MAXX GALLEGOS (NPI# 1689966145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689966145 |
Entity Type | Individual |
Full Name | MAXX GALLEGOS |
Other Name | MAX GALLEGOS |
Credential | M.D. |
Practice Address |
2211 Lomas Blvd Ne Albuquerque NM 87131-2020 |
Mailing Address |
4160 John R St Suite 1021 Detroit MI 48201-2020 |
Practice Telephone | 5052725505 |
Mailing Telephone | (313) 966-9852 |
Enumeration Date | 2011-05-03 |
Last Update Date | 2017-09-22 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208800000X | Urology | NMMD2017-0027 | NM | Allopathic & Osteopathic Physicians |
N | 208800000X | Urology | 4301109812 | MI | Allopathic & Osteopathic Physicians |
Street Address |
2211 LOMAS BLVD NE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87131-2020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912902016 | Gloria Doherty | Nurse Practitioner | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2005-06-15 |
1427659127 | Letitia Tomaszewski | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-08 |
1467053116 | Luis Aaron Trillo | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-07 |
1215538095 | Rafael Alejandro Fernandez-mancha | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-06 |
1144821950 | Jaylee Caruso | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-06 |
1508467648 | Christine Hsu Teng | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-05 |
1649871641 | Martin Jurado | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-05 |
1912508284 | Joshua Marquez | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-04 |
1609477850 | Jessica Elena Larsen | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-04 |
1619578879 | Kevin A Martinez | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780204404 | Samantha Cody Russell | Student in an Organized Health Care Education/Training Program | Unm Health Sciences Center Msc09-5030, Albuquerque, NM 87131 | 2020-04-22 |
1366061590 | Maria Paula Ramirez-cruz | Student in an Organized Health Care Education/Training Program | Unm School of Medicine Department of Obgyn, Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-08 |
1457989527 | Kate Kollars | Student in an Organized Health Care Education/Training Program | Msc 095040, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-01 |
1063046316 | Stephanie Annel Zarrasola | Student in an Organized Health Care Education/Training Program | Msc 09 5020, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-02-25 |
1346703675 | Apoorva Cheeti | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Msc10-5550, Albuquerque, NM 87131 | 2019-04-12 |
1194287649 | Jennifer Nicole Crawford | Psychologist | Msc09 5030 1 Unm, Albuquerque, NM 87131 | 2019-04-03 |
1437610672 | Julia Howard | Student in an Organized Health Care Education/Training Program | Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
1730640954 | Derek Scott Young Jr. | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine Msc 10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
1255891347 | Logan Van Essen | Student in an Organized Health Care Education/Training Program | Department of Internal Medicine Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-23 |
1932664976 | Akbar Oaris | Student in an Organized Health Care Education/Training Program | University of New Mexico - Department of Internal Medic, 1 University of New Mexico (msc 10-5550), Albuquerque, NM 87131 | 2019-02-04 |
Find all providers in zip 87131 |
Taxonomy Code | 208800000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174849210 | Jessica Megan Chen Ming | Urology | 1004 Columbia Dr Ne, Albuquerque, NM 87106-2627 | 2010-04-14 |
1174525257 | Damara Lee Kaplan | Urology | 610 Broadway Blvd Ne, Albuquerque, NM 87102-2372 | 2005-06-02 |
1023405834 | Laura Anne Mihalko | Urology | Msc 10 5610, University of New Mexico, Albuquerque, NM 87131-0001 | 2015-04-20 |
1639598972 | Tomy Yojan Perez | Urology | 6701 Jefferson St Ne, Albuquerque, NM 87109-4318 | 2014-04-15 |
1750704102 | Md for Men, LLC | Urology | 8300 Carmel Ave Ne, Suite 303, Albuquerque, NM 87122-3147 | 2014-01-21 |
1649607128 | Aaron J Geswaldo Do PC | Urology | 8100 Wyoming Blvd Ne, Suite M4 #357, Albuquerque, NM 87113-1946 | 2013-09-30 |
1285991851 | Jonathan Scott Nelson | Urology | Msc 10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-04-19 |
1265798771 | Christopher Paul Slayden | Urology | 1 University of New Mexico, Msc 10-5610, Albuquerque, NM 87131-0001 | 2012-04-09 |
1043584097 | Frances Maria Alba | Urology | 1 University of New Mexico, Dept. of Surgery. Msc10-5610, Albuquerque, NM 87131-0001 | 2012-03-07 |
1265675730 | Maire Ann Brennan | Urology | 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2009-04-14 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87131 |
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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.