TAMALA JEAN EBERLY BOS (NPI# 1265491815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265491815 |
| Entity Type | Individual |
| Full Name | TAMALA JEAN EBERLY BOS |
| Credential | MD |
| Practice Address |
2400 Tucker Ne Albuquerque NM 87131-9334 |
| Mailing Address |
933 Bradbury Dr Se Albuquerque NM 87106-4374 |
| Practice Telephone | 5052722223 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2019-06-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD2017-0557 | NM | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
MD2017-0557 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
2400 TUCKER NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87131-9334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255320198 | Jan Fawcett | Psychiatry & Neurology | 2400 Tucker Ne, Msc09 5030, Albuquerque, NM 87131-0001 | 2005-10-13 |
| 1376962241 | Francheska Sevyllyn Gurule | Family Medicine | 2400 Tucker Ne, Albuquerque, NM 87131-5781 | 2014-04-08 |
| 1730516055 | Cristina Beato | Family Medicine | 2400 Tucker Ne, Albuquerque, NM 87131-0001 | 2013-10-01 |
| 1346508975 | James Eugene Cheek | Preventive Medicine | 2400 Tucker Ne, Albuquerque, NM 87131-0001 | 2012-05-02 |
| 1235405986 | Kira Anne Paisley | Family Medicine | 2400 Tucker Ne, Msc09 5040, Albuquerque, NM 87131-0001 | 2012-03-27 |
| 1598031395 | Sara Thorp | Family Medicine | 2400 Tucker Ne, Family Medicine Center, Albuquerque, NM 87131-0001 | 2012-03-26 |
| 1598058752 | Maggie Klappauf | Physician Assistant | 2400 Tucker Ne, Albuquerque, NM 87131-0001 | 2011-05-20 |
| 1962723205 | Mary Beth Sutter | Family Medicine | 2400 Tucker Ne, Albuquerque, NM 87131-0001 | 2010-06-22 |
| 1174848808 | David G Stromberg | Family Medicine | 2400 Tucker Ne, Albuquerque, NM 87131-0001 | 2010-04-06 |
| 1790922128 | David G. Pitonzo | Physician Assistant | 2400 Tucker Ne, Msc 09 5040, Albuquerque, NM 87131-0001 | 2009-01-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780204404 | Samantha Cody Russell | Student in an Organized Health Care Education/Training Program | Unm Health Sciences Center Msc09-5030, Albuquerque, NM 87131 | 2020-04-22 |
| 1366061590 | Maria Paula Ramirez-cruz | Student in an Organized Health Care Education/Training Program | Unm School of Medicine Department of Obgyn, Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-08 |
| 1457989527 | Kate Kollars | Student in an Organized Health Care Education/Training Program | Msc 095040, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-01 |
| 1063046316 | Stephanie Annel Zarrasola | Student in an Organized Health Care Education/Training Program | Msc 09 5020, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-02-25 |
| 1346703675 | Apoorva Cheeti | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Msc10-5550, Albuquerque, NM 87131 | 2019-04-12 |
| 1194287649 | Jennifer Nicole Crawford | Psychologist | Msc09 5030 1 Unm, Albuquerque, NM 87131 | 2019-04-03 |
| 1437610672 | Julia Howard | Student in an Organized Health Care Education/Training Program | Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
| 1730640954 | Derek Scott Young Jr. | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine Msc 10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
| 1255891347 | Logan Van Essen | Student in an Organized Health Care Education/Training Program | Department of Internal Medicine Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-23 |
| 1932664976 | Akbar Oaris | Student in an Organized Health Care Education/Training Program | University of New Mexico - Department of Internal Medic, 1 University of New Mexico (msc 10-5550), Albuquerque, NM 87131 | 2019-02-04 |
| Find all providers in zip 87131 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318747 | B2 Healthcare Group LLC | Psychiatry & Neurology | 8206 Louisiana Blvd Ne Ste A, Albuquerque, NM 87113-1738 | 2020-05-27 |
| 1649663535 | Gabriela Sanchez | Psychiatry & Neurology | Presbyterian Kaseman Hospital, 8300 Constitution Avenue Ne, Albuquerque, NM 87110 | 2015-03-17 |
| 1033401831 | Gabriel Carlos-william Monthan | Psychiatry & Neurology | 241 Laguayra Dr Ne, Albuquerque, NM 87108-1723 | 2011-05-11 |
| 1851582886 | Michael Herman Anikeev | Psychiatry & Neurology | 3901 Indian School Rd Ne Apt D102, Albuquerque, NM 87110-3852 | 2007-08-06 |
| 1669529210 | Susan Danto | Psychiatry & Neurology | 7801 Academy Ne, Bldg. 1, Suite 202, Albuquerque, NM 87109 | 2007-01-05 |
| 1033271390 | Rosemary Hunter | Psychiatry & Neurology | 5310 Sequoia Rd Nw, Albuquerque, NM 87120-1249 | 2006-12-14 |
| 1013005925 | George Edwin Davis | Psychiatry & Neurology | 1002 Idlewilde Ln Se, Albuquerque, NM 87108-3446 | 2006-10-10 |
| 1740381268 | Daniel Kerlinsky | Psychiatry & Neurology | 7007 Wyoming Ne Suite E-3, Albuquerque, NM 87109 | 2006-09-26 |
| 1568442135 | Jeffrey Raymond Mitchell | Psychiatry & Neurology | 8312 Kaseman Ct Ne, Presbyterian, Outpatient Child Bh Clinic, Albuquerque, NM 87110-7639 | 2006-01-19 |
| 1902287428 | Karla Miranda | Psychiatry & Neurology | Msc, 1 University of New Mexico, Albuquerque, NM 87131 | 2015-06-10 |
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| City | ALBUQUERQUE |
| Zip Code | 87131 |
Please comment or provide details below to improve the information on TAMALA JEAN EBERLY BOS.
| 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.