BEVERLY A. PUCKA, MD P.C.


Address: 8120 Constitution Pl Ne, Suite 220, Albuquerque, NM 87110-7654
Phone: 5058428741

BEVERLY A. PUCKA, MD P.C. (NPI# 1235377268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235377268
Entity Type Organization
Organization Name BEVERLY A. PUCKA, MD P.C.
Practice Address 8120 Constitution Pl Ne
Suite 220
Albuquerque
NM 87110-7654
Practice Telephone 5058428741
Practice Fax Number 5058428190
Mailing Telephone 5058428741
Mailing Fax Number 5058428190
Enumeration Date 2009-01-29
Last Update Date 2009-01-29
Authorized Official Name BEVERLY A PUCKA (OWNER)
Authorized Official Telephone 5058428741
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
86-107 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NM 37325 05

Office Location

Street Address 8120 CONSTITUTION PL NE
SUITE 220
City ALBUQUERQUE
State NM
Zip Code 87110-7654

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821003393 Ernest Kenneth Mladinich Psychiatry & Neurology 8120 Constitution Pl Ne, Albuquerque, NM 87110-7654 2006-07-30
1134384480 Tanuj Saaraswat Psychiatry & Neurology 8120 Constitution Pl Ne, Albuquerque, NM 87110-7654 2008-07-25
1649451527 Vincent Ortolano Md PC Clinic/Center 8120 Constitution Pl Ne, Suite 220, Albuquerque, NM 87110-7625 2007-11-19
1770674228 Michael Greg Flax Obstetrics & Gynecology 8120 Constitution Pl Ne, Suite 220, Albuquerque, NM 87110 2006-09-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215550199 Sabrina Jennifer Lujan Counselor 8401 Constitution Ave Nw, Albuquerque, NM 87110 2020-05-26
1649829318 Robert D. Oliver Technician 2705 Texas Street Ne, Albuquerque, NM 87110 2019-09-05
1033770904 Life Re-created LLC Counselor 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 2019-06-21
1497319693 Clear Choice Vision Care, LLC Optometrist 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 2019-04-24
1790257558 Diana M Nicolas Dietitian, Registered 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 2018-12-18
1689168403 Robin N Hermes, Md, PC Anesthesiology 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 2018-06-15
1710481726 Desert Mountain Eyecare LLC Optometrist 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 2018-03-23
1659873131 Amanda Lacasse Registered Nurse 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 2018-03-01
1518485655 Danielle Liegh Wyne Counselor 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 2017-09-08
1265957237 Myrrhine Faller Speech-Language Pathologist 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 2017-08-10
Find all providers in zip 87110

Taxonomy Information

Taxonomy Code 207VG0400X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952967952 Caridad Merkel Obstetrics & Gynecology 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 2019-05-15
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
1134224959 Amy Garcia Obstetrics & Gynecology 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 2006-09-14
1841235587 Frances Mclemore Fisk Obstetrics & Gynecology 4161 Montgomery Blvd Ne, Albuquerque, NM 87109-6742 2006-06-17
1801865878 Shamarie Sais Obstetrics & Gynecology 3602 Campus Blvd Ne, Albuquerque, NM 87106-1314 2006-03-14
1891794038 Steven Anthony Komadina Obstetrics & Gynecology 4801 Mcmahon Blvd Nw, #101, Albuquerque, NM 87114-5090 2005-07-19
1407853872 Susan Brandt Graham Obstetrics & Gynecology 4705 Montgomery Blvd Ne, Ste 102, Albuquerque, NM 87109-1246 2005-06-30
1982148375 Shamarie Sais, Md, PC Obstetrics & Gynecology 3602 Campus Blvd Ne, Albuquerque, NM 87106-1314 2016-12-05
1427357920 Bosque Womens Care PC Obstetrics & Gynecology 5150 San Francisco Rd Ne, Albuquerque, NM 87109-4640 2011-03-23
Find all providers in ALBUQUERQUE

Competitor

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City ALBUQUERQUE
Zip Code 87110

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Dataset Information

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.

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