CARLA BLOEDEL-CLARK (NPI# 1093748667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093748667 |
| Entity Type | Individual |
| Full Name | CARLA BLOEDEL-CLARK |
| Other Name | CARLA BLOEDEL |
| Credential | MD |
| Practice Address |
5150 Journal Center Blvd Ne Albuquerque NM 87109-5900 |
| Mailing Address |
Po Box 27829 Albuquerque NM 87125 |
| Practice Telephone | 5052623219 |
| Practice Fax Number | 5052623243 |
| Mailing Telephone | 5052321920 |
| Mailing Fax Number | 5057279276 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2011-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 86180 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 38828 | 05 |
| Street Address |
5150 JOURNAL CENTER BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230135 | Cecilia L Concepcion | Pediatrics | 5150 Journal Center Blvd Ne, Albuquerque, NM 87109-5900 | 2005-07-21 |
| 1790200392 | Ronald Mark Edwards | Nurse Practitioner | 5150 Journal Center Blvd Ne, Albuquerque, NM 87109 | 2017-08-04 |
| 1154859882 | Theresa Marie Toomey | Nurse Practitioner | 5150 Journal Center Blvd Ne, Albuquerque, NM 87109-5900 | 2017-05-25 |
| 1972037695 | Susan Teresa Rossi | Pharmacist | 5150 Journal Center Blvd Ne, Albuquerque, NM 87109-5900 | 2017-04-19 |
| 1104350602 | Julie Marie Gibson | Registered Nurse | 5150 Journal Center Blvd Ne, Davita Medical Group Coumadin Clinic, Albuquerque, NM 87109-5900 | 2017-04-12 |
| 1710426085 | Luz Lavezo | Pharmacist | 5150 Journal Center Blvd Ne, Albuquerque, NM 87109-5900 | 2017-02-19 |
| 1124561790 | Arlette Marie Atencio | Nurse Practitioner | 5150 Journal Center Blvd Ne, Albuquerque, NM 87109-5900 | 2016-11-29 |
| 1699169912 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5150 Journal Center Blvd Ne, Albuquerque, NM 87109-5900 | 2015-03-25 |
| 1083020846 | Kelsey Hornsby | Pharmacist | 5150 Journal Center Blvd Ne, Albuquerque, NM 87109-5900 | 2014-07-01 |
| 1982019097 | Jayce Powell | Nurse Practitioner | 5150 Journal Center Blvd Ne, 2nd Floor Hand Clinic, Albuquerque, NM 87109-5900 | 2014-06-26 |
| Find all providers in the same location | ||||
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1528417953 | Sofia Michelle Markee | Pediatrics | 1 University of New Mexico Pediatric Department, Albuquerque, NM 87131-0001 | 2016-06-07 |
| 1619363751 | Lauren N Gabreski | Pediatrics | Us Air Force, 377 Mdg/sghc, 2050a Second Street Se, Albuquerque, NM 87117-5522 | 2015-04-15 |
| 1174918197 | Ross Newman | Pediatrics | 2211 Lomas Blvd Ne # 3acc, Albuquerque, NM 87106-2719 | 2015-04-06 |
| 1942612650 | Amy M Rouse | Pediatrics | 933 Bradbury Dr Se Ste 222, Albuquerque, NM 87106 | 2014-05-29 |
| 1215362017 | Deborah Mcgrew Md LLC | Pediatrics | 1615 University Blvd Ne, Albuquerque, NM 87102-1717 | 2013-09-11 |
| 1477986065 | Gypsum Medical Associates of New Mexico, PC | Pediatrics | Building 9200, Area Y, Kirtland Air Force Base-east, Albuquerque, NM 87115 | 2013-08-19 |
| 1750653069 | Molina Healthcare of New Mexico | Pediatrics | 7317 Central Ne, Albuquerque, NM 87108-2015 | 2012-02-01 |
| 1720370612 | Alfonso Belmonte | Pediatrics | Unm Department of Pediatrics Msc10 5590, Albuquerque, NM 87131-0001 | 2011-05-10 |
| 1326288010 | Minh N. Ho | Pediatrics | 4701 Montgomery Boulevard Ne, Albuquerque, NM 87109 | 2009-02-20 |
| 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.