370 Fax No. (505) 624-0376 Balkman, Karen, MD Provider ID #NM009373 BlueLINK ID: 3388638 Adobe Medical 1 El Arco Iris, 88201 (505) 625-5512 Fax No. (505) 625-1013 Specialists Obstetrics/Gynecology Beale, Peter D., MD Provider ID #NM013421 BlueLINK ID: 6001853 ES Roswell Clinic Corp. 808 N. Union St., 88201 (505) 627-0535 Fax No. (505) 627-5590 Engstrom, Paul F., MD Provider ID #NM009129 BlueLINK ID: 2222546 ES 204 W. 2nd St., Ste. 1, 88201 (505) 625-0123 Fax No. (505) 625-0131 Montgomery, Stephen W., MD Provider ID #NM001943 BlueLINK ID: 2335340 101 N. Missouri, 88203 (505) 623-8420 Pennington, Robert E., MD-PhD Provider ID #NM000144 BlueLINK ID: 4106580 Adobe Medical 1 El Arco Iris, 88201 (505) 625-5512 Fax No. (505) 625-1013 Sidd, Richard J., MD Provider ID #NM002585 BlueLINK ID: 3135966 207 N. Union, 88201 (505) 622-7295 Ray, Thaddeus, DO Provider ID #NM009N61 BlueLINK ID: 6003678 Patients over age 13 ES Carlsbad Spine, Pain & Sports Medicine PC 1717 W. Second St., 88201 (505) 628-1548 Fax No. (505) 628-1552 Orthopedics Pulmonary Medicine Boss, James A., MD Provider ID #NM020364 BlueLINK ID: 3135523 SCOR, PC 115 E. 19th St., 88201 (505) 622-7600 Fax No. (505) 622-3856 Chechani, Vijay, MD Provider ID #NM009230 BlueLINK ID: 3224180 Covenant Family Health Center 402 W. Country Club Rd., 88201 (505) 637-7000 Fax No. (505) 637-7019 Castle, James J., DO Provider ID #NM014059 BlueLINK ID: 3286601 607 W. Country Club Rd., 88201 (505) 624-0100 Fax No. (505) 624-0303 Latimer, Earl, III, MD Provider ID #NM023143 BlueLINK ID: 3143211 SCOR, PC 115 E. 19th St., 88201 (505) 622-7600 Fax No. (505) 622-3856 96 Sasidhar, Madhu, MD Provider ID #NM009366 BlueLINK ID: 4240395 ES Eastern NM Medical Center 601 W. Country Club Rd., Ste. 102, 88201 (505) 627-4074 Rheumatology Gillan, Muhammad M., MD Provider ID #NM019976 BlueLINK ID: 4263575 ES La Casa Family Health Center 1511 S. Grand, 88203 (505) 623-3255 Fax No. (505) 625-9901 Ramage, Thomas D., MD Provider ID #NM009234 BlueLINK ID: 3135897 Covenant Family Health Center 402 W. Country Club Rd., 88201 (505) 637-7000 Fax No. (505) 637-7019 Sleep Disorders Doggett, John W., MD Provider ID #NM009K88 BlueLINK ID: 3331013 Sleep disorders only Eastern NM Sleep Disorder Center 1717 W. 2nd St., Ste. 172, 88201 (505) 627-0006 Fax No. (505) 627-0008 Krakow, Barry J., MD Provider ID #NM009031 BlueLINK ID: 3212625 ES Eastern NM Sleep Disorder Center 1717 W. 2nd St., Ste. 172, 88201 (505) 627-0006 Fax No. (505) 627-0008 Urology Kiker, John D., MD Provider ID #NM001597 BlueLINK ID: 3135754 Eastern Plains Medical Group 600 N. Union, 88201 (505) 622-7593 Fax No. (505) 622-5538 Nicholson, Thomas C., MD Provider ID #NM001580 BlueLINK ID: 2142369 Eastern Plains Medical Group 600 N. Union, 88201 (505) 622-7593 Fax No. (505) 622-5538 Radiation Oncology Ruidoso Lincoln County Family Practice DiMotta, Francis J., MD Provider ID #NM009C49 BlueLINK ID: 2189667 NM Oncology/Hematology Consultants, Ltd. 208 Porr Dr., 88345 (505) 842-8171 General Practice Fenimore, James A., MD Provider ID #NM009315 BlueLINK ID: 2222684 123 El Paso Rd., 88345 (505) 257-3576 Fax No. (505) 257-3688 General Surgery Hashmi, Syed, MD Provider ID #NM009857 BlueLINK ID: 4256810 FR UR White Mountain Medical Clinic 129 El Paso Rd., 88345 (505) 257-6500 Rebstock, Juergen, MD Provider ID #NM003177 BlueLINK ID: 2132745 123 El Paso Rd., 88345 (505) 257-3576 Gynecology Seaton, Robert W., MD Provider ID #NM019113 BlueLINK ID: 2202123 Female patients only 200 Sudderth, Ste. B, 88345 (505) 257-5611 Fax No. (505) 257-7069 Seaton, Robert W., MD Provider ID #NM009S23 BlueLINK ID: 2202123 ES Lincoln County Medical Center 211 Sudderth, 88345 (505) 257-8200 Fax No. (505) 630-4233 Internal Medicine Lee, Derrick O., MD Provider ID #NM009S22 BlueLINK ID: 6003754 TL Internal Medicine Associates 125 El Paso Rd., 88345 (505) 257-2151 Fax No. (505) 257-2153 Lee, Derrick O., MD Provider ID #NM009S22 BlueLINK ID: 6003754 TL Lincoln County Medical Center 211 Sudderth Dr., 88345 (505) 257-7381 Fax No. (505) 257-6808 Anderson, Paul, MD Provider ID #NM01XZ72 BlueLINK ID: 3311163 ES Eastern NM Cancer Center 405 W. Country Club Rd., 88201 (505) 624-8738 Fax No. (505) 624-8758 See special note See last page for Provider Language Codes legend July 2005 Specialists Obstetrics/Gynecology Hewitt, Deborah J., MD Provider ID #NM002625 BlueLINK ID: 3329077 159 Mescalero Trail, 88345 (505) 257-7505 Fax No. (505) 257-4888 Orthopedics Seibel, Mark, MD Provider ID #NM009L95 BlueLINK ID: 4131859 DE White Mountain Medical Clinic 129 El Paso Rd., 88345 (505) 257-6500 Fax No. (505) 257-4055 Pulmonary Medicine Jackson, Gary L., DO Provider ID #NM014001 BlueLINK ID: 3257500 Internal Medicine Associates 125 El Paso Rd., 87125 (505) 257-2151 Fax No. (505) 257-2153 Keslin, Michael, MD Provider ID #NM009H01 BlueLINK ID: 2123298 Lovelace Sandia Health Systems Santa Fe Family Medicine 440 St. Michaels Dr., 87505 (505) 995-2400 Schackel, Gregory M., MD Provider ID #NM000429 BlueLINK ID: 3235359 Southwestern ENT Associates 1620 Hospital Dr., 87505 (505) 982-4848 Fax No. (505) 984-1149 Sussman, James H., DO Provider ID #NM004B16 BlueLINK ID: 3234907 ES Allergy Partners of New Mexico 1651 Galisteo St., Ste. 8, 87505 (505) 820-9870 Fax No. (505) 983-1265 Anesthesiology Bendixen, Eric V., MD Provider ID #NM009F05 BlueLINK ID: 3135503 ES New Mexico Anesthesia Consultants 1 Calle Medico, Ste. 4, 87505 (505) 983-3275 Fax No. (505) 983-4812 Radiology Cunningham, John R., MD Provider ID #NM009F06 BlueLINK ID: 3143095 ES New Mexico Anesthesia Consultants 1 Calle Medico, Ste. 4, 87505 (505) 983-3275 Fax No. (505) 983-4812 Wolfel, Donald A., MD Provider ID #NM009B89 BlueLINK ID: 3275190 ES Lincoln County Radiology 211 Sudderth Dr., 88345 (505) 257-8292 Fax No. (505) 630-4294 Fishback, Peter J., MD Provider ID #NM009F07 BlueLINK ID: 2397761 ES New Mexico Anesthesia Consultants 1 Calle Medico, Ste. 4, 87505 (505) 983-3275 Fax No. (505) 983-4812 Santa Fe Santa Fe County Allergy/Immunology Brown, David R., MD Provider ID #NM000391 BlueLINK ID: 3143057 Including allergy Southwestern ENT Associates 1620 Hospital Dr., 87501 (505) 982-4848 Fax No. (505) 984-1149 Honsinger, Richard W., MD Provider ID #NM001301 BlueLINK ID: 3135714 Los Alamos Medical Care Clinic 465 St. Michaels Dr., Ste. 203, 87505 (505) 982-7533 Kaufman, Paul W., MD Provider ID #NM001459 BlueLINK ID: 3135741 Including allergy Southwestern ENT Associates 1620 Hospital Dr., 87505 (505) 982-4848 Fax No. (505) 984-1149 July 2005 Frank, Gary D., MD Provider ID #NM010963 BlueLINK ID: 3135636 ES New Mexico Anesthesia Consultants 1 Calle Medico, Ste. 4, 87505 (505) 983-3275 Fax No. (505) 983-4812 Fullerton, Paul S., DO Provider ID #NM014237 BlueLINK ID: 3287712 ES New Mexico Anesthesia Consultants 1 Calle Medico, Ste. 4, 87505 (505) 983-3275 Fax No. (505) 983-4812 Garson, Leslie M., MD Provider ID #NM009P23 BlueLINK ID: 3136891 ES New Mexico Anesthesia Consultants, PC 465 St. Michaels Dr., Ste. 212, 87505 (505) 983-3275 Fax No. (505) 983-4812 Hinds, Ervin A., MD Provider ID #NM011267 BlueLINK ID: 3135711 ES New Mexico Anesthesia Consultants 1 Calle Medico, Ste. 4, 87505 (505) 983-3275 Fax No. (505) 983-4812 Jacques, Frederick J., MD Provider ID #NM011395 BlueLINK ID: 3135727 ES New Mexico Anesthesia Consultants 1 Calle Medico, Ste. 4, 87505 (505) 983-3275 Fax No. (505) 983-4812 Gernon, Craig F., MD Provider ID #NM002690 BlueLINK ID: 4155552 Patients over age 14 New Mexico Heart Institute 1651 Galisteo St., Ste. 4, 87505 (505) 984-8012 Fax No. (505) 988-2612 Keller, Candace E., MD Provider ID #NM009J67 BlueLINK ID: 3100981 ES New Mexico Anesthesia Consultants 465 St. Michaels Dr., Ste. 212, 87505 (505) 983-3275 Fax No. (505) 983-4812 Seshadri, Niranjan, MD Provider ID #NM009R07 BlueLINK ID: 6003419 ES New Mexico Heart Institute 1651 Galisteo St., Ste. 4, 87505 (505) 984-8012 Mullican, John C., MD Provider ID #NM009F08 BlueLINK ID: 3135854 ES New Mexico Anesthesia Consultants 1 Calle Medico, Ste. 4, 87505 (505) 983-3275 Fax No. (505) 983-4812 Pero, Barbara A., MD Provider ID #NM009F09 BlueLINK ID: 3210364 ES New Mexico Anesthesia Consultants 1 Calle Medico, Ste. 4, 87505 (505) 983-3275 Fax No. (505) 983-4812 Rubenfeld, Paul I., MD Provider ID #NM009F10 BlueLINK ID: 2398070 ES New Mexico Anesthesia Consultants 1 Calle Medico, Ste. 4, 87505 (505) 983-3275 Fax No. (505) 983-4812 Weiss, Carey I., MD Provider ID #NM009F12 BlueLINK ID: 2169420 ES New Mexico Anesthesia Consultants 1 Calle Medico, Ste. 4, 87505 (505) 983-3275 Fax No. (505) 983-4812 Whitesell, Albert L., MD Provider ID #NM009F13 BlueLINK ID: 3269420 New Mexico Anesthesia Consultants 1 Calle Medico, Ste. 4, 87505 (505) 983-3275 Fax No. (505) 983-4812 Ydens, Lawrence R., MD Provider ID #NM004692 BlueLINK ID: 3301053 Southwestern ENT Associates 1620 Hospital Dr., 87505 (505) 982-4848 Fax No. (505) 984-1149 Cardiology Adkison, H. William, MD Provider ID #NM000107 BlueLINK ID: 2396815 New Mexico Heart Institute 1651 Galisteo St., Ste. 4, 87501 (505) 984-8012 Fax No. (505) 988-2612 Cooper, Kyle Ann, MD Provider ID #NM000352 BlueLINK ID: 3356989 New Mexico Heart Institute 1651 Galisteo St., Ste. 4, 87505 (505) 984-8012 Fax No. (505) 988-2612 See special note See last page for Provider Language Codes legend Specialists Harkins, Timothy J., MD Provider ID #NM009R38 BlueLINK ID: 3295027 Obgyn only White Mountain Medical Clinic 129 El Paso Rd., 88345 (505) 257-6500 Fax No. (505) 257-4055 Santa Fe Soto, Sergio F., MD Provider ID #NM009L43 BlueLINK ID: 2226578 ES New Mexico Heart Institute 1651 Galisteo St., Ste. 4, 87505 (505) 984-8012 Stamm, R. Brad, MD Provider ID #NM002551 BlueLINK ID: 3246457 New Mexico Heart Institute 1651 Galisteo St., Ste. 4, 87501 (505) 984-8012 Fax No. (505) 988-2612 Stout, Kimber M., MD Provider ID #NM009L61 BlueLINK ID: 3104937 New Mexico Heart Institute 1651 Galisteo St., Ste. 4, 87505 (505) 984-8012 Stuart, Stephen, MD Provider ID #NM021194 BlueLINK ID: 3290060 ES New Mexico Heart Institute 1651 Galisteo St., Ste. 4, 87505 (505) 984-8012 Wyndham, Christopher R.C., MD Provider ID #NM009R10 BlueLINK ID: 6003424 ES New Mexico Heart Institute 1651 Galisteo St., Ste. 4, 87505 (505) 984-8012 Fax No. (505) 988-2612 Dermatology Auerbach, James H., MD Provider ID #NM000157 BlueLINK ID: 3135481 465 St. Michaels Dr., Ste. 118, 87505 (505) 982-5504 Fax No. (505) 982-2390 Holmes, Thomas M., MD Provider ID #NM001296 BlueLINK ID: 3135713 465 St. Michaels Dr., Ste. 118, 87501 (505) 988-5120 Fax No. (505) 982-1812 Kaczmarek, Norman R., MD Provider ID #NM009737 BlueLINK ID: 2397872 539 Harkle Rd., Ste. B, 87501 (505) 988-9769 Fax No. (505) 989-8078 Miller, Leon I., MD Provider ID #NM001983 BlueLINK ID: 3191052 839 Paseo de Peralta, Ste. C, 87501 (505) 982-3111 Fax No. (505) 982-1148 Vitale, Stephen J., MD Provider ID #NM009747 BlueLINK ID: 2109795 465 St. Michaels Dr., Ste. 118, 87505 (505) 982-5504 Fax No. (505) 982-2390 97 Specialists Specialists Santa Fe Ear, Nose, and Throat Family Practice Brown, David R., MD Provider ID #NM000391 BlueLINK ID: 3143057 Including allergy Southwestern ENT Associates 1620 Hospital Dr., 87505 (505) 982-4848 Fax No. (505) 984-1149 Hawkins, Trevor N., MD Provider ID #NM000390 BlueLINK ID: 3143156 HIV specialist Southwest Care Center 649 Harkle Rd., Ste. E, 87505 (505) 989-8200 Fax No. (505) 989-8131 Kaufman, Paul W., MD Provider ID #NM001459 BlueLINK ID: 3135741 Including allergy Southwestern ENT Associates 1620 Hospital Dr., 87505 (505) 982-4848 Fax No. (505) 984-1149 Mody, Sapan V., MD Provider ID #NM009R76 BlueLINK ID: 6003579 ES Concentra Medical Centers 720 St. Michaels Dr., Ste. C, 87505 (505) 438-9402 Fax No. (505) 471-9240 Ratcliff, Daniel J., MD Provider ID #NM009J42 BlueLINK ID: 4289335 ES Southwestern ENT Associates 1620 Hospital Dr., 87505 (505) 982-4848 Fax No. (505) 984-1149 Schackel, Gregory M., MD Provider ID #NM000429 BlueLINK ID: 3235359 Southwestern ENT Associates 1620 Hospital Dr., 87505 (505) 982-4848 Fax No. (505) 984-1149 Thomason, Thomas B., MD Provider ID #NM002776 BlueLINK ID: 2398167 Including allergy Southwestern ENT Associates 1620 Hospital Dr., 87505 (505) 982-4848 Fax No. (505) 984-1149 Endocrinology Bernstein, Robert M., MD Provider ID #NM010294 BlueLINK ID: 3143050 ES Regional Endocrinology Associates 1533 S. St. Francis Dr., Ste. B, 87505 (505) 982-2860 Fax No. (505) 984-2900 Gleeson, Jeremy, MD Provider ID #NM009D92 BlueLINK ID: 3120376 Lovelace Sandia Health Systems Santa Fe Family Medicine 440 St. Michaels Dr., 87505 (505) 995-2400 Grant, Neville, MD Provider ID #NM009J80 BlueLINK ID: 2112246 Adult endocrinology FR Regional Endocrinology Associates 1533 S. St. Francis Dr., Ste. B, 87505 (505) 982-2860 Fax No. (505) 984-2900 Terlecki, Marta, MD Provider ID #NM009D93 BlueLINK ID: 3287146 Lovelace Sandia Health Systems Santa Fe Family Medicine 440 St. Michaels Dr., 87505 (505) 995-2400 98 Gastroenterology Calzada, Ricardo, MD Provider ID #NM009735 BlueLINK ID: 3323756 Patients under age 16 SP Northern NM Gastroenterology Associates 1691 Galisteo St., Ste. C, 87505 (505) 983-5631 Fax No. (505) 982-5601 Dooley, Cornelius P., MD Provider ID #NM001358 BlueLINK ID: 2129769 Northern NM Gastroenterology Associates 1691 Galisteo St., Ste. C, 87505 (505) 983-5631 Fax No. (505) 982-5605 Hoverson, David, MD Provider ID #NM001334 BlueLINK ID: 2397850 Northern NM Gastroenterology Associates 1691 Galisteo St., Ste. C, 87505 (505) 983-5631 Fax No. (505) 982-5605 Pinkerton, Alfred W., MD Provider ID #NM002139 BlueLINK ID: 3143260 1650 Hospital Dr., Ste. 200, 87501 (505) 982-4276 Fax No. (505) 995-0884 Quinn, Patrick G., MD Provider ID #NM001687 BlueLINK ID: 3274641 Northern NM Gastroenterology Associates 1691 Galisteo St., Ste. C, 87505 (505) 983-5631 Fax No. (505) 982-5605 Rowberry, Bradley B., MD Provider ID #NM009F49 BlueLINK ID: 2226042 Patients over age 17 ES Northern NM Gastroenterology Associates 1691 Galisteo St., Ste. C, 87505 (505) 983-5631 Fax No. (505) 982-5605 General Surgery Bieniek, Edward J., MD Provider ID #NM009A19 BlueLINK ID: 4268696 ES St. Vincent Surgical Group 465 St. Michaels Dr., Ste. 110, 87505 (505) 983-6651 Fax No. (505) 983-6645 Cunningham, Elizabeth A., MD Provider ID #NM009J84 BlueLINK ID: 4161144 ES St. Vincent Hospital Cancer Center 455 St. Michaels Dr., 87505 (505) 995-3967 Fax No. (505) 989-6466 Cunningham, Elizabeth, MD Provider ID #NM009F51 BlueLINK ID: 4161144 ES St. Vincent Surgical Group 465 St. Michaels Dr., Ste. 110, 87505 (505) 983-6651 Fax No. (505) 983-6645 Shapiro, Raphael I., MD Provider ID #NM002490 BlueLINK ID: 3135956 Santa Fe Surgical Associates 490 W. Zia Rd., Ste. 200A, 87505 (505) 988-3975 Fax No. (505) 986-8001 Smith, Joseph M., MD Provider ID #NM009360 BlueLINK ID: 2173068 St. Vincent Surgical Group 465 St. Michaels Dr., Ste. 110, 87505 (505) 983-6651 Fax No. (505) 983-6645 Voltura, Anna M., MD Provider ID #NM004622 BlueLINK ID: 4183236 ES Santa Fe Surgical Associates 490 W. Zia Rd., Ste. 200A, 87505 (505) 988-3975 Fax No. (505) 986-8001 Hand Surgery Shapiro, Raphael I., MD Provider ID #NM002490 BlueLINK ID: 3135956 Santa Fe Surgical Associates 490 W. Zia Rd., Ste. 200A, 87505 (505) 988-3975 Fax No. (505) 986-8001 Hematology/Oncology Bagwell, John C., MD Provider ID #NM009268 BlueLINK ID: 2221054 Patients over age 16 ES New Mexico Cancer Care Associates 490 W. Zia Rd., Ste. A, 87505 (505) 955-7900 Fax No. (505) 983-5364 Blitman, Maury N., MD Provider ID #NM009J25 BlueLINK ID: 5010032 St. Vincent Hospital Cancer Center 455 St. Michaels Dr., 87505 (505) 820-5233 Fax No. (505) 989-6466 Greenfield, Bruce M., MD Provider ID #NM011105 BlueLINK ID: 2397800 New Mexico Cancer Care Associates 490 W. Zia Rd., Ste. A, 87505 (505) 955-7900 Fax No. (505) 983-5364 Judson, Patrick H., MD Provider ID #NM009P87 BlueLINK ID: 3382229 Adult patients only ES New Mexico Cancer Care Associates 490 W. Zia Rd., Ste. A, 87505 (505) 955-7900 Fax No. (505) 955-7923 See special note See last page for Provider Language Codes legend Lopez, Timothy M., MD Provider ID #NM010747 BlueLINK ID: 3273142 New Mexico Cancer Care Associates 490 W. Zia Rd., Ste. A, 87505 (505) 955-7900 Fax No. (505) 983-5364 Scott-Timperley, Leanna J., MD Provider ID #NM009J35 BlueLINK ID: 4172448 Adult patients only New Mexico Cancer Care Associates 490 W. Zia Rd., Ste. A, 87505 (505) 955-7900 Fax No. (505) 983-5364 Infectious Diseases Hawkins, Trevor N., MD Provider ID #NM000390 BlueLINK ID: 3143156 Southwest Care Center 649 Harkle Rd., Ste. E, 87505 (505) 989-8200 Fax No. (505) 989-8131 Lawrence, Mary E., MD Provider ID #NM009P43 BlueLINK ID: 6003611 1482 St. Francis Dr., Ste. C, 87505 (505) 984-1981 Fax No. (505) 984-8971 Lawrence, Mary E., MD Provider ID #NM009T09 BlueLINK ID: 4307389 HIV/AIDs patients only ES FR Southwest Care Center 649 Harkle Rd., Ste. E, 87505 (505) 989-8200 Fax No. (505) 989-8131 Palestine, Michael D., MD Provider ID #NM004923 BlueLINK ID: 3100085 1482 S. St. Francis Dr., Ste. C, 87505 (505) 984-1981 Palestine, Michael D., MD Provider ID #NM004923 BlueLINK ID: 3100085 Southwest Care Center 649 Harkle Rd., Ste. E, 87505 (505) 989-8200 Fax No. (505) 989-8131 Email: [email protected] Internal Medicine Duarte, Ramon R., MD Provider ID #NM019F74 BlueLINK ID: 3145249 Adult patients only ES Monte Sol Medical Group 455 St. Michaels Dr., 87505 (505) 989-6130 Fax No. (505) 820-5408 Gernon, Craig F., MD Provider ID #NM002690 BlueLINK ID: 4155552 Patients over age 14 New Mexico Heart Institute 1651 Galisteo St., Ste. 4, 87505 (505) 984-8012 Fax No. (505) 988-2612 Lawrence, Mary E., MD Provider ID #NM009T09 BlueLINK ID: 4307389 HIV/AIDs patients only ES FR Southwest Care Center 649 Harkle Rd., Ste. E, 87505 (505) 989-8200 Fax No. (505) 989-8131 July 2005 Specialists Palestine, Michael D., MD Provider ID #NM004923 BlueLINK ID: 5005006 1482 S. St. Francis Dr., Ste. C, 87505 (505) 984-1981 Palestine, Michael D., MD Provider ID #NM004923 BlueLINK ID: 3100085 Southwest Care Center 649 Harkle Rd., Ste. E, 87505 (505) 989-8200 Fax No. (505) 989-8131 Email: [email protected] Pinkerton, Alfred W., MD Provider ID #NM002139 BlueLINK ID: 3143260 1650 Hospital Dr., Ste. 200, 87501 (505) 982-4276 Fax No. (505) 995-0884 Ross, Duane L., MD Provider ID #NM033157 BlueLINK ID: 5003762 ES Concentra Medical Centers 720 St. Michaels Dr., Ste. C, 87505 (505) 438-9402 Fax No. (505) 471-9240 Seshadri, Niranjan, MD Provider ID #NM009R07 BlueLINK ID: 6003419 ES New Mexico Heart Institute 1651 Galisteo St., Ste. 4, 87505 (505) 984-8012 Sussman, James H., DO Provider ID #NM004B16 BlueLINK ID: 3234907 ES Allergy Partners of New Mexico 1651 Galisteo St., Ste. 8, 87505 (505) 820-9870 Fax No. (505) 983-1265 Wyndham, Christopher R.C., MD Provider ID #NM009R10 BlueLINK ID: 6003424 ES New Mexico Heart Institute 1651 Galisteo St., Ste. 4, 87505 (505) 984-8012 Fax No. (505) 988-2612 Medical Oncology Judson, Patrick H., MD Provider ID #NM009P87 BlueLINK ID: 3382229 Adult patients only ES New Mexico Cancer Care Associates 490 W. Zia Rd., Ste. A, 87505 (505) 955-7900 Fax No. (505) 955-7923 Kubica, Ronald P., MD Provider ID #NM009265 BlueLINK ID: 3228906 Patients over age 18 ES New Mexico Cancer Care Associates 433 St. Michaels Dr., 87505 (505) 992-1445 Fax No. (505) 992-1903 July 2005 Kubica, Ronald P., MD Provider ID #NM009265 BlueLINK ID: 3228906 Patients over age 18 ES New Mexico Cancer Care Associates 490 W. Zia Rd., Ste. A, 87505 (505) 955-7900 Fax No. (505) 983-5364 Snyder, David A., MD Provider ID #NM009256 BlueLINK ID: 3169126 New Mexico Cancer Care Associates 433 St. Michaels Dr., 87505 (505) 992-1445 Fax No. (505) 992-1903 Snyder, David A., MD Provider ID #NM009256 BlueLINK ID: 3169126 New Mexico Cancer Care Associates 490 W. Zia Rd., Ste. A, 87505 (505) 955-7900 Fax No. (505) 983-5364 Nephrology Kossmann, Robert J., MD Provider ID #NM003322 BlueLINK ID: 3358137 Nephrophiles 1650 Hospital Dr., Ste. 200, 87505 (505) 982-4276 Fax No. (505) 983-7571 Kovnat, Paul J., MD Provider ID #NM001519 BlueLINK ID: 2397900 Nephrophiles 1650 Hospital Dr., Ste. 200, 87505 (505) 982-4276 Fax No. (505) 983-7571 Lenetsky, Allan M., MD Provider ID #NM001769 BlueLINK ID: 2397926 Nephrophiles 1650 Hospital Dr., Ste. 200, 87505 (505) 982-4276 Fax No. (505) 983-7571 Neurology Baten, Michael, MD Provider ID #NM000183 BlueLINK ID: 2397186 Santa Fe Neurological Associates 531 Harkle Rd., Ste. C, 87505 (505) 983-8182 Fax No. (505) 983-7673 Guggenheim, Kathryn, MD Provider ID #NM009094 BlueLINK ID: 3125929 2019 Galisteo St., Unit N-1, 87505 (505) 982-5261 Fax No. (505) 982-0441 LaKind, Elizabeth D., MD Provider ID #NM002645 BlueLINK ID: 3345694 465 St. Michaels Dr., Ste. 211, 87505 (505) 989-4600 Fax No. (505) 988-1370 Walsky, Paul, MD Provider ID #NM002966 BlueLINK ID: 2398340 531 Harkle Rd., Ste. A2, 87501 (505) 982-3814 Fax No. (505) 983-1899 Wengs, William, MD Provider ID #NM009T02 BlueLINK ID: 3326597 Patients age 18 and up 2009 Botulph Rd., Ste. 500, 87505 (505) 986-2890 Neurosurgery Feldman, Robert A., MD Provider ID #NM010852 BlueLINK ID: 3143119 ES Neurological Surgery Associates of NM 531 Harkle Rd., Ste. D, 87505 (505) 988-3233 Fax No. (505) 988-3562 Marchand, Erich P., MD Provider ID #NM011721 BlueLINK ID: 2397961 ES Neurological Surgery Associates of NM 531 Harkle Rd., Ste. D, 87505 (505) 988-3233 Fax No. (505) 988-3562 Shields, Phillip T., MD Provider ID #NM019207 BlueLINK ID: 3311956 ES Neurological Surgery Associates of NM 531 Harkle Rd., Ste. D, 87505 (505) 988-3233 Fax No. (505) 988-3562 Obstetrics/Gynecology Brown, D. William, Jr., MD Provider ID #NM000453 BlueLINK ID: 3209297 546 Harkle Rd., Ste. A, 87505 (505) 983-6467 Fax No. (505) 983-5394 De La Vallee, Cecilia "Cissy", MD Provider ID #NM004136 BlueLINK ID: 4253263 Patients over age 9 ES Women's Health Services 901 W. Alameda St., Ste. 25, 87501 (505) 988-8869 Fax No. (505) 982-7321 Keller, Caroline S., MD Provider ID #NM019180 BlueLINK ID: 3358752 2205 Miguel Chavez Rd., 87505 (505) 989-7222 Fax No. (505) 988-5119 Martinez, Lynore M., MD Provider ID #NM009T01 BlueLINK ID: 4132991 ES 405 Stereophile Way, 87505 (505) 988-4922 Fax No. (505) 988-4924 Pardue, Cleveland H., III, MD Provider ID #NM002078 BlueLINK ID: 3143257 465 St. Michaels Dr., Ste. 202, 87505 (505) 984-0303 Fax No. (505) 984-1116 Rodriguez, Maria L., MD Provider ID #NM012331 BlueLINK ID: 3143280 Galisteo Ob/Gyn Associates 1691 Galisteo St., Ste. D, 87505 (505) 984-2300 Van Eeckhout, Barbara S., MD Provider ID #NM009530 BlueLINK ID: 4225448 531 Harkle, Ste. B, 87505 (505) 982-4200 Fax No. (505) 982-4649 See special note See last page for Provider Language Codes legend Vigil, Debbie A., MD Provider ID #NM002901 BlueLINK ID: 3222750 ES 1692 Hospital Dr., 87505 (505) 983-8601 Fax No. (505) 982-4966 Specialists Olmstead, Francine M., MD Provider ID #NM009R09 BlueLINK ID: 5006048 ES Concentra Medical Centers 720 St. Michaels Dr., Ste. C, 87505 (505) 438-9402 Fax No. (505) 471-9240 Santa Fe Wolfswinkel, Laura D., MD Provider ID #NM013019 BlueLINK ID: 2398272 Galisteo Ob/Gyn Associates 1691 Galisteo St., Ste. D, 87505 (505) 984-2300 Occupational Medicine Lewis, Wood V., MD Provider ID #NM009S12 BlueLINK ID: 3212584 ES Concentra Medical Centers 720 St. Michaels Dr., Ste. C, 87505 (505) 438-9402 Fax No. (505) 471-9240 Ophthalmology Bradley, Mark S., MD Provider ID #NM009F32 BlueLINK ID: 3296862 ES 1630 Hospital Dr., Ste. D, 87505 (505) 982-8831 Fax No. (505) 983-2763 Bratton, Angela R., MD Provider ID #NM003195 BlueLINK ID: 3201491 Eye Associates of NM 2947 Rodeo Park Dr., 87505 (505) 983-6613 Fax No. (505) 986-9984 Chiu, Mark T., MD Provider ID #NM000562 BlueLINK ID: 3135563 Eye Associates of NM 2947 Rodeo Park Dr., 87505 (505) 983-6613 Fax No. (505) 986-9984 Cox, William V., MD Provider ID #NM003377 BlueLINK ID: 2297451 ES 5 Calle Medico, Ste. E, 87505 (505) 982-4555 Fax No. (505) 982-9225 Durso, Frank, MD Provider ID #NM000780 BlueLINK ID: 3114017 Eye Associates of NM 2947 Rodeo Park Dr., 87505 (505) 983-6613 Fax No. (505) 986-9984 Levy, Renny H., MD Provider ID #NM009539 BlueLINK ID: 3356711 ES Eye Associates of NM 435 St. Michaels Dr., Ste. C, 87505 (505) 983-6613 Fax No. (505) 986-9984 Littlefield, Jerald, MD Provider ID #NM002735 BlueLINK ID: 2293608 1630 Hospital Dr., Ste. D, 87505 (505) 982-8831 Fax No. (505) 983-2763 Mares, Frank J., MD Provider ID #NM001483 BlueLINK ID: 3135805 Eye Associates of NM 2947 Rodeo Park Dr., 87505 (505) 983-6613 Fax No. (505) 986-9984 99 Specialists Specialists Santa Fe Ogawa, Gregory S. H., MD Provider ID #NM004572 BlueLINK ID: 3364194 Eye Associates of NM 2947 Rodeo Park Dr., 87505 (505) 983-6613 Fax No. (505) 986-9984 Puro, Gary V., MD Provider ID #NM012209 BlueLINK ID: 3135895 Eye Care For You 510 N. Guadalupe St., Ste. C, 87501 (505) 986-2020 Fax No. (505) 986-1764 Reidy, Kristin E., DO Provider ID #NM004A00 BlueLINK ID: 4264237 Eye Associates of NM 2947 Rodeo Park Dr., 87505 (505) 983-6613 Fax No. (505) 983-0685 Reidy, Robert W., MD Provider ID #NM002263 BlueLINK ID: 2287056 Eye Associates of NM 2947 Rodeo Park Dr., 87505 (505) 983-6613 Fax No. (505) 986-9984 Seligson, Michael S., MD Provider ID #NM009P09 BlueLINK ID: 3356602 High Country Macula, Retina & Vitreous 465 St. Michaels Dr., Ste. 206, 87505 (505) 982-5716 Fax No. (505) 982-5718 Soloway, Mahlon R., MD Provider ID #NM001819 BlueLINK ID: 3135977 Eye Associates of NM 2947 Rodeo Park Dr., 87505 (505) 983-6613 Fax No. (505) 986-9984 Weinstein, Arthur J., MD Provider ID #NM002933 BlueLINK ID: 3136024 Eye Associates of NM 2947 Rodeo Park Dr., 87505 (505) 983-6613 Fax No. (505) 986-9984 Wyant, Frank W., Jr., DO Provider ID #NM004657 BlueLINK ID: 2396760 Eye Associates of NM 2947 Rodeo Park Dr., 87505 (505) 983-6613 Fax No. (505) 986-9984 Orthopedics Chun, Samuel, MD Provider ID #NM009P04 BlueLINK ID: 3344815 ES St. Vincent Hospital Orthopaedic Group 2055 S. Pacheco, Ste. 500, 87505 (505) 424-0200 Fax No. (505) 424-1056 Ellis, Oren H., MD Provider ID #NM01VP02 BlueLINK ID: 5008680 ES St. Vincent Hospital Orthopedic Group 2055 S. Pacheco, Ste. 500A, 87505 (505) 424-0578 Fax No. (505) 424-1056 Gorman, Robert R., III, MD Provider ID #NM009T51 BlueLINK ID: 4295100 St. Vincent Hospital Orthopedic Group 2055 S. Pacheco, Ste. 500, 87505 (505) 424-0578 Fax No. (505) 424-1056 Gossum, Robin S., MD Provider ID #NM004893 BlueLINK ID: 4198951 ES Orthopaedic Associates of Northern NM 2055 S. Pacheco, Ste. 500, 87505 (505) 424-0200 Fax No. (505) 424-6608 Jones, William K., MD Provider ID #NM001451 BlueLINK ID: 3143187 2801 Rodeo Rd., Ste. B13, 87507 (505) 474-0120 McGinty, Laurel, MD Provider ID #NM009G69 BlueLINK ID: 3300161 Lovelace Sandia Health Systems Santa Fe Family Medicine 440 St. Michaels Dr., 87505 (505) 995-2400 McKinley, Matthew, MD Provider ID #NM014539 BlueLINK ID: 4169347 Lovelace Sandia Health Systems Santa Fe Family Medicine 440 St. Michaels Dr., 87505 (505) 995-2400 Weiner, Steven, MD Provider ID #NM012919 BlueLINK ID: 3143352 Santa Fe Orthopaedic Associates 1630 Hospital Dr., 87505 (505) 982-5014 Fax No. (505) 982-2687 Bair, Brant A., MD Provider ID #NM009385 BlueLINK ID: 4232343 ES Santa Fe Orthopaedic Associates 1630 Hospital Dr., 87505 (505) 982-5014 Fax No. (505) 982-2687 Pathology Bear, Jan V.T., MD Provider ID #NM001491 BlueLINK ID: 3282152 Orthopaedic Associates of Northern NM 2055 S. Pacheco, Ste. 500, 87505 (505) 424-0200 Fax No. (505) 424-6608 Johnson, Frank Pierr, MD Provider ID #NM001489 BlueLINK ID: 3290220 Santa Fe Pathology Services 465 St. Michaels Dr., Ste. 115, 87505 (505) 986-8620 Becker, Jeremy R., MD Provider ID #NM009L38 BlueLINK ID: 2153666 Lovelace Sandia Health Systems Santa Fe Family Medicine 440 St. Michaels Dr., 87505 (505) 995-2400 100 Anderson, H. Clark, MD Provider ID #NM000148 BlueLINK ID: 3288074 Santa Fe Pathology Services 465 St. Michaels Dr., Ste. 115, 87505 (505) 986-8620 Lowry, Sandra P., MD Provider ID #NM002188 BlueLINK ID: 3320643 Santa Fe Pathology Services 465 St. Michaels Dr., Ste. 115, 87505 (505) 986-8620 Rogers, Lynn A., MD Provider ID #NM001029 BlueLINK ID: 3295235 Santa Fe Pathology Services 465 St. Michaels Dr., Ste. 115, 87505 (505) 986-8620 Fax No. (505) 820-2461 Zwemer, Jack E., MD Provider ID #NM003087 BlueLINK ID: 3288075 Santa Fe Pathology Services 465 St. Michaels Dr., Ste. 115, 87505 (505) 986-8620 Perinatology Aisenbrey, Gary A., MD Provider ID #NM000205 BlueLINK ID: 3210751 Perinatal Associates of NM 465 St. Michaels Dr., Ste. 203, 87501 (505) 924-2560 Fax No. (505) 743-9646 Argubright, Kent, MD Provider ID #NM000174 BlueLINK ID: 3210720 ES Perinatal Associates of NM 465 St. Michaels Dr., Ste. 203, 87505 (505) 924-2560 Fax No. (505) 843-9646 Hurley, Timothy J., MD Provider ID #NM002734 BlueLINK ID: 3285454 Perinatal Associates of NM 465 St. Michaels Dr., Ste. 203, 87501 (505) 924-2560 Fax No. (505) 843-9646 Joffe, Gary M., MD Provider ID #NM013714 BlueLINK ID: 3263663 ES Perinatal Associates of NM 465 St. Michaels Dr., Ste. 203, 87505 (505) 924-2560 Fax No. (505) 843-9646 Physical Medicine Black, Pamela, MD Provider ID #NM009655 BlueLINK ID: 3293885 Specializing in spinal conditions ES FR 1691 Galisteo St., Ste. E, 87505 (505) 983-2233 Esparza, Carlos J., MD Provider ID #NM009046 BlueLINK ID: 4136683 ES 1691 Galisteo St., Ste. E, 87501 (505) 983-2233 Fax No. (505) 242-0189 Genovese-Elliott, Theresa M., MD Provider ID #NM014159 BlueLINK ID: 4175043 ES 1630 Hospital Dr., Ste. A, 87505 (505) 820-1858 Fax No. (505) 820-1902 Santos, James A., MD Provider ID #NM009616 BlueLINK ID: 4247031 ES New Mexico Spine 1691 Galisteo St., Ste. B, 87505 (505) 988-4446 Fax No. (505) 989-8880 See special note See last page for Provider Language Codes legend Schwartz, Belyn, MD Provider ID #NM009445 BlueLINK ID: 3393218 ES FR Rehabilitation Medicine Associates of Northern NM 1691 Galisteo St., Ste. E, 87505 (505) 983-2233 Fax No. (505) 983-2290 Pulmonary Medicine Guido, Peter S., MD Provider ID #NM009H58 BlueLINK ID: 4114159 Lovelace Sandia Health Systems Santa Fe Family Medicine 440 St. Michaels Dr., 87505 (505) 995-2400 Riley, Charles A., MD Provider ID #NM002288 BlueLINK ID: 3135910 465 St. Michaels Dr., Ste. 104, 87505 (505) 982-8338 Radiation Oncology Anthony, Paul A., MD Provider ID #NM000168 BlueLINK ID: 3143015 Radiation Oncology Associates 490 W. Zia Rd., Ste. A, 87505 (505) 889-9639 Fax No. (505) 889-2978 Beron, Phillip J., MD Provider ID #NM009797 BlueLINK ID: 4140480 Valley Radiotherapy Assoc. Medical Group Richard M. Angle Cancer Treatment Center 455 St. Michaels Dr., 87505 (505) 820-5327 Fax No. (505) 556-5899 Bush, Steven E., MD Provider ID #NM009309 BlueLINK ID: 3143066 ES NM Oncology/Hematology Consultants, Ltd. 455 St. Michaels Dr., 87505 (505) 983-3361 Fax No. (505) 820-5210 Elconin, Joel H., MD Provider ID #NM009314 BlueLINK ID: 4224231 ES NM Oncology/Hematology Consultants, Ltd. 455 St. Michaels Dr., 87505 (505) 983-3361 Fax No. (505) 820-5210 Ellerbroek, Nancy A., MD Provider ID #NM009799 BlueLINK ID: 3256197 Valley Radiotherapy Assoc. Medical Group Richard M. Angle Cancer Treatment Center 455 St. Michaels Dr., 87505 (505) 820-5327 Fax No. (505) 556-5899 Fleck, Ronda S., MD Provider ID #NM022213 BlueLINK ID: 3284280 ES Radiation Oncology Associates 490 W. Zia Rd., Ste. A, 87505 (505) 889-9639 Fax No. (505) 889-2978 July 2005 Specialists Ketting, Case H., MD Provider ID #NM009811 BlueLINK ID: 3361205 Valley Radiotherapy Assoc. Medical Group Richard M. Angle Cancer Treatment Center 455 St. Michaels Dr., 87505 (505) 820-5327 Fax No. (505) 556-5899 Khan, Kutub Mir, MD Provider ID #NM001506 BlueLINK ID: 3135752 Radiation Oncology Associates 490 W. Zia Rd., Ste. A, 87505 (505) 889-9639 Fax No. (505) 889-2978 Liem, Benny J., MD Provider ID #NM009678 BlueLINK ID: 4244726 ES Radiation Oncology Associates 490 W. Zia Rd., Ste. A, 87505 (505) 889-9639 Fax No. (505) 889-2978 Lipsett, James, MD Provider ID #NM003465 BlueLINK ID: 2138596 Radiation Oncology Associates 490 W. Zia Rd., Ste. A, 87505 (505) 889-9639 Fax No. (505) 889-2978 Mayer, Eric G., MD Provider ID #NM009812 BlueLINK ID: 3144225 ES Valley Radiotherapy Assoc. Medical Group Richard M. Angle Cancer Treatment Center 455 St. Michaels Dr., 87505 (505) 820-5327 Fax No. (505) 556-5899 Shina, Donald C., MD Provider ID #NM019T57 BlueLINK ID: 3229640 ES St. Vincent Hospital Orthopedic Group 455 St. Michaels Dr., 87505 (505) 820-5233 Fax No. (505) 989-6466 Story, Amanda J., MD Provider ID #NM001968 BlueLINK ID: 3262325 Radiation Oncology Associates 490 W. Zia Rd., Ste. A, 87505 (505) 889-9639 Fax No. (505) 889-2978 Stutzman, Charles D., MD Provider ID #NM002552 BlueLINK ID: 2398130 Radiation Oncology Associates 490 W. Zia Rd., Ste. A, 87505 (505) 889-9639 Fax No. (505) 889-2978 Thompson, William R., MD Provider ID #NM002758 BlueLINK ID: 3223289 Radiation Oncology Associates 490 W. Zia Rd., Ste. A, 87505 (505) 889-9639 Fax No. (505) 889-2978 July 2005 Wong, Gene, MD Provider ID #NM003921 BlueLINK ID: 3262046 Radiation Oncology Associates 490 W. Zia Rd., Ste. A, 87505 (505) 889-9639 Fax No. (505) 889-2978 Radiology Benjamin, Raphiel J., MD Provider ID #NM009F17 BlueLINK ID: 3135504 Santa Fe Radiology 1640 Hospital Dr., 87505 (505) 983-2611 Fax No. (505) 983-7145 Buschman, Dennis L., MD Provider ID #NM009S78 BlueLINK ID: A06408 X-Ray Associates of New Mexico X-Ray Associates of Santa Fe 490 Zia Rd., Ste. A, 87505 (505) 983-9139 Cohen, Eve K., MD Provider ID #NM009F18 BlueLINK ID: 4126101 ES Santa Fe Radiology 1640 Hospital Dr., 87505 (505) 983-2611 Fax No. (505) 983-7145 Cohen, Larry L., MD Provider ID #NM009F19 BlueLINK ID: 3135570 Santa Fe Radiology 1640 Hospital Dr., 87505 (505) 983-2611 Fax No. (505) 983-7145 Copeland, Jack A., MD Provider ID #NM009A21 BlueLINK ID: 3177853 Santa Fe Family Health Center 2801 Rodeo Rd., Ste. B13, 87507 (505) 474-0120 Damron, James R., MD Provider ID #NM009F20 BlueLINK ID: 3296130 Santa Fe Radiology 1640 Hospital Dr., 87505 (505) 983-2611 Fax No. (505) 983-7145 Gaupp, Robin J., MD Provider ID #NM009F21 BlueLINK ID: 2397780 Santa Fe Radiology 1640 Hospital Dr., 87505 (505) 983-2611 Fax No. (505) 983-7145 Griste, John D., MD Provider ID #NM009F22 BlueLINK ID: 3296943 Santa Fe Radiology 1640 Hospital Dr., 87505 (505) 983-2611 Fax No. (505) 983-7145 Linver, Michael N., MD Provider ID #NM009L72 BlueLINK ID: 3293338 X-Ray Associates of New Mexico X-Ray Associates of Santa Fe 490 Zia Rd., Ste. A, 87505 (505) 983-9139 Ochadlik, Mary, MD Provider ID #NM009G63 BlueLINK ID: 5009502 Lovelace Sandia Health Systems Santa Fe Urology 440 St. Michaels Dr., 87505 (505) 995-2400 Litzenberg, William J., MD Provider ID #NM009F24 BlueLINK ID: 3212586 Santa Fe Radiology 1640 Hospital Dr., 87505 (505) 983-2611 Fax No. (505) 983-7145 Robeson, Steven C., MD Provider ID #NM012295 BlueLINK ID: 2398060 1630 Hospital Dr., Ste. C, 87505 (505) 982-3534 Fax No. (505) 982-8458 Patriquin, Lara M., MD Provider ID #NM009S11 BlueLINK ID: 4241986 X-Ray Associates of New Mexico X-Ray Associates of Santa Fe 490 Zia Rd., Ste. A, 87505 (505) 983-9139 Valencia, Regina A., MD Provider ID #NM009F26 BlueLINK ID: 3284866 Santa Fe Radiology 1640 Hospital Dr., 87505 (505) 983-2611 Fax No. (505) 983-7145 Williams, Arvis, MD Provider ID #NM009R23 BlueLINK ID: 3165106 X-Ray Associates of New Mexico X-Ray Associates of Santa Fe 490 Zia Rd., Ste. A, 87505 (505) 983-9139 Zimmer, William D., MD Provider ID #NM009L69 BlueLINK ID: 3205293 X-Ray Associates of New Mexico X-Ray Associates of Santa Fe 490 Zia Rd., Ste. A, 87505 (505) 983-9139 Rheumatology Sokoloff, Murray C., MD Provider ID #NM003458 BlueLINK ID: 2138966 2019 Galisteo St., Ste. A3, 87505 (505) 986-0044 Fax No. (505) 983-1755 Thoracic and Vascular Surgery Goldstein, Lawrence J., MD Provider ID #NM009J72 BlueLINK ID: 3351656 ES St. Vincent Surgical Group 465 St. Michaels Dr., Ste. 110, 87505 (505) 954-8720 Fax No. (505) 954-8721 Urology Kosir, Christopher C., MD Provider ID #NM009F23 BlueLINK ID: 3293529 Santa Fe Radiology 1640 Hospital Dr., 87505 (505) 983-2611 Fax No. (505) 983-7145 Anderson, Eric W., MD Provider ID #NM009A04 BlueLINK ID: 4261490 ES 1630 Hospital Dr., Ste. C, 87505 (505) 982-3534 Fax No. (505) 982-8458 Lehman, Jonathan D., MD Provider ID #NM009F25 BlueLINK ID: 4192332 Santa Fe Radiology 1640 Hospital Dr., 87505 (505) 983-2611 Fax No. (505) 983-7145 Lucero, Stephen P., MD Provider ID #NM009295 BlueLINK ID: 2397937 1650 Hospital Dr., Ste. 300, 87505 (505) 989-8325 Milroy, Michael, MD Provider ID #NM001912 BlueLINK ID: 2397980 1630 Hospital Dr., 87505 (505) 820-0484 See special note See last page for Provider Language Codes legend Specialists Hadzic, Ejub Carlos, MD Provider ID #NM009307 BlueLINK ID: 3346293 ES FR RU Valley Radiotherapy Assoc. Medical Group Richard M. Angle Cancer Treatment Center 455 St. Michaels Dr., 87505 (505) 820-5327 Fax No. (505) 556-5899 Silver City Santa Teresa Doña Ana County Anesthesiology Rivera, Emilio T., MD Provider ID #NM011595 BlueLINK ID: 3213676 ES Doctors of Santa Teresa 5290 McNutt Rd., 88008 (505) 589-1144 Fax No. (505) 589-2008 Ophthalmology Hernandez, Edward, MD Provider ID #NM004431 BlueLINK ID: 4168986 ES Southwest Eye Clinic 1245 Country Club Rd., 88008 (505) 874-1988 Fax No. (505) 874-1402 Villalobos, Robert L., MD Provider ID #NM002878 BlueLINK ID: 2204736 Southwest Eye Clinic 1245 Country Club Rd., 88008 (505) 874-1988 Fax No. (505) 874-1402 Silver City Grant County Anesthesiology Donnell, Mark S., MD Provider ID #NM003160 BlueLINK ID: 2147881 ES 1313 E. 32nd St., 88061 (505) 538-4065 Fax No. (505) 538-4042 Dermatology Arizaga, Gilbert, MD Provider ID #NM000167 BlueLINK ID: 2396826 Sierra Dermatology 3060 Hwy. 180 East, 88061 (505) 388-2743 Ear, Nose, and Throat Sparks, Twana L., MD Provider ID #NM002363 BlueLINK ID: 3345497 Including allergy Sparks Clinic 1000 N. Hudson, 88061 (505) 538-0486 Fax No. (505) 538-7919 101 Specialists Silver City Specialists General Surgery Kleinman, Russell, MD Provider ID #NM003216 BlueLINK ID: 3212621 1304 E. 32nd St., 88061 (505) 388-3175 Fax No. (505) 388-4695 Vigil, Anthony R., MD Provider ID #NM004535 BlueLINK ID: 4176385 1304 E. 32nd St., 88061 (505) 388-3175 Wendler, Frederick W., MD Provider ID #NM002929 BlueLINK ID: 3230236 1304 E. 32nd St., 88061 (505) 388-3175 Fax No. (505) 388-4695 Neurology Bhothinard, Bhisit, MD Provider ID #NM009N19 BlueLINK ID: 2111269 ES Silver Internal Medicine 1600 E. 32nd St., 88061 (505) 538-2981 Fax No. (505) 388-3373 Obstetrics/Gynecology Hanosh, Christopher R., MD Provider ID #NM009376 BlueLINK ID: 4244552 ES Grant County Orthopedic Associates 1268 E. 32nd St., 88062 (505) 534-1919 Fax No. (505) 534-0135 Robinson, Brian, MD Provider ID #NM004376 BlueLINK ID: 4195286 ES Grant County Orthopedic Associates 1268 E. 32nd St., 88062 (505) 534-1919 Fax No. (505) 534-0135 Pathology Blisard, Karen S., MD Provider ID #NM013302 BlueLINK ID: 3250079 Gila Pathology Services 1313 E. 32nd St., 88061 (505) 538-4165 Capek, Pavel P., MD Provider ID #NM014394 BlueLINK ID: 4194244 CS SL Gila Pathology Services 1313 E. 32nd St., 88061 (505) 538-4165 Pulmonary Medicine Nwachuku, Victor A., MD Provider ID #NM009942 BlueLINK ID: 4228164 Female patients only ES Cassie Health Center 1290 E. 32nd St., 88061 (505) 388-1561 Stinar, Donald, MD Provider ID #NM011920 BlueLINK ID: 2177834 ES 2584 N. Silver St., Bldg. B, 88061 (505) 388-0184 Fax No. (505) 388-0186 Ophthalmology Radiology Apple, Neal L., MD Provider ID #NM014201 BlueLINK ID: 2147848 ES Silver City Opthalmology Associates 1210 E. 32nd St., 88061 (505) 538-3721 Fax No. (505) 538-2207 Lanthiez, Pierre, MD Provider ID #NM009B98 BlueLINK ID: 3300857 SW Radiology Associates Gila Regional Medical Center 1313 E. 32nd St., 88061 (505) 538-4125 Boyle, Thomas M., MD Provider ID #NM009B79 BlueLINK ID: 4249630 ES Silver City Opthalmology Associates 1210 E. 32nd St., 88061 (505) 538-3721 Fax No. (505) 538-2207 Mittica, Nicholas M., Jr., MD Provider ID #NM01PA61 BlueLINK ID: 4227044 ES Silver City Opthalmology Associates 1210 E. 32nd St., 88061 (505) 538-3721 Fax No. (505) 538-2207 Orthopedics Carreon, Jesus R., MD Provider ID #NM009F99 BlueLINK ID: 3280449 ES Grant County Orthopedic Associates 1268 E. 32nd St., 88062 (505) 534-1919 Fax No. (505) 534-0135 102 McMullen, Dennis, MD Provider ID #NM002038 BlueLINK ID: 3143240 SW Radiology Associates Gila Regional Medical Center 1313 E. 32nd St., 88061 (505) 538-4125 Sunland Park Doña Ana County Thoracic and Vascular Surgery Khan, Khalid Y., MD Provider ID #NM003134 BlueLINK ID: 2317843 5690 Santa Teresita, Ste. 2, 88063 (505) 522-1975 Fax No. (505) 522-5209 Taos Taos County Cardiology Ismail, Geilan, MD Provider ID #NM009435 BlueLINK ID: 3361876 ES Taos Community Healthplan Taos Medical Group 1399 Weimer Rd., Ste. 200, 87571 (505) 758-2224 Fax No. (505) 758-4903 Leibowitz, Mark I., MD Provider ID #NM009K82 BlueLINK ID: 3156764 FR 1264 E. 32nd St., 88061 (505) 534-1444 Fax No. (505) 534-1449 Socorro Socorro County Ophthalmology DiMonaco, Michael L., DO Provider ID #NM004045 BlueLINK ID: 2396740 Eye Associates of NM 801 California, 87801 (505) 835-2980 Fax No. (505) 835-2989 Puro, Gary V., MD Provider ID #NM012209 BlueLINK ID: 3135895 Eye Care For You 1350 Paseo del Pueblo Sur, Ste. 7, 87571 (505) 737-0631 Fax No. (505) 737-0635 Orthopedics Bernardini, Brad J., MD Provider ID #NM009P26 BlueLINK ID: 6003485 ES Taos Orthopedic Institute PC 1219 Gusdorf Rd., Ste. A, 87571 (505) 758-0009 Fax No. (505) 758-8736 Emergency Medicine Guttmann, Dan, MD Provider ID #NM009070 BlueLINK ID: 4260918 Specializing in shoulder & elbow surgery ES Taos Orthopedic Institute PC 1219 Gusdorf Rd., Ste. A, 87571 (505) 758-0009 Fax No. (505) 758-8736 Moller, Oskar, MD Provider ID #NM001886 BlueLINK ID: 3121348 Taos Community Healthplan Holy Cross Hospital 1397 Weimer Rd., 87571 (505) 758-8883 Lubowitz, James, MD Provider ID #NM003324 BlueLINK ID: 3382909 Taos Orthopedic Institute PC 1219 Gusdorf Rd., Ste. A, 87571 (505) 758-0009 Fax No. (505) 758-8736 General Surgery Cetrulo, Stephen, MD Provider ID #NM000508 BlueLINK ID: 2140242 Taos Community Healthplan Taos Professional Bldg. 1399 Weimer Rd., Box 5780, 87571 (505) 758-3141 Hess, Brian D., MD Provider ID #NM009J45 BlueLINK ID: 4294657 ES Stephen D. Cetrulo, MD, PC Taos Professional Bldg. 1399 Weimer Rd., Ste. 500, 87571 (505) 758-3141 Fax No. (505) 758-3165 Obstetrics/Gynecology Urology Ophthalmology Mohling, Shanti I., MD Provider ID #NM009J38 BlueLINK ID: 4197251 ES FR Taos Community Healthplan Women's Health Institute 1329 Gusdorf Rd., 87571 (505) 758-5001 Resnick, Scott A., MD Provider ID #NM009J37 BlueLINK ID: 4183019 ES FR Taos Community Healthplan Women's Health Institute 1329 Gusdorf Rd., 87571 (505) 758-5001 Fax No. (505) 737-5046 See special note See last page for Provider Language Codes legend Rachelson, Herbert V., MD Provider ID #NM002232 BlueLINK ID: 2398040 Taos Community Healthplan Taos Orthopedic Clinic 1399 Weimer Rd., Box 5776, 87571 (505) 758-8693 Thompson, Ian M., MD Provider ID #NM009P25 BlueLINK ID: 6003484 ES Taos Orthopedic Institute PC 1219 Gusdorf Rd., Ste. A, 87571 (505) 758-0009 Fax No. (505) 758-8736 Webb, Darby, MD Provider ID #NM009J16 BlueLINK ID: 4263572 Taos Orthopedic Institute PC 1219 Gusdorf Rd., Ste. A, 87571 (505) 758-0009 Fax No. (505) 758-8736 Radiology Smith, Douglas M., MD Provider ID #NM002931 BlueLINK ID: 2301005 Taos Community Healthplan Holy Cross Hospital 1397 Weimer Rd., 87571 (505) 758-8883 Terrell, Correna L., MD Provider ID #NM009P75 BlueLINK ID: 4210857 ES Holy Cross Hospital 1397 Weimer Rd., 87571 (505) 758-8883 July 2005 Specialists El Paso General Surgery Bernardini, Brad J., MD Provider ID #NM009P26 BlueLINK ID: 6003485 ES Taos Orthopedic Institute PC 1219 Gusdorf Rd., Ste. A, 87571 (505) 758-0009 Fax No. (505) 758-8736 Badshah, Nur, MD Provider ID #NM009369 BlueLINK ID: 2367283 UR PA HI AR PS Badshah Surgical Clinic 310 S. 2nd St., 88401 (505) 461-7877 Fax No. (505) 461-1822 Urology Internal Medicine Cockburn, Alden G., MD Provider ID #NM009M74 BlueLINK ID: 2166897 ES 1399 Weimer Rd., Ste. 600B, 87571 (505) 751-0305 Fax No. (505) 751-0297 Alhazim, Dina, MD Provider ID #NM009L60 BlueLINK ID: 4286611 FR AR Dan C. Trigg Memorial Hospital 301 E. Miel de Luna, 88401 (505) 461-0141 Fax No. (505) 461-2349 Frasier, Robert W., III, MD Provider ID #NM000974 BlueLINK ID: 3135637 Taos Community Healthplan Taos Medical Group 1399 Weimer Rd., 87571 (505) 758-2281 Truth or Consequences Sierra County General Surgery Burger, Harry R., DO Provider ID #NM004B75 BlueLINK ID: 5010223 ES DE Sierra Vista Hospital 800 E. 9th Ave., 87901 (505) 894-2111 Fax No. (505) 894-7659 Igwe, Daniel, MD Provider ID #NM009993 BlueLINK ID: 3287963 IB Sierra Vista Community Health Center 800 E. 9th Ave., 87901 (505) 894-2111 Fax No. (505) 894-7659 Muralidharan, Sethu, MD Provider ID #NM009L55 BlueLINK ID: 4284292 ML HI Dan C. Trigg Memorial Hospital 301 E. Miel de Luna, 88401 (505) 461-0141 Fax No. (505) 461-2349 Ophthalmology Ogawa, Gregory S. H., MD Provider ID #NM004572 BlueLINK ID: 3364194 Eye Associates of NM 301 E. Miel de Luna, 88401 (505) 461-0141 Fax No. (505) 461-0141 Radiology Blakely, Ann E., MD Provider ID #NM000343 BlueLINK ID: 3295709 301 E. Miel de Luna, 88401 (505) 461-0141 Fax No. (505) 461-2722 TEXAS Ophthalmology Andrews Hewett, Bernie G., MD Provider ID #NM001266 BlueLINK ID: 2223469 518 Date St., 87901 (505) 894-7811 Andrews County Tucumcari Quay County Family Practice Badshah, Nur, MD Provider ID #NM009369 BlueLINK ID: 2367283 UR PA HI AR PS Badshah Surgical Clinic 310 S. 2nd St., 88401 (505) 461-7877 Fax No. (505) 461-1822 Saleemi, Mudassir M., MD Provider ID #NM09I64 BlueLINK ID: 4296313 UR PA HI Dan C. Trigg Memorial Hospital 301 E. Miel de Luna, 88401 (505) 461-0141 Fax No. (505) 461-2349 July 2005 General Practice Jariwala, Natver J., MD Provider ID #NM01YJ45 BlueLINK ID: 3166629 714 Hospital Dr., 79714 (432) 523-3936 Fax No. (432) 464-2563 Denver City Yoakum County Dermatology Paulger, Brent, MD Provider ID #NM004352 BlueLINK ID: 4143745 Paulger Dermatology & Skin Cancer Center 410 N. Avenue F, 79323 (806) 797-1202 Fax No. (806) 797-4854 El Paso El Paso County Allergy/Immunology Blumenfeld, Ronald J., MD Provider ID #NM00V811 BlueLINK ID: 2313558 ES Drs. Morton & Blumenfeld 10470 Vista del Sol, Ste. 110, 79925 (915) 592-8666 Blumenfeld, Ronald J., MD Provider ID #NM00V811 BlueLINK ID: 2313558 ES Drs. Morton & Blumenfeld 1733 Curie Dr., Ste. 100, 79902 (915) 545-1484 Morton, R.A.D., Jr., MD Provider ID #NM00J435 BlueLINK ID: 2319648 ES Drs. Morton & Blumenfeld 10470 Vista del Sol, Ste. 110, 79925 (915) 592-8666 Morton, R.A.D., Jr., MD Provider ID #NM00J435 BlueLINK ID: 2319648 ES Drs. Morton & Blumenfeld 1733 Curie Dr., Ste. 100, 79902 (915) 533-5461 Anesthesiology Avila-Hernandez, Jorge, MD Provider ID #NM009B86 BlueLINK ID: 2313016 ES El Paso Anesthesia Specialists 5959 Gateway West, Ste. 120, 79925 (915) 532-2222 Fax No. (915) 779-1754 Corral, Marta O., MD Provider ID #NM009B88 BlueLINK ID: 3379742 ES El Paso Anesthesia Specialists 5959 Gateway West, Ste. 120, 79925 (915) 532-2222 Fax No. (915) 779-1754 Cunningham, Thomas, MD Provider ID #NM00Z404 BlueLINK ID: 3148168 312 Amelia Dr., 79912 (915) 858-4950 Diaz, Jose A., MD Provider ID #NM009B85 BlueLINK ID: 3133383 ES El Paso Anesthesia Specialists 5959 Gateway West, Ste. 120, 79925 (915) 532-2222 Fax No. (915) 779-1754 Stlo, Robert, MD Provider ID #NM009B87 BlueLINK ID: 2226642 ES El Paso Anesthesia Specialists 5959 Gateway West, Ste. 120, 79925 (915) 532-2222 Fax No. (915) 779-1754 Vadi-Latiff, V. Helena, MD Provider ID #NM009B64 BlueLINK ID: 2344985 ES SV ET 5959 Gateway West, Ste. 120, 79925 (915) 779-1716 Fax No. (915) 779-1754 See special note See last page for Provider Language Codes legend Villarreal, Jose L., MD Provider ID #NM019959 BlueLINK ID: 3383015 Specializing in pain management ES El Paso Orthopaedic Surgery Group 1700 Murchison Dr., 79902 (915) 533-7465 Fax No. (915) 534-5220 Wakefield, Cornelius W., MD Provider ID #NM009952 BlueLINK ID: 2227397 No newborn anesthesia ES Medical Billing Unlimited 5959 Gateway West, 79925 (915) 771-7261 Cardiology Franco, Carlos, MD Provider ID #NM00V801 BlueLINK ID: 2315708 Patients over age 21 ES Cardiology Care Consultants 1700 N. Oregon, Ste. 570, 79902 (915) 542-2352 Fax No. (915) 542-2966 Franco, Carlos, MD Provider ID #NM00V801 BlueLINK ID: 2315708 Patients over age 21 ES Cardiology Care Consultants 7814 Gateway East, 79915 (915) 542-2352 Fax No. (915) 591-1491 Medrano, Rafael, MD Provider ID #NM009934 BlueLINK ID: 3357239 Patients over age 21 ES Cardiology Care Consultants 1700 N. Oregon, Ste. 570, 79902 (915) 542-2352 Fax No. (915) 542-2966 Medrano, Rafael, MD Provider ID #NM009934 BlueLINK ID: 3357239 Patients over age 21 ES Cardiology Care Consultants 7814 Gateway East, 79915 (915) 542-4889 Fax No. (915) 591-1491 Plowden, John S., MD Provider ID #NM00YH96 BlueLINK ID: 3274624 Newborns to age 21 ES Children's Heart Center 1900 N. Oregon, Ste. 314, 79902 (915) 533-5733 Fax No. (915) 533-5693 Quintana, Joseph A., MD Provider ID #NM00VF26 BlueLINK ID: 3210469 Patients over age 21 ES Cardiology Care Consultants 1700 N. Oregon, Ste. 570, 79902 (915) 542-2352 Fax No. (915) 542-2966 Quintana, Joseph A., MD Provider ID #NM00VF26 BlueLINK ID: 3210469 Patients over age 21 ES Cardiology Care Consultants 7814 Gateway East, 79915 (915) 542-2352 Fax No. (915) 591-1441 103 Specialists Sports Medicine Specialists Specialists El Paso Taveras, Juan M., MD Provider ID #NM009823 BlueLINK ID: 3350768 Patients over age 21 ES Cardiology Care Consultants 1700 N. Oregon, Ste. 570, 79902 (915) 542-2352 Fax No. (915) 542-2966 Garcia, Rafael I., MD Provider ID #NM009N37 BlueLINK ID: 3365939 ES El Paso Ear, Nose & Throat Associates 5959 Gateway West, Ste. 160, 79925 (915) 779-5866 Fax No. (915) 779-8604 Taveras, Juan M., MD Provider ID #NM009823 BlueLINK ID: 3350768 Patients over age 21 ES Cardiology Care Consultants 7814 Gateway East, 79915 (915) 542-2352 Fax No. (915) 591-1441 Goldman, Edward M., MD Provider ID #NM00J461 BlueLINK ID: 2316206 100 E. Schuster Ave., 79902 (915) 542-3059 Velez, Carlos A., MD Provider ID #NM00X738 BlueLINK ID: 2322961 ES 2820 N. Stanton St., 79902 (915) 544-0817 Colon and Rectal Surgery Gomez, Jamie R., MD Provider ID #NM00YT23 BlueLINK ID: 3334687 ES El Paso Colon & Rectal Clinic 1225 E. Cliff, Ste. 2B, 79902 (915) 544-4042 Fax No. (915) 544-7508 Ear, Nose, and Throat Arango, Jorge J., MD Provider ID #NM00UK34 BlueLINK ID: 3134219 El Paso Ear, Nose & Throat Associates 1600 Lee Treviño, Ste. A2, 79936 (915) 590-6486 Arango, Jorge J., MD Provider ID #NM00UK34 BlueLINK ID: 3134219 El Paso Ear, Nose & Throat Associates 5959 Gateway West, Ste. 160, 79925 (915) 779-5866 Blumenfeld, Ronald J., MD Provider ID #NM00V811 BlueLINK ID: 2313558 ES Drs. Morton & Blumenfeld 10470 Vista del Sol, Ste. 110, 79925 (915) 592-8666 Blumenfeld, Ronald J., MD Provider ID #NM00V811 BlueLINK ID: 2313558 ES Drs. Morton & Blumenfeld 1733 Curie Dr., Ste. 100, 79902 (915) 545-1484 Bright, Kevin, MD Provider ID #NM00YJ32 BlueLINK ID: 4222194 ES Southwestern ENT Associates 1600 Medical Center, Ste. 101, 