NEW MEXICO PLASTIC SURGEONS, PC (NPI# 1629214838) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629214838 |
| Entity Type | Organization |
| Organization Name | NEW MEXICO PLASTIC SURGEONS, PC |
| Practice Address |
1020 Tijeras Ave Ne Ste. 16 Albuquerque NM 87106-4749 |
| Practice Telephone | 5058426868 |
| Practice Fax Number | 5058429325 |
| Mailing Telephone | 5058426868 |
| Mailing Fax Number | 5058429325 |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2010-11-29 |
| Authorized Official Name | DR. GLADYS S TSAO-WU (PARTNER) |
| Authorized Official Telephone | 5058426868 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
PT0098434 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 58905863 | 05 |
| Street Address |
1020 TIJERAS AVE NE STE. 16 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-4749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144218892 | Roland Zsolt Gerencer | Otolaryngology | 1020 Tijeras Ave Ne, Ste 22, Albuquerque, NM 87106-4749 | 2005-10-06 |
| 1982181087 | Ear and Hearing Specialist of New Mexico LLC | Audiologist-Hearing Aid Fitter | 1020 Tijeras Ave Ne, Albuquerque, NM 87106-4749 | 2018-07-23 |
| 1598933145 | Head and Neck Surgeons of New Mexico, LLC | Specialist | 1020 Tijeras Ave Ne, Ste 22, Albuquerque, NM 87106-4749 | 2008-02-18 |
| 1154519726 | Therese M Sankovitz | Audiologist | 1020 Tijeras Ave Ne, Suite 16, Albuquerque, NM 87106-4749 | 2007-10-09 |
| 1235335894 | Barry D. Nagel, Md, PC | Otolaryngology | 1020 Tijeras Ave Ne, Suite 22, Albuquerque, NM 87106-4749 | 2007-06-21 |
| 1326180837 | Roger Walter Larose | Audiologist | 1020 Tijeras Ave Ne, Albuquerque, NM 87106 | 2007-02-12 |
| 1043309107 | Pamela J Daffern | Allergy & Immunology | 1020 Tijeras Ave Ne, Suite 22, Albuquerque, NM 87106-4749 | 2006-10-12 |
| 1922017730 | Barry D Nagel | Otolaryngology | 1020 Tijeras Ave Ne, Suite 22, Albuquerque, NM 87106-4749 | 2006-08-08 |
| 1104801182 | Steve K Lauer | Nurse Practitioner | 1020 Tijeras Ave Ne, Albuquerque, NM 87106 | 2005-12-13 |
| 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 | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649289158 | Chester Y Sakura Jr. | Surgery | 1020 Tijeras Ne, Ste 235, Albuquerque, NM 87106 | 2006-08-05 |
| 1275859670 | Lorant Divald | Surgery | 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2010-04-12 |
| 1467668723 | The Plastic Surgery Center, P.C. | Surgery | 2207 San Pedro Dr Ne, Albuquerque, NM 87110-4175 | 2007-05-15 |
| 1457445827 | John M Finley | Surgery | 8300 Constitution Pl Ne, Pmg Kaseman Dermatology/plastic Surgery, Albuquerque, NM 87110-7637 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417209792 | Adams Plastic Surgery, PC | Surgery | 2300 E 30th St Ste 103, Farmington, NM 87401-8990 | 2012-10-10 |
| 1669686903 | Steven Mark Garren | Surgery | 105 Avenida Frijoles, Santa Fe, NM 87507-3539 | 2007-05-09 |
| 1124110283 | Todd E Williams | Surgery | 2300 E 30th St Bldg B, Ste 103, Farmington, NM 87401-8991 | 2006-09-28 |
| 1609218452 | St. Vincent Hospital | Surgery | 465 Saint Michaels Dr, Suite 204, Santa Fe, NM 87505 | 2013-07-22 |
| 1669595559 | Roger Miller | Surgery | 465 Saint Michaels Dr, Santa Fe, NM 87505-7670 | 2007-04-08 |
| 1619060274 | Todd Williams, Md PC | Surgery | 2300 E 30th St Bldg B, Ste 103, Farmington, NM 87401-8991 | 2006-10-02 |
| 1891734547 | Jean Shimanek | Surgery | 101 Hospital Lp Ne, Ste 214, Albuq, NM 87109-2128 | 2006-06-06 |
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on NEW MEXICO PLASTIC SURGEONS, PC.
| 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.