JUSTIN AVERNA (NPI# 1518227131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518227131 |
| Entity Type | Individual |
| Full Name | JUSTIN AVERNA |
| Credential | DO |
| Practice Address |
8300 Constitution Ave Ne Albuquerque NM 87110-7613 |
| Mailing Address |
1720 Louisiana Blvd Ne # 401 Albuquerque NM 87110-5103 |
| Practice Telephone | 5052604369 |
| Mailing Telephone | (505) 260-4300 |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2017-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
A-2014-16 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
8300 CONSTITUTION AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-7613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641876 | Mahmood Reza Zamanian | Internal Medicine | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2005-06-30 |
| 1972123511 | Kate Marcus | Occupational Therapist | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2020-04-23 |
| 1033756887 | Grady Fowler | Physician Assistant | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2019-11-27 |
| 1306498860 | Carly Pecoriello Nowicki | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2019-07-15 |
| 1255806543 | Donna Renee Whalen | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2018-10-12 |
| 1972003119 | Whitney Wyers | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2018-02-14 |
| 1215436050 | Joanne Elaine Greer | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2018-02-07 |
| 1447759659 | Monica Nmi Martinez | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2018-02-03 |
| 1386142792 | Jenny Pilkey | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110 | 2018-01-31 |
| 1215443130 | Andrea E Owens | Nurse Practitioner | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2017-12-15 |
| Find all providers in the same location | ||||
| 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 | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053945147 | Interventional Pain Associates | Physical Medicine & Rehabilitation | 4824 Mcmahon Blvd Nw Ste 109, Albuquerque, NM 87114-5412 | 2020-02-27 |
| 1649343872 | Barrie W Ross | Physical Medicine & Rehabilitation | 7301 Jefferson Ne, Suite E, Albuquerque, NM 87109 | 2006-11-16 |
| 1770038408 | Sunita M Rajput Do, LLC | Physical Medicine & Rehabilitation | 100 Sun Ave Ne, Suite 650, Albuquerque, NM 87109-4659 | 2016-08-23 |
| 1316996283 | Sunita M Rajput | Physical Medicine & Rehabilitation | 2211 Lomas Blvd Ne, 2 Acc. Msc10 5615, Albuquerque, NM 87106-2719 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356465694 | Lynda Holliday | Physical Medicine & Rehabilitation | 542 Juniper Dr, Santa Fe, NM 87501-1692 | 2007-03-19 |
| 1962529974 | Industrial Rehabilitation Clinic, PC | Physical Medicine & Rehabilitation | 1691 Galisteo St, Suite C2, Santa Fe, NM 87505-4780 | 2007-03-23 |
| 1083783542 | Beth Palmisano | Physical Medicine & Rehabilitation | 1631 Hospital Dr, Suite 110, Santa Fe, NM 87505-4728 | 2006-11-07 |
| 1801830179 | Theresa M. Genovese-elliott | Physical Medicine & Rehabilitation | 435 St. Michael's Drive, Suite A-202, Santa Fe, NM 87505-7672 | 2006-06-16 |
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on JUSTIN AVERNA.
| 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.