DR. GENA COLLEEN DUNIVAN (NPI# 1417007808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417007808 |
| Entity Type | Individual |
| Full Name | DR. GENA COLLEEN DUNIVAN |
| Other Name | DR. GENA COLLEEN MCILWAIN-DUNIVAN |
| Credential | M.D. |
| Practice Address |
2211 Lomas Blvd. Ne 4th Floor Ambulatory Care Ctr Albuquerque NM 87106 |
| Mailing Address |
933 Bradbury Se Suite 2222 Albuquerque NM 87106-4375 |
| Practice Telephone | 5052729474 |
| Practice Fax Number | 5052721336 |
| Mailing Telephone | 5052723120 |
| Mailing Fax Number | 5052728060 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2014-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MD2010-0175 | NM | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
2007-00553 | NC | Allopathic & Osteopathic Physicians |
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
MD2010-0175 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
2211 LOMAS BLVD. NE 4TH FLOOR AMBULATORY CARE CTR |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679588131 | Gary Ken Iwamoto | Internal Medicine | 2211 Lomas Blvd. Ne, Unm Internal Medicine Clinic B, Albuquerque, NM 87106 | 2006-07-30 |
| 1205313673 | Erica Pasqualita Abeita Chavez | Nurse Practitioner | 2211 Lomas Blvd. Ne, Albuquerque, NM 87106 | 2018-07-27 |
| 1083091078 | Alyssa Lord | Speech-Language Pathologist | 2211 Lomas Blvd. Ne, Sls Center - 3rd Floor, Albuquerque, NM 87102 | 2015-04-29 |
| 1568710341 | Kelly Caitlin Rowe Neff | Speech-Language Pathologist | 2211 Lomas Blvd. Ne, Albuquerque, NM 87106 | 2012-08-27 |
| 1316254162 | Thanh-tam Ho | Advanced Practice Midwife | 2211 Lomas Blvd. Ne, 4th Floor Ambulatory Care Ctr, Albuquerque, NM 87106 | 2010-08-31 |
| 1083875967 | Aisha Nicole Jones | Nurse Practitioner | 2211 Lomas Blvd. Ne, Urgent Care, Albuquerque, NM 87106 | 2008-06-23 |
| 1548420383 | Cara Suzanne Ninivaggio | Obstetrics & Gynecology | 2211 Lomas Blvd. Ne, Dept. of Ob/gyn, 4 Acc, Albuquerque, NM 87106 | 2008-06-16 |
| 1790824720 | Joanna Fair | Nuclear Medicine | 2211 Lomas Blvd. Ne, Unm Hospital, Albuquerque, NM 87106 | 2007-02-06 |
| 1316037310 | Luis B. Curet | Obstetrics & Gynecology | 2211 Lomas Blvd. Ne, 4th Floor Ambulatory Care Ctr, Albuquerque, NM 87106 | 2006-10-13 |
| 1477560431 | Jennifer Pohl | Radiology | 2211 Lomas Blvd. Ne, Unmh, Albuquerque, NM 87131-0001 | 2006-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629471032 | Women's Pelvic Specialty Care of New Mexico, LLC | Obstetrics & Gynecology | 4705 Montgomery Blvd Ne, Suite 201, Albuquerque, NM 87109-1226 | 2014-09-29 |
| 1487879987 | Peter C. Jeppson | Obstetrics & Gynecology | 933 Bradbury Dr Se, Suiet 2222, Albuquerque, NM 87106-4374 | 2007-04-17 |
| City | ALBUQUERQUE |
| Zip Code | 87106 |
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| 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.