ENT&SINUSCENTERABQPC


Address: 401 Edith Blvd Ne Fl 2, Albuquerque, NM 87102-2525
Phone: 5058808118

ENT&SINUSCENTERABQPC (NPI# 1871843599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871843599
Entity Type Organization
Organization Name ENT&SINUSCENTERABQPC
Practice Address 401 Edith Blvd Ne Fl 2
Albuquerque
NM 87102-2525
Practice Telephone 5058808118
Practice Fax Number 5052424187
Mailing Telephone 5058808118
Mailing Fax Number 5052424187
Enumeration Date 2012-09-11
Last Update Date 2018-02-27
Authorized Official Name GERALD NORMAN BART (PRESIDENT)
Authorized Official Telephone 5055062444
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology MD2011-0046 NM Allopathic & Osteopathic Physicians

Office Location

Street Address 401 EDITH BLVD NE FL 2
City ALBUQUERQUE
State NM
Zip Code 87102-2525

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NPI Name Taxonomy Address Enumeration
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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 Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528387792 Nathan Boyd Otolaryngology Department of Surgery Msc 10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 2010-05-26
1306162318 Duncan Alexander Meiklejohn Otolaryngology 2211 Lomas Blvd. Ne, 2nd Floor, Unm Surgical Specialties Clinic, Albuquerque, NM 87106 2010-04-15
1619197316 Eugene W. Wasylenki Otolaryngology 7012 Vista Del Arroyo Ave Ne, Albuquerque, NM 87109-2933 2007-04-26
1487783981 Alex E Moreano Otolaryngology 201 Cedar St Se Ste 46404th, Pmg Cedar Ent, Albuquerque, NM 87106-4917 2007-03-02
1295874238 Tania Kraai Otolaryngology Unm Hospital Otolaryngology, 2211 Lomas Blvd Ne, Albuquerque, NM 87131-0001 2007-02-06
1346339561 Bonnie L. Renfro Otolaryngology 8300 Consitution Ave. Ne, Albuquerque, NM 87110 2006-10-12
1902990385 Joseph N Onyia Otolaryngology 201 Cedar St Se Ste 4600, Albuquerque, NM 87106-4925 2006-10-03
1578506226 Liat Shama Otolaryngology 1 University of New Mexico Dept Of, Msc10-5610, Albuquerque, NM 87131-0001 2006-06-13
1508854258 Frederick Fiber Otolaryngology 401 Edith Blvd Ne, Albuquerque, NM 87102-2509 2005-10-06
1144218892 Roland Zsolt Gerencer Otolaryngology 1020 Tijeras Ave Ne, Ste 22, Albuquerque, NM 87106-4749 2005-10-06
Find all providers in ALBUQUERQUE

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City ALBUQUERQUE
Zip Code 87102

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Dataset Information

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.

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