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SAN JUAN REGIONAL MEDICAL CENTER INC
NPI 1174820153
Emergency Medicine - Undersea and Hyperbaric Medicine in Farmington, NM

Active since February 28, 2011
4820 E MAIN ST, FARMINGTON, NM 87402(505) 609-6610 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 24, 2023, Jul 21, 2023, May 4, 2023 (3 updates tracked since 2023).

About San Juan Regional Medical Center Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN JUAN REGIONAL MEDICAL CENTER INC (NPI 1174820153), doing business as Sjr Wound Treatment Center, is a healthcare organization registered as an undersea and hyperbaric medicine in Farmington, New Mexico and active in the NPI registry since February 2011. The organization maintains a secondary practice location in Farmington and lists Kim Byrd, Administrative Director Of Reimburs, as its authorized official.

NPPES Registry Identity

NPI1174820153
Entity TypeOrganization
Primary Taxonomy207PE0005X
Legal Business NameSAN JUAN REGIONAL MEDICAL CENTER INC
Location Address4820 E MAIN STFarmington, NM 87402-8660
Mailing AddressPo Box 844088Dallas, TX 75284-4088 · (505) 609-2258 · Fax (505) 609-2259
Phone(505) 609-6610
Organization SubpartNo
Authorized OfficialKim ByrdAdministrative Director Of Reimburs · (505) 609-2258
Enumeration DateFebruary 28, 2011
Last NPPES UpdateJuly 16, 20253 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1174820153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PE0005X
Definition
A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
4820 E MAIN ST, Farmington, NM 87402
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Other Names 2

Doing Business AsSjr Wound Treatment Center
Doing Business AsSjrmc Wound Treatment Center

Secondary Practice Location 1

Location 14251 English RdFarmington, NM 87402-1116 · Phone (505) 609-6610 · Fax (505) 609-6608

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Juan Regional Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

368

Medicare enrollment records show 368 clinicians reassign Medicare billing to San Juan Regional Medical Center Inc, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 176 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 32

Internal Medicine62
Nurse Practitioner47
Certified Registered Nurse Anesthetist (CRNA)45
Emergency Medicine41
Gastroenterology21
Family Practice15
Psychiatry15
Obstetrics/Gynecology14
24 other specialties108

Nearest to this location (20)

See all 368
Frank Arnold, M.D.
Family Practice
NPI 1417982679
4820 E MAIN ST
Farmington, NM 87402
(505) 609-6495
✔ PECOS✔ Accepts MedicareSame address
Tina Biberdorf, NP
Nurse Practitioner
NPI 1346910148
4820 E MAIN ST
Farmington, NM 87402
(505) 609-6495
✔ PECOSSame address
Anna Buck, FNP
Nurse Practitioner
NPI 1730723560
4820 E MAIN ST
Farmington, NM 87402
(505) 609-6495
✔ PECOS✔ Accepts MedicareSame address
Anita Burge, FNP-BC
Nurse Practitioner
NPI 1952545204
4820 E MAIN ST
Farmington, NM 87402
(505) 609-6495
✔ PECOS✔ Accepts MedicareSame address
Melissa Gladden, CNP
Nurse Practitioner
NPI 1174175087
4820 E MAIN ST
Farmington, NM 87402
(505) 609-6495
✔ PECOS✔ Accepts MedicareSame address
Robert Klein, M.D.
Family Practice
NPI 1497980742
4820 E MAIN ST
Farmington, NM 87402
(505) 609-6495
✔ PECOS✔ Accepts MedicareSame address
Monica Nagahiro, CNP
Nurse Practitioner
NPI 1306679741
4820 E MAIN ST
Farmington, NM 87402
(505) 609-6495
✔ PECOS✔ Accepts MedicareSame address
William Palko Schraa, DO
Family Practice
NPI 1487674818
4820 E MAIN ST
Farmington, NM 87402
(505) 326-0459
✔ PECOS✔ Accepts MedicareSame address
Sabrina Schmidt, M.D.
Family Practice
NPI 1710077631
4820 E MAIN ST
Farmington, NM 87402
(505) 609-6495
✔ PECOSSame address
Robert Underwood, M.D.
Emergency Medicine
NPI 1881636785
4820 E MAIN ST
Farmington, NM 87402
(505) 609-6495
✔ PECOSSame address
Genevieve Willis, FNP-C
Nurse Practitioner
NPI 1437741238
4820 E MAIN ST
Farmington, NM 87402
(505) 609-6495
✔ PECOS✔ Accepts MedicareSame address
Candace Flores, APRN-CNP
Nurse Practitioner
NPI 1386466365
4251 ENGLISH RD
Farmington, NM 87402
(505) 609-6610
✔ PECOS✔ Accepts MedicareSame address
Richard Breeden, M.D.
Neurology
NPI 1598785826
2300 E 30TH ST STE B-102
Farmington, NM 87401
(505) 609-6790
✔ PECOS1.7 mi
Amylia Black, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1881947372
2300 E 30TH ST BLDG A
Farmington, NM 87401
(505) 564-2300
✔ Accepts Medicare1.7 mi
Bryan Broadbent, DPM
Podiatry
NPI 1215011218
2300 E 30TH ST BLDG D-101
Farmington, NM 87401
(505) 226-7893
✔ PECOS✔ Accepts Medicare1.7 mi
Tyson Christensen, M.D.
Orthopedic Surgery
NPI 1326454125
2300 E 30TH ST STE 101
Farmington, NM 87401
(505) 208-6280
✔ PECOS✔ Accepts Medicare1.7 mi
Taffeta Troutner, NP
Nurse Practitioner
NPI 1205280096
2300 E 30TH ST STE B-102
Farmington, NM 87401
(505) 609-6790
✔ PECOS✔ Accepts Medicare1.7 mi
Stephen Mannas, MD
Urology
NPI 1528598000
2700 FARMINGTON AVE STE 1
Farmington, NM 87401
(505) 609-6830
✔ PECOS✔ Accepts Medicare1.8 mi
Dmitry Garmaev
Pain Management
NPI 1720321532
2500 FARMINGTON AVE
Farmington, NM 87401
(505) 609-6830
✔ PECOS✔ Accepts Medicare1.8 mi
Jonathan Jones, MD
Interventional Pain Management
NPI 1518178763
2500 FARMINGTON AVE
Farmington, NM 87401
(505) 609-6830
✔ PECOS✔ Accepts Medicare1.8 mi
See all 368 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Juan Regional Medical Center Inc's NPI number?

The NPI number for San Juan Regional Medical Center Inc is 1174820153. It was assigned to this organization in the NPPES registry on February 28, 2011. The provider is doing business as SJR Wound Treatment Center and SJRMC Wound Treatment Center.

Where is San Juan Regional Medical Center Inc located?

San Juan Regional Medical Center Inc is located at 4820 E Main St, Farmington, NM 87402. The listed phone number is (505) 609-6610.

What is San Juan Regional Medical Center Inc's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 207PE0005X.

Is San Juan Regional Medical Center Inc enrolled in Medicare?

Yes. San Juan Regional Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Juan Regional Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 368 clinicians in 32 Medicare specialties reassign their Medicare billing to San Juan Regional Medical Center Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (62), Nurse Practitioner (47) and Certified Registered Nurse Anesthetist (CRNA) (45). Of these, 12 practice at this address and 176 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for San Juan Regional Medical Center Inc was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.