LOVELACE HEALTH SYSTEM, LLC (NPI# 1790183135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790183135 |
| Entity Type | Organization |
| Organization Name | LOVELACE HEALTH SYSTEM, LLC |
| Practice Address |
715 Dr Martin Luther King Jr Ave Ne Suite 102 Albuquerque NM 87102-3661 |
| Mailing Address |
1 Burton Hills Blvd Suite 250 Nashville TN 37215-6293 |
| Practice Telephone | 5057274050 |
| Practice Fax Number | 5057274055 |
| Mailing Telephone | 6152963000 |
| Mailing Fax Number | 6152966011 |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | STEPHEN C PETROVICH (SVP) |
| Authorized Official Telephone | 6152963000 |
| Is Organization Subpart | Y |
| Parent Organization Name | ARDENT LEGACY HOLDINGS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982799375 | Lovelace Health System, LLC | General Acute Care Hospital | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2006-10-03 |
| 1649373887 | Lovelace Health System, LLC | General Acute Care Hospital | 10501 Golf Course Rd Nw, Albuquerque, NM 87114-5019 | 2006-09-06 |
| Street Address |
715 DR MARTIN LUTHER KING JR AVE NE SUITE 102 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-3661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710989033 | Lilibeth Sanchez-geswaldo | Surgery | 715 Dr Martin Luther King Jr Ave Ne, Suite 301, Albuquerque, NM 87102-3661 | 2005-06-01 |
| 1023342466 | Rubens Barros Costa Filho | Internal Medicine | 715 Dr Martin Luther King Jr Ave Ne, Suite 102, Albuquerque, NM 87102-3661 | 2009-10-01 |
| 1427183458 | Teresa Lynn Casteel | Nurse Practitioner | 715 Dr Martin Luther King Jr Ave Ne, Suite 301, Albuquerque, NM 87102-3661 | 2007-02-22 |
| 1811035074 | Ignacio Garcia | Internal Medicine | 715 Dr Martin Luther King Jr Ave Ne, Suite 101, Albuquerque, NM 87102-3661 | 2007-02-01 |
| 1336233121 | Jacqueline L Cromeans | Emergency Medicine | 715 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3661 | 2006-10-03 |
| 1932115540 | Charles Taylor | Physician Assistant | 715 Dr Martin Luther King Jr Ave Ne, Suite 102, Albuquerque, NM 87102-3661 | 2006-08-01 |
| 1346260544 | Edmee Rodriguez | Internal Medicine | 715 Dr Martin Luther King Jr Ave Ne, Suite 301, Albuquerque, NM 87102-3661 | 2006-07-20 |
| 1780617357 | Linda Kwiatkowski | Surgery | 715 Dr Martin Luther King Jr Ave Ne, Suite 301, Albuquerque, NM 87102-3661 | 2006-07-08 |
| 1669405247 | Julie A Hinzman | Physician Assistant | 715 Dr Martin Luther King Jr Ave Ne, Suite 301, Albuquerque, NM 87102-3661 | 2006-07-08 |
| 1699738120 | Patricia Lorraine Sanchez | Specialist | 715 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3661 | 2006-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033435490 | Heloisa Prado Soares | Internal Medicine | Msc07 4025 1 University of Nm, Albuquerque, NM 87131-9416 | 2010-04-10 |
| 1487743092 | Wadih Arap | Internal Medicine | 1 University of New Mexico Msc 07 4025, 1201 Camino De Salud, Albuquerque, NM 87131-0001 | 2006-10-12 |
| 1114990298 | Murray M Bern | Internal Medicine | Unm Cancer Ctr, Msc 07-4025 1201 Camino De Salud, Albuquerque, NM 87131-0001 | 2006-02-09 |
| 1073506531 | Kenneth J Smith | Internal Medicine | 8300 Constitution Ave. Ne, Presbyterian Oncology Kaseman Hospital, Albuquerque, NM 87110-7613 | 2005-08-30 |
| 1114920238 | Douglas A. Clark | Internal Medicine | 4901 Lang Ave Ne, Albuquerque, NM 87109-4397 | 2005-05-23 |
| 1235579632 | Gautam Kishore Valecha | Internal Medicine | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2013-06-28 |
| 1326393380 | Neda Hashemi Sadraei | Internal Medicine | 1 University of New Mexico, Albuquerque, NM 87131 | 2012-07-16 |
| 1184980989 | Paul Allen Brittain | Internal Medicine | 715 Dr Martin Luther King Jr Ave Ne Ste 102, Albuquerque, NM 87102 | 2012-04-05 |
| 1972824084 | Emrullah Yilmaz | Internal Medicine | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2010-06-14 |
| 1023342466 | Rubens Barros Costa Filho | Internal Medicine | 715 Dr Martin Luther King Jr Ave Ne, Suite 102, Albuquerque, NM 87102-3661 | 2009-10-01 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
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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.