MR. CURTIS MICHAEL QUINTANA (NPI# 1790945988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790945988 |
| Entity Type | Individual |
| Full Name | MR. CURTIS MICHAEL QUINTANA |
| Credential | PA-C |
| Practice Address |
9640 Menaul Blvd Ne Albuquerque NM 87112-2217 |
| Mailing Address |
10332 Lawton St Nw Albuquerque NM 87114-5595 |
| Practice Telephone | 5052944167 |
| Mailing Telephone | 5058143765 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2014-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA 2003-0032 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2003-0032 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9640 MENAUL BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619013869 | Susan J Smith | Family Medicine | 9640 Menaul Blvd Ne, Cvs Minute Clinic, Albuquerque, NM 87112-2217 | 2007-01-29 |
| 1013517721 | Sarthak Patel | Pharmacy | 9640 Menaul Blvd Ne, Albuquerque, NM 87112-2217 | 2020-10-30 |
| 1710502117 | Alejandro Salcido | Nurse Practitioner | 9640 Menaul Blvd Ne, Albuquerque, NM 87112-2217 | 2020-06-11 |
| 1447883749 | Sheila Mae Talido Kourakos | Registered Nurse | 9640 Menaul Blvd Ne, Albuquerque, NM 87112-2217 | 2020-02-15 |
| 1467905356 | Stephanie Welch | Nurse Practitioner | 9640 Menaul Blvd Ne, Albuquerque, NM 87112-2217 | 2016-07-27 |
| 1730563172 | Joshua Larson | Nurse Practitioner | 9640 Menaul Blvd Ne, Albuquerque, NM 87112-2217 | 2015-07-15 |
| 1043619919 | Jamie Larson | Nurse Practitioner | 9640 Menaul Blvd Ne, Albuquerque, NM 87112 | 2014-08-17 |
| 1750715256 | Jennifer Ewa Ryba | Pharmacist | 9640 Menaul Blvd Ne, Albuquerque, NM 87112-2217 | 2013-09-03 |
| 1568706745 | Joseph Granata | Pharmacist | 9640 Menaul Blvd Ne, Albuquerque, NM 87112-2217 | 2012-11-12 |
| 1841541471 | Michael Joseph Gutierrez | Pharmacist | 9640 Menaul Blvd Ne, Albuquerque, NM 87112-2217 | 2012-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474550 | Mara Swartzentruber | Physician Assistant | 3310 Linda Vista Ave Se, Albuquerque, NM 87106-1514 | 2020-10-13 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1487287413 | Thomas Clise | Physician Assistant | 629 San Pablo St Ne, Albuquerque, NM 87108-2137 | 2020-02-18 |
| 1912547324 | Kathleen Joyce L'heureux | Physician Assistant | 8124 Ventana Cielo Ave Nw, Albuquerque, NM 87114-5988 | 2020-01-14 |
| 1265097869 | Amber Zoubovitch | Physician Assistant | 7200 Montgomery Blvd Ne Ste 7121, Albuquerque, NM 87109-1510 | 2019-05-08 |
| 1639680739 | Wesley A Parker | Physician Assistant | 3777 Mdg, 2050a Second Street Se, Albuquerque, NM 87117-5522 | 2017-10-16 |
| 1003327487 | Elise Nicole Pedigo | Physician Assistant | 4700 Jefferson St Ne Ste 700, Albuquerque, NM 87109-2132 | 2017-10-12 |
| 1194170605 | Anna Marie Siow | Physician Assistant | 1014 Hummingbird Pl Sw, Albuquerque, NM 87105-8130 | 2016-05-03 |
| 1285032367 | Travis Householder | Physician Assistant | 201 Cedar St Se Ste 4610, Presbyterian Heart Group, Albuquerque, NM 87106-4936 | 2014-12-05 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87112 |
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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.