LESLIE P KURTZ (NPI# 1700823572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700823572 |
| Entity Type | Individual |
| Full Name | LESLIE P KURTZ |
| Credential | MD |
| Practice Address |
1325 Wyoming Blvd Ne Pmg Kaseman Behavioral Medicine Albuquerque NM 87112-5046 |
| Mailing Address |
Po Box 26666 Phs Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5052912536 |
| Practice Fax Number | 5052915301 |
| Mailing Telephone | 5059235356 |
| Mailing Fax Number | 5059235354 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2008-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 94293 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 28425 | 05 |
| Street Address |
1325 WYOMING BLVD NE PMG KASEMAN BEHAVIORAL MEDICINE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112-5046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023484755 | Marissa Lynne Borrello | Psychologist | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 | 2015-08-17 |
| 1205219623 | Jennifer Fawn Bernard | Psychologist | 1325 Wyoming Blvd Ne, Pmg Kaseman Behavioral Medicine, Albuquerque, NM 87112-5046 | 2015-07-02 |
| 1821424227 | Marsha Delaine Sapp | Nurse Practitioner | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 | 2013-09-18 |
| 1063796605 | Cheri Marie Cerghizan | Nurse Practitioner | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 | 2011-09-30 |
| 1073758850 | Monica Zmuda | Counselor | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 | 2008-12-09 |
| 1003084195 | Christopher Manetta | Psychiatry & Neurology | 1325 Wyoming Blvd Ne, Pmg Kaseman Behavioral Medicine, Albuquerque, NM 87112-5046 | 2008-02-12 |
| 1417137977 | Stephanie Tucker | Psychiatry & Neurology | 1325 Wyoming Blvd Ne, Pmg Kaseman Behavioral Medicine, Albuquerque, NM 87112-5046 | 2007-11-13 |
| 1760671978 | Judith Wherritt Brooks | Counselor | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 | 2007-10-24 |
| 1174726582 | Patricia A Pade | Internal Medicine | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 | 2007-06-06 |
| 1689883456 | Daniel Duhigg | Psychiatry & Neurology | 1325 Wyoming Blvd Ne, Albuquerque, NM 87112-5046 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1528417953 | Sofia Michelle Markee | Pediatrics | 1 University of New Mexico Pediatric Department, Albuquerque, NM 87131-0001 | 2016-06-07 |
| 1619363751 | Lauren N Gabreski | Pediatrics | Us Air Force, 377 Mdg/sghc, 2050a Second Street Se, Albuquerque, NM 87117-5522 | 2015-04-15 |
| 1174918197 | Ross Newman | Pediatrics | 2211 Lomas Blvd Ne # 3acc, Albuquerque, NM 87106-2719 | 2015-04-06 |
| 1942612650 | Amy M Rouse | Pediatrics | 933 Bradbury Dr Se Ste 222, Albuquerque, NM 87106 | 2014-05-29 |
| 1215362017 | Deborah Mcgrew Md LLC | Pediatrics | 1615 University Blvd Ne, Albuquerque, NM 87102-1717 | 2013-09-11 |
| 1477986065 | Gypsum Medical Associates of New Mexico, PC | Pediatrics | Building 9200, Area Y, Kirtland Air Force Base-east, Albuquerque, NM 87115 | 2013-08-19 |
| 1750653069 | Molina Healthcare of New Mexico | Pediatrics | 7317 Central Ne, Albuquerque, NM 87108-2015 | 2012-02-01 |
| 1720370612 | Alfonso Belmonte | Pediatrics | Unm Department of Pediatrics Msc10 5590, Albuquerque, NM 87131-0001 | 2011-05-10 |
| 1326288010 | Minh N. Ho | Pediatrics | 4701 Montgomery Boulevard Ne, Albuquerque, NM 87109 | 2009-02-20 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87112 |
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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.