GARY KEN IWAMOTO (NPI# 1679588131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679588131 |
| Entity Type | Individual |
| Full Name | GARY KEN IWAMOTO |
| Credential | MD |
| Practice Address |
2211 Lomas Blvd. Ne Unm Internal Medicine Clinic B Albuquerque NM 87106 |
| Mailing Address |
933 Bradbury Dr Se Suite 2222 Albuquerque NM 87106-4374 |
| Practice Telephone | 5052723840 |
| Practice Fax Number | 5052724367 |
| Mailing Telephone | 5052723120 |
| Mailing Fax Number | 5052728060 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2012-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
96-284 | NM | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952529208 | Gary K. Iwamoto | Chiropractor | 1448 15th St, Suite 201, Santa Monica, CA 90404-2756 | 2007-04-23 |
| Street Address |
2211 LOMAS BLVD. NE UNM INTERNAL MEDICINE CLINIC B |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1417007808 | Gena Colleen Dunivan | Obstetrics & Gynecology | 2211 Lomas Blvd. Ne, 4th Floor Ambulatory Care Ctr, Albuquerque, NM 87106 | 2007-01-10 |
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427143601 | Richard H Seligman | Internal Medicine | 8300 Constitution Ne, Pmg Kaseman Sleep Lab/pulmonary, Albuquerque, NM 87110 | 2006-10-04 |
| 1043257520 | Miguel Pellerano | Internal Medicine | Pmg At 8300 Constitution - Pulmonary/critical Care, 8300 Constitution Ave Ne, Albuquerque, NM 87110 | 2006-06-01 |
| 1952373235 | Sivakumar Nagaraju | Internal Medicine | 500 Walter St Ne Ste 501, Albuquerque, NM 87102-2521 | 2006-02-02 |
| 1083602841 | Akshay Sood | Internal Medicine | 1101 Medical Arts Ave Ne Bldg 2, Unm Sleep Disorders Center, Albuquerque, NM 87102-2723 | 2005-10-06 |
| 1396150397 | Sara Assaf | Internal Medicine | 1 University of New Mexico # 105550, Albuquerque, NM 87131-0001 | 2014-06-27 |
| 1811245970 | Viral Girishchandra Gandhi | Internal Medicine | 500 Walter St Ne Ste 501, Albuquerque, NM 87102 | 2012-08-21 |
| 1295813202 | David Phillip Green | Internal Medicine | 3121 Amherst Dr Ne, Albuquerque, NM 87107-4807 | 2006-11-01 |
| 1205921384 | W. Gerald Brown | Internal Medicine | 1101 Medical Arts Ave Ne, Pmg Southwest Pulmonary Critical Care, Albuquerque, NM 87102-2706 | 2006-10-04 |
| 1689768053 | Ronald W Bronitsky | Internal Medicine | 1101 Medical Arts Ave Ne, Pmg Southwest Pulmonary Critical Care, Albuquerque, NM 87102-2706 | 2006-10-03 |
| 1336233717 | Craig A Jensen | Internal Medicine | 1100 Central Ave Se, 4th Floor Hospitalists Office, Albuquerque, NM 87106-4930 | 2006-10-03 |
| Find all providers in ALBUQUERQUE | ||||
| 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.