MR. CLEVELAND HENDRICK PARDUE III (NPI# 1174622393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174622393 |
| Entity Type | Individual |
| Full Name | MR. CLEVELAND HENDRICK PARDUE III |
| Credential | MD |
| Practice Address |
465 St Michaels Drive Suite 202 Santa Fe NM 87505 |
| Mailing Address |
455 Saint Michaels Dr Physician Practices/central Billing Office Santa Fe NM 87505-7601 |
| Practice Telephone | 5059840303 |
| Practice Fax Number | 5059841116 |
| Mailing Telephone | 5058205227 |
| Mailing Fax Number | 5058205645 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
82101 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 20404 | 05 |
| Street Address |
465 ST MICHAELS DRIVE SUITE 202 |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689026932 | Keystone Womens Center LLC | Obstetrics & Gynecology | 2213 Brothers Rd, Suite 700, Santa Fe, NM 87505-6993 | 2016-07-11 |
| 1235327784 | Galisteo Advanced Gynecology LLC | Obstetrics & Gynecology | 1691 Galisteo St, Suite D, Santa Fe, NM 87505-4780 | 2007-10-10 |
| 1629281795 | Debbie A. Vigil Md Inc | Obstetrics & Gynecology | 1692 Hospital Dr, Santa Fe, NM 87505-4754 | 2007-05-07 |
| 1427094101 | Debbie A. Vigil | Obstetrics & Gynecology | 1692 Hospital Dr, Santa Fe, NM 87505-4754 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1558797746 | Otero County Medical Group | Obstetrics & Gynecology | 2050 Scenic Dr, Alamogordo, NM 88310-3880 | 2013-09-19 |
| 1518175397 | Mesilla Valley Women's Health, Pa | Obstetrics & Gynecology | 419 Bason Dr, Las Cruces, NM 88005-3717 | 2007-05-18 |
| 1033234729 | Ronald Kirk Cooper | Obstetrics & Gynecology | 2409 Cutler Ave Ne, Albuquerque, NM 87106-2507 | 2007-03-20 |
| 1114074457 | New Mexico Gynecology Consultants, PC | Obstetrics & Gynecology | 4901 Lang Ave., Ne, Suite 203, Albuquerque, NM 87109-4597 | 2007-01-05 |
| 1053470369 | Richard M Steinzig | Obstetrics & Gynecology | 3201 N Ridge Loop Dr, Silver City, NM 88061-7243 | 2006-12-06 |
| 1417033994 | Ismael Padilla Lopez | Obstetrics & Gynecology | 4351 E Lohman Ave Ste 408, Las Cruces, NM 88011-8263 | 2006-10-27 |
| 1134224959 | Amy Garcia | Obstetrics & Gynecology | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2006-09-14 |
| 1184645319 | Catherine T. Kemmer, Md, Pa | Obstetrics & Gynecology | 2100 S Triviz Dr Ste H, Las Cruces, NM 88001-0601 | 2006-07-22 |
| 1841235587 | Frances Mclemore Fisk | Obstetrics & Gynecology | 4161 Montgomery Blvd Ne, Albuquerque, NM 87109-6742 | 2006-06-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. CLEVELAND HENDRICK PARDUE III.
| 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.