Dr. Jimmie R Charlie, MD
Dr. Jimmie R Charlie, MD is registered under Family Practice in Santo Domingo, New Mexico. Graduated from Stanford University School of Medicine in 1998, 28 years ago. Practices with Kewa Pueblo Health Corporation, a 29-clinician group and accepts Medicare assignment. Licensed in New Mexico.
- Years since qualifying
- 28
- Trained at
- Stanford University School of Medicine
- Licensed in
- NM
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
85 W Highway 22Santo Domingo, NM 87502-0340 Not confirmed with CMS for 10 years — call before visiting
Phone: (505) 465-3060
Fax: (505) 465-3060
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 20020019 (NM) |
|---|
Record details
| NPI number | 1366523722 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | October 18, 2006 |
| Last updated in NPPES | September 2, 2016 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | STANFORD UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1998 (28 years in practice) |
| Group practice | Kewa Pueblo Health Corporation — 29 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Procedures
| Removal of tissue | 12 times |
|---|
Medicare patients and services, 2024
| Medicare patients | 109 |
|---|---|
| Services billed | 560 |
| Average patient age | 71 |
Colleagues at Kewa Pueblo Health Corporation
- Shane Benally, OD Optometrist · Santo Domingo Pueblo, NM
- Deborah Prair Berest, CNP Hospice Registered Nurse · Albuquerque, NM
- Dr. Sarah Lauren Friedberg, MD Family Medicine Physician · Santo Domingo Pueblo, NM
- Mrs. Kristin G Giordano, PA Medical Physician Assistant · Albuquerque, NM
- Blas Herrera, PT Physical Therapist · Albuquerque, NM
- Dr. Stacia M Jacobi-Garcia, OD Optometrist · Albuquerque, NM
- Dr. Carrie Elizabeth Jones, MD Student in an Organized Health Care Education/Training Program · Espanola, NM
- Victoria Ruby Knauf, DPM Foot & Ankle Surgery Podiatrist · Durango, CO
- Olivia Olivas, PT Physical Therapist · Albuquerque, NM
- Dr. Bruce E Onofrey, OD Optometrist · Houston, TX
- Brian Goff Smith, MD Family Medicine Physician · Albuquerque, NM
- Dr. Joseph A Williams, DPT Physical Therapist · Cannon AFB, NM