SANDIA RHEUMATOLOGY LLC (NPI# 1386009314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386009314 |
| Entity Type | Organization |
| Organization Name | SANDIA RHEUMATOLOGY LLC |
| Practice Address |
3820 Masthead St Ne Albuquerque NM 87109-4582 |
| Practice Telephone | 5052051313 |
| Practice Fax Number | 5052122164 |
| Mailing Telephone | 5052051313 |
| Mailing Fax Number | 5052122164 |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2016-06-22 |
| Authorized Official Name | ANDRES PEISAJOVICH (OWNER) |
| Authorized Official Telephone | 5052051313 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MD2008-0660 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
3820 MASTHEAD ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-4582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689713679 | Andres Peisajovich | Internal Medicine | 3820 Masthead St Ne, Albuquerque, NM 87109-4582 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669668497 | Monthida Fangtham | Internal Medicine | Doim Rheumatology, 1 University of New Mexico Msc 10-5550, Albuquerque, NM 87131-0001 | 2007-09-14 |
| 1730204520 | Juliet Coquia | Internal Medicine | 8100 Constitution Pl Ne Ste 210, Pmg Kaseman Arthritis Clinic, Albuquerque, NM 87110-7625 | 2007-03-20 |
| 1760576136 | Erik E Carlson | Internal Medicine | Pmg Rheumatology, 8300 Constitution Ave Ne, Albuquerque, NM 87110 | 2006-10-03 |
| 1356435747 | Peter Rosandich | Internal Medicine | 8200 Louisiana Blvd Ne, New Mexico Rheumatology LLC, Albuquerque, NM 87113-2105 | 2006-10-03 |
| 1952339681 | Roderick Fields | Internal Medicine | 2211 Lomas, Ne, 5th Floor-5acc, Albuquerque, NM 87106-0001 | 2006-06-29 |
| 1881690071 | Albert J Rizzoli | Internal Medicine | 2501 Buena Vista Dr Se, Albuquerque, NM 87106-4261 | 2005-06-22 |
| 1245617091 | Jaren Robert Trost | Internal Medicine | 2901 Transport St Se, Albuquerque, NM 87106-4382 | 2015-04-30 |
| 1922449974 | Mirza Moazam Beg | Internal Medicine | 8300 Constitution Ave Ne, Albuquerque, NM 87110 | 2013-07-07 |
| 1730529918 | Clifford Stermer | Internal Medicine | 8300 Constitution Ave Ne, Albuquerque, NM 87110 | 2013-07-02 |
| 1801175559 | Chandrahasa Annem | Internal Medicine | 4100 High Resort Blvd Se, Albuquerque, NM 87124-5901 | 2011-08-12 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on SANDIA RHEUMATOLOGY LLC.
| 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.