FUNDADOR L ADAJAR (NPI# 1013919232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013919232 |
| Entity Type | Individual |
| Full Name | FUNDADOR L ADAJAR |
| Credential | MD |
| Practice Address |
2890 N Wilshire Blvd Roswell NM 88201-6514 |
| Practice Telephone | 5756240400 |
| Practice Fax Number | 5756231702 |
| Mailing Telephone | 5756240400 |
| Mailing Fax Number | 5756231702 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2020-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
2002-0003 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 96879360 | 05 |
| Street Address |
2890 N WILSHIRE BLVD |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-6514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194153973 | Epic Group 8 | Internal Medicine | 760 Old Roswell Rd, Suite 114, Roswell, GA 30076-2279 | 2013-10-14 |
| 1518979921 | Northside Cardiovascular Professional Services, LLC | Internal Medicine | 1285 Upper Hembree Rd, Roswell, GA 30076-1143 | 2006-08-13 |
| 1215957030 | David Jacoboff | Internal Medicine | 4500 Hospital Blvd Ste 230, Roswell, GA 30076-0001 | 2006-07-21 |
| 1720065188 | Eric David Cohen | Internal Medicine | 300 W Country Club Rd Ste 220, Roswell, NM 88201-5240 | 2005-12-28 |
| 1306238183 | Lovelace Health System, Inc. | Internal Medicine | 311 W Country Club Rd, Suite 1, Roswell, NM 88201-5839 | 2015-03-03 |
| 1104241173 | Pearson Heart Clinic, LLC | Internal Medicine | 313 W Country Club Rd, Roswell, NM 88201-5804 | 2014-02-26 |
| 1700221157 | Natasha Mamdani | Internal Medicine | 4500 Hospital Blvd Ste 320, Roswell, GA 30076-0001 | 2013-04-29 |
| 1134468317 | North Fulton Cardiovascular Medicine, LLC | Internal Medicine | 4500 Hospital Blvd, Suite 230, Roswell, GA 30076 | 2013-02-07 |
| 1013142744 | North Fulton Regional Medical Center Pro Fee Billing, LLC | Internal Medicine | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2009-05-26 |
| 1134315641 | North Atlanta Heart Group | Internal Medicine | 1357 Hembree Rd, 150, Roswell, GA 30076-5722 | 2007-09-18 |
| Find all providers in ROSWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.