CARMELITA AGODON MD NPI 1710965272

NPI Information

NPI: 1710965272
Provider Name: CARMELITA AGODON, MD
Classification: Anesthesiology - 207LP2900X
Entity Type: Individual

Specialization: Pain Medicine

Address:
1901 REDROCK DR
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES
GALLUP, NM
ZIP 87301
Phone: (505) 863-7120
Get Directions

Carmelita Agodon, MD is a pain medicine anesthesiology in Gallup, NM. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. Carmelita Agodon, MD NPI is 1710965272. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1901 REDROCK DR
REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES
GALLUP, NM
ZIP 87301-683
Phone: (505) 863-7120

The enumeration date for this NPI number is 1/5/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207LP2900X	Anesthesiology	Pain Medicine	2001-01	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	48126705	MEDICAID	NEW MEXICO
2	85031326887301A159	OTHER		CHAMPUS
3	NM009E83	OTHER	NEW MEXICO	BC/BS
4	10004799	OTHER	NEW MEXICO	LOVELACE HEALTH/SALUD
5	H82388	MEDICARE UPIN
6	PROVP11034	OTHER	NEW MEXICO	MOLINA
7	768781	OTHER	ARIZONA	AHCCCS
8	P00211389	OTHER		RAILROAD MEDICARE
9	P00200853	OTHER		RAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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