OrganizationActive
San Juan Regional Medical Center Inc
NPI 1124262415 · Obstetrics & Gynecology Physician · Farmington, NM
Provider details
- NPI number
- 1124262415
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- San Juan Regional Medical Center Inc
- Organization subpart
- Yes
- Authorized official
- Kim Byrd, Administrative Director of Reimburs(505) 609-2258
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
655 W Pinon St
Farmington, NM 87401-5973
Phone: (505) 609-2590
Fax: (505) 609-2595
Street-level locationGet directions
Mailing address
Po Box 844088
Dallas, TX 75284-4088
Other names (DBA / former)
- Doing business as
- San Juan Regional Midwifery & Womens Health Center
- Doing business as
- San Juan Regional Midwifery & Womens Health Center
- Doing business as
- Sjhp Ob & Gyn 610
- Doing business as
- Sjhp Ob & Gyn 634
Additional practice locations (2)
- 610 W Pinon StFarmington, NM 87401-5974Phone: (505) 325-1123Fax: (505) 609-2259
- 634 W Pinon StFarmington, NM 87401-5915Phone: (505) 325-4898
Registry dates
- Enumerated
- 2009-04-30
- Last updated
- 2025-07-16
- Certified
- 2025-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.