79902 (915) 544-1350 Fax No. (915) 544-6740 Garcia, Rafael I., MD Provider ID #NM009N37 BlueLINK ID: 3365939 ES El Paso Ear, Nose & Throat Associates 1600 Lee Treviño, Ste. A2, 79935 (915) 590-6486 Fax No. (915) 590-9647 104 Gomez, Patrick J., MD Provider ID #NM00UU26 BlueLINK ID: 3333439 El Paso Ear, Nose & Throat Associates 1600 Lee Treviño, Ste. A2, 79936 (915) 779-5866 Fax No. (915) 779-8604 Spier, James E., MD Provider ID #NM01Y091 BlueLINK ID: 2322123 Southwestern ENT Associates 1600 Medical Center, Ste. 101, 79902 (915) 544-1350 Fax No. (915) 544-6740 Weeks, Lyle D., MD Provider ID #NM00X018 BlueLINK ID: 2227456 1700 N. Oregon, Ste. 755, 79902 (915) 541-1225 Wegleitner, Mark J., MD Provider ID #NM00X934 BlueLINK ID: 2327458 El Paso Ear, Nose & Throat Associates 5959 Gateway West, Ste. 160, 79925 (915) 779-5866 Endocrinology Gomez, Patrick J., MD Provider ID #NM00UU26 BlueLINK ID: 3333439 El Paso Ear, Nose & Throat Associates 5959 Gateway West, Ste. 160, 79925 (915) 779-5866 Fax No. (915) 779-8604 Martinez, Hector R., MD Provider ID #NM00W645 BlueLINK ID: 2318877 Patients over age 15 ES 1900 N. Oregon, Ste. 307, 79902 (915) 532-3877 Fax No. (915) 533-5969 Jamison, Rodney K., MD Provider ID #NM00YU41 BlueLINK ID: 3318069 ES Southwestern ENT Associates 1600 Medical Center, Ste. 101, 79902 (915) 544-1350 Fax No. (915) 544-6740 Noble, Luis, MD Provider ID #NM00YH89 BlueLINK ID: 4110874 Reproductive endocrinology ES JA SW Center for Reproductive Health 700 S. Mesa Hills Dr., 79912 (915) 842-9998 Fax No. (915) 842-9972 Korzec, Kenneth R., MD Provider ID #NM00YH25 BlueLINK ID: 3230061 El Paso Ear, Nose & Throat Associates 1600 Lee Treviño, Ste. A2, 79936 (915) 779-5866 Fax No. (915) 779-8604 Korzec, Kenneth R., MD Provider ID #NM00YH25 BlueLINK ID: 3230061 El Paso Ear, Nose & Throat Associates 5959 Gateway West, Ste. 160, 79925 (915) 779-5866 Fax No. (915) 779-8604 Morton, R.A.D., Jr., MD Provider ID #NM00J435 BlueLINK ID: 2319648 ES Drs. Morton & Blumenfeld 10470 Vista del Sol, Ste. 110, 79925 (915) 592-8666 Morton, R.A.D., Jr., MD Provider ID #NM00J435 BlueLINK ID: 2319648 ES Drs. Morton & Blumenfeld 1733 Curie Dr., Ste. 100, 79902 (915) 533-5461 Nanez, Gary, MD Provider ID #NM009D20 BlueLINK ID: 4269552 ES Drs. Morton & Blumenfeld 10470 Vista del Sol, Ste. 110, 79925 (915) 592-8666 Fax No. (915) 595-0902 Nanez, Gary, MD Provider ID #NM009D20 BlueLINK ID: 4269552 ES Drs. Morton & Blumenfeld 1733 Curie Dr., Ste. 100, 79902 (915) 533-5461 Fax No. (915) 544-1603 Rovner, Sergio, MD Provider ID #NM00YP72 BlueLINK ID: 4131225 ES E P Premier Medical Group 10420 Montwood Dr., Ste. H, 79935 (915) 598-2721 Fax No. (915) 598-3289 Rovner, Sergio, MD Provider ID #NM00YP72 BlueLINK ID: 4131225 ES E P Premier Medical Group 6065 Montana Ave., Ste. A2, 79925 (915) 771-7200 Fax No. (915) 771-7293 Gastroenterology Golden, Stephen, MD Provider ID #NM00YH65 BlueLINK ID: 2316197 Patients over age 16 Tures Golden Patel M.D., PA 1700 Curie Dr., Ste. 4800, 79902 (915) 545-1252 Fax No. (915) 545-1278 Gupta, Tej P., MD Provider ID #NM01VG48 BlueLINK ID: 3213765 Patients age 18 and older ES 1733 Curie Dr., Ste. 200, 79902 (915) 534-2500 Fax No. (915) 534-0001 Hernandez, Jesus, MD Provider ID #NM00YL40 BlueLINK ID: 3323491 El Paso Gastroenterology Consultants 125 W. Hague Rd., Ste. 590, 79902 (915) 532-1620 Fax No. (505) 544-3852 See special note See last page for Provider Language Codes legend Karp, Alan J., MD Provider ID #NM00YH55 BlueLINK ID: 3145812 Patients over age 16 El Paso Gastroenterology Consultants 125 W. Hague Rd., Ste. 590, 79902 (915) 532-1620 Fax No. (505) 544-3852 Kolli, Venkat R., MD Provider ID #NM00YU88 BlueLINK ID: 3344134 Patients over age 16 ES Tures Golden Patel M.D., PA 1560 Lomaland Dr., 79935 (915) 545-1252 Fax No. (915) 545-1278 Kolli, Venkat R., MD Provider ID #NM00YU88 BlueLINK ID: 3344134 Patients over age 16 ES Tures Golden Patel M.D., PA 1700 Curie Dr., Ste. 4800, 79902 (915) 545-1252 Fax No. (915) 545-1278 Patel, Vinaychandra, MD Provider ID #NM00YH64 BlueLINK ID: 3363373 Patients over age 16 ES Tures Golden Patel M.D., PA 1560 Lomaland Dr., 79935 (915) 545-1252 Fax No. (915) 545-1278 Patel, Vinaychandra, MD Provider ID #NM00YH64 BlueLINK ID: 3363373 Patients over age 16 ES Tures Golden Patel M.D., PA 1700 Curie Dr., Ste. 4800, 79902 (915) 545-1252 Fax No. (915) 545-1278 General Surgery Crecca, Gerard F., MD Provider ID #NM00I698 BlueLINK ID: 2222017 Patients over age 4 ES 1700 Curie Dr., Ste. 5300, 79902 (915) 542-2825 Fax No. (915) 542-1713 Dandade, Pritam B., MD Provider ID #NM00V539 BlueLINK ID: 2222107 615 Schuster Ave., Ste. 8, 79902 (915) 545-1707 Fax No. (915) 544-1709 Gomez, Jamie R., MD Provider ID #NM00YT23 BlueLINK ID: 3334687 ES El Paso Colon & Rectal Clinic 1225 E. Cliff, Ste. 2B, 79902 (915) 544-4042 Fax No. (915) 544-7508 Ramirez, Ruben G., MD Provider ID #NM00X342 BlueLINK ID: 2320812 Las Nubes Women's Health Center 1250 E. Cliff Dr., Ste. 2E, 79902 (915) 532-4458 July 2005 Specialists Sheppard, Frank J., MD Provider ID #NM00YH21 BlueLINK ID: 4102743 El Paso Colon & Rectal Clinic 1225 E. Cliff, Ste. 2B, 79902 (915) 544-4042 Geriatrics Tolbert-Bornstein, Natalie, MD Provider ID #NM01UU99 BlueLINK ID: 2313624 Patients over age 18 ES Physicians Healthcare Associates 2260 Trawood, 79935 (915) 591-4436 Fax No. (915) 591-4531 Gynecology Noble, Luis, MD Provider ID #NM00YH89 BlueLINK ID: 4110874 Gyn & reproductive endocrinology ES JA SW Center for Reproductive Health 700 S. Mesa Hills Dr., 79912 (915) 842-9998 Fax No. (915) 842-9972 Hematology/Oncology Aboud, Ambrose, MD Provider ID #NM00I093 BlueLINK ID: 2220761 ES St. Jude International Cancer Associates 1900 N. Oregon, Ste. 500, 79902 (915) 544-8844 Fax No. (915) 541-8585 Ekery, Fred N., MD Provider ID #NM00W425 BlueLINK ID: 2222489 El Paso Cancer Trtmt. Center-East 7848 Gateway East, 79915 (915) 599-1313 Ekery, Fred N., MD Provider ID #NM00W425 BlueLINK ID: 2222489 El Paso Cancer Trtmt. Center-West 1901 Grandview Ave., 79902 (915) 545-2506 Herrada, Juan, MD Provider ID #NM009B52 BlueLINK ID: 3347374 Patients over age 16 ES El Paso Cancer Trtmt. Center-East 7848 Gateway East, 79915 (915) 599-1313 Fax No. (915) 599-1701 Herrada, Juan, MD Provider ID #NM009B52 BlueLINK ID: 3347374 Patients over age 16 ES El Paso Cancer Trtmt. Center-West 1901 Grandview Ave., 79902 (915) 544-6750 Fax No. (915) 532-4259 July 2005 Portillo, Raul M., MD Provider ID #NM00VS62 BlueLINK ID: 2225602 El Paso Cancer Trtmt. Center-East 7848 Gateway East, 79915 (915) 599-1313 Portillo, Raul M., MD Provider ID #NM00VS62 BlueLINK ID: 2225602 El Paso Cancer Trtmt. Center-West 1901 Grandview Ave., 79902 (915) 545-2506 Rivera, Ragene R., MD Provider ID #NM00XE82 BlueLINK ID: 2321101 El Paso Cancer Trtmt. Center-East 7848 Gateway East, 79915 (915) 599-1313 Rivera, Ragene R., MD Provider ID #NM00XE82 BlueLINK ID: 2321101 El Paso Cancer Trtmt. Center-West 1901 Grandview Ave., 79902 (915) 545-2506 Valilis, Panagiotis, MD Provider ID #NM009B51 BlueLINK ID: 5119937 Patients over age 16 ES El Paso Cancer Trtmt. Center-East 7848 Gateway East, 79915 (915) 599-1313 Fax No. (915) 599-1701 Valilis, Panagiotis, MD Provider ID #NM009B51 BlueLINK ID: 5119937 Patients over age 16 ES El Paso Cancer Trtmt. Center-West 1901 Grandview Ave., 79902 (915) 544-6750 Fax No. (915) 532-4259 Infectious Diseases Antony, Suresh J., MD Provider ID #NM001620 BlueLINK ID: 3222224 El Paso Cancer Trtmt. Center-East 7848 Gateway East, 79915 (915) 599-1313 Antony, Suresh J., MD Provider ID #NM001620 BlueLINK ID: 3222224 El Paso Cancer Trtmt. Center-West 1901 Grandview Ave., 79902 (915) 545-2506 Internal Medicine Armendariz, Eugenio, MD Provider ID #NM00YJ66 BlueLINK ID: 3133759 ES El Paso Pulmonary Associates 10201 Gateway West, Ste. 140, 79925 (915) 590-1994 Fax No. (915) 590-3031 Armendariz, Eugenio, MD Provider ID #NM00YJ66 BlueLINK ID: 3133759 ES El Paso Pulmonary Associates 1900 N. Oregon, Ste. 610, 79902 (915) 532-2477 Fax No. (915) 532-2470 Franco, Carlos, MD Provider ID #NM00V801 BlueLINK ID: 2315708 Patients over age 21 ES Cardiology Care Consultants 1700 N. Oregon, Ste. 570, 79902 (915) 542-2352 Fax No. (915) 542-2966 Taveras, Juan M., MD Provider ID #NM009823 BlueLINK ID: 3350768 Patients over age 21 ES Cardiology Care Consultants 1700 N. Oregon, Ste. 570, 79902 (915) 542-2352 Fax No. (915) 542-2966 Franco, Carlos, MD Provider ID #NM00V801 BlueLINK ID: 2315708 Patients over age 21 ES Cardiology Care Consultants 7814 Gateway East, 79915 (915) 542-2352 Fax No. (915) 591-1491 Taveras, Juan M., MD Provider ID #NM009823 BlueLINK ID: 3350768 Patients over age 21 ES Cardiology Care Consultants 7814 Gateway East, 79915 (915) 542-2352 Fax No. (915) 591-1441 Gonzales-Ayala, Emilio, MD Provider ID #NM01YP73 BlueLINK ID: 4124987 No pediatrics ES El Paso Pulmonary Associates 10201 Gateway West, Ste. 140, 79925 (915) 590-1994 Gonzales-Ayala, Emilio, MD Provider ID #NM01YP73 BlueLINK ID: 4124987 No pediatrics ES El Paso Pulmonary Associates 1900 N. Oregon, Ste. 610, 79902 (915) 532-2477 Fax No. (915) 532-2470 Medrano, Rafael, MD Provider ID #NM009934 BlueLINK ID: 3357239 Patients over age 21 ES Cardiology Care Consultants 1700 N. Oregon, Ste. 570, 79902 (915) 542-2352 Fax No. (915) 542-2966 Medrano, Rafael, MD Provider ID #NM009934 BlueLINK ID: 3357239 Patients over age 21 ES Cardiology Care Consultants 7814 Gateway East, 79915 (915) 542-4889 Fax No. (915) 591-1491 Pinzon, Guillermo A., MD Provider ID #NM00W271 BlueLINK ID: 2320539 Patients over age 18; children 8-18 endocrine disease ES 10201 Gateway West, Ste. 130, 79925 (915) 592-7662 Fax No. (915) 592-8080 Quintana, Joseph A., MD Provider ID #NM00VF26 BlueLINK ID: 3210469 Patients over age 21 ES Cardiology Care Consultants 1700 N. Oregon, Ste. 570, 79902 (915) 542-2352 Fax No. (915) 542-2966 Quintana, Joseph A., MD Provider ID #NM00VF26 BlueLINK ID: 3210469 Patients over age 21 ES Cardiology Care Consultants 7814 Gateway East, 79915 (915) 542-2352 Fax No. (915) 591-1441 See special note See last page for Provider Language Codes legend Specialists Santoscoy, Robert, MD Provider ID #NM009D09 BlueLINK ID: 4108205 ES Rio Grande Cardiovascular Associates 1201 N. Mesa, Ste. A, 79902 (915) 533-9207 Fax No. (915) 534-7251 El Paso Medical Oncology Chesbro, Byron H., MD Provider ID #NM00VS63 BlueLINK ID: 2221822 El Paso Cancer Trtmt. Center-East 7848 Gateway East, 79915 (915) 599-1313 Chesbro, Byron H., MD Provider ID #NM00VS63 BlueLINK ID: 2221822 El Paso Cancer Trtmt. Center-West 1901 Grandview Ave., 79902 (915) 545-2506 Ekery, Fred N., MD Provider ID #NM00W425 BlueLINK ID: 2222489 El Paso Cancer Trtmt. Center-East 7848 Gateway East, 79915 (915) 599-1313 Ekery, Fred N., MD Provider ID #NM00W425 BlueLINK ID: 2222489 El Paso Cancer Trtmt. Center-West 1901 Grandview Ave., 79902 (915) 545-2506 Lopez, Arsenio G., III, MD Provider ID #NM009951 BlueLINK ID: 4128527 Patients over age 16 ES El Paso Cancer Trtmt. Center-East 7848 Gateway East, 79915 (915) 599-1313 Fax No. (915) 599-1701 Lopez, Arsenio G., III, MD Provider ID #NM009951 BlueLINK ID: 4128527 Patients over age 16 ES El Paso Cancer Trtmt. Center-West 1901 Grandview Ave., 79902 (915) 544-6750 Fax No. (915) 532-4259 Portillo, Raul M., MD Provider ID #NM00VS62 BlueLINK ID: 2225602 El Paso Cancer Trtmt. Center-East 7848 Gateway East, 79915 (915) 599-1313 Portillo, Raul M., MD Provider ID #NM00VS62 BlueLINK ID: 2225602 El Paso Cancer Trtmt. Center-West 1901 Grandview Ave., 79902 (915) 545-2506 Rivera, Ragene R., MD Provider ID #NM00XE82 BlueLINK ID: 2321101 El Paso Cancer Trtmt. Center-East 7848 Gateway East, 79915 (915) 599-1313 105 Specialists Specialists El Paso Rivera, Ragene R., MD Provider ID #NM00XE82 BlueLINK ID: 2321101 El Paso Cancer Trtmt. Center-West 1901 Grandview Ave., 79902 (915) 545-2506 Shahinian, Haroutioun, MD Provider ID #NM00YU09 BlueLINK ID: 3343497 Patients over age 18 AR ES FR RU 1700 N. Oregon, Ste. 520, 79902 (915) 533-2888 Fax No. (915) 533-2568 Nephrology Chavez, Alfonso, MD Provider ID #NM00Z043 BlueLINK ID: 2314404 Patients over age 18 ES Nephrology Associates of El Paso 1225 E. Cliff, Ste. D, 79902 (915) 532-2693 Fax No. (505) 532-8985 Neurology Bakr, Aboubakr A., MD Provider ID #NM00J514 BlueLINK ID: 3147889 Patients over age 12 1400 N. El Paso St., Ste. C, 79902 (915) 532-8197 Fierro-Stevens, Rodolfo, MD Provider ID #NM00YH32 BlueLINK ID: 4114315 Pediatrics 1400 N. El Paso St., Ste. B, 79902 (915) 544-4911 Kaim, Boris, MD Provider ID #NM00W295 BlueLINK ID: 2223816 No infants ES 2311 N. Mesa, Bldg. F, 79902 (915) 544-6400 Neurosurgery Cho, Paul H., MD Provider ID #NM00YJ65 BlueLINK ID: 4184094 El Paso Orthopaedic Surgery Group 1700 Murchison Dr., 79902 (915) 533-7465 Fax No. (915) 534-5220 Henderson, Brett R., MD Provider ID #NM019802 BlueLINK ID: 4243271 ES El Paso Orthopaedic Surgery Group 1700 Murchison Dr., 79902 (915) 533-7465 Fax No. (915) 534-5289 Henderson, Brett R., MD Provider ID #NM019802 BlueLINK ID: 4243271 ES El Paso Orthopaedic Surgery Group 9999 Kenworthy, Ste. C, 79924 (915) 759-7757 Fax No. (915) 751-7554 Masel, David L., MD Provider ID #NM01YJ68 BlueLINK ID: 3380686 ES El Paso Orthopaedic Surgery Group 1700 Murchison, 79902 (915) 533-7465 Fax No. (915) 534-5289 106 Vasquez, Luis F., MD Provider ID #NM00YJ73 BlueLINK ID: 2227268 ES West Texas Neurosurgical Center 2600 N. Oregon, Ste. 800, 79902 (915) 534-2531 Fax No. (915) 532-2192 Obstetrics/Gynecology Alcala, Patricia H., MD Provider ID #NM01Y860 BlueLINK ID: 2220837 ES Rio Grande Ob/Gyn Group 125 W. Hague, Ste. 260, 79902 (915) 533-7579 Fax No. (915) 533-6604 Alcala, Patricia H., MD Provider ID #NM01Y860 BlueLINK ID: 2220837 ES Rio Grande Ob/Gyn Group 1729 Weston Brent, Ste. B, 79935 (915) 533-7579 Fax No. (915) 533-6604 Daniell, Walter C., MD Provider ID #NM01I621 BlueLINK ID: 2315009 ES Rio Grande Ob/Gyn Group 125 W. Hague, Ste. 260, 79902 (915) 533-7579 Fax No. (915) 533-6604 Daniell, Walter C., MD Provider ID #NM01I621 BlueLINK ID: 2315009 ES Rio Grande Ob/Gyn Group 1729 Weston Brent, Ste. B, 79935 (915) 533-7579 Fax No. (915) 533-7579 Davis, Patricia M., MD Provider ID #NM00YJ17 BlueLINK ID: 3202186 ES Physicians Healthcare Associates 9870 Gateway North, Ste. B7, 79924 (915) 751-5245 Fax No. (915) 751-5255 De la Rosa, Antonio, MD Provider ID #NM009V12 BlueLINK ID: 6004065 Female patients only ES East Desert OB/GYN Associates, PA 10657 Vista Del Sol, Ste. F, 79935 (915) 594-9600 Fax No. (915) 594-9601 Gunter, Charles A., MD Provider ID #NM01V936 BlueLINK ID: 2316390 Patients over age 17 ES Rio Grande Ob/Gyn Group 2311 N. Mesa, Bldg. B, 79902 (915) 544-0480 Fax No. (915) 533-6381 Harlass, Frederick E., MD Provider ID #NM009N59 BlueLINK ID: 3298828 OB/GYN females only ES La Palmas Perinatal Clinic 1700 N. Oregon, Ste. 620, 79902 (915) 521-1623 Fax No. (915) 838-0314 Harlass, Frederick E., MD Provider ID #NM009N59 BlueLINK ID: 3298828 OB/GYN females only ES THN Physician's Association, Inc. 10201 Gateway West, Ste. 330, 79925 (915) 593-9381 Fax No. (915) 593-6431 Loubriel, Carlos H., MD Provider ID #NM009N17 BlueLINK ID: 3394305 Females over age 17 ES 4242 Hondo Pass, Ste. 101, 79904 (915) 751-5571 Fax No. (915) 751-0951 Murtaza, Ghulam, MD Provider ID #NM01Y100 BlueLINK ID: 2225046 Patients over age 17 ES Rio Grande Ob/Gyn Group 1250 E. Cliff, Ste. 4A, 79902 (915) 544-0868 Fax No. (915) 544-8505 Padilla, Mario M., MD Provider ID #NM00WL26 BlueLINK ID: 2398014 Female patients only 125 W. Hague Rd., Ste. 440, 79902 (915) 577-9090 Fax No. (915) 577-9092 Phipps, Wendy D., MD Provider ID #NM019N21 BlueLINK ID: 4264785 ES 125 W. Hague, Ste. 360, 79902 (915) 544-9700 Fax No. (915) 544-9701 Quezada, Oscar R., MD Provider ID #NM009979 BlueLINK ID: 4210725 Gynecology patients over age 12 ES Las Nubes Women's Health Center 1600 Medical Center, Ste. 124, 79902 (915) 544-1100 Fax No. (915) 544-1104 San Miguel, George G., MD Provider ID #NM01YV54 BlueLINK ID: 3187480 Patients over age 17 ES Rio Grande Ob/Gyn Group 125 W. Hague, Ste. 260, 79902 (915) 533-7579 Fax No. (915) 533-6604 San Miguel, George G., MD Provider ID #NM01YV54 BlueLINK ID: 3187480 Patients over age 17 ES Rio Grande Ob/Gyn Group 1729 Weston Brent, Ste. B, 79935 (915) 533-7579 Fax No. (915) 533-6604 Ophthalmology Calderon, Marcos, MD Provider ID #NM00V390 BlueLINK ID: 2314073 Patients 10 yrs and older; specializing in retinal surgery ES 1717 N. Brown, Bldg. 3, 79902 (915) 544-0526 Fax No. (915) 544-2877 See special note See last page for Provider Language Codes legend Calderon, Marcos, MD Provider ID #NM00V390 BlueLINK ID: 2314073 Patients 10 yrs and older; specializing in retinal surgery ES Laser Eye Surgery 9235 Dyer, 79902 (915) 751-8999 Fax No. (915) 755-1566 Levit, Roy A., MD Provider ID #NM00W499 BlueLINK ID: 2318372 Specializing in retina & vitreous ES Southwest Retina Consultants 1700 Curie, Ste. 3800, 79902 (915) 532-3912 Fax No. (915) 542-3436 Llamas-Sofora, Jorge F., MD Provider ID #NM00I901 BlueLINK ID: 2224428 ES El Paso Eye Clinic 101 Arizona, 79902 (915) 533-5477 Fax No. (915) 533-9509 Metrikin, David C., MD Provider ID #NM009963 BlueLINK ID: 3372519 Specializing in retina & vitreous ES Southwest Retina Consultants 1700 Curie, Ste. 3800, 79902 (915) 532-3912 Fax No. (915) 542-3436 Rosen, Robert J., MD Provider ID #NM00Z012 BlueLINK ID: 2321288 10400 Vista del Sol, Ste. 203, 79925 (915) 593-7291 Fax No. (915) 593-1563 Trubowitsch, Gregory, MD Provider ID #NM009954 BlueLINK ID: 3295840 Specializing in retina & vitreous ES Southwest Retina Consultants 1700 Curie, Ste. 3800, 79902 (915) 532-3912 Fax No. (915) 542-3436 Orthopedics Alicea, Jose A., MD Provider ID #NM00XQ81 BlueLINK ID: 3386950 El Paso Orthopaedic Surgery Group 1700 Murchison Dr., 79902 (915) 533-7465 Fax No. (915) 534-5220 Alicea, Jose A., MD Provider ID #NM00XQ81 BlueLINK ID: 3386950 El Paso Orthopaedic Surgery Group 2400 Trawood, Ste. 200, 79935 (915) 533-7465 Fax No. (915) 534-5220 Alost, Thomas E., MD Provider ID #NM009N90 BlueLINK ID: 2265185 ES Orthopaedic Surgeons Associates 10525 Vista Del Sol, Ste. 206, 79925 (915) 533-1628 Fax No. (915) 533-1723 July 2005 Specialists Bean, James W., MD Provider ID #NM00VM27 BlueLINK ID: 2313296 El Paso Orthopaedic Surgery Group 1700 Murchison Dr., 79902 (915) 533-7465 Fax No. (915) 534-5220 Bean, James W., MD Provider ID #NM00VM27 BlueLINK ID: 2313296 El Paso Orthopaedic Surgery Group 2400 Trawood, Ste. 200, 79902 (915) 533-7465 Fax No. (915) 534-5220 Bell, Robert R., MD Provider ID #NM00XQ79 BlueLINK ID: 3394727 El Paso Orthopaedic Surgery Group 1700 Murchison Dr., 79902 (915) 533-7465 Bell, Robert R., MD Provider ID #NM00XQ79 BlueLINK ID: 3394727 El Paso Orthopaedic Surgery Group 2400 Trawood, Ste. 200, 79935 (915) 533-7465 Boone, James B., Jr., MD Provider ID #NM00VM28 BlueLINK ID: 3378125 ES El Paso Orthopaedic Surgery Group 1700 Murchison Dr., 79902 (915) 533-7465 Fax No. (915) 534-5220 Boone, James B., Jr., MD Provider ID #NM00VM28 BlueLINK ID: 3378125 ES El Paso Orthopaedic Surgery Group 2400 Trawood, Ste. 200, 79902 (915) 533-7465 Fax No. (915) 534-5220 Cameron, Craig D., DO Provider ID #NM00YJ64 BlueLINK ID: 4158162 El Paso Orthopaedic Surgery Group 1700 Murchison Dr., 79902 (915) 533-7465 Fax No. (915) 534-5220 Campbell, Everett, MD Provider ID #NM00U458 BlueLINK ID: 3135548 ES El Paso Orthopaedic Associates 10201 Gateway West, Ste. 201, 79925 (915) 595-2700 Fax No. (915) 591-1012 Cromer, Barry L., MD Provider ID #NM01YJ69 BlueLINK ID: 3389692 ES El Paso Orthopaedic Surgery Group 1720 Murchison Dr., 79902 (915) 533-7465 Fax No. (915) 534-5289 Cromer, Barry L., MD Provider ID #NM01YJ69 BlueLINK ID: 3389692 ES El Paso Orthopaedic Surgery Group 2400 Trawood, Ste. 200, 79936 (915) 591-5513 Fax No. (915) 590-9075 July 2005 Dickason, John M., MD Provider ID #NM00VP01 BlueLINK ID: 2315238 El Paso Orthopaedic Surgery Group 1700 Murchison Dr., 79902 (915) 533-7465 Fax No. (915) 534-5220 Dickason, John M., MD Provider ID #NM00VP01 BlueLINK ID: 2315238 El Paso Orthopaedic Surgery Group 2400 Trawood, Ste. 200, 79936 (915) 533-7465 Fax No. (915) 534-5220 DiDonna, Michael L., MD Provider ID #NM007F80 BlueLINK ID: 4263142 ES El Paso Orthopaedic Surgery Group 1720 Murchison Dr., 79902 (915) 533-7465 Fax No. (915) 534-5289 DiDonna, Michael L., MD Provider ID #NM007F80 BlueLINK ID: 4263142 ES El Paso Orthopaedic Surgery Group 2400 Trawood, Ste. 200, 79936 (915) 591-5513 Fax No. (915) 590-9075 Ghiselli, Antonio A., MD Provider ID #NM00Y098 BlueLINK ID: 2222951 El Paso Orthopaedic Surgery Group 1700 Murchison Dr., 79902 (915) 533-7465 Fax No. (915) 534-5220 Ghiselli, Antonio A., MD Provider ID #NM00Y098 BlueLINK ID: 2222951 El Paso Orthopaedic Surgery Group 2400 Trawood, Ste. 200, 79936 (915) 533-7465 Fax No. (915) 534-5220 Harrington, George D., MD Provider ID #NM019302 BlueLINK ID: 3362313 ES El Paso Orthopaedic Surgery Group 1700 Murchison, 79902 (915) 533-7465 Fax No. (915) 534-5289 Harrington, George D., MD Provider ID #NM019302 BlueLINK ID: 3362313 ES El Paso Orthopaedic Surgery Group 2400 Trawood, Ste. 200, 79936 (915) 591-5513 Fax No. (915) 590-9075 Hazarian, Eduardo, MD Provider ID #NM00W198 BlueLINK ID: 2223365 ES Orthopaedic Surgeons Associates 10525 Vista del Sol, Ste. 206, 79925 (915) 594-4650 Fax No. (915) 593-7355 Hazarian, Eduardo, MD Provider ID #NM00W198 BlueLINK ID: 2223365 ES Orthopaedic Surgeons Associates 1700 N. Oregon, Ste. 600, 79902 (915) 533-1628 Fax No. (915) 533-1723 Hernandez, Alvaro A., MD Provider ID #NM009N89 BlueLINK ID: 2316853 ES Orthopaedic Surgeons Associates 10525 Vista Del Sol, Ste. 206, 79925 (915) 533-1628 Fax No. (915) 533-1723 Hernandez, Alvaro A., MD Provider ID #NM009N89 BlueLINK ID: 2316853 ES Orthopaedic Surgeons Associates 1700 N. Oregon, Ste. 600, 79902 (915) 533-1628 Fax No. (915) 533-1723 Sides, Eric E., MD Provider ID #NM01YH70 BlueLINK ID: 4123820 ES El Paso Orthopaedic Surgery Group 2400 Trawood, Ste. 200, 79936 (915) 591-5513 Fax No. (915) 590-9075 Jackson, John S., DO Provider ID #NM00XQ80 BlueLINK ID: 4103953 El Paso Orthopaedic Surgery Group 1700 Murchison Dr., 79902 (915) 533-7465 Fax No. (915) 534-5220 Urrea, Luis, MD Provider ID #NM00XQ90 BlueLINK ID: 4136517 El Paso Orthopaedic Surgery Group 1700 Murchison Dr., 79902 (915) 533-7465 Fax No. (915) 534-5220 King, Barry G., Jr., MD Provider ID #NM00VP04 BlueLINK ID: 2317880 El Paso Orthopaedic Surgery Group 1700 Murchison Dr., 79902 (915) 533-7465 Fax No. (915) 534-5220 Urrea, Luis, MD Provider ID #NM00XQ90 BlueLINK ID: 4136517 El Paso Orthopaedic Surgery Group 2400 Trawood, Ste. 200, 79936 (915) 533-7465 Fax No. (915) 534-5220 King, Barry G., Jr., MD Provider ID #NM00VP04 BlueLINK ID: 2317880 El Paso Orthopaedic Surgery Group 2400 Trawood, Ste. 200, 79936 (915) 533-7465 Fax No. (915) 534-5220 Westbrook, Richard S., MD Provider ID #NM00YJ70 BlueLINK ID: 2227503 ES DE El Paso Orthopaedic Surgery Group 1720 Murchison Dr., 79902 (915) 533-7465 Fax No. (915) 534-5289 Klein, Terren D., MD Provider ID #NM00YT57 BlueLINK ID: 3208327 El Paso Orthopaedic Surgery Group 1700 Murchison Dr., 79902 (915) 533-7465 Fax No. (915) 534-5220 Misenhimer, Gregory R., MD Provider ID #NM00W605 BlueLINK ID: 2224932 ES 2150 Trawood, Ste. A150, 79935 (915) 595-1099 Fax No. (915) 595-2933 Neustein, Joseph, MD Provider ID #NM00Z818 BlueLINK ID: 2225142 ES El Paso Orthopaedic Associates 10201 Gateway West, Ste. 201, 79925 (915) 595-2700 Fax No. (915) 591-1012 Palafox, Andrew J., MD Provider ID #NM009824 BlueLINK ID: 4152248 ES Del Norte Orthopaedic & Rehab Center 404 Executive Ctr. Blvd., 79902 (915) 542-1644 Fax No. (915) 542-0918 Penninck, Johan J., MD Provider ID #NM00VP05 BlueLINK ID: 2225446 El Paso Orthopaedic Surgery Group 1700 Murchison Dr., 79902 (915) 533-7465 Fax No. (915) 534-5220 Penninck, Johan J., MD Provider ID #NM00VP05 BlueLINK ID: 2225446 El Paso Orthopaedic Surgery Group 2400 Trawood, Ste. 200, 79935 (915) 533-7465 Fax No. (915) 534-5220 Sides, Eric E., MD Provider ID #NM01YH70 BlueLINK ID: 4123820 ES El Paso Orthopaedic Surgery Group 1720 Murchison Dr., 79902 (915) 533-7465 Fax No. (915) 534-5289 See special note See last page for Provider Language Codes legend Westbrook, Richard S., MD Provider ID #NM00YJ70 BlueLINK ID: 2227503 ES DE El Paso Orthopaedic Surgery Group 2400 Trawood, Ste. 200, 79936 (915) 533-7456 Fax No. (915) 534-5289 Zaltz, Charles, MD Provider ID #NM01VP07 BlueLINK ID: 2227775 ES Orthopaedic Surgeons Associates 10525 Vista Del Sol, Ste. 206, 79925 (915) 533-1628 Fax No. (915) 533-1723 Zaltz, Charles, MD Provider ID #NM01VP07 BlueLINK ID: 2227775 ES Orthopaedic Surgeons Associates 1700 N. Oregon, Ste. 600, 79902 (915) 533-1628 Fax No. (915) 533-1723 Pathology McGee, William G., MD Provider ID #NM009N58 BlueLINK ID: 3246982 Southwest Anatomic Pathology Services, PA 1600 Medical Center, Ste. 222, 79902 (866) 351-9191 Perinatology Harlass, Frederick E., MD Provider ID #NM009N59 BlueLINK ID: 3298828 OB/GYN females only ES La Palmas Perinatal Clinic 1700 N. Oregon, Ste. 620, 79925 (915) 521-1623 Fax No. (915) 838-0314 107 Specialists Alost, Thomas E., MD Provider ID #NM009N90 BlueLINK ID: 2265185 ES Orthopaedic Surgeons Associates 1700 N. Oregon, Ste. 600, 79902 (915) 533-1628 Fax No. (915) 533-1723 El Paso Specialists Specialists El Paso Harlass, Frederick E., MD Provider ID #NM009N59 BlueLINK ID: 3298828 OB/GYN females only ES THN Physician's Association, Inc. 10201 Gateway West, Ste. 330, 79925 (915) 593-9381 Fax No. (915) 593-6431 Physical Medicine Boone, Michael K., MD Provider ID #NM01UM90 BlueLINK ID: 3202213 ES El Paso Orthopaedic Surgery Group 1700 Murchison Dr., 79902 (915) 533-7465 Fax No. (915) 534-5289 Boone, Michael K., MD Provider ID #NM01UM90 BlueLINK ID: 3202213 ES El Paso Orthopaedic Surgery Group 2400 Trawood, Ste. 200, 79936 (915) 591-5513 Fax No. (915) 590-9075 Mrochek, Michael J., MD Provider ID #NM00YH57 BlueLINK ID: 3386259 El Paso Orthopaedic Surgery Group 1700 Murchison Dr., 79902 (915) 533-7465 Romagosa, Angelo, MD Provider ID #NM009N91 BlueLINK ID: 3368672 ES Orthopaedic Surgeons Associates 10525 Vista Del Sol, Ste. 206, 79925 (915) 533-1628 Fax No. (915) 533-1723 Romagosa, Angelo, MD Provider ID #NM009N91 BlueLINK ID: 3368672 ES Orthopaedic Surgeons Associates 1700 N. Oregon, Ste. 600, 79902 (915) 533-1628 Fax No. (915) 533-1723 Sandberg, Kevin J., MD Provider ID #NM01YJ25 BlueLINK ID: 4124992 ES 10201 Gateway West, Ste. 411, 79925 (915) 598-8120 Fax No. (915) 598-8121 Plastic Surgery Diaz, Gonzalo, MD Provider ID #NM00YJ67 BlueLINK ID: 2315227 ES El Paso Pulmonary Associates 10201 Gateway West, Ste. 140, 79925 (915) 590-1994 Fax No. (915) 590-3031 Diaz, Gonzalo, MD Provider ID #NM00YJ67 BlueLINK ID: 2315227 ES El Paso Pulmonary Associates 1900 N. Oregon, Ste. 610, 79902 (915) 532-2477 Fax No. (915) 532-2470 Gonzales-Ayala, Emilio, MD Provider ID #NM01YP73 BlueLINK ID: 4124987 No pediatrics ES El Paso Pulmonary Associates 10201 Gateway West, Ste. 140, 79925 (915) 590-1994 Gonzales-Ayala, Emilio, MD Provider ID #NM01YP73 BlueLINK ID: 4124987 No pediatrics ES El Paso Pulmonary Associates 1900 N. Oregon, Ste. 610, 79902 (915) 532-2477 Fax No. (915) 532-2470 May, Robert P., MD Provider ID #NM00W921 BlueLINK ID: 2318980 Patients over age 18 ES 1700 Curie Dr., Ste. 5000, 79902 (915) 532-7881 Fax No. (915) 532-0939 Quesada, Jaime A., MD Provider ID #NM009N18 BlueLINK ID: 4120927 No pediatrics ES El Paso Pulmonary Associates 10201 Gateway West, Ste. 140, 79925 (915) 590-1994 Fax No. (915) 590-3031 Quesada, Jaime A., MD Provider ID #NM009N18 BlueLINK ID: 4120927 No pediatrics ES El Paso Pulmonary Associates 1900 N. Oregon, Ste. 610, 79902 (915) 532-2477 Fax No. (915) 532-2470 Pulmonary Medicine Tremper, Larry J., DO Provider ID #NM004086 BlueLINK ID: 4146174 Specializing in pediatric pulmonology Pediatric Pulmonary Services 1201 E. Schuster Ave., Ste. 48, 79902 (915) 544-3229 Cortes, Erasto, MD Provider ID #NM00YJ47 BlueLINK ID: 3388664 ES El Paso Pulmonary Associates 10201 Gateway West, Ste. 140, 79925 (915) 590-1994 Fax No. (915) 590-3031 Vazquez, Genaro, MD Provider ID #NM00YJ53 BlueLINK ID: 2322946 ES El Paso Pulmonary Associates 10201 Gateway West, Ste. 140, 79925 (915) 590-1994 Fax No. (915) 590-3031 Chavez-Holguin, Pedro S., MD Provider ID #NM00V150 BlueLINK ID: 2221800 1517 N. Mesa, 79902 (915) 533-0269 Cortes, Erasto, MD Provider ID #NM00YJ47 BlueLINK ID: 3388664 ES El Paso Pulmonary Associates 1900 N. Oregon, Ste. 610, 79902 (915) 532-2477 108 Vazquez, Genaro, MD Provider ID #NM00YJ53 BlueLINK ID: 2322946 ES El Paso Pulmonary Associates 1900 N. Oregon, Ste. 610, 79902 (915) 532-2477 Fax No. (915) 532-2470 Radiation Oncology Spinal Surgery Castro, Jesus Arturo, MD Provider ID #NM00YH91 BlueLINK ID: 2314308 ES Columbia Regional Oncology Center 101 Rim Rd., Ste. 100, 79902 (915) 521-1647 Fax No. (915) 521-1680 Misenhimer, Gregory R., MD Provider ID #NM00W605 BlueLINK ID: 2224932 ES 2150 Trawood, Ste. A150, 79935 (915) 595-1099 Fax No. (915) 595-2933 Castro, Jesus Arturo, MD Provider ID #NM00YH91 BlueLINK ID: 2314308 ES Columbia Regional Oncology Center 10460 Vista del Sol, 79925 (915) 629-3440 Fax No. (915) 598-9028 Urology Gupta, Anuradha J., MD Provider ID #NM007945 BlueLINK ID: 3212509 El Paso Cancer Trtmt. Center-East 7848 Gateway East, 79915 (915) 599-1313 Gupta, Anuradha J., MD Provider ID #NM007945 BlueLINK ID: 3212509 El Paso Cancer Trtmt. Center-West 1901 Grandview Ave., 79902 (915) 544-6750 Horowitz, Ira A., MD Provider ID #NM00XN57 BlueLINK ID: 3166578 ES El Paso Cancer Trtmt. Center-East 7848 Gateway East, 79915 (915) 599-1313 Fax No. (915) 599-1701 Horowitz, Ira A., MD Provider ID #NM00XN57 BlueLINK ID: 3166578 ES El Paso Cancer Trtmt. Center-West 1901 Grandview Ave., 79902 (915) 544-6750 Fax No. (915) 532-4259 Senyszyn, John J., MD Provider ID #NM00XN58 BlueLINK ID: 2226352 El Paso Cancer Trtmt. Center-East 7848 Gateway East, 79915 (915) 599-1313 Senyszyn, John J., MD Provider ID #NM00XN58 BlueLINK ID: 2226352 El Paso Cancer Trtmt. Center-West 1901 Grandview Ave., 79902 (915) 544-6750 Radiology Isuani, Hugo E., MD Provider ID #NM00F542 BlueLINK ID: 2223711 ES Open MRI of West Texas 1700 Cliff, 79902 (915) 577-9200 Fax No. (915) 577-9288 Isuani, Hugo E., MD Provider ID #NM00F542 BlueLINK ID: 2223711 ES Sun Imaging Consultants 2600 N. Oregon, Ste. 200, 79902 (915) 544-5550 Fax No. (915) 544-1901 See special note See last page for Provider Language Codes legend Rodriguez, Francisco R., MD Provider ID #NM009167 BlueLINK ID: 3324742 ES 1700 Curie Dr., Ste. 4400, 79902 (915) 577-0730 Fax No. (915) 577-0733 Lubbock Lubbock County Anesthesiology Beltz, Louis J., MD Provider ID #NM009D31 BlueLINK ID: 4169088 ES Covenant Medical Group 3420 22nd Place, 79424 (806) 725-1800 Fax No. (806) 723-6532 Brown, Cynthia, MD Provider ID #NM01Y418 BlueLINK ID: 3236537 B.G. Anesthesia 3420 22nd Place, 79424 (806) 725-1800 Fax No. (806) 723-6532 Carter, Bonny L., MD Provider ID #NM009N12 BlueLINK ID: 3288129 3420 22nd Pl., 79410 (806) 725-1800 Fax No. (806) 723-6363 Coleman, Robyn G., MD Provider ID #NM009D42 BlueLINK ID: 4159536 Covenant Medical Group 3420 22nd Place, 79424 (806) 725-1800 Fax No. (806) 723-7878 Daly, Timothy A., MD Provider ID #NM01YL71 BlueLINK ID: 4105737 Covenant Medical Group 3420 22nd Place, 79424 (806) 725-1800 Fax No. (806) 723-6532 DuBose, Clifton E., MD Provider ID #NM009D59 BlueLINK ID: 2222377 Covenant Medical Group 3420 22nd Place, 79424 (806) 725-1800 Fax No. (806) 723-6363 Fincher, Cecil W., DO Provider ID #NM009N13 BlueLINK ID: 3367929 3420 22nd Pl., 79410 (806) 799-2093 Fax No. (806) 799-8132 Gromov, Sergei A., MD Provider ID #NM009K36 BlueLINK ID: 4291713 Covenant Medical Group 3420 22nd Place, 79424 (806) 725-1800 Fax No. (806) 723-6532 July 2005 Specialists Hnatek, Joe D., MD Provider ID #NM009K80 BlueLINK ID: 3282730 Covenant Medical Group 3420 22nd Place, 79410 (806) 725-1800 Fax No. (806) 723-6028 Holmes, Stephen R., MD Provider ID #NM01I551 BlueLINK ID: 2223558 Covenant Medical Group 3420 22nd Place, 79424 (806) 725-1800 Fax No. (806) 723-6532 Holmes, Stephen R., MD Provider ID #NM01I551 BlueLINK ID: 2223558 Covenant Medical Group 3615 19th St., 79410 (806) 725-1800 Manny, Ted, MD Provider ID #NM01W488 BlueLINK ID: 2318756 Covenant Medical Group 3420 22nd Place, 79424 (806) 725-1800 Fax No. (806) 723-6532 Nussbaum, Ralph E., DO Provider ID #NM004B66 BlueLINK ID: 3264909 Covenant Medical Group 3420 22nd Place, 79424 (806) 725-1800 Fax No. (806) 723-6532 Parikh, Nitin P., MD Provider ID #NM009K41 BlueLINK ID: 2245871 Covenant Medical Group 3420 22nd Place, 79424 (806) 725-1800 Fax No. (806) 723-6363 Ricaldi, Carlos A., MD Provider ID #NM012289 BlueLINK ID: 2398051 ES Covenant Medical Group 3420 22nd Place, 79424 (806) 725-1800 Fax No. (806) 799-8132 Swenson, J. Emery, MD Provider ID #NM009K79 BlueLINK ID: 4291929 Covenant Medical Group 3420 22nd Pl., 79410 (806) 725-1800 Fax No. (806) 723-6532 Cardiology Ali, Muhammed F.A., MD Provider ID #NM009Q02 BlueLINK ID: 6003979 Cardiology Associates 3514 21st St., 79410 (806) 725-1801 Fax No. (806) 723-7530 Jinich, David, MD Provider ID #NM009N77 BlueLINK ID: 3202544 Cardiology Associates 3514 21st St., 79410 (806) 725-1801 Fax No. (806) 723-7530 Levine, Marc J., MD Provider ID #NM01VP15 BlueLINK ID: 2295338 Cardiology Associates 3514 21st St., 79410 (806) 792-5105 Fax No. (806) 792-1968 Moss, James B., III, MD Provider ID #NM02VP17 BlueLINK ID: 3283675 Cardiology Associates 3514 21st St., 79410 (806) 792-5105 Fax No. (806) 792-1968 Walter, Paul D., MD Provider ID #NM01VP20 BlueLINK ID: 2323139 Cardiology Associates 3514 21st St., 79410 (806) 792-5105 Fax No. (806) 785-5131 Weathers, Luther "Dusty" B., III, MD Provider ID #NM009B56 BlueLINK ID: 3353146 Cardiology Associates 3514 21st St., 79410 (806) 792-5105 Fax No. (806) 785-5131 Wilkins, Charles E., MD Provider ID #NM009B57 BlueLINK ID: 2323486 Cardiology Associates 3514 21st St., 79410 (806) 792-5105 Fax No. (806) 785-5131 Zias, John, MD Provider ID #NM01VP23 BlueLINK ID: 2163483 Cardiology Associates 3514 21st St., 79410 (806) 792-5105 Fax No. (806) 792-1968 Cardiovascular Surgery Tjia, Steve, MD Provider ID #NM01Y217 BlueLINK ID: 3169189 Covenant Medical Group 3420 22nd Place, 79424 (806) 725-1800 Fax No. (806) 723-6532 Bricker, Donald L., MD Provider ID #NM02V167 BlueLINK ID: 2221491 Cardiology Associates 3514 21st St., 79410 (806) 792-5105 Fax No. (806) 792-1968 Trivino, Cesar D., MD Provider ID #NM009D43 BlueLINK ID: 4280030 Covenant Medical Group 4102 24th St., Ste. 100, 79410 (806) 725-1800 Fax No. (806) 723-7878 Greenfield, D. Tyler, MD Provider ID #NM009D45 BlueLINK ID: 3359260 Cardiology Associates 3514 21st St., 79410 (806) 792-5105 Fax No. (806) 792-1968 July 2005 Harrell, James E., MD Provider ID #NM009A92 BlueLINK ID: 2129723 Specializing in pediatric cardiac surgery Covenant Medical Group 3606 21st St., Ste. 103, 79410 (806) 725-4425 Fax No. (806) 723-7347 McGill, Thomas W., MD Provider ID #NM009V16 BlueLINK ID: 3332388 Specializing in pediatric surgery Covenant Medical Group Covenant Pediatrics 3506 21st St., Ste. 302, 79410 (806) 725-0237 Fax No. (806) 725-1030 Robinson, Andrew, MD Provider ID #NM009A91 BlueLINK ID: 4125027 Specializing in pediatric cardiology Covenant Medical Group 3606 21st St., Ste. 107, 79410 (806) 725-4412 Fax No. (806) 796-0161 Salem, Robert J., MD Provider ID #NM01Y639 BlueLINK ID: 2321490 Covenant Medical Group 3615 19th St., 79410 (806) 725-0568 Fax No. (806) 723-7361 Dermatology Wurts, Lynne, MD Provider ID #NM009A77 BlueLINK ID: 2223444 Covenant Medical Group 3506 21st St., Ste. 602, 79410 (806) 725-4030 Fax No. (806) 723-7000 Family Practice Lindgren, Cherrylene, MD Provider ID #NM009A93 BlueLINK ID: 4152535 Covenant Medical Group 3615 19th St., 79410 (806) 725-0760 Rose, Christopher, MD Provider ID #NM009A95 BlueLINK ID: 4197503 Covenant Medical Group 3615 19th St., 79410 (806) 725-0760 Gastroenterology Higgins, James V., MD Provider ID #NM01XE84 BlueLINK ID: 3375043 Specializing in pediatric gastroenterology Covenant Medical Group 3606 21st St., Ste. 307, 79410 (806) 762-8500 Fax No. (806) 792-4842 General Surgery Dickerson, Sandra D., MD Provider ID #NM01YQ12 BlueLINK ID: 3342220 Covenant Medical Group 4102 24th St., Ste. 401, 79410 (806) 725-5120 Fax No. (806) 723-6057 Goldthorn, Jane F., MD Provider ID #NM009A84 BlueLINK ID: 2223056 Specializing in pediatric surgery Covenant Medical Group 3506 21st St., Ste. 302, 79410 (806) 725-0237 Fax No. (806) 725-1030 Hyacinthe, Micheline, MD Provider ID #NM009D33 BlueLINK ID: 3344320 Surgical oncologist FR Covenant Medical Group 4102 24th St., Ste. 406, 79410 (806) 752-6461 Fax No. (806) 723-6334 See special note See last page for Provider Language Codes legend Hand Surgery Garcia, Melinda D., MD Provider ID #NM014910 BlueLINK ID: 4200136 Covenant Medical Group 4102 24th St., Ste. 407, 79410 (806) 788-1111 Fax No. (806) 793-2226 Hematology/Oncology Iacuone, John, MD Provider ID #NM01I779 BlueLINK ID: 2223680 Specializing in pediatric hematology/oncology Covenant Medical Group 3606 21st St., Ste. 102, 79410 (806) 796-1251 Fax No. (806) 796-0161 Oblender, Melanie G., MD Provider ID #NM01XZ76 BlueLINK ID: 2225220 Covenant Medical Group 3606 21st St., Ste. 304, 79410 (806) 793-6629 Fax No. (806) 795-9896 Internal Medicine Mahan, Kerry E., MD Provider ID #NM009V24 BlueLINK ID: 3266715 Covenant Healthcare Center 3506 21st St., Ste. 401, 79410 (806) 725-4130 Fax No. (806) 723-7137 Ukegbu, Ibidunni O., MD Provider ID #NM009N79 BlueLINK ID: 4259880 Covenance Healthcare Center 3506 21st St., Ste. 401, 79410 (806) 725-4130 Fax No. (806) 723-7137 Medical Oncology Cruz, Jose Carlos, MD Provider ID #NM009A98 BlueLINK ID: 4114332 Covenant Medical Group 4101 22nd St., 79410 (806) 725-8000 Fax No. (806) 723-6031 DiNunno, Phillip, MD Provider ID #NM009B11 Covenant Medical Group 4101 22nd St., 79410 (806) 725-8000 Fax No. (806) 723-6033 109 Specialists Hegde, Narayan L., MD Provider ID #NM01Y114 BlueLINK ID: 3197392 Covenant Medical Group 3420 22nd Place, 79424 (806) 725-1800 Fax No. (806) 799-6908 Lubbock Specialists Lubbock Specialists Neurology Brown, Paul F., MD Provider ID #NM01UQ48 BlueLINK ID: 3325229 Specializing in pediatric neurology Covenant Medical Group 3506 21st St., Ste. 400, 79410 (806) 725-4115 Fax No. (806) 723-7007 Mandelbaum, Mark A., MD Provider ID #NM009B60 BlueLINK ID: 2268541 Covenant Medical Group 3506 21st St., Ste. 400, 79410 (806) 725-4115 Fax No. (806) 723-7007 Obstetrics/Gynecology Blann, David W., MD Provider ID #NM009B62 BlueLINK ID: 4135777 Covenant Medical Group 4102 24th St., Ste. 100, 79411 (806) 743-4342 Fax No. (806) 743-1775 Burke, Joanna L., MD Provider ID #NM009K29 BlueLINK ID: 4286660 Covenant Medical Group 4102 24th St., Ste. 300, 79410 (806) 725-4850 Fax No. (806) 723-7902 Lawrence, Larry Britt, MD Provider ID #NM009B03 BlueLINK ID: 4147579 Covenant Medical Group 4102 24th St., Ste. 503, 79410 (806) 725-6600 Fax No. (806) 723-6341 Page, Lola D., MD Provider ID #NM02V131 BlueLINK ID: 2320129 Covenant Medical Group 4102 24th St., Ste. 412, 79410 (806) 725-6451 Fax No. (806) 799-4180 Orthopedics Burke, James, MD Provider ID #NM009A80 BlueLINK ID: 3101770 Covenant Medical Group 3506 21st St., Ste. 202, 79410 (806) 725-4810 Fax No. (806) 725-4820 Casler, Travis, MD Provider ID #NM01Z758 BlueLINK ID: 2221730 Covenant Medical Group 3506 21st St., Ste. 202, 79410 (806) 725-4810 Franks, Darrell J., MD Provider ID #NM01YQ13 BlueLINK ID: 3230953 Covenant Medical Group 3506 21st St., Ste. 203, 79410 (806) 725-5100 Hensal, Frederick John, MD Provider ID #NM011284 BlueLINK ID: 2397832 Covenant Medical Group 3506 21st St., Ste. 202, 79410 (806) 725-4810 Fax No. (806) 725-4820 Joshi, Atul, MD Provider ID #NM009N73 BlueLINK ID: 4259841 Covenant Lubbock Diagnostic Clinic 3506 21st St., Ste. 203, 79410 (806) 725-4818 Smeyne, Robert, MD Provider ID #NM01E760 BlueLINK ID: 3179653 Covenant Medical Group 3711 22nd St., Ste. A, 79410 (806) 797-9191 Fax No. (806) 797-9291 Pediatrics Oblender, Melanie G., MD Provider ID #NM01XZ76 BlueLINK ID: 2225220 Covenant Medical Group 3606 21st St., Ste. 304, 79410 (806) 793-6629 Fax No. (806) 795-9896 Thoracic and Vascular Surgery Hansen, Henry A., II, MD Provider ID #NM009K78 BlueLINK ID: 3213764 Cardiology Associates 3514 21st St., 79410 (806) 725-1801 Fax No. (806) 723-7539 Midland Midland County Thoracic and Vascular Surgery Crockett, Donald E., MD Provider ID #NM009B12 BlueLINK ID: 2222032 Covenant Medical Group 2706 W. Cuthbert, Bldg. C, 79701 (915) 697-1061 Fax No. (915) 697-7089 Muleshoe Bailey County Dermatology Claborn, Jobey, DO Provider ID #NM009K34 BlueLINK ID: 3277532 ES Family Practice & Dermatology Clinic 708 S. First St., 79347 (806) 272-6825 Hall, Harry, MD Provider ID #NM01Z147 BlueLINK ID: 2316487 Covenant Medical Group 3506 21st St., Ste. 203, 79410 (806) 725-4810 Fax No. (806) 725-4820 110 See special note See last page for Provider Language Codes legend July 2005 Extended Network Plan Allied Health Practitioners Non-physician specialists including Podiatrists, Optometrists, Certified Nurse Practitioners, Chiropractors, Nurse Anesthetists (CRNA), Certified Nurse Midwives, Physical Therapists, Occupational Therapists, Speech Therapists, Nutritionists, Acupuncturists (Doctors of Oriental Medicine in New Mexico), Audiologists, Licensed Midwives. COLORADO Cortez Montezuma County Occupational Therapy Physical Therapy and Rehabilitation Johnson, Najib C., PT Provider ID #NM00Q270 BlueLINK ID: 6003530 Johnson Physical Therapy & Rehab 1280 N. Mildred, Ste. 2, 81321 (970) 564-0311 Fax No. (970) 564-0313 Durango La Plata County Certified Nurse Midwives Ginn, Amy E., CNM-MSN Provider ID #NM006476 BlueLINK ID: 532588 Southwest Midwives Riverside Medical Bldg. 375 Park Ave., Ste. 303, 81301 (970) 247-5543 Fax No. (970) 247-5545 Walton, Mary Louise, CNM Provider ID #NM01YH34 BlueLINK ID: 5001860 Southwest Midwives Riverside Medical Bldg. 375 E. Park Ave., Ste. 303, 81301 (970) 247-5543 Fax No. (970) 247-5545 Certified Nurse Practitioners Errett, Cathleen, CNP Provider ID #NM006473 BlueLINK ID: 3378658 SW Women's Health Associates 575 Rivergate Ln., Ste. 210, 81301 (970) 247-0042 Fax No. (970) 259-8837 Jones, Debra, CNP Provider ID #NM006290 BlueLINK ID: 5000003 Four Corners Ob/Gyn 375 E. Park Ave., Ste. 3C, 81301 (970) 382-8800 Fax No. (970) 382-0122 July 2005 Randlemon, Annette L., CFNP Provider ID #NM006648 BlueLINK ID: 5009082 Female patients only Piñon Ob/Gyn 2243 Main St., Ste. 3, 81301 (970) 375-1352 Fax No. (970) 375-1372 Zink, Karen, CNP Provider ID #NM006278 BlueLINK ID: 7318737 SW Women's Health Associates 575 Rivergate Ln., Ste. 210, 81301 (970) 247-0042 Fax No. (970) 259-8837 Chiropractic Junttonen, Randy J., PT Provider ID #NM00Q262 BlueLINK ID: 7455868 ES Integrated Physical Therapy 130 Rockpoint Dr., 81301 (970) 385-0644 Fax No. (970) 385-0620 McAward, John M., PT Provider ID #NM00Q247 BlueLINK ID: 6003016 ES McAward Physical Therapy 129 County Rd. 250, 81301 (970) 259-9366 Fax No. (970) 259-9367 Rakita, David N., PT Provider ID #NM02N457 BlueLINK ID: 6003102 Rakita & Tomsic Physical Therapy, Inc. 575 Rivergate Ln., Ste. 97, 81301 (970) 259-0574 Fax No. (970) 259-0576 Bergfalk, Caroline, DC Provider ID #NM00KG99 BlueLINK ID: 8243983 Pine River Chiropractic 175 S. Clover Dr., Ste. 5, 81301 (970) 889-9779 Fax No. (970) 884-0847 Rambo, Philip W., MPT Provider ID #NM00Q261 BlueLINK ID: 7106965 ES Integrated Physical Therapy 130 Rockpoint Dr., 81301 (970) 385-0644 Fax No. (970) 385-0620 Jackson, David C., DC Provider ID #NM01KK40 BlueLINK ID: 8262759 Also specializing in neurology 130 Rock Point Dr., 81301 (970) 382-0800 Fax No. (970) 382-0803 Schank, David, PT Provider ID #NM00Q529 BlueLINK ID: 6004055 Durango Physical Therapy 3211 N. Main Ave., 81301 (970) 259-0482 Fax No. (970) 259-0062 Physical Therapy and Rehabilitation Angel, Ashlie A., MSPT Provider ID #NM00Q085 BlueLINK ID: 5008513 ES McAward Physical Therapy 129 Country Rd. 250, 81301 (970) 259-9366 Fax No. (970) 259-9367 Angel, Luke J., PT Provider ID #NM00Q251 BlueLINK ID: 6003071 575 RiverGate Ln., Ste. 208, 81301 (970) 382-8776 Fax No. (970) 382-9746 Clapprood, Amy E., MSPT Provider ID #NM00Q281 BlueLINK ID: 6003753 Advantage Physical Therapy & Wellness 801 Florida Rd., Ste. 3, 81301 (970) 259-7829 Cullum, Robert D., PT Provider ID #NM00Q290 BlueLINK ID: 6003945 ES The Training Room 1401 Main Ave., 81301 (970) 382-8776 Fax No. (970) 382-9746 Shuksteris, Joseph, PT Provider ID #NM00Q263 BlueLINK ID: 6003270 Animas Physical Therapy & Training Center, Inc. 1111 Camino del Rio, Ste. 5, 81301 (970) 259-6829 Fax No. (970) 259-6944 Testa, Michael T., MSPT Provider ID #NM00Q267 BlueLINK ID: 6003170 Advantage Physical Therapy & Wellness 801 Florida Rd., Ste. 3, 81301 (970) 259-7829 Tomsic, Ellen, PT Provider ID #NM01Q533 BlueLINK ID: 6004119 Rakita & Tomsic Physical Therapy 575 Rivergate Ln., Ste. 97, 81301 (970) 259-0574 Fax No. (970) 259-0576 Podiatry Stilwell, Joseph G., DPM Provider ID #NM007E24 BlueLINK ID: 8160338 ES Stilwell Foot & Ankle 575 RiverGate Ln., Ste. 95, 81301 (970) 259-5303 Fax No. (970) 259-3510 See special note See last page for Provider Language Codes legend Pagosa Springs Archuleta County Physical Therapy and Rehabilitation Zeigler, Mark H., PT Provider ID #NM01Q244 BlueLINK ID: 5010095 ES Rocky Mountain Physical Therapy, Inc. 35 Mary Fisher Circle, 81147 (970) 731-3303 Fax No. (970) 731-9193 Trinidad Las Animas County Chiropractic Low, Lawrence, DC Provider ID #NM00KA43 BlueLINK ID: 5000132 Fishers Peak Chiropractic Center 165 E. 1st St., 81082 (719) 846-4990 Fax No. (719) 846-3505 Monteleone, Jeanette M., DC Provider ID #NM00KG10 BlueLINK ID: 8237421 Chiropractic Healing Arts 712 E. 1st St., 81082 (719) 846-2219 Fax No. (719) 846-2210 Optometry Eickelman, James A., OD Provider ID #NM00PA58 BlueLINK ID: 8188955 ES Rocky Mountain Eye Center 2120 Freedom Rd., 81082 (719) 846-9236 Fax No. (719) 846-3768 NEW MEXICO Abiquiu Rio Arriba County Certified Nurse Practitioners Smith, Ann N., FNP Provider ID #NM006409 BlueLINK ID: 62MB000 ES Las Clinicas del Norte State Hwy. 84, Ste. 185, 87510 (505) 685-4479 Fax No. (505) 685-4532 111 Allied Health Practitioners Carpenter, Julie M., OTR Provider ID #NM00Q249 BlueLINK ID: 6003039 Johnson Physical Therapy & Rehab 1280 N. Mildred, Ste. 2, 81321 (970) 564-0311 Fax No. (970) 564-0313 Meyers, Deborah B., CNP Provider ID #NM006370 BlueLINK ID: 5006098 SW Women's Health Associates 575 Rivergate Ln., Ste. 210, 81301 (970) 247-0042 Fax No. (970) 259-8837 Alamogordo Alamogordo Otero County Certified Nurse Midwives Allied Health Practitioners Hendricks, Sharon L., CNM-MSNBSN-AD Provider ID #NM006926 BlueLINK ID: 5006310 White Sands Family Practice Clinic 2010 Pecan Dr., 88310 (505) 434-9737 Humig, Lynn, CNM Provider ID #NM006546 BlueLINK ID: 5006091 Women's Health Center 2559 Medical Dr., Ste. D, 88310 (505) 434-2229 Phillips, Valerie J., CNM Provider ID #NM006925 BlueLINK ID: 6003645 Women's Health Center 2559 Medical Dr., Ste. D, 88310 (505) 434-2229 Smith, Terry V., CNMW Provider ID #NM006794 BlueLINK ID: 7112968 Women's Health Center 2559 Medical Dr., Ste. D, 88310 (505) 434-2229 Certified Nurse Practitioners Hall, Judy, CNP Provider ID #NM006377 BlueLINK ID: 7312903 Alamogordo Clinic, Ltd. 1410 Aspen Dr., 88310 (505) 437-7000 Certified Registered Nurse Anesthetists Cravens, Thomas L., CRNA Provider ID #NM006615 BlueLINK ID: 5008623 Sunshine Daydreams Anesthesia 2669 N. Scenic Dr., 88310 (800) 243-8422 Greer, Kenneth G., CRNA Provider ID #NM00RD19 BlueLINK ID: 5007437 2669 N. Scenic Dr., 88310 (505) 443-7565 Jenkins, Phillip R., CRNA Provider ID #NM006064 BlueLINK ID: 5005289 2669 N. Scenic Dr., 88310 (505) 443-7565 King, James D., CRNA Provider ID #NM006068 BlueLINK ID: 5008315 Zia Anesthesia Services 2669 N. Scenic Dr., 88310 (505) 443-7581 Zerger, Daniel M., CRNA Provider ID #NM006470 BlueLINK ID: 5008621 White Sands Anesthesia 2669 N. Scenic Dr., 88310 (800) 243-8422 Chiropractic Blevins, Aubrey A., DC Provider ID #NM00K215 BlueLINK ID: 5006341 Mitchell Chiropractic Life Center 901 Puerto Rico Ave., 88310 (505) 437-0350 112 Allied Health Practitioners Mitchell, Donald R., DC Provider ID #NM00K505 BlueLINK ID: 8140978 Mitchell Chiropractic Life Center 901 Puerto Rico Ave., 88310 (505) 437-0350 Mitchell, Elizabeth A., DC Provider ID #NM00K891 BlueLINK ID: 8140979 Mitchell Chiropractic Life Center 901 Puerto Rico Ave., 88310 (505) 437-0350 Phillips, Thomas Dwain, DC Provider ID #NM00KC99 BlueLINK ID: 8141001 Phillips Chiropractic 1201 Michigan Ave., 88310 (505) 434-2415 Salyer, Virgil C., DC Provider ID #NM01KH07 BlueLINK ID: 8115708 Salyer Chiropractic 1013 Arapaho Trl., 88310 (505) 434-1455 Fax No. (505) 443-1007 Occupational Therapy Gollobit, Michelle A., OT Provider ID #NM00Q159 BlueLINK ID: 5010014 Alamogordo Physical Therapy 1401 10th St., 88310 (505) 437-3351 Krcil, Liane M., OT Provider ID #NM00Q160 BlueLINK ID: 5010015 Alamogordo Physical Therapy 1401 10th St., 88310 (505) 437-3351 Mason, Sharon L., OT Provider ID #NM00Q167 BlueLINK ID: 5010204 Alamogordo Physical Therapy 1401 10th St., 88310 (505) 437-3351 Optometry Busby, Leslie V., OD Provider ID #NM00P251 BlueLINK ID: 8174934 1209 New York Ave., 88310 (505) 437-9326 Marquardt, Terry T., OD Provider ID #NM00P012 BlueLINK ID: 8212277 903 New York Ave., 88310 (505) 437-7783 Fax No. (505) 439-0615 Physical Therapy and Rehabilitation Hoyt, Dan R., PT Provider ID #NM00Q133 BlueLINK ID: 5008313 ES DE Back in Action Therapy 1011 10th St., Ste. A, 88310 (505) 439-9878 Fax No. (505) 439-9876 Mazur, Andrew K., PT Provider ID #NM00Q161 BlueLINK ID: 5010016 Alamogordo Physical Therapy 1401 10th St., 88310 (505) 437-3351 McDaniel, Tricia L., PT Provider ID #NM00Q174 BlueLINK ID: 6003198 Alamogordo Physical Therapy 1401 10th St., 88310 (505) 437-3351 Pattillo, Robert J., PT Provider ID #NM00Q162 BlueLINK ID: 5010017 Alamogordo Physical Therapy 1401 10th St., 88310 (505) 437-3351 Smith, Ginnie S., PT Provider ID #NM00Q163 BlueLINK ID: 5010018 Alamogordo Physical Therapy 1401 10th St., 88310 (505) 437-3351 Smith, Lauren K., PT Provider ID #NM00Q175 BlueLINK ID: 6003199 Alamogordo Physical Therapy 1401 10th St., 88310 (505) 437-3351 Wallace, Michael L., PT Provider ID #NM00Q164 BlueLINK ID: 5010019 Alamogordo Physical Therapy 1401 10th St., 88310 (505) 437-3351 Westermann, Julie A., PT Provider ID #NM00Q155 BlueLINK ID: 5010010 Alamogordo Physical Therapy 1401 10th St., 88310 (505) 437-3351 Podiatry Anderson, John J., DPM Provider ID #NM005A02 BlueLINK ID: 5008107 Alamogordo Orthopedics & Sports Medicine 1401 10th St., Ste. 2, 88310 (505) 434-0639 Speech Therapy Biricocchi, Charlanne K., PT Provider ID #NM00Q156 BlueLINK ID: 5010011 Alamogordo Physical Therapy 1401 10th St., 88310 (505) 437-3351 Gallien, Pam, MS-CCC-SLP Provider ID #NM01K42D BlueLINK ID: 5000297 Gallien, Inc. 920 Hawaii, 88310 (505) 437-1967 Fax No. (505) 437-1008 Biricocchi, Ryan D., PT Provider ID #NM00Q157 BlueLINK ID: 5010012 Alamogordo Physical Therapy 1401 10th St., 88310 (505) 437-3351 Garst, Diane M., SLP Provider ID #NM00E275 BlueLINK ID: 