UNIVERSITY OF NEW MEXICO MEDICAL GROUP INC (NPI# 1043661010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043661010 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF NEW MEXICO MEDICAL GROUP INC |
| Practice Address |
933 Bradbury Dr Se Suite 2222 Albuquerque NM 87106-4374 |
| Practice Telephone | 5052728950 |
| Practice Fax Number | 5052726276 |
| Mailing Telephone | 5052728950 |
| Mailing Fax Number | 5052726276 |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |
| Authorized Official Name | MS. KATHERINE A LAFOND (COORDINATOR PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 5052728950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Street Address |
933 BRADBURY DR SE SUITE 2222 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-4374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083604854 | Jess Graham | Radiology | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2005-10-24 |
| 1821603713 | Mushtaq Syed | Community Health Worker | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2020-09-09 |
| 1609363811 | Storm A Dorrough | Student in an Organized Health Care Education/Training Program | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2018-04-13 |
| 1851849996 | Mushobwe Miles | Case Manager/Care Coordinator | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2016-09-19 |
| 1831647916 | Darcy Marie Murphy | Case Manager/Care Coordinator | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2016-09-16 |
| 1124470307 | Arthur Lopez | Psychologist | 933 Bradbury Dr Se, Pfs Suite 1120, Albuquerque, NM 87106-4374 | 2016-07-12 |
| 1720446545 | Tanya L Montoya | Case Manager/Care Coordinator | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2016-02-08 |
| 1396119061 | Alethea Re | Nurse's Aide | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2015-11-18 |
| 1437521325 | Violeta Duran | Registered Nurse | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2015-10-30 |
| 1912379876 | Justin David Laird | Counselor | 933 Bradbury Dr Se, St. 2222, Albuquerque, NM 87106-4374 | 2015-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740784198 | Fnch Sbhc Naca High School | Clinic/Center | 1711 Stanford Dr Ne, Albuquerque, NM 87106-2535 | 2018-03-21 |
| 1043472111 | University of New Mexico Medical Group, Inc. | Clinic/Center | 700 Louisiana Se, Albuquerque, NM 87108 | 2008-06-30 |
| 1114307071 | Owens Administrative & Healthcare Support Services | Clinic/Center | 4300 Blake Rd Sw, Albuquerque, NM 87121-5179 | 2015-06-05 |
| 1699166140 | Sandia National Laboratories | Clinic/Center | 1515 Eubank Blvd Se Bldg. 831/832, Albuquerque, NM 87185-1019 | 2015-02-05 |
| 1174965610 | Presbyterian Medical Services | Clinic/Center | 1138 Cardenas Dr Se, Albuquerque, NM 87108-4809 | 2013-07-25 |
| 1598107039 | Presbyterian Medical Services | Clinic/Center | 1111 Easterday Dr Ne, Albuquerque, NM 87112-5115 | 2013-07-25 |
| 1043461163 | University of New Mexico | Clinic/Center | 1111 Easterday Dr Ne, Albuquerque, NM 87112-5115 | 2008-10-07 |
| 1518129683 | University of New Mexico Medical Group, Inc. | Clinic/Center | 1138 Cardenas Dr Se, Albuquerque, NM 87108-4809 | 2008-06-30 |
| 1427210590 | University of New Mexico Medical Group, Inc. | Clinic/Center | 415 Thaxton Ave Se, Albuquerque, NM 87102-4855 | 2008-06-30 |
| 1649431677 | University of New Mexico Medical Group, Inc. | Clinic/Center | 4700 Coal Ave Se, Albuquerque, NM 87108-2804 | 2008-06-23 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on UNIVERSITY OF NEW MEXICO MEDICAL GROUP INC.
| 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.