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FEDKO EMERGENCY PHYSICIANS NEW MEXICO LLC
NPI 1770047441
Emergency Medicine in Grants, NM

Active since January 28, 2019
1016 E ROOSEVELT AVE, GRANTS, NM 87020(505) 287-4446 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fedko Emergency Physicians New Mexico Llc NPPES

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

FEDKO EMERGENCY PHYSICIANS NEW MEXICO LLC (NPI 1770047441) is a healthcare organization registered as an emergency medicine in Grants, New Mexico and active in the NPI registry since January 2019. The organization lists Martin Fedko, Owner, as its authorized official.

NPPES Registry Identity

NPI1770047441
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameFEDKO EMERGENCY PHYSICIANS NEW MEXICO LLC
Location Address1016 E ROOSEVELT AVEGrants, NM 87020-2118
Mailing Address7725 W Reno AveOklahoma City, OK 73127-9711
Phone(505) 287-4446
Organization SubpartNo
Authorized OfficialMartin FedkoOwner · (857) 571-2467
Enumeration DateJanuary 28, 2019
✔ NPI 1770047441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1016 E ROOSEVELT AVE, Grants, NM 87020
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

Other Providers at the Same Location NPPES 13

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

MRS. HANNAH BETH WAHL DPT, PT
Physical Therapist
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-5339
CIBOLA GENERAL HOSPITAL PHCY
Pharmacy (Institutional Pharmacy)
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-5320
MR. EDWARD S SANSHU CRNA
Nurse Anesthetist, Certified Registered
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-4446
DR. CHANDER S BHATIA MD
Emergency Medicine
1016 E ROOSEVELT AVE, EMERGENCY DEPARTMENT
GRANTS, NM 87020
Cibola County (505) 287-5260
ALICIA RENEE BALOK RN, IBCLC
Registered Nurse (Lactation Consultant)
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-4446
ELLEN CASAVANTES LMSW
Social Worker
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-5211
DR. ALFREDO NEVAREZ M.D.
Family Medicine
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-4446
EDWARD S. SANSHU CERTIFIED & REG
Nurse Anesthetist, Certified Registered
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-4446

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 Fedko Emergency Physicians New Mexico LLC's NPI number?

The NPI number for Fedko Emergency Physicians New Mexico LLC is 1770047441. It was assigned to this organization in the NPPES registry on January 28, 2019.

Where is Fedko Emergency Physicians New Mexico LLC located?

Fedko Emergency Physicians New Mexico LLC is located at 1016 E Roosevelt Ave, Grants, NM 87020. The listed phone number is (505) 287-4446.

What is Fedko Emergency Physicians New Mexico LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

What insurance does Fedko Emergency Physicians New Mexico LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Fedko Emergency Physicians New Mexico LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fedko Emergency Physicians New Mexico LLC was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.