GALLUP CARDIOLOGY PC (NPI# 1790919801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790919801 |
Entity Type | Organization |
Organization Name | GALLUP CARDIOLOGY PC |
Practice Address |
2028 E Aztec Ave Gallup NM 87301-4804 |
Practice Telephone | 5058632208 |
Practice Fax Number | 5058632236 |
Mailing Telephone | 5058632208 |
Mailing Fax Number | 5058632236 |
Enumeration Date | 2009-05-05 |
Last Update Date | 2009-05-05 |
Authorized Official Name | ANANDAN SWAMINATHAN (OWNER) |
Authorized Official Telephone | 5059790560 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
98-177 | NM | Allopathic & Osteopathic Physicians |
Street Address |
2028 E AZTEC AVE |
City | GALLUP |
State | NM |
Zip Code | 87301-4804 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
Find all providers in zip 87301 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467456376 | Anandan Swaminathan | Internal Medicine | 2030 E Aztec Ave, Gallup, NM 87301-4804 | 2005-06-08 |
1629022678 | Maria Ynes Brueckner | Internal Medicine | 516 East Nizhoni Blvd., Gallup, NM 87301 | 2006-05-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
1336781210 | United Diagnostic Services Nm LLC | Internal Medicine | 500 Marquette Ave Nw Ste 1296, Albuquerque, NM 87102-5340 | 2019-10-12 |
1366954190 | Alyce Lynn Dechant | Internal Medicine | 1101 -4 Medical Arts Ave Ne, Albuquerque, NM 87131-0001 | 2017-11-02 |
1104338672 | Mary Ann Lukas | Internal Medicine | 9328 Del Arroyo Ave Ne, Albuquerque, NM 87122-2907 | 2017-10-24 |
1710229638 | Phillip J Camp | Internal Medicine | Internal Medicine Msc10 5550, 1 University of New Mexic, Albuquerque, NM 87131-0001 | 2013-03-18 |
1871886226 | Irwin Hoffman Md PC | Internal Medicine | 646 Garcia St, Santa Fe, NM 87505-2858 | 2011-05-18 |
1376846808 | Lawrence Kuo | Internal Medicine | 1053 Red Oaks Loop Ne, Albuquerque, NM 87122-1346 | 2010-12-05 |
1912188285 | Horacio Patricio Moreno-campos | Internal Medicine | 6745 Academy Rd Ne, Suite A, Albuquerque, NM 87109-3382 | 2007-11-15 |
1467668905 | Jerome Eldon Goss | Internal Medicine | #5 Camino Del Sol St., Corrales, NM 87048 | 2007-05-14 |
1922126473 | David Earl Hoekenga | Internal Medicine | 6710 Pueblo Vis, Las Cruces, NM 88007-8905 | 2007-03-26 |
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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.