DR. PATRICIA A PADE (NPI# 1174726582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174726582 |
| Entity Type | Individual |
| Full Name | DR. PATRICIA A PADE |
| Credential | MD |
| Practice Address |
1325 Wyoming Blvd Ne Albuquerque NM 87112-5046 |
| Mailing Address |
Po Box 26666 Phs Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5052915300 |
| Practice Fax Number | 5052915327 |
| Mailing Telephone | 5059236770 |
| Mailing Fax Number | 5059235354 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2017-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD2017-0072 | NM | Allopathic & Osteopathic Physicians |
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
MD2017-0072 | NM | Allopathic & Osteopathic Physicians |
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
0101032883 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 43278248 | 05 |
| Street Address |
1325 WYOMING BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112-5046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700823572 | Leslie P Kurtz | Pediatrics | 1325 Wyoming Blvd Ne, Pmg Kaseman Behavioral Medicine, Albuquerque, NM 87112-5046 | 2006-06-01 |
| 1023484755 | Marissa Lynne Borrello | Psychologist | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 | 2015-08-17 |
| 1205219623 | Jennifer Fawn Bernard | Psychologist | 1325 Wyoming Blvd Ne, Pmg Kaseman Behavioral Medicine, Albuquerque, NM 87112-5046 | 2015-07-02 |
| 1821424227 | Marsha Delaine Sapp | Nurse Practitioner | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 | 2013-09-18 |
| 1063796605 | Cheri Marie Cerghizan | Nurse Practitioner | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 | 2011-09-30 |
| 1073758850 | Monica Zmuda | Counselor | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 | 2008-12-09 |
| 1003084195 | Christopher Manetta | Psychiatry & Neurology | 1325 Wyoming Blvd Ne, Pmg Kaseman Behavioral Medicine, Albuquerque, NM 87112-5046 | 2008-02-12 |
| 1417137977 | Stephanie Tucker | Psychiatry & Neurology | 1325 Wyoming Blvd Ne, Pmg Kaseman Behavioral Medicine, Albuquerque, NM 87112-5046 | 2007-11-13 |
| 1760671978 | Judith Wherritt Brooks | Counselor | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 | 2007-10-24 |
| 1689883456 | Daniel Duhigg | Psychiatry & Neurology | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588042329 | Health Services, LLC | Internal Medicine | 110 2nd St Sw Ste 605, Albuquerque, NM 87102 | 2015-05-13 |
| 1396833216 | Clifton Leigh Brashar | Internal Medicine | 6000 Isleta Blvd Sw, Albuquerque, NM 87105-6658 | 2006-10-10 |
| 1952392516 | J. Mitchell Simson | Internal Medicine | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2235 | 2005-11-02 |
| City | ALBUQUERQUE |
| Zip Code | 87112 |
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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.