MS. KETURA PREYA WISNER (NPI# 1205147592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205147592 |
| Entity Type | Individual |
| Full Name | MS. KETURA PREYA WISNER |
| Credential | D.O. |
| Practice Address |
201 Cedar St Se Ste 304 Albuquerque NM 87106-4932 |
| Practice Telephone | 5058437813 |
| Practice Fax Number | 5058436947 |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A-2079-17 | NM | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20201 Crawford Ave, Mwu-postdoctoral Education Office C/o Carrie Tovey, Olympia Fields, IL 604611010 | 7087474000 |
| Street Address |
201 CEDAR ST SE STE 304 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-4932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891866331 | Victoria Garcia | Obstetrics & Gynecology | 201 Cedar St Se Ste 304, Albuquerque, NM 87106-4932 | 2006-11-13 |
| 1356990584 | Maia Rose Polinger | Physician Assistant | 201 Cedar St Se Ste 304, Albuquerque, NM 87106-4932 | 2019-09-10 |
| 1689223125 | Gabriela Ivette Pobar | Physician Assistant | 201 Cedar St Se Ste 304, Albuquerque, NM 87106-4932 | 2019-09-07 |
| 1962066043 | Aubrey Huerta | Physician Assistant | 201 Cedar St Se Ste 304, Albuquerque, NM 87106-4932 | 2019-04-24 |
| 1356831572 | Lisa Long | Physician Assistant | 201 Cedar St Se Ste 304, Albuquerque, NM 87106-4932 | 2018-05-14 |
| 1861902835 | Kaitlin Mae Torres | Physician Assistant | 201 Cedar St Se Ste 304, Albuquerque, NM 87106-4932 | 2017-10-04 |
| 1699149153 | Jacklyn Chavez | Physician Assistant | 201 Cedar St Se Ste 304, Albuquerque, NM 87106-4932 | 2015-11-20 |
| 1750442133 | Albuquerque Surgical Consultants PC | Surgery | 201 Cedar St Se Ste 304, Albuquerque, NM 87106-4932 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588200836 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 9809 Candelaria Rd Ne Bldg 2, Albuquerque, NM 87112-1458 | 2019-11-21 |
| 1417319815 | Stephanie Rieder | Obstetrics & Gynecology | Msc 10 5580 Department of Obstetrics and Gynecology, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-03-24 |
| 1629443049 | The Fertility Center of New Mexico LLC | Obstetrics & Gynecology | 201 Cedar St Se Ste S120, Albuquerque, NM 87106-4900 | 2015-12-10 |
| 1689051666 | Anwar Davis Jackson | Obstetrics & Gynecology | 2211 Lomas Blvd Ne Ste 4acc, Albuquerque, NM 87106-2719 | 2015-04-29 |
| 1609288562 | Trevor Quiner | Obstetrics & Gynecology | Msc Obgyn 1 University of New Mexico, Albuquerque, NM 87131 | 2014-05-27 |
| 1932527579 | Elizabeth Anne Clark | Obstetrics & Gynecology | Dept of Ob Gyn Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2014-04-01 |
| 1154764504 | Katherine Lyons | Obstetrics & Gynecology | 2211 Lomas Blvd Ne Dept of Ob/gyn, Albuquerque, NM 87106 | 2013-04-15 |
| 1528334596 | Marina Delazari Miller | Obstetrics & Gynecology | Msc Obstetrics & Gynecolog 1 University of New Mexico, Albuquerque, NM 87131-1009 | 2012-03-23 |
| 1366732372 | Mary Temple Gallegos | Obstetrics & Gynecology | 201 Cedar Se Ste 507, Pmg Ob Hospitalist, Albuquerque, NM 87106-4925 | 2011-04-11 |
| 1386952117 | Misa Perron-burdick | Obstetrics & Gynecology | 1001 Potrero Ave Ward 6d, San Francisco General Hospital, Albuquerque, NM 87131-0001 | 2010-09-14 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
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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.