DR. EDWARD POON (NPI# 1770587115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770587115 |
| Entity Type | Individual |
| Full Name | DR. EDWARD POON |
| Credential | M.D. |
| Practice Address |
3860 Masthead St Ne Albuquerque NM 87109-4479 |
| Practice Telephone | (505) 828-1010 |
| Practice Fax Number | 5057969051 |
| Mailing Telephone | 5058281010 |
| Mailing Fax Number | 5057969051 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2018-11-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD2016-0037 | NM | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
MD2016-0037 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 57601062 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11483 Rose Garden Ct, San Diego, CA 921314215 | 6098928979 | 8585780855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326167180 | Edward S Poon | Pharmacist | 3711 Queens Blvd, Long Island City, NY 11101-1725 | 2007-03-29 |
| 1558433722 | Edward D. Poon | Orthopaedic Surgery | 1200 Brooks Ln, Suite 240, Clairton, PA 15025-3747 | 2006-11-14 |
| Street Address |
3860 MASTHEAD ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-4479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811341662 | Pain Consultants & Intervention PC | Radiology | 3860 Masthead St Ne, Albuquerque, NM 87109-4479 | 2016-04-19 |
| 1326330739 | Timothy E. Hansen, D.o., P.a. | Pain Medicine | 3860 Masthead St Ne, Albuquerque, NM 87109-4479 | 2011-05-04 |
| 1427092592 | Timothy Earl Hansen | Anesthesiology | 3860 Masthead St Ne, Albuquerque, NM 87109-4479 | 2006-06-16 |
| 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 | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104086859 | Brian Starr | Pain Medicine | 900 Camino De Salud, Albuquerque, NM 87131-0001 | 2008-06-16 |
| 1891903753 | Southwest Interventional Pain Specialists, PC | Pain Medicine | 4700 Jefferson Ne, Suite 700, Albuquerque, NM 87109-2132 | 2007-05-21 |
| 1326330739 | Timothy E. Hansen, D.o., P.a. | Pain Medicine | 3860 Masthead St Ne, Albuquerque, NM 87109-4479 | 2011-05-04 |
| 1205014693 | Pain Solutions LLC | Pain Medicine | 8080 Academy Rd Ne, Suite A, Albuquerque, NM 87111-1159 | 2008-02-07 |
| 1427104157 | Interventional Pain Specialists of New Mexico, P.a. | Pain Medicine | 4824 Mcmahon Blvd Nw, Suite 119, Albuquerque, NM 87114-5412 | 2007-01-26 |
| 1922190040 | Charles F Pace | Pain Medicine | 4824 Mcmahon Blvd Nw, Suite 119, Albuquerque, NM 87114-5412 | 2006-09-28 |
| 1669495834 | Craig Stephen Nairn | Pain Medicine | 8080 Academy Rd Ne, Suite A, Albuquerque, NM 87111-1159 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790002830 | Jose Luis Ramirez | Pain Medicine | 780 S Walnut St Bldg 3, Las Cruces, NM 88001-1425 | 2010-04-29 |
| 1396930152 | Carlsbad Spine Pain Sports Medicine PC | Pain Medicine | 2319 W Pierce St, Carlsbad, NM 88220-3515 | 2007-09-13 |
| 1851432835 | Jonas R. Skardis | Pain Medicine | 460 Saint Michaels Dr Ste 200, Santa Fe, NM 87505-7686 | 2007-02-10 |
| 1598939555 | John A Flores Md LLC | Pain Medicine | 2902 Hillrise Dr, Las Cruces, NM 88011-4702 | 2008-04-21 |
| 1679535298 | Thaddeus Alexas Ray | Pain Medicine | 2500 Farmington Ave, Farmington, NM 87401-6002 | 2006-04-06 |
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on DR. EDWARD POON.
| 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.