6003649 Gallien, Inc. 920 Hawaii, 88310 (505) 437-1967 Hartenstein, Elise A., PT Provider ID #NM00Q194 BlueLINK ID: 6004217 Alamogordo Physical Therapy 1401 10th St., 88310 (505) 439-1397 See special note See last page for Provider Language Codes legend Albuquerque Bernalillo County If you reside within this county and choose to visit a provider marked with special symbol "¾", your visit will not be covered. See the introductory section of this directory for more details. Acupuncture Arbel, Tamar, DOM Provider ID #NM00RH52 BlueLINK ID: 6003733 IW Yi Lin Medical Center 4775 Indian School NE, Ste. 100, 87110 (505) 888-6700 Fax No. (505) 888-6701 Arellano, Yvette M., DOM Provider ID #NM00RD49 BlueLINK ID: 6002360 Massage Therapy ES Healthplex Chiropractic 8201 Golfcourse Rd. NW, Ste. C-2A, 87114 (505) 792-3311 Fax No. (505) 792-3314 Email: [email protected] Arellano, Yvette M., DOM Provider ID #NM00RD49 BlueLINK ID: 6002360 Massage Therapy ES Heights Acupuncture Center 9204 Menaul NE, Ste. 4, 87112 (505) 293-6366 Email: [email protected] Boehme, Debra D., DOM Provider ID #NM00RH67 BlueLINK ID: 6004024 ES ZH Yi Lin Medical Center 4775 Indian School NE, Ste. 100, 87110 (505) 888-6700 Fax No. (505) 888-6701 Cameron, Cathy J., DOM Provider ID #NM01RD58 BlueLINK ID: 6001149 6320 Riverside Plaza, Ste. B, 87120 (505) 897-2252 Fax No. (505) 897-7441 Email: www.wnwyndingthespirit.com Chen, Ping, DOM Provider ID #NM00RD93 BlueLINK ID: 5008911 ZH Yi Lin Medical Center 4775 Indian School NE, Ste. 100, 87110 (505) 888-6700 Fax No. (505) 888-6701 Chu, Qi, DOM Provider ID #NM01R464 BlueLINK ID: 5008400 ZH Acupuncture & Herbal Center 3611 State Hwy. 528 NW, Ste. A, 87114 (505) 898-6668 Cook-Lowry, Angelique S., DOM Provider ID #NM01R481 BlueLINK ID: 5008678 ES Health Source 3924 Carlisle NE, 87107 (505) 884-3039 Fax No. (505) 883-8335 July 2005 Allied Health Practitioners Diesel, T. Sean, DOM Provider ID #NM00RH36 BlueLINK ID: 5009789 ES 2724 Vassar Pl. NE, 87107 (505) 681-7362 Fax No. (505) 837-2052 Doyal, Karen E., DOM Provider ID #NM00RH24 BlueLINK ID: 5009021 ES 3924 Carlisle NE, 87107 (505) 884-3039 Fax No. (505) 883-8385 Eagles, Reba L., DOM Provider ID #NM00RH57 BlueLINK ID: 6003849 3401 Carlisle NE, 87110 (505) 889-3333 Glina, Revital, DOM Provider ID #NM00RD79 BlueLINK ID: 5009391 IW 11000 Spain NE, Bldg. B, 87111 (505) 307-4372 Fax No. (505) 323-0033 Hao, Jishun J., DOM Provider ID #NM00R437 BlueLINK ID: 5006040 ES ZH National Healthcare Center 10151 Montgomery NE, Ste. 2A, 87111 (505) 822-9878 Fax No. (505) 822-9878 Hao, Linda Lingzhi, DOM Provider ID #NM00R635 BlueLINK ID: 5000997 ES ZH National Healthcare Center 10151 Montgomery NE, Ste. 2A, 87111 (505) 822-9878 Fax No. (505) 822-9878 Heiser, Noel, DOM Provider ID #NM00RD50 BlueLINK ID: 5009344 ES 6208 Montgomery NE, Ste. F, 87109 (505) 261-0406 Fax No. (505) 888-3011 Heiser, Noel, DOM Provider ID #NM00RD50 BlueLINK ID: 5009344 ES First Nations Community Healthcare Services 5608 Zuni Rd. SE, 87108 (505) 262-2481 Fax No. (505) 262-0781 Heuertz, John, DOM Provider ID #NM01RH58 BlueLINK ID: 6003865 Jemez Health 2724 Vassar Pl. NE, 87107 (505) 220-2321 Fax No. (505) 837-2052 Email: [email protected] Jay, Jan C., DOM Provider ID #NM00RD61 BlueLINK ID: 5008531 11000 Spain NE, Bldg. B, 87111 (505) 323-8100 July 2005 Jenk, Paul M., DOM Provider ID #NM00RH48 BlueLINK ID: 6003523 4010 Carlisle NE, Ste. B, 87107 (505) 573-4652 Kaur, Arminder, DOM Provider ID #NM00RH45 BlueLINK ID: 6000189 PA HI Acupuncture & Wellness Center 623 Amherst Dr. NE, 87106 (505) 255-7404 Fax No. (505) 232-2408 Kerlinsky, Alicia, DOM Provider ID #NM00RD81 BlueLINK ID: 5009002 ES 7007 Wyoming NE, Ste. E3, 87109 (505) 884-0112 Fax No. (505) 828-1385 Khalsa, Gurusant S., DOM Provider ID #NM00R980 BlueLINK ID: 5001290 Acupuncture Associates of America 2901 Juan Tabo NE, Ste. 117, 87112 (505) 275-9602 Fax No. (505) 275-9604 Kuchinski, Lynn M., DOM Provider ID #NM00R55A BlueLINK ID: 5000964 10211 Montgomery NE, 87111 (505) 610-8999 Kuchinski, Lynn M., DOM Provider ID #NM00R55A BlueLINK ID: 5000964 2902 Casa del Norte NE, 87112 (505) 610-8999 La Brier-Morton, Lee Ann, DOM Provider ID #NM00RH26 BlueLINK ID: 5009164 7400 Montgomery NE, Ste. 23, 87109 (505) 881-3165 Fax No. (505) 881-3168 Li, Linda, DOM Provider ID #NM00R39T BlueLINK ID: 5000906 ZH Chinese Natural Health Clinic 1517 Eubank NE, 87112 (505) 294-7368 Fax No. (505) 294-7424 Linden, Janet A., DOM Provider ID #NM00R60S BlueLINK ID: 5007198 Acupuncture Care Center 3939 San Pedro NE, Bldg. B Ste. 2, 87110 (505) 550-6972 Fax No. (505) 292-8221 Lu, Hong D., DOM Provider ID #NM00RH62 BlueLINK ID: 6000384 ZH Yi Lin Medical Center 4775 Indian School NE, Ste. 100, 87110 (505) 888-6700 Fax No. (505) 888-6701 Maddoux, Barbara T., DOM Provider ID #NM01RD7K BlueLINK ID: 5006384 ES FR NorthPointe Medicine 5700 Harper NE, Ste. 470, 87109 (505) 828-9642 Fax No. (505) 828-9191 Malaika, E. Sophia, DOM Provider ID #NM00RJ06 BlueLINK ID: 5009793 DE Dartmouth Center 201 Dartmouth SE, 87106 (505) 610-7868 Fax No. (505) 345-9934 Marchi, Deborah L., DOM Provider ID #NM00RH46 BlueLINK ID: 6002460 The Injury Recovery Center 4520 Montgomery NE, Ste. 3, 87109 (505) 280-5718 McKay, Patricia A., DOM Provider ID #NM00R53Y BlueLINK ID: 5000957 921 Valencia NE, 87108 (505) 459-7473 McLaughlin, Jamie S., DOM Provider ID #NM00RD90 BlueLINK ID: 5009374 ES Innovative Medicine 220 Copper NW, Ste. 450, 87120 (505) 250-8334 McLaughlin, Jamie S., DOM Provider ID #NM00RD90 BlueLINK ID: 5009374 ES Innovative Medicine 3311 Carlisle NE, 87111 (505) 250-8334 Fax No. (505) 837-1828 Orbach, Sharon, DOM Provider ID #NM00RH30 BlueLINK ID: 5009231 ES 3924 Carlisle NE, 87107 (505) 884-3039 Fax No. (505) 883-8335 Polasky, Diane H., DOM Provider ID #NM00R36Y BlueLINK ID: 5009109 Heights Acupuncture Center 8307 Constitution Ave. NE, 87110 (505) 883-1011 Fax No. (505) 883-0629 Ragland, Aubrey E., DOM Provider ID #NM00RD95 BlueLINK ID: 5008914 Yi Lin Medical Center 4775 Indian School NE, Ste. 100, 87110 (505) 888-6700 Fax No. (505) 888-6701 Richardson, Phillip D., DOM Provider ID #NM00RJ13 BlueLINK ID: 6003195 ES 717 Encino Pl. NE, Ste. 7, 87102 (505) 843-9636 Fax No. (505) 843-6277 Shelhav, Laura R., DOM Provider ID #NM00RD12 BlueLINK ID: 5009353 3609 Inca St. NE, 87111 (505) 604-4372 Fax No. (505) 323-0033 Silva, Jinlen V., DOM Provider ID #NM00RH92 BlueLINK ID: 6004132 ES ZH Gambei Wellness Spa 143 Harvard SE, 87106 (505) 242-0492 Sirwinski, Neal P., DOM Provider ID #NM00R47Q BlueLINK ID: 5009705 3816 Carlisle NE, 87107 (505) 837-2335 Fax No. (505) 888-8857 Skoog, Robert E., DOM Provider ID #NM01RH37 BlueLINK ID: 6000126 ES Alameda Acupuncture 1006 Aztec Rd. NW, 87107 (505) 385-0951 Fax No. (505) 890-1839 See special note See last page for Provider Language Codes legend Skoog, Robert E., DOM Provider ID #NM00RH50 BlueLINK ID: 6000126 ES Lifetime Chiropractic 7007 Wyoming NE, 87109 (505) 822-0306 Skoog, Robert E., DOM Provider ID #NM00KJ82 BlueLINK ID: 6000126 ES Lifetime Chiropractic 7007 Wyoming NE, Ste. E-1, 87109 (505) 822-0306 Fax No. (505) 822-0316 Smart, Suzanne, DOM Provider ID #NM01R79D BlueLINK ID: 5009990 ES Nob Hill Acupuncture 3415 Silver SE, 87106 (505) 265-5087 Fax No. (505) 265-5803 Smith-Fassler, Mary Elizabeth, DOM Provider ID #NM00RJ02 BlueLINK ID: 5009313 Traditional Chinese Medical Services 10712 Rocky Mountain NW, 87114 (505) 899-0118 Fax No. (505) 899-3883 Stape, Dominic P., DOM Provider ID #NM00RJ08 BlueLINK ID: 5009992 ES 9809 Candelaria NE, Ste. 2A, 87112 (505) 350-8483 Takei, Quinn A., DOM Provider ID #NM00RJ04 BlueLINK ID: 5009708 Oriental Medical Arts 10900 Menaul NE, Ste. F, 87112 (505) 306-3155 Fax No. (505) 332-4775 Talento, Louis V., DOM Provider ID #NM00R501 BlueLINK ID: 5000941 711 Encino Pl. NE, Ste. A, 87102 (505) 243-8058 Fax No. (505) 243-8057 Talento, Val E., DOM Provider ID #NM00R501 BlueLINK ID: 5000941 Granada Medical Plaza 711 Encino Pl. NE, Ste. A, 87102 (505) 243-8058 Tapia, Lorella D., DOM Provider ID #NM00RH35 BlueLINK ID: 5009782 Acupuncture Associates of America 2901 Juan Tabo NE, Ste. 117, 87112 (505) 275-9602 Fax No. (505) 875-9604 Trujillo, Alexcia A., DOM Provider ID #NM00RH10 BlueLINK ID: 5009342 ES East West Acupuncture 135 Madison NE, 87108 (505) 265-6206 Wang, Jiang, DOM Provider ID #NM00RF49 BlueLINK ID: 5008723 ZH 1330 San Pedro NE, Ste. 103, 87110 (505) 265-5168 Fax No. (505) 265-5168 113 Allied Health Practitioners Gehring, Constance J., DOM Provider ID #NM00RH59 BlueLINK ID: 6003449 Acupuncture Associates of America 2901 Juan Tabo NE, Ste. 117, 87112 (505) 275-9602 Fax No. (505) 275-9604 Albuquerque Albuquerque Wang, Yan, DOM Provider ID #NM00RH49 BlueLINK ID: 6003545 Patients over age 6 ZH Yan Wang Chinese Natural Clinic 3705 Westerfield Dr. NE, 87111 (505) 299-6299 Fax No. (505) 294-7424 Allied Health Practitioners Westphal, Nicolette N., DOM Provider ID #NM01R50M BlueLINK ID: 6002867 Jade Acupuncture 11000 Spain Rd. NE, 87111 (505) 271-1886 Fax No. (505) 294-7939 Wozniak, Deborah, DOM Provider ID #NM00R97E BlueLINK ID: 6002487 ES 6501 4th St. NW, Ste. E, 87107 (505) 250-7173 Wu, Hua C., DOM Provider ID #NM01RD46 BlueLINK ID: 5008399 ZH Chinese Natural Therapy 3701 San Mateo NE, Ste. D, 87110 (505) 872-8238 Wu, Wen C., DC-DOM Provider ID #NM00R462 BlueLINK ID: 8186424 Health Care Associates 2709 Wyoming NE, 87111 (505) 294-5486 Yeh, Chon-Chiun, DOM Provider ID #NM00R689 BlueLINK ID: 5009395 ZH 605 Monroe NE, 87110 (505) 255-5155 Yu, Shaui-Lian, DOM Provider ID #NM00RJ14 BlueLINK ID: 6003219 ZH Dr. Eric Zhao's Acupuncture & Herbs 3909 Juan Tabo NE, Ste. 7, 87111 (505) 881-5299 Fax No. (505) 881-5231 Allied Health Practitioners Lionbarger, John A., AUD Provider ID #NM00E119 BlueLINK ID: 6003179 Hearing Health Care Centers 10555 Montgomery NE, Bldg. 1, Ste. 120, 87111 (505) 323-7373 Fax No. (505) 323-2668 Beach, Dorothy, CNM Provider ID #NM006823 BlueLINK ID: 5009540 Lovelace Sandia Health Systems Lovelace Women's Health 4705 Montgomery NE, Ste. 201, 87109 (505) 262-7291 Lionbarger, John A., AUD Provider ID #NM00E119 BlueLINK ID: 6003179 Hearing Health Care Centers 415 Cedar SE, 87106 (505) 224-7373 Fax No. (505) 224-7368 Bensch, Tambra, CNM Provider ID #NM006829 BlueLINK ID: 5009557 Lovelace Sandia Health Systems Lovelace Women's Health 4705 Montgomery NE, Ste. 201, 87109 (505) 262-7291 Lionbarger, John A., AUD Provider ID #NM00E119 BlueLINK ID: 6003179 Hearing Health Care Centers 5109 Coors Blvd. NW, Ste. D, 87120 (505) 890-7373 Fax No. (505) 890-8621 Morykwas, Barbra S., AUD Provider ID #NM00E384 BlueLINK ID: 6004176 ES Albuquerque Speech, Language & Hearing Center 1011 Buena Vista Dr. SE, 87106 (505) 247-4224 Fax No. (505) 247-1772 Sanchez, Stephanie, CF-A Provider ID #NM00E184 BlueLINK ID: 5008785 Albuquerque Speech, Language & Hearing Center 1011 Buena Vista Dr. SE, 87106 (505) 247-4224 Fax No. (505) 247-1772 Smith, Steven B., AUD Provider ID #NM00E379 BlueLINK ID: 6003603 Albuquerque Speech, Language & Hearing Center 1011 Buena Vista Dr. SE, 87106 (505) 247-4224 Fax No. (505) 247-1772 Certified Nurse Midwives Zhao, Yu Eric, DOM Provider ID #NM01R96G BlueLINK ID: 5009999 ZH AR Dr. Eric Zhao's Acupuncture & Herbs 2903 San Mateo NE, Ste. A, 87110 (505) 881-5299 Fax No. (505) 881-5231 Ansell, Carolyn, CNM Provider ID #NM016568 BlueLINK ID: 5009517 Lovelace Sandia Health Systems Lovelace Women's Health 4705 Montgomery NE, Ste. 201, 87109 (505) 262-7291 Zloto, Janis M., DOM Provider ID #NM00RH27 BlueLINK ID: 5009165 ES Abundant Health Acupuncture 135 Madison NE, 87108 (505) 268-8056 Fax No. (505) 256-1284 Baca, Eunice P., CNM Provider ID #NM006841 BlueLINK ID: 5008228 Lovelace Sandia Health Systems Lovelace Women's Health 4705 Montgomery NE, Ste. 201, 87109 (505) 262-7291 Audiology Clifford, Carol L., MA-CCCA-FAAA Provider ID #NM00K42W BlueLINK ID: 5008186 ZA Albuquerque Hearing Associates 10200 Corrales Rd. NW, Ste. E5A, 87114 (505) 890-0003 Fax No. (505) 890-3330 Hattler, Karl, PhD Provider ID #NM00K43A BlueLINK ID: 7313315 Sonus Hearing Evaluation Center 4620 Jefferson NE, Ste. B, 87109 (505) 889-9000 Fax No. (505) 855-5561 114 Baca, Eunice P., CNM Provider ID #NM006193 BlueLINK ID: 5008228 ES Southwest Medical Associates 6100 Pan Am Frwy. NE, 87109 (505) 823-1010 Fax No. (505) 797-4503 Baca, Eunice P., CNM Provider ID #NM006856 BlueLINK ID: 5008228 Ob/Gyn ES Women's Specialists of NM 8401 Constitution Ave. NE, Ste. 125, 87110 (505) 843-6168 Fax No. (505) 872-0079 Bishop, Lisa, CNM Provider ID #NM006206 BlueLINK ID: 6244000 ES Women's Specialists of NM 201 Cedar SE, Ste. 5640, 87106 (505) 843-6468 Fax No. (505) 247-9743 Blaisdell, Shawn Millicent, CNM Provider ID #NM006205 BlueLINK ID: NPP000 ES FR First Choice Community Healthcare Rio Grande Clinic 2300 Arenal Rd. SW, 87105 (505) 873-4577 Capan, Virginia L., CNM Provider ID #NM003522 BlueLINK ID: 5003973 Low risk OB/GYN University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-2248 Emerson, Michele H., CNM Provider ID #NM006547 BlueLINK ID: 5006109 Women's Specialists of NM 201 Cedar SE, Ste. 5640, 87106 (505) 843-6168 Fax No. (505) 247-9743 Greulich, Mary Beth, CNM Provider ID #NM006519 BlueLINK ID: 5005331 Low risk OB/GYN ES University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-1623 Heath-West, Elizabeth, CNM Provider ID #NM006824 BlueLINK ID: 5009541 Lovelace Sandia Health Systems Lovelace Women's Health 4705 Montgomery NE, Ste. 201, 87109 (505) 262-7291 Johnson, Linda, CNM Provider ID #NM016596 BlueLINK ID: 5009542 Lovelace Sandia Health Systems Lovelace Women's Health 4705 Montgomery NE, Ste. 201, 87109 (505) 262-7291 Kayne, Martha A., CNM Provider ID #NM006520 BlueLINK ID: 5005332 ES University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, 87106 (505) 272-2245 Caspary-Schmidt, Terri, CNM Provider ID #NM006828 BlueLINK ID: 5009553 Lovelace Sandia Health Systems Lovelace Women's Health 4705 Montgomery NE, Ste. 201, 87109 (505) 262-7291 Kimmelman, Wendy S., CNM Provider ID #NM006A21 BlueLINK ID: 6003626 Lovelace Sandia Health Systems Women's Health 4701 Montgomery NE, 87109 (505) 262-7291 Fax No. (505) 727-4625 Castillo, Yvonne, CNM Provider ID #NM016562 BlueLINK ID: 5009742 Lovelace Sandia Health Systems Lovelace Women's Health 4705 Montgomery NE, Ste. 201, 87109 (505) 262-7291 Kinnison, Ardenella L., CNM Provider ID #NM006A15 BlueLINK ID: 5009174 ES Planned Parenthood of New Mexico 9809 Candelaria NE, 87112 (505) 294-1577 Fax No. (505) 294-0182 Cox, Kim, CNM Provider ID #NM006606 BlueLINK ID: 5006279 ES Women's Specialists of NM 6320 Riverside Plaza Ln. NW, Ste. A, 87120 (505) 843-6168 Fax No. (505) 247-9743 Lanin, Abigail R., CNM Provider ID #NM006766 BlueLINK ID: 6002996 Lovelace Sandia Health Systems Lovelace Women's Health 4705 Montgomery NE, Ste. 201, 87109 (505) 262-7291 Craig, Ellen, CNM Provider ID #NM006554 BlueLINK ID: 5005355 Low risk OB/GYN University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-1623 Daniels, Susan, CNM Provider ID #NM006830 BlueLINK ID: 5009558 Lovelace Sandia Health Systems Lovelace Women's Health 4705 Montgomery NE, Ste. 201, 87109 (505) 262-7291 See special note See last page for Provider Language Codes legend Lawton, Robyn, CNM Provider ID #NM006537 BlueLINK ID: 5005347 University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-1623 Leeman, Rebecca M., CNM Provider ID #NM016604 BlueLINK ID: 5006217 ES Women's Specialists of NM 6320 Riverside Plaza Ln. NW, Ste. A, 87120 (505) 843-6168 Fax No. (505) 247-9743 July 2005 Allied Health Practitioners Albuquerque Linder, Deborah, CNM Provider ID #NM006198 BlueLINK ID: 5008329 ES Women's Specialists of NM 201 Cedar SE, Ste. 5640, 87106 (505) 843-6168 Fax No. (505) 247-9743 Rabon, Amy M., CNM Provider ID #NM006765 BlueLINK ID: 5009382 Lovelace Sandia Health Systems Lovelace Women's Health 4705 Montgomery NE, Ste. 201, 87109 (505) 262-7291 Shatar, Karen, CNM Provider ID #NM016062 BlueLINK ID: 5009582 Lovelace Sandia Health Systems Lovelace Women's Health 4705 Montgomery NE, Ste. 201, 87109 (505) 262-7291 Maestas, Amelia H., CNM Provider ID #NM006782 BlueLINK ID: 5009539 Lovelace Sandia Health Systems Lovelace Women's Health 4705 Montgomery NE, Ste. 201, 87109 (505) 262-7291 Radcliffe, Deborah, CNM Provider ID #NM006559 BlueLINK ID: 5005359 Low risk OB/GYN University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-1623 Stalls, Suzanne, CNM Provider ID #NM006592 BlueLINK ID: 5006110 Women's Specialists of NM 201 Cedar SE, Ste. 5640, 87106 (505) 843-6168 Fax No. (505) 247-9743 Manocchio, Regina T., CNM Provider ID #NM006692 BlueLINK ID: 7468194 ES University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, 87106 (505) 272-1623 Migliaccio, Laura D., CNM Provider ID #NM004750 BlueLINK ID: 5004851 Low risk OB/GYN University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, 87106 (505) 272-1623 Miller, Nancy J., CNM Provider ID #NM006593 BlueLINK ID: 5006111 Women's Specialists of NM 201 Cedar SE, Ste. 5640, 87106 (505) 843-6168 Fax No. (505) 247-9743 Mosier, Donna L., CNM Provider ID #NM006603 BlueLINK ID: 5006214 ES Women's Specialists of NM 6320 Riverside Plaza Ln. NW, Ste. A, 87120 (505) 843-6168 Fax No. (505) 462-8913 Murphy, Susan E., CNM Provider ID #NM006224 BlueLINK ID: 5007413 Planned Parenthood of New Mexico 3625 Central Ave. NE, 87108 (505) 265-3722 Fax No. (505) 265-3724 Murphy, Susan E., CNM Provider ID #NM006224 BlueLINK ID: 5007413 Planned Parenthood of New Mexico 9809 Candelaria NE, Ste. 3A, 87112 (505) 265-5976 Fax No. (505) 294-0182 Pino, Michelle, CNM Provider ID #NM006199 BlueLINK ID: 5008354 Women's Specialists of NM 6320 Riverside Plaza Ln. NW, Ste. A, 87120 (505) 843-6168 Fax No. (505) 247-9743 July 2005 Rode, Martha, CNM Provider ID #NM006572 BlueLINK ID: 5005367 Low risk OB/GYN University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-1623 Rothfork, Gail L., CNM Provider ID #NM006223 BlueLINK ID: 5007365 Planned Parenthood of New Mexico 9809 Candelaria NE, Ste. 3A, 87112 (505) 294-1477 Fax No. (505) 294-0182 Ryan, Dympna M., CNM Provider ID #NM006569 BlueLINK ID: 5005365 Low risk OB/GYN University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-1623 Schlinger, Hilary A., CNM Provider ID #NM006A33 BlueLINK ID: 5005329 ES Integrative Medicine Clinic 8324 Constitution NE, 87110 (505) 256-3648 Fax No. (505) 526-9778 Schlinger, Hilary A., CNM Provider ID #NM006A19 BlueLINK ID: 5005329 ES Planned Parenthood of New Mexico 701 San Mateo NE, 87108 (505) 265-9511 Schlinger, Hilary A., CNM Provider ID #NM006A19 BlueLINK ID: 5005329 ES Planned Parenthood of New Mexico 9808 Candelaria NE, 87112 (505) 294-1577 Fax No. (505) 294-0182 Schlinger, Hilary A., CNM Provider ID #NM006517 BlueLINK ID: 5005329 ES Sage Femme Midwifery 520 Tomasita NE, 87123 (505) 266-8577 Fax No. (505) 232-8986 Sedler, Kay, CNM Provider ID #NM006556 BlueLINK ID: 5005357 University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-1623 Stetson, Victoria, CNM Provider ID #NM006821 BlueLINK ID: 5009513 Lovelace Sandia Health Systems Lovelace Women's Health 4705 Montgomery NE, Ste. 201, 87109 (505) 262-7291 Tarrant, Elizabeth H., CNM Provider ID #NM006699 BlueLINK ID: 7153018 University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, 87106 (505) 272-1623 Tiryaki, Martha, CNM Provider ID #NM006825 BlueLINK ID: 5009543 Lovelace Sandia Health Systems Lovelace Women's Health 4705 Montgomery NE, Ste. 201, 87109 (505) 262-7291 Williams, Jennifer A., CNM Provider ID #NM009M43 BlueLINK ID: 6003031 Lovelace Sandia Health Systems Lovelace Women's Health 4705 Montgomery NE, Ste. 201, 87109 (505) 262-7291 Certified Nurse Practitioners Allen, Katherine A., CNP Provider ID #NM006854 BlueLINK ID: 5010163 ES Planned Parenthood of New Mexico 3625 Central Ave. NE, 87108 (505) 265-3722 Fax No. (505) 265-3724 Anaya, Deborah, CNP Provider ID #NM007499 BlueLINK ID: 7120396 University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1734 Antle, Emily J., CNP Provider ID #NM006665 BlueLINK ID: 5009647 Lovelace Sandia Health Systems Gibson Hematology/Oncology 5400 Gibson SE, 87108 (505) 262-7170 Baca, Janet G., ANP Provider ID #NM00R79Z BlueLINK ID: 5009752 1311 Camino Ecuestra NW, 87107 (505) 345-4647 Fax No. (505) 345-3127 See special note See last page for Provider Language Codes legend Benson, Erika L., CNP Provider ID #NM006887 BlueLINK ID: 7136665 ES Planned Parenthood of New Mexico, Inc. 3625 Central Ave. NE, 87108 (505) 265-3722 Fax No. (505) 265-3724 Benson, Erika L., CNP Provider ID #NM006887 BlueLINK ID: 7136665 ES Planned Parenthood of New Mexico, Inc. 701 San Mateo NE, 87108 (505) 265-9511 Fax No. (505) 268-4350 Benson, Erika L., CNP Provider ID #NM006887 BlueLINK ID: 7136665 ES Planned Parenthood of New Mexico, Inc. 9809 Candelaria NE, 87112 (505) 294-1577 Fax No. (505) 294-0182 Bird, Martha B., CNP Provider ID #NM006724 BlueLINK ID: 5009637 Lovelace Sandia Health Systems Rio Bravo Family Medicine 200 Rio Bravo SW, 87105 (505) 873-6400 Bishop, Barbara J., CNP Provider ID #NM006233 BlueLINK ID: 5007648 ES Planned Parenthood of New Mexico 3625 Central Ave. NE, 87108 (505) 265-3722 Fax No. (505) 265-3724 Bishop, Barbara J., CNP Provider ID #NM006233 BlueLINK ID: 5007648 ES Planned Parenthood of New Mexico 701 San Mateo NE, 87108 (505) 265-9511 Fax No. (505) 266-1017 Bishop, Barbara J., CNP Provider ID #NM006233 BlueLINK ID: 5007648 ES Planned Parenthood of New Mexico 9809 Candelaria NE, 87108 (505) 294-1577 Fax No. (505) 294-0182 Blaisdell, Shawn Millicent, CFNP Provider ID #NM006528 BlueLINK ID: 7114910 ES FR University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1734 Burmeister, Carol L., CNP Provider ID #NM006677 BlueLINK ID: 7113469 Patients over age 18 ES SW Gastroenterology Associates 201 Cedar SE, Ste. 4600, 87106 (505) 563-8018 Fax No. (505) 563-8012 115 Allied Health Practitioners Mancini, Felecia, CNM Provider ID #NM006548 BlueLINK ID: 7451060 Women's Specialists of NM 201 Cedar SE, Ste. 5640, 87106 (505) 843-6168 Fax No. (505) 247-9743 Bartram, Joanne, FNP Provider ID #NM006722 BlueLINK ID: 5009592 Lovelace Sandia Health Systems Gibson Pediatrics 5400 Gibson SE, 87108 (505) 262-7594 Albuquerque Burmeister, Carol L., CNP Provider ID #NM006677 BlueLINK ID: 7113469 Patients over age 18 ES SW Gastroenterology Associates 4705 Montgomery NE, Ste. 202, 87109 (505) 727-6776 Fax No. (505) 727-6752 Allied Health Practitioners Carruthers, Karen H., CNP Provider ID #NM006895 BlueLINK ID: 6003357 ES Planned Parenthood of New Mexico 3625 Central Ave. NE, 87108 (505) 265-3722 Fax No. (505) 265-3724 Carruthers, Karen H., CNP Provider ID #NM006895 BlueLINK ID: 6003357 ES Planned Parenthood of New Mexico 701 San Mateo NE, 87108 (505) 265-9511 Fax No. (505) 268-4350 Carruthers, Karen H., CNP Provider ID #NM006895 BlueLINK ID: 6003357 ES Planned Parenthood of New Mexico 9809 Candelaria NE, 87112 (505) 294-1577 Chavez, Julia R., CFNP Provider ID #NM006395 BlueLINK ID: 7412286 ES NM Clinical Research & Osteoporosis 300 Oak St. NE, 87106 (505) 855-5525 Fax No. (505) 884-4006 Claussen, Kathleen M., CNP Provider ID #NM016713 BlueLINK ID: 5009385 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3850 Colombel, Cecilia A., CNP Provider ID #NM006374 BlueLINK ID: 5001176 ES Women's Specialists of NM 201 Cedar SE, Ste. 5640, 87106 (505) 843-6168 Fax No. (505) 247-9743 Cyphert, Debra L., CNP Provider ID #NM006A16 BlueLINK ID: 6003602 Geriatrics Associates, PC 5353 Wyoming NE, Ste. 5, 87109 (505) 858-1222 Fax No. (505) 858-1224 Dalen, Kerry A., CFNP Provider ID #NM006701 BlueLINK ID: 7413965 University Physicians Associates UNM Dept. of Emergency Medicine 2211 Lomas NE, 87106 (505) 272-2241 De Rego, Ruth, CNP Provider ID #NM006682 BlueLINK ID: 7447361 University Physicians Associates UNM Dept. of Internal Medicine 1209 University NE, 87102 (505) 272-4400 DeMarrias, Colette M., CNP Provider ID #NM006201 BlueLINK ID: 5008364 ES 8200 Constitution NE, 87110 (505) 299-4414 116 Allied Health Practitioners Dominguez, Linda, CNP Provider ID #NM006237 BlueLINK ID: 5007684 ES Planned Parenthood of New Mexico 3625 Central Ave. NE, 87108 (505) 265-3722 Fax No. (505) 265-3724 Dominguez, Linda, CNP Provider ID #NM006237 BlueLINK ID: 5007684 ES Planned Parenthood of New Mexico 701 San Mateo NE, 87108 (505) 265-9511 Fax No. (505) 266-1017 Dominguez, Linda, CNP Provider ID #NM006237 BlueLINK ID: 5007684 ES Planned Parenthood of New Mexico 9809 Candelaria NE, 87108 (505) 294-1577 Fax No. (505) 294-0182 Dork, Leslie A., CNP Provider ID #NM006202 BlueLINK ID: 7144875 ES Renal Medicine Associates 201 Cedar SE, Ste. 800, 87106 (505) 563-2800 Fax No. (505) 563-2821 Evans, Elizabeth C., CNP Provider ID #NM006204 BlueLINK ID: 82237069 Patients over age 13 ES Infectious Diseases & Internal Medicine Associates 500 Walter NE, Ste. 104, 87102 (505) 848-3730 Fax No. (505) 848-3732 Fiato, Karen-Lynn, ACNP Provider ID #NM006B32 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3830 Finelli, Janis C., CNP Provider ID #NM006896 BlueLINK ID: 6003364 Planned Parenthood of New Mexico 3625 Central NE, 87108 (505) 265-3722 Fryeweaver, Nancy, CNP Provider ID #NM006839 BlueLINK ID: 7463305 Lovelace Sandia Health Systems Gibson OB/GYN 5400 Gibson SE, 87108 (505) 262-7291 Fuller, Deborah J., CNP Provider ID #NM006181 BlueLINK ID: 7122326 ES First Choice Community Healthcare South Valley Clinic 2001 N. Centro Familiar SW, 87105 (505) 873-7400 Fax No. (505) 873-4400 Gagnon, Suzanne, CNP Provider ID #NM006B28 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Gallegos, Myrna M., CNP Provider ID #NM006726 BlueLINK ID: 7463425 Lovelace Sandia Health Systems Westside Family Medicine 2929 Coors Blvd. NW, 87120 (505) 839-2300 Gilbert, Linda L., CNNP Provider ID #NM006758 BlueLINK ID: 7191306 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Hendrickson, Patricia A., CNP Provider ID #NM006780 BlueLINK ID: 7464683 Lovelace Sandia Health Systems Journal Center OB/GYN 5150 Journal Center Blvd. NE, 87109 (505) 262-3218 Goss, Lorraine A., CNP Provider ID #NM006891 BlueLINK ID: 7459314 Patients 18 and over ES Digestive Disease Consultants 1001 Silver SE, Ste. 200, 87106 (505) 224-7000 Fax No. (505) 224-7292 Hendrickson, Patricia A., CNP Provider ID #NM006234 BlueLINK ID: 5007649 ES Planned Parenthood of New Mexico 3625 Central Ave. NE, 87108 (505) 265-3722 Fax No. (505) 265-3724 Harding, Judith M., CNP Provider ID #NM006888 BlueLINK ID: 6003138 ES Planned Parenthood of New Mexico, Inc. 3625 Central Ave. NE, 87108 (505) 265-3722 Fax No. (505) 265-3724 Harding, Judith M., CNP Provider ID #NM006888 BlueLINK ID: 6003138 ES Planned Parenthood of New Mexico, Inc. 701 San Mateo NE, 87108 (505) 265-9511 Fax No. (505) 268-4350 Harding, Judith M., CNP Provider ID #NM006888 BlueLINK ID: 6003138 ES Planned Parenthood of New Mexico, Inc. 9809 Candelaria NE, 87112 (505) 294-1577 Fax No. (505) 294-0182 Harmon, Christine, CFNP Provider ID #NM006852 BlueLINK ID: 5010123 Lovelace Sandia Health Systems Journal Center Pediatrics 5150 Journal Center Blvd. NE, 87109 (505) 262-3219 Hawkins, Mary F., CNP Provider ID #NM006A29 BlueLINK ID: 6003834 University Physicians Associates University Hospital 2211 Lomas NE, 87106 (505) 272-6901 Helmick, Carrie F., CNP Provider ID #NM006239 BlueLINK ID: 5007699 ES Planned Parenthood of New Mexico 3625 Central Ave. NE, 87108 (505) 265-3722 Fax No. (505) 265-3724 Helmick, Carrie F., CNP Provider ID #NM006239 BlueLINK ID: 5007699 ES Planned Parenthood of New Mexico 701 San Mateo NE, 87108 (505) 265-9511 Fax No. (505) 266-1017 Helmick, Carrie F., CNP Provider ID #NM006239 BlueLINK ID: 5007699 ES Planned Parenthood of New Mexico 9809 Candelaria NE, 87108 (505) 294-1577 Fax No. (505) 294-0182 See special note See last page for Provider Language Codes legend Hendrickson, Patricia A., CNP Provider ID #NM006234 BlueLINK ID: 5007649 ES Planned Parenthood of New Mexico 701 San Mateo NE, 87108 (505) 265-9511 Fax No. (505) 266-1017 Hendrickson, Patricia A., CNP Provider ID #NM006234 BlueLINK ID: 5007649 ES Planned Parenthood of New Mexico 9809 Candelaria NE, 87108 (505) 294-1577 Fax No. (505) 294-0182 Huffine, Karen E., CNP Provider ID #NM006A49 BlueLINK ID: 6004138 ES University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, 87106 (505) 272-2245 Hull, Cynthia G., CNP Provider ID #NM006848 BlueLINK ID: 5010062 High risk obstetric patients ES Perinatal Associates of NM 201 Cedar SE, Ste. 405, 87106 (505) 764-9535 Fax No. (505) 843-9646 Johns, Carolyn, ANP Provider ID #NM006719 BlueLINK ID: 7464688 Lovelace Sandia Health Systems Gibson Cardiology 5400 Gibson SE, 87108 (505) 262-7451 Johnson, Edalyn K., CFNP Provider ID #NM006248 BlueLINK ID: 7447909 ES Natural Women's Health 1924 Juan Tabo NE, Ste. A, 87112 (505) 292-2222 Johnston, Sharon M., CNP Provider ID #NM006A28 BlueLINK ID: 6003804 ES Planned Parenthood of New Mexico 3625 Central Ave. NE, 87108 (505) 265-3722 Fax No. (505) 265-3724 Johnston, Sharon M., CNP Provider ID #NM006A28 BlueLINK ID: 6003804 ES Planned Parenthood of New Mexico 9809 Candelaria NE, 87112 (505) 294-1577 Fax No. (505) 294-0182 July 2005 Allied Health Practitioners Albuquerque Landen, Jenny B., CNP Provider ID #NM006241 BlueLINK ID: 5007770 ES Planned Parenthood of New Mexico 701 San Mateo NE, 87108 (505) 265-9511 Fax No. (505) 266-1017 Jones, Martha J., CNP Provider ID #NM006A26 BlueLINK ID: 6003698 ES Planned Parenthood of New Mexico 9809 Candelaria NE, 87112 (505) 294-1577 Fax No. (505) 294-0182 Landen, Jenny B., CNP Provider ID #NM006241 BlueLINK ID: 5007770 ES Planned Parenthood of New Mexico 9809 Candelaria NE, 87108 (505) 294-1577 Fax No. (505) 294-0182 Jorgensen, Ethel M., CNP Provider ID #NM006238 BlueLINK ID: 5007698 ES Planned Parenthood of New Mexico 3625 Central Ave. NE, 87108 (505) 265-3722 Fax No. (505) 265-3724 Le Blanc, Laura, CNP Provider ID #NM006A18 BlueLINK ID: 6003620 ES Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Jorgensen, Ethel M., CNP Provider ID #NM006238 BlueLINK ID: 5007698 ES Planned Parenthood of New Mexico 701 San Mateo NE, 87108 (505) 265-9511 Fax No. (505) 266-1017 Jorgensen, Ethel M., CNP Provider ID #NM006238 BlueLINK ID: 5007698 ES Planned Parenthood of New Mexico 9809 Candelaria NE, 87108 (505) 294-1577 Fax No. (505) 294-0182 Ketcheson, Donna A., CNP Provider ID #NM006236 BlueLINK ID: 5007666 ES Planned Parenthood of New Mexico 3625 Central Ave. NE, 87108 (505) 265-3722 Fax No. (505) 265-3724 Ketcheson, Donna A., CNP Provider ID #NM006236 BlueLINK ID: 5007666 ES Planned Parenthood of New Mexico 701 San Mateo NE, 87108 (505) 265-9511 Fax No. (505) 266-1017 Ketcheson, Donna A., CNP Provider ID #NM006236 BlueLINK ID: 5007666 ES Planned Parenthood of New Mexico 9809 Candelaria NE, 87108 (505) 294-1577 Fax No. (505) 294-0182 Kingston, Patricia, CNP Provider ID #NM06836 BlueLINK ID: 7463270 Lovelace Sandia Health Systems Gibson Orthopaedics 5400 Gibson SE, 87108 (505) 262-7161 Landen, Jenny B., CNP Provider ID #NM006241 BlueLINK ID: 5007770 ES Planned Parenthood of New Mexico 3625 Central Ave. NE, 87108 (505) 265-3722 Fax No. (505) 265-3724 July 2005 Madden, Carol A., CFNP Provider ID #NM00R93U BlueLINK ID: 7447604 ZB Rio Grande Family Medicine 717 Encino Pl. NE, Ste. 24, 87102 (505) 224-7400 Fax No. (505) 224-7404 Martinek, Caroline R., CNP Provider ID #NM006693 BlueLINK ID: 7499923 University Physicians Associates University Hospital 2400 Tucker NE, 87106 (505) 272-1734 Mayo, Rebecca L., CNP Provider ID #NM006A47 University Physicians Associates UNM Dept. of Internal Medicine 2211 Lomas NE, 87106 (505) 272-3840 McCollum, Kaylene, CNP Provider ID #NM006609 BlueLINK ID: 7123041 University Physicians Associates UNM Dept. of Family & Community Medicine 2400 Tucker NE, 87106 (505) 272-1734 Miller, Kenneth P., CNP Provider ID #NM006695 BlueLINK ID: 7111790 University Physicians Associates UNM Dept. of Family & Community Medicine 1231 Candelaria NW, 87107 (505) 272-2158 Moffatt, Billye, CNP Provider ID #NM006748 BlueLINK ID: 5010026 ES Pediatric Health Services 10110 Spain NE, 87111 (505) 294-5065 Fax No. (505) 298-2731 Monagle, Leslie K., CNP Provider ID #NM006242 BlueLINK ID: 590753 ES SW Gastroenterology Associates 201 Cedar SE, Ste. 4600, 87106 (505) 563-8018 Fax No. (505) 563-8012 Monagle, Leslie K., CNP Provider ID #NM006242 BlueLINK ID: 590753 ES SW Gastroenterology Associates 4705 Montgomery NE, Ste. 202, 87109 (505) 727-7667 Fax No. (505) 727-6793 Mondragon, Carmela C., CNP Provider ID #NM006184 BlueLINK ID: 5006249 ES First Choice Community Healthcare South Broadway Clinic 1316 Broadway SE, 87102 (505) 768-5450 Fax No. (505) 842-1185 Rodgers, Sophia A., CNP Provider ID #NM006885 BlueLINK ID: 7463300 ZH Vaspro II of New Mexico 10400 Academy Rd. NE, Ste. 340, 87111 (505) 298-1558 Fax No. (505) 298-7012 Montanez, Lauri L., CNP Provider ID #NM006A20 BlueLINK ID: 6003623 Lovelace Sandia Health Systems Gibson Cardiology 5400 Gibson SE, 87108 (505) 262-7451 Fax No. (505) 262-7870 Rogers, Heidi, FNPC Provider ID #NM006195 BlueLINK ID: 5008271 ES First Choice Community Healthcare Alameda Clinic 7704 2nd St. NW, Ste. A, 87107 (505) 890-1458 Fax No. (505) 890-1599 Nipp, Julieann M., CFNP Provider ID #NM006709 BlueLINK ID: 5009363 ES Albuquerque Family & Sports Medicine 101 Hospital Lp. NE, Ste. 209, 87109 (505) 872-8727 Fax No. (505) 872-8728 Pangan, Eliezer, CNP Provider ID #NM006720 BlueLINK ID: 7141119 Lovelace Sandia Health Systems Gibson Cardiology 5400 Gibson SE, 87108 (505) 262-7451 Pelzl, Beverly R., RNFA Provider ID #NM006315 BlueLINK ID: 6001198 1500 Boatright NE, 87112 (505) 884-1214 Fax No. (505) 884-8139 Peterson, Jay W., CNP Provider ID #NM006A01 BlueLINK ID: 6003345 Lovelace Sandia Health Systems Gibson Nephrology 5400 Gibson SE, 87108 (505) 262-7579 Pitkin, Coral, CNP Provider ID #NM006200 BlueLINK ID: 7484701 ES Women's Specialists of NM 6320 Riverside Plaza Ln. NW, Ste. A, 87120 (505) 843-6168 Fax No. (505) 247-9743 Sanchez, Claudia A., CNP Provider ID #NM006B33 ES University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Schoenfeld, Patricia, FNP Provider ID #NM006245 BlueLINK ID: 7437154 University Physicians Associates UNM Cancer Research & Treatment Center 900 Camino de Salud NE, 87106 (505) 272-2839 Schreurs, Kristin R., CNP Provider ID #NM006379 BlueLINK ID: 5006190 ES Women's Specialists of NM 201 Cedar SE, Ste. 5640, 87106 (505) 843-6168 Fax No. (505) 247-9743 Servilla, Michael, CFNP Provider ID #NM006710 BlueLINK ID: 7445007 University Physicians Associates University Hospital 7801 Academy NE, 87109 (505) 272-2700 Sigler, Virginia A., ANP Provider ID #NM006718 BlueLINK ID: 7467304 Lovelace Sandia Health Systems Gibson Cardiology 5400 Gibson SE, 87108 (505) 262-7451 Prak, Sopheavy S., CNP Provider ID #NM006634 BlueLINK ID: 7154233 ES Manzano Medical Group 505 Elm NE, 87125 (505) 727-4919 Fax No. (505) 727-4915 Stapleton, James, FNP Provider ID #NM006698 BlueLINK ID: 7462336 University Physicians Associates UNM Dept. of Family & Community Medicine 1231 Candelaria NW, 87107 (505) 272-2158 Ralstin, Anita M., NP Provider ID #NM00RD08 BlueLINK ID: 7443455 New Mexico Heart Institute 502 Elm St. NE, 87102 (505) 841-1000 Fax No. (505) 843-2584 Stebleton, Janet C., CNP Provider ID #NM006725 BlueLINK ID: 7111540 Lovelace Sandia Health Systems NM Center for Sleep Medicine 4700 Jefferson NE, Ste. 800, 87109 (505) 872-6000 Reiter, Rebecca, CNP Provider ID #NM006831 BlueLINK ID: 7463298 Lovelace Sandia Health Systems Gibson OB/GYN 5400 Gibson SE, 87108 (505) 262-7291 Steffens, Geoffrey, CNP Provider ID #NM006787 BlueLINK ID: 7499926 Lovelace Sandia Health Systems Lovelace Medical Center 5400 Gibson SE, 87108 (505) 262-7000 Rodgers, Sophia A., CNP Provider ID #NM006820 BlueLINK ID: 7463300 Lovelace Sandia Health Systems Gibson General Surgery 5400 Gibson SE, 87108 (505) 262-7281 Stowe, Harvey O., CNMP Provider ID #NM006B30 BlueLINK ID: 7129753 University Physicians Associates UNM Dept. of Radiology 2211 Lomas NE, 87106 (505) 272-2423 See special note See last page for Provider Language Codes legend 117 Allied Health Practitioners Jones, Martha J., CNP Provider ID #NM006A26 BlueLINK ID: 6003698 ES Planned Parenthood of New Mexico 3625 Central Ave. NE, 87108 (505) 265-3722 Fax No. (505) 265-3724 Albuquerque Tigges, Beth, CNP-PhD Provider ID #NM00JJ68 BlueLINK ID: 7414487 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 Allied Health Practitioners Tomky, Donna, CNP Provider ID #NM006740 BlueLINK ID: 7129908 Lovelace Sandia Health Systems Gibson Endocrinology 5400 Gibson SE, 87108 (505) 262-7455 VanSciver, Patricia, CNP Provider ID #NM006783 BlueLINK ID: 7463271 Lovelace Sandia Health Systems Gibson Pulmonary 5400 Gibson SE, 87108 (505) 262-7223 Vigil, Gloria, CNP Provider ID #NM006235 BlueLINK ID: 5007650 ES Planned Parenthood of New Mexico 3625 Central Ave. NE, 87108 (505) 265-3722 Fax No. (505) 265-3724 Vigil, Gloria, CNP Provider ID #NM006235 BlueLINK ID: 5007650 ES Planned Parenthood of New Mexico 701 San Mateo NE, 87108 (505) 265-9511 Fax No. (505) 266-1017 Vigil, Gloria, CNP Provider ID #NM006235 BlueLINK ID: 5007650 ES Planned Parenthood of New Mexico 9809 Candelaria NE, 87108 (505) 294-1577 Fax No. (505) 294-0182 Walker, Donna, CNP Provider ID #NM006197 BlueLINK ID: 7445510 ES Women's Specialists of NM 201 Cedar SE, Ste. 5640, 87106 (505) 843-6168 Fax No. (505) 247-9743 Walker, Sharon, CNP Provider ID #NM006721 BlueLINK ID: 7499921 Lovelace Sandia Health Systems Gibson Cardiology 5400 Gibson SE, 87108 (505) 262-7451 Wheeler, Marianne, CNP Provider ID #NM006851 BlueLINK ID: 5010114 Lovelace Sandia Health System Tramway Family Medicine 13701 Encantado Rd. NE, 87123 (505) 237-8700 Wittenburg, Rebecca L., CNP Provider ID #NM016607 BlueLINK ID: 7486702 Adults ES IT HI SW Endocrinology Associates 4600 Jefferson NE, Ste. A, 87109 (505) 872-1002 Fax No. (505) 888-3708 Wood, Myrna, CNP Provider ID #NM006267 BlueLINK ID: 7428838 Geriatrics Associates, PC 5353 Wyoming NE, Ste. 5, 87109 (505) 858-1222 Fax No. (505) 858-1224 118 Allied Health Practitioners Certified Registered Nurse Anesthetists Batson, Darlene L., CRNA Provider ID #NM006627 BlueLINK ID: 5008705 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Bendorf, Allan G., CRNA Provider ID #NM006A13 BlueLINK ID: 6003577 Ophthalmic Anesthesia Services PC 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 Boyd, Lisa K., CRNA Provider ID #NM006A11 BlueLINK ID: 6003567 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 2nd Flr., 87108 (505) 262-7197 Fax No. (505) 262-3159 Brown, Pauline C., CRNA Provider ID #NM006A10 BlueLINK ID: 6003550 ES Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Carlson, David A., CRNA Provider ID #NM006892 BlueLINK ID: 6003209 Anesthesia only ES Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 DiLeo, Trudy, CRNA Provider ID #NM006210 BlueLINK ID: 5008618 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Dobbs, Leslie C., CRNA Provider ID #NM006715 BlueLINK ID: 5007200 Ophthalmic Anesthesia Services 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 Donovan, Marguerita R., CRNA Provider ID #NM006894 BlueLINK ID: 6003278 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Fax No. (505) 262-3159 Drendel, Mark, CRNA Provider ID #NM006727 BlueLINK ID: 5009441 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 DuVall, Darryl J., CRNA Provider ID #NM016191 BlueLINK ID: 5008185 Physicians Group of Sandia Health Systems NE Heights Anesthesiology 4701 Montgomery NE, 87109 (505) 727-7810 Fax No. (505) 727-7888 Hensley, Sharon K., CRNA Provider ID #NM006214 BlueLINK ID: 5007176 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Dyer, Elizabeth C., CRNA Provider ID #NM006728 BlueLINK ID: 7341865 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Hensley, Sharon K., CRNA Provider ID #NM026911 BlueLINK ID: 5007176 Physicians Group of Sandia Health Systems NE Heights Anesthesiology 4701 Montgomery NE, 87109 (505) 727-7810 Fax No. (505) 727-7888 Edwards, Mark A., CRNA Provider ID #NM006730 BlueLINK ID: 5009732 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Hewitt, Wendolyn K., CRNA Provider ID #NM006215 BlueLINK ID: 5008645 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Everhart, Michael R., CRNA Provider ID #NM006731 BlueLINK ID: 5009733 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Horanburg, Linda M., CRNA Provider ID #NM006216 BlueLINK ID: 5008646 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Franic, Karmella M., CRNA Provider ID #NM006732 BlueLINK ID: 5009734 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Humphrey, James G., CRNA Provider ID #NM026913 BlueLINK ID: 5007185 Physicians Group of Sandia Health Systems NE Heights Anesthesiology 4701 Montgomery NE, 87109 (505) 727-7810 Fax No. (505) 727-7888 Frank, Lisa A., CRNA Provider ID #NM006733 BlueLINK ID: 7309021 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Frantz, Robert D., CRNA Provider ID #NM006858 BlueLINK ID: 5010243 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Gautreaux, Doug, CRNA Provider ID #NM006686 BlueLINK ID: 5006080 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Gillespie, Thomas James, CRNA Provider ID #NM006211 BlueLINK ID: 5008637 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Gillespie, Thomas James, CRNA Provider ID #NM009E47 BlueLINK ID: 5008637 University Physicians Associates 2701 Frontier NE, 87106 (505) 272-2610 DuVall, Darryl J., CRNA Provider ID #NM006814 BlueLINK ID: 5007134 Ophthalmic Anesthesia Services 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 Hanna, Paul Samuel, CRNA Provider ID #NM006690 BlueLINK ID: 5006080 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 DuVall, Darryl J., CRNA Provider ID #NM016191 BlueLINK ID: 5008185 Physicians Group of Sandia Health Systems 601 Dr. M. L. King Jr. NE, 87102 (505) 727-7860 Fax No. (505) 727-7888 Henderson, Gloria J., CRNA Provider ID #NM006849 BlueLINK ID: 7309025 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 See special note See last page for Provider Language Codes legend Kelly, Monica S., CRNA Provider ID #NM006734 BlueLINK ID: 5009736 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Klein, Nancy H., CRNA Provider ID #NM006652 BlueLINK ID: 5009167 Anesthesia Specialists of Albuquerque 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 Koza, Marjorie S., CRNA Provider ID #NM006A14 BlueLINK ID: 6003578 Ophthalmic Anesthesia Services PC 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 Leckey, Beth, CRNA Provider ID #NM006764 BlueLINK ID: 6002983 Physicians Group of Sandia Health Systems NE Heights Anesthesiology 4701 Montgomery NE, 87109 (505) 727-7810 McCormick, Anita K., CRNA Provider ID #NM006735 BlueLINK ID: 5009737 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Meglan, Letitia A., CRNA Provider ID #NM006217 BlueLINK ID: 5008653 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 July 2005 Allied Health Practitioners Albuquerque Redlin, Patricia, CRNA Provider ID #NM006624 BlueLINK ID: 5008692 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Montplasir, Jacque, CRNA Provider ID #NM016218 BlueLINK ID: 5008656 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Reimann, Lawrence L., CRNA Provider ID #NM006738 BlueLINK ID: 5007940 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Nicholson, David L., CRNA Provider ID #NM006A04 BlueLINK ID: 6003412 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Fax No. (505) 262-3159 Roberts, Raymond D., CRNA Provider ID #NM006623 BlueLINK ID: 5008690 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Noltensmeyer, M. David, CRNA Provider ID #NM006219 BlueLINK ID: 5008657 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Oase, Cynthia A., CRNA Provider ID #NM006736 BlueLINK ID: 7309023 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Obojski, Catherine A., CRNA Provider ID #NM006220 BlueLINK ID: 5008658 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Oglesby, Christopher J., CRNA Provider ID #NM006893 BlueLINK ID: 6003266 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Fax No. (505) 262-3159 Paul, Robert C., CRNA Provider ID #NM006737 BlueLINK ID: 5009739 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Pennington, Kathleen, CRNA Provider ID #NM006221 BlueLINK ID: 5008661 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Perkins, Lola, CRNA Provider ID #NM006696 BlueLINK ID: 5006080 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Raterman, Steven, CRNA Provider ID #NM006622 BlueLINK ID: 5008688 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 July 2005 Sanford, Gerald L., CRNA Provider ID #NM006625 BlueLINK ID: 5007440 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Scherger, Dan M., CRNA Provider ID #NM006813 BlueLINK ID: 5009334 Anesthesia Specialists of Albuquerque 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 Shunick, Jennifer A., CRNA Provider ID #NM006255 BlueLINK ID: 5008557 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Swanson, John H., CRNA Provider ID #NM009L71 BlueLINK ID: 3143154 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Fax No. (505) 262-3159 Vaughn, Terry K., CRNA Provider ID #NM006626 BlueLINK ID: 5008699 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87110 (505) 260-4300 Fax No. (505) 260-4338 Vaughn, Terry Kent, CRNA Provider ID #NM006270 BlueLINK ID: 5005122 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Wagner, Laurie A., CRNA Provider ID #NM006A09 BlueLINK ID: 5009310 Ophthalmic Anesthesia Services PC 500 Walter NE, 87102 (505) 243-7729 Fax No. (505) 243-4804 Wagner, Laurie, CRNA Provider ID #NM006705 BlueLINK ID: 5009310 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Williams, Lynda A., CRNA Provider ID #NM006A05 BlueLINK ID: 6003413 Lovelace Sandia Health Systems Gibson Anesthesiology 5400 Gibson SE, 87108 (505) 262-7197 Fax No. (505) 262-3159 Chiropractic Adams, Elaine, DC Provider ID #NM00KJ78 BlueLINK ID: 8211542 ES Lifetime Chiropractic 7007 Wyoming NE, Ste. E1, 87109 (505) 822-0306 Fax No. (505) 822-0316 Adams, Elaine, DC Lifetime Chiropractic 7007 Wyoming NE, Ste. E1 (505) 822-0306 Alexander, Blair T., DC Provider ID #NM00K216 BlueLINK ID: 8243043 Alexander Chiropractic 3800 Wyoming NE, 87111 (505) 296-1639 Fax No. (505) 296-5610 Anderson, Carl L., Jr., DC Provider ID #NM00KJ45 BlueLINK ID: 5000129 10108 Menaul NE, Ste. M22, 87112 (505) 332-0557 Antonsen, Christian L., DC Provider ID #NM01KJ12 BlueLINK ID: 5009823 ES CareMore Chiropractic 3100 Coors Blvd. NW, 87120 (505) 831-0022 Fax No. (505) 831-7158 Arnold, Tom, DC Provider ID #NM00K061 BlueLINK ID: 8205895 ES Albuquerque Accident & Injury Center 214 San Pedro NE, 87108 (505) 268-1224 Fax No. (505) 255-8794 Atchley, Lyman S., DC Provider ID #NM00K968 BlueLINK ID: 8140853 ES 8004 Pennsylvania Cir. NE, 87110 (505) 265-5651 Fax No. (505) 268-0820 Bare, James E., DC Provider ID #NM00K557 BlueLINK ID: 8140855 8005 Marble NE, 87110 (505) 268-4272 Bateman, Timothy A., DC Provider ID #NM01KJ10 BlueLINK ID: 8264656 ES CareMore Chiropractic 400 Louisiana SE, 87108 (505) 266-4211 Fax No. (505) 256-0000 Beatty, Herbert M., DC Provider ID #NM00K530 BlueLINK ID: 8140859 8004 Pennsylvania Cir. NE, 87110 (505) 268-2465 Fax No. (505) 268-0820 Beresky, John, DC Provider ID #NM01KA56 BlueLINK ID: 5009822 ES CareMore Chiropractic 2501 4th St. NW, 87102 (505) 247-4040 Fax No. (505) 843-6620 Berlin, John G, DC Provider ID #NM01KB74 BlueLINK ID: 8218295 CareMore Chiropractic 1820 Juan Tabo NE, 87112 (505) 296-0296 Fax No. (505) 293-6701 Bonney, Donald E., DC Provider ID #NM00K894 BlueLINK ID: 8140863 ES Accident & Pain Center 10200 Corrales Rd. NW, Ste. D1, 87114 (505) 897-2682 Fax No. (505) 792-2348 Burns, Jennifer J., DC Provider ID #NM00KC20 BlueLINK ID: 5006274 ES 3636 Menaul NE, Ste. 307, 87110 (505) 883-5443 Fax No. (505) 883-5443 Byrd, Robert E., DC Provider ID #NM01K682 BlueLINK ID: 8175019 Accident Back & Neck Care Center, Inc. 7611 Indian School NE, Ste. 104, 87110 (505) 268-0808 Fax No. (505) 268-2458 Cannon, Gregory E., DC Provider ID #NM01KC69 BlueLINK ID: 5008801 Sun Country Healthcare Network 8002 Menaul NE, 87110 (505) 294-7646 Cecil, Christopher C., DC Provider ID #NM00KJ00 BlueLINK ID: 8192581 ES Albuquerque Neck & Back Pain Center 1415 University NE, Ste. A, 87102 (505) 243-1313 Fax No. (505) 842-5683 Claussen, John C., DC Provider ID #NM00KJ74 BlueLINK ID: 6003762 Bear Canyon Health Circle 4800 Juan Tabo NE, Ste. B, 87110 (505) 888-1795 Fax No. (505) 888-1904 Email: [email protected] Crivelli, Francesco N., DC Provider ID #NM00KJ61 BlueLINK ID: 5008655 6821 Montgomery NE, Ste. B, 87109 (505) 884-7402 Fax No. (505) 888-0027 DeFelice, Richard P., DC Provider ID #NM00KJ21 BlueLINK ID: 6003267 Lovelace Sandia Health Systems Carlisle Chiropractic 3901 Carlisle NE, 87107 (505) 888-8500 Fax No. (505) 888-8503 Doggett, William H., DC Provider ID #NM02K742 BlueLINK ID: 8140901 3500 Comanche NE, Ste. 1, 87107 (505) 884-0771 Fax No. (505) 884-0776 See special note See last page for Provider Language Codes legend 119 Allied Health Practitioners Meglan, Letitia A., CRNA Provider ID #NM006703 BlueLINK ID: 5008653 University Physicians Associates UNM Dept. of Anesthesiology 2701 Frontier NE, 87106 (505) 272-2610 Allied Health Practitioners Albuquerque Allied Health Practitioners Esposito, Helen D., DC Provider ID #NM00K43F BlueLINK ID: 5006252 Sun Country Healthcare Network 3816 Carlisle NE, 87107 (505) 888-4847 Fax No. (505) 872-8777 Halsell, Nathan G., DC Provider ID #NM00KJ70 BlueLINK ID: 6002964 CareMore Chiropractic 2622 San Mateo NE, 87110 (505) 888-0331 Fax No. (505) 888-1414 Fitch, Jennifer L., DC Provider ID #NM00KJ69 BlueLINK ID: 6003113 Lifetime Chiropractic 7007 Wyoming NE, Ste. E1, 87109 (505) 822-0306 Fax No. (505) 822-0316 Hirning, James H., DC Provider ID #NM01KC89 BlueLINK ID: 5000160 Unified Chiropractic 3301 Coors Blvd. NW, Ste. D, 87120 (505) 831-1115 Fax No. (505) 831-3625 Foreman, Merrilee, DC Provider ID #NM00K992 BlueLINK ID: 8277859 Chiropractic Lifestyle Center 7700 Menaul NE, Ste. E, 87110 (505) 292-7700 Fax No. (505) 292-7700 Hodge, Robert J., DC Provider ID #NM01KC55 BlueLINK ID: 6001355 3939 San Pedro NE, Ste. B1, 87110 (505) 878-0046 Fax No. (505) 878-0052 Marrich, Lawrence E., DC Provider ID #NM00K603 BlueLINK ID: 8140968 Carlisle Health & Rehab Center 3401 Carlisle NE, 87110 (505) 889-3333 Hoffert, Mark K., DC Provider ID #NM00K691 BlueLINK ID: 8140935 Hoffert Chiropractic 8421 Osuna NE, Ste. E, 87111 (505) 296-5455 Fax No. (505) 255-3838 Murray, Patrick J., DC Provider ID #NM00K726 BlueLINK ID: 8140984 ES 8100 Mountain Rd. NE, Ste. 104, 87110 (505) 262-1641 Fax No. (505) 262-1651 Froehlich, Patrick L., DC Provider ID #NM01KJ65 BlueLINK ID: 5009820 ES CareMore Chiropractic 5111 San Mateo NE, 87110 (505) 880-1818 Fax No. (505) 881-4810 Frost, Vincent L., DC Provider ID #NM00KJ22 BlueLINK ID: 8297675 ES Community Physician Center 1210 Rio Grande Blvd. NW, 87104 (505) 247-0466 Fax No. (505) 242-0968 Gallegos, Chris R., DC Provider ID #NM00KJ76 BlueLINK ID: 6003864 Southwest Sun Acupuncture Clinic 2403 San Mateo Blvd., Ste. W140, 87109 (505) 363-4386 Fax No. (505) 881-4386 Genter, Karen A., DC Provider ID #NM01KJ58 BlueLINK ID: 