SAMIR K KASSICIEH, DO, PC (NPI# 1649430802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649430802 |
| Entity Type | Organization |
| Organization Name | SAMIR K KASSICIEH, DO, PC |
| Practice Address |
1010 Bridge Blvd Sw Suite A Albuquerque NM 87105-3765 |
| Mailing Address |
Po Box 12435 Albuquerque NM 87195-0435 |
| Practice Telephone | 5058770212 |
| Practice Fax Number | 5058770139 |
| Mailing Telephone | 5058770212 |
| Mailing Fax Number | 5058770139 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-11-19 |
| Authorized Official Name | SAMIR K KASSICIEH (OWNER) |
| Authorized Official Telephone | 5058770212 |
| Authorized Official Credential | D. O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 40279 | 05 |
| Street Address |
1010 BRIDGE BLVD SW SUITE A |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87105-3765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194715011 | Rafat M Mansour | Dentist | 1010 Bridge Blvd Sw, Suite E, Albuquerque, NM 87105-3765 | 2005-10-21 |
| 1851603203 | Doctor On Call 4, LLC | Family Medicine | 1010 Bridge Blvd Sw, Suite B, Albuquerque, NM 87105-3765 | 2010-07-13 |
| 1437333424 | Valley Health Care Inc. | Clinic/Center | 1010 Bridge Blvd Sw, Albuquerque, NM 87105-3765 | 2007-12-26 |
| 1336322312 | Martha A Moreno- Campos | Family Medicine | 1010 Bridge Blvd Sw, Suite B, Albuquerque, NM 87105-3765 | 2007-12-12 |
| 1366561060 | Emerson Vicuna | Dentist | 1010 Bridge Blvd Sw, Ste F, Albuquerque, NM 87105-3765 | 2007-03-27 |
| 1770636425 | Paul F Sachs | Dentist | 1010 Bridge Blvd Sw, Suite C, Albuquerque, NM 87105 | 2007-01-18 |
| 1336296805 | May Pharmacy Isleta | Pharmacy | 1010 Bridge Blvd Sw, Albuquerque, NM 87105-3765 | 2007-01-05 |
| 1447231261 | Ian-michael Anthony Lente | Physician Assistant | 1010 Bridge Blvd Sw, Suite B, Albuquerque, NM 87105-3765 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278063 | Jacob Hill | Rehabilitation Practitioner | 2001-b El Centro Familiar Blvd Se, Albuqerque, NM 87105 | 2020-09-02 |
| 1083264824 | Kacie Rhodes | Technician | 515 Isleta Blvd Sw, Albuquerque, NM 87105 | 2019-09-13 |
| 1043870454 | Equal LLC | Assisted Living Facility | 207 Lagunitas Lane, Albuquerque, NM 87105 | 2019-06-18 |
| 1043792997 | Elizabeth Bennett | Counselor | 309 59th St Nw, Albuquerque, NM 87105 | 2018-09-06 |
| 1316439920 | Deann Nieto | Rehabilitation Practitioner | 2001b El Centro Familiar Blvd Sw, Albuquerque, NM 87105 | 2018-05-31 |
| 1487163457 | Karen Bejarano | Behavior Technician | 1847 Val Verde Rd Sw, Albuquerque, NM 87105 | 2017-09-21 |
| 1306360391 | Bendiciones Home Health Care | Home Health | 5500 Cleo Rd. Sw, Albuquerque, NM 87105 | 2017-08-01 |
| 1578927711 | Clarence Mills | Counselor | 1528 Five Points Rd Nw, Albuquerque, NM 87105 | 2016-04-13 |
| 1386024727 | Rachel Elaine Kadetz | Counselor | 1101 Lopez Rd. Sw, Albuquerque, NM 87105 | 2015-06-01 |
| 1598160772 | Sandra Jean Taylor | Lactation Consultant, Non-RN | 1305 Blake Rd Sw, Albuquerque, NM 87105 | 2014-10-30 |
| Find all providers in zip 87105 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027696 | Comprehensive Gastrostomy Tube Cares, LLC | Family Medicine | 8100 Wyoming Blvd Ne Ste M4-701, Albuquerque, NM 87113-1946 | 2020-09-10 |
| 1740898428 | Dr. Maggie Wilson, PC | Family Medicine | 717 Encino Pl Ne Ste 5, Albuquerque, NM 87102-2624 | 2020-07-17 |
| 1831734813 | Leandra Lee Medina | Family Medicine | 7050 Barstow St Ne Ste B, Albuquerque, NM 87111-1056 | 2019-11-13 |
| 1093374589 | Palliative and Transitional Care of Nm LLC | Family Medicine | 805 Guadalupe Cir Nw, Albuquerque, NM 87114-1710 | 2019-06-10 |
| 1649834904 | Mederi Life LLC | Family Medicine | 4325 Carlisle Blvd Ne Ste B, Albuquerque, NM 87107-4826 | 2019-04-23 |
| 1649733619 | Susan Giron | Family Medicine | 6704 Baker Ave Ne, Albuquerque, NM 87109-2746 | 2019-04-08 |
| 1982163267 | Nm Spirit of Wellness LLC | Family Medicine | 123 Girard Blvd Se, Albuquerque, NM 87106-2227 | 2019-03-18 |
| 1891266458 | Karen Ann Longenecker | Family Medicine | 2300 Menaul Blvd Ne Fl 3, Albuquerque, NM 87107-1851 | 2018-12-07 |
| 1144797135 | Erin Aleisha Langford | Family Medicine | 4588 Paradise Blvd Nw # 100, Albuquerque, NM 87114-4105 | 2018-10-28 |
| 1740761972 | Maria Marcela Colom Bickford | Family Medicine | Msc 09-5040 I University of New Mexico, Albuquerque, NM 87131 | 2018-08-26 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87105 |
Please comment or provide details below to improve the information on SAMIR K KASSICIEH, DO, 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.