MEDICARE: ZIA FAMILY MEDICINE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1114928298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZIA FAMILY MEDICINE PC

Provider Business Mailing Address
First Line	:	PO BOX 1560
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88004-1560
Country	:	US
Telephone Number	:	505-647-8366
Fax Number	:	505-647-8381

Provider Business Practice Location Address
First Line	:	4351 E LOHMAN AVE
Second Line	:	STE 208
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-8259
Country	:	US
Telephone Number	:	505-532-1456
Fax Number	:	505-522-6789

Authorized Official
Title or Position	:	OWNER
Name	:	SUSAN DIANNE DUERKSEN
Credential	:	MD
Telephone Number	:	505-532-1456

Provider Enumeration Date	:	08/10/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1952653180 — CYNTHIA CARANTA APRN, ACNP-BC
Practice Location Address:

4351 E LOHMAN AVE , SUITE 202
LAS CRUCES, NM
88011-8259

Practice Phone: 575-521-8860
Practice Fax: 575-522-5664

1306849310 — DR. SURJIT REDDY MOOLAMALLA M.D.
Practice Location Address:

4351 E LOHMAN AVE , SUITE 401
LAS CRUCES, NM
88011-8259

Practice Phone: 575-522-4767
Practice Fax: 575-522-3607

1003819335 — CHARLES LAWRENCE METZGER M.D.
Practice Location Address:

4351 E LOHMAN AVE , SUITE301
LAS CRUCES, NM
88011-8259

Practice Phone: 575-532-9755
Practice Fax: 575-532-8881

1528064060 — SUSAN FAYTHE GOWING P.A.
Practice Location Address:

4351 E LOHMAN AVE , SUITE 405
LAS CRUCES, NM
88011-8259

Practice Phone: 575-521-0121
Practice Fax: 575-532-5949

1659378008 — VIJAYAKUMAR PRAVEEN MD
Practice Location Address:

4351 E LOHMAN AVE , SUITE 100
LAS CRUCES, NM
88011-8259

Practice Phone: 575-532-9077
Practice Fax: 575-532-9221

1861487720 — DR. GUILLERMO HERNANDEZ JR. D.O.
Practice Location Address:

4351 E LOHMAN AVE , STE. 202
LAS CRUCES, NM
88011-8259

Practice Phone: 505-522-8193
Practice Fax:

Directions to “ZIA FAMILY MEDICINE PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.