MAHMOOD REZA VAEZZADEH (NPI# 1710134341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710134341 |
| Entity Type | Individual |
| Full Name | MAHMOOD REZA VAEZZADEH |
| Credential | M.D. |
| Practice Address |
4705 Montgomery Blvd Ne Suite 301 Albuquerque NM 87109-1226 |
| Practice Telephone | 5057274500 |
| Practice Fax Number | 5057274505 |
| Mailing Telephone | 5057274500 |
| Mailing Fax Number | 5057274505 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2015-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD2008-0583 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 95735526 | 05 |
| Street Address |
4705 MONTGOMERY BLVD NE SUITE 301 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-1226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853872 | Susan Brandt Graham | Obstetrics & Gynecology | 4705 Montgomery Blvd Ne, Ste 102, Albuquerque, NM 87109-1246 | 2005-06-30 |
| 1578042958 | Rebecca Ann Archuleta | Midwife | 4705 Montgomery Blvd Ne, Albuquerque, NM 87109-1226 | 2018-08-07 |
| 1487166641 | Deanna Sue Marquardt Romine | Registered Nurse | 4705 Montgomery Blvd Ne, Albuquerque, NM 87109-1226 | 2017-10-27 |
| 1194278143 | Southwest Medical Associates, Inc. | Advanced Practice Midwife | 4705 Montgomery Blvd Ne, Suite 301, Albuquerque, NM 87109-1226 | 2016-07-26 |
| 1902296106 | Melynda Lopez | Advanced Practice Midwife | 4705 Montgomery Blvd Ne, Ste 301, Albuquerque, NM 87109-1226 | 2015-01-27 |
| 1629471032 | Women's Pelvic Specialty Care of New Mexico, LLC | Obstetrics & Gynecology | 4705 Montgomery Blvd Ne, Suite 201, Albuquerque, NM 87109-1226 | 2014-09-29 |
| 1619392172 | Melissa Moore | Registered Nurse | 4705 Montgomery Blvd Ne, Ste 301, Albuquerque, NM 87109-1226 | 2014-02-20 |
| 1205272481 | Nicole M Dishong | Registered Nurse | 4705 Montgomery Blvd Ne, Suite 301, Albuquerque, NM 87109-1226 | 2013-05-15 |
| 1376884759 | Katheryne Anne Barron | Nurse Practitioner | 4705 Montgomery Blvd Ne, Lmg Gastroenterology Clinic 102, Albuquerque, NM 87109 | 2013-03-08 |
| 1487998639 | Christina C Chaney | Advanced Practice Midwife | 4705 Montgomery Blvd Ne, Suite 301, Albuquerque, NM 87109-1226 | 2012-11-11 |
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| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588200836 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 9809 Candelaria Rd Ne Bldg 2, Albuquerque, NM 87112-1458 | 2019-11-21 |
| 1417319815 | Stephanie Rieder | Obstetrics & Gynecology | Msc 10 5580 Department of Obstetrics and Gynecology, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-03-24 |
| 1629443049 | The Fertility Center of New Mexico LLC | Obstetrics & Gynecology | 201 Cedar St Se Ste S120, Albuquerque, NM 87106-4900 | 2015-12-10 |
| 1689051666 | Anwar Davis Jackson | Obstetrics & Gynecology | 2211 Lomas Blvd Ne Ste 4acc, Albuquerque, NM 87106-2719 | 2015-04-29 |
| 1609288562 | Trevor Quiner | Obstetrics & Gynecology | Msc Obgyn 1 University of New Mexico, Albuquerque, NM 87131 | 2014-05-27 |
| 1932527579 | Elizabeth Anne Clark | Obstetrics & Gynecology | Dept of Ob Gyn Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2014-04-01 |
| 1154764504 | Katherine Lyons | Obstetrics & Gynecology | 2211 Lomas Blvd Ne Dept of Ob/gyn, Albuquerque, NM 87106 | 2013-04-15 |
| 1528334596 | Marina Delazari Miller | Obstetrics & Gynecology | Msc Obstetrics & Gynecolog 1 University of New Mexico, Albuquerque, NM 87131-1009 | 2012-03-23 |
| 1366732372 | Mary Temple Gallegos | Obstetrics & Gynecology | 201 Cedar Se Ste 507, Pmg Ob Hospitalist, Albuquerque, NM 87106-4925 | 2011-04-11 |
| 1386952117 | Misa Perron-burdick | Obstetrics & Gynecology | 1001 Potrero Ave Ward 6d, San Francisco General Hospital, Albuquerque, NM 87131-0001 | 2010-09-14 |
| 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.