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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
86-107 | NM | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 37325 | 05 |
Street Address |
8120 CONSTITUTION PL NE SUITE 220 |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87110-7654 |
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 |
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 Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
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 |
City | ALBUQUERQUE |
Zip Code | 87110 |
Please comment or provide details below to improve the information on BEVERLY A. PUCKA, MD P.C..
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.