Organization · Type 2 NPI

San Juan Regional Medical Center Inc

Undersea and Hyperbaric Medicine (Emergency Medicine) Physician · Farmington, NM

NPI number 1174820153 Active

Practice location

4820 E Main St
Farmington, NM 87402-8660

Call (505) 609-6610 Map

Mailing address

PO Box 844088
Dallas, TX 75284-4088

Other practice locations

4251 English Rd, Farmington, NM 87402-1116 · (505) 609-6610

Specialties and licenses

Taxonomy	Code	License
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician Primary	207PE0005X	None listed

Undersea and Hyperbaric Medicine (Emergency Medicine) Physician: A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standa…

17 other providers at this address

NPI record

NPI: 1174820153
Entity type: Organization (Type 2)
Issued: Feb 28, 2011
Last updated: Jul 16, 2025
Status: Active

Other names

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SJR Wound Treatment Center · doing business as
Sjrmc Wound Treatment Center · doing business as

Authorized official

Kim Byrd
Administrative Director of Reimburs
(505) 609-2258

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174820153

San Juan Regional Medical Center Inc's National Provider Identifier is 1174820153, issued on Feb 28, 2011. The primary taxonomy on file is Undersea and Hyperbaric Medicine (Emergency Medicine) Physician (207PE0005X), and the practice location is in Farmington, NM. The record was last updated on Jul 16, 2025.