8268195 High Desert Chiropractic & Wellness 10900 Menaul NE, Ste. A, 87112 (505) 292-2226 Fax No. (505) 292-3181 Girod, Marc A., DC Provider ID #NM00KJ63 BlueLINK ID: 5008797 ES Albuquerque Accident & Injury Center 214 San Pedro NE, 87108 (505) 268-1224 Fax No. (505) 255-8794 Girod, Marc A., DC Provider ID #NM00KJ79 BlueLINK ID: 5008797 ES Lifetime Chiropractic 7007 Wyoming NE, Ste. E1, 87109 (505) 822-0306 Fax No. (505) 822-0316 Greif, David B., DC Provider ID #NM00KC02 BlueLINK ID: 5000188 8625 Golf Course Rd. NW, Ste. A2, 87114 (505) 899-6600 Fax No. (505) 899-3262 Hale, Patrick, DC Provider ID #NM00KC83 BlueLINK ID: 5000220 Sun Country Healthcare Network 7100 Menaul NE, 87110 (505) 883-6420 120 Hubbard, Louis E., DC Provider ID #NM00KC82 BlueLINK ID: 5000219 Sun Country Healthcare Network 7100 Menaul NE, 87110 (505) 883-1011 Jegtvig, Shereen K., DC Provider ID #NM01KJ51 BlueLINK ID: 8209772 Spine Centers of New Mexico 1101 Spain NE, Ste. C, 87111 (505) 294-7474 Fax No. (505) 294-7939 Kurucz, Roger J., DC Provider ID #NM00K919 BlueLINK ID: 8140955 Kurucz Chiropractic Office 501 Wyoming NE, 87123 (505) 268-9440 Fax No. (505) 254-3670 Lee Jones, Yeon Joo, DC Provider ID #NM00KP21 BlueLINK ID: 8260986 ES KO Integrative Medicine Clinic of Albuquerque 8324 Constitution NE, 87110 (505) 256-3648 Fax No. (505) 256-9778 Lehman, James J., DC Provider ID #NM00K975 BlueLINK ID: 5009169 FR Spine Centers of New Mexico 10401 Montgomery Pkwy. NE, 87111 (505) 299-7077 Fax No. (505) 292-6369 Lehman, Thomas P., DC Provider ID #NM00K889 BlueLINK ID: 8190071 ES 3912 Juan Tabo NE, 87111 (505) 292-3003 Fax No. (505) 299-1861 Lovin, William R., DC Provider ID #NM00KJ66 BlueLINK ID: 8102745 ES CareMore Chiropractic 2622 San Mateo NE, 87110 (505) 266-4211 Fax No. (505) 888-1414 Maggio, Michael S., DC Provider ID #NM00KC37 BlueLINK ID: 5009127 ES Downtown Chiropractic 1100 Lomas NW, Ste. 1, 87102 (505) 242-8400 Fax No. (505) 242-4340 Manson, Kirk E., DC Provider ID #NM00KH09 BlueLINK ID: 5000272 3212 Carlisle NE, 87109 (505) 884-0044 Fax No. (505) 881-7393 Oston, Javan R., DC Provider ID #NM02KC42 BlueLINK ID: 5010094 Bear Canyon Health Circle 4800 Juan Tabo NE, Ste. B, 87110 (505) 888-1795 Fax No. (505) 888-1904 Peer, David W., DC Provider ID #NM00KJ13 BlueLINK ID: 5008536 7520 Montgomery NE, Ste. E-9, 87109 (505) 888-6800 Fax No. (505) 888-6812 Peets, Lonnie L., DC Provider ID #NM00K954 BlueLINK ID: 8204479 Lifetime Chiropractic 3901 Georgia NE, Ste. A7, 87110 (505) 883-4456 Fax No. (505) 881-0520 Peterson, Gary L., DC Provider ID #NM00KC80 BlueLINK ID: 8140998 Sun Country Healthcare Network 7100 Menaul NE, 87110 (505) 883-5858 Peterson, Gretchen G., DC Provider ID #NM00KB07 BlueLINK ID: 8209576 Sandia Chiropractic Care 3107 Eubank NE, Ste. 24, 87111 (505) 299-4446 Fax No. (505) 275-8505 Email: [email protected] Phillips, Kathy L., DC Provider ID #NM01KJ52 BlueLINK ID: 5007697 ES Healthplex Chiropractic 8201 Golf Course Rd., 87114 (505) 792-3311 Fax No. (505) 792-3314 Purcaro, Lee F., DC Provider ID #NM00KA52 4800 Juan Tabo NE, Ste. B, 87111 (505) 888-1795 Fax No. (505) 888-1904 Roberts, LaVern E., DC Provider ID #NM01KJ09 BlueLINK ID: 5009824 ES CareMore Chiropractic 1664 Bridge SW, 87105 (505) 842-1664 Fax No. (505) 242-1664 Rozenblum, Michael E., DC Provider ID #NM00KK33 BlueLINK ID: 5000191 ES Gonstead Family Chiropractic 8001 Wyoming NE, Ste. D4, 87113 (505) 884-8584 Fax No. (505) 821-8594 Russo, Francesca M., DC Provider ID #NM00KJ05 BlueLINK ID: 8262356 Specializing in atlas orthogonal Atlas Orthogonal Chiropractic of Albuquerque 2400 Louisiana NE, Ste. 540, 87110 (505) 881-0650 Fax No. (505) 881-0647 Schmidt, Leslie D., DC Provider ID #NM00K536 BlueLINK ID: 8141021 809 San Mateo NE, 87108 (505) 884-1240 Shain, Paul R., DC Provider ID #NM00KJ62 BlueLINK ID: 8256863 ES Albuquerque Accident & Injury Center 214 San Pedro NE, 87108 (505) 268-1224 Fax No. (505) 255-8794 Shoemaker, Laura L., DC Provider ID #NM00KJ19 BlueLINK ID: 8288605 Family Chiropractic and Wellness Center 10900 Menaul NE, Ste. A, 87112 (505) 271-8888 Fax No. (505) 292-3181 Simmons, George R., DC Provider ID #NM00KA08 BlueLINK ID: 8190072 10401 Montgomery Pkwy. NE, 87111 (505) 299-7077 Fax No. (505) 292-6369 Storrie, Bryce, DC Provider ID #NM00KC78 BlueLINK ID: 8141032 Sun Country Healthcare Network 7100 Menaul NE, 87110 (505) 883-5858 Fax No. (505) 833-0010 Stribling, George O., DC Provider ID #NM00K587 BlueLINK ID: 8141034 Stribling Chiropractic 1933 San Mateo NE, 87110 (505) 255-4140 Fax No. (505) 255-4140 Plaman, Michael, DC Provider ID #NM00K958 BlueLINK ID: 5010098 CareMore Chiropractic 1820 Juan Tabo NE, 87112 (505) 831-0022 Fax No. (505) 831-3758 Swedberg, Alfred W., DC Provider ID #NM01JK56 BlueLINK ID: 8285648 Body Balance Chiropractic 3705 Westerfeld Dr. NE, 87111 (505) 275-6708 Fax No. (505) 275-6725 Plaman, Michael, DC Provider ID #NM00K958 BlueLINK ID: 5010098 CareMore Chiropractic 3100 Coors Blvd. NW, 87120 (505) 831-0022 Fax No. (505) 831-3758 Timm, Terence L., DC Provider ID #NM00KC93 BlueLINK ID: 5000227 The Chiropractic Care Center 3100 Carlisle NE, Ste. B, 87110 (505) 888-4533 Fax No. (505) 888-0179 See special note See last page for Provider Language Codes legend July 2005 Allied Health Practitioners Trabold, William V., DC Provider ID #NM00KJ55 BlueLINK ID: 8246225 Accident & Pain Center 10200 Corrales Rd. NW, Ste. D1, 87114 (505) 897-2682 Fax No. (505) 792-2348 Weiss, Martin A., DC Provider ID #NM00K564 BlueLINK ID: 8141052 ES Spizzerinctum Health Center 7810 Menaul NE, 87110 (505) 296-7333 Fax No. (505) 296-5494 Zipper, Jack D., DC Provider ID #NM00KC81 BlueLINK ID: 5000218 Sun Country Healthcare Network 8000 Menaul NE, 87110 (505) 294-8889 Diabetes Counseling Alley, Diana, RD Provider ID #NM00RJ18 BlueLINK ID: 6003241 Albuquerque Regional Medical Center Diabetes Education 601 Dr. M. L. King Jr. NE, 87102 (505) 727-8423 Marroquin-Elizondo, Teresa, RD Provider ID #NM00RJ21 BlueLINK ID: 6003282 Albuquerque Regional Medical Center Diabetes Education 601 Dr. M. L. King Jr. NE, 87102 (505) 727-8423 Novak, Janet A., RD Provider ID #NM00RJ22 BlueLINK ID: 6003284 Rehab Hospital of New Mexico Diabetes Education 505 Elm St. NE, 87102 (505) 727-4727 Omidvaran, Laura A., RD Provider ID #NM00RJ19 BlueLINK ID: 6003293 Albuquerque Regional Medical Center Diabetes Education 601 Dr. M. L. King Jr. NE, 87102 (505) 727-8423 Young, Kim S., RD Provider ID #NM00RJ20 BlueLINK ID: 6003281 Lovelace Sandia Health Systems 601 Dr. M. L. King Jr. NE, 87102 (505) 727-8423 Licensed Midwives Knight-Williamson, Julia, LMW Provider ID #NM006523 BlueLINK ID: 5005335 The Art of Birthing Center 123 Wellesley SE, 87106 (505) 254-4884 Neuropsychology Chiulli, Stephen J., PhD Provider ID #NM00NB60 BlueLINK ID: 5000463 Neuropsychological evaluations ES Neuropsychology Associates 2201 San Pedro NE, Bldg. 1, Ste. 215, 87110 (505) 889-0426 Fax No. (505) 883-7304 Gilboa, Monica, PhD Provider ID #NM00JC85 BlueLINK ID: 5009323 IW Behavior Therapy Associates 9426 Indian School Rd. NE, Ste. 1, 87112 (505) 345-6100 Fax No. (505) 345-4531 Gilboa, Monica, PhD Provider ID #NM01JD23 BlueLINK ID: 5009323 IW Physicians Group of Sandia Health Systems Behavioral Health Services 505 Elm St. NE, 87102 (505) 727-4918 Granados, Tomas R., PhD Provider ID #NM00JK38 BlueLINK ID: 6000803 Patients over age 6 ES 7000 Jefferson NE, 87109 (505) 797-0810 Fax No. (505) 797-0814 Email: [email protected] Koltuska, Barbara, PhD Provider ID #NM00JL68 BlueLINK ID: 5006288 Patients over age 16; neuropsychological testing ES PL RU 11927 Menaul NE, Ste. 107, 87112 (505) 797-3834 Kreuch, Tony J., PsyD Provider ID #NM00N995 BlueLINK ID: 5000748 Patients over age 6 ES 7000 Jefferson NE, 87109 (505) 342-1992 Fax No. (505) 344-4790 Email: Kreuchtcaol.com LeCaptain, Mary, EdD-ABPP-PhD Provider ID #NM00JB56 BlueLINK ID: 5007989 ES Behavior Therapy Associates 9426 Indian School Rd. NE, Ste. 1, 87112 (505) 345-6100 Fax No. (505) 345-4531 Nutritional Counseling Baldwin, Ruth S., RD Provider ID #NM00RJ23 BlueLINK ID: 6003307 New Heart, Inc. 601 Lomas NE, 87102 (505) 881-8195 Fax No. (505) 830-4975 Clokey, Diana Eileen, RD Provider ID #NM00RH28 BlueLINK ID: 5006249 University Physicians Associates UNM Dept. of OB/GYN 2211 Lomas NE, MSC10 5580, 1 University of NM, 87106 (505) 272-2245 July 2005 Cruz, Yvette Ann, RD Provider ID #NM00RH23 BlueLINK ID: NPP000 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-2345 DiTucci, Jennifer, RD Provider ID #NM00RH20 BlueLINK ID: 5007809 University Physicians Associates UNM Dept. of Pediatrics 2211 Lomas NE, 87106 (505) 272-5551 Hitz, Betzi M., RD Provider ID #NM006A32 BlueLINK ID: 6003909 ES Bear Canyon Therapy Associates 7007 Wyoming NE, Ste. A2, 87109 (505) 823-2411 Fax No. (505) 858-0650 Email: [email protected] Moore, Alice K., RD Provider ID #NM006A17 BlueLINK ID: 6003619 ES Moore Nutrition 4520 Montgomery NE, Ste. 1A, 87109 (505) 294-8552 Fax No. (505) 884-0132 Spears, Beverly J., RD-CDE Provider ID #NM00RH02 BlueLINK ID: 5006883 Renal nutrition & diabetes education Renal Medicine Associates 201 Cedar SE, Ste. 800, 87106 (505) 563-2800 Vort, Kelle E., RD Provider ID #NM00RF97 BlueLINK ID: 5009182 ES DE FR Turquoise Trail Physical Therapy & Rehabilitation 4930 McLeod NE, 87109 (505) 984-2032 Fax No. (505) 984-0738 Occupational Therapy Anderson, Rebecca L., OT Provider ID #NM00E376 BlueLINK ID: 6002985 Lovelace Sandia Home Care 5403 Gibson SE, 87108 (505) 872-6500 Binyon, Gail, OTR Provider ID #NM00E190 BlueLINK ID: 5008857 Integrated Specialty Hospital of Albuquerque 235 Elm NE, 87102 (505) 842-5550 Fax No. (505) 767-6460 Brannon, Julie, OT Provider ID #NM00E169 BlueLINK ID: 5008750 ExplorAbilities 5006 Copper NE, Ste. B, 87108 (505) 268-7988 Fax No. (505) 268-8021 Cooper, Elizabeth D., OTR Provider ID #NM00E373 BlueLINK ID: 5008731 Concentra Medical Centers 3811 Commons NE, 87109 (505) 345-9599 Cooper, Elizabeth D., OTR Provider ID #NM00E373 BlueLINK ID: 5008731 Concentra Medical Centers 5700 Harper NE, Ste. 110, 87109 (505) 858-8526 See special note See last page for Provider Language Codes legend Cooper, Elizabeth D., OTR Provider ID #NM00E373 BlueLINK ID: 5008731 Concentra Medical Centers 5700 Harper NE, Ste. 200, 87109 (505) 823-9166 Cooper, Elizabeth D., OTR Provider ID #NM00E373 BlueLINK ID: 5008731 Concentra Medical Centers 801 Encino Pl. NE, Ste. E12, 87102 (505) 842-5751 Dillard, Elizabeth A., OT Provider ID #NM00Q466 BlueLINK ID: 6003191 New Mexico Physical Therapists 2607 Wyoming NE, 87112 (505) 296-9521 Fax No. (505) 296-2200 Dillard, Elizabeth A., OT Provider ID #NM00Q466 BlueLINK ID: 6003191 New Mexico Physical Therapists 3301 Coors Blvd. NW, Ste. K2, 87120 (505) 843-8700 Fax No. (505) 843-9103 Elison, Robyn, OT Provider ID #NM00E203 BlueLINK ID: 5008879 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 Ford, Carolyn M., OT Provider ID #NM00Q073 BlueLINK ID: 5008919 New Mexico Physical Therapists East 2607 Wyoming NE, 87112 (505) 296-9521 Fax No. (505) 296-2200 Ford, Carolyn M., OT Provider ID #NM00Q073 BlueLINK ID: 5008919 New Mexico Physical Therapists East 3301 Coors Blvd. NW, Ste. K2, 87120 (505) 843-8700 Fax No. (505) 843-9103 Ford, Carolyn M., OT Provider ID #NM00Q073 BlueLINK ID: 5008919 New Mexico Physical Therapists East 4824 McMahon NW, Ste. 101, 87114 (505) 897-3575 Fax No. (505) 897-3726 Ford, Carolyn M., OT Provider ID #NM00Q245 BlueLINK ID: 5008919 ES Turquoise Trail Physical Therapy & Rehabilitation 4930 McLeod NE, 87109 (505) 884-2032 Fax No. (505) 837-2030 Fretz, Virginia R., OT Provider ID #NM00Q117 BlueLINK ID: 5009119 ES FR Turquoise Trail Physical Therapy & Rehabilitation 4930 McLeod NE, 87109 (505) 884-2032 Fax No. (505) 837-2030 Glade, Michael S., OT Provider ID #NM00Q056 BlueLINK ID: 5008564 ES Langford Physical Therapy 4400 Lead SE, 87108 (505) 266-3655 Fax No. (505) 268-2771 121 Allied Health Practitioners Wu, Wen C., DC-DOM Provider ID #NM00R462 BlueLINK ID: 8186424 Health Care Associates 2709 Wyoming NE, 87111 (505) 294-5486 Albuquerque Allied Health Practitioners Albuquerque Allied Health Practitioners Harris, Anne, OTR Provider ID #NM00E201 BlueLINK ID: 5008877 Preferred Rehabilitation Services 11930 Menaul NE, Ste. 110, 87112 (505) 271-5720 Fax No. (505) 271-5728 Martinez, Rebecca, OT Provider ID #NM00E205 BlueLINK ID: 5008884 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 Wavrick, Pat, OTR Provider ID #NM00E202 BlueLINK ID: 5008878 Preferred Rehabilitation Services 11930 Menaul NE, Ste. 110, 87112 (505) 271-5720 Fax No. (505) 271-5728 Hoeksema, Audrey, OT Provider ID #NM00E170 BlueLINK ID: 5008751 ExplorAbilities 5006 Copper NE, Ste. B, 87108 (505) 268-7988 Fax No. (505) 268-8021 McMaster, Sandra, OTR Provider ID #NM00E199 BlueLINK ID: 5008876 Preferred Rehabilitation Services 11930 Menaul NE, Ste. 110, 87112 (505) 271-5720 Fax No. (505) 271-5728 Williams Cay, Carla, OT Provider ID #NM00E210 BlueLINK ID: 5008888 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 Hoffman, Hope, OT Provider ID #NM00E204 BlueLINK ID: 5008883 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 Mncube, Patrick S., OTR Provider ID #NM00E192 BlueLINK ID: 5008859 Integrated Specialty Hospital of Albuquerque 235 Elm NE, 87102 (505) 842-5550 Fax No. (505) 767-6460 Winkle, Melissa, OT Provider ID #NM00E211 BlueLINK ID: 5008889 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 Moedl, Denise, OT Provider ID #NM00E168 BlueLINK ID: 5008749 ExplorAbilities 5006 Copper NE, Ste. B, 87108 (505) 268-7988 Fax No. (505) 268-8021 Optometry Huelsmann, Jan V., OTR Provider ID #NM00E191 BlueLINK ID: 5008858 Integrated Specialty Hospital of Albuquerque 235 Elm NE, 87102 (505) 842-5550 Fax No. (505) 767-6460 Johnson, Veronica, OT Provider ID #NM00E212 BlueLINK ID: 5008890 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 Moody, Erin, OT Provider ID #NM00E173 BlueLINK ID: 5008754 ExplorAbilities 5006 Copper NE, Ste. B, 87108 (505) 268-7988 Fax No. (505) 268-8021 Jones, Carleton B., PT Provider ID #NM005222 BlueLINK ID: 5005160 ES New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87102 (505) 242-5205 Fax No. (505) 764-9770 Oschner, Janine, OTR Provider ID #NM00Q274 BlueLINK ID: 6003666 ES Turquoise Trail Physical Therapy & Rehabilitation 4930 McLeod Rd. NE, 87109 (505) 884-2032 Fax No. (505) 837-2030 Kasch, Nancy, OT Provider ID #NM00E213 BlueLINK ID: 5008891 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 Kivitz, Ellen, OT Provider ID #NM00E172 BlueLINK ID: 5008753 ExplorAbilities 5006 Copper NE, Ste. B, 87108 (505) 268-7988 Fax No. (505) 268-8021 Kolmbies, LeeAnn, OTR Provider ID #NM00E200 BlueLINK ID: 5009328 Preferred Rehabilitation Services 11930 Menaul NE, Ste. 110, 87112 (505) 271-5720 Fax No. (505) 271-5728 Kuhne, April, OT Provider ID #NM00E214 BlueLINK ID: 5008892 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 Lukes, James M., OTR Provider ID #NM00Q048 BlueLINK ID: 5008827 New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4384 122 Patten, Kathy, OT Provider ID #NM00E207 BlueLINK ID: 5008885 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 Sleigh, Tim, OT Provider ID #NM00E208 BlueLINK ID: 5008886 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 Strade-Notz, Michelle, OT Provider ID #NM00E171 BlueLINK ID: 5008752 ExplorAbilities 5006 Copper NE, Ste. B, 87108 (505) 268-7988 Fax No. (505) 268-8021 Tidman, Melanie M., MA-OTR/L Provider ID #NM00E372 BlueLINK ID: 5009373 Pediatrics up to age 18 Tidman Therapy Services 521 Vineyad Rd. NE, 87113 (505) 344-5756 Fax No. (505) 341-4810 Tourek, Erin, OT Provider ID #NM00E209 BlueLINK ID: 5008887 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 Anderson, Peter, OD Provider ID #NM00P955 BlueLINK ID: 8195859 Lovelace Sandia Health Systems Gibson Optometry 5400 Gibson SE, 87108 (505) 262-3937 Andreatta, Mario J., OD Provider ID #NM00PA09 BlueLINK ID: 8255909 Eye Associates of New Mexico 101 Hospital Lp. NE, Ste. 103, 87109 (505) 883-6800 Fax No. (505) 899-3589 Ang, Karlyn G., OD Provider ID #NM00P944 BlueLINK ID: 8192017 ES JA Sandia Vision Clinic 3701 Eubank NE, 87111 (505) 298-2020 Fax No. (505) 298-2382 Barrett, David L., OD Provider ID #NM00P530 BlueLINK ID: 8202941 Horizon Vision Center 4253 Montgomery NE, Ste. 110, 87109 (505) 881-3744 Berry, Steven M., OD Provider ID #NM00PA20 BlueLINK ID: 8287096 ES Albuquerque Vision Clinic 5343 Wyoming NE, Ste. 2, 87109 (505) 332-2020 Fax No. (505) 332-8343 Bigelow, Daryl W., OD Provider ID #NM00PA10 BlueLINK ID: 8101117 Eye Associates of NM 5200 Eubank NE, Ste. A4, 87111 (505) 298-4419 Fax No. (505) 246-2478 Bigsby, William, OD Provider ID #NM00P958 BlueLINK ID: 8175023 Lovelace Sandia Health Systems Journal Center Optometry 5150 Journal Center Blvd. NE, 87109 (505) 262-3937 Branson, Ashley D., OD Provider ID #NM00PA13 BlueLINK ID: 6003776 Peak Vision Group, PA 10000 Coors Blvd., Ste. E201, 87114 (505) 890-2821 Fax No. (505) 890-6716 See special note See last page for Provider Language Codes legend Cano-Howes, Melinda A., OD Provider ID #NM00PA16 BlueLINK ID: 8282446 ES Eye Institute of Albuquerque 1001 Dr. M. L. King Jr. NE, 87106 (505) 247-1073 Fax No. (505) 247-2153 Cano-Howes, Melinda A., OD Provider ID #NM00PA16 BlueLINK ID: 8282446 ES Eye Institute of Albuquerque 1414 Bridge SW, 87105 (505) 243-4066 Fax No. (505) 243-7476 Casaus, Deidra M., OD Provider ID #NM01P393 BlueLINK ID: 8230752 ES Advanced Optometric Concepts, PC 10600 Coors Bypass Blvd. NW, 87114 (505) 792-1782 Fax No. (505) 792-1773 Chinisci, Frank T., OD Provider ID #NM00P419 BlueLINK ID: 8174922 Sandia Vision Clinic 123 Palomas NE, 87108 (505) 265-3443 Chinisci, Frank T., OD Provider ID #NM00P419 BlueLINK ID: 8174922 Sandia Vision Clinic 3701 Eubank NE, 87111 (505) 298-2020 Fax No. (505) 298-2382 Cohen, Michelle S., OD Provider ID #NM00PA29 BlueLINK ID: 6003735 ES Invision Inc. 301 San Mateo SE, 87108 (505) 255-9410 Fax No. (505) 255-9875 Cohen, Michelle S., OD Provider ID #NM00PA29 BlueLINK ID: 6003735 ES Invision Inc. 400 Eubank NE, Ste. A, 87123 (505) 293-0417 Fax No. (505) 293-4761 Dean, D.C., OD Provider ID #NM01P287 BlueLINK ID: 8192582 Patients over age 4 8000 Academy NE, 87111 (505) 857-9918 Fax No. (505) 857-9919 DeBois, William, OD Provider ID #NM00P523 BlueLINK ID: 5000845 6208 Montgomery NE, Ste. E, 87109 (505) 881-2073 Dudeck, Kirsten P., OD Provider ID #NM02P497 BlueLINK ID: 8265359 Eye Associates of NM 101 Hospital Lp. NE, Ste. 103, 87109 (505) 883-6800 Fax No. (505) 889-3589 Dudeck, Kirsten P., OD Provider ID #NM02P497 BlueLINK ID: 8265359 Eye Associates of NM 5200 Eubank NE, Ste. A4, 87111 (505) 298-4419 Fax No. (505) 246-2478 July 2005 Allied Health Practitioners Etre, James M., OD Provider ID #NM00PB09 BlueLINK ID: 8195348 Lovelace Sandia Health Systems Journal Center Optometry 5150 Journal Center Blvd. NE, 87109 (505) 262-3937 Fitch, Patricia, OD Provider ID #NM00P956 BlueLINK ID: 5009640 Lovelace Sandia Health Systems Gibson Optometry 5400 Gibson SE, 87108 (505) 262-3937 Fite, William M., OD Provider ID #NM00P260 BlueLINK ID: 8174911 4550 Eubank NE, Ste. 105, 87111 (505) 292-2626 Folkman, Jay S., OD Provider ID #NM00P088 BlueLINK ID: 8175026 6821 Montgomery NE, Ste. C, 87109 (505) 881-7440 Gansel-Ang, Karlyn, OD Provider ID #NM00PA07 BlueLINK ID: 8192017 ES Albuquerque Vision Clinic 5343 Wyoming NE, Ste. 2, 87109 (505) 332-2020 Gonzales, Mario J., OD Provider ID #NM00P263 BlueLINK ID: 5000837 ES Eye Institute of Albuquerque 1001 Dr. M. L. King Jr. NE, 87106 (505) 247-1073 Fax No. (505) 247-2153 Gonzales, Mario J., OD Provider ID #NM00P263 BlueLINK ID: 5000837 ES Eye Institute of Albuquerque 1414 Bridge SW, 87105 (505) 243-4066 Fax No. (505) 243-7476 Irons, Alissa M., OD Provider ID #NM00P946 BlueLINK ID: 8288260 ES 718 Lomas NW, 87102 (505) 247-3463 Fax No. (505) 842-0499 Jarrell, Robert L., OD Provider ID #NM00P015 BlueLINK ID: 8174953 ES 3901 Georgia NE, Ste. A2, 87110 (505) 883-4200 Fax No. (505) 889-2248 Johnson, Susan, OD Provider ID #NM00P957 BlueLINK ID: 8195638 Lovelace Sandia Health Systems Gibson Optometry 5400 Gibson SE, 87108 (505) 262-3937 Jones, William L., OD Provider ID #NM00P262 BlueLINK ID: 8278264 ES Eye Institute of Albuquerque 1001 Dr. M. L. King Jr. NE, 87106 (505) 247-1073 Fax No. (505) 247-2153 July 2005 Jones, William L., OD Provider ID #NM00P262 BlueLINK ID: 8278264 ES Eye Institute of Albuquerque 1414 Bridge SW, 87105 (505) 243-4066 Fax No. (505) 243-7476 Kwan, Mikela D., OD Provider ID #NM01P281 BlueLINK ID: 8224142 6821 Montgomery NE, Ste. C, 87109 (505) 822-8387 Lavoie, Robert L., OD Provider ID #NM00P937 BlueLINK ID: 8276800 Precision Eye Center 2433 Wyoming NE, 87112 (505) 291-1711 Fax No. (505) 298-0934 Lavoie, Romie S., OD Provider ID #NM00P999 BlueLINK ID: 8276186 Precision Eye Center 2433 Wyoming NE, 87112 (505) 291-1711 Fax No. (505) 298-0934 Magnus, David E., OD Provider ID #NM00PA01 BlueLINK ID: 8175006 ES Sandia Vision Clinic 123 Palomas NE, 87108 (505) 265-3443 Magnus, David E., OD Provider ID #NM00PA01 BlueLINK ID: 8175006 ES Sandia Vision Clinic 3701 Eubank NE, 87111 (505) 298-2020 Fax No. (505) 298-2382 Martin, Carolyn J., OD Provider ID #NM00P897 BlueLINK ID: 5007140 ES Eye Associates of NM 806 Dr. M. L. King Jr. NE, 87102 (505) 842-6575 Fax No. (505) 764-8796 Morris, Kevin L., OD Provider ID #NM00P967 BlueLINK ID: 6003336 ES Sandia Vision Clinic 123 Palomas NE, 87108 (505) 265-3443 Morris, Kevin L., OD Provider ID #NM00P967 BlueLINK ID: 6003336 ES Sandia Vision Clinic 3701 Eubank NE, 87111 (505) 298-2020 Fax No. (505) 298-2382 Neugent, Todd, OD Provider ID #NM01P293 BlueLINK ID: 6001951 ES 10224 Coors Bypass NW, 87114 (505) 898-2400 Fax No. (505) 898-2541 Onofrey, Bruce, OD Provider ID #NM00P952 BlueLINK ID: 8195351 Lovelace Sandia Health Systems Journal Center Optometry 5150 Journal Center Blvd. NE, 87109 (505) 262-3937 Poy, Elaine D., OD Provider ID #NM01PA17 BlueLINK ID: 6003868 8000 Academy NE, 87111 (505) 857-9918 Fax No. (505) 857-9919 Puro, Kazuko K., OD Provider ID #NM00P085 BlueLINK ID: 8174985 Sandia Vision Clinic 123 Palomas NE, 87108 (505) 265-3443 Puro, Kazuko K., OD Provider ID #NM00P085 BlueLINK ID: 8174985 Sandia Vision Clinic 3701 Eubank NE, 87111 (505) 298-2020 Fax No. (505) 298-2382 Quick, Robert H., OD Provider ID #NM00PA06 BlueLINK ID: 8174932 ES Albuquerque Vision Clinic 5343 Wyoming NE, Ste. 2, 87109 (505) 332-2020 Quick, Robert H., OD Provider ID #NM01P749 BlueLINK ID: 8174932 ES Quick Vision, Inc. 2550 Coors Blvd. NW, 87120 (505) 839-7711 Fax No. (505) 839-7713 Ritz, Nicholas B., OD Provider ID #NM00P249 BlueLINK ID: 5000810 Eye Associates of NM 101 Hospital Lp. NE, Ste. 203, 87109 (505) 883-5082 Fax No. (505) 889-3589 Robison, Edwin H., OD Provider ID #NM02P245 BlueLINK ID: 8212009 Eye Associates of NM 101 Hospital Lp. NE, Ste. 103, 87109 (505) 883-6800 Fax No. (505) 889-3589 Robison, Edwin H., OD Provider ID #NM02P245 BlueLINK ID: 8212009 Eye Associates of NM 5200 Eubank NE, Ste. A4, 87111 (505) 298-4419 Fax No. (505) 246-2478 Rorebeck, Warren, OD Provider ID #NM00P953 BlueLINK ID: 8243042 Lovelace Sandia Health Systems Journal Center Optometry 5150 Journal Center Blvd. NE, 87109 (505) 262-3937 Sanchez, Roy D., OD Provider ID #NM00PA18 BlueLINK ID: 6003903 University Physicians Associates University Hospital 2211 Lomas NE, 87106 (505) 272-2553 Schafter, Jeffrey D., OD Provider ID #NM00PB08 BlueLINK ID: 8216624 Lovelace Sandia Health Systems Journal Center Optometry 5150 Journal Center Blvd. NE, 87109 (505) 262-3937 Schmeltzer, Leonard J, OD Provider ID #NM00PA05 BlueLINK ID: 8175004 ES Albuquerque Vision Clinic 5343 Wyoming NE, Ste. 2, 87109 (505) 332-2020 See special note See last page for Provider Language Codes legend Schmeltzer, Leonard J, OD Provider ID #NM01P340 BlueLINK ID: 8175004 ES Sandia Vision Clinic 3701 Eubank NE, 87111 (505) 298-2020 Fax No. (505) 298-2382 Strosnider, Jeffrey C., OD Provider ID #NM00P945 BlueLINK ID: 8285334 ES Eye Associates of NM 101 Hospital Lp. NE, Ste. 103, 87109 (505) 883-6800 Fax No. (505) 889-3589 Thompson, Randi M., OD Provider ID #NM00P265 BlueLINK ID: 8269003 University Physicians Associates 2211 Lomas NE, 87106 (505) 272-2553 Torres, Richard C., OD Provider ID #NM01P043 BlueLINK ID: 8174914 ES Barrett & Torres 4253 Montgomery NE, Ste. 110, 87109 (505) 881-3744 Fax No. (505) 881-2374 Vise, David R., OD Provider ID #NM00PB10 BlueLINK ID: 8261256 Lovelace Sandia Health Systems Journal Center Optometry 5150 Journal Center Blvd. NE, 87109 (505) 262-3937 Whitesides, Mark E., OD Provider ID #NM00P966 BlueLINK ID: 6003332 ES Quick Vision, Inc. 2550 Coors Blvd. NW, 87120 (505) 839-7711 Fax No. (505) 839-7713 Wieland, William K., OD Provider ID #NM02P032 BlueLINK ID: 8174935 Eye Associates of NM 5200 Eubank NE, Ste. A4, 87111 (505) 298-4419 Fax No. (505) 246-2478 Wieland, William K., OD Provider ID #NM02P032 BlueLINK ID: 8174935 Eye Associates of NM 806 Dr. M. L. King Jr. NE, 87102 (505) 842-6575 Fax No. (505) 764-8796 Physical Therapy and Rehabilitation Almazan, Felipe M., PT Provider ID #NM01NR35 BlueLINK ID: 5000579 New Mexico Physical Therapists 2607 Wyoming NE, 87112 (505) 296-9521 Fax No. (505) 296-2200 Almazan, Felipe M., PT Provider ID #NM01NR35 BlueLINK ID: 5000579 New Mexico Physical Therapists 3301 Coors Rd. NW, Ste. K2, 87120 (505) 843-8700 Fax No. (505) 843-9103 123 Allied Health Practitioners Fite, William L., OD Provider ID #NM00PA19 BlueLINK ID: 8174911 ES Sandia Vision Clinic 3701 Eubank NE, 87111 (505) 298-2020 Albuquerque Albuquerque Almazan, Felipe M., PT Provider ID #NM01NR35 BlueLINK ID: 5000579 New Mexico Physical Therapists 4824 McMahon Blvd. NW, Ste. 101, 87114 (505) 897-3575 Fax No. (505) 897-3726 Allied Health Practitioners Baca, Philip M., PT Provider ID #NM00Q068 BlueLINK ID: 5008893 ES New Mexico Physical Therapists 2607 Wyoming NE, 87112 (505) 296-9521 Fax No. (505) 296-2200 Baca, Philip M., PT Provider ID #NM00Q068 BlueLINK ID: 5008893 ES New Mexico Physical Therapists 3301 Coors Blvd. NW, Ste. K2, 87120 (505) 843-8700 Fax No. (505) 843-9103 Baca, Philip M., PT Provider ID #NM00Q068 BlueLINK ID: 5008893 ES New Mexico Physical Therapists 4824 McMahon NW, Ste. 101, 87114 (505) 897-3575 Fax No. (505) 897-3726 Balzis, Bethany S., PT Provider ID #NM00Q375 BlueLINK ID: 6003425 New Mexico Physical Therapists 2607 Wyoming NE, 87112 (505) 296-9521 Fax No. (505) 296-2200 Balzis, Bethany S., PT Provider ID #NM00Q375 BlueLINK ID: 6003425 New Mexico Physical Therapists 3301 Coors Blvd. NW, Ste. K2, 87120 (505) 843-8700 Fax No. (505) 843-9103 Balzis, Bethany S., PT Provider ID #NM00Q375 BlueLINK ID: 6003425 New Mexico Physical Therapists 4824 McMahon NW, Ste. 101, 87114 (505) 897-3575 Fax No. (505) 897-3726 Barkocy, Mary E., PT Provider ID #NM00Q370 BlueLINK ID: 6003706 ExplorAbilities 5006 Copper NE, 87108 (505) 268-7988 Fax No. (505) 268-8021 Barton, Theresa A., PT Provider ID #NM00Q055 BlueLINK ID: 5008563 Langford Physical Therapy 4400 Lead SE, 87108 (505) 266-3655 Fax No. (505) 268-2771 Bennett, Lori L., PT Provider ID #NM00Q017 BlueLINK ID: 5008468 Albuquerque Physical Therapists 7615 Indian School NE, 87110 (505) 888-7979 Fax No. (505) 888-8859 Bittner, Lynette, PT Provider ID #NM00Q325 BlueLINK ID: 5008869 Preferred Rehabilitation Services 11930 Menaul NE, Ste. 110, 87112 (505) 271-5720 Fax No. (505) 271-5728 124 Allied Health Practitioners Bradford, Cathy, PT Provider ID #NM00Q049 BlueLINK ID: 5008828 New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4384 Davis, Gail, PT Provider ID #NM00Q368 BlueLINK ID: 5008862 New Mexico Physical Therapists Inc. 2607 Wyoming NE, 87112 (505) 296-9521 Fax No. (505) 296-2200 Browning, Karen L., PT Provider ID #NM00Q459 BlueLINK ID: 6003093 New Mexico Physical Therapists 2607 Wyoming NE, 87112 (505) 296-9521 Fax No. (505) 296-2200 Davis, Gail, PT Provider ID #NM00Q368 BlueLINK ID: 5008862 New Mexico Physical Therapists Inc. 3301 Coors NW, Ste. K2, 87120 (505) 843-8700 Fax No. (505) 843-9103 Browning, Karen L., PT Provider ID #NM00Q459 BlueLINK ID: 6003093 New Mexico Physical Therapists 4824 McMahon Blvd. NW, Ste. 101, 87114 (505) 897-3575 Fax No. (505) 897-3726 Davis, Gail, PT Provider ID #NM00Q368 BlueLINK ID: 5008862 New Mexico Physical Therapists Inc. 4824 McMahon NW, Ste. 101, 87114 (505) 897-3575 Fax No. (505) 897-3726 Eckhardt, Bruce A., PT Provider ID #NM00Q338 BlueLINK ID: 5008730 Concentra Medical Centers 801 Encino Pl. NE, Ste. E12, 87102 (505) 842-5751 Edens, Nancy, PT Provider ID #NM00Q311 BlueLINK ID: 5008745 ExplorAbilities 5006 Copper NE, Ste. B, 87108 (505) 268-7988 Fax No. (505) 268-8021 Esparza, Ted J., PT Provider ID #NM00Q072 BlueLINK ID: 5008918 New Mexico Physical Therapists 2607 Wyoming NE, 87112 (505) 296-9521 Fax No. (505) 296-2200 Esparza, Ted J., PT Provider ID #NM00Q072 BlueLINK ID: 5008918 New Mexico Physical Therapists 3301 Coors Blvd. NW, Ste. K2, 87120 (505) 843-8700 Fax No. (505) 843-9103 Bryson, Jerri L., PT Provider ID #NM00Q351 BlueLINK ID: 6003350 ES Concentra Medical Centers 3811 Commons NE, 87109 (505) 345-9959 Dennis, John P., PT Provider ID #NM00Q388 BlueLINK ID: 6003808 ES New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4384 Call, Tanya, PT Provider ID #NM00Q314 BlueLINK ID: 5008748 ExplorAbilities 5006 Copper NE, Ste. B, 87108 (505) 268-7988 Fax No. (505) 268-8021 Dennis, John P., PT Provider ID #NM00Q385 BlueLINK ID: 6003808 New Mexico Physical Therapists Inc. 2607 Wyoming NE, 87112 (505) 296-9521 Fax No. (505) 296-2200 Call, Tonya, PT Provider ID #NM00Q334 BlueLINK ID: 5008748 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 Dennis, John P., PT Provider ID #NM00Q385 BlueLINK ID: 6003808 New Mexico Physical Therapists Inc. 3301 Coors NW, Ste. K2, 87120 (505) 843-8700 Fax No. (505) 843-9103 Carroll, Linda, MA-OTR-LCHT Provider ID #NM00NQ80 BlueLINK ID: 5000566 Carroll Hand Therapy 801 Encino Pl. NE, Ste. E6, 87102 (505) 248-1586 Fax No. (505) 248-1722 Dennis, John P., PT Provider ID #NM00Q385 BlueLINK ID: 6003808 New Mexico Physical Therapists Inc. 4824 McMahon NW, Ste. 101, 87114 (505) 897-3575 Fax No. (505) 879-3726 Frantz, Clyde W., PT Provider ID #NM00Q046 BlueLINK ID: 5008725 ES Academy Orthopaedic Clinic 5305 Heritage Ct., 87109 (505) 822-1706 Fax No. (505) 822-8888 Cook, Nella S., PT Provider ID #NM00Q396 BlueLINK ID: 6003970 ES Hands On Physical Therapy 9201 Montgomery NE, Ste. 302, 87111 (505) 293-6262 Fax No. (505) 293-6622 Email: [email protected] Dogin, Dina, PT Provider ID #NM00Q310 BlueLINK ID: 5008744 ExplorAbilities 5006 Copper NE, Ste. B, 87108 (505) 268-7988 Fax No. (505) 268-8021 Frantz, Clyde W., PT Provider ID #NM00Q074 BlueLINK ID: 5008729 New Mexico Physical Therapists 2607 Wyoming NE, 87112 (505) 296-9521 Fax No. (505) 296-2200 Dunbar, William A., PT Provider ID #NM00Q305 BlueLINK ID: 5008733 Bear Canyon Therapy Associates 7007 Wyoming NE, Ste. A2, 87109 (505) 823-2411 Fax No. (505) 858-0650 Frantz, Clyde W., PT Provider ID #NM00Q074 BlueLINK ID: 5008729 New Mexico Physical Therapists 3301 Coors Blvd. NW, Ste. K2, 87120 (505) 843-8700 Fax No. (505) 843-9103 Eckhardt, Bruce A., PT Provider ID #NM00Q338 BlueLINK ID: 5008730 Concentra Medical Centers 3811 Commons NE, 87109 (505) 345-9599 Frantz, Clyde W., PT Provider ID #NM00Q074 BlueLINK ID: 5008729 New Mexico Physical Therapists 4824 McMahon NW, Ste. 101, 87114 (505) 897-3575 Fax No. (505) 897-3726 Craver, Lea M., PT Provider ID #NM00Q475 BlueLINK ID: 6003841 ES Langford Sports & Physical Therapy 4400 Lead SE, 87108 (505) 266-3655 Fax No. (505) 268-2771 Daniel, Monte F., PT Provider ID #NM00Q352 BlueLINK ID: 6003361 ES Concentra Medical Centers 801 Encino Pl. NE, Ste. E12, 87102 (505) 842-5751 Fax No. (505) 842-5676 Davis, Gail, PT Provider ID #NM00Q318 BlueLINK ID: 5008862 Integrated Specialty Hospital of Albuquerque 235 Elm NE, 87102 (505) 842-5550 Fax No. (505) 767-6460 Eckhardt, Bruce A., PT Provider ID #NM00Q338 BlueLINK ID: 5008730 Concentra Medical Centers 5700 Harper NE, Ste. 110, 87109 (505) 858-8526 Eckhardt, Bruce A., PT Provider ID #NM00Q338 BlueLINK ID: 5008730 Concentra Medical Centers 5700 Harper NE, Ste. 200, 87109 (505) 823-9166 See special note See last page for Provider Language Codes legend Esparza, Ted J., PT Provider ID #NM00Q072 BlueLINK ID: 5008918 New Mexico Physical Therapists 4824 McMahon NW, Ste. 101, 87114 (505) 897-3575 Fax No. (505) 897-3726 Finson, Naomi, PT Provider ID #NM00Q319 BlueLINK ID: 5008863 Integrated Specialty Hospital of Albuquerque 235 Elm NE, 87102 (505) 842-5550 Fax No. (505) 767-6460 Fraser, George S., PT Provider ID #NM00Q437 BlueLINK ID: 5009227 ES Fifty 'N Fit 11801 Menaul NE, 87112 (505) 271-9616 Fax No. (505) 271-8050 July 2005 Allied Health Practitioners Fraser, Patricia D., PT Provider ID #NM00Q438 BlueLINK ID: 5009228 ES Fifty 'N Fit 11801 Menaul NE, 87112 (505) 271-9616 Fax No. (505) 271-8050 Gieck, Elizabeth D., PT Provider ID #NM01Q012 BlueLINK ID: 5008437 HealthSouth 3301 Candelaria NE, 87107 (505) 872-2000 Fax No. (505) 858-8539 Gove, Valerie A., PT Provider ID #NM00Q067 BlueLINK ID: 5008851 New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4384 Gove, Valerie A., PT Provider ID #NM00Q075 BlueLINK ID: 5008851 New Mexico Physical Therapists East 2607 Wyoming NE, 87112 (505) 296-9521 Fax No. (505) 296-2200 Gove, Valerie A., PT Provider ID #NM00Q075 BlueLINK ID: 5008851 New Mexico Physical Therapists East 3301 Coors Blvd. NW, Ste. K2, 87120 (505) 843-8700 Fax No. (505) 843-9103 Gove, Valerie A., PT Provider ID #NM00Q075 BlueLINK ID: 5008851 New Mexico Physical Therapists East 4824 McMahon NW, Ste. 101, 87114 (505) 897-3575 Fax No. (505) 897-3726 Granados, Candace, PT Provider ID #NM00Q076 BlueLINK ID: 5008936 New Mexico Physical Therapists West 2607 Wyoming NE, 87112 (505) 296-9521 Fax No. (505) 296-2200 Granados, Candace, PT Provider ID #NM00Q076 BlueLINK ID: 5008936 New Mexico Physical Therapists West 3301 Coors Blvd. NW, Ste. K2, 87120 (505) 843-8700 Fax No. (505) 843-9103 Granados, Candace, PT Provider ID #NM00Q076 BlueLINK ID: 5008936 New Mexico Physical Therapists West 4824 McMahon Blvd. NW, Ste. 101, 87114 (505) 897-3575 Fax No. (505) 897-3726 Grant, Deborah, PT Provider ID #NM00Q326 BlueLINK ID: 5008870 Preferred Rehabilitation Services 11930 Menaul NE, Ste. 110, 87112 (505) 271-5720 Fax No. (505) 271-5728 July 2005 Harris, Helen, PT Provider ID #NM00Q332 BlueLINK ID: 5008903 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 Hartnett Rands, Barbara D., PT Provider ID #NM00Q412 BlueLINK ID: 5000963 HealthSouth 3301 Candelaria NE, 87107 (505) 872-2000 Fax No. (505) 872-1572 Hatch, Frank V., PT Provider ID #NM00Q291 BlueLINK ID: 5009129 ES Turquoise Trail Physical Therapy & Rehabilitation 4930 McLeod NE, 87109 (505) 884-2032 Fax No. (505) 837-2030 Hedeman, Kathleen, PT Provider ID #NM00Q329 BlueLINK ID: 5008900 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 Herzog, Robert V., PT Provider ID #NM00Q367 BlueLINK ID: 6003681 ExplorAbilities 5006 Copper NE, 87108 (505) 268-7988 Fax No. (505) 268-8021 Hile, Jean, PT Provider ID #NM00Q312 BlueLINK ID: 5008746 ExplorAbilities 5006 Copper NE, Ste. B, 87108 (505) 268-7988 Fax No. (505) 268-8021 Hoerning, Michael R., PT Provider ID #NM00N527 BlueLINK ID: 5009118 Turquoise Trail Physical Therapy & Rehabilitation 4930 McLeod NE, 87109 (505) 984-2032 Fax No. (505) 984-0738 Jordan, Julia A., PT Provider ID #NM00Q402 BlueLINK ID: 5008939 New Mexico Physical Therapists East 3301 Coors Blvd. NW, Ste. K2, 87120 (505) 843-8700 Fax No. (505) 843-9103 Jordan, Julia A., PT Provider ID #NM00Q402 BlueLINK ID: 5008939 New Mexico Physical Therapists East 4824 McMahon NW, Ste. 101, 87114 (505) 897-3575 Fax No. (505) 897-3726 Keahey-Oberdorfer, Linda, PT Provider ID #NM00Q335 BlueLINK ID: 5009185 ES Fifty 'N Fit 11801 Menaul NE, 87112 (505) 271-9616 Fax No. (505) 271-8050 Kern, Terry J., PT Provider ID #NM00N651 BlueLINK ID: 5000683 5971 Jefferson NE, Ste. 102, 87109 (505) 761-0016 Kidder, Julie A., PT Provider ID #NM00Q306 BlueLINK ID: 5008734 Bear Canyon Therapy Associates 7007 Wyoming NE, Ste. A2, 87109 (505) 823-2411 Fax No. (505) 858-0650 Kil, Judi A., PT Provider ID #NM00Q070 BlueLINK ID: 5008881 Socorro Physical Therapy 7520 Montgomery NE, 87109 (505) 883-7518 Fax No. (505) 883-8653 Kloer, Jeffrey M., PT Provider ID #NM00Q001 BlueLINK ID: 5008154 ES New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 7650, 87106 (505) 724-4400 Fax No. (505) 724-4371 Isaacson, Kale R., PT Provider ID #NM00Q451 BlueLINK ID: 5008937 ES SW Orthopaeadic Physical Therapy 1334 Wyoming NE, 87112 (505) 292-3317 Fax No. (505) 292-3402 Knudsen, Sandy, PT Provider ID #NM00Q277 BlueLINK ID: 6003744 ES FR Turquoise Trail Physical Therapy & Rehabilitation 4930 McLeod Rd. NE, 87109 (505) 884-2032 Fax No. (505) 837-2030 Jones, Beth A., PT Provider ID #NM00Q364 BlueLINK ID: 6003576 ES Langford Physical Therapy 4400 Lead SE, 87108 (505) 266-3655 Fax No. (505) 268-2771 Krech, Melody D., PT Provider ID #NM00Q304 BlueLINK ID: 5008732 Bear Canyon Therapy Associates 7007 Wyoming NE, Ste. A2, 87109 (505) 823-2411 Fax No. (505) 858-0650 Jones, Laurel B., PT Provider ID #NM01Q401 BlueLINK ID: 5008938 Concentra Medical Centers North Pointe 5700 Harper NE, Ste. 200, 87109 (505) 858-8500 Fax No. (505) 858-8500 Jordan, Julia A., PT Provider ID #NM00Q402 BlueLINK ID: 5008939 New Mexico Physical Therapists East 2607 Wyoming NE, 87112 (505) 296-9521 Fax No. (505) 296-2200 Langford, MaryLou, PT Provider ID #NM00Q054 BlueLINK ID: 5008510 Langford Physical Therapy 4400 Lead SE, 87108 (505) 266-3655 Fax No. (505) 268-2771 Maayan, Ruth J., PT Provider ID #NM00Q320 BlueLINK ID: 5008864 Integrated Specialty Hospital of Albuquerque 235 Elm NE, 87102 (505) 842-5550 Fax No. (505) 767-6460 See special note See last page for Provider Language Codes legend Marshall, Danuta, PT Provider ID #NM00Q327 BlueLINK ID: 5008871 Preferred Rehabilitation Services 11930 Menaul NE, Ste. 110, 87112 (505) 271-5720 Fax No. (505) 271-5728 Mazur, Bruce A., PT Provider ID #NM00Q116 BlueLINK ID: 5009117 Turquoise Trail Physical Therapy & Rehabilitation 4930 McLeod NE, 87109 (505) 984-2032 Fax No. (505) 984-0738 McClanahan, Dan, PT Provider ID #NM00Q301 BlueLINK ID: 5000565 Hands On Physical Therapy 9201 Montgomery NE, Ste. 302, 87111 (505) 293-6262 Fax No. (505) 293-6622 Allied Health Practitioners Gieck, Elizabeth D., PT Provider ID #NM01Q012 BlueLINK ID: 5008437 HealthSouth 4801 McMahan NW, Ste. 150, 87114 (505) 898-9700 Fax No. (505) 858-8539 Albuquerque McClanahan, Linda, PT Provider ID #NM00Q300 BlueLINK ID: 5008728 Hands On Physical Therapy 9201 Montgomery NE, Ste. 302, 87111 (505) 293-6262 Fax No. (505) 293-6622 McClernon-Haigh, Debi K., PT Provider ID #NM00Q321 BlueLINK ID: 5008865 Integrated Specialty Hospital of Albuquerque 235 Elm NE, 87102 (505) 842-5550 Fax No. (505) 767-6460 McGirt, Anne S., PT Provider ID #NM00Q322 BlueLINK ID: 5008866 Integrated Specialty Hospital of Albuquerque 235 Elm NE, 87102 (505) 842-5550 Fax No. (505) 767-6460 Middlebrooks, Peter K., PT Provider ID #NM00Q051 BlueLINK ID: 5005160 ES New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4384 Miller, Christy A., PT Provider ID #NM00Q482 BlueLINK ID: 6004003 ES Langford Sports & Physical Therapy 4400 Lead SE, 87108 (505) 266-3655 Fax No. (505) 268-2771 Montgomery, Katherine J., PT Provider ID #NM00Q358 BlueLINK ID: 6003427 New Mexico Physical Therapists 2607 Wyoming NE, 87112 (505) 296-9521 Fax No. (505) 296-2200 Montgomery, Katherine J., PT Provider ID #NM00Q358 BlueLINK ID: 6003427 New Mexico Physical Therapists 3301 Coors Rd. NW, Ste. K2, 87120 (505) 843-8700 Fax No. (505) 843-9103 Montgomery, Katherine J., PT Provider ID #NM00Q358 BlueLINK ID: 6003427 New Mexico Physical Therapists 4824 McMahon NW, Ste. 101, 87114 (505) 897-3575 Fax No. (505) 897-3726 125 Allied Health Practitioners Albuquerque Allied Health Practitioners Morrow, Jon B., PT Provider ID #NM00Q047 BlueLINK ID: 5008818 New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4384 Page-English, Lisa R., PT Provider ID #NM00Q371 BlueLINK ID: 6003708 Fifty 'N Fit 11801 Menaul NE, 87112 (505) 271-9616 Fax No. (505) 271-8050 Moye, Al, PT Provider ID #NM00Q330 BlueLINK ID: 5008901 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 Plummer, Marybeth, PT Provider ID #NM00Q404 BlueLINK ID: 5008941 New Mexico Physical Therapists East 2607 Wyoming NE, 87112 (505) 296-9521 Fax No. (505) 296-2200 Navarro, Samantha W., PT Provider ID #NM00Q490 BlueLINK ID: 6004141 ES Bear Canyon Therapy Associates 7007 Wyoming NE, Ste. A2, 87109 (505) 823-2411 Fax No. (505) 858-0650 Nunez, Alyssa K., PT Provider ID #NM00Q363 BlueLINK ID: 5008867 ES Fifty 'N Fit 11801 Menaul NE, 87112 (505) 271-9616 Fax No. (505) 271-8050 Nunez, Alyssa, PT Provider ID #NM00Q323 BlueLINK ID: 5008867 Integrated Specialty Hospital of Albuquerque 235 Elm NE, 87102 (505) 842-5550 Fax No. (505) 767-6460 Olson, Monica L., PT Provider ID #NM00Q403 BlueLINK ID: 5008940 New Mexico Physical Therapists East 2607 Wyoming NE, 87112 (505) 296-9521 Fax No. (505) 296-2200 Olson, Monica L., PT Provider ID #NM00Q403 BlueLINK ID: 5008940 New Mexico Physical Therapists East 3301 Coors Blvd. NW, Ste. K2, 87120 (505) 843-8700 Fax No. (505) 843-9103 Olson, Monica L., PT Provider ID #NM00Q403 BlueLINK ID: 5008940 New Mexico Physical Therapists East 4824 McMahon NW, Ste. 101, 87114 (505) 897-3575 Fax No. (505) 897-3726 Ormsbee, Tracey L., PT Provider ID #NM00Q374 BlueLINK ID: 6003160 KidPower Therapy Associates 3530 Pan Am Fwy., Ste. D, 87120 (505) 888-4469 Fax No. (505) 889-8142 Ormsbee, Tracey L., PT Provider ID #NM00Q465 BlueLINK ID: 6003160 New Mexico Physical Therapists 3301 Coors Blvd. NW, Ste. K2, 87120 (505) 843-8700 Fax No. (505) 843-9103 Otero, Jon C., PT Provider ID #NM00Q481 BlueLINK ID: 6004002 ES Langford Sports & Physical Therapy 4400 Lead SE, 87108 (505) 266-3655 Fax No. (505) 268-2771 126 Plummer, Marybeth, PT Provider ID #NM00Q404 BlueLINK ID: 5008941 New Mexico Physical Therapists East 3301 Coors Blvd. NW, Ste. K2, 87120 (505) 843-8700 Fax No. (505) 843-9103 Plummer, Marybeth, PT Provider ID #NM00Q404 BlueLINK ID: 5008941 New Mexico Physical Therapists East 4824 McMahon NW, Ste. 101, 87114 (505) 897-3575 Fax No. (505) 897-3726 Pollard, Christine, PT Provider ID #NM00Q333 BlueLINK ID: 5008904 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 Rusk, Tony L., PT Provider ID #NM01Q425 BlueLINK ID: 5008942 ES New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 242-5205 Fax No. (505) 764-9770 Scherrer, Laura A., PT Provider ID #NM00Q118 BlueLINK ID: 5009120 Turquoise Trail Physical Therapy & Rehabilitation 4930 McLeod NE, 87109 (505) 984-2032 Fax No. (505) 984-0738 Schlee, Nanette R., PT Provider ID #NM00Q380 BlueLINK ID: 6002927 New Mexico Physical Therapists, Inc. 3301 Coors Rd. NW, Ste. K-2, 87120 (505) 843-8700 Fax No. (505) 843-9103 Shaleve, Hanna, PT Provider ID #NM00NR61 BlueLINK ID: 5000588 New Mexico Myotherapy North Point Office Complex 5700 Harper NE, Ste. 470, 87109 (505) 858-0008 Simmons, Gerald M., PT Provider ID #NM01N618 BlueLINK ID: 5008467 Albuquerque Physical Therapists 7615 Indian School NE, 87110 (505) 888-7979 Fax No. (505) 888-8859 Polo-Traverso, Jose A., PT Provider ID #NM00Q356 BlueLINK ID: 6003421 ES FR Concentra Medical Centers 3811 Commons NE, 87109 (505) 345-9959 Sipple, Tracie L., BS-LPT Provider ID #NM00Q276 BlueLINK ID: 6001780 Turquoise Trail Physical Therapy & Rehabilitation 4930 McLeod NE, 87109 (505) 984-2032 Fax No. (505) 837-2030 Polo-Traverso, Jose A., PT Provider ID #NM00Q356 BlueLINK ID: 6003421 ES FR Concentra Medical Centers 5700 Harper NE, Ste. 200, 87109 (505) 823-9166 Fax No. (505) 858-0030 Slevin, Denise C., PT Provider ID #NM01N579 BlueLINK ID: 5000663 Southwest Lymphedema Services 10409 Montgomery Pkwy. NE, Ste. 101, 87111 (505) 323-8811 Fax No. (505) 323-8844 Polo-Traverso, Jose A., PT Provider ID #NM00Q356 BlueLINK ID: 6003421 ES FR Concentra Medical Centers 801 Encino Pl. NE, Ste. E12, 87109 (505) 842-5151 Fax No. (505) 842-5676 Smith Garner, Laurie A., PT Provider ID #NM00Q302 BlueLINK ID: 5008729 ES Hands On Physical Therapy 9201 Montgomery NE, Ste. 302, 87111 (505) 293-6262 Fax No. (505) 293-6622 Rich, Nancy J., PT Provider ID #NM01Q455 BlueLINK ID: 5010179 N. Rich Physical Therapy 8005 Pennsylvania NE, 87110 (505) 872-3300 Fax No. (505) 872-2600 Robinson, Greg, PT Provider ID #NM00Q309 BlueLINK ID: 5008743 ExplorAbilities 5006 Copper NE, Ste. B, 87108 (505) 268-7988 Fax No. (505) 268-8021 Romero, Robert, PT Provider ID #NM00Q328 BlueLINK ID: 5008899 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 Sylvester, Cynthia J., PT Provider ID #NM00Q467 BlueLINK ID: 6003192 New Mexico Physical Therapists 4824 McMahon NW, Ste. 101, 87114 (505) 897-3575 Fax No. (505) 897-3726 Torres, Maria C., PT Provider ID #NM00Q468 BlueLINK ID: 6003193 ES New Mexico Physical Therapists, Inc. 2607 Wyoming NE, 87112 (505) 296-9521 Fax No. (505) 296-2200 Uhrich, Carlee R., PT Provider ID #NM00Q361 BlueLINK ID: 6003457 ES Concentra Medical Centers 801 Encino Pl. NE, Ste. E12, 87102 (505) 842-5151 Fax No. (505) 842-5656 See special note See last page for Provider Language Codes legend Van Zelst, Jacobus G., PT Provider ID #NM00Q052 BlueLINK ID: 5008833 New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4384 Vena, Darryl S., PT Provider ID #NM00Q472 BlueLINK ID: 6003349 ES New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4384 Vena, Darryl S., PT Provider ID #NM00Q473 BlueLINK ID: 6003349 ES New Mexico Physical Therapists 2607 Wyoming NE, 87112 (505) 296-9521 Fax No. (505) 296-2200 Vena, Darryl S., PT Provider ID #NM00Q473 BlueLINK ID: 6003349 ES New Mexico Physical Therapists 3301 Coors Blvd. NW, Ste. K2, 87120 (505) 843-8700 Fax No. (505) 843-9103 Vena, Darryl S., PT Provider ID #NM00Q473 BlueLINK ID: 6003349 ES New Mexico Physical Therapists 4824 McMahon NW, Ste. 101, 87114 (505) 897-3575 Fax No. (505) 897-3726 Vermette, Michelle R., PT Provider ID #NM00Q324 BlueLINK ID: 5008868 Integrated Specialty Hospital of Albuquerque 235 Elm NE, 87102 (505) 842-5550 Fax No. (505) 767-6460 Wagner, Mark A., MPT Provider ID #NM00Q121 BlueLINK ID: 5009123 Turquoise Trail Physical Therapy & Rehabilitation 4930 McLeod NE, 87109 (505) 984-2032 Fax No. (505) 984-0738 Watson, Angelica F., PT Provider ID #NM00Q278 BlueLINK ID: 6003745 ES FR Turquoise Trail Physical Therapy & Rehabilitation 4930 McLeod NE, 87109 (505) 884-2032 Fax No. (505) 837-2030 Wessel, Brenda D., PT Provider ID #NM00Q406 BlueLINK ID: 5008943 New Mexico Physical Therapists East 2607 Wyoming NE, 87112 (505) 296-9521 Fax No. (505) 296-2200 Wessel, Brenda D., PT Provider ID #NM00Q406 BlueLINK ID: 5008943 New Mexico Physical Therapists East 3301 Coors Blvd. NW, Ste. K2, 87114 (505) 897-3575 Fax No. (505) 897-3726 July 2005 Allied Health Practitioners Albuquerque Wien, Jennifer, PT Provider ID #NM00Q355 BlueLINK ID: 6003420 ES Concentra Medical Centers 3811 Commons NE, 87109 (505) 345-9959 Cohn, Michael R., DPM Provider ID #NM005417 BlueLINK ID: 8141070 Albuquerque Podiatry Associates 3804 Montgomery NE, 87109 (505) 884-7800 Fax No. (505) 884-7931 Kerbleski, Gerard J., DPM Provider ID #NM015369 BlueLINK ID: 8204479 Podiatry Associates of NM 711 Encino Pl. NE, Ste. G, 87102 (505) 243-7600 Fax No. (505) 243-6661 Rabon, Steve E., DPM Provider ID #NM009M94 BlueLINK ID: 6003395 Lovelace Sandia Health Systems Gibson Podiatry 5400 Gibson SE, 87108 (505) 262-7285 Wien, Jennifer, PT Provider ID #NM00Q355 BlueLINK ID: 6003420 ES Concentra Medical Centers 5700 Harper NE, Ste. 110, 87109 (505) 823-9166 Fax No. (505) 858-0030 Cornfield, James R., DPM Provider ID #NM005333 BlueLINK ID: 5005213 8008 Menaul NE, 87110 (505) 296-5454 Kerbleski, Gerard J., DPM Provider ID #NM015369 BlueLINK ID: 8204479 Podiatry Associates of NM 8300 Carmel Ave. NE, 87122 (505) 797-1001 Fax No. (505) 243-6661 Saye, Donald E., DPM Provider ID #NM005293 BlueLINK ID: 5005188 711 Encino Pl. NE, Ste. F, 87102 (505) 842-1291 Wilkins, Jennifer L., PT Provider ID #NM00Q354 BlueLINK ID: 6003417 ES New Mexico Orthopaedic Associates 201 Cedar Se, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4384 Zollars, Jean Ann, PT Provider ID #NM00Q331 BlueLINK ID: 5008902 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 Podiatry Balkissoon-Castillo, Shanti M., DPM Provider ID #NM005433 BlueLINK ID: 8272531 ES Podiatry Associates of NM 711 Encino Pl. NE, Ste. G, 87102 (505) 243-7600 Fax No. (505) 243-6661 Balkissoon-Castillo, Shanti M., DPM Provider ID #NM005433 BlueLINK ID: 8272531 ES Podiatry Associates of NM 8300 Carmel Ave. NE, Ste. 501, 87122 (505) 797-1001 Fax No. (505) 828-1571 Bartel, Phillip F., DPM Provider ID #NM005353 BlueLINK ID: 8180295 Montgomery Family Foot Care Center 7520 Montgomery NE, Ste. D12, 87109 (505) 881-9764 Fax No. (505) 881-9774 Brady, Chad D., DPM Provider ID #NM005490 BlueLINK ID: 5009699 ES New Mexico Foot & Ankle Institute 101 Hospital Lp. NE, Ste. 115, 87109 (505) 880-1000 Fax No. (505) 880-1002 Bullock, Cindy E., DPM Provider ID #NM005495 BlueLINK ID: 6003630 Lovelace Sandia Health Systems West Mesa Podiatry 10501 Golf Course Rd. NW, 87114 (505) 262-7285 Fax No. (505) 262-3988 July 2005 Fitzpatrick, William H., DPM Provider ID #NM005311 BlueLINK ID: 8141075 7700 Menaul NE, Ste. D, 87110 (505) 299-4487 Frame, Brent, DPM Provider ID #NM005A05 BlueLINK ID: 8221229 Lovelace Sandia Health Systems Gibson Podiatry 5400 Gibson SE, 87108 (505) 262-7285 Fusco, Carmina M., DPM Provider ID #NM005404 BlueLINK ID: 8253629 ES 6313 Belcher Ave. NE, 87109 (505) 797-8108 Fusco, Carmina M., DPM Provider ID #NM005432 BlueLINK ID: 8253629 ES Podiatry Associates of NM 711 Encino Pl. NE, Ste. G, 87102 (505) 243-7600 Fax No. (505) 243-6661 Fusco, Carmina M., DPM Provider ID #NM005432 BlueLINK ID: 8253629 ES Podiatry Associates of NM 8300 Carmel Ave. NE, Ste. 501, 87122 (505) 797-1001 Fax No. (505) 828-1571 Gustafson, Gay L., DPM Provider ID #NM015413 BlueLINK ID: 8266743 ES 7700 Menaul NE, Ste. D, 87110 (505) 299-4487 Fax No. (505) 299-4498 Haas, Mark, DPM Provider ID #NM005346 BlueLINK ID: 5005222 Albuquerque Associated Podiatrist 121 Sycamore NE, 87106 (505) 247-4164 Ho, Andy N., DPM Provider ID #NM015491 BlueLINK ID: 5009781 ES FR KM VI Sandia Health Institute, PC 4200 Carlisle NE, 87107 (505) 881-1585 Ivey, Nathan D., DPM Provider ID #NM005485 BlueLINK ID: 5007746 New Mexico Foot & Ankle Institute 101 Hospital Lp. NE, 87109 (505) 880-1000 Fax No. (505) 880-1002 Kerbleski, Gerard J., DPM Provider ID #NM005416 BlueLINK ID: 8204479 University Physicians Associates UNM Dept. of Orthopedics 4808 McMahon Blvd. NW, 87114 (505) 272-1754 Launer, Seth, DPM Provider ID #NM005489 BlueLINK ID: 8266412 Lovelace Sandia Health Systems Rio Bravo Podiatry 200 Rio Bravo SW, 87105 (505) 873-6400 Mirmiran, Roya, DPM Provider ID #NM019358 BlueLINK ID: 8282188 ES Orthopaedic Bone & Joint Specialists, PA 700 Lomas NE, 87102 (505) 843-7798 Fax No. (505) 843-7798 Nelson, Gary, DPM Provider ID #NM015349 BlueLINK ID: 8190670 Lovelace Sandia Health Systems Gibson Podiatry 5400 Gibson SE, 87108 (505) 262-7285 Pacheco, Floyd L., DPM Provider ID #NM005439 BlueLINK ID: 6003339 ES New Mexico Orthopaedic Associates 