San Juan Regional Medical Center Inc
NPI 1124262415ActiveOrganization· Obstetrics & Gynecology· Farmington, NM
Obstetrics & Gynecology in Farmington, New Mexico, registered in NPPES in April 2009, part of San Juan Regional Medical Center Inc. The authorized official on file is Kim Byrd, Administrative Director Of Reimburs.
Overview
| NPI | 1124262415 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | San Juan Regional Medical Center Inc |
| NPI issued | Apr 30, 2009 |
| Last updated in NPPES | Jul 16, 2025 |
| Certified by provider | Jul 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Obstetrics & Gynecology Primary | 207V00000X | — | — |
| Nurse Practitioner, Obstetrics & Gynecology | 363LX0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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