CHRISTINE ISABEL CLAVELL (NPI# 1124382056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124382056 |
| Entity Type | Individual |
| Full Name | CHRISTINE ISABEL CLAVELL |
| Credential | M.D. |
| Practice Address |
5150 Journal Center Blvd Ne Albuquerque NM 87109-5900 |
| Mailing Address |
5150 Journal Center Blvd. Ne Dept. of Ophthalmology 3rd Floor Albuquerque NM 87109 |
| Practice Telephone | 5052623937 |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
MD2017-0899 | NM | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2901 Transport St Se, Albuquerque, NM 871064382 | 5052623937 |
| 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 | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960799 | Retina Consultants of New Mexico, LLC | Ophthalmology | 6401 Holly Ave Ne, Albuquerque, NM 87113-2474 | 2020-10-20 |
| 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.