DR. EUGENE FAYERBERG (NPI# 1568738912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568738912 |
| Entity Type | Individual |
| Full Name | DR. EUGENE FAYERBERG |
| Credential | MD |
| Practice Address |
1100 Central Ave Se Pmg Emergency Medicine Albuquerque NM 87106-4930 |
| Mailing Address |
Po Box 26666 Presbyterian Healthcare Services Albuquerque NM 87125 |
| Practice Telephone | 5058411125 |
| Practice Fax Number | 5058411737 |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2015-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
MD2014-0928 | NM | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1100 CENTRAL AVE SE PMG EMERGENCY MEDICINE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-4930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354243 | Robert A Biazak | Anesthesiology | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2005-05-24 |
| 1043811045 | Nathan Michael Mabon | Registered Nurse | 1100 Central Ave Se, Albuquerque, NM 87106-4934 | 2020-11-05 |
| 1588274039 | Caryn Hong Thi Nguyen | Pharmacist | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2020-08-07 |
| 1396355996 | Hope Jessica Montoya | Internal Medicine | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2020-08-07 |
| 1326658030 | Chaniece Doyle | Pharmacist | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2020-08-06 |
| 1598375495 | Daniel Sanchez | Pharmacist | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2020-08-05 |
| 1215551478 | Yousuf Shakir | Pharmacist | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2020-06-03 |
| 1861037715 | Jeffrey Lillie | Nurse Anesthetist, Certified Registered | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2019-11-14 |
| 1396387502 | Justin Schmetterer | Pharmacist | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2019-10-09 |
| 1669023602 | Jalayne Faulhaber | Nurse Practitioner | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2019-09-20 |
| 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 | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952366700 | Philip Seidenberg | Emergency Medicine | Unm Department of Emergency Medicine Msc10, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-04-17 |
| 1669433017 | William M Roethel | Emergency Medicine | 601 Martin Luther King Ave Ne, Albuquerque, NM 87102-3619 | 2006-03-28 |
| 1245891647 | Abq Ip LLC | Emergency Medicine | 9310 Coors Blvd Nw, Albuquerque, NM 87114-4006 | 2019-06-26 |
| 1376007765 | Abq Ep, LLC | Emergency Medicine | 9310 Coors Blvd Nw, Albuquerque, NM 87114-4006 | 2019-01-30 |
| 1174016455 | Claire Marie Pultz | Emergency Medicine | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2018-06-11 |
| 1710247382 | Jonathan Drew | Emergency Medicine | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2012-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215230644 | Barbara Lynn Schmeits Hapke | Emergency Medicine | Country Road A-78, Private Road 2001 #18, Raton, NM 87740-0446 | 2010-12-07 |
| 1699807248 | Alfred William Neely | Emergency Medicine | 22 Meadow Hawk Ln, Silver City, NM 88022-9727 | 2007-03-09 |
| 1972682078 | Elin Mckinnon Ritchie | Emergency Medicine | Hc 74 Box 21913, El Prado, NM 87529 | 2006-11-02 |
| 1427039759 | Warner J Anderson | Emergency Medicine | 218 Cousins Road, Vanderwagen, NM 87326 | 2005-11-14 |
| 1003800822 | James D Schmitz | Emergency Medicine | 42 S Florida Ave, Alamogordo, NM 88310-9533 | 2005-09-08 |
| 1417319427 | Michael Francis Spigner | Emergency Medicine | 3001 Broadmoor Blvd Ne, Rio Rancho, NM 87144-2100 | 2016-03-28 |
| 1720291529 | Affilion LLC | Emergency Medicine | 4311 E Lohman Ave, Las Cruces, NM 88011 | 2007-05-08 |
| 1417003377 | Douglas Arlyn Kinkel | Emergency Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2007-01-25 |
| 1669541785 | Janet I Mcmahon | Emergency Medicine | 80 B Veterans Blvd, Acoma, NM 87034 | 2006-11-06 |
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on DR. EUGENE FAYERBERG.
| 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.