LYNN ALAN DOZEMAN (NPI# 1104808542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104808542 |
| Entity Type | Individual |
| Full Name | LYNN ALAN DOZEMAN |
| Credential | MD |
| Practice Address |
6900 Gonzales Rd Sw Albuquerque NM 87121-2401 |
| Mailing Address |
2001 Centro Familiar Blvd Sw Albuquerque NM 87105-4592 |
| Practice Telephone | 5058312534 |
| Practice Fax Number | 5058314123 |
| Mailing Telephone | 5058737462 |
| Mailing Fax Number | 5058737444 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2011-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 9937 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | B8658 | 05 |
| Street Address |
6900 GONZALES RD SW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87121-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609437334 | Maria Pasillas | Nurse Practitioner | 6900 Gonzales Rd Sw, Albuquerque, NM 87121-2401 | 2019-06-24 |
| 1407209364 | First Choice Community Health Care | Clinic/Center | 6900 Gonzales Rd Sw, Albuquerque, NM 87121-2401 | 2016-07-15 |
| 1689022162 | Marion F Cook | Family Medicine | 6900 Gonzales Rd Sw, Albuquerque, NM 87121-2401 | 2016-05-25 |
| 1437593373 | Zachary Charles Riesenberger | Dentist | 6900 Gonzales Rd Sw, G, Albuquerque, NM 87121-2401 | 2013-04-22 |
| 1013201359 | Tatyana Guerrero-pezzano | Family Medicine | 6900 Gonzales Rd Sw, Albuquerque, NM 87121-2401 | 2011-06-03 |
| 1013207752 | Maria Van Rensselaer Hamilton | Pediatrics | 6900 Gonzales Rd Sw, Albuquerque, NM 87121-2401 | 2011-04-14 |
| 1245530583 | Rosalia Griego | Case Manager/Care Coordinator | 6900 Gonzales Rd Sw, Suite E, Albuquerque, NM 87121-2401 | 2010-11-02 |
| 1649580895 | Valerie Hope Saffold | Counselor | 6900 Gonzales Rd Sw, Albuquerque, NM 87121 | 2010-10-20 |
| 1225271083 | Galen Castillo Loughrey | Family Medicine | 6900 Gonzales Rd Sw, First Choice Community Healthcare - Alamosa Medical, Albuquerque, NM 87121-2401 | 2009-04-09 |
| 1699936880 | First Choice Community Healthcare, Inc. | Family Medicine | 6900 Gonzales Rd Sw, Albuquerque, NM 87121-2401 | 2008-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144196 | Mireya Molina | Technician | 2911 Cabral Trl Sw, Albuquerque, NM 87121 | 2019-09-27 |
| 1093282725 | Tomasita Sedillo | Registered Nurse | 4050 118th St Sw, Albuquerque, NM 87121 | 2018-10-31 |
| 1285112748 | Wesley Ross Hanchett | Dentist | 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 | 2018-08-06 |
| 1699266106 | Michael Thomas Lauer | Dentist | 120 98th St Sw Suite C-3, Albuquerque, NM 87121 | 2018-05-21 |
| 1992295299 | Kimberlee Ann Dutton | Registered Nurse | 3715 Las Estancias Ct Sw, Albuquerque, NM 87121 | 2018-05-14 |
| 1376069385 | Lisa Dudasik | Day Training/Habilitation Specialist | 2300 Diamond Mesa Trail Sw, 8805, Albuquerque, NM 87121 | 2017-08-22 |
| 1497297444 | Jeffrey Romero I | Behavior Technician | 1015 Alexandra St Sw, Albuquerque, NM 87121 | 2016-11-08 |
| 1912457151 | Deamber Yonker | Technician, Other | 309 Bristol Nw, Albuquerque, NM 87121 | 2016-10-12 |
| 1457727125 | Perfect Teeth / Coors & Central P.C. | Dentist | 6660 Central Ave Sw, Albuquerque, NM 87121 | 2015-08-18 |
| 1053719344 | South Valley Children's Dentistry | Dentist | 3510 Coors Blvd., Sw, Albuquerque, NM 87121 | 2014-12-18 |
| Find all providers in zip 87121 | ||||
| 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 | 87121 |
Please comment or provide details below to improve the information on LYNN ALAN DOZEMAN.
| 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.