MARIO LEYBA (NPI# 1689876013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689876013 |
| Entity Type | Individual |
| Full Name | MARIO LEYBA |
| Credential | M.D. |
| Practice Address |
6701 Jefferson St Ne Albuquerque NM 87109-4318 |
| Practice Telephone | 5057276200 |
| Practice Fax Number | 5057279590 |
| Mailing Telephone | 5057276200 |
| Mailing Fax Number | 5057279590 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2018-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD2009-0523 | NM | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 76329 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 68401051 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Hospital Loop Ne, Suite 111, Albuquerque, NM 871092129 | 5057277050 | 5057277055 |
| Street Address |
6701 JEFFERSON ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-4318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780676262 | Karla Kay Giese | Internal Medicine | 6701 Jefferson St Ne, Albuquerque, NM 87109-4318 | 2005-08-19 |
| 1528559796 | Nicole Knowlton Nunez | Nurse Practitioner | 6701 Jefferson St Ne, Albuquerque, NM 87109-4318 | 2018-05-23 |
| 1922506294 | Mohammad S Islam | Physician Assistant | 6701 Jefferson St Ne, Albuquerque, NM 87109 | 2018-01-31 |
| 1215461009 | Kelsea Buettner | Nurse Practitioner | 6701 Jefferson St Ne, Albuquerque, NM 87109 | 2017-04-18 |
| 1639598972 | Tomy Yojan Perez | Urology | 6701 Jefferson St Ne, Albuquerque, NM 87109-4318 | 2014-04-15 |
| 1669819322 | Andrew W Clarkinson | Family Medicine | 6701 Jefferson St Ne, Albuquerque, NM 87109 | 2013-06-03 |
| 1417295916 | Teresa J Anderson | Dietitian, Registered | 6701 Jefferson St Ne, Albuquerque, NM 87109-4318 | 2013-01-18 |
| 1689924698 | Leslie Nicole Heggen | Physician Assistant | 6701 Jefferson St Ne, Albuquerque, NM 87109-4318 | 2012-09-17 |
| 1811243462 | Jerome Wayne Baca | Physician Assistant | 6701 Jefferson St Ne, Albuquerque, NM 87109 | 2012-08-01 |
| 1508142050 | Lisa Khalil Ereifej | Internal Medicine | 6701 Jefferson St Ne, Albuquerque, NM 87109 | 2011-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871989228 | Jaideep Dasgupta | Surgery | Unm School of Medicine Msc 10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2015-04-13 |
| 1134476120 | John Garrett Cope | Surgery | 5304 Cortaderia Pl Ne, Albuquerque, NM 87111-8058 | 2012-08-08 |
| 1639469174 | David Hoang | Surgery | 715 Dr Martin Luther King Jr Ave Ne Ste 301, Albuquerque, NM 87102-3668 | 2011-04-18 |
| 1063701951 | Nathan Ray Blecker | Surgery | Msc11 6093, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2011-03-31 |
| 1750687786 | Mohammad Mussadiq Khan | Surgery | 4245 Altura Mesa Ln Ne, Albuquerque, NM 87110-5058 | 2011-02-09 |
| 1710202619 | Sarah Ann Moore | Surgery | Unm Hospital 2011 Lomas Blvd Ne, Albuquerque, NM 87131 | 2010-04-02 |
| 1548491079 | Livingston Parsons, Jr. Jr. | Surgery | 4208 Aspen, N.e., Albuquerque, NM 87110 | 2009-07-31 |
| 1508096413 | Michelino Scarlata | Surgery | 10511 Golf Course Rd Nw Ste 103, Albuquerque, NM 87114 | 2009-07-27 |
| 1629210869 | Edward D Auyang | Surgery | Unm Surgical Specialties Clinic 2211 Lomas Blvd Ne, 2nd Floor, Albuquerque, NM 87131-0001 | 2009-04-02 |
| 1669632683 | Hussein A Kassam | Surgery | Unm Dept of Internal Medicine, Msc10 5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2008-06-12 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
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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.