LINDA J BUTROS (NPI# 1043226780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043226780 |
| Entity Type | Individual |
| Full Name | LINDA J BUTROS |
| Credential | MD |
| Practice Address |
1804 Carlisle Blvd Ne Albuquerque NM 87110 |
| Mailing Address |
1516 Gray Rock Pl Ne Albuquerque NM 87112-6639 |
| Practice Telephone | 5056360728 |
| Practice Fax Number | 5052124132 |
| Mailing Telephone | 5056360728 |
| Mailing Fax Number | 5052124132 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2018-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
MD2004-0511 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 02071843 | 05 |
| Street Address |
1804 CARLISLE BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093060733 | Adam Joseph Cornejo | Podiatrist | 1804 Carlisle Blvd Ne, Albuquerque, NM 87110 | 2012-07-18 |
| 1205013950 | Daniella Rodarte | Massage Therapist | 1804 Carlisle Blvd Ne, Albuquerque, NM 87110-4906 | 2008-01-24 |
| 1306930797 | Andru Ziwasimon Zeller | Family Medicine | 1804 Carlisle Blvd Ne, Albuquerque, NM 87110-4906 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750673661 | Jessica Marie Valdez | Pediatrics | 2211 Lomas Blvd Ne Ste 2222, Albuquerque, NM 87106 | 2011-05-11 |
| 1447461520 | Trisha Simone Tavares | Pediatrics | 201 Cedar St. Se, Suite 4660, Albuquerque, NM 87106 | 2007-05-24 |
| 1235146275 | Jami Dalene Frost | Pediatrics | 4101 Indian School Rd Ne, Albuquerque, NM 87110-3988 | 2006-08-02 |
| 1760404255 | Prasad Mathew | Pediatrics | Ambulatory Care Ctr Fl 3, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-07-24 |
| 1104140086 | Amy Cruickshank | Pediatrics | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2010-03-20 |
| 1295822302 | John Kuttesch | Pediatrics | 2211 Lomas Blvd Ne Fl 3, Albuquerque, NM 87106-2719 | 2006-10-09 |
| 1164439121 | James Vance Mckinnell | Pediatrics | Department of Pediatrics Msc10 5590, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-08-02 |
| 1285641225 | Richard Heideman | Pediatrics | 2211 Lomas Blvd Ne, Ambulatory Care Center 3rd Floor, Albuquerque, NM 87106-2719 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700078375 | Giddel G A Thom | Pediatrics | 1515 W Fir St, Portales, NM 88130-5703 | 2007-08-16 |
| 1154369981 | Sam W Lew | Pediatrics | 1007 N Pope St, Silver City, NM 88061-5161 | 2006-06-03 |
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on LINDA J BUTROS.
| 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.