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4384 Panek, John R., DPM Provider ID #NM005328 BlueLINK ID: 5005209 Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 797-2998 Parks, Robert, DPM Provider ID #NM005A06 BlueLINK ID: 8141089 Lovelace Sandia Health Systems Gibson Podiatry 5400 Gibson SE, 87108 (505) 262-7555 Puhl, Richard, DPM Provider ID #NM005A07 BlueLINK ID: 8141091 Lovelace Medical Center 5400 Gibson SE, 87108 (505) 262-7285 Puhl, Richard, DPM Provider ID #NM005A07 BlueLINK ID: 8141091 Lovelace Sandia Health Systems Gibson Podiatry 5400 Gibson SE, 87108 (505) 262-7285 See special note See last page for Provider Language Codes legend Schimberg, Angela L., DPM Provider ID #NM001234 BlueLINK ID: 8182006 ES 101 Hospital Lp. NE, Ste. 214, 87109 (505) 883-6600 Fax No. (505) 883-0022 Shapiro, Faith C., DPM Provider ID #NM005354 BlueLINK ID: 8189170 SW Podiatry Center 1903 Wyoming NE, Ste. C, 87112 (505) 298-7666 Simon, Janet E., DPM Provider ID #NM005430 BlueLINK ID: 8189170 Podiatry Associates of NM 711 Encino Pl. NE, Ste. G, 87102 (505) 243-7600 Fax No. (505) 243-6661 Simon, Janet E., DPM Provider ID #NM005430 BlueLINK ID: 8189170 Podiatry Associates of NM 8300 Carmel Ave. NE, 87122 (505) 797-1001 Fax No. (505) 243-6661 Sotelo, David R., DPM Provider ID #NM005412 BlueLINK ID: 8247179 1925 Juan Tabo NE, Ste. D, 87112 (505) 275-4199 Fax No. (505) 299-0577 Varoz, Theodore L., DPM Provider ID #NM005321 BlueLINK ID: 8141104 ES Advanced Foot & Ankle Specialists 1204 Candelaria NW, Ste. C, 87120 (505) 345-8529 Fax No. (505) 345-6410 Walston, Sharon P., DPM Provider ID #NM005436 BlueLINK ID: 5010096 ES Podiatry Associates of NM 711 Encino Pl. NE, Ste. G, 87102 (505) 243-7600 Fax No. (505) 243-6661 Walston, Sharon P., DPM Provider ID #NM005436 BlueLINK ID: 5010096 ES Podiatry Associates of NM 8300 Carmel Ave. NE, Ste. 501, 87122 (505) 797-1001 Fax No. (505) 828-1571 Weinstein, Richard A., DPM Provider ID #NM015335 BlueLINK ID: 8141105 ES 1925 Juan Tabo NE, Ste. D, 87112 (505) 293-6290 Fax No. (505) 864-5438 Wrege, Steven S., DPM Provider ID #NM005372 BlueLINK ID: 5005239 3908 Juan Tabo NE, 87111 (505) 271-9900 127 Allied Health Practitioners Wien, Jennifer, PT Provider ID #NM00Q355 BlueLINK ID: 6003420 ES Concentra Medical Centers 801 Encino Pl. NE, Ste. E12, 87102 (505) 842-5151 Fax No. (505) 842-5676 Dodder, Jason B., DPM Provider ID #NM015493 BlueLINK ID: 5010170 ES Southwest Medical Associates 6100 Pan Am Frwy. NE, Ste. 100, 87109 (505) 823-1010 Fax No. (505) 823-4503 Albuquerque Wrege, Steven S., DPM Provider ID #NM005372 BlueLINK ID: 8183673 University Physicians Associates UNM Dept. of Orthopedics 4808 McMahon Blvd. NW, 87114 (505) 272-1754 Speech Therapy Allied Health Practitioners Basil, Brenda, SLP Provider ID #NM00E367 BlueLINK ID: 5008894 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 Brought, Betty, SLP Provider ID #NM00E206 BlueLINK ID: 5008905 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 Brow, Lisa S., MS Provider ID #NM00E114 BlueLINK ID: 5008323 ES 11306 Richfield NE, 87122 (505) 797-1952 Fax No. (505) 797-1952 Cohen, Mary T., SLP Provider ID #NM00E228 BlueLINK ID: 5000301 Turquoise Trail Physical Therapy & Rehabilitation 4930 McLeod NE, 87109 (505) 984-2032 Fax No. (505) 984-0738 Danzing, Sydney, SLP Provider ID #NM00E369 BlueLINK ID: 5008896 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 De la Rosa, Kim, SLP Provider ID #NM00E193 BlueLINK ID: 5008860 Integrated Specialty Hospital of Albuquerque 235 Elm NE, 87102 (505) 842-5550 Fax No. (505) 767-6460 Gillen, Maria E., MS-CCC-SLP Provider ID #NM00E187 BlueLINK ID: 5001388 DE Albuquerque Speech, Language, & Hearing Center 1011 Buena Vista Dr. SE, 87106 (505) 247-4224 Fax No. (505) 247-1772 Gregory, Patricia K., SLP Provider ID #NM00E194 BlueLINK ID: 5008861 Integrated Specialty Hospital of Albuquerque 235 Elm NE, 87102 (505) 842-5550 Fax No. (505) 767-6460 Gregory, Patricia K., SLP Provider ID #NM00E380 BlueLINK ID: 5008861 New Mexico Physical Therapists Inc. 2607 Wyoming NE, 87112 (505) 296-9521 Fax No. (505) 296-2200 128 Allied Health Practitioners Gregory, Patricia K., SLP Provider ID #NM00E380 BlueLINK ID: 5008861 New Mexico Physical Therapists Inc. 3301 Coors NW, Ste. K2, 87120 (505) 843-8700 Fax No. (505) 843-9103 Gregory, Patricia K., SLP Provider ID #NM00E380 BlueLINK ID: 5008861 New Mexico Physical Therapists Inc. 4824 McMahon NW, Ste. 101, 87114 (505) 897-3575 Fax No. (505) 897-3726 Grode, Wendy, SLP Provider ID #NM00E381 BlueLINK ID: 6003866 Children from 0-18 yrs. ExplorAbilities 5006 Copper NE, 87108 (505) 268-7988 Fax No. (505) 268-8021 Hattler, Karl, PhD Provider ID #NM00K43A BlueLINK ID: 7313315 Sonus Hearing Evaluation Center 4620 Jefferson NE, Ste. B, 87109 (505) 889-9000 Fax No. (505) 855-5561 Hohl, Elizabeth, SLP Provider ID #NM00E188 BlueLINK ID: 5008789 Albuquerque Speech, Language & Hearing Center 1011 Buena Vista Dr. SE, 87106 (505) 247-4224 Fax No. (505) 247-1772 Holt, Lynn, SLP Provider ID #NM00E176 BlueLINK ID: 5008757 ExplorAbilities 5006 Copper NE, Ste. B, 87108 (505) 268-7988 Fax No. (505) 268-8021 Horness, Paula, SLP Provider ID #NM00E174 BlueLINK ID: 5008755 ExplorAbilities 5006 Copper NE, Ste. B, 87108 (505) 268-7988 Fax No. (505) 268-8021 Jenkins, Julie P., SLP Provider ID #NM00E167 BlueLINK ID: 5008736 Bear Canyon Therapy Associates 7007 Wyoming NE, Ste. A2, 87109 (505) 823-2411 Fax No. (505) 858-0650 Jenkins, Julie P., SLP Provider ID #NM00Q454 BlueLINK ID: 5008736 ES Langford Physical Therapy 4400 Lead SE, 87108 (505) 266-3655 Fax No. (505) 268-2771 Kelbley, Nancy B., SLP Provider ID #NM00E383 BlueLINK ID: 6004077 Albuquerque Speech, Language & Hearing Center 1011 Buena Vista Dr. SE, 87106 (505) 247-4224 Fax No. (505) 247-1772 Lamb, Melissa C., MS-CCC-SLP Provider ID #NM00E185 BlueLINK ID: 5001388 ZA Albuquerque Speech, Language, & Hearing Center 1011 Buena Vista Dr. SE, 87106 (505) 247-4224 Fax No. (505) 247-1772 McKenzie, Diane H., MS-CCC-SLP Provider ID #NM00T908 BlueLINK ID: 5001388 Albuquerque Speech, Language & Hearing Center 3620 Wyoming NE, Ste. 100, 87111 (505) 296-1465 Fax No. (505) 296-1417 Certified Nurse Practitioners McKenzie, Diane H., MS-CCC-SLP Provider ID #NM00T908 BlueLINK ID: 5001388 Albuquerque Speech, Language, & Hearing Center 1011 Buena Vista Dr. SE, 87106 (505) 247-4224 Fax No. (505) 247-1772 Parker, Vicki B., CFNP Provider ID #NM00R80L BlueLINK ID: 5001098 ES Moreno Valley Healthcare Clinic 11 Elliott Barker Ln., 87710 (505) 377-3301 Fax No. (505) 377-3991 Noel, Kristine, SLP Provider ID #NM00E370 BlueLINK ID: 5008897 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 Noordyk, Jessie, SLP Provider ID #NM00E371 BlueLINK ID: 5008898 KidPower Therapy Associates 3530 Pan Am Frwy. NE, Ste. D, 87107 (505) 888-4469 Fax No. (505) 889-8142 Rice, Kelly, SLP Provider ID #NM00E197 BlueLINK ID: 5008874 Preferred Rehabilitation Services 11930 Menaul NE, Ste. 110, 87112 (505) 271-5720 Fax No. (505) 271-5728 Ross-Brennan, Laurie, MS-CCCSLP Provider ID #NM01K456 BlueLINK ID: 5000315 ZA Laurie Ross-Brennan & Associates 4210 Louisiana NE, Ste. A, 87109 (505) 268-5933 Fax No. (505) 268-0184 Spinar, Becky, SLP Provider ID #NM00E198 BlueLINK ID: 5008875 Preferred Rehabilitation Services 11930 Menaul NE, Ste. 110, 87112 (505) 271-5720 Fax No. (505) 271-5728 Thomas, Laurie, CCC-SLP Provider ID #NM00N40T BlueLINK ID: 5000626 5320 Palo Duro Dr. NE, 87110 (505) 884-1432 Uzdawinis, Dianna, SLP Provider ID #NM00E195 BlueLINK ID: 5008872 Preferred Rehabilitation Services 11930 Menaul NE, Ste. 110, 87112 (505) 271-5720 Fax No. (505) 271-5728 Surgery, Oral and Maxillofacial Christiansen, Stephen, DDS Provider ID #NM018152 BlueLINK ID: 8266413 ES ZH West Mesa Oral & Maxillofacial Surgery 4801 McMahon Blvd. NW, Ste. 230, 87114 (505) 792-4788 Fax No. (505) 792-2533 Traub, Daniel J., DDS Provider ID #NM008832 BlueLINK ID: 8186415 3900 Eubank NE, Ste. 12, 87111 (505) 294-6009 See special note See last page for Provider Language Codes legend Angel Fire Colfax County Anthony Doña Ana County Certified Nurse Practitioners Eres, Mario C., CNP Provider ID #NM006342 BlueLINK ID: 5005308 ES La Clinica de Familia 855 N. Main St., 88021 (505) 882-5706 Fax No. (505) 882-2909 Arroyo Hondo Taos County Licensed Midwives Schochet, Julie A., LM-CPM Provider ID #NM00R87A BlueLINK ID: 6000726 Specializing in well women care/ gynecology ES Sacred Passage Midwifery 15 Bob Nieman Rd., Ste. B, 87513 (505) 737-3081 Fax No. (505) 776-1034 Artesia Eddy County Chiropractic Burgess, Jillana G., DC Provider ID #NM00K895 BlueLINK ID: 8140871 315 W. Washington, Ste. A, 88210 (505) 748-3305 Wallace, R. Larry, DC Provider ID #NM00KK53 BlueLINK ID: 8239571 Wallace Chiropractic Center 612 W. Grand, 88210 (505) 748-2700 Fax No. (505) 748-3482 Optometry Battin, Jack L., OD Provider ID #NM00P002 BlueLINK ID: 8174945 202 W. Texas, 88210 (505) 746-4832 Fax No. (505) 746-9737 Hamm, Diana W., OD Provider ID #NM00P190 BlueLINK ID: 8218297 The Eye Site 1002 W. Main St., 88210 (505) 748-1225 Fax No. (505) 746-6454 July 2005 Allied Health Practitioners Hamm, Wayne F., OD Provider ID #NM00P235 BlueLINK ID: 5000806 The Eye Site 1002 W. Main St., 88210 (505) 748-1225 Fax No. (505) 746-6454 Physical Therapy and Rehabilitation Kearney, Patricia J., PT Provider ID #NM00Q383 BlueLINK ID: 5009324 ES Artesia Physical Therapy 601 W. Mahone Dr., Ste. C&D, 88210 (505) 746-2566 Fax No. (505) 746-6260 Simonen, Elina, PT Provider ID #NM00Q020 BlueLINK ID: 5008498 Artesia Physical Therapy 601 W. Mahone, Ste. C & D, 88210 (505) 746-2566 Fax No. (505) 746-6260 Smith, Tory J., PT Provider ID #NM00Q382 BlueLINK ID: 5008469 ES Artesia Physical Therapy 601 W. Mahone Dr., Ste. C&D, 88210 (505) 746-2566 Fax No. (505) 746-6260 Podiatry Brady, Chad D., DPM Provider ID #NM005490 BlueLINK ID: 5009699 ES New Mexico Foot & Ankle Institute 702 N. 13th St., Ste. F, 88210 (505) 748-8310 Fax No. (505) 880-1002 Ivey, Nathan D., DPM Provider ID #NM005485 BlueLINK ID: 5007746 New Mexico Foot & Ankle Institute 702 N. 13th St., 88210 (505) 748-3333 Aztec San Juan County Acupuncture Andersen, Katherine, DOM Provider ID #NM01R303 BlueLINK ID: 5000871 606 S. Rio Grande Ave., Ste. B, 87410 (505) 334-2008 Certified Nurse Midwives Ginn, Amy E., CNM-MSN Provider ID #NM006476 BlueLINK ID: 532588 Aztec Wellness Center 410 S. Park Ave., 87410 (877) 371-2011 Fax No. (970) 247-5545 July 2005 Chiropractic Edwards, Richard M., DC Provider ID #NM01KB49 BlueLINK ID: 6000406 Edwards Chiropractic 1415 W. Aztec Blvd., Ste. 4, 87410 (505) 334-5004 Niños, Frank M., DC Provider ID #NM00K647 BlueLINK ID: 8140987 Aztec Chiropractic Center 318 E. Chuska, 87410 (505) 334-3633 Fax No. (505) 334-3633 Physical Therapy and Rehabilitation Farmer, David, PT Provider ID #NM01N421 BlueLINK ID: 5000441 Physical Therapy of Northern NM 604 S. Rio Grande, 87410 (505) 334-9616 Fax No. (505) 334-7343 Mosiman, Sidney, PT Provider ID #NM00Q098 BlueLINK ID: 5000441 Physical Therapy of Northern NM 604 S. Rio Grande, 87410 (505) 334-9616 Fax No. (505) 334-7343 Stockwell, Rick S., PT Provider ID #NM00Q257 BlueLINK ID: 7140003 Physical Therapy of Northern NM 604 S. Rio Grande, 87410 (505) 334-9616 Fax No. (505) 334-7343 Walker, Dean, PT Provider ID #NM00Q097 BlueLINK ID: 5000441 Physical Therapy of Northern NM 604 S. Rio Grande, 87410 (505) 334-9616 Fax No. (505) 334-7343 Bayard Grant County Certified Nurse Practitioners Seavers, Jane N., CNP Provider ID #NM016601 BlueLINK ID: 7428684 Hidalgo Medical Services Cobre Health Clinic 1107 Foy Hwy., 88023 (505) 537-5068 Fax No. (505) 537-5071 Physical Therapy and Rehabilitation Iniguez, Pedro, PT Provider ID #NM01NR18 BlueLINK ID: 5000573 ES Iniguez Physical Therapy 609 Central Ave., 88023 (505) 537-1000 Fax No. (505) 537-1010 Morales, Ezekiel, PT Provider ID #NM00Q148 BlueLINK ID: 5009366 ES Iniguez Physical Therapy 609 Central Ave., 88023 (505) 537-1000 Fax No. (505) 537-1010 Belen Valencia County Physical Therapy and Rehabilitation If you reside within this county and choose to visit a provider marked with special symbol "¾", your visit will not be covered. See the introductory section of this directory for more details. Almazan, Felipe M., PT Provider ID #NM01NR35 BlueLINK ID: 5000579 New Mexico Physical Therapists 201 Rio Communities Blvd., 87002 (505) 861-2210 Fax No. (505) 861-2168 Acupuncture Barry, Suzanne, DOM Provider ID #NM01R77Z BlueLINK ID: 5001079 ES Amrita Acupuncture Herbology Clinic 219 N. 4th St., 87002 (505) 861-0332 Certified Nurse Midwives Manocchio, Regina T., CNM Provider ID #NM006269 BlueLINK ID: 7468194 ES First Choice Community Healthcare Belen Clinic 120 S. 9th St., 87002 (505) 861-1013 Fax No. (505) 861-1042 Certified Nurse Practitioners Ross, Anna M., CNP Provider ID #NM006171 BlueLINK ID: 5007323 ES First Choice Community Healthcare Belen Clinic 120 S. 9th St., 87002 (505) 861-1013 Fax No. (505) 861-1042 Chiropractic Barkalow, Lawrence S., DC Provider ID #NM00K921 BlueLINK ID: 8140856 215 W. Reinken Ave., 87002 (505) 864-7657 Fax No. (505) 864-7699 Occupational Therapy Ford, Carolyn M., OT Provider ID #NM00Q073 BlueLINK ID: 5008919 New Mexico Physical Therapists East 201 Rio Communities Blvd., 87002 (505) 861-2210 Fax No. (505) 861-2168 Optometry Berry, Steven M., OD Provider ID #NM00PA08 BlueLINK ID: 8287096 ES Dr. Daniel J. Dieterichs, Optometrists, PC 837 W. Castillo St., 87002 (505) 864-8992 Dieterichs, Daniel J., OD Provider ID #NM00P502 BlueLINK ID: 8219169 851 W. Castillo Ave., 87002 (505) 864-8992 Fax No. (505) 864-8737 See special note See last page for Provider Language Codes legend Baca, Philip M., PT Provider ID #NM00Q068 BlueLINK ID: 5008893 ES New Mexico Physical Therapists 201 Rio Communities Blvd., 87002 (505) 861-2210 Fax No. (505) 861-2168 Balzis, Bethany S., PT Provider ID #NM00Q375 BlueLINK ID: 6003425 New Mexico Physical Therapists 201 Rio Communities Blvd., 87002 (505) 861-2210 Fax No. (505) 861-2168 Browning, Karen L., PT Provider ID #NM00Q459 BlueLINK ID: 6003093 New Mexico Physical Therapists 201 Rio Communities Blvd., 87002 (505) 861-2210 Fax No. (505) 861-2168 Byrd, Virginia A., PT Provider ID #NM00Q460 BlueLINK ID: 6002941 New Mexico Physical Therapists 201 Rio Communities Blvd., 87002 (505) 861-2210 Fax No. (505) 861-2168 Davis, Gail, PT Provider ID #NM00Q368 BlueLINK ID: 5008862 New Mexico Physical Therapists Inc. 201 Rio Communities Blvd., 87002 (505) 861-2210 Fax No. (505) 861-2168 Dennis, John P., PT Provider ID #NM00Q385 BlueLINK ID: 6003808 New Mexico Physical Therapists Inc. 201 Rio Communities Blvd., 87002 (505) 861-2210 Fax No. (505) 861-2168 Esparza, Ted J., PT Provider ID #NM00Q072 BlueLINK ID: 5008918 New Mexico Physical Therapists 201 Rio Communities Blvd., 87002 (505) 861-2210 Fax No. (505) 861-2168 Frantz, Clyde W., PT Provider ID #NM00Q439 BlueLINK ID: 5008725 Center for Physical Therapy & Rehabilitation 201 Rio Communities Blvd., 87002 (505) 861-2210 Fax No. (505) 861-2168 Frantz, Clyde W., PT Provider ID #NM00Q074 BlueLINK ID: 5008729 New Mexico Physical Therapists 201 Rio Communities Blvd., 87002 (505) 861-2210 Fax No. (505) 861-2168 Gove, Valerie A., PT Provider ID #NM00Q075 BlueLINK ID: 5008851 New Mexico Physical Therapists East 201 Rio Communities Blvd., 87002 (505) 861-2210 Fax No. (505) 861-2168 129 Allied Health Practitioners Morrison, David G., PT Provider ID #NM00Q021 BlueLINK ID: 5009189 Artesia Physical Therapy 601 W. Mahone, Ste. C & D, 88210 (505) 746-2566 Fax No. (505) 746-6260 Belen Belen Granados, Candace, PT Provider ID #NM00Q076 BlueLINK ID: 5008936 New Mexico Physical Therapists West 201 Rio Communities Blvd., 87002 (505) 861-2210 Fax No. (505) 861-2168 Allied Health Practitioners Jordan, Julia A., PT Provider ID #NM00Q402 BlueLINK ID: 5008939 New Mexico Physical Therapists East 201 Rio Communities Blvd., 87002 (505) 861-2210 Fax No. (505) 861-2168 Kennedy, David, PT Provider ID #NM00Q395 BlueLINK ID: 6003906 ES Los Lunas Physical Therapy 221 S. Main St., Ste. 107, 87002 (505) 861-1200 Fax No. (505) 866-1220 Montgomery, Katherine J., PT Provider ID #NM00Q358 BlueLINK ID: 6003427 New Mexico Physical Therapists 201 Rio Communities Blvd., 87002 (505) 861-2210 Fax No. (505) 861-2168 Olson, Monica L., PT Provider ID #NM00Q403 BlueLINK ID: 5008940 New Mexico Physical Therapists East 201 Rio Communities Blvd., 87002 (505) 861-2210 Fax No. (505) 861-2168 Plummer, Marybeth, PT Provider ID #NM00Q404 BlueLINK ID: 5008941 New Mexico Physical Therapists East 201 Rio Communities Blvd., 87002 (505) 861-2210 Fax No. (505) 861-2168 Tudur, Thomas G., PT Provider ID #NM00Q442 BlueLINK ID: 5009336 Center for Physical Therapy & Sports Rehabilitation 201 Rio Communities Blvd., 87002 (505) 861-2210 Fax No. (505) 861-2168 Vanheyste, Pia Stephanie, PT Provider ID #NM00Q443 BlueLINK ID: 5000584 Center for Physical Therapy & Rehabilitation 201 Rio Communities Blvd., 87002 (505) 861-2210 Fax No. (505) 861-2168 Vena, Darryl S., PT Provider ID #NM00Q473 BlueLINK ID: 6003349 ES New Mexico Physical Therapists 201 Rio Communities Blvd., 87002 (505) 861-2210 Fax No. (505) 861-2168 Wessel, Brenda D., PT Provider ID #NM00Q406 BlueLINK ID: 5008943 New Mexico Physical Therapists East 201 Rio Communities Blvd., 87002 (505) 861-2210 Fax No. (505) 861-2168 130 Allied Health Practitioners Podiatry Weinstein, Richard A., DPM Provider ID #NM015335 BlueLINK ID: 8141105 ES 609 S. Christopher Rd., 87002 (505) 293-6290 Fax No. (505) 864-5438 Speech Therapy Gregory, Patricia K., SLP Provider ID #NM00E380 BlueLINK ID: 5008861 New Mexico Physical Therapists Inc. 201 Rio Communities Blvd., 87002 (505) 861-2210 Fax No. (505) 861-2168 Bernalillo Sandoval County If you reside within this county and choose to visit a provider marked with special symbol "¾", your visit will not be covered. See the introductory section of this directory for more details. Sparks, Barbara D., CRNFA Provider ID #NM006333 BlueLINK ID: 5005301 2402 W. Pierce St., Ste. 5B, 88220 (505) 885-0766 Fax No. (505) 887-3791 Certified Registered Nurse Anesthetists Gutierrez, Jon M., CRNA Provider ID #NM016155 BlueLINK ID: 5005298 Surgery Center of Carlsbad 2323 W. Pierce St., 88220 (505) 234-1343 Fax No. (505) 885-9243 Chiropractic Burnett, Peggy A., DC Provider ID #NM00KK56 BlueLINK ID: 8264401 ES Burnett Chiropractic 104 W. Fox St., 88220 (505) 234-9191 Fax No. (505) 887-7276 Acupuncture Henry, Kelly P., DC Provider ID #NM00KC94 BlueLINK ID: 8271273 502 W. Bonbright, 88220 (505) 885-5808 Cameron, Cathy J., DOM Provider ID #NM01RD58 BlueLINK ID: 6001149 269 Hwy. 44 East, 87004 (505) 897-7234 Email: www.wnwyndingthespirit.com Medley, John M., DC Provider ID #NM01K917 BlueLINK ID: 8140975 Medley Chiropractic Center 926 N. Canal St., 88220 (505) 887-0565 Fax No. (505) 885-5818 Bloomfield San Juan County Chiropractic Glass, Robin L., DC Provider ID #NM00K911 BlueLINK ID: 8140917 Bloomfield Chiropractic Center 308 N. First St., 87413 (505) 632-1111 Fax No. (505) 632-1111 Carlsbad Eddy County Certified Nurse Midwives Hobbs, Lisa M., CNM-BSN Provider ID #NM016425 BlueLINK ID: 7135814 Female patients only ES Women's Health Services 2420 W. Pierce St., Ste. 200, 88220 (505) 885-0995 Fax No. (505) 885-0870 Certified Nurse Practitioners Raney, Jane, CNP Provider ID #NM006463 BlueLINK ID: 3135901 Patients under age 18 ES Pediatric Health Services 2420 W. Pierce St., Ste. 205, 88220 (505) 887-0530 Fax No. (505) 885-6309 Twitchell, Andrew, DC Provider ID #NM01K134 BlueLINK ID: 8269209 Act Chiropractic 710 N. Canal St., 88220 (505) 887-3263 Fax No. (505) 887-6296 Wallen, Stephen L., DC Provider ID #NM00K987 BlueLINK ID: 8141046 Wallen Chiropractic Health Center 1234 W. Pierce St., 88221 (505) 885-8859 Fax No. (505) 885-8850 Wheeler, George F., DC Provider ID #NM00KC15 BlueLINK ID: 8252556 612 W. Pierce St., 88220 (505) 885-2440 Fax No. (505) 885-5101 Optometry Reber, Clay O., OD Provider ID #NM00P355 BlueLINK ID: 5000824 Family Vision Center 201 W. Fox, 88220 (505) 234-9526 Fax No. (505) 885-1178 Reber, David B., OD ESPT Family Vision Center 201 W. Fox (505) 234-9526 Reber, Harold L., OD Provider ID #NM00P885 BlueLINK ID: 8174969 Family Vision Center 201 W. Fox, 88220 (505) 234-9526 Fax No. (505) 885-1178 Reber, Harold L., OD ESPT Family Vision Center 201 W. Fox (505) 234-9526 Physical Therapy and Rehabilitation Bhatt, Radeshyam D., PT Provider ID #NM00Q146 BlueLINK ID: 5009296 ES Physician's Rehab Services 2427 W. Pierce St., 88220 (505) 885-3370 Fax No. (505) 885-1841 DeProost, Erik W., PT Provider ID #NM00Q154 BlueLINK ID: 5009121 Orthopedic specialized physical therapy Living Desert Physical Therapy 1101 W. Mermod St., Ste. B, 88220 (505) 234-1790 Fax No. (505) 234-1898 Kearney, Patricia, PT Provider ID #NM00Q018 BlueLINK ID: 5009324 ES Carlsbad Physical Therapy 128 S. Canyon St., 88221 (505) 628-0503 Fax No. (505) 663-0386 Morrison, David G., PT Provider ID #NM00Q377 BlueLINK ID: 5009189 Carlsbad Physical therapy 128 S. Canyon, 88220 (505) 628-0503 Fax No. (505) 628-3073 Simonen, Elina, PT Provider ID #NM00Q376 BlueLINK ID: 5008498 Carlsbad Physical Therapy 128 S. Canyon, 88220 (505) 628-0503 Fax No. (505) 628-3073 Smith, Tory L., PT Provider ID #NM00Q019 BlueLINK ID: 5008469 Carlsbad Physical Therapy 128 S. Canyon St., 88221 (505) 628-0503 Fax No. (505) 663-0386 Podiatry Reber, Clay O., OD ES Family Vision Center 201 W. Fox (505) 234-9526 Cohen, Michael D., DPM Provider ID #NM005329 BlueLINK ID: 8204009 1002 W. Pierce St., 88220 (505) 885-3445 Reber, David B., OD Provider ID #NM00P510 BlueLINK ID: 5000843 Family Vision Center 201 W. Fox, 88220 (505) 234-9526 Fax No. (505) 885-1178 Folsom, Lyle R., DPM Provider ID #NM015A03 BlueLINK ID: 5008250 ES Southeast NM Podiatry Associates 1002 W. Pierce St., 88220 (505) 885-3445 Fax No. (505) 887-0163 See special note See last page for Provider Language Codes legend July 2005 Allied Health Practitioners Clovis Cedar Crest Cloudcroft Bernalillo County Otero County If you reside within this county and choose to visit a provider marked with special symbol "¾", your visit will not be covered. See the introductory section of this directory for more details. Acupuncture Oddi, Jaclyn M., DOM Provider ID #NM00RH55 BlueLINK ID: 6003782 East Mountain Acupuncture 12131 N. Hwy. 14, 87008 (505) 269-2599 Fax No. (505) 286-8387 Chiropractic Eatman, Gordon B., DC Provider ID #NM01K907 BlueLINK ID: 8175002 49 Los Lunas Circle, 87008 (505) 573-8067 Fax No. (505) 573-8067 Cerrillos Santa Fe County Certified Nurse Practitioners Wosick, Luann, CNP Provider ID #NM006404 BlueLINK ID: 541785 ES Ortiz Mountain Health Center PMS is not affiliated with Presbyterian Healthcare Services 8 Main St., Ste. A, 87010 (505) 471-6266 Fax No. (505) 471-5861 Cimarron Colfax County Certified Nurse Practitioners Parker, Vicki B., CFNP Provider ID #NM00R80L BlueLINK ID: 5001098 ES Cimarron Healthcare Clinic 9th & Washington, 87714 (505) 376-2401 Fax No. (505) 376-2107 Clayton Union County Optometry VanderMeer, Robert C., OD Provider ID #NM00P166 BlueLINK ID: 8140692 315 N. 3rd Ave., 88415 (505) 374-2533 July 2005 Rasch, Bradley G., DC Provider ID #NM00K142 BlueLINK ID: 6002714 Mountain Back Care 62 Curlew Pl., 88317 (505) 682-2283 Fax No. (505) 682-2299 Clovis Curry County Acupuncture Lee, Lance L., DOM Provider ID #NM00RD20 BlueLINK ID: 5007337 Acupuncture Medical Associates 1800 Sheffield, Ste. F, 88101 (505) 769-1929 Summers, Patricia L., DOM Provider ID #NM00R93P BlueLINK ID: 5006515 2412 N. Main St., 88101 (505) 762-9885 Certified Nurse Midwives Lubera, Cristi D., CNM Provider ID #NM006800 BlueLINK ID: 6002968 Women's Medical Center 2000 W. 21st St., Ste. A1, 88101 (505) 762-8055 Fax No. (505) 763-3351 Certified Nurse Practitioners Brakebill, Cristy J., CNP Provider ID #NM006458 BlueLINK ID: 7445403 ES Women's Medical Center 2000 W. 21st St., Ste. A1, 88101 (505) 762-8055 Fax No. (505) 763-3351 Dallas, Glynda M., CNP Provider ID #NM006993 BlueLINK ID: 6003263 Women's Medical Center 2000 W. 21st St., Ste. A1, 88101 (505) 762-8055 Fax No. (505) 763-3351 Gutierrez, Edna G., CNP Provider ID #NM006640 BlueLINK ID: 7313385 Presbyterian Healthcare Services Clovis Clinic 2000 W. 21st St., Ste. E1, 88101 (505) 763-0680 Fax No. (505) 763-0776 Holland, Carol E., CNP Provider ID #NM006815 BlueLINK ID: 5009343 Presbyterian Healthcare Services Clovis Clinic 2000 W. 21st St., Ste. E1, 88101 (505) 763-0680 Fax No. (505) 763-0776 Certified Registered Nurse Anesthetists Ashley, Larry W., CRNA Provider ID #NM006208 BlueLINK ID: 50085855 Presbyterian Healthcare Services Clovis Clinic 2000 W. 21st St., Ste. E1, 88101 (505) 763-0680 Fax No. (505) 763-0776 Barker, Jesse C., CRNA Provider ID #NM006641 BlueLINK ID: 5008953 Presbyterian Healthcare Services Clovis Clinic 2000 W. 21st St., Ste. E1, 88101 (505) 763-0680 Fax No. (505) 763-0766 Gutierrez, Dennis R., CRNA Provider ID #NM006778 BlueLINK ID: 5009404 Clovis Anesthesia & Associates 2100 N. Martin Luther King, 88101 (505) 769-2141 Jones, Royce E., CRNA Provider ID #NM006028 BlueLINK ID: 5005280 Clovis Anesthesia & Associates 2100 N. Martin Luther King, 88101 (505) 769-2141 Reyes, Marcus A., CRNA Provider ID #NM006776 BlueLINK ID: 5009401 Clovis Anesthesia & Associates 2100 N. Martin Luther King, 88101 (505) 769-2141 Rogers, Ronald R., CRNA Provider ID #NM006777 BlueLINK ID: 5009403 Clovis Anesthesia & Associates 2100 N. Martin Luther King, 88101 (505) 769-2141 Romanow, Michael D., CRNA Provider ID #NM006817 BlueLINK ID: 5009350 Presbyterian Healthcare Services Clovis Clinic 2000 W. 21st St., Ste. E1, 88101 (505) 763-0680 Fax No. (505) 763-0776 Velazquez, Frank A., CRNA Provider ID #NM006816 BlueLINK ID: 5009347 Presbyterian Healthcare Services Clovis Clinic 2000 W. 21st St., Ste. E1, 88101 (505) 763-0680 Fax No. (505) 763-0776 Chiropractic Martin, Tom W., DC Provider ID #NM00KC88 BlueLINK ID: 5000225 Apple Chiropractic Center 2610 N. Prince St., 88101 (505) 762-9409 Fax No. (505) 762-6343 See special note See last page for Provider Language Codes legend Pope, Darcy A., DC Provider ID #NM00KK71 BlueLINK ID: 6003335 ABC Chiropractic Clinic 1120 E. Manana, 88101 (505) 742-2117 Fax No. (505) 769-1010 Smith, William J., DC-CCST Provider ID #NM01K995 BlueLINK ID: 8210159 Certified cervical spinal trauma ES Smith Chiropractic Center 124 W. 22nd St., 88101 (505) 763-3333 Fax No. (505) 356-4433 Washburn, Scott O., DC Provider ID #NM00KB75 BlueLINK ID: 8226692 Washburn Chiropractic 1825 W. 21st St., 88101 (505) 762-7676 Fax No. (505) 762-3397 Nutritional Counseling Cortez, Lisa A., RD Provider ID #NM01RH15 BlueLINK ID: 5007719 Renal Medicine Associates 2301 N. Martin Luther King, 88101 (505) 762-7980 Fax No. (505) 762-9006 Cox, Judy A., RD Provider ID #NM00RE86 BlueLINK ID: 7153020 ES La Casa Family Health Center 1521 W. 13th St., 88101 (505) 769-0888 Fax No. (505) 763-9154 Cox, Judy A., RD Provider ID #NM01RH16 BlueLINK ID: 7153020 Renal Medicine Associates 2301 N. Martin Luther King, 88101 (505) 762-7980 Fax No. (505) 762-9006 Physical Therapy and Rehabilitation Holland, Joseph T., PT Provider ID #NM00Q176 BlueLINK ID: 6003231 ES Zia Orthopedics & Sports Therapy 2301 Martin Luther King, 88101 (505) 762-7692 Fax No. (505) 769-8841 Podiatry Stamm, Richard W., DPM Provider ID #NM005342 BlueLINK ID: 8141100 120 W. 21st St., 88101 (505) 769-2200 Speech Therapy Clayton, Starlia S., MS-CCC-SLP Provider ID #NM00E273 BlueLINK ID: 5010007 Specializing in speech language pathology Star Communications Disorders 1516 Grayson Ct., 88101 (505) 799-2270 131 Allied Health Practitioners Lajoie, Stephen A., DOM Provider ID #NM00RH05 BlueLINK ID: 5006946 Body Mind Spirit 12129 N. Hwy. 14, Ste. 9, 87008 (505) 281-8446 Fax No. (505) 281-8447 Chiropractic Wilson, Roberta Lynn, CNP Provider ID #NM00R95R BlueLINK ID: 5006282 Women's Medical Center 2000 W. 21st St., Ste. A1, 88101 (505) 762-8055 Fax No. (505) 763-3351 Corrales Corrales Deming Sandoval County Luna County If you reside within this county and choose to visit a provider marked with special symbol "¾", your visit will not be covered. See the introductory section of this directory for more details. Audiology Allied Health Practitioners Allied Health Practitioners Gallegos, Wendy J., MA Provider ID #NM00R60U BlueLINK ID: 7484174 420 Ashley Ln., 87048 (505) 898-2474 Fax No. (505) 898-2474 Chiropractic Lupowitz, Robert, DC Provider ID #NM00K701 BlueLINK ID: 8140965 4436 Corrales Rd., 87048 (505) 897-2273 Physical Therapy and Rehabilitation Haratyk, Randall L., PT Provider ID #NM00Q464 BlueLINK ID: 6003610 Corrales Physical Therapy 600 Rincon Rd., 87048 (505) 899-1509 Fax No. (505) 899-9278 Cuba Sandoval County If you reside within this county and choose to visit a provider marked with special symbol "¾", your visit will not be covered. See the introductory section of this directory for more details. Certified Nurse Practitioners Enyeart, Paula, FNP Provider ID #NM00R81W BlueLINK ID: 5001121 ES Cuba Health Center PMS is not affiliated with Presbyterian Healthcare Services 6349 Hwy. 550, 87013 (505) 289-3291 Lewis, Hilma M., NP Provider ID #NM00R82X BlueLINK ID: 5001145 Cuba Health Center PMS is not affiliated with Presbyterian Healthcare Services 6349 Hwy. 550, 87013 (505) 289-3291 Fax No. (505) 285-3648 Optometry Jarrell, Robert L., OD Provider ID #NM00P264 BlueLINK ID: 8174953 ES Cuba Health Center PMS is not affiliated with Presbyterian Healthcare Services 6349 Hwy. 550, 87013 (505) 289-3291 Fax No. (505) 285-3648 132 Certified Nurse Midwives Urbanski, Patricia R.K., CNM Provider ID #NM016459 BlueLINK ID: 5008164 Females 12 yrs. And older Deming Women's Center 850 W. Florida, 88030 (505) 546-6548 Fax No. (505) 546-6540 Wood, Patricia L., CNM Provider ID #NM016613 BlueLINK ID: 5008470 Females 12 yrs. And older Demign Women's Center 850 W. Florida, 88030 (505) 546-6548 Fax No. (505) 546-6540 Certified Nurse Practitioners McIntire, Patricia A., CFNP Provider ID #NM006422 BlueLINK ID: 7313340 ES Silver Internal Medicine 900 W. Birch, 88030 (505) 544-4422 Fax No. (505) 544-4436 Schmidt, Deborah F., CNP Provider ID #NM006931 BlueLINK ID: 5008632 Females 12 yrs. And older Deming Women's Center 850 W. Florida, 88030 (505) 546-6548 Fax No. (505) 546-6540 Certified Registered Nurse Anesthetists Dunnihoo, Madeline B., CRNA Provider ID #NM006793 BlueLINK ID: 6000421 Mimbres Memorial Hospital 900 W. Ash St., 88030 (505) 546-5800 Payne, Dale L., CRNA Provider ID #NM006A56 BlueLINK ID: 5008760 Mimbres Memorial Hospital 900 W. Ash St., 88030 (505) 546-5800 Fax No. (505) 546-6907 Chiropractic Soulsby, Kenneth P., DC Provider ID #NM00K528 BlueLINK ID: 8141026 ES 909 S. Gold St., 88030 (505) 546-7331 Stevens, Joel B., DC Provider ID #NM01KH64 BlueLINK ID: 8281011 ES Stevens Chiropractic Center 722 E. Florida, 88030 (505) 546-2555 Fax No. (505) 546-2725 Physical Therapy and Rehabilitation Byrd, Virginia A., PT Provider ID #NM00Q470 BlueLINK ID: 6002941 Southwest Therapists, Inc. 118 S. Iron, 88031 (505) 546-2649 Fax No. (505) 546-2949 Stevens, Shannon M., MSPT Provider ID #NM01Q136 BlueLINK ID: 5008417 ES Summit Rehabilitation 722 E. Florida, 88030 (505) 546-2555 Fax No. (505) 546-2725 Podiatry Deetz, David L., DPM Provider ID #NM025303 BlueLINK ID: 8112971 ES Rio Grande Foot Clinic 850 W. Florida, 88030 (505) 546-6548 Dexter Chaves County Certified Nurse Practitioners Tulk, Phyllis A., CFNP Provider ID #NM006424 BlueLINK ID: 3214412 Valley Health Clinic of ENMMC 116 E. 2nd St., 88230 (505) 622-1309 Edgewood Santa Fe County Certified Nurse Practitioners Fuller, Deborah J., CNP Provider ID #NM006181 BlueLINK ID: 7122326 ES First Choice Community Healthcare Edgewood Clinic #8 Medical Center Rd., 87105 (505) 873-7400 Fax No. (505) 873-4400 Jones, Ilah R., CFNP Provider ID #NM006254 BlueLINK ID: 7492981 ES DE First Choice Community Healthcare Edgewood Clinic #8 Medical Center Rd., 87015 (505) 281-3406 Fax No. (505) 286-3329 Occupational Therapy Steinberg, Kate A., OTR Provider ID #NM01E374 BlueLINK ID: 5009800 Active Solutions 1916 Old Hwy. 66, Ste. A, 87105 (505) 286-7838 Fax No. (505) 286-8025 See special note See last page for Provider Language Codes legend Optometry Walker, Patria Dulce, OD Provider ID #NM00P470 BlueLINK ID: 5000835 East Mountain Eye Clinic Edgewood Plaza 1876 U.S. Hwy. 66, P.O. Box 400, 87015 (505) 286-2020 Physical Therapy and Rehabilitation Fowler, Cheryl, PT Provider ID #NM00Q336 BlueLINK ID: 5009505 East Mountain Physical Therapy 3 George Ct., Ste. A, 87015 (505) 281-8463 Fax No. (505) 281-8469 Fowler, James M., PT Provider ID #NM00Q337 BlueLINK ID: 5009504 ES East Mountain Physical Therapy 3 George Ct., Ste. A, 87015 (505) 281-8463 Fax No. (505) 281-8469 Gove, Valerie A., PT Provider ID #NM00Q362 BlueLINK ID: 5008851 Active Solutions 1916 Old US Hwy. 66, 87015 (505) 286-7838 Fax No. (505) 286-8025 Speech Therapy DiRaddo, Virginia L., SLP Provider ID #NM00E375 BlueLINK ID: 5009801 Active Solutions 1916 Old U.S. Hwy. 66, Ste. A, 87015 (505) 286-7838 Fax No. (505) 286-8025 El Prado Taos County Physical Therapy and Rehabilitation Holmes, Ronald C., PT Provider ID #NM00Q013 BlueLINK ID: 5008439 Taos Physical Therapy 1307 Paseo del Pueblo Norte, 87529 (505) 751-0848 Fax No. (505) 751-0860 Yoshimine-Griess, Joanne, PT Provider ID #NM00Q458 BlueLINK ID: 5007174 Taos Physical Therapy 1307 Paseo del Pueblo Norte, 87529 (505) 751-0848 Fax No. (505) 751-0860 El Rito Rio Arriba County Certified Nurse Practitioners Flores, Jose R., CNP Provider ID #NM006973 BlueLINK ID: 7120997 ES Las Clinicas del Norte Hwy. 571, Ste. 28, 87530 (505) 581-4728 Fax No. (505) 581-4789 July 2005 Allied Health Practitioners Elephant Butte Sierra County Physical Therapy and Rehabilitation Mannon, Kori R., MPT Provider ID #NM00Q170 BlueLINK ID: 6003004 ES Mannon Motion 106 Warmsprings Blvd., 87935 (505) 740-0356 Fax No. (505) 894-0003 Española Rio Arriba County Blaire, Paloma Terese, DOM Provider ID #NM00R94S BlueLINK ID: 5001082 ES Luz de Vida 804 S. Riverside Dr., Ste. 5, 87532 (505) 747-7242 Fax No. (505) 747-7241 Briggs, Jennifer L., DOM Provider ID #NM01RG59 ES DE 82 County Rd. 122, 87532 (505) 753-7576 Fax No. (505) 753-7676 Callen, Carol L., DOM Provider ID #NM00RG21 BlueLINK ID: 6003061 ES DE Northern NM Health Care, LLC 82 County Rd. 122, Ste. A, 87532 (505) 753-7576 Fax No. (505) 753-7676 Chew, Kerrilyn, DOM Provider ID #NM00RF75 BlueLINK ID: 5008301 ES Luz de Vida 804 S. Riverside Dr., Ste. 5, 87532 (505) 747-7242 Fax No. (505) 747-7241 Khalsa, Gurumitar K., DOM Provider ID #NM00R30H BlueLINK ID: 5007114 FR 144, Ste. 830, 87532 (505) 753-7576 Fax No. (505) 983-0160 Khalsa, Jiwan Shakti Kaur, DOM Provider ID #NM00R75Y BlueLINK ID: 5001060 ES 415 N. Paseo de Oñate, 87532 (505) 753-3369 Fax No. (505) 753-4006 Khalsa, Kartar S., DOM Provider ID #NM01R73Y BlueLINK ID: 5001055 ES GRD Acupuncture 415 N. Paseo de Oñate, 87532 (505) 753-3369 Fax No. (505) 753-4006 Moerth-Conrad, Esther B., DOM Provider ID #NM02RG04 BlueLINK ID: 5009780 ES DE Northern NM Health Care, LLC 82 County Rd. 122, 87532 (505) 753-7576 Fax No. (505) 753-7676 July 2005 Rosenblatt, Anne B., DOM Provider ID #NM01RG23 BlueLINK ID: 6003095 234 Paseo de Onate, 87532 (505) 984-0868 Certified Nurse Midwives McLean, DeEdda L., CNM Provider ID #NM006889 BlueLINK ID: 6003187 Española Multi-Specialty Clinic 1010 Spruce St., 87532 (505) 367-0340 Fax No. (505) 367-0346 Certified Nurse Practitioners Bjeletich, Barbara J., CNP Provider ID #NM006968 BlueLINK ID: 6003900 ES Health Centers of Northern NM Española Clinic 620 Coronado St., 87532 (505) 753-7395 Fax No. (505) 753-8373 Certified Registered Nurse Anesthetists Babeshoff, James, CRNA Provider ID #NM006860 BlueLINK ID: 6003006 Española Hospital 1010 Spruce St., 87532 (505) 753-7111 Fax No. (505) 367-0257 Carmen, Lori J., CRNA Provider ID #NM016426 BlueLINK ID: 5010196 Española Hospital 1010 Spruce St., 87532 (505) 753-7111 Fitzpatrick, Sara A., CRNA Provider ID #NM006890 BlueLINK ID: 6003189 Española Hospital 1010 Spruce St., 87532 (505) 753-7111 Fax No. (505) 367-0257 Holtz, Peter G., CRNA Provider ID #NM006869 BlueLINK ID: 5010197 DE Advanced Anesthesia Care Espanola Hospital 1010 Spruce St., 87532 (505) 750-7111 Fax No. (505) 367-0288 Lewandowski, Gregory P., CRNA Provider ID #NM016168 BlueLINK ID: 5009760 Smiling Dragon 1010 Spruce St., 87532 (915) 533-3911 Chiropractic Bohsali, Salim, DC Provider ID #NM00KH73 BlueLINK ID: 5000266 The Body Wise Health Center 234 Oñate, 87532 (505) 753-9296 Crawford, Michael C., DC Provider ID #NM00K962 BlueLINK ID: 8221126 Santa Fe Pain Center 232 N. Paseo De Oñate, 87532 (505) 753-2000 Fax No. (505) 982-3737 Fox, John M., DC Provider ID #NM00KK26 BlueLINK ID: 8285701 ES Española Family Chiropractic 628 Riverside Dr., Ste. A, 87532 (505) 753-3001 Fax No. (505) 753-3052 Khalsa, Guruchander S., DC Provider ID #NM00K689 BlueLINK ID: 8140947 ES GRD Health Center 415 N. Paseo de Oñate, 87532 (505) 753-3369 Fax No. (505) 753-4006 O'Keefe, Patrick J., DC Provider ID #NM00KK42 BlueLINK ID: 5007932 ES Santa Fe Pain Center 232 N. Paseo De Oñate, 87532 (505) 753-2000 Fax No. (505) 982-3737 Perea, Bobby O., DC Provider ID #NM00KL83 BlueLINK ID: 8285770 ES Alignment of Life, Inc. 232 Paseo de Oñate, 87532 (505) 753-2000 Fax No. (505) 982-6886 Rozenblum, Michael E., DC Provider ID #NM00KC05 BlueLINK ID: 5000191 Española Family Chiropractic 628 Riverside Dr., Ste. A, 87532 (505) 753-3001 Schneider, Linda D., DC Provider ID #NM00KH63 BlueLINK ID: 5007220 ES Rt. 1, Box 394J, 87532 (505) 753-7576 Optometry Javid, A. J., OD Provider ID #NM00P892 BlueLINK ID: 5007229 ES Eye Associates of NM 412 N. Paseo de Oñate, Ste. 2, 87532 (505) 753-7868 Fax No. (505) 753-6459 Johnson, Timothy J., OD Provider ID #NM00P444 BlueLINK ID: 5000831 Eye Associates of NM 412 N. Paseo de Oñate, Ste. 2, 87532 (505) 753-7868 Fax No. (505) 753-6459 McCloskey, Yvonne A., OD Provider ID #NM00P271 BlueLINK ID: 5000790 ES Optometrics, PC 612 N. Paseo de Oñate, Ste. C, 87532 (505) 753-7355 Fax No. (505) 753-7533 Meneakis, Michael H., OD Provider ID #NM00P524 BlueLINK ID: 5000796 ES Optometrics, PC 612 N. Paseo de Oñate, Ste. C, 87532 (505) 753-7355 Fax No. (505) 753-7533 See special note See last page for Provider Language Codes legend Physical Therapy and Rehabilitation Adell, Leanne M., PT Provider ID #NM00Q341 BlueLINK ID: 6002981 ES Rocky Mountain Orthopaedics 518 W. Pueblo, 87532 (505) 747-3333 Fax No. (505) 747-7113 Duty, Teresa N., PT Provider ID #NM00Q025 BlueLINK ID: 5008502 Rocky Mountain Orthopaedics 518 W. Pueblo, 87532 (505) 747-3333 Fax No. (505) 749-7113 Fletcher, Amy C., PT Provider ID #NM00Q350 BlueLINK ID: 6003154 Outpatient physical therapy ES Rocky Mountain Orthopaedics 518 W. Pueblo, 87532 (505) 747-3333 Fax No. (505) 747-7113 Allied Health Practitioners Acupuncture Española Florek, Scott A., PT Provider ID #NM00Q345 BlueLINK ID: 6003149 Outpatient physical therapy ES Rocky Mountain Orthopaedics 518 W. Pueblo, 87532 (505) 747-3333 Fax No. (505) 747-7113 Kirby, Cindy L., PT Provider ID #NM00Q489 BlueLINK ID: 6004091 Outpatient physical therapy & DOM ES Rocky Mountain Orthopedics 518 W. Pueblo, 87532 (505) 747-3333 Fax No. (505) 747-7113 Sandoval, Gina, PT Provider ID #NM00Q028 BlueLINK ID: 5008504 Rocky Mountain Orthopaedics 518 W. Pueblo, 87532 (505) 747-3333 Fax No. (505) 749-7113 Schnepf, Charlotte A., PT Provider ID #NM00Q480 BlueLINK ID: 5008850 ES Rocky Mountain Orthopedics 518 W. Pueblo, 87532 (505) 747-3333 Fax No. (505) 747-7113 Email: [email protected] Thompson, Robin, PT Provider ID #NM01NP52 BlueLINK ID: 5008822 Española Sports Medicine 706 La Joya St., Ste. D, 87532 (505) 753-6550 Fax No. (505) 753-1219 Podiatry King, Glenda L., DPM Provider ID #NM009P39 BlueLINK ID: 6003598 Family Foot Care 528 N. Coronado Ave., 87532 (505) 753-3322 Fax No. (505) 753-9482 133 Allied Health Practitioners Española Allied Health Practitioners Meltzer, Evan F., DPM Provider ID #NM005444 BlueLINK ID: 8192936 ES Family Foot Care 1010 Spruce St., Ste. D, 87532 (505) 753-3322 Fax No. (505) 753-9452 Randlemon, Annette L., CFNP Provider ID #NM006648 BlueLINK ID: 5009082 Female patients only Piñon Ob/Gyn 1390 E. 20th St., 87401 (915) 375-1352 Fax No. (970) 375-1372 Schulhofer, David, DPM Provider ID #NM005429 BlueLINK ID: 8255924 415 N. Paseo de Oñate, 87532 (505) 983-7738 Sanchez, Louise M., RNFA Provider ID #NM006882 BlueLINK ID: 6003111 Orthopedic Associates 2300 E. 30th St., Bldg. D, Ste. 101, 87401 (505) 327-1400 Fax No. (505) 327-3474 Tingle, Ryan W., DPM Provider ID #NM007E30 BlueLINK ID: 5010066 Specializing in podiatric surgery FR Northern NM Orthopaedic Center 1009 Spruce St., 87532 (505) 747-4144 Fax No. (505) 747-3213 Wilner, Joel M., DPM Provider ID #NM005356 BlueLINK ID: 8141106 Northern NM Podiatry Associates 835 Spruce St., Ste. A, 87532 (505) 753-3005 Farmington San Juan County Acupuncture St. Clair, Rhenna, DOM Provider ID #NM00RF18 BlueLINK ID: 5007357 ES ZH Four Corners Oriental Medicine 2130 Farmington Ave., 87401 (505) 564-3242 Certified Nurse Practitioners Cheney, Lori M., RNFA Provider ID #NM006876 BlueLINK ID: 6003111 Orthopedic Associates 2300 E. 30th St., Bldg. D, Ste. 101, 87401 (505) 327-1400 Fax No. (505) 327-3474 Colyer, Ellyn E., RNCNOR Provider ID #NM006879 BlueLINK ID: 6003112 Orthopedic Associates 2300 E. 30th St., Bldg. D, Ste. 101, 87401 (505) 327-1400 Fax No. (505) 327-3474 Lucero, Loretta, RNFA Provider ID #NM006488 BlueLINK ID: 5008642 Orthopedic Associates 2300 E. 30th St., Bldg. D, Ste. 101, 87401 (505) 327-1400 Fax No. (505) 564-3202 McCoy, Denita, CNP Provider ID #NM006472 BlueLINK ID: 7438164 ES Mesa Family Practice 2130 Farmington Ave., Ste. A, 87401 (505) 325-2323 Fax No. (505) 325-7172 134 Strain, Holly G., CNP Provider ID #NM016401 BlueLINK ID: 5007039 ES New Mexico Heart Institute 2700 Farmington Ave., Bldg. I, Ste. B, 87401 (505) 324-6322 Richardson, James L., CRNA Provider ID #NM006485 BlueLINK ID: 5008580 Four Corners Anesthesia 2300 E. 30th St., 87401 (505) 326-6400 Fax No. (505) 326-4606 Rowse, Jeremy, DC Provider ID #NM00KL58 BlueLINK ID: 5009091 La Mesa Chiropractic Center 2904 N. Hutton Ave., 87402 (505) 327-4845 Fax No. (505) 327-6274 Richardson, James L., CRNA Provider ID #NM006485 BlueLINK ID: 5008580 Four Corners Anesthesia 801 W. Maple St., 87401 (505) 326-6400 Fax No. (505) 326-4606 Rowse, Ryan T., DC Provider ID #NM00KL59 BlueLINK ID: 5009096 La Mesa Chiropractic Center 2904 N. Hutton Ave., 87402 (505) 327-4845 Fax No. (505) 327-6274 Thurston, James L., CRNA Provider ID #NM006486 BlueLINK ID: 5008581 Four Corners Anesthesia 2300 E. 30th St., 87401 (505) 326-6400 Fax No. (505) 326-4606 Silseth, Chad R., DC Provider ID #NM01K151 BlueLINK ID: 5000271 Mesa Occupational & Sports Medicine 2700 Farmington Ave., Bldg. F, Ste. 1, 87401 (505) 325-1100 Fax No. (505) 325-5044 Certified Registered Nurse Anesthetists Thurston, James L., CRNA Provider ID #NM006486 BlueLINK ID: 5008581 Four Corners Anesthesia 801 W. Maple St., 87401 (505) 326-6400 Fax No. (505) 326-4606 Domrzalski, Mary Ann, CRNA Provider ID #NM006482 BlueLINK ID: 5008576 Four Corners Anesthesia 2300 E. 30th St., 87401 (505) 326-6400 Fax No. (505) 326-4606 Woods, Dennis J., CRNA Provider ID #NM006487 BlueLINK ID: 5008584 Four Corners Anesthesia 2300 E. 30th St., 87401 (505) 326-6400 Fax No. (505) 326-4606 Domrzalski, Mary Ann, CRNA Provider ID #NM006482 BlueLINK ID: 5008576 Four Corners Anesthesia 801 W. Maple St., 87401 (505) 326-6400 Fax No. (505) 326-4606 Woods, Dennis J., CRNA Provider ID #NM006487 BlueLINK ID: 5008584 Four Corners Anesthesia 801 W. Maple St., 87401 (505) 326-6400 Fax No. (505) 326-4606 Domrzalski, Steven, CRNA Provider ID #NM006483 BlueLINK ID: 5008577 Four Corners Anesthesia 2300 E. 30th St., 87401 (505) 326-6400 Fax No. (505) 326-4606 Domrzalski, Steven, CRNA Provider ID #NM006483 BlueLINK ID: 5008577 Four Corners Anesthesia 801 W. Maple St., 87401 (505) 326-6400 Fax No. (505) 326-4606 Hanson, Lane T., CRNA Provider ID #NM006948 BlueLINK ID: 6003319 Four Corners Anesthesia 801 W. Maple St., 87401 (505) 326-6400 Fax No. (505) 326-4606 Lew, Stephanie, CRNA Provider ID #NM006484 BlueLINK ID: 5008578 Four Corners Anesthesia 2300 E. 30th St., 87401 (505) 326-6400 Fax No. (505) 326-4606 Lew, Stephanie, CRNA Provider ID #NM006484 BlueLINK ID: 5008578 Four Corners Anesthesia 801 W. Maple St., 87401 (505) 326-6400 Fax No. (505) 326-4606 Lott, Kirk E., CRNA Provider ID #NM006947 BlueLINK ID: 6003318 Four Corners Anesthesia 801 W. Maple St., 87401 (505) 326-6400 Fax No. (505) 326-4606 Chiropractic Bentley, Robert T., DC Provider ID #NM00KL75 BlueLINK ID: 6003836 ES 2901 E. 20th St., Ste. 105, 87402 (505) 564-8555 Fax No. (505) 564-8556 Brimhall, David T., DC Provider ID #NM00K905 BlueLINK ID: 8140866 Sun Country Healthcare Network 6610 E. Main St., 87402 (505) 324-1111 Brimhall, David T., DC Sun Country Healthcare Network 6610 E. Main St. (505) 324-1111 Dees, Herbert, DC Provider ID #NM00K705 BlueLINK ID: 8140899 1300 E. 20th St., 87401 (505) 325-4270 Fax No. (505) 325-4270 Leahy, Charolette P., DC Provider ID #NM00K662 BlueLINK ID: 8140957 ES 312 W. Apache, 87401 (505) 325-9208 Rowse, Clarence W., DC Provider ID #NM00K973 BlueLINK ID: 8141016 ES La Mesa Chiropractic Center 2904 N. Hutton Ave., 87402 (505) 327-4845 Fax No. (505) 327-6274 See special note See last page for Provider Language Codes legend Smith, Martin A., DC Provider ID #NM00KB15 BlueLINK ID: 5000149 1707 E. 20th St., 87401 (505) 327-5086 Sussex, Erica, DC Provider ID #NM00KL68 BlueLINK ID: 6003127 Sussex Chiropractic 4740 N. Butler Ave., 87401 (505) 325-2604 Fax No. (505) 327-1976 Sussex, Randall M., DC Provider ID #NM00K566 BlueLINK ID: 8141036 ES Sussex Chiropractic 4740 N. Butler Ave., 87401 (505) 325-2604 Fax No. (505) 327-1976 Uphold, Phillip M., DC Provider ID #NM00KL79 BlueLINK ID: 6003991 Sussex Chiropractic 4740 N. Butler Ave., 87401 (505) 325-2604 Fax No. (505) 327-1976 Verstraete, Matthew, DC Provider ID #NM00K747 BlueLINK ID: 8141043 2130 Farmington Ave., 87401 (505) 326-5475 Fax No. (505) 327-0159 Diabetes Counseling Eyring, Michael C., PharmD-Phc Provider ID #NM00RG39 BlueLINK ID: 6003450 ES 804 E. Navajo, 87401 (505) 327-5336 Fax No. (505) 326-9120 Nutritional Counseling Faherty, Denise M., RD Provider ID #NM00RG57 BlueLINK ID: 6003874 Nutrition Solutions, Inc. 311 N. Behrend Ave., 87401 (505) 566-9090 Fax No. (505) 566-9093 Weitkunat, Susan D., RD Provider ID #NM00RG56 BlueLINK ID: 6003873 Nutrition Solutions, Inc. 311 N. Behrend Ave., 87401 (505) 566-9090 Fax No. (505) 566-9093 July 2005 Allied Health Practitioners Occupational Therapy Burrel, Tara E., OT Provider ID #NM00E231 BlueLINK ID: 5009349 Mesa Occupational & Sports Medicine 2700 Farmington Ave., Bldg. F, Ste. 1, 87401 (505) 325-1100 Fax No. (505) 325-5044 Optometry Noyes, Kim M., PT Provider ID #NM00Q233 BlueLINK ID: 5009351 Special K Fitness 906 San Juan Blvd., Ste. G, 87401 (505) 326-2460 Pickren, Stephanie A., BSPT Provider ID #NM00Q250 BlueLINK ID: 6003068 Four Corners Physical Therapy 3832 E. Main St., Ste. E&F, 87402 (505) 564-2955 Fax No. (505) 564-2662 Pierce, Shantelle L., MPT Provider ID #NM00Q084 BlueLINK ID: 5008401 ES Four Corners Physical Therapy 3832 E. Main St., Ste. E&F, 87402 (505) 564-2955 Fax No. (505) 564-2662 Witt, Christopher S., PT Provider ID #NM00Q365 BlueLINK ID: 6003604 HealthSouth 2700 Farmington Ave., Bldg. C, 87401 (505) 326-0761 Fax No. (505) 325-7704 Herrera, Raymond P., OD Provider ID #NM01P468 BlueLINK ID: 8251912 ES ZB Classic Eyewear 113 W. Broadway, 87401 (505) 326-2020 Fax No. (505) 327-5530 Podiatry Quick, Robert H., OD Provider ID #NM01P749 BlueLINK ID: 8174932 ES Quick Vision, Inc. 4600 E. Main St., 87402 (505) 326-1606 Fax No. (505) 326-2756 Carpenter, Samuel C., DPM Provider ID #NM005318 BlueLINK ID: 8141069 ES ZB 4801 N. Butler Ave., Ste. 9102, 87401 (505) 327-3338 Fax No. (505) 327-3339 Russell, Gordon D., OD Provider ID #NM00P965 BlueLINK ID: 6003303 ES ZB Quick Vision, Inc. 4600 E. Main St., 87402 (505) 326-1606 Fax No. (505) 326-2756 Physical Therapy and Rehabilitation Curry, Kathy K., PT Provider ID #NM01Q103 BlueLINK ID: 5008972 Ob/Gyn patients only Northwest NM Physical Therapy, Inc. 630 W. Maple St., 87401 (505) 325-1123 Fax No. (505) 325-3054 Deltscheff, Jordan W., PT Provider ID #NM00Q373 BlueLINK ID: 6003713 HealthSouth 2700 Farmington Ave., Bldg. C, 87401 (505) 326-0761 Fax No. (505) 325-7704 Guerriero, John A., PT Provider ID #NM00Q082 BlueLINK ID: 5008219 Four Corners Physical Therapy 3832 E. Main St., Ste. E&F, 87402 (505) 564-2955 Fax No. (505) 564-2662 Norman, Brittney D., PT Provider ID #NM00Q369 BlueLINK ID: 6003702 HealthSouth Sports Medicine & Rehabilitation Cntr. 2700 Farmington Ave., Bldg. C, 87401 (505) 326-0761 Fax No. (505) 325-7704 July 2005 Dorner, Denise, DPM Provider ID #NM005371 BlueLINK ID: 8205552 Family Foot Health Specialists 817 W. Broadway, 87401 (505) 327-3650 Fax No. (505) 327-2350 Ritchie, J. Garey, DPM Provider ID #NM005305 BlueLINK ID: 8141092 ES ZB 904 E. 20th St., Ste. C, 87401 (505) 327-0444 Fax No. (505) 327-0446 Speech Therapy Montoya, Isabelle K., MA-CCCSLP Provider ID #NM00E223 BlueLINK ID: 5008952 Speech & Language Services Associates 701 W. Apache, 87401 (505) 327-7777 Fax No. (505) 327-7779 Gallup McKinley County Acupuncture Edwards, Ahmed F., DOM Provider ID #NM00R84U BlueLINK ID: 5007291 Alternaid Health 404 E. Nizhoni Blvd., 87301 (505) 726-2800 Fax No. (505) 863-3201 Smart, Suzanne, DOM Provider ID #NM01R79D BlueLINK ID: 5009990 ES Acupuncture Associates 1204 E. Hwy. 66, 87301 (505) 385-2948 Fax No. (505) 265-5803 Audiology Kelly, Elizabeth J., SLP Provider ID #NM00E378 BlueLINK ID: 6003416 Rehoboth McKinley Christian Clinic 2111 College Dr., 87301 (505) 863-1820 Certified Nurse Midwives Forlines, Mary M., CNM Provider ID #NM006605 BlueLINK ID: 7131402 ES ZB Rehoboth McKinley Christian Clinic 1900 Red Rock Dr., 87301 (505) 863-7200 Fax No. (505) 863-7380 Sevene, Phyllis, CNM Provider ID #NM00RF05 BlueLINK ID: 5006928 Rehoboth McKinley Christian Clinic 1900 Red Rock Dr., 87301 (505) 863-7200 Fax No. (505) 722-6037 Sevene, Phyllis, CNM Provider ID #NM00RF05 BlueLINK ID: 5006928 Rehoboth McKinley Christian Clinic 2111 College Dr., 87301 (505) 722-4483 Fax No. (505) 863-1899 Van Asselt-King, Linda, CNM Provider ID #NM00RF05 BlueLINK ID: 7465230 Rehoboth McKinley Christian Clinic 1900 Red Rock Dr., 87301 (505) 863-7200 Fax No. (505) 722-6037 Willis, Starla, CNM Provider ID #NM00RF05 BlueLINK ID: 7473174 Rehoboth McKinley Christian Clinic 1900 Red Rock Dr., 87301 (505) 863-7200 Fax No. (505) 722-6037 Certified Nurse Practitioners Heusel, Karen J., CNP Provider ID #NM00R85N BlueLINK ID: 7484700 ES ZB Western NM Medical Group PMS is not affiliated with Presbyterian Healthcare Services 610 N. 5th St., 87301 (505) 863-3120 Fax No. (505) 863-2961 Hurlbut, Jene M., CNP Provider ID #NM00R86W BlueLINK ID: 5001212 ES ZB Western NM Medical Group PMS is not affiliated with Presbyterian Healthcare Services 610 N. 5th St., 87305 (505) 863-3120 Fax No. (505) 863-2961 Sylvester, Linda S., CNP Provider ID #NM006658 BlueLINK ID: 5009327 ES ZB Western NM Medical Group PMS is not affiliated with Presbyterian