SYNERGY WELLNESS CENTER LLC (NPI# 1154595825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154595825 |
| Entity Type | Organization |
| Organization Name | SYNERGY WELLNESS CENTER LLC |
| Other Organization Name | HIGH DESERT FAMILY FOOT CARE |
| Practice Address |
4801 Lang Ave Ne Suite 110 Albuquerque NM 87109-4474 |
| Practice Telephone | 5058929700 |
| Practice Fax Number | 5058921210 |
| Mailing Telephone | 5058929700 |
| Mailing Fax Number | 5058921210 |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2013-05-06 |
| Authorized Official Name | DR. GLORIA ISABEL GERSTNER (CEO/PHYSICIAN) |
| Authorized Official Telephone | 5058929700 |
| Authorized Official Credential | DPM MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP1100X |
Clinic/Center Specialization: Podiatric |
307 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 07835761 | 05 |
| Other Name | Type Code |
|---|---|
| High Desert Family Foot Care | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982930160 | Synergy Wellness Center LLC | Podiatrist | 3600 Rodeo Ln, 5b, Santa Fe, NM 87507-6400 | 2009-10-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SYNERGY WELLNESS CENTER LLC | 515 Kirkland Way, Kirkland, WA 98033-6219 |
| Street Address |
4801 LANG AVE NE SUITE 110 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-4474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235181199 | Gloria Isabel Gerstner | Podiatrist | 4801 Lang Ave Ne, Suite 110, Albuquerque, NM 87109-4474 | 2006-05-17 |
| 1386014769 | Nm 01 Palliative Care Services Pllc | In Home Supportive Care | 4801 Lang Ave Ne, Suite 200a, Albuquerque, NM 87109-4474 | 2015-09-29 |
| 1497182430 | Southwest Neurodiagnostic Services LLC | Neurological Surgery | 4801 Lang Ave Ne, Ste 110, Albuquerque, NM 87109-4474 | 2013-10-05 |
| 1982960456 | Aspen Neurosurgery and Spine Associates, P.C. | Neurological Surgery | 4801 Lang Ave Ne, Suite 110, Albuquerque, NM 87109-4474 | 2012-04-09 |
| 1043538259 | Electrostim Medical Services, Inc. | Durable Medical Equipment & Medical Supplies | 4801 Lang Ave Ne, Suite 110, Albuquerque, NM 87109-4474 | 2010-05-12 |
| 1508039538 | Isabel Guerrero | Health Maintenance Organization | 4801 Lang Ave Ne, Albuquerque, NM 87109-4474 | 2008-04-10 |
| 1144413816 | Barbara P. Caldwell | Counselor | 4801 Lang Ave Ne, Suite 110, Albuquerque, NM 87109-4474 | 2007-08-24 |
| 1750428256 | Bw Counseling LLC | Counselor | 4801 Lang Ave Ne, Suite 110, Albuquerque, NM 87109-4474 | 2007-01-31 |
| 1215033097 | Hospice Care of The West LLC | Hospice Care, Community Based | 4801 Lang Ave Ne, Suite 100, Albuquerque, NM 87109 | 2006-09-16 |
| 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 | 261QP1100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Podiatric |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104483544 | Shanti Balkissoon-castillo Dpm LLC | Clinic/Center | 7700 Menaul Blvd Ne, Ste D, Albuquerque, NM 87110-4639 | 2019-05-21 |
| 1205973401 | Albuquerque Foot & Ankle, Inc. | Clinic/Center | 6821 Montgomery Blvd Ne, Suite D, Albuquerque, NM 87109 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972127512 | Stephanie Gonzalez Dpm Pa | Clinic/Center | 4151 Camino Coyote Ste B, Las Cruces, NM 88011-7096 | 2020-05-29 |
| 1144841958 | Muojicare Medical Center LLC | Clinic/Center | 4500 N Sonoma Ranch Blvd, Las Cruces, NM 88011-7334 | 2020-05-04 |
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on SYNERGY WELLNESS CENTER LLC.
| 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.