PANGEA MEDICAL - NPI 1255786703 - Psychiatry & Neurology in Roswell, NM

Q: What is Pangea Medical LLC's NPI number?

The NPI number for Pangea Medical LLC is 1255786703. It was assigned to this organization in the NPPES registry on May 3, 2016. The provider is doing business as Pangea Medical.

Q: What is Pangea Medical LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

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About Pangea Medical NPPES

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

PANGEA MEDICAL (NPI 1255786703) is a healthcare organization registered as a psychiatry in Roswell, New Mexico and active in the NPI registry since May 2016. The organization lists Steven R Black, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1255786703

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NamePANGEA MEDICAL LLC

Location Address405 W COUNTRY CLUB RDRoswell, NM 88201-5209

Mailing AddressPo Box 8244Roswell, NM 88202-8244 · (575) 624-2095 · Fax (575) 208-0780

Phone(575) 624-2095

Fax(575) 208-0780

Organization SubpartNo

Authorized OfficialSteven R BlackManaging Member · (575) 624-2095

Enumeration DateMay 3, 2016

Last NPPES UpdateOctober 21, 20223 updates tracked since enumeration

NPPES CertifiedOctober 21, 2022

✔ NPI 1255786703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NM · MD2011-0547

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD2011-0547 (NM)

405 W COUNTRY CLUB RD, Roswell, NM 88201

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Other Names 1

Doing Business AsPangea Medical

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HANY NAGY YASSA MD

Hospitalist