ALBUQUERQUE INTERNAL MEDICINE LLC (NPI# 1023188679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023188679 |
| Entity Type | Organization |
| Organization Name | ALBUQUERQUE INTERNAL MEDICINE LLC |
| Practice Address |
4121 Montgomery Blvd Ne Albuquerque NM 87109-1102 |
| Mailing Address |
4101 Blue Ridge Pl Ne Albuquerque NM 87111-4166 |
| Practice Telephone | 5053140748 |
| Mailing Telephone | 5053140748 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2012-11-14 |
| Authorized Official Name | DR. WILLIAM OLIVER BERLIN II (PHYSICIAN) |
| Authorized Official Telephone | 5053140748 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 00013372 | 05 | |
| RAILROAD MEDICARE | DD1175 | 01 | |
| BLUE CROSS BLUE SHIELD | NM019U17 | 01 |
| Street Address |
4121 MONTGOMERY BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801338231 | Albuquerque Integrative Medicine LLC | Case Management | 4121 Montgomery Blvd Ne, Albuquerque, NM 87109-1102 | 2016-11-16 |
| 1134560618 | Ethan Adler | Nurse Practitioner | 4121 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2013-07-11 |
| 1700956349 | William Oliver Berlin II | Internal Medicine | 4121 Montgomery Blvd Ne, Albuquerque, NM 87109-1102 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1851862882 | Medic Buddy, LLC | Internal Medicine | 3420 Constitution Ave Ne Ste C, Albuquerque, NM 87106-1238 | 2018-12-17 |
| 1962984518 | Medical Whisperer Janet L Blanchard Md Internal Medicine Consultantllc | Internal Medicine | 717 Encino Pl Ne Ste 17, Albuquerque, NM 87102-2655 | 2018-08-30 |
| 1780189936 | Dania Qaryouti | Internal Medicine | Internal Medicine Msc10 5550 1 University of New Mexic, Albuquerque, NM 87131-0001 | 2018-03-29 |
| 1649782962 | Molina Healthcare of New Mexico | Internal Medicine | 400 Tijeras Ave Nw, Albuquerque, NM 87102-3234 | 2017-10-26 |
| 1679003503 | Aubrey Del Rosario | Internal Medicine | Msc (10-5550) 1 University of New Mexico, Albuquerque, NM 87131 | 2017-06-13 |
| 1487181848 | Lillian Khowong To | Internal Medicine | Msc Ophthalmology 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2017-05-16 |
| 1780037507 | Beulah Jyothy Koduru | Internal Medicine | 1 University of New Mexico Hospital Msc 10 5550, Albuquerque, NM 87131-5640 | 2016-07-16 |
| 1487006813 | Andres Eduardo Mendez-hernandez | Internal Medicine | Msc (internal M) 1 University of New Mexico Albuquerque, Albuquerque, NM 87131-0001 | 2016-07-11 |
| 1902251234 | Sakshi Sahni | Internal Medicine | Msc 10 5550 Gi Department 1 University of New Mexico, Albuquerque, NM 87131-7232 | 2016-04-23 |
| 1184078719 | Sarah Olivia Sharkey | Internal Medicine | Msc Internal Medicine, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-04-20 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
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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.