PERCY M PENTECOST (NPI# 1750377412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750377412 |
| Entity Type | Individual |
| Full Name | PERCY M PENTECOST |
| Credential | MD |
| Practice Address |
3016 Mackland Ave Ne Albuquerque NM 87106-2018 |
| Practice Telephone | 5053990890 |
| Practice Fax Number | 5054480778 |
| Mailing Telephone | 5053990890 |
| Mailing Fax Number | 5054480778 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2020-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
MD2004-0754 | NM | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD2004-0754 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
3016 MACKLAND AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457986663 | Albuquerque Post-acute Care LLC | Skilled Nursing Facility | 3016 Mackland Ave Ne, Albuquerque, NM 87106-2018 | 2020-03-09 |
| 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 | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932562360 | Gray Pearls LLC | Family Medicine | 2506 Tramway Terrace Ct Ne, Albuquerque, NM 87122-2317 | 2016-04-02 |
| 1093954448 | Housecalls Unlimited LLC | Family Medicine | 1320 Tanglewood Pl Nw, Albuquerque, NM 87120-6548 | 2009-02-09 |
| 1437258951 | Gerard Edward Muraida | Family Medicine | 5639 Jefferson St Ne, Albuquerque, NM 87109-3412 | 2006-09-21 |
| 1144232679 | William F Orr Jr. | Family Medicine | 8220 San Pedro Dr Ne Ste 300, Albuquerque, NM 87113-2476 | 2006-08-13 |
| 1659388619 | Suzanne Pinon | Family Medicine | 8400 Menaul Blvd Ne, Suite A-141, Albuquerque, NM 87112-2260 | 2006-08-02 |
| 1780605923 | David Bennahum | Family Medicine | Westside Family / Senior Health Center, 4808 Mc Mahon Blvd., Albuquerque, NM 87114 | 2006-07-22 |
| 1689671174 | Joseph Mario Lovato | Family Medicine | 4425 Rio Trumperos Court Ne, Albuquerque, NM 87120-5333 | 2005-06-30 |
| 1538667068 | Lauren Harris | Family Medicine | 8100 Wyoming Blvd Ne Ste M4, Albuquerque, NM 87113 | 2018-01-30 |
| 1891984688 | Ricardo Ortega Md, LLC | Family Medicine | 5519 Rabadi Castle Ave Nw, Albuquerque, NM 87114-1412 | 2007-10-17 |
| 1417964453 | Walter B Forman | Family Medicine | 8210 Louisiana Blvd. Ne, Suite C, Albuquerque, NM 87113-1761 | 2006-08-02 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on PERCY M PENTECOST.
| 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.