CARLETTA THOMPSON

Address: 407 S Schwartz Ave, Suite 202, Farmington, NM 87401-5925
Phone: 5056096580

CARLETTA THOMPSON (NPI# 1770509044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770509044
Entity Type 1 - Individual
Full Name CARLETTA THOMPSON
Credential M.D.
Practice Address 407 S Schwartz Ave
Suite 202
Farmington
NM 87401-5925
Mailing Address Po Box 6210
Farmington
NM 87499-6210
Practice Telephone 5056096580
Practice Fax Number 5056096579
Mailing Telephone 5056092258
Mailing Fax Number 5056092259
Enumeration Date 07/13/2006
Last Update Date 04/10/2013
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208100000X Physical Medicine & Rehabilitation 2003-0603 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NM 10309713 05

Office Location

Street Address 407 S SCHWARTZ AVE
SUITE 202
City FARMINGTON
State NM
Zip Code 87401-5925

Providers with the same location

NPI Name Address
1376542118 CHRISTOPHER LESUEUR 407 S Schwartz Ave, Ste 201, Farmington, NM 87401-5925
1811998529 JAMES P GOOLSBY 407 S Schwartz Ave, Suite 101, Farmington, NM 87401-5925
1396746061 WILLIAM A ROBINSON JR. 407 S Schwartz Ave, Suite 202, Farmington, NM 87401-5925
1144283805 LUTHER BASEL WEATHERS III 407 S Schwartz Ave, Suite 101, Farmington, NM 87401-5925
1225091937 CHARLES EVERETT WILKINS 407 S Schwartz Ave, Suite 101, Farmington, NM 87401-5925
1396790150 EDWARD KOMPARE 407 S Schwartz Ave, Suite 201, Farmington, NM 87401-5954
1639106099 DR. MARK EDWARD DWINELL 407 S Schwartz Ave, Suite 201, Farmington, NM 87401-5925
1649203266 MARC FLITTER 407 S Schwartz Ave, Suite 202, Farmington, NM 87401-5925
1730112772 EDWARD E MAURIN III 407 S Schwartz Ave, Suite 202, Farmington, NM 87401-5925
1427076298 SAN JUAN REGIONAL MEDICAL CENTER INC 407 S Schwartz Ave, Suite 202, Farmington, NM 87401-5925

Competitor

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City FARMINGTON
Zip Code 87401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.