ALBERT BOURBON (NPI# 1194806638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194806638 |
| Entity Type | Individual |
| Full Name | ALBERT BOURBON |
| Practice Address |
301 Unser Blvd Nw Albuquerque NM 87121-1927 |
| Mailing Address |
933 Bradbury Dr Se Suite 2222 Albuquerque NM 87106-4374 |
| Practice Telephone | 5059254126 |
| Practice Fax Number | 5059254721 |
| Mailing Telephone | 5052723120 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2017-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 92PA08 | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
301 UNSER BLVD NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87121-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710083613 | Hope R Ferdowsian | Internal Medicine | 301 Unser Blvd Nw, Albuquerque, NM 87121-1927 | 2006-09-16 |
| 1740834795 | Rosa E Munoz | Psychologist | 301 Unser Blvd Nw, Albuquerque, NM 87121-1927 | 2019-07-29 |
| 1932751641 | Cindy K Hoang | Family Medicine | 301 Unser Blvd Nw, Albuquerque, NM 87121-1927 | 2019-07-12 |
| 1649731647 | Jessica Wilcken | Student in an Organized Health Care Education/Training Program | 301 Unser Blvd Nw, Albuquerque, NM 87121-1927 | 2019-03-31 |
| 1720590284 | Nicole Whitman Clements | Physician Assistant | 301 Unser Blvd Nw, Albuquerque, NM 87121 | 2017-10-24 |
| 1710496062 | Joy Beth Sturm | Physician Assistant | 301 Unser Blvd Nw, Albuquerque, NM 87121-1927 | 2017-09-28 |
| 1265885420 | Luis De Jesus Gonzalez | Pharmacist | 301 Unser Blvd Nw, Albuquerque, NM 87121 | 2016-07-22 |
| 1083083067 | Leslie Dunlap | Physician Assistant | 301 Unser Blvd Nw, Albuquerque, NM 87121-1927 | 2015-09-19 |
| 1346532199 | Lucia Darlach | Psychologist | 301 Unser Blvd Nw, Sw Mesa Clinic, Albuquerque, NM 87121-1927 | 2011-05-12 |
| 1962793851 | Lindsay Fox | Physician Assistant | 301 Unser Blvd Nw, Albuquerque, NM 87121-1927 | 2011-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871144196 | Mireya Molina | Technician | 2911 Cabral Trl Sw, Albuquerque, NM 87121 | 2019-09-27 |
| 1093282725 | Tomasita Sedillo | Registered Nurse | 4050 118th St Sw, Albuquerque, NM 87121 | 2018-10-31 |
| 1285112748 | Wesley Ross Hanchett | Dentist | 3715 Las Estancias Way, Suite 101, Albuquerque, NM 87121 | 2018-08-06 |
| 1699266106 | Michael Thomas Lauer | Dentist | 120 98th St Sw Suite C-3, Albuquerque, NM 87121 | 2018-05-21 |
| 1992295299 | Kimberlee Ann Dutton | Registered Nurse | 3715 Las Estancias Ct Sw, Albuquerque, NM 87121 | 2018-05-14 |
| 1376069385 | Lisa Dudasik | Day Training/Habilitation Specialist | 2300 Diamond Mesa Trail Sw, 8805, Albuquerque, NM 87121 | 2017-08-22 |
| 1497297444 | Jeffrey Romero I | Behavior Technician | 1015 Alexandra St Sw, Albuquerque, NM 87121 | 2016-11-08 |
| 1912457151 | Deamber Yonker | Technician, Other | 309 Bristol Nw, Albuquerque, NM 87121 | 2016-10-12 |
| 1457727125 | Perfect Teeth / Coors & Central P.C. | Dentist | 6660 Central Ave Sw, Albuquerque, NM 87121 | 2015-08-18 |
| 1053719344 | South Valley Children's Dentistry | Dentist | 3510 Coors Blvd., Sw, Albuquerque, NM 87121 | 2014-12-18 |
| Find all providers in zip 87121 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474550 | Mara Swartzentruber | Physician Assistant | 3310 Linda Vista Ave Se, Albuquerque, NM 87106-1514 | 2020-10-13 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1487287413 | Thomas Clise | Physician Assistant | 629 San Pablo St Ne, Albuquerque, NM 87108-2137 | 2020-02-18 |
| 1912547324 | Kathleen Joyce L'heureux | Physician Assistant | 8124 Ventana Cielo Ave Nw, Albuquerque, NM 87114-5988 | 2020-01-14 |
| 1265097869 | Amber Zoubovitch | Physician Assistant | 7200 Montgomery Blvd Ne Ste 7121, Albuquerque, NM 87109-1510 | 2019-05-08 |
| 1639680739 | Wesley A Parker | Physician Assistant | 3777 Mdg, 2050a Second Street Se, Albuquerque, NM 87117-5522 | 2017-10-16 |
| 1003327487 | Elise Nicole Pedigo | Physician Assistant | 4700 Jefferson St Ne Ste 700, Albuquerque, NM 87109-2132 | 2017-10-12 |
| 1194170605 | Anna Marie Siow | Physician Assistant | 1014 Hummingbird Pl Sw, Albuquerque, NM 87105-8130 | 2016-05-03 |
| 1285032367 | Travis Householder | Physician Assistant | 201 Cedar St Se Ste 4610, Presbyterian Heart Group, Albuquerque, NM 87106-4936 | 2014-12-05 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87121 |
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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.