Healthcare Services 610 N. 5th St., 87301 (505) 863-3120 Fax No. (505) 863-2961 See special note See last page for Provider Language Codes legend Certified Registered Nurse Anesthetists Anderson, Renee, CRNA Provider ID #NM006A30 BlueLINK ID: 6003891 Rehoboth McKinley Christian Health Care 1901 Red Rock Dr., 87301 (505) 863-7000 Glass, Richard L., CRNA Provider ID #NM006017 BlueLINK ID: 5005784 Rehoboth McKinley Christian Clinic 1901 Red Rock Dr., 87301 (505) 863-7000 Chiropractic Berg, Ronald, DC Provider ID #NM00KC74 BlueLINK ID: 8140862 Sun Country Healthcare Network 122 S. Boardman Ave., 87301 (505) 863-9555 Hite, Linda R., DC Provider ID #NM00KJ72 BlueLINK ID: 6003651 Healing Hands Wellness Center 1808 E. Aztec Ave., Ste. 5, 87301 (505) 722-3979 Fax No. (505) 722-6040 Kirsten, Dennis W., DC Provider ID #NM00KJ71 BlueLINK ID: 6003526 ZB Dine Healthcare PC 703 E. Hill Ave., Ste. B, 87301 (505) 722-0062 Fax No. (928) 871-3559 Marquez, Tracy, DC Provider ID #NM01KC73 BlueLINK ID: 5006241 ES InLine Chiropractic 1204 E. Hwy. 66, 87301 (505) 722-2425 Fax No. (505) 722-3418 Optometry D'Orazio, Robert L., OD Provider ID #NM00PA03 BlueLINK ID: 8175016 ZB 225 Nizhoni Blvd., 87301 (505) 863-5747 Fax No. (505) 863-5101 Strosnider, Jeffrey C., OD Provider ID #NM00P945 BlueLINK ID: 8285334 ES Eye Associates of NM 231 Nizhoni Blvd., 87301 (505) 722-2278 Podiatry Cornfield, James R., DPM Provider ID #NM005333 BlueLINK ID: 5005213 1808 E. Aztec Ave., 87301 (505) 863-3774 Dorner, Denise, DPM Provider ID #NM005371 BlueLINK ID: 8205552 Family Foot Health Specialists 1901 Redrock Dr., 87301 (505) 863-4455 135 Allied Health Practitioners Adegite, Lawrence A. O., OD Provider ID #NM009738 BlueLINK ID: 8231239 AF Rivers in The Desert Eye Clinic 306 S. Lake St., 87401 (505) 326-0552 Fax No. (505) 326-3308 Gallup Gallup Surgery, Oral and Maxillofacial Rogel, Laurence J., DDS Provider ID #NM008405 BlueLINK ID: 8104824 ES 1808 E. Aztec Ave., Ste. 2, 87301 (505) 863-4863 Fax No. (505) 863-6250 Grants Cibola County Allied Health Practitioners Certified Nurse Midwives Roop, Janna E., CNM Provider ID #NM006746 BlueLINK ID: 5009784 Female patients only ES Grants Medical Center 1208 Bonita Ave., 87020 (505) 287-4474 Fax No. (505) 287-8775 Certified Nurse Practitioners Heusel, Karen J., CNP Provider ID #NM00R85N BlueLINK ID: 7484700 ES ZB Western NM Medical Group PMS is not affiliated with Presbyterian Healthcare Services 1217 Bonita Ave., 87020 (505) 287-2958 Fax No. (505) 287-2403 Terriberry, Constance D., CNP-RN Provider ID #NM00R82G BlueLINK ID: 5001132 Western NM Medical Group PMS is not affiliated with Presbyterian Healthcare Services 1217 Bonita Ave., 87020 (505) 287-2958 Fax No. (505) 287-2403 Chiropractic Daugherty, Jack D., DC Provider ID #NM00KC98 BlueLINK ID: 5008131 Santa Fe Ave. Natural Health Clinic 815 W. Santa Fe Ave., 87020 (505) 287-8158 Fax No. (505) 287-8158 Rolwing, James P., DC Provider ID #NM00KC97 BlueLINK ID: 5000230 DE Rolwing Chiropractic 1109 Mesa Blvd., 87020 (505) 287-2537 Fax No. (505) 287-2159 Email: [email protected] Soulsby, William D., DC Provider ID #NM00K584 BlueLINK ID: 8141027 Soulsby Chiropractic Life Center 824 N. 1st St., 87020 (505) 285-6639 Fax No. (505) 285-6639 136 Allied Health Practitioners Occupational Therapy Speech Therapy Glade, Michael S., OT Provider ID #NM00Q034 BlueLINK ID: 5008564 ES Cibola Sports & Physical Therapy 242 Mountain Rd., 87020 (505) 876-6030 Fax No. (505) 876-6151 Jenkins, Julie P., SLP Provider ID #NM00Q453 BlueLINK ID: 5008736 ES Cibola Sports & Physical Therapy 242 Mountain Rd., 87020 (505) 876-6030 Fax No. (505) 876-6151 Optometry Menning, Terry W., OD Provider ID #NM00P011 BlueLINK ID: 8174946 ES 215½ N. 1st St., 87020 (505) 287-4833 Physical Therapy and Rehabilitation Barton, Theresa A., PT Provider ID #NM00Q033 BlueLINK ID: 5008563 Cibola Sports & Physical Therapy 242 Mountain Rd., 87020 (505) 876-6030 Fax No. (505) 876-6151 Craver, Lea M., PT Provider ID #NM00Q475 BlueLINK ID: 6003841 ES Cibola Sports & Physical Therapy 242 Mountain Rd., 87020 (505) 876-6030 Fax No. (505) 876-6151 Jones, Beth A., PT Provider ID #NM00Q372 BlueLINK ID: 6003576 ES Cibola Sports & Physical Therapy 242 Mountain Rd., 87020 (505) 876-6030 Fax No. (505) 876-6151 Langford, MaryLou, PT Provider ID #NM00Q032 BlueLINK ID: 5008510 Cibola Sports & Physical Therapy 242 Mountain Rd., 87020 (505) 876-6030 Fax No. (505) 876-6151 Miller, Christy A., PT Provider ID #NM00Q496 BlueLINK ID: 6004003 ES Cibola Sports & Physical Therapy 242 Mountain Rd., 87020 (505) 876-6030 Fax No. (505) 876-6151 Otero, Jon C., PT Provider ID #NM00Q481 BlueLINK ID: 6004002 ES Cibola Sports & Physical Therapy 242 Mountain Rd., 87020 (505) 876-6030 Fax No. (505) 876-6151 Podiatry Dorner, Denise, DPM Provider ID #NM005371 BlueLINK ID: 8205552 Family Foot Health Specialists 1016 E. Roosevelt Ave., 87020 (505) 287-7949 Hobbs Lea County Acupuncture Lee, Lance L., DOM Provider ID #NM00RD20 BlueLINK ID: 5007337 Acupuncture Medical Associates 2800 N. Grimes, 88240 (505) 392-2712 Fax No. (505) 392-2743 Certified Nurse Practitioners Haynes, Loretta, RN-CNP Provider ID #NM006619 BlueLINK ID: 5008955 ES Hobbstetrics & Gynecology 5419 N. Lovington Hwy., Ste. 25, 88240 (505) 392-0077 Fax No. (505) 492-1574 Martin, Mandy D., RN-CNP Provider ID #NM01R95U BlueLINK ID: 7438850 OB/GYN, females only ES Hobbs Ob/Gyn Associates 5420 Lovington Hwy., 88240 (505) 433-4000 Fax No. (505) 392-7965 McGraw, Amanda R., CNP-MSNRN Provider ID #NM016419 BlueLINK ID: 7473347 ES Desert Medical Group 1801 N. Dal Paso St., 88240 (505) 393-0511 Fax No. (505) 393-0914 Stevenson, Harry B., CNP Provider ID #NM006371 BlueLINK ID: 7114672 ES 5419 N. Lovington Hwy., Ste. 15, 88240 (505) 392-5191 Chiropractic Braun, Ronald G., DC Provider ID #NM00KC84 BlueLINK ID: 5000209 Sun Country Healthcare Network 3132 N. Grimes, 88240 (505) 392-3561 Fax No. (505) 392-4771 Ditto, Vaughn R., DC Provider ID #NM00K095 BlueLINK ID: 8202944 ES Apple Chiropractic Center of Hobbs 205 E. Sanger St., 88240 (505) 397-3356 Fax No. (505) 397-6107 See special note See last page for Provider Language Codes legend Klear, Gregg P., DC Provider ID #NM00KK60 BlueLINK ID: 8289693 Family Wellness Chiropractic Center, PC 1010 N. Dalmont, 88240 (505) 393-4636 Fax No. (505) 393-6927 Smith, Misty L., DC Provider ID #NM00KK62 BlueLINK ID: 8274308 1819 N. Turner St., Ste. J, 88240 (505) 393-6544 Fax No. (505) 393-6544 Summers, Kathleen S., DC Provider ID #NM00KK77 BlueLINK ID: 8116171 ES Summers Chiropractic Professional Association 703 E. Clinton, Ste. 103, 88240 (505) 391-6800 Fax No. (505) 391-6801 Summers, William W., DC Provider ID #NM00KK76 BlueLINK ID: 8116174 Summers Chiropractic Professional Association 703 E. Clinton, Ste. 103, 88240 (505) 391-6800 Fax No. (505) 391-6801 Tabor, Jeff O., DC Provider ID #NM00K635 BlueLINK ID: 8141038 ES 923 N. Shipp St., 88240 (505) 397-7323 Fax No. (505) 397-7323 Optometry Hamm, Diana W., OD Provider ID #NM00P168 BlueLINK ID: 8218297 The Eye Site 1811 N. Dal Paso St., 88240 (505) 397-3611 Hamm, Wayne F., OD Provider ID #NM00P198 BlueLINK ID: 5000799 The Eye Site 1811 N. Dal Paso St., 88240 (505) 397-3611 Mayes, James D., OD Provider ID #NM00P277 BlueLINK ID: 8174947 ES 723 N. Turner St., 88240 (505) 393-4933 Fax No. (505) 397-4319 Reber, Clay O., OD Provider ID #NM00P355 BlueLINK ID: 5000824 Family Vision Center 1315 Joe Harvey Blvd., 88240 (505) 392-8880 Reber, David B., OD Provider ID #NM00P510 BlueLINK ID: 5000843 Family Vision Center 1315 Joe Harvey Blvd., 88240 (505) 392-8880 Reber, Harold L., OD Provider ID #NM00P885 BlueLINK ID: 8174969 Family Vision Center 1315 Joe Harvey Blvd., 88240 (505) 392-8880 July 2005 Allied Health Practitioners Physical Therapy and Rehabilitation Las Cruces Las Cruces Doña Ana County Acupuncture Moore, Todd, PT Provider ID #NM01N601 BlueLINK ID: 5000670 Outpatient physical therapy Hobbs Orthopaedic & Sports Therapy 3830 N. Grimes, 88240 (505) 392-3971 Fax No. (505) 392-4169 Hoshimi-Wilkes, William, DOM Provider ID #NM00RE47 BlueLINK ID: 5007360 ES Oriental Medicine Plus 120 W. Chestnut Ave., 88005 (505) 647-8077 Osborne, Kim L., PT Provider ID #NM00Q024 BlueLINK ID: 5008501 Therapy Services Associates P/T 2700 N. Grimes, 88240 (505) 392-4129 Fax No. (505) 892-3835 Ryan, Timothy D., PT Provider ID #NM00N601 BlueLINK ID: 5000671 Hobbs Orthopaedic & Sports Therapy 3830 N. Grimes, 88240 (505) 392-3971 Fax No. (505) 392-4169 Sandoval, Stacy A., PT Provider ID #NM00Q023 BlueLINK ID: 5000553 ES Therapy Services Associates P/T 2700 N. Grimes, 88240 (505) 392-4129 Fax No. (505) 892-3835 Schrank, Edward C., PT Provider ID #NM00NP75 BlueLINK ID: 5000553 Therapy Services Associates P/T 2700 N. Grimes, 88240 (505) 392-4129 Fax No. (505) 392-3835 Seaton, Shirlee S., PT Provider ID #NM00Q005 BlueLINK ID: 5008353 ES Therapy Services Associates P/T 2700 N. Grimes, 88240 (505) 392-4129 Fax No. (505) 392-3835 Email: [email protected] Podiatry Cohen, Michael D., DPM Provider ID #NM005329 BlueLINK ID: 8204009 1006 N. Linam St., 88240 (505) 393-2293 Jackson, Charles, DPM Provider ID #NM005310 BlueLINK ID: 8253871 ES 820 N. Dalmont St., 88240 (505) 393-9137 Fax No. (505) 391-3977 Speech Therapy Jones, Shirley J., MS-CCC-SLP Provider ID #NM00E274 BlueLINK ID: 5010067 Therapy Plus, Inc. 726 E. Michigan St., Ste. 130, 88240 (505) 393-2257 Fax No. (505) 393-1392 July 2005 Hoshimi-Wilkes, Marie, DOM Provider ID #NM00R46E BlueLINK ID: 5000916 Oriental Medicine Plus 120 W. Chestnut Ave., 88005 (505) 647-8077 Nakano, Masaaki, DOM Provider ID #NM00R32T BlueLINK ID: 5000878 ES JA Oriental Medicine Clinic 755 S. Telshor Blvd., Ste. 202F, 88001 (505) 647-0406 Fax No. (505) 523-8510 Audiology Ivey, Robert G., PhD Provider ID #NM00E266 BlueLINK ID: 5007494 ES Rio Grande Hearing & Balance Center 1130 Commerce Dr., 88011 (505) 521-3025 Fax No. (505) 521-3565 Certified Nurse Midwives Autrey, Kathryn M., CNM Provider ID #NM01R82F BlueLINK ID: 5001131 ES Women's Medical Associates 2100 S. Triviz Dr., Ste. H, 88001 (505) 522-9793 Bateman, Donna, CNM Provider ID #NM016534 BlueLINK ID: 5005344 Female patients 13 yrs. and older ES First Step Center 2450 S. Telshor Blvd., 88011 (505) 556-8175 Fax No. (505) 556-8180 Clark, Nancy, CNM Provider ID #NM016557 BlueLINK ID: 5005358 Female patients 13 yrs. and older ES First Step Center 2450 S. Telshor Blvd., 88011 (505) 556-8175 Fax No. (505) 556-8180 Cox, Rhonda, CNM Provider ID #NM006988 BlueLINK ID: 6003227 Females only ES First Step Center 2450 S. Telshor Blvd., 88011 (505) 521-3045 Fax No. (505) 521-3257 Doubrava, Margaret, CNM Provider ID #NM016421 BlueLINK ID: 5007363 Female patients age 13 and older ES First Step Center 2450 S. Telshor Blvd., 88011 (505) 566-8175 Fax No. (505) 556-8180 Logan, Deborah, CNM Provider ID #NM016594 BlueLINK ID: 5005346 Females only ES Birth and Beyond 2906 Hillrise Dr., 88011 (505) 521-4273 Fax No. (505) 521-4010 McElroy, Diane, CNM Provider ID #NM006545 BlueLINK ID: 5006136 ES Ob/Gyn Consultants 4351 E. Lohman Ave., Ste. 401, 88011 (505) 522-4767 Fax No. (505) 522-3607 McNamara, Stephanie, CNM Provider ID #NM006995 BlueLINK ID: 6003283 Females only over 15 yrs. Old ES First Step Center 2450 S. Telshor Blvd., 88011 (505) 521-3045 Fax No. (505) 521-3257 Simon, Kathleen, CNM Provider ID #NM006602 BlueLINK ID: 5005351 ES DE Rising Moon Midwifery 2801 E. Missouri Ave., Ste. 10, 88011 (505) 532-9619 Taylor, Lisa M., CNM Provider ID #NM006812 BlueLINK ID: 6003131 Females only 2100 S. Triviz Dr., Ste. H, 88001 (505) 522-9793 Fax No. (505) 532-9019 Weller, Elaine T., CNM Provider ID #NM016530 BlueLINK ID: 5005340 ES First Step Center 2450 S. Telshor Blvd., 88011 (505) 556-8175 Fax No. (505) 556-8180 Wofford, Mary L., CNM Provider ID #NM016531 BlueLINK ID: 5005341 Female patients 13 yrs. And older ES First Step Women's Health 2450 S. Telshor Blvd., 88011 (505) 556-8175 Fax No. (505) 556-8180 Degraff, Priscilla, CNP Provider ID #NM006367 BlueLINK ID: 5006049 ES Rio Grande Medical Group 4351 E. Lohman Ave., Ste. 301, 88011 (505) 532-8900 Fax No. (505) 522-0040 Dominguez, Linda, CNP Provider ID #NM006237 BlueLINK ID: 5007684 ES Planned Parenthood of New Mexico 1880 S. Espina, 88001 (505) 525-0414 Fax No. (505) 524-2302 Eres, Mario C., CNP Provider ID #NM006A63 BlueLINK ID: 5005308 ES 1605 El Paseo Rd., 88001 (505) 527-2600 Fax No. (505) 527-5342 Fleming, Alice M., CNP Provider ID #NM006361 BlueLINK ID: 5005326 ES Rio Grande Medical Group 4351 E. Lohman Ave., Ste. 301, 88011 (505) 532-8900 Fax No. (505) 522-0040 Foster, Catharine A., CNP Provider ID #NM01R91D BlueLINK ID: 7446367 Women's health services ES Women's Medical Associates 2100 S. Triviz Dr., Ste. H, 88001 (505) 522-9793 Hauser, Jimmie K., CFNP Provider ID #NM006A70 BlueLINK ID: 6004143 Health Care Solutions, PA 2810 N. Telshor Blvd., 88011 (505) 532-2033 Fax No. (505) 522-2045 Helmick, Carrie F., CNP Provider ID #NM006239 BlueLINK ID: 5007699 ES Planned Parenthood of New Mexico 1880 S. Espina, 88001 (505) 525-0414 Fax No. (505) 524-2302 Hendrickson, Patricia A., CNP Provider ID #NM006234 BlueLINK ID: 5007649 ES Planned Parenthood of New Mexico 1880 S. Espina, 88001 (505) 525-0414 Fax No. (505) 524-2302 Certified Nurse Practitioners Jorgensen, Ethel M., CNP Provider ID #NM006238 BlueLINK ID: 5007698 ES Planned Parenthood of New Mexico 1880 S. Espina, 88001 (505) 525-0414 Fax No. (505) 524-2302 Bishop, Barbara J., CNP Provider ID #NM006233 BlueLINK ID: 5007648 ES Planned Parenthood of New Mexico 1880 S. Espina, 88001 (505) 525-0414 Fax No. (505) 524-2302 Ketcheson, Donna A., CNP Provider ID #NM006236 BlueLINK ID: 5007666 ES Planned Parenthood of New Mexico 1880 S. Espina, 88001 (505) 982-3684 Fax No. (505) 982-7204 See special note See last page for Provider Language Codes legend 137 Allied Health Practitioners Broom, Robin C., PT Provider ID #NM00Q387 BlueLINK ID: 6003847 ES Therapy Services Associates, PC 2700 N. Grimes, 88240 (505) 392-4129 Fax No. (505) 392-3835 Downey, Maj-Liz, CNM Provider ID #NM01R85A BlueLINK ID: 5001184 Female patients 13 yrs. and older ES First Step Center 2450 S. Telshor Blvd., 88011 (505) 556-8175 Fax No. (505) 556-8180 Allied Health Practitioners Las Cruces Allied Health Practitioners Landen, Jenny B., CNP Provider ID #NM006241 BlueLINK ID: 5007770 ES Planned Parenthood of New Mexico 1880 S. Espina, 88001 (505) 525-0414 Fax No. (505) 524-2302 Ray, Sheila B., CRNA Provider ID #NM006930 BlueLINK ID: 6003695 ES West Texas Obstetrical Anesthesia 4311 E. Lohman, 88011 (505) 556-7610 Fax No. (505) 556-6909 Navarrette, Roberto, CNP Provider ID #NM006809 BlueLINK ID: 6003115 ES Associated Cardiology Consultants of New Mexico 2405 S. Telshor Blvd., 88011 (505) 522-5353 Fax No. (505) 522-7571 Robbins, Dennis L., CRNA Provider ID #NM006810 BlueLINK ID: 7442267 ES West Texas Obstetrical Anesthesia 4311 E. Lohman, 88011 (915) 543-2424 Fax No. (915) 533-2568 Sachs, Sheila L., CNP Provider ID #NM000848 BlueLINK ID: 5002504 La Clinica de Familia 1160 Mall Dr., 88011 (505) 521-7181 Fax No. (505) 521-7199 Summers, Linda, CNP-CNS Provider ID #NM016434 BlueLINK ID: 7434266 ES MMC-Family Practice 2450 S. Telshor Blvd., 88011 (505) 521-5370 Fax No. (505) 521-5647 Vancott, Christine, CNM-FNPC Provider ID #NM016595 BlueLINK ID: 7442814 Specializing in OB/GYN ES 2905 Hillrise, Bldg. 2, Unit A, 88011 (505) 532-6061 Fax No. (505) 532-6063 Vigil, Gloria, CNP Provider ID #NM006235 BlueLINK ID: 5007650 ES Planned Parenthood of New Mexico 1880 S. Espina, 88001 (505) 525-0414 Fax No. (505) 524-2302 Woodling, Anne E., CNP Provider ID #M006774 BlueLINK ID: 5009375 ES Dermatology Center 2525 S. Telshor Blvd., Bldg. 15, Ste. 200, 88011 (505) 522-3636 Fax No. (505) 522-0722 Zecha, Laura L., CFNP Provider ID #NM006803 BlueLINK ID: 6002982 Rio Grande Medical Group 4351 E. Lohman Ave., Ste. 301, 88011 (505) 532-8900 Fax No. (505) 532-8974 Zemek, Daniel J., CNP Provider ID #NM00R95W BlueLINK ID: 7446370 ES Cardiac Specialists of NM 2525 S. Telshor Blvd., Bldg. 14, Ste. 100, 88011 (505) 522-7247 Fax No. (505) 522-2029 Certified Registered Nurse Anesthetists Portwood, Diane R., CRNA Provider ID #NM006994 BlueLINK ID: 7357166 ES West Texas Obstetrical Anesthesia 4311 E. Lohman, 88011 (915) 543-2424 Fax No. (915) 533-2568 138 Utter, Frederick S., CRNA Provider ID #NM006996 BlueLINK ID: 7357027 ES West Texas Obstetrical Anesthesia 4311 E. Lohman, 88011 (915) 543-2424 Fax No. (915) 533-2568 Yaphet, Marco, CRNA Provider ID #NM006920 BlueLINK ID: 7400126 ES Mountainview Regional Medical Center 4311 E. Lohman, 88011 (505) 556-7610 Fax No. (505) 556-6909 Zerger, Daniel M., CRNA Provider ID #NM006932 BlueLINK ID: 7398019 West Texas Obstetrical Anesthesia 4311 E. Lohman, 88011 (505) 556-7610 Fax No. (505) 556-6909 Chiropractic Bauer, Lane, DC Provider ID #NM00KC85 BlueLINK ID: 8140857 Sun Country Healthcare Network 1265 S. Main, 88005 (505) 524-4494 Brown, M. E., DC Provider ID #NM00KB46 BlueLINK ID: 8140867 Rio Grande Chiropractic Center 755 S. Telshor Blvd., Ste. 102B, 88011 (505) 522-8085 Carsner, Laura G., DC Provider ID #NM00KK64 BlueLINK ID: 5008284 ES Carsner Chiropractic 2801 E. Missouri Ave., Ste. 26, 88011 (505) 521-0707 Carson, Carol A., DC Provider ID #NM00K071 BlueLINK ID: 8208538 ES Carson Chiropractic Center 1001 N. Solano, Ste. C, 88001 (505) 523-8604 Fax No. (505) 523-8604 Cook, Karin, DC Provider ID #NM00KC19 BlueLINK ID: 8257182 755 S. Telshor Blvd, Ste. 102F, 88011 (505) 521-9265 Harrison, Robert E., DC Provider ID #NM009N98 BlueLINK ID: 8301674 ES 225 E. Idaho, Ste. 26, 88005 (505) 647-5156 Fax No. (505) 647-5657 Hesser, Brian R., DC Provider ID #NM00KC87 BlueLINK ID: 8271750 ES Millennium Chiropractic & Rehabilitation 3519 Foothills, 88011 (505) 521-0793 Fax No. (505) 532-1607 Mitchell, Ronald M., DC Provider ID #NM00K722 BlueLINK ID: 8140980 ES Mitchell Chiropractic Life Center 816 Spruce Ave., 88001 (505) 525-0444 Fax No. (505) 525-0445 Nelson, J. Kent, DC Provider ID #NM00KK79 BlueLINK ID: 8144188 DE Heritage Chiropractic Center 2455 E. Missouri Ave., 88001 (505) 532-1116 Fax No. (505) 556-8437 Nelson, Steven M., DC Provider ID #NM00KK84 BlueLINK ID: 6003478 ES Millenium Chiropractic 3519 Foothills Rd., 88011 (505) 521-0793 Fax No. (505) 532-1607 Short, Brian T., DC Provider ID #NM00KK69 BlueLINK ID: 6003137 Precision Chiropractic 151 S. Walnut, Ste. A8, 88011 (505) 524-9195 Short, Brian T., DC Provider ID #NM00KK69 BlueLINK ID: 6003137 Precision Chiropractic 2540 N. Telshor Blvd., Ste. C, 88011 (505) 524-9195 Williams, Richard A., DC Provider ID #NM00KK27 BlueLINK ID: 8287007 ES Helping Hands Chiropractic 1135 S. Main St., Ste. C, 88005 (505) 541-9288 Fax No. (505) 526-3828 Nutritional Counseling Bhalla, Vijay S., PhD-RD-LDN Provider ID #NM00NB34 BlueLINK ID: 5000460 2025 Hixon Dr., 88005 (505) 523-1146 Clayshulte, Beverly, NS-LN Provider ID #NM00RE84 BlueLINK ID: 5009973 1115 Commerce Dr., 88001 (505) 496-1867 Occupational Therapy Brown, Gloria Ann, OTR-LCHT Provider ID #NM00Q140 BlueLINK ID: 5008979 ES Southwest Sport & Spine Center 2404 S. Locust St., Ste. 5, 88001 (505) 521-4188 Fax No. (505) 521-3668 Lilley, Dearl X., OT Provider ID #NM00Q384 BlueLINK ID: 6003807 ES Southwest Sport & Spine Center 2404 S. Locust St., Ste. 5, 88001 (505) 521-4188 Fax No. (505) 521-3668 See special note See last page for Provider Language Codes legend Visanko, Laura P., OT Provider ID #NM00Q416 BlueLINK ID: 5008984 ES Del Valle Physical Therapy & Rehabilitation 2445 Missouri Ave., Ste. A, 88001 (505) 523-8080 Fax No. (505) 523-8861 Optometry English, Michael L., OD Provider ID #NM00P080 BlueLINK ID: 8174955 Primary care in vision only ES 2001 E. Lohman Ave., Ste. 130, 88001 (505) 575-3937 Fax No. (505) 525-8047 Paz, Thomas A., OD Provider ID #NM00P540 BlueLINK ID: 8218404 ES Optometric Vision Center, PA 330 E. Boutz, 88005 (505) 526-3314 Fax No. (505) 526-1061 Paz, Thomas A., OD Provider ID #NM00P540 BlueLINK ID: 8218404 ES Optometric Vision Center, PA 780 S. Walnut, Bldg. 4, 88001 (505) 523-5300 Fax No. (505) 523-5859 Quick, Robert H., OD Provider ID #NM01P749 BlueLINK ID: 8174932 ES Quick Vision, Inc. 571 Walton Blvd., Ste. C, 88001 (505) 647-2020 Fax No. (505) 524-2756 Sandoval, L. Victor, OD Provider ID #NM00PB14 BlueLINK ID: 6002053 ES 700 S. Telshor, Ste. 1534, 88011 (505) 522-8334 Fax No. (505) 522-1065 Seacat, Mark, OD Provider ID #NM00P454 BlueLINK ID: 5000832 2907 Hillrise Dr., 88011 (505) 521-1050 Shelley, Brent E., OD Provider ID #NM00PB21 BlueLINK ID: 6003942 ES ZA Southwest Vision Specialists, PA 1550 S. Valley Dr., 88005 (505) 526-5367 Tenorio, Adrian, OD Provider ID #NM00PB15 BlueLINK ID: 8287036 ES Optometric Vision Center, PA 330 E. Boutz, 88005 (505) 526-3314 Fax No. (505) 526-1061 Tenorio, Adrian, OD Provider ID #NM00PB15 BlueLINK ID: 8287036 ES Optometric Vision Center, PA 780 S. Walnut, Bldg. 4, 88001 (505) 523-5300 Fax No. (505) 523-5859 July 2005 Allied Health Practitioners Watson, Brenda L., OD Provider ID #NM00PB07 BlueLINK ID: 6000637 ES Quick Vision, Inc. 571 Walton Blvd., Ste. C, 88001 (505) 647-2020 Fax No. (505) 523-2014 Physical Therapy and Rehabilitation Berg, Karen L., PT Provider ID #NM00Q040 BlueLINK ID: 5008588 Del Valle Physical Therapy & Rehabilitation 2445 Missouri Ave., Ste. A, 88001 (505) 523-8080 Fax No. (505) 523-8861 Bybee, Ryan A., PT Provider ID #NM01NR52 BlueLINK ID: 5000582 ES Southwest Sport & Spine Center 2404 S. Locust St., Ste. 5, 88001 (505) 521-4188 Fax No. (505) 521-3668 Byrd, Virginia A., PT Provider ID #NM00Q471 BlueLINK ID: 6002941 Center for Physical Therapy & Sports Rehabilitation 2445 Missouri, Ste. A, 88001 (505) 522-8548 Fax No. (505) 521-4382 Campbell, Laurie Denise, PT Provider ID #NM00N105 BlueLINK ID: 5008970 ES Southwest Sport & Spine Center 2404 S. Locust St., Ste. 5, 88001 (505) 521-4188 Fax No. (505) 521-3668 Cantu Boncser, Gloria, OTR Provider ID #NM00Q143 BlueLINK ID: 5008982 ES Southwest Sport & Spine Center 2404 S. Locust St., Ste. 5, 88001 (505) 521-4188 Fax No. (505) 521-3668 Chacon, Virginia L., PT Provider ID #NM00Q144 BlueLINK ID: 5008992 ES Southwest Sport & Spine Center 2404 S. Locust St., Ste. 5, 88001 (505) 521-4188 Fax No. (505) 521-3668 Craig, Patrick D., PT Provider ID #NM00Q142 BlueLINK ID: 5008981 ES Southwest Sport & Spine Center 2404 S. Locust St., Ste. 5, 88001 (505) 521-4188 Fax No. (505) 521-3668 Figueroa, Mark A., PT Provider ID #NM00Q039 BlueLINK ID: 5008587 Del Valle Physical Therapy & Rehabilitation 225 E. Idaho, Ste. 25, 88005 (505) 523-8080 Fax No. (505) 523-8861 July 2005 Frantz, Clyde W., PT Provider ID #NM00Q439 BlueLINK ID: 5008725 Center for Physical Therapy & Rehabilitation 2445 Missouri Ave., Ste. A, 88001 (505) 522-8548 Fax No. (505) 541-4382 Hipple, Lance L., PT Provider ID #NM00Q435 BlueLINK ID: 5009034 ES Del Valle Physical Therapy & Rehabilitation 2445 Missouri Ave., Ste. A, 88001 (505) 523-8080 Fax No. (505) 523-8861 Email: [email protected] Horvath, Michelle A., PT Provider ID #NM00Q359 BlueLINK ID: 6003451 ES Southwest Sport & Spine Center 2404 S. Locust St., Ste. 5, 88001 (505) 521-4188 Fax No. (505) 521-3668 MacDonald, Kerry R., PT Provider ID #NM00Q469 BlueLINK ID: 6003226 ES Southwest Sport & Spine Center 2404 S. Locust St., Ste. 5, 88001 (505) 521-4188 Fax No. (505) 521-3668 Merhege, Bradley, PT Provider ID #NM00Q172 BlueLINK ID: 6003134 ES Orthopaedic & Sports Medicine Institute 4351 E. Lohman Ave., Ste. 200, 88011 (505) 532-8500 Fax No. (505) 532-8501 Murphy, Charles T., PT Provider ID #NM00Q348 BlueLINK ID: 6003152 Physical therapy - outpatient ES Southwest Sport & Spine Center 2404 S. Locust St., Ste. 5, 88001 (505) 521-4188 Fax No. (505) 521-3668 Noel, Greg S., PT Provider ID #NM00N511 BlueLINK ID: 5000648 ES Millennium Chiropractic & Rehabilitation 3519 Foothills, 88011 (505) 521-0793 Fax No. (505) 532-1607 Parra, Marlane D., SLP Provider ID #NM00E377 BlueLINK ID: 6001703 ES Del Valle Physical Therapy & Rehabilitation 2445 Missouri Ave., Ste. A, 88001 (505) 523-8080 Fax No. (505) 523-8861 Email: [email protected] Prickett, Dennis L., PT Provider ID #NM00N491 BlueLINK ID: 5008420 ES Atrium Physical Therapy 1160 Commerce Dr., 88011 (505) 525-2450 Fax No. (505) 522-9075 Ryberg, Jan, PT Provider ID #NM00Q171 BlueLINK ID: 6003133 ES Orthopaedic & Sports Medicine Institute 4351 E. Lohman Ave., Ste. 200, 88011 (505) 532-8500 Fax No. (505) 532-8501 Skelton, Sabrina L., PT Provider ID #NM00Q436 BlueLINK ID: 5009056 ES Southwest Sport & Spine Center 2404 S. Locust St., Ste. 5, 88001 (505) 521-4188 Fax No. (505) 521-3668 Smoor-Kolloffel, Raveele A.H., PT Provider ID #NM00Q485 BlueLINK ID: 6004015 ES Southwest Sport & Spine Center 2404 S. Locust St., Ste. 5, 88001 (505) 521-4188 Fax No. (505) 521-3668 Steinmetz, Robert L., PT Provider ID #NM00Q131 BlueLINK ID: 5008218 ES Mirasol Lymphedema/Rehab Center 1180 Mall Dr., Ste. A, 88011 (505) 522-5852 Fax No. (505) 522-5850 Thome, Donald J., PT Provider ID #NM00Q038 BlueLINK ID: 5008582 Del Valle Physical Therapy & Rehabilitation 2445 Missouri Ave., Ste. A, 88001 (505) 523-8080 Fax No. (505) 523-8861 Email: [email protected] Tudur, Thomas G., PT Provider ID #NM00Q442 BlueLINK ID: 5009336 Center for Physical Therapy & Sports Rehabilitation 2445 Missouri Ave., Ste. A, 88001 (505) 522-8548 Fax No. (505) 521-4382 Vanheyste, Pia Stephanie, PT Provider ID #NM00Q443 BlueLINK ID: 5000584 Center for Physical Therapy & Rehabilitation 2445 Missouri Ave., Ste. A, 88001 (505) 522-8548 Fax No. (505) 541-4382 Podiatry Cadena, Carlos A., DPM Provider ID #NM005399 BlueLINK ID: 8256872 ES 2800 Doral Ct., Ste. A, 88011 (505) 521-0055 Fax No. (505) 521-0077 Cadena, Rolando C., DPM Provider ID #NM005397 BlueLINK ID: 8251198 2930 Hillrise Dr., Ste. 4, 88011 (505) 522-3330 Deetz, David L., DPM Provider ID #NM025303 BlueLINK ID: 8112971 ES Rio Grande Foot Clinic 710 S. Alameda, 88005 (505) 523-8566 Dunlap-Cadena, Linda J., DPM Provider ID #NM005398 BlueLINK ID: 8251197 2930 Hillrise Dr., Ste. 4, 88011 (505) 522-3330 See special note See last page for Provider Language Codes legend Fisher, David, DPM Provider ID #NM005345 BlueLINK ID: 8141074 335 N. Solano, 88001 (505) 523-2503 Gillis, Douglas T., DPM Provider ID #NM005364 BlueLINK ID: 8141078 Arroyo Foot and Ankle Clinic 780 S. Walnut St., Ste. 3, 88001 (505) 525-3980 Mullan, Robert B., DPM Provider ID #NM015A04 BlueLINK ID: 8269962 ES 2445 S. Telshor Blvd., 88011 (505) 522-2776 Fax No. (505) 522-2271 Yu, Hsiao-Ch'un, DPM Provider ID #NM005365 BlueLINK ID: 8141108 Arroyo Foot and Ankle Clinic 780 S. Walnut St., Ste. 3, 88001 (505) 525-3980 Allied Health Practitioners Barry, Monty D., PT Provider ID #NM00Q184 BlueLINK ID: 6003686 ES IT Rehabilitation & Occupational Medicine LLC 3530 Foothills, Ste. N, 88011 (505) 532-6054 Fax No. (505) 532-0215 Las Vegas Las Vegas San Miguel County Acupuncture Alaniz, Virginia L., DOM-LPCC Provider ID #NM01RF06 BlueLINK ID: 5006072 ES Alaniz Acupuncture & Therapy 1620 7th St., 87701 (505) 454-7694 Fax No. (505) 454-7694 Freeman, James, DOM Provider ID #NM01R79N BlueLINK ID: 5001084 Dragonfly Clinic 725 7th St., 87701 (505) 454-1410 Fax No. (505) 454-1410 Hasson, Randy, DOM Provider ID #NM00R79H BlueLINK ID: 5001083 Advanced Chiropractic & Acupuncture 720 University Ave., 87701 (505) 425-5402 Fax No. (505) 425-8643 Stege, Peter E., DOM Provider ID #NM00R42D BlueLINK ID: 5000912 ES 2002 Hot Springs Blvd., 87701 (505) 454-0003 Certified Nurse Midwives Okoro, Theresa, CNM Provider ID #NM016282 BlueLINK ID: 5007471 ES New Mexico Quickcare Medical Group 105 Mills Ave., Ste. 200, 87701 (505) 454-1109 Fax No. (505) 454-1779 Perkowska, Christine J., CNM Provider ID #NM006880 BlueLINK ID: 6003120 ES New Mexico QuickCare Medical Group 105 Mills Ave., Ste. 200, 87701 (505) 454-1109 Fax No. (505) 454-1779 Withnall, Elizabeth A., CNM Provider ID #NM006511 BlueLINK ID: 5005328 924 4th St., 87701 (505) 454-9618 Fax No. (505) 949-0106 139 Las Vegas Withnall, Elizabeth A., CNM Provider ID #NM006295 BlueLINK ID: 5005328 ES Rio Vista Ob/Gyn 105 Mills Ave., Ste. 100, 87701 (505) 425-3569 Fax No. (505) 425-9031 Certified Nurse Practitioners Allied Health Practitioners Bakken, Lynn B., CFNP Provider ID #NM00R84B BlueLINK ID: 5001167 Las Vegas Clinic for Children & Youth 501 7th St., 87701 (505) 425-3566 Fax No. (505) 425-3568 Osuchowski-Sanchez, Mary Ann Kathryn, CNP Provider ID #NM006417 BlueLINK ID: 5007250 ES Health Centers of Northern NM Las Vegas Clinic Hot Springs Blvd., 87701 (505) 425-6788 Fax No. (505) 425-5408 Certified Registered Nurse Anesthetists Ratlaff, Tracy C., CRNA Provider ID #NM006481 BlueLINK ID: 5005630 Advanced Anesthesia Care 1235 8th St., 87701 (505) 425-2098 Fax No. (505) 425-2130 Chiropractic Crawford, Michael C., DC Provider ID #NM00K962 BlueLINK ID: 8221126 Santa Fe Pain Center 244 Mills Ave., 87701 (505) 454-4600 Fax No. (505) 982-3737 Darling, Scott S., DC Provider ID #NM00K942 BlueLINK ID: 8140896 Las Vegas Chiropractic Center 721 5th St., 87701 (505) 425-5530 Ignacio, Andrea, DC Provider ID #NM00KL63 BlueLINK ID: 5009788 Advanced Chiropractic & Acupuncture 720 University Ave., 87701 (505) 425-5402 Fax No. (505) 425-8643 Nagakura, Tracy J., DC Provider ID #NM00K589 BlueLINK ID: 8140985 ES Advanced Chiropractic & Acupuncture 720 University Ave., 87701 (505) 425-5402 Fax No. (505) 425-8643 O'Keefe, Patrick J., DC Provider ID #NM00KK42 BlueLINK ID: 5007932 ES Santa Fe Pain Center 244 Mills Ave., 87701 (505) 454-4600 Fax No. (505) 982-3737 140 Allied Health Practitioners Occupational Therapy Elian, Linda, OT Provider ID #NM00Q532 BlueLINK ID: 6004110 Rainbow Road Therapies, inc. 721 1/2 7th St., 87701 (505) 426-8095 Fax No. (505) 426-8095 Mudd, Richard, OT Provider ID #NM00E222 BlueLINK ID: 5008935 Las Vegas Center Outpatient Restorative Services Program 3695 Hot Springs Blvd., 87701 (505) 454-1493 Fax No. (505) 454-0397 Winn, Rodney, OT Provider ID #NM00Q272 BlueLINK ID: 6003573 Rainbow Road Therapies, Inc. 721 1/2 7th St., 87701 (505) 426-8095 Optometry Javid, A. J., OD Provider ID #NM00P892 BlueLINK ID: 5007229 ES Eye Associates of NM 248 Mills Ave., 87701 (505) 426-8866 Johnson, Timothy J., OD Provider ID #NM00P444 BlueLINK ID: 5000831 Eye Associates of NM 248 Mills Ave., 87701 (505) 426-8866 VanderMeer, Robert C., OD Provider ID #NM00P166 BlueLINK ID: 8140692 614 8th St., 87701 (505) 425-7201 Physical Therapy and Rehabilitation Bagley, Dale, PT Provider ID #NM00QO89 BlueLINK ID: 5008921 Southwest Physical & Sports Therapy 2513 Ridge Runner Rd., 87701 (505) 425-1117 Fax No. (505) 454-7810 Crespin, Paul, PT Provider ID #NM00E221 BlueLINK ID: 5008934 Las Vegas Center Outpatient Restorative Services Program 3695 Hot Springs Blvd., 87701 (505) 454-1493 Fax No. (505) 454-0397 Herrera, Mark, PT Provider ID #NM00E219 BlueLINK ID: 5008932 Las Vegas Center Outpatient Restorative Services Program 3695 Hot Springs Blvd., 87701 (505) 454-1493 Fax No. (505) 454-0397 Holmes, Bruce B., PT Provider ID #NM00Q269 BlueLINK ID: 6003513 Southwest Physical & Sports Therapy 2513 Ridge Runner Rd., 87701 (505) 425-1117 Fax No. (505) 454-7810 Llamas, Suzanne, PT Provider ID #NM00Q091 BlueLINK ID: 5008926 Las Vegas Physical Therapy 508 University Ave., 87701 (505) 425-7762 Fax No. (505) 454-9880 McFall, Michael, PT Provider ID #NM00Q093 BlueLINK ID: 5008929 Las Vegas Physical Therapy 508 University Ave., 87701 (505) 425-7762 Fax No. (505) 454-9880 Nakasone, Randy, PT Provider ID #NM00Q092 BlueLINK ID: 5008927 Las Vegas Physical Therapy 508 University Ave., 87701 (505) 425-7762 Fax No. (505) 454-9880 Stoklosa, Carolyn, PT Provider ID #NM00Q090 BlueLINK ID: 5008923 Southwest Physical & Sports Therapy 2513 Ridge Runner Rd., 87701 (505) 425-1117 Fax No. (505) 454-7810 Vickery, Karen, PTA Provider ID #NM00E220 BlueLINK ID: 5008933 Las Vegas Center Outpatient Restorative Services Program 3695 Hot Springs Blvd., 87701 (505) 454-1493 Fax No. (505) 454-0397 Podiatry Andersen, Bruce A., DPM Provider ID #NM005351 BlueLINK ID: 8141064 Las Vegas Foot Specialists 109 Railroad Ave., 87701 (505) 425-9491 Blake, William J., DPM Provider ID #NM005445 BlueLINK ID: 5007668 Foot & Ankle Associates 244 Mills, 87701 (505) 454-0123 Fax No. (505) 454-1185 Schulhofer, David, DPM Provider ID #NM005429 BlueLINK ID: 8255924 1214 National Ave., 87701 (505) 454-9400 Williams, Edward D., DPM Provider ID #NM025315 BlueLINK ID: 8178448 Foot & Ankle Associates Hot Springs Blvd., 87701 (505) 454-0123 Speech Therapy Haecker, Ernest, SLP Provider ID #NM00E218 BlueLINK ID: 5008931 Las Vegas Center Outpatient Restorative Services Program 3695 Hot Springs Blvd., 87701 (505) 454-1493 Fax No. (505) 454-0397 Hickethier, Debra Ann, SLP Provider ID #NM00E217 BlueLINK ID: 5007823 Las Vegas Center Outpatient Restorative Services Program 3695 Hot Springs Blvd., 87701 (505) 454-1493 Fax No. (505) 454-0397 See special note See last page for Provider Language Codes legend Linzie, William, SLP Provider ID #NM00E233 BlueLINK ID: 5010211 DE Rainbow Road Therapies, Inc. 721 1/2 7th St., 87701 (505) 426-8095 Fax No. (505) 426-8095 Simpson, Adelaide, SLP Provider ID #NM01K45F BlueLINK ID: 5007149 Rainbow Road Therapies, Inc. 721 1/2 7th St., 87701 (505) 426-8095 Fax No. (505) 426-8095 Lordsburg Hidalgo County Certified Nurse Practitioners Seavers, Jane N., CNP Provider ID #NM016601 BlueLINK ID: 7428684 Hidalgo Medical Services 530 Demoss St., 88045 (505) 542-8384 Fax No. (505) 542-8367 Podiatry Dunlap-Cadena, Linda J., DPM Provider ID #NM005398 BlueLINK ID: 8251197 500 Dr. De Moss St., 88045 (505) 542-8385 Los Alamos Los Alamos County Acupuncture Cheng, Yushu, DOM Provider ID #NM00R494 BlueLINK ID: 5000938 ZH Acupuncture Clinic 3500 Trinity Dr., Ste. A3, 87544 (505) 661-4127 Claude, Christina R., DOM Provider ID #NM01R95G BlueLINK ID: 5000924 127 EastGate Dr., Ste. 211, 87544 (505) 930-8462 Fax No. (505) 661-8481 Email: [email protected] Grubb, Susan L., DOM Provider ID #NM00RG22 BlueLINK ID: 6003072 Specializing in Chinese herbal medicine 1460 Trinity Dr., Ste. 8, 87544 (505) 661-1144 Hunt, Erica, DOM Provider ID #NM00RH47 BlueLINK ID: 6003483 ZH Cottonwood Therapy 3250 Trinity Dr., Ste. C, 87544 (505) 662-1419 Johansen, Andrea, DOM Provider ID #NM00R490 BlueLINK ID: 5000937 2610 Trinity Dr., Ste. 14, 87544 (505) 663-1339 Fax No. (505) 661-9683 July 2005 Allied Health Practitioners Los Lunas Jones, Inez R., DOM Provider ID #NM00RG49 BlueLINK ID: 6003796 ES Cottonwood Therapy 3250 Trinity Dr., Ste. C, 87544 (505) 662-1419 Fax No. (505) 661-0055 Johnson, Timothy J., OD Provider ID #NM00P444 BlueLINK ID: 5000831 Eye Associates of NM LAMC 1623 Central Ave., 87544 (505) 662-5444 Fax No. (505) 662-6109 Jones, Inez R., DOM ES Cottonwood Therapy 3250 Trinity Dr., Ste. C (505) 662-1419 Ratzlaff, Robert D., OD Provider ID #NM01P205 BlueLINK ID: 5000800 Vision West 800 Trinity Dr., Ste. J, 87544 (505) 662-7000 Fax No. (505) 662-2949 Rosenblatt, Anne B., DOM Provider ID #NM01RG23 BlueLINK ID: 6003095 127 E. Gate Dr., Ste. 211, 87544 (505) 660-9413 Salisbury, Mary E., DOM Provider ID #NM00RG14 BlueLINK ID: 5010106 1460 Trinity Dr., Ste. 8, 87544 (505) 690-7142 Certified Nurse Practitioners Karns, James M., CNP Provider ID #NM006971 BlueLINK ID: 6003980 Patients over age 17 LAMC Family Care Center 3917 West Rd., Ste. 225, 87544 (505) 662-3450 Fax No. (505) 661-9487 Chiropractic Lazarus, Kimberly R., DC Provider ID #NM00KL66 BlueLINK ID: 6002928 Los Alamos Chiropractic Clinic 2610 Trinity Dr., Ste. 22, 87544 (505) 662-3022 Lazarus, Kimberly R., DC Provider ID #NM00KL66 BlueLINK ID: 6002928 Los Alamos Fitness Center 771 Central, Ste. 28, 87544 (505) 662-5232 Fax No. (505) 662-5232 Savoia, Nancy, DC Provider ID #NM00KC49 BlueLINK ID: 8258639 2610 Trinity Dr., Ste. 22, 87544 (505) 662-3022 Fax No. (505) 662-7371 Wisehart, Shane K., DC Provider ID #NM00KC77 BlueLINK ID: 8230756 Sun Country Healthcare Network 35 Bonnie View Dr., Ste. 3, 87544 (505) 672-9774 Optometry Bond, Richard E., OD Provider ID #NM00PA53 BlueLINK ID: 8174951 ES Vision West 800 Trinity Dr., Ste. J, 87544 (505) 662-7000 Fax No. (505) 662-2949 July 2005 Shin, Lisa, OD Provider ID #NM00PA51 BlueLINK ID: 5008142 Los Alamos Family Eye Care 2101 Trinity Dr., Ste. U, 87544 (505) 662-9681 Fax No. (505) 662-2551 Thibodeaux, Dwight, OD Provider ID #NM00P203 BlueLINK ID: 5000785 Vision West Group 2132 800 Trinity Dr., Ste. J, 87544 (505) 662-7000 Fax No. (505) 662-2949 Physical Therapy and Rehabilitation Ellsworth, Sara R., PT Provider ID #NM00Q343 BlueLINK ID: 6003013 ES Jemez Physical Therapy 2101 Trinity Dr., Ste. N, 87544 (505) 661-6191 Fax No. (505) 663-0386 Gardner, Lorraine, PT Provider ID #NM00Q036 BlueLINK ID: 5008836 Jemez Physical Therapy 2101 Trinity Dr., Ste. N, 87544 (505) 661-6191 Fax No. (505) 663-0386 Harris, Michelle P., PT Provider ID #NM00Q236 BlueLINK ID: 5009413 Rebound Physical Therapy 4717 Quemazon, 87544 (505) 662-2225 Fax No. (505) 662-2228 Lawton, Cindy M., PT Provider ID #NM00Q235 BlueLINK ID: 5009412 ES FR Rebound Physical Therapy 4717 Quemazon, 87544 (505) 662-2225 Fax No. (505) 662-2228 Pannucci, Leslie A., PT Provider ID #NM00Q087 BlueLINK ID: 5009170 549 Todd Loop South, 87544 (505) 672-0455 Robey, Margaret, PT Provider ID #NM00Q432 BlueLINK ID: 5009020 ES Jemez Physical Therapy 2101 Trinity Dr., Ste. N, 87544 (505) 661-6191 Fax No. (505) 663-0386 Weyrauch, Annette R., RPT Provider ID #NM00N615 BlueLINK ID: 5000672 Physical Therapy Plus 1350 Central Ave., Ste. 105, 87544 (505) 662-3384 Sauer, Jeff, DPM Provider ID #NM005363 BlueLINK ID: 8141095 Los Alamos PHO 3917 West Rd., Ste. 130, 87544 (505) 662-2020 Fax No. (505) 662-9501 Tingle, Ryan W., DPM Provider ID #NM007E30 BlueLINK ID: 5010066 Specializing in podiatric surgery FR Northern NM Orthopaedic Center 3917 West Rd., Ste. 200, 87544 (505) 661-9217 Los Lunas Valencia County If you reside within this county and choose to visit a provider marked with special symbol "¾", your visit will not be covered. See the introductory section of this directory for more details. Acupuncture Rael, Jane M., DOM Provider ID #NM00R93E BlueLINK ID: 5007236 ES 1512 Rio Grande Blvd. SW, 87031 (505) 864-2939 Certified Nurse Midwives Greulich, Mary Beth, CNM Provider ID #NM006268 BlueLINK ID: 5005331 ES First Choice Community Healthcare Los Lunas Clinic 1259 Hwy. 314, 87031 (505) 865-4618 Fax No. (505) 864-1062 Certified Nurse Practitioners Sanders, Andrea, ANP Provider ID #NM006252 BlueLINK ID: 5008492 14 Hermanos Ct., 87031 (505) 328-0797 Chiropractic Bender, Jeffrey L., DC Provider ID #NM00KP19 BlueLINK ID: 5000182 ES 209 N. Hwy. 85, 87031 (505) 865-7610 Woodruff, Robert J., DC Provider ID #NM01KH72 BlueLINK ID: 8283332 CareMore Chiropractic 352 Main St., 87031 (505) 865-3333 Fax No. (505) 865-3840 Occupational Therapy Dillard, Elizabeth A., OT Provider ID #NM00Q466 BlueLINK ID: 6003191 New Mexico Physical Therapists 2211 Main St. SE, Ste. C, 87031 (505) 866-1677 Fax No. (505) 866-1767 See special note See last page for Provider Language Codes legend Ford, Carolyn M., OT Provider ID #NM00Q073 BlueLINK ID: 5008919 New Mexico Physical Therapists East 2211 Main St., Ste. C, 87031 (505) 866-1677 Fax No. (505) 866-1767 Miller, Cortney, OTR Provider ID #NM00E178 BlueLINK ID: 5008775 Los Niños Therapy Center 336 Luna Ave. SE, 87031 (505) 865-7955 Welch-Broach, Tawamda, OTR Provider ID #NM00E179 BlueLINK ID: 5008776 Los Niños Therapy Center 336 Luna Ave. SE, 87031 (505) 865-7955 Physical Therapy and Rehabilitation Almazan, Felipe M., PT Provider ID #NM01NR35 BlueLINK ID: 5000579 New Mexico Physical Therapists 2211 Main St., Ste. C, 87031 (505) 866-1677 Fax No. (505) 866-1767 Baca, Philip M., PT Provider ID #NM00Q068 BlueLINK ID: 5008893 ES New Mexico Physical Therapists South 2211 Main St. SE, Ste. C, 87031 (505) 866-1677 Fax No. (505) 866-1767 Balzis, Bethany S., PT Provider ID #NM00Q375 BlueLINK ID: 6003425 New Mexico Physical Therapists 2211 Main St., Ste. C, 87031 (505) 866-1677 Fax No. (505) 866-1767 Browning, Karen L., PT Provider ID #NM00Q459 BlueLINK ID: 6003093 New Mexico Physical Therapists 2211 Main St. SE, Ste. C, 87031 (505) 866-1677 Fax No. (505) 866-1767 Byrd, Virginia A., PT Provider ID #NM00Q460 BlueLINK ID: 6002941 New Mexico Physical Therapists 2211 Main St., Ste. C, 87031 (505) 866-1677 Fax No. (505) 266-1767 Davis, Gail, PT Provider ID #NM00Q368 BlueLINK ID: 5008862 New Mexico Physical Therapists Inc. 2211 Main St., 87031 (505) 866-1677 Dennis, John P., PT Provider ID #NM00Q385 BlueLINK ID: 6003808 New Mexico Physical Therapists Inc. 2211 Main St., Ste. C, 87031 (505) 866-1677 Fax No. (505) 866-1767 Esparza, Ted J., PT Provider ID #NM00Q072 BlueLINK ID: 5008918 New Mexico Physical Therapists South 2211 Main St. SE, Ste. C, 87031 (505) 866-1677 Fax No. (505) 866-1767 141 Allied Health Practitioners Liu, Li, DOM Provider ID #NM01R21G BlueLINK ID: 5009180 ES ZH Acupuncture and Chinese Medicine 118 Central Park Square, 87544 (505) 984-8781 Fax No. (505) 661-7299 Podiatry Allied Health Practitioners Los Lunas Allied Health Practitioners Frantz, Clyde W., PT Provider ID #NM00Q074 BlueLINK ID: 5008729 New Mexico Physical Therapists 2211 Main St., Ste. C, 87031 (505) 866-1677 Fax No. (505) 866-1767 Sanchez, Donald J., MS-PT Provider ID #NM00Q307 BlueLINK ID: 5000255 Los Lunas Physical Therapy 535 US Hwy. 314 SW, 87031 (505) 866-0055 Fax No. (505) 866-0057 Gove, Valerie A., PT Provider ID #NM00Q075 BlueLINK ID: 5008851 New Mexico Physical Therapists East 2211 Main St., Ste. C, 87031 (505) 866-1677 Fax No. (505) 866-1767 Vena, Darryl S., PT Provider ID #NM00Q473 BlueLINK ID: 6003349 ES New Mexico Physical Therapists 2211 Main St., Ste. C, 87031 (505) 866-1677 Fax No. (505) 866-1767 Granados, Candace, PT Provider ID #NM00Q076 BlueLINK ID: 5008936 New Mexico Physical Therapists West 2211 Main St., Ste. C, 87031 (505) 866-1677 Fax No. (505) 866-1767 Wessel, Brenda D., PT Provider ID #NM00Q406 BlueLINK ID: 5008943 New Mexico Physical Therapists East 2211 Main St., Ste. C, 87031 (505) 866-1677 Fax No. (505) 866-1767 Jordan, Julia A., PT Provider ID #NM00Q402 BlueLINK ID: 5008939 New Mexico Physical Therapists East 2211 Main St., Ste. C, 87031 (505) 866-1677 Fax No. (505) 866-1767 Kennedy, David, PT Provider ID #NM00Q395 BlueLINK ID: 6003906 ES Los Lunas Physical Therapy 535 US Hwy. 314 SW, 87031 (505) 866-0055 Fax No. (505) 866-0057 Kreutzer, Nancy, PT Provider ID #NM00Q317 BlueLINK ID: 5008773 Los Niños Therapy Center 336 Luna Ave. SE, 87031 (505) 865-7955 Martinez, Toni Ann, PT Provider ID #NM00Q315 BlueLINK ID: 5008771 Los Niños Therapy Center 336 Luna Ave. SE, 87031 (505) 865-7955 Montgomery, Katherine J., PT Provider ID #NM00Q358 BlueLINK ID: 6003427 New Mexico Physical Therapists 2211 Main St., Ste. C, 87031 (505) 866-1677 Fax No. (505) 866-1767 Olson, Monica L., PT Provider ID #NM00Q403 BlueLINK ID: 5008940 New Mexico Physical Therapists East 2211 Main St., Ste. C, 87031 (505) 866-1677 Fax No. (505) 866-1767 Plummer, Marybeth, PT Provider ID #NM00Q404 BlueLINK ID: 5008941 New Mexico Physical Therapists East 2211 Main St., Ste. C, 87031 (505) 866-1677 Fax No. (505) 866-1767 Rael, Barbara, PT Provider ID #NM00Q316 BlueLINK ID: 5008772 Los Niños Therapy Center 336 Luna Ave. SE, 87031 (505) 865-7955 142 Podiatry Roe, Tommy G., DPM Provider ID #NM015486 BlueLINK ID: 8289130 ES Valencia Associated Podiatrists 1003 Main St. SW, 87031 (505) 565-1155 Fax No. (505) 565-1166 Speech Therapy Blair, Adriane, SLP Provider ID #NM00E181 BlueLINK ID: 5008778 Los Niños Therapy Center 336 Luna Ave. SE, 87031 (505) 865-7955 Gregory, Patricia K., SLP Provider ID #NM00E380 BlueLINK ID: 5008861 New Mexico Physical Therapists Inc. 2211 Main St., Ste. C, 87031 (505) 866-1677 Fax No. (505) 866-1767 Vallese-Brook, Janet, SLP Provider ID #NM00E180 BlueLINK ID: 5008777 Los Niños Therapy Center 336 Luna Ave. SE, 87031 (505) 865-7955 Vigil, Malia, SLP Provider ID #NM00E177 BlueLINK ID: 5008774 Los Niños Therapy Center 336 Luna Ave. SE, 87031 (505) 865-7955 Los Ojos Rio Arriba County Acupuncture McGaughey, Birgit, DOM Provider ID #NM00RF98 BlueLINK ID: 5010100 DE Blue Dragon Clinic 447 State Rd. 95 Rutheron, 87551 (505) 588-0264 Fax No. (505) 588-0008 Lovington Magdalena Lea County Socorro County Chiropractic Halsell, Cecil B., DC Provider ID #NM01KK54 BlueLINK ID: 8289027 Halsell Family Chiropractic 1601 W. Avenue I, 88260 (505) 396-5307 Fax No. (505) 396-5308 Optometry Reber, Clay O., OD Provider ID #NM00P342 BlueLINK ID: 5000823 Family Vision Center 112 W. Avenue A, 88260 (505) 396-2522 Fax No. (505) 396-7655 Reber, David B., OD Provider ID #NM00P509 BlueLINK ID: 5000842 Family Vision Center 112 W. Avenue A, 88260 (505) 396-2522 Fax No. (505) 396-7655 Reber, Harold L., OD Provider ID #NM00P338 BlueLINK ID: 8174969 Family Vision Center 112 W. Avenue A, 88260 (505) 396-2522 Fax No. (505) 396-7655 Physical Therapy and Rehabilitation Broom, Robin C., PT Provider ID #NM00Q387 BlueLINK ID: 6003847 ES Therapy Services Associates, PC 1602 N. Main, 88260 (505) 396-5227 Fax No. (505) 396-7193 Osborne, Kim L., PT Provider ID #NM00Q024 BlueLINK ID: 5008501 Therapy Services Associates P/T 1602 N. Main, 88260 (505) 396-5227 Fax No. (505) 396-7193 Sandoval, Stacy A., PT Provider ID #NM00Q023 BlueLINK ID: 5008500 ES Therapy Services Associates P/T 1602 N. Main, 88260 (505) 396-5227 Fax No. (505) 396-7193 Schrank, Edward C., PT Provider ID #NM00NP75 BlueLINK ID: 5000553 Therapy Services Associates P/T 1602 N. Main, 88260 (505) 396-5227 Fax No. (505) 396-7193 Certified Nurse Practitioners Jenness, Margaretha K., FNP Provider ID #NM00R86F BlueLINK ID: 7487182 NL DE FR Magdalena Area Health Center PMS is not affiliated with Presbyterian Healthcare Services 108 N. Main, 87825 (505) 854-3161 Fax No. (505) 854-3160 Moriarty Torrance County If you reside within this county and choose to visit a provider marked with special symbol "¾", your visit will not be covered. See the introductory section of this directory for more details. Certified Nurse Practitioners Agnes, Linda S., CNP Provider ID #NM016231 BlueLINK ID: 5007646 ES Center for Aesthetic Medicine 1108 Central Ave., 87035 (505) 832-4432 Fax No. (505) 832-5024 Physical Therapy and Rehabilitation Fowler, Cheryl, PT Provider ID #NM00Q336 BlueLINK ID: 5009505 East Mountain Physical Therapy 2005 US Rte. 66 W, Ste. A, 87035 (505) 832-4011 Fax No. (505) 832-0434 Fowler, James M., PT Provider ID #NM00Q337 BlueLINK ID: 5009504 ES East Mountain Physical Therapy 2005 US Rte. 66 W, Ste. A, 87035 (505) 832-4011 Fax No. (505) 832-0434 Podiatry Wrege, Steven S., DPM Provider ID #NM005372 BlueLINK ID: 5005239 1108 Rte. 66, 87035 (505) 832-4434 Seaton, Shirlee S., PT Provider ID #NM00Q005 BlueLINK ID: 5008353 ES Therapy Services Associates P/T 1602 N. Main, 88260 (505) 396-5227 Fax No. (505) 396-7193 See special note See last page for Provider Language Codes legend July 2005 Allied Health Practitioners Mountainair Torrance County If you reside within this county and choose to visit a provider marked with special symbol "¾", your visit will not be covered. See the introductory section of this directory for more details. Raton Optometry Brooks, Charles W., OD Provider ID #NM00P023 BlueLINK ID: 8112394 ES 201 S. Abilene, 88130 (505) 359-1252 Fax No. (505) 359-2601 Physical Therapy and Rehabilitation Walker, William, DC Provider ID #NM00K792 BlueLINK ID: 8191039 Chiropractic Natural High 117 W. Broadway, 87036 (505) 867-2300 Osborne, Kim L., PT Provider ID #NM00Q024 BlueLINK ID: 5008501 Therapy Services Associates P/T 1429 S. Avenue D, 88130 (505) 356-4888 Ojo Caliente Taos County Certified Nurse Practitioners Flores, Jose R., CNP Provider ID #NM006973 BlueLINK ID: 7120997 ES Las Clinicas del Norte Hwy. 285, Bldg. 35282, 87549 (505) 583-2191 Fax No. (505) 583-2540 Pecos San Miguel County Acupuncture Chew, Kerrilyn, DOM Provider ID #NM01RF82 BlueLINK ID: 5008301 ES La Rosa Wellness Center HC 70 Box 320, 87552 (505) 757-2727 Fax No. (505) 757-2727 Portales Roosevelt County Chiropractic Hilliard, W. K., DC Provider ID #NM00K860 BlueLINK ID: 8140933 Hilliard Chiropractic Life 112 E. 4th St., 88130 (505) 356-6982 Sandoval, Stacy A., PT Provider ID #NM00Q023 BlueLINK ID: 5000553 ES Therapy Services Associates P/T 1429 S. Avenue D, 88130 (505) 356-4888 Schrank, Edward C., PT Provider ID #NM00NP75 BlueLINK ID: 5000553 Therapy Services Associates P/T 1429 S. Avenue D, 88130 (505) 356-4888 Seaton, Shirlee S., PT Provider ID #NM00Q005 BlueLINK ID: 5008353 ES Therapy Services Associates P/T 1429 S. Avenue D, 88130 (505) 356-4888 Email: [email protected] Questa Taos County Certified Nurse Practitioners Lockwood, Judith A., CFNP Provider ID #NM00R85S BlueLINK ID: 5001198 Questa Health Clinic PMS is not affiliated with Presbyterian Healthcare Services State Hwy. 522, Bldg. 2573, 87556 (505) 586-0315 Fax No. (505) 586-0234 Raton Colfax County Smith, William J., DC-CCST Provider ID #NM01K995 BlueLINK ID: 8210159 Certified cervical spinal trauma ES Smith Chiropractic Center 1400 S. Avenue D, Ste. A, 88130 (505) 356-4440 Fax No. (505) 356-4433 Acupuncture Nutritional Counseling Audiology Cox, Judy A., RD Provider ID #NM00RE86 BlueLINK ID: 7153020 ES La Casa de Buena Salud 1515 W. Fir, 88130 (505) 356-6695 Fax No. (505) 356-5948 Haecker, Ernest E., CCCA Provider ID #NM00E236 BlueLINK ID: 7313257 ES ZA High Plains REC #3 144 S. First St., 87740 (505) 445-7090 Fax No. (505) 445-7663 July 2005 Marez, Daniel, DOM Provider ID #NM01R472 BlueLINK ID: 5000925 ES 210 Cook Ave, Ste. 203, 87740 (505) 445-1037 Fax No. (505) 445-1041 Brower, Marcia L., CFNP Provider ID #NM006378 BlueLINK ID: 7453352 ES Family Practice Associates of Raton 411 S. 3rd St., 87740 (505) 445-3626 Fax No. (505) 455-8649 Certified Registered Nurse Anesthetists Barker, Jesse C., CRNA Provider ID #NM006946 BlueLINK ID: 5008953 Miner's Colfax Anesthesia 200 Hospital Dr., 87740 (505) 445-3661 Fax No. (505) 445-7708 Cooper, Jimmy W., CRNA Provider ID #NM006875 BlueLINK ID: 7313380 Miners Colfax Anesthesia 200 Hospital Dr., 87740 (505) 445-3661 Fax No. (505) 445-7708 Dyess, David E., CRNA Provider ID #NM006492 BlueLINK ID: 5008758 Miners Colfax Anesthesia 200 Hospital Dr., 87740 (505) 445-3661 Fax No. (505) 445-7708 Griffin, Joseph A., CRNA Provider ID #NM006963 BlueLINK ID: 5005290 Miners Colfax Anesthesia 200 Hospital Dr., 87740 (505) 445-3661 Fax No. (505) 445-7708 Grissinger, Margaret, CRNA Provider ID #NM006969 BlueLINK ID: 6003904 Miners Colfax Anesthesia 200 Hospital Dr., 87740 (505) 445-2741 Fax No. (505) 445-7708 Payne, Dale L., CRNA Provider ID #NM006494 BlueLINK ID: 5008760 Miners Colfax Anesthesia 200 Hospital Dr., 87740 (505) 445-3661 Fax No. (505) 445-7708 Rutt, Wade Thomas, CRNA Provider ID #NM006495 BlueLINK ID: 5008761 Miners Colfax Anesthesia 200 Hospital Dr., 87740 (505) 445-3661 Fax No. (505) 445-7708 Slater, Louise L., CRNA Provider ID #NM006958 BlueLINK ID: 6003710 Miners Colfax Anesthesia 200 Hospital Dr., 87740 (505) 445-2741 Fax No. (505) 445-7708 Chiropractic Cunico-Hatzenbeler, Chrissy F., DC Provider ID #NM00K138 BlueLINK ID: 8267094 Cunico Chiropractic Life Center 1187 S. 2nd St., 87740 (505) 445-8845 Fax No. (505) 445-9373 See special note See last page for Provider Language