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SAN JUAN REGIONAL MEDICAL CENTER INC
NPI 1255285490
Orthopaedic Surgery in Farmington, NM

Active since February 24, 2026
2300 E 30TH ST BLDG D-101, FARMINGTON, NM 87401(505) 208-6280(505) 564-3202 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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 1255285490), doing business as San Juan Health Partners Foot And Ankle, is a healthcare organization registered as an orthopaedic surgery in Farmington, New Mexico and active in the NPI registry since February 2026. The organization maintains 2 additional practice locations and lists Kim R Hipsher-byrd, Administrative Director Of Reimburs, as its authorized official.

NPPES Registry Identity

NPI1255285490
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameSAN JUAN REGIONAL MEDICAL CENTER INC
Location Address2300 E 30TH ST BLDG D-101Farmington, NM 87401-8991
Mailing AddressPo Box 844088Dallas, TX 75284-4088 · (505) 609-2258 · Fax (505) 609-2259
Phone(505) 208-6280
Fax(505) 564-3202
Organization SubpartNo
Authorized OfficialKim R Hipsher-byrdAdministrative Director Of Reimburs · (505) 609-2258
Enumeration DateFebruary 24, 2026
Last NPPES UpdateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1255285490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X
2300 E 30TH ST BLDG D-101, Farmington, NM 87401
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Other Names 3

Doing Business AsSan Juan Health Partners Foot And Ankle
Doing Business AsSan Juan Health Partners Orthopedics
Doing Business AsSan Juan Health Partners Orthopedics Physical Therapy

Secondary Practice Locations 2

Location 13180 N Butler Ave # 300Farmington, NM 87401-2334 · Phone (505) 226-7893 · Fax (505) 327-7875
Location 21800 E 30th St Ste AFarmington, NM 87401-9003 · Phone (505) 943-0022 · Fax (505) 943-0015

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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, 9 practice at this address and 171 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
Amylia Black, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1881947372
2300 E 30TH ST BLDG A
Farmington, NM 87401
(505) 564-2300
✔ Accepts MedicareSame address
Bryan Broadbent, DPM
Podiatry
NPI 1215011218
2300 E 30TH ST BLDG D-101
Farmington, NM 87401
(505) 226-7893
✔ PECOS✔ Accepts MedicareSame address
Tyson Christensen, M.D.
Orthopedic Surgery
NPI 1326454125
2300 E 30TH ST STE 101
Farmington, NM 87401
(505) 208-6280
✔ PECOS✔ Accepts MedicareSame address
Clifford Goldthorpe, D.O.
Orthopedic Surgery
NPI 1871941054
2300 E 30TH ST BLDG D-101
Farmington, NM 87401
(505) 208-6280
✔ PECOS✔ Accepts MedicareSame address
Adam Johnson, M.D.
Orthopedic Surgery
NPI 1407073687
2300 E 30TH ST BLDG D
Farmington, NM 87401
(505) 208-6280
✔ PECOS✔ Accepts MedicareSame address
Jaren Lagreca, M.D.
Orthopedic Surgery
NPI 1245720457
2300 E 30TH ST STE 101
Farmington, NM 87401
(505) 208-6280
✔ PECOS✔ Accepts MedicareSame address
Jason Lucas, DO
Orthopedic Surgery
NPI 1598749061
2300 E 30TH ST BLDG D
Farmington, NM 87401
(505) 208-6280
✔ PECOS✔ Accepts MedicareSame address
Taffeta Troutner, NP
Nurse Practitioner
NPI 1205280096
2300 E 30TH ST STE B-102
Farmington, NM 87401
(505) 609-6790
✔ PECOS✔ Accepts MedicareSame address
Laura Waymire, M.D.
Neurology
NPI 1104141233
2300 E 30TH ST STE B-102
Farmington, NM 87401
(505) 609-6790
✔ PECOS✔ Accepts MedicareSame address
Richard Breeden, M.D.
Neurology
NPI 1598785826
2300 E 30TH ST STE B-102
Farmington, NM 87401
(505) 609-6790
✔ PECOS0.1 mi
Stephen Mannas, MD
Urology
NPI 1528598000
2700 FARMINGTON AVE STE 1
Farmington, NM 87401
(505) 609-6830
✔ PECOS✔ Accepts Medicare0.2 mi
Daniel Mannas, M.D.
Urology
NPI 1811287782
2700 FARMINGTON AVE BLDG E STE 1
Farmington, NM 87401
(505) 609-6380
✔ PECOS✔ Accepts Medicare0.2 mi
Christopher Taylor, MD
Urology
NPI 1871813964
2700 FARMINGTON AVE BUILDING E, SUITE 1
Farmington, NM 87401
(505) 609-6380
✔ PECOS✔ Accepts Medicare0.2 mi
Preston Wolff, PT, DPT
Physical Therapist in Private Practice
NPI 1023615309
1800 E 30TH ST STE A
Farmington, NM 87401
(505) 208-6280
✔ Accepts Medicare0.3 mi
Dmitry Garmaev
Pain Management
NPI 1720321532
2500 FARMINGTON AVE
Farmington, NM 87401
(505) 609-6830
✔ PECOS✔ Accepts Medicare0.3 mi
Jonathan Jones, MD
Interventional Pain Management
NPI 1518178763
2500 FARMINGTON AVE
Farmington, NM 87401
(505) 609-6830
✔ PECOS✔ Accepts Medicare0.3 mi
Priscilla Roth-Wall, PH.D.
Clinical Psychologist
NPI 1457386963
3751 N BUTLER AVE STE 115
Farmington, NM 87401
(505) 787-2640
✔ PECOS1.0 mi
Lawrence Ward, DPM
Podiatry
NPI 1629029541
3180 N BUTLER AVE BLDG 300
Farmington, NM 87401
(505) 327-1400
✔ PECOS✔ Accepts Medicare1.0 mi
David Dunworth, D.O.
General Surgery
NPI 1245341635
802 E NAVAJO ST
Farmington, NM 87401
(505) 215-1120
✔ PECOS✔ Accepts Medicare1.6 mi
Frank Arnold, M.D.
Family Practice
NPI 1417982679
4820 E MAIN ST
Farmington, NM 87402
(505) 609-6495
✔ PECOS✔ Accepts Medicare1.7 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 1255285490. It was assigned to this organization in the NPPES registry on February 24, 2026. The provider is doing business as San Juan Health Partners Foot and Ankle, San Juan Health Partners Orthopedics and San Juan Health Partners Orthopedics Physical Therapy.

Where is San Juan Regional Medical Center Inc located?

San Juan Regional Medical Center Inc is located at 2300 E 30th St Bldg D-101, Farmington, NM 87401. The listed phone number is (505) 208-6280.

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

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

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, 9 practice at this address and 171 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 June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.