NEW MEXICO GYNECOLOGY CONSULTANTS, PC (NPI# 1114074457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114074457 |
Entity Type | Organization |
Organization Name | NEW MEXICO GYNECOLOGY CONSULTANTS, PC |
Practice Address |
4901 Lang Ave., Ne Suite 203 Albuquerque NM 87109-4597 |
Practice Telephone | 5052425353 |
Practice Fax Number | 5052429788 |
Mailing Telephone | 5052425353 |
Mailing Fax Number | 5052429788 |
Enumeration Date | 2007-01-05 |
Last Update Date | 2012-11-29 |
Authorized Official Name | MR. FRANK B FISK III (CO-OWNER) |
Authorized Official Telephone | 5052425353 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 7104 | 05 |
Street Address |
4901 LANG AVE., NE SUITE 203 |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87109-4597 |
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 | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
1033234729 | Ronald Kirk Cooper | Obstetrics & Gynecology | 2409 Cutler Ave Ne, Albuquerque, NM 87106-2507 | 2007-03-20 |
1134224959 | Amy Garcia | Obstetrics & Gynecology | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2006-09-14 |
1841235587 | Frances Mclemore Fisk | Obstetrics & Gynecology | 4161 Montgomery Blvd Ne, Albuquerque, NM 87109-6742 | 2006-06-17 |
1801865878 | Shamarie Sais | Obstetrics & Gynecology | 3602 Campus Blvd Ne, Albuquerque, NM 87106-1314 | 2006-03-14 |
1891794038 | Steven Anthony Komadina | Obstetrics & Gynecology | 4801 Mcmahon Blvd Nw, #101, Albuquerque, NM 87114-5090 | 2005-07-19 |
1407853872 | Susan Brandt Graham | Obstetrics & Gynecology | 4705 Montgomery Blvd Ne, Ste 102, Albuquerque, NM 87109-1246 | 2005-06-30 |
1982148375 | Shamarie Sais, Md, PC | Obstetrics & Gynecology | 3602 Campus Blvd Ne, Albuquerque, NM 87106-1314 | 2016-12-05 |
1427357920 | Bosque Womens Care PC | Obstetrics & Gynecology | 5150 San Francisco Rd Ne, Albuquerque, NM 87109-4640 | 2011-03-23 |
1235377268 | Beverly A. Pucka, Md P.C. | Obstetrics & Gynecology | 8120 Constitution Pl Ne, Suite 220, Albuquerque, NM 87110-7654 | 2009-01-29 |
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.