Codes legend McGowen, Monty M., DC Provider ID #NM00KK32 BlueLINK ID: 5000229 McGowen Chiropractic 1800 Hospital Dr., 87740 (505) 445-0222 Fax No. (505) 445-0222 Washburn, Bruce Wayne, DC Provider ID #NM00KB98 BlueLINK ID: 5000185 Washburn Chiropractic 230 Galisteo Ave., 87740 (505) 445-8811 Washburn, Crystal Dawn, DC Provider ID #NM00KC65 BlueLINK ID: 5000208 Washburn Chiropractic 230 Galisteo Ave., 87740 (505) 445-8811 Nutritional Counseling Caruana, Anna C., RN-CDE Provider ID #NM006866 BlueLINK ID: 5010101 Diabetes education ES Family Practice Associates of Raton 411 S. 3rd St., 87740 (505) 445-3626 Fax No. (505) 445-8649 Caruana, Anna C., RN-CDE Provider ID #NM00RG19 BlueLINK ID: 5010101 Diabetes education ES Miners Colfax Medical Center 200 Hospital Dr., 87740 (505) 445-3661 Fax No. (505) 445-7875 McNees, Angela M., LD Provider ID #NM00RG58 BlueLINK ID: 6003884 Miners Colfax Medical Center 200 Hospital Dr., 87740 (505) 445-3661 Fax No. (505) 445-7889 Richard, Mary A., LD Provider ID #NM00RK08 BlueLINK ID: 6004190 Miners Colfax Medical Center 200 Hospital Dr., 87740 (505) 445-3661 Fax No. (505) 445-7708 Optometry Eickelman, James A., OD Provider ID #NM00PA58 BlueLINK ID: 8188955 ES Rocky Mountain Eye Center 168 Hospital Dr., 87740 (505) 445-2789 Fax No. (505) 445-2780 Physical Therapy and Rehabilitation Armstrong, Debbie, PT Provider ID #NM00Q041 BlueLINK ID: 5008589 Rocky Mountain Physical Therapy 160 Hospital Dr., 87740 (505) 445-0111 Fax No. (505) 445-0112 Armstrong, Eric, PT Provider ID #NM00Q042 BlueLINK ID: 5008590 Rocky Mountain Physical Therapy 160 Hospital Dr., 87740 (505) 445-0111 Fax No. (505) 445-0112 143 Allied Health Practitioners Chiropractic Certified Nurse Practitioners Raton Baca, Brandon, PT Provider ID #NM00Q043 BlueLINK ID: 5008779 Rocky Mountain Physical Therapy 160 Hospital Dr., 87740 (505) 445-0111 Fax No. (505) 445-0112 Allied Health Practitioners Kamp, Theodore P., PT Provider ID #NM00Q044 BlueLINK ID: 5008780 Rocky Mountain Physical Therapy 160 Hospital Dr., 87740 (505) 445-0111 Fax No. (505) 445-0112 Kamp, Traci R., PT Provider ID #NM00Q045 BlueLINK ID: 5008781 Rocky Mountain Physical Therapy 160 Hospital Dr., 87740 (505) 445-0111 Fax No. (505) 445-0112 Mueller, Christopher R., PT Provider ID #NM00Q360 BlueLINK ID: 6003452 ES Rocky Mountain Physical Therapy 160 Hospital Dr., 87740 (505) 445-0111 Fax No. (505) 445-0112 Podiatry Blake, William J., DPM Provider ID #NM005445 BlueLINK ID: 5007668 Foot & Ankle Associates 200 Hospital Dr., 87740 (888) 982-0123 Fax No. (505) 445-7785 Reserve Catron County Certified Nurse Practitioners Mills, Carol A., CFNP Provider ID #NM006872 BlueLINK ID: 5010165 ES Catron County Medical Center PMS is not affiliated with Presbyterian Healthcare Services 1 Foster Ln., 87830 (505) 533-6456 Fax No. (505) 532-6767 Rio Rancho Sandoval County If you reside within this county and choose to visit a provider marked with special symbol "¾", your visit will not be covered. See the introductory section of this directory for more details. Acupuncture Hernandez-Allen, Ilse P., DOM Provider ID #NM00RJ12 BlueLINK ID: 6003052 ES 4351 Jager Dr. NE, Ste. C, 87144 (505) 771-1180 Skoog, Robert E., DOM Provider ID #NM00RH50 BlueLINK ID: 6000126 ES Lifetime Chiropractic 4111 Barbara Lp. SE, 87124 (505) 891-3111 Fax No. (505) 981-0106 144 Allied Health Practitioners Certified Nurse Practitioners Blaser, Christine T., CFNP Provider ID #NM026183 BlueLINK ID: 7447362 Physicians Group of Sandia Health Systems Rio Rancho Adult & Geriatric Medicine 1721 Rio Rancho NW, 87124 (505) 727-3500 Chiropractic Adams, Elaine, DC Provider ID #NM00K073 BlueLINK ID: 8211542 Lifetime Chiropractic 4111 Barbara Lp. SE, Ste. C1, 87124 (505) 891-3111 Barber, James M., DC Provider ID #NM00KB83 BlueLINK ID: 5000180 B & B Chiropractic 1400 Barbara Lp. SE, 87124 (505) 891-2667 Fitch, Jennifer L., DC Provider ID #NM00KJ69 BlueLINK ID: 6003113 Lifetime Chiropractic 4111 Barbara Lp. SE, Ste. C1, 87124 (505) 891-3111 Fax No. (505) 891-0601 Garner, Curtis L., DC Provider ID #NM00K005 BlueLINK ID: 8240913 Garner Chiropractic 2003 Southern Blvd., Ste. 109, 87124 (505) 892-2222 Fax No. (505) 892-4290 Nelson, David W., DC Provider ID #NM00KJ16 BlueLINK ID: 5010098 CareMore Chiropractic 2109 Golf Course Rd. NW, 87124 (505) 891-2500 Fax No. (505) 891-2525 Peets, Lonnie L., DC Provider ID #NM00K954 BlueLINK ID: 8204479 Lifetime Chiropractic 4111 Barbara Lp. SE, Ste. C1, 87124 (505) 891-3111 Walker, William, DC Provider ID #NM00K792 BlueLINK ID: 8191039 Chiropractic Natural High 1316 Jackie Rd. SE, Ste. 400, 87124 (505) 891-3345 Fax No. (505) 891-3340 Optometry Andreatta, Mario J., OD Provider ID #NM00PA09 BlueLINK ID: 8255909 Eye Associates of New Mexico 1740 Grande Blvd. SE, Ste. B, 87124 (505) 892-3434 Fax No. (505) 891-2402 Bigelow, Daryl W., OD Provider ID #NM00PA10 BlueLINK ID: 8101117 Eye Associates of NM 1740 Grande Blvd. SE, Ste. B, 87124 (505) 892-3434 Fax No. (505) 891-2402 Planitz, Jennifer, OD Provider ID #NM00PA15 BlueLINK ID: 6002080 ES Rio Eyecare, PC 4100 Crestview Dr. SE, 87124 (505) 891-2020 Fax No. (505) 891-2010 Strosnider, Jeffrey C., OD Provider ID #NM00P945 BlueLINK ID: 8285334 ES Eye Associates of NM 1740 Grande Blvd., Ste. B, 87124 (505) 892-3434 Fax No. (505) 891-2402 Physical Therapy and Rehabilitation Black, Liza A., PT Provider ID #NM00Q347 BlueLINK ID: 6003151 Physical therapy - outpatient Rio Rancho Physical Therapy 4100 Southern Blvd., Ste. 180A, 87124 (505) 896-4978 Fax No. (505) 896-6179 Hogstrom, Jan H., PT Provider ID #NM00Q007 BlueLINK ID: 5000555 Rio Rancho Physical Therapy 4100 Southern Blvd., Ste. 180A, 87124 (505) 896-4978 Fax No. (505) 896-6179 Leftwich, Steele, PT Provider ID #NM00Q393 BlueLINK ID: 6003895 ES Rio Rancho Physical Therapy 4100 Southern Blvd., Ste. 180A, 87124 (505) 896-4978 Fax No. (505) 896-6179 Email: [email protected] Podiatry Meltzer, Evan F., DPM Provider ID #NM005438 BlueLINK ID: 8192936 4351 Jager Dr. NE, 87144 (505) 771-1180 Fax No. (505) 771-2688 Pincus, Michael R., DPM Provider ID #NM005331 BlueLINK ID: 8141090 2207 Golf Course Rd. SE, Ste. A, 87124 (505) 823-4780 Speech Therapy Gillen, Maria E., MS-CCC-SLP Provider ID #NM00E187 BlueLINK ID: 5001388 DE Albuquerque Speech, Language, & Hearing Center 4100 High Resort Blvd., Ste. 205, 87124 (505) 462-8676 Fax No. (505) 462-8677 Kelbley, Nancy B., SLP Provider ID #NM00E383 BlueLINK ID: 6004077 Albuquerque Speech, Language & Hearing Center 4100 High Resort Blvd., Ste. 205, 87124 (505) 462-8679 See special note See last page for Provider Language Codes legend Lamb, Melissa C., MS-CCC-SLP Provider ID #NM00E185 BlueLINK ID: 5001388 ZA Albuquerque Speech, Language, & Hearing Center 4100 High Resort Blvd., Ste. 205, 87124 (505) 462-8676 Fax No. (505) 462-8677 McKenzie, Diane H., MS-CCC-SLP Provider ID #NM00T908 BlueLINK ID: 5001388 Albuquerque Speech, Language, & Hearing Center 4100 High Resort Blvd., Ste. 205, 87124 (505) 462-8676 Fax No. (505) 462-8677 Morse, Julie, SLP Provider ID #NM00E189 BlueLINK ID: 5008790 Albuquerque Speech, Language & Hearing Center 4100 High Resort Blvd., Ste. 205, 87124 (505) 462-8679 Roswell Chaves County Audiology Hengstenberg, Kate C., MA Provider ID #NM00E268 BlueLINK ID: 626181 ZA Audio Acoustics Hearing Centers 1000 W. 4th St., 88201 (505) 623-8474 Fax No. (505) 623-8220 Certified Nurse Midwives Durand, Rachel T., CNM Provider ID #NM00R87D BlueLINK ID: 5006216 New Beginnings Women's Health 605 W. Country Club Rd., 88201 (505) 623-2229 Fax No. (505) 623-2530 Jones, Rebecca B., CNM Provider ID #NM006543 BlueLINK ID: 5005353 Rio Pecos Medical Associates 305 W. Country Club Rd., 88201 (505) 622-6322 Fax No. (505) 622-6888 Certified Nurse Practitioners Crosby, Teresa C., CNP Provider ID #NM016418 BlueLINK ID: 7140922 Virgle O. Herrin, MD 2110 S. Main St., 88201 (505) 622-4328 Fax No. (505) 624-2862 Hansen, Kimberly A., CNP Provider ID #NM006467 BlueLINK ID: 5008297 Patients under age 22 ES Covenant Care Pediatrics 200 W. Wilshire Blvd., Ste. A, 88201 (505) 622-5956 Fax No. (505) 622-5452 Parsons, Nancy A., CNP Provider ID #NM00R94B BlueLINK ID: 7313379 808 N. Union, Ste. A, 88201 (505) 622-1411 Fax No. (505) 622-0735 July 2005 Allied Health Practitioners Peterson, Kerry C., CNP-RN Provider ID #NM006353 BlueLINK ID: 3385563 ES BCA Medical Associates 813 N. Washington, 88201 (505) 622-2606 Fax No. (505) 622-6645 Whitten, Barbara G., CNP Provider ID #NM006400 BlueLINK ID: 7410227 Covenant Family Health Center 402 W. Country Club Rd., 88201 (505) 637-7000 Fax No. (505) 637-7019 Certified Registered Nurse Anesthetists Elswick, Don, CRNA Provider ID #NM006078 BlueLINK ID: 5005291 Professional Anesthesia Associates 113 E. 19th St., 88201 (505) 625-9260 Fax No. (505) 623-1775 Elswick, Don, CRNA Provider ID #NM006078 BlueLINK ID: 5005291 Professional Anesthesia Associates 405 W. Country Club Rd., 88201 (505) 625-9260 Jones, James O., CRNA Provider ID #NM006170 BlueLINK ID: 5005295 113 E. 19th St., 88201 (505) 624-2095 Jones, James O., CRNA Provider ID #NM006170 BlueLINK ID: 5005295 Eastern NM Medical Center 405 W. Country Club Rd., 88201 (505) 622-8170 Landers, Robert T., CRNA Provider ID #NM006468 BlueLINK ID: 5008319 Professional Anesthesia Associates 113 E. 19th St., 88201 (505) 625-9260 Fax No. (505) 623-1775 Landers, Robert T., CRNA Provider ID #NM006468 BlueLINK ID: 5008319 Professional Anesthesia Associates 405 W. Country Club Rd., 88201 (505) 625-9260 Chiropractic Cathey, Craig B., DC Provider ID #NM00KK70 BlueLINK ID: 8290413 Cathey Chiropractic 713 W. Alameda, 88203 (505) 622-0902 Fax No. (505) 622-9146 Dalton, John D., DC Provider ID #NM00KC01 BlueLINK ID: 8250414 Pecos Valley Chiropractic 200 W. 1st St., Ste. 847, 88201 (505) 625-0039 Fax No. (505) 625-2252 July 2005 Gonzales, Christopher E., DC Provider ID #NM00KK61 BlueLINK ID: 8209890 Chiropractic Center, PC 811 N. Union, 88201 (505) 623-6691 Fax No. (505) 623-6144 Knoche, Dennis D., DC Provider ID #NM00K936 BlueLINK ID: 5000386 ES 1010 S. Sunset, 88201 (505) 623-4383 Fax No. (505) 623-7471 Mathison, Barry, DC Provider ID #NM00KC92 BlueLINK ID: 5000226 Mathison Chiropractic Clinic 201 N. Nevada, Ste. A, 88201 (505) 623-2225 Fax No. (505) 623-1170 Reinecke, Lisa, DC Provider ID #NM00K490 BlueLINK ID: 8187742 ES 3506 LaJoya Rd., 88201 (505) 627-1361 Smith, Daniel, DC Provider ID #NM00KH38 BlueLINK ID: 8274974 Smith Chiropractic Health Center 511 W. Walnut, 88201 (505) 622-6800 Fax No. (505) 622-6825 Todd, Terry W., DC Provider ID #NM01K161 BlueLINK ID: 5006247 ES Liberty Chiropractic 1500 N. Washington, 88201 (505) 622-8118 Fax No. (505) 622-6946 Nutritional Counseling Gillespie, Vernita, RD-LD-CDE Provider ID #NM01R81C BlueLINK ID: 5001108 ES Diabetes and Endocrinology Center 601 W. Country Club Rd., Ste. 202, 88201 (505) 622-2273 Fax No. (505) 622-2259 Occupational Therapy Herrera, Patsy G., OT Provider ID #NM00NR90 BlueLINK ID: 5000598 ES Roswell Hand Clinic & Occup. Therapy Center 110 W. Country Club Rd., Ste. 3, 88201 (505) 623-2292 Fax No. (505) 623-2255 Serrano, Cynthia J., OTR-LCHT Provider ID #NM00NQ39 BlueLINK ID: 5000559 Roswell Hand Clinic & Occup. Therapy Center 110 W. Country Club Rd., Ste. 3, 88201 (505) 623-2292 Fax No. (505) 623-2255 Optometry Geldert, Maurice W., OD Provider ID #NM00P315 BlueLINK ID: 8119523 ES Roswell Vision Source 200 W. Wilshire Blvd, Ste. D, 88201 (505) 523-5111 Fax No. (505) 623-9639 Leadingham, Ed E., OD Provider ID #NM00P031 BlueLINK ID: 8174931 Leadingham Vision Center 1100 N. Main St., 88203 (505) 622-4250 Fax No. (505) 622-5170 Leadingham, Greg N., OD Provider ID #NM00P423 BlueLINK ID: 8175028 Leadingham Vision Center 1100 N. Main St., 88203 (505) 622-4250 Fax No. (505) 622-5170 Leadingham, Ken D., OD Provider ID #NM00P425 BlueLINK ID: 8175011 Leadingham Vision Center 1100 N. Main St., 88203 (505) 622-4250 Fax No. (505) 622-5170 Physical Therapy and Rehabilitation Bennett, Alicia Jan, PT Provider ID #NM00NR91 BlueLINK ID: 5000599 Roswell Hand Clinic & Occup. Therapy Center 110 W. Country Club Rd., Ste. 3, 88201 (505) 623-2292 Fax No. (505) 623-2255 Elwell, Darrel A., PT Provider ID #NM00NR93 BlueLINK ID: 5000601 ES FR 800 W. 2nd St., 88201 (505) 625-9020 Fax No. (505) 625-9025 Rudolph, Grey M., PT Provider ID #NM01NR73 BlueLINK ID: 5000590 ES SCOR, PC 115 E. 19th St., 88201 (505) 622-7600 Shortall, Richard H., PT Provider ID #NM00Q129 BlueLINK ID: 5008111 ES Sprint Sports Rehabilitation 113 E. College, 88201 (505) 622-6500 Fax No. (505) 622-9777 Podiatry Antenucci, Mark, DPM Provider ID #NM005357 BlueLINK ID: 8141065 109 W. 12th St., 88201 (505) 624-2398 Fax No. (505) 624-0655 Brower, Randall L., DPM Provider ID #NM005494 BlueLINK ID: 8299963 ES KO New Mexico Foot & Ankle Institute 342 W. Sherrill Ln., Ste. B, 88201 (505) 622-2000 See special note See last page for Provider Language Codes legend Ruidoso Lincoln County Acupuncture La Rosa, Janet, DOM Provider ID #NM00R68D BlueLINK ID: 5001010 101 Reese Dr., 88345 (505) 630-3739 Certified Nurse Midwives Hendricks, Sharon L., CNM Provider ID #NM006A07 BlueLINK ID: 5006310 Lincoln County Medical Center 211 Sudderth, 88345 (505) 257-7381 Hendricks, Sharon L., CNM Provider ID #NM006A06 BlueLINK ID: 5006310 White Mountain Medical Center 129 El Paso Rd., 88345 (505) 257-6500 Certified Nurse Practitioners Arnett, Kelly R., CNP Provider ID #NM006457 BlueLINK ID: 5006953 Deborah J. Hewitt, M.D., FACOG, PC 159 Mescalero Trail, 88345 (505) 257-7505 Fax No. (505) 257-4888 Chiropractic Klinekole, Bruce, DC Provider ID #NM00KC53 BlueLINK ID: 5000204 White Mountain Chiropractic 500 Mechem Dr., Ste. C, 88345 (505) 257-7970 Fax No. (505) 257-7970 Ogden, Jon D., DC Provider ID #NM00KK65 BlueLINK ID: 5008566 ES 1096 Mechem Dr., Ste. G5, 88345 (505) 258-3725 Fax No. (505) 258-3238 Waters, Jack V., DC Provider ID #NM00K679 BlueLINK ID: 8186419 206 Porr Dr., 88345 (505) 257-2626 Fax No. (505) 257-2939 Optometry Gutowski, Anatole F., OD Provider ID #NM00P420 BlueLINK ID: 8174920 ES 159 Mescalero Trail, Ste. 1, 88345 (505) 257-5029 Fax No. (505) 257-9096 McDonald, Bill G., OD Provider ID #NM02P128 BlueLINK ID: 8174959 ES Lincoln County Eye Clinic 205 Sudderth Dr., 88345 (505) 257-5512 Fax No. (505) 257-2832 145 Allied Health Practitioners Desjardins, Gerald G., CRNA Provider ID #NM016018 BlueLINK ID: 5006363 ES Case Anesthesia 113 E. 19th St., 88201 (505) 622-8170 Ruidoso Ruidoso Sonnenmoser, Deborah J., OD Provider ID #NM00P436 BlueLINK ID: 8174916 Family Vision Care Clinic 159 Mescalero Trail, 88345 (505) 257-5029 Fax No. (505) 527-9096 Physical Therapy and Rehabilitation Allied Health Practitioners Radosevich, Lydia C., PT Provider ID #NM00Q152 BlueLINK ID: 5009763 ES The Ruidoso Physical Therapy Clinic 439 Mechem Dr., 88345 (505) 257-1800 Fax No. (505) 257-2319 Speech Therapy Gallien, Pam, MS-CCC-SLP Provider ID #NM01K42D BlueLINK ID: 5000297 Gallien, Inc. 415 Wingfield Rd., Ste. A, 88345 (505) 257-5820 San Miguel Doña Ana County Certified Nurse Practitioners Austin, Kathleen Jo, CNP Provider ID #NM00R91M BlueLINK ID: 5001263 ES La Clinica de Familia 18424 S. Hwy. 28, 88058 (505) 233-3830 Fax No. (505) 233-4542 Santa Clara Grant County Chiropractic Morris, Luther D., DC Provider ID #NM00K789 BlueLINK ID: 8140981 ES Morris Chiropractic Center 12087 Hwy. 180 East, Ste. A, 88026 (505) 537-2976 Fax No. (505) 537-2976 Santa Fe Santa Fe County Acupuncture Alsop, Anna C., DOM Provider ID #NM00RF99 BlueLINK ID: 5009294 539 Harkle Rd., Ste. A, 87505 (505) 982-5156 Fax No. (505) 982-2344 Becker, Cynthia, DOM Provider ID #NM01R87H BlueLINK ID: 5001218 433 St. Michaels Dr., 87505 (505) 988-1232 Fax No. (505) 484-1603 Benson, Robyn, DOM Provider ID #NM00R49H BlueLINK ID: 5000934 East By Southwest 2905 Rodeo Park Dr. East, Bldg. #3, 87505 (505) 986-1089 Fax No. (505) 986-8874 146 Allied Health Practitioners Bjorklund, Alix P., DOM Provider ID #NM01R87W BlueLINK ID: 5000914 539 Harkle Rd., Ste. A, 87505 (505) 982-5156 Fax No. (505) 982-2344 Bruce, Daniel J., DOM Provider ID #NM00R31U BlueLINK ID: 5000873 ES Amerasian Acupuncture 1301 St. Francis Dr., Ste. C, 87505 (505) 988-5106 Fax No. (505) 757-2156 Email: [email protected] Campbell, Robert V., DOM Provider ID #NM00RG13 BlueLINK ID: 5010087 ES Campbell's Herb & Acupuncture 2917 Camino del Bosque, 87507 (505) 424-9527 Fax No. (505) 474-5561 Canzone, J. David, DOM Provider ID #NM00R95F BlueLINK ID: 5001125 ES 2074 Galisteo St., Unit A-2, 87505 (505) 989-7418 Fax No. (505) 986-8874 Canzone, Sandra P., DOM Provider ID #NM00RF90 BlueLINK ID: 5008706 2074 Galisteo St., Unit A2, 87505 (505) 989-7418 Fax No. (505) 986-8874 Chew, Kerrilyn, DOM Provider ID #NM01RF82 BlueLINK ID: 5008301 ES 1208 Luisa St., Ste. 2, 87501 (505) 988-2449 Fax No. (505) 988-2449 Chew, Kerrilyn, DOM Provider ID #NM00RG18 BlueLINK ID: 5008301 ES Women's Health Services 901 W. Alameda St., Ste. 25, 87501 (505) 988-8869 Fax No. (505) 987-7321 Claude, Christina R., DOM Provider ID #NM01R95G BlueLINK ID: 5000924 High Desert HealthCare 217 E. Palace, 87501 (505) 930-8462 Fax No. (505) 661-8481 Email: [email protected] Cobb, Daniel C., DOM Provider ID #NM00RG03 BlueLINK ID: 5009406 No children under age 10 2074 Galisteo St., Ste. A4, 87505 (505) 988-5450 Duckworth, Fiquet Hanna, DOM Provider ID #NM00R504 BlueLINK ID: 5000942 1510 S. St. Francis Dr., 87505 (505) 982-9626 Fax No. (505) 983-2320 Easton, Jade, DOM Provider ID #NM00R31I BlueLINK ID: 5000872 ES 2585 Avenida de Isidro, 87505 (505) 983-9133 Fax No. (505) 424-0168 Eddy, Walter B., DOM Provider ID #NM00RF93 BlueLINK ID: 5008999 Acupuncture orthopedics 233 Johnson, 87501 (505) 986-1058 Fax No. (505) 992-1923 Fineberg, Leah, DOM Provider ID #NM00R684 BlueLINK ID: 5001014 200 W. De Vargas St., Ste. 5, 87501 (505) 983-5387 Fax No. (505) 986-1190 Fiset, Elizabeth M., DOM Provider ID #NM00R88Y BlueLINK ID: 6000361 2319 Calle Lumimoso, 87505 (505) 438-4308 Fax No. (505) 438-4308 Franklin, Emily M., DOM Provider ID #NM00RG41 BlueLINK ID: 6003527 Patients over age 18 107 Temblon St., Ste. B, 87501 (505) 690-4828 Hafer, Marianne, DOM Provider ID #NM00R62Y BlueLINK ID: 5000993 11 Calle Medico, Ste. 6, 87505 (505) 986-0267 Fax No. (505) 989-9953 Hall, Tammy S., DOM Provider ID #NM00RG36 BlueLINK ID: 6003388 FR Life Transitions 110 Delgado St., Ste. D, 87501 (505) 982-4183 Fax No. (505) 982-9219 Hampton, Danielle, DOM Provider ID #NM00R468 BlueLINK ID: 5000921 Eldorado Acupuncture & Herb Center 7 Avenida Vista Grande, Ste. D6, 87505 (505) 466-2676 Fax No. (505) 466-3631 Hao, Jishun J., DOM Provider ID #NM00R437 BlueLINK ID: 5006040 ES ZH National Healthcare Center 2019 Galisteo St., Ste. C1, 87505 (505) 986-0542 Fax No. (505) 986-8984 Hao, Linda Lingzhi, DOM Provider ID #NM00R635 BlueLINK ID: 5000997 ES ZH National Healthcare Center 2019 Galisteo St., Ste. C1, 87505 (505) 986-0542 Fax No. (505) 986-8984 Higgins, Barbara C., DOM Provider ID #NM00R99L BlueLINK ID: 5001295 2074 Galisteo St., Ste. B1, 87505 (505) 988-7350 Fax No. (505) 820-6339 Jones, Inez R., DOM Provider ID #NM00RG53 BlueLINK ID: 6003796 ES 4680 Westview Terrace, 87507 (505) 474-5597 Fax No. (505) 474-5597 Jones, Inez R., DOM Provider ID #NM00RG49 BlueLINK ID: 6003796 ES Cottonwood Therapy 4680 Westview Terrace, 87507 (505) 474-5597 Fax No. (505) 474-5597 See special note See last page for Provider Language Codes legend Kaur, Arminder, DOM Provider ID #NM00RH45 BlueLINK ID: 6000189 PA HI Acupuncture & Wellness Center 624 Agua Fiera, 87501 (505) 489-7106 Fax No. (505) 232-2408 Keefe, Gaynl, DOM Provider ID #NM00R36X BlueLINK ID: 5000898 2074 Galisteo St., Ste. B-1, 87505 (505) 988-7350 Fax No. (505) 820-6339 Khalsa, Gurusant S., DOM Provider ID #NM00R980 BlueLINK ID: 5001290 Acupuncture Associates of America 1505 Llano St., Ste. B, 87505 (505) 984-3034 Fax No. (505) 982-9965 Khalsa, Kartar S., DOM Provider ID #NM01R73Y BlueLINK ID: 5001055 ES GRD Acupuncture 1505 Llano St., 87505 (505) 984-3034 Fax No. (505) 984-3034 Liu, Li, DOM Provider ID #NM01R21G BlueLINK ID: 5009180 ES ZH Acupuncture and Chinese Medicine 1925 Aspen Dr., Ste. 300B, 87505 (505) 984-8781 Lundgren, Alston C., MD Provider ID #NM009328 BlueLINK ID: 2196338 ES Santa Fe Medical Acupuncture 460 St. Michaels Dr., Ste. 801, 87505 (505) 986-0910 Fax No. (505) 986-0904 Mandell, Janet P., DOM Provider ID #NM00RG09 BlueLINK ID: 6002061 1925 Aspen Dr., Ste. 302B, 87505 (505) 920-4725 Fax No. (505) 820-6339 Marino, Mary E., DOM Provider ID #NM00R434 BlueLINK ID: 6000167 Healing Arts Building 404 Brunn School Rd., 87505 (505) 455-0005 Email: [email protected] McIlhon, Mary Jo, DOM Provider ID #NM00RG45 BlueLINK ID: 6003632 521 Salazar St., 87501 (505) 984-8877 Robins, Maureen T., DOM Provider ID #NM00RF34 BlueLINK ID: 6002168 ES 823 Allendale St., 87505 (505) 988-1774 Fax No. (505) 988-8960 Rodriguez-Nieto, Juana I., DOM Provider ID #NM00RG01 BlueLINK ID: 5009319 ES FR Dynamic Balance Acupuncture Clinic 1494 S. St. Francis Dr., 87505 (505) 690-1084 Fax No. (505) 983-5017 Rosenblatt, Anne B., DOM Provider ID #NM01RG23 BlueLINK ID: 6003095 The Healing Arts at the Pueblo of Pojoaque Wellness 101 Lightning Lp., 87506 (505) 660-9413 July 2005 Allied Health Practitioners Ruther, David L., DOM Provider ID #NM00RG02 BlueLINK ID: 6002198 ES 801 Cerrillos Rd., 87505 (505) 988-8017 Fax No. (505) 988-8018 Swart, Stephen D., DOM Provider ID #NM00RG1 BlueLINK ID: 6003815 Turquoise Trail Physical Therapy & Rehabilitation 2521 Camino Entrada, 87507 (505) 984-2032 Fax No. (505) 984-0738 Zhao, Kezhuang, L.Ac.-DOM Provider ID #NM00R30Q BlueLINK ID: 6002535 ZH East Tao Corp. 2801 W. Rodeo Rd., Ste. F, 87507 (505) 438-7178 Fax No. (505) 438-1056 Bishop, Barbara J., CNP Provider ID #NM006233 BlueLINK ID: 5007648 ES Planned Parenthood of New Mexico 514 Oñate Pl., 87501 (505) 982-3684 Fax No. (505) 982-7204 Carruthers, Karen H., CNP Provider ID #NM006895 BlueLINK ID: 6003357 ES Planned Parenthood of New Mexico 514 Oñate Pl., 87504 (505) 982-3684 Fax No. (505) 982-7204 Dominguez, Linda, CNP Provider ID #NM006237 BlueLINK ID: 5007684 ES Planned Parenthood of New Mexico 514 Oñate Pl., 87501 (505) 982-3684 Fax No. (505) 982-7204 Certified Nurse Midwives Harding, Judith M., CNP Provider ID #NM006888 BlueLINK ID: 6003138 ES Planned Parenthood of New Mexico, Inc. 514 Oñate Pl., 87504 (505) 982-3684 Fax No. (505) 982-7204 Rothfork, Gail L., CNM Provider ID #NM006223 BlueLINK ID: 5007365 Planned Parenthood of New Mexico 514 Oñate Pl., 87501 (505) 982-3684 Fax No. (505) 982-7204 Helmick, Carrie F., CNP Provider ID #NM006239 BlueLINK ID: 5007699 ES Planned Parenthood of New Mexico 514 Oñate Pl., 87501 (505) 982-3684 Fax No. (505) 982-7204 Certified Nurse Practitioners Bennon, Robert, CFNP Provider ID #NM00R85L BlueLINK ID: 5001193 ES MCHC Teen Health Center PMS is not affiliated with Presbyterian Healthcare Services 2100 Yucca Rd., 87505 (505) 989-5577 Benson, Erika L., CNP Provider ID #NM005087 BlueLINK ID: 7136665 ES La Familia Medical Center 1035 Alto St., 87501 (505) 982-4425 Fax No. (505) 982-6280 Benson, Erika L., CNP Provider ID #NM005087 BlueLINK ID: 7136665 ES La Familia Medical Center 2145 Caja del Oro Grant Rd., 87507 (505) 982-4425 Fax No. (505) 425-5699 Benson, Erika L., CNP Provider ID #NM006887 BlueLINK ID: 7136665 ES Planned Parenthood of New Mexico, Inc. 514 Oñate Pl., 87504 (505) 982-3684 Fax No. (505) 982-7204 July 2005 Helmstadter, Cristy, CFNP Provider ID #NM006649 BlueLINK ID: 5009101 ES Women's Health Services 901 W. Alameda St., Ste. 25, 87501 (505) 988-8869 Fax No. (505) 987-7321 Hendrickson, Patricia A., CNP Provider ID #NM006234 BlueLINK ID: 5007649 ES Planned Parenthood of New Mexico 514 Oñate Pl., 87501 (505) 982-3684 Fax No. (505) 982-7204 Hull, Cynthia G., CNP Provider ID #NM006848 BlueLINK ID: 5010062 High risk obstetric patients ES Perinatal Associates of NM 1692 Hospital Dr., 87501 (505) 984-2560 Fax No. (505) 984-2541 Jorgensen, Ethel M., CNP Provider ID #NM006238 BlueLINK ID: 5007698 ES Planned Parenthood of New Mexico 514 Oñate Pl., 87501 (505) 982-3684 Fax No. (505) 982-7204 Ketcheson, Donna A., CNP Provider ID #NM006236 BlueLINK ID: 5007666 ES Planned Parenthood of New Mexico 514 Oñate Pl., 87501 (505) 982-3684 Fax No. (505) 982-7204 Landau, Naomi, CFNP Provider ID #NM006277 BlueLINK ID: 7448865 Women's Health Services 901 W. Alameda St., Ste. 25, 87501 (505) 988-8869 Fax No. (505) 982-7321 Bright, Susan M., DC Provider ID #NM00K688 BlueLINK ID: 8140865 ES 1504 S. St. Francis Dr., 87505 (505) 984-1222 Fax No. (505) 984-1376 Landen, Jenny B., CNP Provider ID #NM006241 BlueLINK ID: 5007770 ES Planned Parenthood of New Mexico 514 Oñate Pl., 87501 (505) 982-3684 Fax No. (505) 982-7204 Buenviaje, Jerome D., DC Provider ID #NM019A24 BlueLINK ID: 8290721 ES TL New Mexico Family Chiropractic 3600 Rodeo Ln., Ste. D2, 87505 (505) 984-0821 Fax No. (505) 984-0168 Marx, Alan J., CFNP Provider ID #NM00R85E BlueLINK ID: 5001187 ES La Familia Medical Center 1035 Alto St., 87501 (505) 982-4425 Buenviaje, Melanie D., DC Provider ID #NM00KL61 BlueLINK ID: 8290722 ES TL New Mexico Family Chiropractic 3600 Rodeo Ln., Ste. D2, 87505 (505) 984-0821 Fax No. (505) 984-0168 Marx, Alan J., CFNP Provider ID #NM00R85E BlueLINK ID: 5001187 ES La Familia Medical Center 2145 Caja de Oro Grant Rd., 87501 (505) 438-3195 Fax No. (505) 424-5699 Nowers, Judith A., CNP Provider ID #NM006660 BlueLINK ID: 7468847 Gynelogical care only 1161 Siler Rd., 87507 (505) 473-1849 Fax No. (505) 473-1884 Purcell-Collin, Holly T., CNP Provider ID #NM006644 BlueLINK ID: 5009018 ES Planned Parenthood of New Mexico 514 Oñate Pl., 87501 (505) 982-3684 Fax No. (505) 982-7204 Ross, Linda R., CNP Provider ID #NM006408 BlueLINK ID: 7426172 Specializing in family medicine ES Rodeo Family Medicine 4001 W. Rodeo Rd., 87507 (505) 471-8994 Fax No. (505) 473-1274 Sierocinski, Joan R., RNFA Provider ID #NM016292 BlueLINK ID: 5007628 Neurological Surgery Associates of NM 531 Harkle Rd., Ste. D, 87505 (505) 988-3233 Fax No. (505) 988-3562 Vigil, Gloria, CNP Provider ID #NM006235 BlueLINK ID: 5007650 ES Planned Parenthood of New Mexico 514 Oñate Pl., 87501 (505) 982-3684 Fax No. (505) 982-7204 Chiropractic Bohoskey, Michael J., DC Provider ID #NM01KH57 BlueLINK ID: 8278010 Bohoskey Chiropractic 1264 Rodeo Rd., Ste. B, 87505 (505) 310-5815 Fax No. (505) 438-4288 See special note See last page for Provider Language Codes legend Calico-Hickey, B., DC Provider ID #NM00K883 BlueLINK ID: 8140878 714 Calle Grillo, 87501 (505) 984-0972 Fax No. (505) 984-0360 Carter, Windy G., DC Provider ID #NM00KH66 BlueLINK ID: 8282441 ES Winds of Choice Chiropractic Center 2948 S. Richards Ave., 87507 (505) 424-9114 Fax No. (505) 438-6615 Cobb, James A., DC Provider ID #NM00KB12 BlueLINK ID: 8224141 1214 Hickox St., 87505 (505) 986-0887 Connerly, John C., DC Provider ID #NM01KC34 BlueLINK ID: 8258505 ES Connerly Chiropractic Services, Inc. 801 Cerrillos Rd., 87505 (505) 988-8017 Fax No. (505) 988-8018 Crawford, Michael C., DC Provider ID #NM00K962 BlueLINK ID: 8221126 Santa Fe Pain Center 1 Calle Medico, Ste. 3, 87505 (505) 983-3037 Fax No. (505) 982-3737 Feldman, Sydele E., DC Provider ID #NM00KL53 BlueLINK ID: 5008997 ES 1911 5th St., Ste. 205, 87505 (505) 995-8851 Fax No. (505) 995-8658 Feldman-Bohoskey, Wendy B., DC Provider ID #NM00KL87 BlueLINK ID: 8278009 Life Enhancement Chiropractic, Inc. 2274 Calle Pulido, 87505 (505) 474-4815 Fax No. (505) 424-9938 Gregory, Richard J., III, DC Provider ID #NM00K596 BlueLINK ID: 8140926 1300 Luisa St., Ste. 4, 87505 (505) 988-4821 Fax No. (505) 982-5540 Gutierrez, Ernest D., DC Provider ID #NM00K933 BlueLINK ID: 8140929 422 Medico Ln., 87505 (505) 988-4829 147 Allied Health Practitioners Swart, Stephen D., DOM Provider ID #NM00RG1 BlueLINK ID: 6003815 Turquoise Trail Physical Therapy & Rehabilitation 786 N. St. Francis Dr., Ste. A, 87501 (505) 984-2032 Fax No. (505) 984-0738 Santa Fe Allied Health Practitioners Santa Fe Allied Health Practitioners Hazen, Stephen H., DC Provider ID #NM00KC86 BlueLINK ID: 8140931 Sun Country Healthcare Network Route 8, 87505 (505) 473-0000 Fax No. (505) 473-5315 Steinberg, Harold, DC Provider ID #NM00KC30 BlueLINK ID: 5008168 St. Francis Chiropractic Health Center 1400 Maclovia St., Ste. 1, 87505 (505) 473-0057 Fax No. (505) 473-7974 Hemphill, Vito, DC Provider ID #NM00K229 BlueLINK ID: 8140932 435 St. Michaels Dr., Ste. B204, 87505 (505) 982-6665 Fax No. (505) 820-6339 Unverferth, Peter W., DC Provider ID #NM00K158 BlueLINK ID: 8247730 1919 5th St., Unit M, 87505 (505) 984-0934 Fax No. (505) 955-0526 Morgan, Mark A., DC Provider ID #NM00K128 BlueLINK ID: 8268842 Morgan Chiropractic 1904 Kiva Rd., 87505 (505) 820-0706 Fax No. (505) 992-1151 Nunnally, Michael J., DC Provider ID #NM00K768 BlueLINK ID: 8140988 Specializing in orthopedics 1482 S. St. Francis Dr., Ste. A, 87505 (505) 982-7339 Fax No. (505) 982-5911 Perea, Bobby O., DC Provider ID #NM00KL83 BlueLINK ID: 8285770 ES Alignment of Life, Inc. 1310 Osage Ave., Ste. D, 87505 (505) 982-6886 Fax No. (505) 982-6886 Perlstein, Stephen E., DC Provider ID #NM00K232 BlueLINK ID: 8140997 Family Chiropractic Center 2019 Galisteo St., Ste. M-6, 87505 (505) 984-0006 Fax No. (505) 995-0884 Rogowskey, Thomas A., DC Provider ID #NM01KC14 BlueLINK ID: 8152373 Office Hrs: M-W-F 9:00-12:00; 2:00-5:30 1925 Aspen Dr., Ste. 300A, 87505 (505) 820-1728 Fax No. (505) 438-8228 Rosengren, David B., DC Provider ID #NM00K716 BlueLINK ID: 8141015 ES FR Rosengren Chiropractic Center 310 Garfield St., 87501 (505) 983-1513 Fax No. (505) 983-2215 Schatzle, Chaz, DC Provider ID #NM00K052 BlueLINK ID: 8218184 Back to Health Chiropractic 1919 5th St., Ste. N, 87505 (505) 690-4057 Fax No. (505) 955-0526 Schneider, Linda D., DC Provider ID #NM00KH63 BlueLINK ID: 5007220 ES 573 W. San Francisco St., 87501 (505) 690-6161 Fax No. (505) 753-7676 Silverman, Robin L., DC Provider ID #NM00KC07 BlueLINK ID: 8188760 ES Silverman Family Chiropractic 1401 Maclovia St., Ste. B, 87505 (505) 474-5701 Fax No. (505) 474-5704 148 Nutritional Counseling Byers, Elisabeth E., LD-CDE Provider ID #NM00RF94 BlueLINK ID: 5009062 ES PT La Familia Medical Center 1035 Alto St., 87501 (505) 982-4425 Fax No. (505) 982-8440 Byers, Elisabeth E., LD-CDE Provider ID #NM00RF94 BlueLINK ID: 5009062 ES PT La Familia Medical Center 2145 Caja de Oro Grant Rd., 87501 (505) 438-3195 Fax No. (505) 424-5699 Deutsch, Jerome C., MS-LN Provider ID #NM00RG46 BlueLINK ID: 6003634 ES 147 Calle Ojo Feliz, Ste. 7, 87505 (505) 955-0922 Fax No. (505) 954-4234 Dougherty, Nina E., MS-RD-LDN Provider ID #NM00R59Y BlueLINK ID: 5000983 Pediatrics Nutrition Care 28 General Sage Dr., 87505 (505) 988-1899 Fax No. (505) 983-5569 Farina, Carole M., RD-LD Provider ID #NM00RG28 BlueLINK ID: 6003208 Care Educational Enterprises 2606 Calle Primavera, 87505 (505) 438-2886 Fax No. (505) 438-2886 Gibbs, Marianne, RD-LD Provider ID #NM00RF74 BlueLINK ID: 5008292 Patients under age 21 ES Arroyo Chamiso Pediatric Clinic 2025 Galisteo St., 87505 (505) 995-4901 Fax No. (505) 820-5752 Gonzales-Pacheco, Diana M., RD Provider ID #NM00RG35 BlueLINK ID: 6003308 ES PT La Familia Medical Center 1035 Alto St., 87501 (505) 982-4425 Fax No. (505) 982-6280 Gonzales-Pacheco, Diana M., RD Provider ID #NM00RG35 BlueLINK ID: 6003308 ES PT La Familia Medical Center 2145 Caja de Oro Grant Rd., 87507 (505) 438-3195 Fax No. (505) 424-5699 Lewis, Wyn, MPF Provider ID #NM00R792 BlueLINK ID: 5001089 214 Sereno Dr., 87501 (505) 983-3635 Vort, Kelle E., RD Provider ID #NM00RF97 BlueLINK ID: 5009182 ES DE FR Turquoise Trail Physical Therapy & Rehabilitation 2521 Camino Entrada, 87507 (505) 984-2032 Fax No. (505) 984-0738 Fretz, Virginia R., OT Provider ID #NM00Q117 BlueLINK ID: 5009119 ES FR Turquoise Trail Physical Therapy & Rehabilitation 786 N. St. Francis Dr., Ste. A, 87501 (505) 984-2032 Fax No. (505) 984-0738 Vort, Kelle E., RD Provider ID #NM00RF97 BlueLINK ID: 5009182 ES DE FR Turquoise Trail Physical Therapy & Rehabilitation 786 N. St. Francis Dr., Ste. A, 87501 (505) 984-2032 Fax No. (505) 984-0738 Hamby, Lynette, OT Provider ID #NM00E224 BlueLINK ID: 5009067 Arroyo Chamiso Pediatric Clinic 2025 Galisteo St., 87505 (505) 995-4901 Fax No. (505) 989-6483 Occupational Therapy Borowska, Danusia, OT Provider ID #NM00E239 BlueLINK ID: 5009128 Lifespan Therapy Services 1800 Old Pecos Tr., Ste. G, 87505 (505) 954-9940 Fax No. (505) 954-9946 Caruthers, Adele S., OTR Provider ID #NM00Q417 BlueLINK ID: 5008991 Center for Physical Therapy & Rehabilitation 435 St. Michaels Dr., Ste. A101, 87505 (505) 982-8860 Fax No. (505) 989-7204 Cooper, Elizabeth D., OTR Provider ID #NM00E373 BlueLINK ID: 5008731 Concentra Medical Centers 720 St. Michaels Dr., Ste. C, 87505 (505) 438-9402 Currier, Daphne D., OT Provider ID #NM00Q059 BlueLINK ID: 5008841 New Mexico Sports & Physical Therapy 2954 Rodeo Park Dr. West, 87501 (505) 424-0131 Fax No. (505) 424-1299 Dukeminier, Aimee T., OT Provider ID #NM00E227 BlueLINK ID: 5009070 Arroyo Chamiso Pediatric Clinic 2025 Galisteo St., 87505 (505) 995-4901 Fax No. (505) 989-6483 Ford, Carolyn M., OT Provider ID #NM00Q245 BlueLINK ID: 5008919 ES Turquoise Trail Physical Therapy & Rehabilitation 786 N. St. Francis Dr., Ste. A, 87501 (505) 984-2037 Fax No. (505) 984-0738 Ford, Carolyn M., OTR Provider ID #NM00Q418 BlueLINK ID: 5008919 Center for Physical Therapy & Rehabilitation 435 St. Michaels Dr., Ste. A101, 87505 (505) 982-8860 Fax No. (505) 989-7204 Fretz, Virginia R., OT Provider ID #NM00Q253 BlueLINK ID: 5009119 ES All Care Rehabilitation 1401 Maclovia St., Ste. G, 87505 (505) 471-0818 Fax No. (505) 471-0822 Email: [email protected] See special note See last page for Provider Language Codes legend Kamins, Angela M., OTR Provider ID #NM01N595 BlueLINK ID: 5000668 Hand & Upper Extremity Rehab 1751 Old Pecos Trail, Ste. N, 87505 (505) 988-1644 Fax No. (505) 988-1644 Oschner, Janine, OTR Provider ID #NM00Q274 BlueLINK ID: 6003666 ES Turquoise Trail Physical Therapy & Rehabilitation 2521 Camino Entrada, 87507 (505) 984-2032 Fax No. (505) 474-8836 Oschner, Janine, OTR Provider ID #NM00Q274 BlueLINK ID: 6003666 ES Turquoise Trail Physical Therapy & Rehabilitation 786 St. Francis Dr., Ste. A North, 87501 (505) 984-2032 Fax No. (505) 984-0738 Welch, Karen L., OT Provider ID #NM00Q386 BlueLINK ID: 6003845 ES New Mexico Sports & Physical Therapy 2954 Rodeo Park Dr. West, 87505 (505) 424-0131 Fax No. (505) 424-1299 Optometry Botwin, Mark A., OD Provider ID #NM00P547 BlueLINK ID: 8160822 4250 Cerrillos Rd., Ste. 1000B, 87505 (505) 884-8722 Fax No. (505) 438-6061 Carver, Stephen F., OD Provider ID #NM00P261 BlueLINK ID: 8200899 ES 2008 St. Michaels Dr., Ste. A, 87505 (505) 983-4709 Fax No. (505) 954-0707 Herrera, Michael D., OD Provider ID #NM00P049 BlueLINK ID: 8174961 2019 Galisteo St., Ste. G5, 87505 (505) 989-9600 Fax No. (505) 982-3616 Javid, A. J., OD Provider ID #NM00P892 BlueLINK ID: 5007229 ES Eye Associates of NM 2947 Rodeo Park Dr., 87505 (505) 983-6613 Fax No. (505) 986-9984 July 2005 Allied Health Practitioners Johnson, Timothy J., OD Provider ID #NM00P444 BlueLINK ID: 5000831 Eye Associates of NM 2947 Rodeo Park Dr., 87505 (505) 983-6613 Fax No. (505) 986-9984 Maiers, Ann T., OD Provider ID #NM00P132 BlueLINK ID: 8175009 Eye Associates of NM 2947 Rodeo Park Dr., 87505 (505) 983-6613 Fax No. (505) 986-9984 Quick, Robert H., OD Provider ID #NM01P749 BlueLINK ID: 8174932 ES Quick Vision, Inc. 3251 Cerrillos Rd., 87507 (505) 438-7002 Fax No. (505) 438-4574 Reid, Fred M., OD Provider ID #NM00P515 BlueLINK ID: 8174919 Masters Eye Associates 3530 Zafarano Dr., Ste. C1, 87507 (505) 471-0798 Tachau, Paul A., OD Provider ID #NM01P398 BlueLINK ID: 8175025 Accent on Vision 1409 Luisa St., Ste. D, 87505 (505) 984-8989 Fax No. (505) 984-8892 Thibodeaux, Dwight, OD Provider ID #NM00P121 BlueLINK ID: 5000800 Accent on Vision 1409 Luisa St., Ste. D, 87505 (505) 984-8989 Fax No. (505) 984-8892 Walker, Stephen C., OD Provider ID #NM00P942 BlueLINK ID: 3200145 ES Dr. Stephen Walker & Associates 4250 Cerrillos Rd., Ste. 1272, 87505 (505) 438-3431 Fax No. (505) 438-0620 Wu, Wende W., OD Provider ID #NM00P964 BlueLINK ID: 8292191 ES Quick Vision, Inc. 3251 Cerrillos Rd., 87507 (505) 438-7002 Fax No. (505) 438-4574 Physical Therapy and Rehabilitation Adell, Leanne M., PT Provider ID #NM00Q341 BlueLINK ID: 6002981 ES Rocky Mountain Spine Institute 435 St. Michaels Dr., Ste. 204B, 87505 (505) 984-8881 Fax No. (505) 984-1551 July 2005 Bott, Patricia J., PT Provider ID #NM01Q095 BlueLINK ID: 5007881 ES McGhee Therapy Services 1807 2nd St., Ste. 101, 87505 (505) 982-8561 Fax No. (505) 989-1740 Bott, Patricia J., PT Provider ID #NM01QO78 BlueLINK ID: 5007881 ES Santa Fe Sports Medicine & Rehabilitation 104 Old Las Vegas Hwy., 87505 (505) 992-4995 Fax No. (505) 992-4985 Boudreaux, Lisa, PT Provider ID #NM01E234 BlueLINK ID: 5010230 Santa Fe Sports Medicine & Rehabilitation 104 Old Las Vegas Hwy., 87505 (505) 992-4995 Fax No. (505) 992-4985 Bryson, Jerri L., PT Provider ID #NM00Q351 BlueLINK ID: 6003350 ES Concentra Medical Centers 720 St. Michaels Dr., Ste. C, 87505 (505) 438-9402 Fax No. (505) 471-9840 Byrd, Virginia A., PT Provider ID #NM00Q339 BlueLINK ID: 6002941 NovaCare Outpatient Rehabilitation 435 St. Michaels Dr., Ste. A101, 87505 (505) 982-8860 Fax No. (505) 989-7204 Caldwell, Ellem-Amba M., PT Provider ID #NM00N024 BlueLINK ID: 6002579 Body Moves Physical Therapy 132 Romero St., Ste. 4, 87501 (505) 699-0272 Fax No. (603) 484-5372 Chalmers, Harry C., PT Provider ID #NM00Q060 BlueLINK ID: 5008842 New Mexico Sports & Physical Therapy 2954 Rodeo Park Dr. West, 87501 (505) 424-0131 Fax No. (505) 424-1299 Cook, Deborah S., PT Provider ID #NM00Q271 BlueLINK ID: 6003537 ES All Care Rehabilitation 1401 Maclovia St., Ste. G, 87505 (505) 471-0818 Fax No. (505) 471-0822 Daniel, Monte F., PT Provider ID #NM00Q352 BlueLINK ID: 6003361 ES Concentra Medical Centers 720 St. Michaels Dr., Ste. C, 87505 (505) 438-9402 Fax No. (505) 471-9240 Diehl, Kenneth L., PT Provider ID #NM00Q394 BlueLINK ID: 7139509 ES Rocky Mountain Spine Institute 435 St. Michaels Dr., Ste. B201, 87505 (505) 984-8881 Fax No. (505) 984-1551 Eckhardt, Bruce A., PT Provider ID #NM00Q338 BlueLINK ID: 5008730 Concentra Medical Centers 720 St. Michaels Dr., Ste. C, 87505 (505) 438-9402 Eidson, Charles A., PT Provider ID #NM01Q079 BlueLINK ID: 5007920 ES Santa Fe Sports Medicine & Rehabilitation 104 Old Las Vegas Hwy., 87505 (505) 992-4995 Fax No. (505) 992-4985 Ellsworth, Sara R., PT Provider ID #NM00Q286 BlueLINK ID: 6003013 ES All Care Rehabilitation 1401 Maclovia St., Ste. G, 87505 (505) 471-0818 Fax No. (505) 471-0822 Fagan, Carolyn L., PT Provider ID #NM00Q061 BlueLINK ID: 5008843 New Mexico Sports & Physical Therapy 2954 Rodeo Park Dr. West, 87501 (505) 424-0131 Fax No. (505) 424-1299 Fagan, Thomas H., PT Provider ID #NM00Q062 BlueLINK ID: 5008844 New Mexico Sports & Physical Therapy 2954 Rodeo Park Dr. West, 87501 (505) 424-0131 Fax No. (505) 424-1299 Flanagan, Teresa A., PT Provider ID #NM00Q288 BlueLINK ID: 6003910 ES FR Turquoise Trail Physical Therapy & Rehabilitation 2521 Camino Entrada, 87507 (505) 984-2032 Fax No. (505) 984-0738 Flanagan, Teresa A., PT Provider ID #NM00Q288 BlueLINK ID: 6003910 ES FR Turquoise Trail Physical Therapy & Rehabilitation 786 N. St. Francis Dr., Ste. A, 87501 (505) 984-2032 Fax No. (505) 984-0738 Fletcher, Amy C., PT Provider ID #NM00Q350 BlueLINK ID: 6003154 Outpatient physical therapy ES Rocky Mountain Spine Institute 435 St. Michaels Dr., Ste. 201B, 87505 (505) 984-8881 Fax No. (505) 984-1551 Florek, Scott A., PT Provider ID #NM00Q345 BlueLINK ID: 6003149 Outpatient physical therapy ES Rocky Mountain Spine Institute 435 St. Michaels Dr., Ste. 201B, 87505 (505) 984-8881 Fax No. (505) 984-1551 Frantz, Clyde W., PT Provider ID #NM00Q419 BlueLINK ID: 5008725 Center for Physical Therapy & Rehabilitation 435 St. Michaels Dr., Ste. A101, 87505 (505) 982-8860 Fax No. (505) 989-7204 See special note See last page for Provider Language Codes legend Gershon, Susan T., PT Provider ID #NM00Q065 BlueLINK ID: 5008849 ES New Mexico Sports & Physical Therapy 2954 Rodeo Park Dr. West, 87501 (505) 424-0131 Fax No. (505) 424-1299 Getz, Barbara M., PT Provider ID #NM01N514 BlueLINK ID: 5009130 ES McGhee Therapy Services 1807 2nd St., Ste. 101, 87505 (505) 982-8561 Fax No. (505) 989-1740 Gove, Valerie A., PT Provider ID #NM00Q420 BlueLINK ID: 5008851 Center for Physical Therapy & Rehabilitation 435 St. Michaels Dr., Ste. A101, 87505 (505) 982-8860 Fax No. (505) 989-7204 Hansen, Denise, PT Provider ID #NM00Q058 BlueLINK ID: 5008839 New Mexico Sports & Physical Therapy 2954 Rodeo Park Dr. West, 87501 (505) 424-0131 Fax No. (505) 424-1299 Hatch, Frank V., PT Provider ID #NM00Q125 BlueLINK ID: 5009129 ES ZH DE McGhee Therapy Services 1807 2nd St., Ste. 101, 87505 (505) 982-8561 Fax No. (505) 989-1740 Hatch, Frank V., PT Provider ID #NM00Q291 BlueLINK ID: 5009129 ES Turquoise Trail Physical Therapy & Rehabilitation 2521 Camino Entrada, 87507 (505) 984-2032 Fax No. (505) 474-8836 Hatch, Frank V., PT Provider ID #NM00Q291 BlueLINK ID: 5009129 ES Turquoise Trail Physical Therapy & Rehabilitation 786 St. Francis Dr., Ste. A North, 87501 (505) 984-2032 Fax No. (505) 984-0738 Hoerning, Michael R., PT Provider ID #NM00N527 BlueLINK ID: 5009118 Turquoise Trail Physical Therapy & Rehabilitation 2521 Camino Entrada, 87507 (505) 984-2032 Fax No. (505) 984-0738 Hoerning, Michael R., PT Provider ID #NM00N527 BlueLINK ID: 5009118 Turquoise Trail Physical Therapy & Rehabilitation 786 N. St. Francis Dr., Ste. A, 87501 (505) 984-2032 Fax No. (505) 984-0738 Jordan, Julia A., PT Provider ID #NM00Q422 BlueLINK ID: 5008939 Center for Physical Therapy & Rehabilitation 435 St. Michaels Dr., Ste. A101, 87505 (505) 982-8860 Fax No. (505) 989-7204 149 Allied Health Practitioners Martin, Carolyn J., OD Provider ID #NM00P897 BlueLINK ID: 5007140 ES Eye Associates of NM 435 St. Michaels Dr., Ste. C, 87505 (505) 983-6613 Fax No. (505) 987-9984 Santa Fe Santa Fe Kirby, Cindy L., PT Provider ID #NM00Q489 BlueLINK ID: 6004091 Outpatient physical therapy & DOM ES Rocky Mountain Spine Institute 435 St. Michaels Dr., Ste. 201B, 87505 (505) 984-8881 Fax No. (505) 984-1551 Allied Health Practitioners Knudsen, Sandy, PT Provider ID #NM00Q277 BlueLINK ID: 6003744 ES FR Turquoise Trail Physical Therapy & Rehabilitation 2521 Camino Entrada, 87507 (505) 984-2032 Fax No. (505) 474-8836 Knudsen, Sandy, PT Provider ID #NM00Q277 BlueLINK ID: 6003744 ES FR Turquoise Trail Physical Therapy & Rehabilitation 786 St. Francis Dr., Ste. A North, 87501 (505) 984-2032 Fax No. (505) 984-0738 Lentz, Jeff C., PT Provider ID #NM00Q283 BlueLINK ID: 6003831 ES Turquoise Trail Physical Therapy & Rehabilitation 2521 Camino Entrada, 87507 (505) 984-2032 Fax No. (505) 474-8836 Lentz, Jeff C., PT Provider ID #NM00Q283 BlueLINK ID: 6003831 ES Turquoise Trail Physical Therapy & Rehabilitation 786 N. St. Francis Dr., Ste. A, 87501 (505) 984-2032 Fax No. (505) 984-0738 Allied Health Practitioners Olson, Monica L., PT Provider ID #NM00Q423 BlueLINK ID: 5008940 Center for Physical Therapy & Rehabilitation 435 St. Michaels Dr., Ste. A101, 87505 (505) 982-8860 Fax No. (505) 989-7204 Plummer, Marybeth, PT Provider ID #NM00Q424 BlueLINK ID: 5008941 Center for Physical Therapy & Rehabilitation 435 St. Michaels Dr., Ste. A101, 87505 (505) 982-8860 Fax No. (505) 989-7204 Polo-Traverso, Jose A., PT Provider ID #NM00Q356 BlueLINK ID: 6003421 ES FR Concentra Medical Centers 720 St. Michaels Dr., Ste. C, 87505 (505) 438-9402 Fax No. (505) 471-9240 Powers, Elizabeth E., PT Provider ID #NM00Q527 BlueLINK ID: 6004031 ES Sun Physical Therapy 1503 Llano St., Ste. A, 87505 (505) 699-3128 Fax No. (505) 983-8298 Robertson, Heather A., PT Provider ID #NM00Q063 BlueLINK ID: 5008845 New Mexico Sports & Physical Therapy 2954 Rodeo Park Dr. West, 87501 (505) 424-0131 Fax No. (505) 424-1299 Rose, Lauren E., PT Provider ID #NM00NR42 BlueLINK ID: 6002618 9 Frasco Way, 87508 (505) 466-0244 Fax No. (505) 466-6505 Marcellus, Gary W., PT Provider ID #NM00Q254 BlueLINK ID: 6003087 ES All Care Rehabilitation 1401 Maclovia St., Ste. G, 87505 (505) 471-0818 Fax No. (505) 471-0822 Schaefer, Colleen E., PT Provider ID #NM00Q486 BlueLINK ID: 6004027 ES New Mexico Sports & Physical Therapy 2954 Rodeo Park Dr. West, 87502 (505) 424-0131 Fax No. (505) 424-1299 Mazur, Bruce A., PT Provider ID #NM00Q116 BlueLINK ID: 5009117 Turquoise Trail Physical Therapy & Rehabilitation 2521 Camino Entrada, 87507 (505) 984-2032 Fax No. (505) 984-0738 Scherrer, Laura A., PT Provider ID #NM00Q118 BlueLINK ID: 5009120 Turquoise Trail Physical Therapy & Rehabilitation 2521 Camino Entrada, 87507 (505) 984-2032 Fax No. (505) 984-0738 Mazur, Bruce A., PT Provider ID #NM00Q116 BlueLINK ID: 5009117 Turquoise Trail Physical Therapy & Rehabilitation 786 N. St. Francis Dr., Ste. A, 87501 (505) 984-2032 Fax No. (505) 984-0738 Scherrer, Laura A., PT Provider ID #NM00Q118 BlueLINK ID: 5009120 Turquoise Trail Physical Therapy & Rehabilitation 786 N. St. Francis Dr., Ste. A, 87501 (505) 984-2032 Fax No. (505) 984-0738 McGhee, Constance J., PT Provider ID #NM00NQ56 BlueLINK ID: 5000560 McGhee Therapy Services 1807 2nd St., Ste. 101, 87505 (505) 982-8561 Fax No. (505) 989-1740 Schlee, Nanette R., PT Provider ID #NM00Q456 BlueLINK ID: 6002927 NovaCare Outpatient Rehabilitation 435 St. Michaels Dr., Ste. A101, 87505 (505) 982-8860 Fax No. (505) 989-7204 150 Schnepf, Charlotte A., PT Provider ID #NM00Q066 BlueLINK ID: 5008850 ES New Mexico Sports & Physical Therapy 2954 Rodeo Park Dr. West, 87501 (505) 424-0131 Fax No. (505) 424-1299 Wien, Jennifer, PT Provider ID #NM00Q355 BlueLINK ID: 6003420 ES Concentra Medical Centers 720 St. Michaels Dr., Ste. C, 87505 (505) 438-9402 Fax No. (505) 471-9240 Schnepf, Charlotte A., PT Provider ID #NM00Q480 BlueLINK ID: 5008850 ES Rocky Mountain Spine Institute 435 St. Michaels Dr., Ste. 201B, 87505 (505) 984-8881 Fax No. (505) 984-1551 Email: [email protected] Podiatry Spurgeon, Dacotah J., PT Provider ID #NM00Q426 BlueLINK ID: 5008994 Center for Physical Therapy & Rehabilitation 435 St. Michaels Dr., Ste. A101, 87505 (505) 982-8860 Fax No. (505) 989-7204 Bullock, Cindy E., DPM Provider ID #NM005495 BlueLINK ID: 6003630 Lovelace Sandia Health Systems Santa Fe Podiatry 440 St. Michaels Dr., 87505 (505) 995-2400 Fax No. (505) 995-2403 Swearingen, F. Scott, PT Provider ID #NM00Q124 BlueLINK ID: 5009145 ES McGhee Therapy Services 1807 2nd St., Ste. 101, 87505 (505) 982-8561 Fax No. (505) 989-1740 Goodman, Steven R., DPM Provider ID #NM005299 BlueLINK ID: 8141081 Family Foot Care 539 Harkle Rd., Ste. C, 87505 (505) 988-8863 Fax No. (505) 988-5940 Upton, Ingrid, PT Provider ID #NM00Q114 BlueLINK ID: 5009066 Arroyo Chamiso Pediatric Clinic 2025 Galisteo St., 87505 (505) 995-4901 Fax No. (505) 989-6483 Wagner, Mark A., MPT Provider ID #NM00Q121 BlueLINK ID: 5009123 Turquoise Trail Physical Therapy & Rehabilitation 2521 Camino Entrada, 87507 (505) 984-2032 Fax No. (505) 984-0738 Wagner, Mark A., MPT Provider ID #NM00Q121 BlueLINK ID: 5009123 Turquoise Trail Physical Therapy & Rehabilitation 786 N. St. Francis Dr., Ste. A, 87501 (505) 984-2032 Fax No. (505) 984-0738 Watson, Angelica F., PT Provider ID #NM00Q278 BlueLINK ID: 6003745 ES FR Turquoise Trail Physical Therapy & Rehabilitation 2521 Camino Entrada, 87507 (505) 984-2032 Fax No. (505) 474-8836 Watson, Angelica F., PT Provider ID #NM00Q278 BlueLINK ID: 6003745 ES FR Turquoise Trail Physical Therapy & Rehabilitation 786 St. Francis Dr., Ste. A North, 87501 (505) 984-2032 Fax No. (505) 984-0738 Wessel, Brenda D., PT Provider ID #NM00Q427 BlueLINK ID: 5008943 Center for Physical Therapy & Rehabilitation 435 St. Michaels Dr., Ste. A101, 87505 (505) 982-8860 Fax No. (505) 989-7204 See special note See last page for Provider Language Codes legend Blake, William J., DPM Provider ID #NM005445 BlueLINK ID: 5007668 Foot & Ankle Associates 1 Calle Medico, 87505 (505) 982-0123 Fax No. (505) 982-5714 King, Glenda L., DPM Provider ID #NM009P39 BlueLINK ID: 6003598 Family Foot Care 539 Harkle Rd., Ste. C, 87505 (505) 988-8863 Fax No. (505) 988-5940 Meltzer, Evan F., DPM Provider ID #NM005444 BlueLINK ID: 8192936 ES Family Foot Care 539 Harkle Rd., Ste. C, 87505 (505) 988-8863 Fax No. (505) 988-5940 Schulhofer, David, DPM Provider ID #NM005429 BlueLINK ID: 8255924 665 Harkle Rd., 87505 (505) 983-7738 Stess, Marc A., DPM Provider ID #NM005317 BlueLINK ID: 8141101 Family Foot Care 539 Harkle Rd., Ste. C, 87505 (505) 988-8863 Fax No. (505) 988-5940 Williams, Edward D., DPM Provider ID #NM025315 BlueLINK ID: 8178448 Foot & Ankle Associates 1 Calle Medico, 87505 (505) 982-0123 Fax No. (505) 982-5714 Wilner, Joel M., DPM Provider ID #NM005356 BlueLINK ID: 8141106 Northern NM Podiatry Associates 665 Harkle Rd., 87501 (505) 983-7393 Fax No. (505) 983-7249 Speech Therapy Cohen, Mary T., SLP Provider ID #NM00E228 BlueLINK ID: 5000301 Turquoise Trail Physical Therapy & Rehabilitation 2521 Camino Entrada, 87507 (505) 984-2032 Fax No. (505) 984-0738 July 2005 Allied Health Practitioners Cohen, Mary T., SLP Provider ID #NM00E228 BlueLINK ID: 5000301 Turquoise Trail Physical Therapy & Rehabilitation 786 N. St. Francis Dr., Ste. A, 87501 (505) 984-2032 Fax No. (505) 984-0738 Hayden, Deborah A., SLP Provider ID #NM00E230 BlueLINK ID: 5009211 ES FR The Prompt Institute 4001 Office Court Dr., Ste. 305, 87507 (505) 466-7710 Fax No. (505) 466-7714 Jebb-Tracey, Jeanne F., SLP Provider ID #NM00Q080 BlueLINK ID: 5008044 McGhee Therapy Services 1807 2nd St., Ste. 101, 87505 (505) 982-8561 Fax No. (505) 989-1740 Kessler, Joan Y., SLP Provider ID #NM00E116 BlueLINK ID: 5008993 Center for Physical Therapy & Rehabilitation 435 St. Michaels Dr., Ste. A101, 87505 (505) 982-8860 Fax No. (505) 989-7204 Lacey, Karen F., SLP Provider ID #NM00E232 BlueLINK ID: 5009357 ZA McGhee Therapy Services 1807 2nd St., Ste. 101, 87505 (505) 982-8561 Fax No. (505) 989-1740 Smitheran, Judith, SLP Provider ID #NM00E225 BlueLINK ID: 5009068 Arroyo Chamiso Pediatric Clinic 2025 Galisteo St., 87505 (505) 995-4901 Fax No. (505) 989-6483 Van Hecke, Deborah, SLP Provider ID #NM00E226 BlueLINK ID: 5009069 Arroyo Chamiso Pediatric Clinic 2025 Galisteo St., 87505 (505) 995-4901 Fax No. (505) 989-6483 Wilson, Melissa, MA-CCC-SLP Provider ID #NM00E238 BlueLINK ID: 6003732 Lifespan Therapy Services 1800 Old Pecos Tr., Ste. G, 87505 (505) 954-9940 Fax No. (505) 954-9946 Santa Rosa Guadalupe County Certified Nurse Practitioners Postl, Antje, CNP Provider ID #NM006407 BlueLINK ID: 5006329 Santa Rosa Medical Clinic 533 Lake Dr., 88435 (505) 472-4311 Fax No. (505) 472-4313 July 2005 Chiropractic Bauler, John M., DC Provider ID #NM02K714 BlueLINK ID: 8140858 Santa Rosa Medical Clinic 533 Lake Dr., 88435 (505) 472-4311 Fax No. (505) 472-4313 Optometry McCloskey, Yvonne A., OD Provider ID #NM00P304 BlueLINK ID: 5000790 ES Optometrics, PC 111 S. 4th St., 88435 (505) 472-3352 Meneakis, Michael H., OD Provider ID #NM00P303 BlueLINK ID: 5000796 ES Optometrics, PC 111 S. 4th St., 88435 (505) 472-3352 Physical Therapy and Rehabilitation Fowler, Cheryl, PT Provider ID #NM00Q336 