MR. CRAIG K GILCREASE


Address: 502 Elm St Ne, Albuquerque, NM 87102-2512
Phone: 5058411000

MR. CRAIG K GILCREASE (NPI# 1265581185) 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) 1265581185
Entity Type Individual
Full Name MR. CRAIG K GILCREASE
Credential PA-C
Practice Address 502 Elm St Ne
Albuquerque
NM 87102-2512
Practice Telephone 5058411000
Practice Fax Number 5058432592
Mailing Telephone 5058411000
Mailing Fax Number 5058432956
Enumeration Date 2007-01-09
Last Update Date 2014-08-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA2003-0047 NM Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
AZ 223634 05
AZ RAILROAD MEDICARE P00428450 01

Office Location

Street Address 502 ELM ST NE
City ALBUQUERQUE
State NM
Zip Code 87102-2512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568464600 William M. Deane Thoracic Surgery (Cardiothoracic Vascular Surgery) 502 Elm St Ne, Albuquerque, NM 87102-2512 2005-06-01
1568019404 Lily A Jackman Registered Nurse 502 Elm St Ne, Albuquerque, NM 87102-2512 2019-08-26
1326539420 Sandeep Nair Internal Medicine 502 Elm St Ne, Albuquerque, NM 87102-2512 2018-05-24
1710403589 Catherine Elizabeth Mahoney Nurse Practitioner 502 Elm St Ne, Albuquerque, NM 87102-2512 2017-08-14
1336664820 Arun L Malikayil Physician Assistant 502 Elm St Ne, Albuquerque, NM 87102-2512 2017-08-07
1033642921 Crystal Lewis-hicks Nurse Practitioner 502 Elm St Ne, Albuquerque, NM 87102 2017-04-06
1275073009 Rachel Deaton Registered Nurse 502 Elm St Ne, Albuquerque, NM 87102-2512 2017-02-27
1609318500 Judith Everett Registered Nurse 502 Elm St Ne, Albuquerque, NM 87102-2512 2016-11-08
1972050383 David Wayne Young Physician Assistant 502 Elm St Ne, Albuquerque, NM 87102 2016-09-01
1134520232 Erin Miller Schultz Physician Assistant 502 Elm St Ne, Albuquerque, NM 87102-2512 2014-09-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407454937 Julie Wood Acupuncturist 1600 Luna Circle Nw, Albuquerque, NM 87102 2020-10-16
1770121410 Emily Perez Counselor 218 Broadway Ne, Albuquerque, NM 87102 2019-12-12
1417503392 Tess Holtry Behavior Technician 1424 Walter St Nw, Albuquerque, NM 87102 2019-08-15
1942867486 Christy E Cheromiah Behavioral Analyst Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 2019-05-21
1730744103 Faith Petra Maxwell Behavior Technician 900 Arno St, Albuquerque, NM 87102 2019-05-01
1568923761 Storm Swinford Behavioral Analyst Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 2019-03-29
1093276651 Tina Marie Trujillo Behavioral Analyst Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 2019-03-27
1861950370 Meghan Montoya Student in an Organized Health Care Education/Training Program 801 Camino De Salud, Albuquerque, NM 87102 2019-03-05
1174099329 Dilshani N Tyson Counselor 600 1st Street Nw Ste 200, Albuquerque, NM 87102 2018-10-15
1962987925 Tania L Goldfeder Social Worker New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 2018-09-26
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013398072 Lauren Soules Physician Assistant 3615 Highway 528 Nw, Albuquerque, NM 87114-8919 2015-06-16
1447666508 Audrey Rich Physician Assistant 201 Cedar Ave, Albuquerque, NM 87106 2014-07-09
1104178813 Adam M Newman Physician Assistant University of New Mexico Hospital Department, Msc 10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 2012-10-04
1255682944 Armstrong Medical LLC Physician Assistant 13170 Central Ave Se, Suite B 345, Albuquerque, NM 87123 2012-09-21
1982818860 Kristen Marron Bushnell Physician Assistant Pmg At 8300 Constitution - General Surgery, 8300 Constitution Ave Ne, Albuquerque, NM 87110 2007-05-09
1629092457 David A Mcculloch Physician Assistant 1501 San Pedro, Se, Va Medical Center, Albuquerque, NM 87108 2006-07-26
1861444143 Beverly Heck Bierbach Physician Assistant Vamc, Ent Surgery, 1501 San Pedro, Se, Albuquerque, NM 87108-5153 2006-05-16
1881654218 Paul Lee Armstrong Physician Assistant 13170 Central Ave Se Ste B345, Albuquerque, NM 87123 2006-03-28
1477535698 Daryl Edson Smith Physician Assistant 4504 Waynesboro Rd Nw, Albuquerque, NM 87120-3823 2005-11-15
1366431355 Michelle M Ruthmann Physician Assistant 8301 Spain Rd Ne, Albuquerque, NM 87109-3166 2005-10-21
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Competitor

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City ALBUQUERQUE
Zip Code 87102

Improve Information

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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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