PHC-LOS ALAMOS INC NPI 1023147097

Emergency Medicine (Emergency Medical Services) in Los Alamos, NM

About PHC-LOS ALAMOS INC

Phc-los Alamos Inc is a provider in Los Alamos, NM. The NPI number assigned to this provider is 1023147097. The practitioner's primary taxonomy code is Emergency Medicine (207PE0004X). The provider is registered as an organization and their NPI record was last updated one year ago. Phc-los Alamos Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.

NPI1023147097 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NamePHC-LOS ALAMOS INC
Provider Location Address3917 WEST RD LOS ALAMOS, NM 87544 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address330 SEVEN SPRINGS WAY BRENTWOOD, TN 37027 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date03-05-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date03-07-2017 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

PHC-LOS ALAMOS INC
3917 WEST RD
LOS ALAMOS, NM
ZIP 87544
Phone: (505) 662-3452
Get Directions

Mailing Address

PHC-LOS ALAMOS INC
330 SEVEN SPRINGS WAY
BRENTWOOD, TN
ZIP 37027
Phone: (615) 920-7000
Fax: (615) 920-8913

Primary Taxonomy

Taxonomy Code207PE0004X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationEmergency Medical Services
Taxonomy DescriptionAn emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Authorized Official

Authorized Official Name ROBERT N KLEIN Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePRESIDENT
Authorized Official Phone(615) 920-7000

193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyNo

Taxonomy Description: an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

2207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyNo

Taxonomy Description: an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

32085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyNo

Taxonomy Description: a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

4208600000XAllopathic & Osteopathic PhysiciansSurgeryNo

Taxonomy Description: a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

5208800000XAllopathic & Osteopathic PhysiciansUrologyNo

Taxonomy Description: a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
200521003MEDICARE ID-TYPE UNSPECIFIED (04)
96651067MEDICAID (05)NM

Map Location


PHC-LOS ALAMOS INC address is 3917 WEST RD LOS ALAMOS, NM 87544

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043273543DR. ANN CAROLYN LINNEBUR MD
Individual
Internal Medicine (Cardiovascular Disease)3917 WEST RD SUITE A
LOS ALAMOS, NM 87544
(505) 661-8900
1073501508MEDICAL ASSOCIATES OF NORTHERN NEW MEXICO
Organization
Internal Medicine (Cardiovascular Disease)3917 WEST RD SUITE A
LOS ALAMOS, NM 87544
(505) 661-8900
1093778425DR. LAURENCE GODDARD MD
Individual
Internal Medicine3917 WEST RD SUITE A
LOS ALAMOS, NM 87544
(505) 661-8900
1225031321 JAN M MERIN MD
Individual
Internal Medicine (Medical Oncology)3917 WEST RD
LOS ALAMOS, NM 87544
(505) 662-3450
1366440141DR. KATHRYN GENEVIEVE BARNARD M.D.
Individual
Internal Medicine3917 WEST RD SUITE 138
LOS ALAMOS, NM 87544
(505) 661-9030
1386604304NORTHERN NEW MEXICO UROLOGY LLC
Organization
Specialist3917 WEST RD SUITE 137
LOS ALAMOS, NM 87544
(505) 661-8500
1487652780DR. JAMES JOSEPH ZIOMEK MD
Individual
Internal Medicine3917 WEST RD SUITE 150
LOS ALAMOS, NM 87544
(505) 662-4351
1528062346 ANTHONY B SANDOVAL MD
Individual
Internal Medicine (Cardiovascular Disease)3917 WEST RD STE 101
LOS ALAMOS, NM 87544
(505) 662-7611
1528066826DR. ROBERT JOHN THOMSEN MD
Individual
Dermatology3917 WEST RD SUITE 150
LOS ALAMOS, NM 87544
(505) 662-4351
1568431955 CHRISTINE CARLOS MD
Individual
Obstetrics & Gynecology (Gynecology)3917 WEST RD SUITE 250
LOS ALAMOS, NM 87544
(505) 662-4412
1629076864DR. BILLY MICHAEL JACKSON MD
Individual
Surgery3917 WEST RD SUITE 150
LOS ALAMOS, NM 87544
(505) 662-4351
1710982681DR. RICHARD WELDON HONSINGER JR. MD
Individual
Allergy & Immunology3917 WEST RD SUITE 150
LOS ALAMOS, NM 87544
(505) 662-4351
1730173949DR. MICHAEL W NICHOLS MD
Individual
Pediatrics3917 WEST RD #128
LOS ALAMOS, NM 87544
(505) 662-4234
1790779007DR. SHELLEY P SCHOONOVER MD
Individual
Pediatrics3917 WEST RD STE 128
LOS ALAMOS, NM 87544
(505) 662-4234
1821082033DR. JOHN BENNETT NEAL MD
Individual
Pediatrics3917 WEST RD #128
LOS ALAMOS, NM 87544
(505) 662-3073
1871563536 GRETCHEN L ANDERSON RN, CS, MS(N),FNP
Individual
Nurse Practitioner (Family)3917 WEST RD SUITE A
LOS ALAMOS, NM 87544
(505) 661-8900
1902890593 SUSAN M GISLER CNP
Individual
Nurse Practitioner (Pediatrics)3917 WEST RD STE 128
LOS ALAMOS, NM 87544
(505) 662-4234
1922092139DR. MARY ELLEN SLAUGHTER MD
Individual
Pediatrics3917 WEST RD SUITE 128
LOS ALAMOS, NM 87544
(505) 662-4234
1942290283DR. JACQUELINE ANNE KROHN MD MPH
Individual
Pediatrics3917 WEST RD SUITE 136
LOS ALAMOS, NM 87544
(505) 662-9620
1952307738MR. JAMES M KARNS NP
Individual
Nurse Practitioner (Adult Health)3917 WEST RD STE 225
LOS ALAMOS, NM 87544
(505) 662-3450