ERIKA KETTELER (NPI# 1235142449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235142449 |
| Entity Type | Individual |
| Full Name | ERIKA KETTELER |
| Credential | M.D., M.A. |
| Practice Address |
1501 San Pedro Dr Se Albuquerque NM 87108-5153 |
| Mailing Address |
124 15th St Sw Albuquerque NM 87104-1100 |
| Practice Telephone | 5052651711 |
| Practice Fax Number | 5052562811 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
1501 SAN PEDRO DR SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-5153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619964293 | Pamela Walton Mccoy | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2005-09-29 |
| 1750981627 | Mae Maiefski | Speech-Language Pathologist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-10-29 |
| 1891300133 | Julianna Nacion | Occupational Therapist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-09-14 |
| 1376155614 | Jeffrey Shaffer | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-18 |
| 1851901490 | Tiffany Le Nguyen | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-07 |
| 1073123063 | Wasan Cartwright Jr. | Nurse Practitioner | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-04 |
| 1083223069 | Denise Lorraine Bennett | Social Worker | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-07-27 |
| 1073139168 | Ryan Charles Warner | Psychologist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-24 |
| 1356965321 | Lemont Yazzie | Technician | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-04 |
| 1407470479 | Lamont Yazzie II | Technician | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407031040 | Gopal Reddy M.d., P.C. | Surgery | 500 Walter St Ne Ste 204, Albuquerque, NM 87102-2543 | 2008-01-02 |
| 1093022402 | Robert Moskowitz | Surgery | 201 Cedar St Se Ste 800, Albuquerque, NM 87106 | 2010-09-07 |
| 1588863120 | Muhammad Ali A Rana | Surgery | 2211 Lomas Blvd Ne, Department of Surgery, Albuquerque, NM 87106-2719 | 2007-07-13 |
| 1871790188 | Sundeep Guliani | Surgery | 2211 Lomas Blvd Ne, Tuv Clinic, 1st Floor, Albuquerque, NM 87106-2719 | 2007-06-29 |
| 1821290180 | Elena Y Rakhlin | Surgery | 1 University of New Mexico, Dept of Surgery, Msc10 5610, Albuquerque, NM 87131-0001 | 2007-05-31 |
| 1396866307 | Rachel Danczyk | Surgery | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2007-04-03 |
| 1083705339 | John Duncan Corson | Surgery | 1501 San Pedro Dr Se, Bldg 41 Rm3b-124c, Albuquerque, NM 87108-5153 | 2006-09-28 |
| 1891890620 | Gopal Reddy | Surgery | 500 Walter Ne, Suite 204, Albuquerque, NM 87102 | 2006-09-14 |
| 1447267406 | John Michael Marek | Surgery | 2nd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-08-02 |
| 1528074176 | Mark Langsfeld | Surgery | 2nd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-08-01 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
Please comment or provide details below to improve the information on ERIKA KETTELER.
| 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.