BlueLINK ID: 5009505 East Mountain Physical Therapy 415 Coronado Ave. West, 88435 (505) 472-2002 Fowler, James M., PT Provider ID #NM00Q337 BlueLINK ID: 5009504 ES East Mountain Physical Therapy 415 Coronado Ave. West, 88435 (505) 472-2002 Santa Teresa Doña Ana County Occupational Therapy Brown, Gloria Ann, OTR-LCHT Provider ID #NM00Q140 BlueLINK ID: 5008979 ES Southwest Sport & Spine Center 5312 Rio Bravo, Ste. 6, 88008 (505) 997-0137 Fax No. (505) 997-0167 Physical Therapy and Rehabilitation Bybee, Ryan A., PT Provider ID #NM01NR52 BlueLINK ID: 5000582 ES Southwest Sport & Spine Center 5312 Rio Bravo, Ste. 6, 88008 (505) 997-0137 Fax No. (505) 997-0167 Campbell, Laurie Denise, PT Provider ID #NM00N105 BlueLINK ID: 5008970 ES Southwest Sport & Spine Center 5312 Rio Bravo, Ste. 6, 88008 (505) 997-0137 Fax No. (505) 997-0167 Cantu Boncser, Gloria, OTR Provider ID #NM00Q143 BlueLINK ID: 5008982 ES Southwest Sport & Spine Center 5312 Rio Bravo, Ste. 6, 88008 (505) 997-0137 Fax No. (505) 997-0167 Chacon, Virginia L., PT Provider ID #NM00Q144 BlueLINK ID: 5008992 ES Southwest Sport & Spine Center 5312 Rio Bravo, Ste. 6, 88008 (505) 997-0137 Fax No. (505) 997-0167 Craig, Patrick D., PT Provider ID #NM00Q142 BlueLINK ID: 5008981 ES Southwest Sport & Spine Center 5312 Rio Bravo, Ste. 6, 88008 (505) 997-0137 Fax No. (505) 997-0167 Shiprock San Juan County Chiropractic Van Buskirk, William J., DC Provider ID #NM00K046 BlueLINK ID: 8218403 ZB Shiprock Chiropractic Clinic Shiprock Shopping Center Hwy. 491, 87420 (505) 368-4568 Fax No. (505) 368-4502 Silver City Grant County Acupuncture Campbell, Kathleen M., DOM Provider ID #NM00RE90 BlueLINK ID: 6003828 Massage therapy ES Cienega Spa 101 N.Cooper St., 88061 (505) 534-1600 Fax No. (505) 534-1256 Certified Nurse Practitioners Brickley, Christine, CFNP Provider ID #NM006366 BlueLINK ID: 7310765 ES SW Family Medicine 1318 E. 32nd St., 88061 (505) 388-1913 Fax No. (505) 388-5176 DeGenevieve, Karen, CFNP Provider ID #NM006435 BlueLINK ID: 7452030 ES W. R. Fowler, MD Copper Medical Center 3185 N. Leslie Rd., 88061 (505) 388-3393 Fax No. (505) 388-2696 McIntire, Patricia A., CFNP Provider ID #NM00UCAJ BlueLINK ID: 7313340 ES After Hours Family Health 1600 E. 32nd St., 88061 (505) 538-2981 Fax No. (505) 388-3373 Muñoz, Teresa M., CFNP Provider ID #NM006802 BlueLINK ID: 6002978 ES Hidalgo Medical Services Med Square Clinic 114 W. 11th St., 88061 (505) 388-1512 Fax No. (505) 388-1465 Certified Registered Nurse Anesthetists Dannecker, Alison, CRNA Provider ID #NM016792 BlueLINK ID: 6002100 Gila Regional Medical Center 1313 E. 32nd St., 88061 (505) 538-4000 Lutz, David J., CRNA Provider ID #NM006427 BlueLINK ID: 7349327 Gila Regional Medical Center 1313 E. 32nd St., 88061 (505) 538-4000 Stuetzer, Paul H., DOM Provider ID #NM00R57J BlueLINK ID: 5000975 Silver Alternative Medicine 1301 Virginia St., 88061 (505) 388-8858 Fax No. (505) 388-8858 Moore, John A., CRNA Provider ID #NM006A58 BlueLINK ID: 7211684 ES Gila Regional Medical Center 1313 E. 32nd St., 88061 (505) 538-4000 Certified Nurse Midwives Chiropractic Stamler, Gail B., CNM Provider ID #NM006600 BlueLINK ID: 7380132 ES The Family Clinic 1280 E. 32nd St., 88061 (505) 388-1242 Fax No. (505) 534-1859 Email: [email protected] Carter, Jeptha W., DC Provider ID #NM00K551 BlueLINK ID: 8140951 Carter Chiropractic Center 2580 N. Silver St., 88061 (505) 538-5511 See special note See last page for Provider Language Codes legend Allied Health Practitioners Holifield, Julie C., MA-CCC-SLP Provider ID #NM00E240 BlueLINK ID: 6003987 Lifespan Therapy Services 1800 Old Pecos Tr., Ste. G, 87505 (505) 954-9940 Fax No. (505) 954-9946 Silver City Robertson, Scott A., DC Provider ID #NM00KC56 BlueLINK ID: 5000205 Silver City Chiropractic 2100 Memory Ln., 88061 (505) 538-0000 Rogers, John A., DC Provider ID #NM00KC79 BlueLINK ID: 8141012 Sun Country Healthcare Network 1205 West St., 88061 (505) 538-2558 151 Silver City Occupational Therapy Ferrin, Scott D., OT Provider ID #NM00Q173 BlueLINK ID: 6003166 ES AF Pro-Therapy, Inc. 209 Hwy. 180 West, 88061 (505) 534-1280 Fax No. (505) 534-9734 Allied Health Practitioners Ford, Melanie A., OT Provider ID #NM00Q430 BlueLINK ID: 5009015 ES Pro-Therapy, Inc. 209 Hwy. 180 West, 88061 (505) 534-1280 Fax No. (505) 534-9734 Vezina, Tracy L., OT Provider ID #NM00Q431 BlueLINK ID: 5009016 ES Pro-Therapy, Inc. 209 Hwy. 180 West, 88061 (505) 534-1280 Fax No. (505) 534-9734 Optometry Coon, Michael W., OD Provider ID #NM00P034 BlueLINK ID: 8174933 ES 1024 N. Hudson, 88061 (505) 538-2994 Fax No. (505) 538-2996 Physical Therapy and Rehabilitation Adams, Jennifer A., PT Provider ID #NM00Q429 BlueLINK ID: 5009014 ES Pro-Therapy, Inc. 209 Hwy. 180 West, 88061 (505) 534-1280 Fax No. (505) 534-9734 Henderson, Kaylin S., PT-CWS Provider ID #NM00Q181 BlueLINK ID: 6003377 Specializing in woundcare ES 2600 N. Silver St., 88061 (505) 538-5632 Fax No. (505) 534-3017 Iniguez, Pedro, PT Provider ID #NM01NR18 BlueLINK ID: 5000573 ES Iniguez Physical Therapy 1310 N. Pope St., 88061 (505) 388-0430 Fax No. (505) 388-0460 Morales, Ezekiel, PT Provider ID #NM00Q148 BlueLINK ID: 5009366 ES Iniguez Physical Therapy 1310 N. Pope St., 88061 (505) 388-0430 Fax No. (505) 388-0460 Noel, Greg S., PT Provider ID #NM00N511 BlueLINK ID: 5000648 ES Millennium Chiropractic & Rehabilitation 310 W. 11th St., 88061 (505) 534-1187 Fax No. (505) 534-1439 152 Allied Health Practitioners Thomas, Suzanne, MPT Provider ID #NM00Q183 BlueLINK ID: 7136072 ES Millennium Physical Therapy & Rehab 310 W. 11th St., 88061 (505) 534-1187 Fax No. (505) 534-1439 Email: [email protected] Chiropractic Speech Therapy Goforth, Phillip D., DC Provider ID #NM00KC59 BlueLINK ID: 8261447 Goforth Chiropractic 826 W. Hwy. 60, 87801 (505) 835-9288 Podiatry Brook, Janet V., MS-CCC-SLP Provider ID #NM00K433 BlueLINK ID: 5000308 1565 Bosquecito Rd., P. O. Box 1842, 87801 (505) 835-2118 Fax No. (505) 835-1125 Occupational Therapy Deetz, David L., DPM Provider ID #NM025303 BlueLINK ID: 8112971 ES Rio Grande Foot Clinic 875 Silver Heights Blvd., 88061 (505) 538-5100 Etheredge, Chama, OTR Provider ID #NM00Q398 ES Bodywise Therapy Services 824 Hwy. 60 West, 87801 (505) 838-1100 Fax No. (505) 838-0394 Fernandez, Richard C., SLP Provider ID #NM00N648 BlueLINK ID: 5000681 Positive Outcomes, Inc. 1115 N. California, 87801 (505) 838-1100 Fax No. (505) 838-0394 Gough, Adam C., DPM Provider ID #NM00F66D BlueLINK ID: 5006966 ES Silver Internal Medicine 1600 E. 32nd St., 88061 (505) 538-2981 Fax No. (505) 388-3373 Socorro Socorro County Acupuncture Dixon, Jeanne M., DOM Provider ID #NM00RD35 BlueLINK ID: 5007522 ZH 1115 N. California, 87801 (505) 838-1100 Fax No. (505) 838-0394 Eagles, Reba L., DOM Provider ID #NM00RH57 BlueLINK ID: 6003849 200 School of Mines Rd., 87801 (505) 889-3333 Edwards, Ahmed F., DOM Provider ID #NM00R84U BlueLINK ID: 5007291 Alternaid Acupuncture 911 N. California, Ste. B, 87801 (505) 863-3209 Fax No. (505) 863-3201 Shepherd, Aileen M., DOM Provider ID #NM00RH64 BlueLINK ID: 6004000 ES FR Bodywise Therapy Services 824 Hwy. 60 West, 87801 (505) 838-1100 Fax No. (505) 838-0394 Audiology Cramer, Marianne, MS-CCC-A Provider ID #NM00E382 BlueLINK ID: 6003916 ES FR DE ZH Socorro General Hospital 1202 Hwy. 60 West, 87801 (505) 835-1140 Fax No. (505) 835-8703 Certified Nurse Midwives Campbell, Sue L., CNM Provider ID #NM006608 BlueLINK ID: 5008365 Female patients only ES Socorro Medical Associates 1204 Hwy. 60 West, 87801 (505) 835-0705 Fax No. (505) 835-3828 Martinic, Linda S., PT Provider ID #NM00NR96 BlueLINK ID: 5000603 ES Bhasker Medical Clinic 200 Neel Ave. NW, 87801 (505) 835-2940 Fax No. (505) 835-2216 Physical Therapy and Rehabilitation Kil, Judi A., PT Provider ID #NM00Q070 BlueLINK ID: 5008881 Socorro Physical Therapy 911 N. California, Ste. B, 87801 (505) 838-1000 Fax No. (505) 838-2000 Murphy, Cheryl L., PT Provider ID #NM00Q479 BlueLINK ID: 6004001 ES Bodywise Therapy Services 824 Hwy. 60 West, 87801 (505) 838-1100 Fax No. (505) 838-0394 Murphy, Cheryl L., PT Provider ID #NM00N648 BlueLINK ID: 5000681 Positive Outcomes, Inc. 1115 N. California, 87801 (505) 838-1100 Fax No. (505) 838-0394 Stephens, Kelby H., PT Provider ID #NM00Q379 BlueLINK ID: 6003742 Socorro Physical Therapy 911 N. California, Ste. B, 87801 (505) 838-1000 Podiatry Moeller, Fritz A., DPM Provider ID #NM004637 BlueLINK ID: 5004759 Socorro General Hospital 1200 Hwy. 60 West, 87801 (505) 835-8364 Fax No. (505) 835-8368 Shapiro, Faith C., DPM Provider ID #NM005354 BlueLINK ID: 8141098 Southwest Podiatry Center 200 Neel Ave. NW, 87801 (505) 835-2940 Sotelo, David R., DPM Provider ID #NM005412 BlueLINK ID: 8247179 Bhasker Medical Clinic 200 Neel Ave. NW, 87801 (505) 835-2920 Fax No. (505) 299-0571 See special note See last page for Provider Language Codes legend Jaramillo-Marquez, Tara, MACCC-SLP Provider ID #NM00N648 BlueLINK ID: 5000681 Positive Outcomes, Inc. 1115 N. California, 87801 (505) 838-1100 Fax No. (505) 838-0394 Sunland Park Doña Ana County Certified Nurse Practitioners O'Neil, Terese A., CNP Provider ID #NM007691 BlueLINK ID: 5005813 La Clinica de Familia 101 Edgewood, 88063 (505) 589-0887 Fax No. (505) 589-0898 Taos Taos County Acupuncture Brouwer, Astrid, DOM Provider ID #NM01R31X BlueLINK ID: 600543 Specializing in Chinese herbology NL DE FR Acupuncture 623 Paseo del Pueblo Sur, Ste. A, 87571 (505) 770-5918 Christian, Keith E., DOM Provider ID #NM00R76G BlueLINK ID: 5001061 Taos Community Healthplan Taos Chiropractic Health Center 813 Paseo del Pueblo Norte, 87571 (505) 758-8498 Ciceri, Christine, DOM Provider ID #NM00R340 BlueLINK ID: 5007318 224 Cruz Alta Rd., Ste. G, 87571 (505) 751-1616 Colonna, Caroline L., DOM Provider ID #NM00R97Z BlueLINK ID: 5007871 ES FR The Willow Clinic 205 Hinde St., 87571 (505) 758-5070 Wagner, Carl E., DOM Provider ID #NM01R55U BlueLINK ID: 5000966 White Crane Clinic 1332 Gusdorf Rd., Ste. C, 87571 (505) 758-2700 July 2005 Allied Health Practitioners Certified Nurse Practitioners Ford, Diane K., CNP Provider ID #NM006981 BlueLINK ID: 7481426 Patients age from birth to 21 years Taos Community Healthplan Holy Cross Hospital 1397 Weimer Rd., 87571 (505) 758-8883 Fax No. (505) 758-5749 Harrison, Mary E., CNP Provider ID #NM00R82N BlueLINK ID: 5001138 ES Taos Community Healthplan Taos Clinic for Children & Youth 123 Cruz Alta Rd., 87571 (505) 758-8651 Fax No. (505) 758-7811 Obert, Jeanne A., CNP Provider ID #NM006478 BlueLINK ID: 5008233 ES Taos Community Healthplan Taos Medical Group 1399 Weimer Rd., 87571 (505) 758-2224 Fax No. (505) 758-4903 Teagle, Beverly E., CNP Provider ID #NM00R83K BlueLINK ID: 5001157 ES Taos Community Healthplan Family Practice Associates of Taos 630 Paseo del Pueblo Sur, Ste. 150, 87571 (505) 758-3005 Fax No. (505) 758-7010 Certified Registered Nurse Anesthetists Brenno, Dane A., CRNA Provider ID #NM006491 BlueLINK ID: 5008735 Taos Community Healthplan Holy Cross Anesthesia 1397 Weimer Rd., 87571 (505) 758-8883 Brenno, Dane A., CRNA Provider ID #NM007961 BlueLINK ID: 5005912 Taos Community Healthplan Northern NM Anesthesia 1397 Weimer Rd., 87571 (505) 758-8267 Griffin, Joseph A., CRNA Provider ID #NM006962 BlueLINK ID: 5005290 Holy Cross Anesthesia 1397 Weimer Rd., 87571 (505) 737-3388 Jones, James E., Jr., CRNA Provider ID #NM007961 BlueLINK ID: 5005912 Taos Community Healthplan Northern NM Anesthesia 1397 Weimer Rd., 87571 (505) 758-8267 July 2005 Chiropractic Christian, Donavon F., DC Provider ID #NM00KK34 BlueLINK ID: 8140884 ES FR Taos Chiropractic Health Center 813 Paseo del Pueblo Norte, 87571 (505) 758-8498 Christian, Douglas P., DC Provider ID #NM00KK30 BlueLINK ID: 8262651 813 Paseo del Pueblo Norte, 87571 (505) 758-8498 Hilliker, Susan R., DC Provider ID #NM01KL72 BlueLINK ID: 6003256 ES Blue Mountain Chiropractic 401 Acoma, 87571 (505) 770-1660 Manson, Kirk E., DC Provider ID #NM00K152 BlueLINK ID: 5000272 ES Colinias Chiropractic Center 98 Hwy. 150, Ste. 7, 87571 (505) 776-1117 Fax No. (505) 776-1119 Trabold, William V., DC Provider ID #NM00KL71 BlueLINK ID: 8246225 ES East West Health Clinic 1027 Salazar Rd., Ste. 1, 87571 (505) 751-0108 Fax No. (505) 751-4670 Ward, Darcy M., DC Provider ID #NM00K160 BlueLINK ID: 5000276 ES Colinias Chiropractic Center 98 Hwy. 150, Ste. 7, 87571 (505) 776-1117 Fax No. (505) 776-1119 Whyte-Ferguson, Lucy, DC Provider ID #NM00KB78 BlueLINK ID: 5000177 ES Colinias Chiropractic Center 98 Hwy. 150, Ste. 7, 87571 (505) 776-1117 Fax No. (505) 776-1119 Licensed Midwives Andrew, Martha C., LMW Provider ID #NM006612 BlueLINK ID: 5007241 ES FR Taos Community Healthplan Northern NM Midwifery Center 1331 Maestas Rd., 87571 (505) 758-1216 Fax No. (505) 758-2683 Figurski, Kiersten A., LMCPM Provider ID #NM006951 BlueLINK ID: 6003371 Pregnancy, intra/postpartum, newborn & well women ES DE Taos Community Healthplan Northern NM Womens Health & Birth Center 1331 Maestes Rd., 87571 (505) 758-1216 Fax No. (505) 758-2683 Gemmell, Emily Anne, LMW Provider ID #NM006611 BlueLINK ID: 5007240 ES FR Taos Community Healthplan Northern NM Midwifery Center 1331 Maestas Rd., 87571 (505) 758-1216 Fax No. (505) 758-2683 Norris, Joan D., LM Provider ID #NM00R81P BlueLINK ID: 5001116 Taos Community Healthplan Northern NM Midwifery Center 1331 Maestas Rd., 87571 (505) 758-1216 Fax No. (505) 758-2683 Nutritional Counseling Tousley, Debra L., RD Provider ID #NM00RG61 BlueLINK ID: 6003905 Taos Community Healthplan Holy Cross Hospital 1397 Weimer Rd., 87571 (505) 758-8883 Occupational Therapy Jones, Deborah L., OTR Provider ID #NM00N647 BlueLINK ID: 5000680 1337 Gusdorf Rd., Ste. G, 87571 (505) 758-4337 Fax No. (505) 751-1890 Optometry Ratzlaff, Robert D., OD Provider ID #NM01P941 BlueLINK ID: 8266175 1128 Paseo del Pueblo Sur, 87571 (505) 758-3215 Fax No. (505) 751-9280 Thibodeaux, Dwight, OD Provider ID #NM00P247 BlueLINK ID: 5000801 Visionwest, Inc. Group C143 1128 Paseo del Pueblo Sur, 87571 (505) 758-3215 Fax No. (505) 758-3215 Physical Therapy and Rehabilitation Alcon, Kathleen A., PT Provider ID #NM00Q243 BlueLINK ID: 5010071 ES Morning Light Physical Therapy 1350 Paseo del Pueblo Sur, 87571 (505) 751-9500 Fax No. (505) 751-3013 Email: [email protected] Anderson, Morley, PT Provider ID #NM00Q280 BlueLINK ID: 5008440 Taos Center for Rehabilitation & Sports Medicine 1398 Weimer Rd., Ste. 203, 87571 (505) 737-0304 Fax No. (505) 737-0383 Bishop, Norah K., PT Provider ID #NM00NR36 BlueLINK ID: 5000580 Taos Community Healthplan Physical Therapy Services 111 Doña Ana St., 87571 (505) 737-0715 See special note See last page for Provider Language Codes legend Flutze, Timothy J., PT Provider ID #NM00Q230 BlueLINK ID: 5009149 Taos Center for Rehab & Sports Medicine 1398 Weimer Rd., Ste. 203, 87571 (505) 737-0304 Fax No. (505) 737-0384 Holmes, Ronald C., PT Provider ID #NM00Q013 BlueLINK ID: 5008439 Taos Physical Therapy 414 Sipapu, 87571 (505) 758-3761 Fax No. (505) 751-0448 Knight, Damian M., PT Provider ID #NM01Q126 BlueLINK ID: 5009146 Taos Center for Rehab & Sports Medicine 1398 Weimer Rd., Ste. 203, 87571 (505) 737-0304 Fax No. (505) 737-0383 Miller, Wade, PT Provider ID #NM00Q127 BlueLINK ID: 5009148 ES Taos Center for Rehab & Sports Medicine 1398 Weimer Rd., Ste. 203, 87571 (505) 737-0304 Fax No. (505) 737-0384 Ready, Marcia L., PT Provider ID #NM01NA02 BlueLINK ID: 5009149 ES Taos Center for Rehab & Sports Medicine 1398 Weimer Rd., Ste. 203, 87571 (505) 737-0304 Fax No. (505) 737-0384 Yoshimine-Griess, Joanne, PT Provider ID #NM00Q458 BlueLINK ID: 5007174 Taos Physical Therapy 414 Sipapu, 87571 (505) 758-8761 Fax No. (505) 751-0440 Thoreau McKinley County Certified Nurse Practitioners Heusel, Karen J., CNP Provider ID #NM00R85N BlueLINK ID: 7484700 ES ZB Western NM Medical Group PMS is not affiliated with Presbyterian Healthcare Services 102 E. 1st St., 87323 (505) 862-7417 Fax No. (505) 862-8300 Sylvester, Linda S., CNP Provider ID #NM006658 BlueLINK ID: 5009327 ES ZB Western NM Medical Group PMS is not affiliated with Presbyterian Healthcare Services 15 Navarre Blvd., 87323 (505) 862-7417 Fax No. (505) 862-8300 Terriberry, Constance D., CNP-RN Provider ID #NM00R82G BlueLINK ID: 5001132 Western NM Medical Group PMS is not affiliated with Presbyterian Healthcare Services 102 E. 1st St., 87323 (505) 862-7417 Fax No. (505) 989-4761 153 Allied Health Practitioners Hamilton, Sandra G., CFNP Provider ID #NM00R83L BlueLINK ID: 5001158 ES Taos Community Healthplan Family Practice Associates of Taos 630 Paseo del Pueblo Sur, Ste. 150, 87571 (505) 758-3005 Fax No. (505) 758-7010 Mitchell, James C., CRNA Provider ID #NM007961 BlueLINK ID: 5005912 Taos Community Healthplan Northern NM Anesthesia 1397 Weimer Rd., 87571 (505) 758-8267 Allied Health Practitioners Tierra Amarilla Rio Arriba County Certified Nurse Practitioners Allied Health Practitioners Barton, Ian L., CNP Provider ID #NM006873 BlueLINK ID: 7170245 ES La Clinica del Pueblo de Rio Arriba US 84 CR 324, Ste. 14, 87575 (505) 588-7252 Curt, Calvin K., CFNP Provider ID #NM006289 BlueLINK ID: 7312893 ES La Clinica del Pueblo de Rio Arriba US 84 CR 324, Ste. 14, 87575 (505) 588-7252 Fax No. (505) 588-7771 Tijeras Bernalillo County If you reside within this county and choose to visit a provider marked with special symbol "¾", your visit will not be covered. See the introductory section of this directory for more details. Acupuncture Gurule, Anna M., DOM Provider ID #NM00RH54 BlueLINK ID: 6003760 ES Back to Health 11792 Hwy. 337, 87059 (505) 286-8434 Fax No. (505) 286-8432 Truth or Consequences Sierra County Certified Nurse Practitioners Harned, Sharon H., CNP Provider ID #NM006388 BlueLINK ID: 7454674 Sierra Vista Physicians Clinic 800 E. 9th Ave., 87901 (505) 894-3221 Fax No. (505) 894-7659 Chiropractic Brock, Dean R., DC Provider ID #NM00KH75 BlueLINK ID: 5007592 ES Sierra Chiropractic 455 S. Foch St., 87901 (505) 894-9355 Fax No. (505) 894-9355 Brown, M. E., DC Provider ID #NM00KB46 BlueLINK ID: 8140867 Rio Grande Chiropractic Center 405 Broadway, 87901 (505) 894-2002 154 Physical Therapy and Rehabilitation Digesu, Mario, PT Provider ID #NM00NR69 BlueLINK ID: 5000589 T or C Physical Therapy 500 Main St., 87901 (505) 894-8029 Fax No. (505) 894-8029 Podiatry Negron, David E., DPM Provider ID #NM005316 BlueLINK ID: 5005204 Sierra Vista Hospital 800 E. 9th Ave., 87901 (505) 894-2111 Tucumcari Quay County Certified Nurse Practitioners Kraft, Kathleen A., CNP Provider ID #NM006975 BlueLINK ID: 6004034 No obstetrics patients ES 325 S. 1st St., 88401 (505) 461-2222 Fax No. (505) 461-2255 Umberger, Paul, CNP Provider ID #NM00R80G BlueLINK ID: 5001094 Quay County Primary Care Clinic 301 E. Miel de Luna, 88401 (505) 461-0175 Fax No. (505) 461-0160 Willis, Lajuana D., CFNP Provider ID #NM006976 BlueLINK ID: 6004035 ES 325 S. 1st St., 88401 (505) 461-2222 Fax No. (505) 461-2255 Chiropractic Bauler, John M., DC Provider ID #NM02K714 BlueLINK ID: 8140858 Quay County Clinic 220 S. 3rd St., 88401 (505) 461-8631 Hastie, Ross E., DC Provider ID #NM00KL57 BlueLINK ID: 5009009 Powers Chiropractic Center 1723 S. 1st St., 88401 (505) 461-3228 Fax No. (505) 461-3228 Powers, Phillip D., DC Provider ID #NM00K988 BlueLINK ID: 8141005 Powers Chiropractic Center 1723 S. 1st St., 88401 (505) 461-3228 Fax No. (505) 461-3228 Optometry Gutowski, Anatole F., OD Provider ID #NM00P420 BlueLINK ID: 8174920 ES Family Vision Care Clinic 301 E. Tucumcari Blvd., 88401 (505) 461-4233 Sonnenmoser, Deborah J., OD Provider ID #NM00P436 BlueLINK ID: 8174916 Family Vision Care Clinic 301 E. Tucumcari Blvd., 88401 (505) 461-4233 Strosnider, Jeffrey C., OD Provider ID #NM00P945 BlueLINK ID: 8285334 ES Eye Associates of NM 301 E. Miel de Luna Ave., 88401 (505) 461-0141 Fax No. (505) 461-0160 White Rock Los Alamos County Certified Registered Nurse Anesthetists Acupuncture Hooper, William R., CRNA Provider ID #NM016454 BlueLINK ID: 7427925 Dan C. Trigg Hospital Physicians 301 Miel de Luna, 88401 (505) 461-0141 Fax No. (505) 461-2349 Cheng, Yushu, DOM Provider ID #NM00R494 BlueLINK ID: 5000938 ZH Acupuncture Clinic 50 Lantana Dr., 87544 (505) 672-3420 Lazarus, David, CRNA Provider ID #NM009J95 BlueLINK ID: 7336219 ES Dan C. Trigg Memorial Hospital 301 E. Miel de Luna, 88401 (505) 461-0141 Fax No. (505) 461-2349 Lazarus, David, CRNA Provider ID #NM006956 BlueLINK ID: 7336219 ES Pain Management Services 614 S. Second St., 88401 (505) 461-0141 Fax No. (505) 461-1405 TEXAS Brownfield Terry County Certified Nurse Practitioners Sevigny, Pete, FNP Provider ID #NM006456 BlueLINK ID: 7130860 Covenant Medical Group 901 Tahoka Rd., 79316 (806) 637-2556 Fax No. (806) 637-4283 See special note See last page for Provider Language Codes legend El Paso El Paso County Certified Nurse Practitioners Agapito, Annabelle, FNP Provider ID #NM009K54 BlueLINK ID: 5010199 ES Physicians Healthcare Associates 2260 Trawood, 79935 (915) 591-4436 Fax No. (915) 591-4531 Cavallaro, Cheryl A., CPNP Provider ID #NM016350 BlueLINK ID: 5005315 Patients over age 18 ES Physicians Healthcare Associates 7430 Remcon, 79912 (915) 584-0051 Fax No. (915) 833-1114 Davis, Carolyn S., FNPC Provider ID #NM006A55 BlueLINK ID: 7419934 ES Physicians Healthcare Associates 7430 Remcon, 79912 (915) 584-0051 Fax No. (915) 584-6764 Gonzalez, Connie R., CFNP Provider ID #NM006364 BlueLINK ID: 7460395 ES Physicians Healthcare Associates 2260 Trawood, 79935 (915) 591-4436 Fax No. (915) 590-7590 Leyva, Louie, FNP Provider ID #NM006797 BlueLINK ID: 6002957 ES Physicians Healthcare Associates 2260 Trawood, 79912 (915) 591-4436 Fax No. (915) 591-4531 Limberg, Teresa F., LNP Provider ID #NM006362 BlueLINK ID: 7470863 ES Physicians Healthcare Associates 2260 Trawood, 79935 (915) 591-4436 Fax No. (915) 590-7590 Ozuna, Linda, FNP Provider ID #NM006798 BlueLINK ID: 6002958 ES Physicians Healthcare Associates 2260 Trawood, 79935 (915) 591-4436 Fax No. (915) 591-4531 Ramirez, Magdalena, CNP Provider ID #NM006617 BlueLINK ID: 7165894 Women only ES Physicians Healthcare Associates 9870 Gateway North, Ste. B7, 79924 (915) 751-5245 Fax No. (915) 751-5255 Reveles, Kathryn A., CPNP Provider ID #NM006999 BlueLINK ID: 7481218 Pediatric nurse practitioner ES Physicians Healthcare Associates 9870 Gateway North, Ste. B7, 79924 (915) 751-5245 Fax No. (915) 751-5255 July 2005 Allied Health Practitioners Rojas, Maria, FNP Provider ID #NM006413 BlueLINK ID: 7120906 Patients over age 12 ES Physicians Healthcare Associates 2260 Trawood, 79935 (915) 591-4436 Fax No. (915) 591-4531 Steele, Sandra I., FNP Provider ID #NM006A61 BlueLINK ID: 7226078 ES Physicians Healthcare Associates 7430 Remcon, 79912 (915) 584-0051 Fax No. (915) 584-6764 Vasquez, Bertha R., CNP Provider ID #NM00YJ72 BlueLINK ID: 5007246 ES West Texas Neurosurgical Center 2600 N. Oregon, Ste. 800, 79902 (915) 534-2531 Fax No. (915) 532-2192 Chiropractic Aguayo, Fred, DC Provider ID #NM00KK58 BlueLINK ID: 5007768 ES Sime Chiropractic Clinic 255 Shadow Mtn., Ste. E, 79912 (915) 581-5745 Fax No. (915) 581-5979 Keith, Kathryn L., DC Provider ID #NM00K613 BlueLINK ID: 8114143 ES 6512 N. Mesa, 79912 (915) 833-7797 Fax No. (915) 833-7239 Sime, David A., DC Provider ID #NM00KK57 BlueLINK ID: 5007687 ES Sime Chiropractic Clinic 255 Shadow Mtn., Ste. E, 79912 (915) 581-5745 Fax No. (915) 581-5979 July 2005 Nutritional Counseling Bhalla, Vijay S., PhD-RD-LDN Provider ID #NM00NB34 BlueLINK ID: 5000460 5959 Gateway West, Ste. 557, 79925 (915) 772-9889 Finley, Kristin, MA-RD-LD Provider ID #NM00RE59 BlueLINK ID: 5007762 ES Physicians Healthcare Associates 2260 Trawood, 79935 (915) 591-4436 Fax No. (915) 591-4531 Optometry Cox, Randall B., OD Provider ID #NM00P554 BlueLINK ID: 8112808 ES Texas Tech Health Sciences Center 4801 Alberta, 79905 (915) 545-7520 Fax No. (915) 545-0950 Physical Therapy and Rehabilitation Carrillo, Patti A., PT Provider ID #NM00Q132 BlueLINK ID: 5008247 ES Physicians Healthcare Associates 7430 Remcon, 79912 (915) 584-0051 Fax No. (915) 833-1114 Hancock, Floyd, PT Provider ID #NM00Q139 BlueLINK ID: 5008421 ES El Paso Orthopaedic Surgery Group 1720 Murchison Dr., 79902 (915) 533-7465 Fax No. (915) 534-5220 Hancock, Floyd, PT Provider ID #NM00Q139 BlueLINK ID: 5008421 ES El Paso Orthopaedic Surgery Group 2400 Trawood, Ste. 200, 79936 (915) 533-7465 Fax No. (915) 534-5220 Haribhai, Parul, PT Provider ID #NM00Q137 BlueLINK ID: 5008418 ES Physicians Healthcare Associates 2260 Trawood, 79935 (915) 591-4436 Fax No. (915) 590-7590 Jones, Robert, PT Provider ID #NM00N050 BlueLINK ID: 5000607 Thomas K. Waugh & Associates 7500 N. Mesa, 79912 (915) 585-1888 Fax No. (915) 585-1889 Jones, Robert, PT Provider ID #NM00N050 BlueLINK ID: 5000607 Thomas K. Waugh & Associates 9398 Viscount Blvd., Ste. 3C, 79925 (915) 593-8555 Fax No. (915) 593-2422 Prieto, Lester O., PT Provider ID #NM00Q135 BlueLINK ID: 5008416 ES Prieto Physical Therapy 1717 N. Brown, Bldg. 2-A, 79902 (915) 544-2981 Fax No. (915) 542-0575 Roth, Kathleen A., PT Provider ID #NM00Q168 BlueLINK ID: 5010224 ES Thomas K. Waugh & Associates 7500 N. Mesa, Ste. 215, 79913 (915) 585-1888 Fax No. (915) 585-1889 Roth, Kathleen A., PT Provider ID #NM00Q168 BlueLINK ID: 5010224 ES Thomas K. Waugh & Associates 9398 Viscount Blvd., Ste. 3C, 79925 (915) 593-8555 Fax No. (915) 593-2422 Waugh, Thomas K., RPT Provider ID #NM00N050 BlueLINK ID: 5000607 Thomas K. Waugh & Associates 7500 N. Mesa, 79912 (915) 585-1888 Fax No. (915) 585-1889 Waugh, Thomas K., RPT Provider ID #NM00N050 BlueLINK ID: 5000607 Thomas K. Waugh & Associates 9398 Viscount Blvd., Ste. 3C, 79925 (915) 593-8555 Fax No. (915) 593-2422 See special note See last page for Provider Language Codes legend Podiatry Zuniga, Ceasar A., DPM Provider ID #NM005A01 BlueLINK ID: 8275559 ES Del Norte Orthopaedic & Rehab Center 404 Executive Ctr. Blvd., 79902 (915) 542-1644 Fax No. (915) 542-0918 Lubbock Lubbock County Certified Nurse Practitioners Allied Health Practitioners Suarez, Cerena H., FNP Provider ID #NM006365 BlueLINK ID: 5006204 ES Physicians Healthcare Associates 2260 Trawood, 79935 (915) 591-4436 Fax No. (915) 590-7590 Lubbock Hart, Marie, FNP Provider ID #NM006443 BlueLINK ID: 7453766 Covenant Medical Group 4102 24th St., Ste. 502, 79410 (806) 725-6745 Fax No. (806) 723-6715 Houghton, Michelle, MSN Provider ID #NM006439 BlueLINK ID: 7130829 Covenant Medical Group 3606 21st St., Ste. 200, 79410 (806) 796-1251 Fax No. (806) 796-0161 Jarrell, Lynda, CNP Provider ID #NM016445 BlueLINK ID: 7132234 Cardiology Associates 3514 21st St., 79410 (806) 725-1801 Fax No. (806) 723-7530 Paniagua, Jose R., NP Provider ID #NM006449 BlueLINK ID: 7155242 Covenant Medical Group 3606 21st St., Ste. 303, 79410 (806) 725-0237 Fax No. (806) 725-1030 Stennett, Randall, FNP Provider ID #NM006446 BlueLINK ID: 5008052 Covenant Medical Group 3606 21st St., Ste. 102, 79410 (806) 725-0779 Fax No. (806) 723-7339 155 Extended Network Plan Ancillary Services Facilities that provide services such as Radiology (X-rays), Durable Medical Equipment, Home Health, Dialysis Centers, Laboratories, and MRI centers. COLORADO Cortez Montezuma County Laboratory/Pathology Tricore Reference Lab Provider ID #NM007528 BlueLINK ID: 5005752 2095 N. Dolores Rd., 81321 (970) 565-6677 Fax No. (970) 565-6686 Durango La Plata County Ambulatory Surgery Animas Surgical Hospital Provider ID #NM000098 575 Rivergate Ln., 81301 (970) 247-3537 Fax No. (970) 385-2355 Ancillary Services Durango SurgiCenter Provider ID #NM00H381 BlueLINK ID: 969550007 316 Sawyer Dr., 81303 (970) 259-3818 Fax No. (970) 259-9553 Mercy Medical Center Provider ID #NM00A002 BlueLINK ID: 969544847 375 E. Park Ave., 81301 (970) 247-4311 Fax No. (970) 385-5374 Anesthesiology Edminston Anesthesia Service Provider ID #NM00Y723 BlueLINK ID: 5007014 Animas Surgical Center 1910 Main Ave., Unit A, 81301 (970) 259-2525 Fax No. (970) 259-8291 Edminston Anesthesia Service Provider ID #NM00Y723 BlueLINK ID: 5007014 Mercy Medical Center 375 E. Park Ave., 81301 (970) 259-2525 Fax No. (970) 259-8291 Audiology San Juan Hearing Center Provider ID #NM00K43G BlueLINK ID: 5000285 833 E. 2nd Ave., 81301 (970) 247-0808 CAT Scan Centers Mercy Medical Center Provider ID #NM00A002 BlueLINK ID: 969544847 375 E. Park Ave., 81301 (970) 247-4311 Fax No. (970) 385-5374 156 Durable Medical Equipment Suppliers Four Corners Limb & Brace Provider ID #NM00T134 BlueLINK ID: 5006509 1199 Main Ave., Ste. 226, 81301 (970) 259-2340 Fax No. (505) 326-6325 Laboratory/Pathology Tricore Reference Lab Provider ID #NM00RG37 BlueLINK ID: 5005752 575 RiverGate, Ste. 106, 81301 (970) 247-5515 Fax No. (970) 247-4544 Magnetic Resonance Imaging Centers Mercy Medical Center Provider ID #NM00A002 BlueLINK ID: 969544847 375 E. Park Ave., 81301 (970) 247-4311 Fax No. (970) 385-5374 EdgePark Surgical Provider ID #NM00W936 BlueLINK ID: 5006971 Mail order ostomy, urological and wound care supplies Main office located @ 1810 Summit Commerce Park Twinsburg, OH 44087, 87107 (800) 321-0591 Fax No. (330) 963-6172 EMPI, Inc. Provider ID #NM00T24Y BlueLINK ID: 5001326 Bone growth stimulators Main office located @ 599 Cardigan Rd., St. Paul, MN 55126, 87107 (800) 328-2536 Fax No. (651) 415-7536 Joint Active Systems, Inc. Provider ID #NM00TA89 Main office located @ 2600 S. Raney St., Effingham, IL 62401, 87107 (217) 342-3412 Fax No. (217) 347-3384 United Seating & Mobility Provider ID #NM00TA02 BlueLINK ID: 5007571 Custom wheelchairs & specialty seating system Main office located @ 4815 Hawkins NE, Ste. A7, Albuquerque, NM 87109, 87107 (505) 338-6100 Fax No. (505) 242-2373 Statewide Home Health Care Coram Healthcare Provider ID #NM00T13A BlueLINK ID: 5001300 Main office located @ 1551 Mercantile, Ste. B Albuquerque, NM 87107, 87107 (800) 523-4042 Fax No. (505) 883-4719 Statewide Home I.V. Services MiniMed Distribution Corporation Provider ID #NM00T20D BlueLINK ID: 5001316 Insulin pumps & supplies Main office located @ 18000 Devonshire St. Northridge, CA 91325, 87107 (800) 933-3322 Fax No. (800) 421-4810 Coram Healthcare Provider ID #NM00T13A BlueLINK ID: 5001300 Main office located @ 1551 Mercantile, Ste. B Albuquerque, NM 87107, 87107 (800) 523-4042 Fax No. (505) 883-4719 Animas Diabetes Care, LLC Provider ID #NM00T26Z BlueLINK ID: 5007528 Main office located @ 200 Lawrence Dr., West Chester, PA 19380, 87107 (610) 644-8990 Fax No. (610) 644-8717 Orthofix Inc. Provider ID #NM00TA29 BlueLINK ID: 5007550 Main office located @ 1720 Bray Central Dr. McKinney, TX 75069, 87107 (800) 527-0404 Fax No. (469) 742-2589 Statewide Laboratories Disetronic Medical Systems Provider ID #NM00T966 BlueLINK ID: 5001391 Insulin pumps & supplies Main office located @ 11800 Exit Five Pkwy., Fishers, IN 46038, 87107 (800) 280-7801 Fax No. (888) 810-0755 Regentek Provider ID #NM00TB41 Bone growth stimulators Main office located @ 1275 W. Washington St. Tempe, AZ 85281, 87107 (888) 624-5450 Fax No. (877) 772-1464 NEW MEXICO Statewide DME Suppliers DJ Orthopedics Provider ID #NM00TB42 Main office located @ 2985 Scott St., Vista, CA 92081, 87107 (800) 321-9549 Dynasplint Systems, Inc. Provider ID #NM00TB43 BlueLINK ID: 6003330 Dynamic splints Main office located @ 770 Ritchie Hwy., Ste. W-21, Severna Park, MD 21146, 87107 (800) 638-6771 Fax No. (410) 544-9281 Eagle Air Med Corporation Provider ID #NM01R152 BlueLINK ID: 6002036 Provide air ambulance service for San Juan Regional Medical Center Main office located @ 212 W. Freedom Way, Blanding, UT 84511, 87107 (928) 368-6799 Fax No. (928) 368-8776 Sandia Wheelchair Solutions Provider ID #NM00T28K BlueLINK ID: 5007072 Custom power & manual wheelchairs Main office located @ 6120 Signal NE, Albuquerque, NM 87113, 87107 (505) 883-2817 Fax No. (505) 888-4552 Smith & Nephew, Inc./Exogen Provider ID #NM00T28J BlueLINK ID: 5007011 Low intensity ultrasound devices Main office located @ 1450 Brooks Rd. Memphis, TN 38116, 87107 (800) 821-5700 Fax No. (800) 854-1409 Smiths Medical MD, Inc. Provider ID #NM00TB39 BlueLINK ID: 6002948 Insulin pumps & supplies Deltec, Inc. Main office located @ 1265 Grey Fox Rd., St. Paul, MN 55112, 87107 (800) 826-9703 Fax No. (800) 209-2145 See special note Athena Diagnostic, Inc. Provider ID #NM009T12 Main office located @ 377 Plantation St., Four Biotech Park, Worcester, MA 01605, 87107 (800) 394-4493 Fax No. (508) 753-5601 Home Healthcare Laboratory of America Provider ID #NM00RG44 Main office located @ 320 Premier Court, Ste. 220, Franklin, TN 37067, 87107 (615) 771-0300 Fax No. (615) 771-0319 Quest Diagnostics, Inc. Provider ID #NM007F00 Main office located @ 8933 Interchange Dr., Houston, TX 77054, 87107 (713) 667-5829 Fax No. (713) 746-8087 Statewide Radiology and X-Ray/Imaging LifeWatch, Inc. Provider ID #NM00R86E BlueLINK ID: 5000998 Cardiac monitors Main office located @ 1351 Abbott Court, Ste. A Buffalo Grove, IL 60089, 87107 (800) 343-6311 July 2005 Ancillary Services Statewide Skilled Nursing Centers Las Cruces Nursing Center Provider ID #NM01M539 BlueLINK ID: 969545225 Main office located @ 2029 Sagecrest Crt., Las Cruces, NM 88011, 87107 (505) 522-7000 Fax No. (505) 522-8981 Sunshine Haven at Lordsburg Provider ID #NM01M225 BlueLINK ID: 969545215 Main office located @ 603 Hadeco Dr., Lordsburg, NM 88045, 87107 (505) 542-3539 Fax No. (505) 542-8131 Alamogordo Otero County Ambulatory Surgery Alamogordo Eye Clinic Provider ID #NM00SS06 BlueLINK ID: 969545344 1124 10th St., 88310 (505) 434-1200 Gerald Champion Regional Medical Center Provider ID #NM000001 BlueLINK ID: 969545390 2669 N. Scenic Dr., 88310 (505) 439-6100 CAT Scan Centers Dialysis Centers Gerald Champion Regional Medical Center Provider ID #NM000001 BlueLINK ID: 969545390 2669 N. Scenic Dr., 88310 (505) 439-6100 Renal Care Group South New Mexico Provider ID #NM00H160 2578 Medical Dr., 88310 (505) 437-9731 Fax No. (505) 434-8753 Durable Medical Equipment Suppliers American Homepatient, Inc. Provider ID #NM00T678 BlueLINK ID: 5001357 1001 10th St., 88310 (505) 434-3778 Fax No. (505) 439-0633 Choice Medical Supply Alamogordo Provider ID #NM00T24P BlueLINK ID: 5001324 1515 10th St., 88310 (505) 434-6900 Comfort Mobility, Inc. Provider ID #NM00T28N BlueLINK ID: 5006392 700 E. 1st St., Ste. 708, 88310 (505) 439-1545 Fax No. (505) 439-1554 July 2005 Hanger Prosthetics & Orthotics, West Provider ID #NM00T20Y BlueLINK ID: 5006305 1401 10th St., Ste. 2, 88310 (505) 521-3928 Fax No. (505) 521-3876 Hanger Prosthetics & Orthotics, West Provider ID #NM00T20Y BlueLINK ID: 5006305 2559 Medical Dr., Ste. F, 88310 (505) 521-3928 Fax No. (505) 521-3876 Lincare, Inc. Provider ID #NM00T21Y BlueLINK ID: 5001321 804 E. 10th St., 88310 (505) 437-6155 Fax No. (505) 437-0020 Skilled Nursing Casa Arena Blanca Nursing Center Provider ID #NM01M090 BlueLINK ID: 969545199 205 Moonglow Ave., 88310 (505) 434-4510 Fax No. (505) 434-4513 The Evangelical Lutheran Good Samaritan Society Provider ID #NM00M095 Betty Dare Good Samaritan Center 3101 N. Florida Ave., 88310 (505) 434-0033 Fax No. (505) 434-0975 Home Health Care Alamogordo Home Care/Hospice Provider ID #NM000H11 BlueLINK ID: 969545105 505 11th St., 88310 (505) 437-3500 Fax No. (505) 437-2399 Hospice Care Alamogordo Home Care/Hospice Provider ID #NM000H11 BlueLINK ID: 969545105 505 11th St., 88310 (505) 437-3500 Fax No. (505) 437-2399 Laboratory/Pathology Alamogordo Clinic Lab Provider ID #NM007139 BlueLINK ID: 5005466 1410 Aspen Dr., Ste. A, 88310 (505) 437-7000 Magnetic Resonance Imaging Centers Bernalillo County If you reside within this county and choose to visit a provider marked with special symbol "¾", your visit will not be covered. See the introductory section of this directory for more details. Southwest Endoscopy Provider ID #NM00SS17 BlueLINK ID: 969545097 4705 Montgomery NE, Ste. 204, 87109 (505) 727-6767 Fax No. (505) 727-6793 Air Ambulances Lifeguard Provider ID #NM00R22R BlueLINK ID: 969593782 University Hospital 2211 Lomas NE, 87131 (505) 272-3116 Med Flight Air Ambulance Provider ID #NM00R167 BlueLINK ID: 969545309 2301 Yale SE, Ste. D3, 87106 (505) 842-4433 Fax No. (505) 842-4436 Newborn Transport - UNM/HSC Provider ID #NM00R21R BlueLINK ID: 969593036 Children's Hospital of NM 2211 Lomas NE, 87106 (505) 272-3116 PHI Air Medical/Lifeguard Provider ID #NM00RC23 BlueLINK ID: 6003082 2505 Clark Carr Lp. SE, 87106 (505) 247-1562 Ambulatory Surgery Albuquerque Ambulatory Eye Surgery Center Provider ID #NM00SS87 5901 Harper NE, 87109 (505) 823-8545 Fax No. (505) 823-8549 Gerald Champion Regional Medical Center Provider ID #NM000001 BlueLINK ID: 969545390 Mobile unit 2669 N. Scenic Dr., 88310 (505) 439-6100 Radiology and X-Ray/ Imaging Alamogordo Imaging Center, LLC Provider ID #NM007H02 BlueLINK ID: 6004090 2539 Medical Dr., Ste. 101, 88310 (505) 343-1535 Cordisonics Diagnostic Imaging Service Provider ID #NM007E80 BlueLINK ID: 5008373 Cardiac ultrasound examinations 1410 Aspen Dr., 88310 (505) 437-7000 Fax No. (505) 434-5665 New Mexico Spine Provider ID #NM005222 BlueLINK ID: 5005160 201 Cedar SE, Ste. 6600, 87106 (505) 242-5205 Fax No. (505) 724-4300 Sandia Health Systems Eye Surgery Center Provider ID #NM00SS05 BlueLINK ID: 969545091 AHS Albuquerque Medical Center 601 Dr. M. L. King Jr. NE, 87102 (505) 727-8454 Albuquerque Regional Medical Supply Provider ID #NM00T15K BlueLINK ID: 5006507 700 Fairgrounds Rd., 88310 (505) 437-0202 Fax No. (505) 437-5744 New Mexico Orthopaedic Associates Provider ID #NM005222 BlueLINK ID: 5005160 201 Cedar SE, Ste. 6600, 87106 (505) 724-4300 Fax No. (505) 724-4384 Albuquerque Regional Medical Center Provider ID #NM010084 BlueLINK ID: 969545394 formerly known as St. Joseph Medical Center 601 Dr. M. L. King Jr. NE, 87102 (505) 727-8000 Healthsouth Albuquerque Surgical Center Provider ID #NM00SS01 BlueLINK ID: 969545090 1720 Wyoming NE, Ste. 5501, 87112 (505) 292-9200 Heart Hospital of New Mexico Provider ID #NM000082 BlueLINK ID: 969545431 504 Elm NE, 87102 (505) 242-5600 Fax No. (505) 246-9933 See special note University Hospital Provider ID #NM000006 BlueLINK ID: 969545392 University Physicians Associates 2211 Lomas NE, 87106 (505) 272-2111 Women's Hospital Provider ID #NM010090 BlueLINK ID: 969545391 4701 Montgomery NE, 87109 (505) 727-7800 Anesthesiology Anesthesia Associates of New Mexico Provider ID #NM005122 BlueLINK ID: 5005122 Anesthesia Associates of NM 1720 Louisiana NE, Ste. 401, 87103 (505) 266-8704 Fax No. (505) 260-4338 Anesthesia Specialists of Albuquerque Provider ID #NM007986 BlueLINK ID: 5005924 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Ophthalmic Anesthesia Services Provider ID #NM007D06 BlueLINK ID: 5008484 500 Walter NE, Ste. 409, 87102 (505) 243-7729 Fax No. (505) 243-4804 UNM Department of Anesthesiology Provider ID #NM007470 BlueLINK ID: 5006080 University Physicians Associates 2701 Frontier NE, 87106 (505) 272-2610 Audiology Albuquerque Hearing Associates Provider ID #Aud001 10200 Corrales Rd. NW, Ste. E5A, 87114 (505) 890-0003 Albuquerque Speech, Language, & Hearing Center Provider ID #NM00T908 BlueLINK ID: 5001388 1011 Buena Vista Dr. SE, 87106 (505) 247-4224 157 Ancillary Services Gerald Champion Regional Medical Center Provider ID #NM000001 BlueLINK ID: 969545390 2669 N. Scenic Dr., 88310 (505) 439-6100 Albuquerque Albuquerque Hearing Health Care Centers Provider ID #NM00K41O 10555 Montgomery NE, Bldg. 1, Ste. 120, 87111 (505) 323-7373 Fax No. (505) 323-2668 Hearing Health Care Centers Provider ID #NM00K41O 415 Cedar SE, 87106 (505) 224-7373 Fax No. (505) 224-7368 Hearing Health Care Centers Provider ID #NM00K41O 5109 Coors Blvd. NW, Ste. D, 87120 (505) 890-7373 Fax No. (505) 890-8621 Sonus Hearing Evaluation Center Provider ID #Aud002-01 4620 Jefferson NE, Ste. B, 87109 (505) 889-9000 Fax No. (505) 855-5561 Sonus Hearing Evaluation Center Provider ID #Aud002 8400 Menaul NE, Ste. F, 87112 (505) 293-4327 Fax No. (505) 271-9505 Bone Density Testing New Mexico Osteoporosis Center Provider ID #NM007099 BlueLINK ID: 5005440 4701 Montgomery NE, 87109 (505) 888-0035 Fax No. (505) 727-8870 Ancillary Services Cancer Treatment UNM Cancer Center Provider ID #NM000048 BlueLINK ID: 5005090 University Physicians Associates 900 Camino de Salud NE, 87131 (505) 272-6337 CAT Scan Centers Albuquerque Regional Medical Center Provider ID #NM010084 BlueLINK ID: 969545394 formerly known as St. Joseph Medical Center 601 Dr. M. L. King Jr. NE, 87102 (505) 727-8000 Carrie Tingley Hospital Provider ID #NM000062 BlueLINK ID: 969545520 University Physicians Associates 1127 University NE, 87102 (505) 272-5200 Children's Hospital of New Mexico Provider ID #NM000006 BlueLINK ID: 969545392 University Physicians Associates 2211 Lomas NE, 87106 (505) 272-5437 University Hospital Provider ID #NM000006 BlueLINK ID: 969545392 University Physicians Associates 2211 Lomas NE, 87106 (505) 272-2111 Women's Hospital Provider ID #NM010090 BlueLINK ID: 969545391 4701 Montgomery NE, 87109 (505) 727-7800 158 Ancillary Services Albuquerque Orthotics & Prosthetics Provider ID #NM00TA31 4909 Ellison NE, Ste. A, 87109 (505) 342-0333 Fax No. (505) 342-0336 Diabetes Counseling Diabetes Network, Inc. Provider ID #NM00R79B BlueLINK ID: 5001081 4108 Alcazar NE, 87109 (505) 830-0100 Fax No. (505) 830-4199 Diabetes Self-Management Center, Inc. Provider ID #NM00R34Y BlueLINK ID: 5000891 717 Encino Pl. NE, Ste. 29, 87102 (505) 338-4801 Fax No. (505) 338-4808 Email: [email protected] Southwest Regional Diabetes Center Provider ID #NM00R82M BlueLINK ID: 5001137 4600 Jefferson NE, Ste. A, 87109 (505) 872-1002 Fax No. (505) 888-3708 Dialysis Centers Albuquerque Regional Medical Center Provider ID #NM010084 BlueLINK ID: 969545394 formerly known as St. Joseph Medical Center 601 Dr. M. L. King Jr. NE, 87102 (505) 727-8000 Carrie Tingley Hospital Provider ID #NM000062 BlueLINK ID: 969545520 University Physicians Associates 1127 University NE, 87102 (505) 272-5200 Children's Hospital of New Mexico Provider ID #NM000006 BlueLINK ID: 969545392 University Physicians Associates 2211 Lomas NE, 87106 (505) 272-5437 University Hospital Provider ID #NM000006 BlueLINK ID: 969545392 University Physicians Associates 2211 Lomas NE, 87106 (505) 272-2111 Durable Medical Equipment Suppliers American Homepatient, Inc. Provider ID #NM00T15X BlueLINK ID: 5001307 300 Central Ave. SE, 87102 (505) 243-5664 Fax No. (505) 243-3309 Apria Healthcare Group Provider ID #NM00T243 BlueLINK ID: 5001328 4401 McLeod NE, Ste. C, 87109 (505) 881-9111 Best Orthopaedic Services & Sales/B.O.S.S., Inc. Provider ID #NM00R42A BlueLINK ID: 5000911 Breast prosthesis 801 Encino Pl. NE, Ste. A16, 87102 (505) 248-1338 Fax No. (505) 244-3857 Center for Prosthetics & Orthotics Provider ID #NM00T828 BlueLINK ID: 5001389 1600 University NE, Ste. B, 87102 (505) 244-0404 Fax No. (505) 244-0708 Nursefinders of Albuquerque Provider ID #NM000H61 BlueLINK ID: 969545236 4411 McLeod NE, Ste. A1, 87109 (505) 884-1111 Fax No. (505) 889-3484 OmniSleep Sleep Disorders Center Provider ID #NM007359 BlueLINK ID: 5006020 801 Encino Pl. NE, Ste. F1, 87102 (505) 843-8754 Fax No. (505) 843-8759 Option Care Provider ID #NM00TA01 4900 Menaul NE, 87110 (505) 888-4325 Fax No. (505) 888-6273 Option Care Enterprises, Inc. Provider ID #NM00HH85 BlueLINK ID: 5007561 4900 Menaul NE, 87110 (505) 888-4325 Fax No. (505) 888-6273 Hanger Prosthetics & Orthotics, West Provider ID #NM00T20W BlueLINK ID: 5006305 3900 Georgia NE, 87110 (505) 881-8245 Fax No. (505) 883-6243 Ortho Rehab, Inc. Provider ID #NM01TB30 BlueLINK ID: 5007510 8300 Wyoming NE, Ste. 1111, 87113 (505) 797-3333 Fax No. (505) 797-3003 Hill Rom Company, Inc. Provider ID #NM00T12B 2720 Broadbent Pkwy. NE, Ste. B, 87107 (505) 345-0095 Hi-Tech Desert Wheelchairs Provider ID #NM00T20K BlueLINK ID: 5006193 Wheelchairs & ambulatory aids 4001 San Mateo NE, Ste. A&B, 87110 (505) 296-0440 Fax No. (505) 296-5337 Integrity Clinical Systems Provider ID #NM00T646 BlueLINK ID: 5009783 1510 Wyoming NE, Ste. A, 87112 (505) 293-1200 Fax No. (505) 330-1268 Active Life, Inc. Provider ID #NM01T818 BlueLINK ID: 5001381 1406 San Pedro NE, 87110 (505) 266-1700 Fax No. (505) 266-1705 New Mexico CPM, Inc. Provider ID #NM00T257 BlueLINK ID: 5001333 1524 Eubank NE, Ste. 1, 87125 (505) 292-2508 Fax No. (505) 292-2509 Choice Medical Supply Albuquerque Provider ID #NM00T24P BlueLINK ID: 5001324 5617 Menual NE, Ste. C, 87190 (505) 242-1552 HME Specialists Provider ID #NM00TA28 3600 Menaul NE, 87110 (505) 888-6500 Fax No. (505) 888-6505 A & R Medical Supply Provider ID #NM00T836 BlueLINK ID: 5001385 5010 Lomas NE, 87110 (505) 256-1610 Matria HealthCare, Inc. Provider ID #NM00T19J BlueLINK ID: 5001315 4253 Montgomery NE, Ste. 130, 87109 (800) 559-9106 Fax No. (505) 880-0068 Advanced Hearing Clinics Provider ID #NM00T226 2533 Virginia NE, Ste. B, 87110 (505) 296-7987 Fax No. (505) 293-6785 J Carlton Enterprises Provider ID #NM00T958 BlueLINK ID: 5009785 3715 Hawkins NE, Ste. A, 87109 (505) 344-9933 Fax No. (505) 244-9955 Albuquerque Eye Prosthetics, Inc. Provider ID #NM00T835 BlueLINK ID: 5006482 Ocular prosthetics 4117 Montgomery NE, 87109 (505) 884-2927 Fax No. (505) 884-2672 Lincare, Inc. Provider ID #NM00T21Y BlueLINK ID: 5001321 101 Sin Nombre NE, Ste. B, 87113 (505) 344-6760 Fax No. (505) 344-6559 Major Medical Supply Provider ID #NM00TA08 BlueLINK ID: 5008852 4201 Yale NE, Ste. D, 87107 (505) 343-8761 Fax No. (505) 343-8783 See special note Pacific Pulmonary Services Provider ID #NM00T824 BlueLINK ID: 5001383 6811 Academy Pkwy. East NE, Ste. B, 87109 (505) 341-4141 Fax No. (505) 341-0111 Pharmacare Health Services Provider ID #NM005949 BlueLINK ID: 5010029 3807 Academy Pkwy. S. NE, 87109 (505) 345-9299 Fax No. (505) 345-9902 Pharmerica Provider ID #NM00TA36 BlueLINK ID: 6004144 2720 Broadbent Pkwy., Ste. A, 87107 (505) 343-1113 Fax No. (505) 343-9769 Pneu Mexico Respiratory, LLC Provider ID #NM00TA32 102 Mountain Park Pl. NW, Ste. A, 87114 (505) 898-8808 Fax No. (505) 898-3479 Professional Nutrition Solutions, LLC Provider ID #NM00TA33 BlueLINK ID: 6003470 3200 Carlisle NE, Ste. 119, 87110 (505) 889-4594 Fax No. (505) 889-4598 Rolling Throne Specialties, Inc. Provider ID #NM00T20H BlueLINK ID: 5001317 Custom wheelchairs 5210 Constitution NE, Ste. A, 87110 (505) 232-0272 Fax No. (505) 232-0272 July 2005 Ancillary Services Albuquerque Samuel Weisberg Prosthetics Provider ID #NM00T378 BlueLINK ID: 5001340 1018 Coal Ave. SE, 87102 (505) 248-0303 Fax No. (505) 248-1611 Professional Home Health Care Provider ID #NM000H60 BlueLINK ID: 969545114 7301 Jefferson NE, Ste. D, 87109 (505) 242-6236 Fax No. (505) 341-0271 Odyssey Healthcare of Albuquerque Provider ID #NM00HH99 5600 Wyoming NE, Ste. 10, 87109 (505) 884-8857 Fax No. (505) 884-8895 SED Medical Laboratory Provider ID #NM007550 BlueLINK ID: 5005762 3825 Eubank NE, Ste. H, 87111 (505) 292-8488 Fax No. (505) 293-7416 Sandia Surgical Provider ID #NM00T13P BlueLINK ID: 5007097 6120 Signal NE, 87113 (505) 883-2817 Fax No. (505) 888-2590 Sandia Home Health Care Provider ID #NM00HS11 BlueLINK ID: 969545054 3800 Midway Pl. NE, Ste. A, 87109 (505) 884-2273 Fax No. (505) 875-0175 SED Medical Laboratory Provider ID #NM007550 BlueLINK ID: 5005762 3901 Carlisle NE, 87107 (505) 888-8514 Fax No. (505) 888-8543 Sole Comfort Shoes, Inc. Provider ID #NM00T20B BlueLINK ID: 5006192 11200 Montgomery NE, Ste. 6, 87109 (505) 296-1645 Fax No. (505) 296-1647 University Home Health Care and Hospice Provider ID #NM000006 BlueLINK ID: 969545392 University Physicians Associates 4001 Indian School NE, Ste. 300, 87106 (505) 272-6700 Quality Continuum Hospice Provider ID #NM000H24 BlueLINK ID: 969545360 8001 Mountain Rd. NE, Ste. 200, 87110 (505) 881-3937 Fax No. (505) 232-4783 United Seating & Mobility Provider ID #NM00TA02 BlueLINK ID: 5007571 Custom wheelchairs & specialty seating system 4815 Hawkins NE, Ste. A7, 87107 (505) 338-6100 Fax No. (505) 242-2373 Walgreens Health Initiatives Provider ID #NM00T25S BlueLINK ID: 5001332 3809 Hawkins NE, 87109 (505) 345-3099 Fax No. (505) 345-1521 Westside Orthotics Provider ID #NM00TA34 BlueLINK ID: 6003572 3615 Hwy. 528, Ste. 203, 87114 (505) 792-0554 Fax No. (505) 792-4546 Home I.V. Services Apria Healthcare Group Provider ID #NM00T243 BlueLINK ID: 5001328 4401 McLeod NE, Ste. C, 87109 (505) 881-9111 Coram Healthcare Provider ID #NM00T13A BlueLINK ID: 5001300 1551 Mercantile, Ste. B, 87107 (505) 344-0900 Fax No. (505) 883-4719 Albuquerque Regional Medical Center Provider ID #NM010084 BlueLINK ID: 969545394 601 Dr. M. L. King Jr. NE, 87102 (505) 727-8000 Nursefinders of Albuquerque Provider ID #NM000H61 BlueLINK ID: 969545236 4411 McLeod NE, Ste. A1, 87109 (505) 884-1111 Fax No. (505) 889-3484 Home Health Care Advantage Home Care, Inc. Provider ID #NM00M665 4308 Carlisle Blvd. NE, Ste. 205, 87110 (505) 828-0232 Fax No. (505) 823-1051 Coram Healthcare Provider ID #NM00T13A BlueLINK ID: 5001300 1551 Mercantile, Ste. B, 87107 (505) 344-0900 Fax No. (505) 883-4719 Option Care Enterprises, Inc. Provider ID #NM00HH85 BlueLINK ID: 5007561 4900 Menaul NE, 87110 (505) 888-4325 Fax No. (505) 888-6273 Walgreens Health Initiatives Provider ID #NM00T25S BlueLINK ID: 5001332 3809 Hawkins NE, 87109 (505) 345-3099 Fax No. (505) 345-1521 Hospice Care Heritage Home Healthcare, Inc. Provider ID #NM01HH28 BlueLINK ID: 969545037 8512 Louisiana NE, 87113 (505) 232-3300 Fax No. (505) 232-3334 Crossroads Hospice Care, Inc. Provider ID #NM00HH89 2522 Morningside Dr. NE, Ste. B, 87110 (505) 884-7532 Fax No. (505) 884-7555 Maxim Healthcare Services Provider ID #NM00HH92 8500 Menaul NE, Ste. A120, 87112 (505) 298-7771 Fax No. (505) 298-7772 Heartland Hospice Services Provider ID #NM00HH94 10801 Lomas NE, Ste. 110, 87112 (505) 323-1464 Fax No. (505) 323-1465 Nursefinders of Albuquerque Provider ID #NM000H61 BlueLINK ID: 969545236 4411 McLeod NE, Ste. A1, 87109 (505) 884-1111 Fax No. (505) 889-3484 Hospice of New Mexico Provider ID #NM00HH95 4015 Carlisle NE, Ste. E, 87107 (505) 872-2300 Fax No. (505) 888-4667 Option Care Enterprises, Inc. Provider ID #NM00HH85 BlueLINK ID: 969552341 4900 Menaul NE, 87110 (505) 888-4325 Fax No. (505) 888-6273 July 2005 Lovelace Sandia Hospice Provider ID #NM010H96 5403 Gibson SE, 87108 (505) 343-6374 UNM Hospice Provider ID #NM00HH93 University Physicians Associates 2211 Lomas NE, 87106 (505) 272-2111 VistaCare Family Hospice Provider ID #NM000H92 BlueLINK ID: 969545118 5201 Venice NE, Ste. A, 87113 (505) 821-5404 Fax No. (505) 821-5449 Zia Hospice Provider ID #NM00HH91 4147 Montgomery NE, 87109 (505) 830-2978 Fax No. (505) 830-2988 Laboratory/Pathology Quest Diagnostics, Inc. Provider ID #NM007830 BlueLINK ID: 5005850 7510 Montgomery NE, Ste. 105, 87109 (505) 883-3899 Fax No. (505) 883-4194 Rio Grande Pathology Associates Provider ID #NM017761 BlueLINK ID: 5005831 5601 Office Blvd. NE, 87109 (505) 727-8380 SED Medical Laboratory Provider ID #NM007550 BlueLINK ID: 5005762 Open 24 hours/7 days a week 10501 Golf Course Rd. NW, 87114 (505) 727-2070 Fax No. (505) 898-1314 SED Medical Laboratory Provider ID #NM007550 BlueLINK ID: 5005762 Open 24 hours/7 days a week 4705 Montgomery NE, Ste. 303, 87109 (505) 727-7720 Fax No. (505) 727-7710 SED Medical Laboratory Provider ID #NM007550 BlueLINK ID: 5005762
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