Healthcare Provider Details

I. General information

NPI: 1629296595
Provider Name (Legal Business Name): FRONTIER HEALTH CONSULTANTS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 SAINT MICHAELS DR STE 110
SANTA FE NM
87505-7670
US

IV. Provider business mailing address

1522 CERRO GORDO RD
SANTA FE NM
87501-6143
US

V. Phone/Fax

Practice location:
  • Phone: 505-946-3180
  • Fax:
Mailing address:
  • Phone: 505-982-9002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberNM 95-54
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberNM 98-18
License Number StateNM
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberNM 98-18
License Number StateNM

VIII. Authorized Official

Name: DR. JOHN DAMIAN FOGARTY
Title or Position: PRESIDENT
Credential: MD
Phone: 505-470-8686