SAN JUAN REGIONAL MEDICAL CENTER INC
NPI 1528141843
Psychiatry & Neurology - Neurology in Farmington, NM

NPI Status: Active since October 23, 2006

Contact Information

2300 E 30TH ST
BUILDING 102
FARMINGTON, NM
ZIP 87401
Phone: (505) 609-6790
Fax: (505) 599-4640

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  • Organization
  • Psychiatry & Neurology
  • Neurology
  • Accepts Insurance

About SAN JUAN REGIONAL MEDICAL CENTER INC

This page provides the complete NPI Profile along with additional information for San Juan Regional Medical Center Inc, a provider established in Farmington, New Mexico operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1528141843 assigned on October 2006. The practitioner's primary taxonomy code is 2084N0400X. The provider is registered as an organization and their NPI record was last updated July 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's . The authorized official of this NPI record is Kim Byrd (Administrative Director Of Reimbur)

NPI
1528141843
Provider Legal Name
SAN JUAN REGIONAL MEDICAL CENTER INC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
2300 E 30TH ST BUILDING 102 FARMINGTON, NM 87401
Location Phone
(505) 609-6790
Location Fax
(505) 599-4640
Mailing Address
PO BOX 844088 DALLAS, TX 75284
Mailing Phone
(505) 609-2258
Mailing Fax
(505) 599-4640
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-23-2006
Last Update Date
07-16-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Standard Expanded Bronze - PPO
  • Standard Expanded Bronze + Vision + Adult Dental - PPO
  • Standard Gold - PPO
  • Standard Gold + Vision + Adult Dental - PPO
  • Standard Silver - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIM BYRD

Authorized Official Title
ADMINISTRATIVE DIRECTOR OF REIMBUR
Authorized Official Phone
(505) 609-2258

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
18938868MEDICAID (05)NM 

Reviews for SAN JUAN REGIONAL MEDICAL CENTER INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528141843
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
254824288
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 2 + 4 + 2 + 8 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1528141843 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

JOSEPH PERRY POPE M.D.

Family Medicine

2300 E 30TH ST
BLDG B
FARMINGTON, NM
ZIP 87401

(505) 324-1000

RONALD BLISS MD

Family Medicine

2300 E 30TH ST
BLDG B, STE 102
FARMINGTON, NM
ZIP 87401

(505) 324-1000

WILLIAM YOUNG PA-C

Physician Assistant

2300 E 30TH ST
BLDG B, STE 102
FARMINGTON, NM
ZIP 87401

(505) 324-1000

DR. SCOTT D ALLEN MD

Ophthalmology

2300 E 30TH ST
STE 105
FARMINGTON, NM
ZIP 87401

(505) 327-0406

SCOTT D ALLEN MD & ASSOCIATES PC

Ophthalmology

2300 E 30TH ST
STE 105
FARMINGTON, NM
ZIP 87401

(505) 327-0406

PINON HILLS OPTICAL INC

Eyewear Supplier

2300 E 30TH ST
STE 105
FARMINGTON, NM
ZIP 87401

(505) 325-4298

DR. HOLLY ABERNETHY M.D.

Family Medicine

2300 E 30TH ST
BLDG C-2
FARMINGTON, NM
ZIP 87401

(505) 324-1000

DR. JACK HENRY EBERHART MD

Otolaryngology

(Plastic Surgery within the Head & Neck)

2300 E 30TH ST
BLDG D-102
FARMINGTON, NM
ZIP 87401

(505) 327-4429

DR. DAVID LEE WILKEY MD

Otolaryngology

(Otolaryngic Allergy)

2300 E 30TH ST
BLDG D-102
FARMINGTON, NM
ZIP 87401

(505) 327-4429

ANNETTE RANDLEMON CNP

Nurse Practitioner

(Family)

2300 E 30TH ST
BLDG B, SUITE 102
FARMINGTON, NM
ZIP 87401

(505) 324-1000

JULIE SCHAEFER PA-C

Physician Assistant

2300 E 30TH ST
BLDG B, SUITE 102
FARMINGTON, NM
ZIP 87401

(505) 324-1000

R STEPHEN RANKIN MD

Pediatrics

2300 E 30TH ST
BLDG C2
FARMINGTON, NM
ZIP 87401

(505) 324-1000

DR. JAMES F BURPEE M.D.

Urology

2300 E 30TH ST
BLDG B SUITE 106
FARMINGTON, NM
ZIP 87401

(505) 327-9111

RICHARD LOUIS HUTCHISON, MD, PC

Plastic Surgery

2300 E 30TH ST
BUILDING B, SUITE 103
FARMINGTON, NM
ZIP 87401

(505) 327-1754

CRAIG BURGESS

Pharmacist

2300 E 30TH ST
FARMINGTON, NM
ZIP 87401

(505) 327-4826

KEITH MAXWELL BULL CRNA

Nurse Anesthetist, Certified Registered

2300 E 30TH ST
BUILDING A
FARMINGTON, NM
ZIP 87401

(505) 326-6400

DR. RICHARD LEE BREEDEN M.D.

Psychiatry & Neurology

(Sleep Medicine)

2300 E 30TH ST
STE B-102
FARMINGTON, NM
ZIP 87401

(505) 609-6790

SEAN FAHERTY MD

Family Medicine

2300 E 30TH ST
BLDG B, STE 102
FARMINGTON, NM
ZIP 87401

(505) 324-1000

ADULT & PEDIATRIC UROLOGY, LLC

Urology

2300 E 30TH ST
BLDG B SUITE 106
FARMINGTON, NM
ZIP 87401

(505) 327-9111

BRETT M. CLARKE MD

Otolaryngology

(Otolaryngic Allergy)

2300 E 30TH ST
BLDG D-102
FARMINGTON, NM
ZIP 87401

(505) 327-4429

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528141843, enumerated as an "organization" on October 23, 2006.

The provider is located at 2300 E 30TH ST BUILDING 102 FARMINGTON, NM 87401 and the phone number is (505) 609-6790.

Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.