LOVELACE HEALTH SYSTEM LLC (NPI# 1902084809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902084809 |
| Entity Type | Organization |
| Organization Name | LOVELACE HEALTH SYSTEM LLC |
| Other Organization Name | LOVELACE WESTSIDE HOSPITAL |
| Practice Address |
10501 Golf Course Rd Nw Albuquerque NM 87114-5019 |
| Practice Telephone | 5057272000 |
| Practice Fax Number | 5057279568 |
| Mailing Telephone | 5057272000 |
| Mailing Fax Number | 5057279568 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2019-05-29 |
| Authorized Official Name | MR. 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 | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lovelace Westside Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932482445 | Lovelace Health System LLC | Physical Therapist | 129-a Canal Street, Jemez Pueblo, NM 87024 | 2011-09-21 |
| 1609273283 | Lovelace Health System LLC | Family Medicine | 1112 N Main St, Roswell, NM 88201-5010 | 2014-11-26 |
| 1174956767 | Lovelace Health System LLC | General Acute Care Hospital | 117 E 19th St, Roswell, NM 88201-5151 | 2013-08-19 |
| 1972878361 | Lovelace Health System LLC | General Acute Care Hospital | 117 E 19th St, Roswell, NM 88201-5151 | 2012-03-19 |
| 1306914213 | Lovelace Health System LLC | Internal Medicine | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2006-11-30 |
| Street Address |
10501 GOLF COURSE RD NW |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87114-5019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497700330 | Sanjay K Kholwadwala | Emergency Medicine | 10501 Golf Course Rd Nw, Albuquerque, NM 87114-5019 | 2006-05-22 |
| 1447893128 | Kelli D Dominguez | Nurse Practitioner | 10501 Golf Course Rd Nw, Albuquerque, NM 87114-5019 | 2019-10-24 |
| 1811406952 | Tonya Kathleen Carbajal | Occupational Therapist | 10501 Golf Course Rd Nw, Albuquerque, NM 87114-5019 | 2017-09-20 |
| 1649728445 | Ashley Dunworth | Dietitian, Registered | 10501 Golf Course Rd Nw, Dept: Bariatrics, Albuquerque, NM 87114-5019 | 2016-09-21 |
| 1174989115 | Fabian Rodriguez | Nurse Practitioner | 10501 Golf Course Rd Nw, Albuquerque, NM 87114-5019 | 2016-01-06 |
| 1841667953 | Uva Mason | Dietitian, Registered | 10501 Golf Course Rd Nw, Albuquerque, NM 87114-5019 | 2015-08-24 |
| 1396148326 | Jimmy F Andazola | Physician Assistant | 10501 Golf Course Rd Nw, Albuquerque, NM 87114-5019 | 2014-10-05 |
| 1861804049 | Denille Marie Storey | Contractor | 10501 Golf Course Rd Nw, Albuquerque, NM 87114-5019 | 2014-05-22 |
| 1528491966 | Theresa A Gutierrez | Nurse Practitioner | 10501 Golf Course Rd Nw, Bariatric Dept, Albuquerque, NM 87114-5019 | 2013-08-20 |
| 1780921015 | Comprehensive Hospitalist Services of New Mexico LLC | Hospitalist | 10501 Golf Course Rd Nw, Albuquerque, NM 87114-5019 | 2013-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891331773 | Head To Toe Wellness, LLC | Counselor | 4619 Greene Ave, Suite D, Albuquerque, NM 87114 | 2019-11-26 |
| 1255896353 | 32 Degrees Genuine, LLC | Counselor | 10143 4th St Nw, Albuquerque, NM 87114 | 2019-02-04 |
| 1548789365 | Maureen Chavez | Occupational Therapist | 10501 Golf Course, Albuquerque, NM 87114 | 2017-09-13 |
| 1982149043 | Professional Case Coordination Services LLC | Case Management | 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 | 2016-12-28 |
| 1124494323 | Geri Davis | Nurse Practitioner | 10511 Golf Course Rd Nw Ste 203, Albuquerque, NM 87114 | 2015-08-11 |
| 1427432111 | Marcia Nicole Cowen | Nurse Practitioner | 9210 Golfcourse Rd Nw, Albuquerque, NM 87114 | 2015-07-13 |
| 1013315399 | Amy Brown | Counselor | 707 Broadway Blvd. Ne, Suite 500, Albuquerque, NM 87114 | 2014-12-18 |
| 1851793392 | Elaine Barbara Beckett | Pharmacist | 10224 Coors-by-pass Nw, Albuquerque, NM 87114 | 2014-09-16 |
| 1174924344 | Sherrica Cressor | Counselor | 20 Pond Road, County Road 11, Cuba, NM 87114 | 2014-09-08 |
| 1427467513 | Colleen Temkin | Pharmacist | 10224 Coors By Pass Nw, Albuquerque, NM 87114 | 2014-08-04 |
| Find all providers in zip 87114 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750353876 | Presbyterian Magnetic Resonance | Radiology | 1011 Coal Ave Se, Albuquerque, NM 87106-5205 | 2006-02-02 |
| 1851363972 | Advanced Imaging LLC | Radiology | 700 Lomas Blvd Ne, 4 Woodward Center, Albuquerque, NM 87102-2568 | 2006-02-02 |
| 1699781278 | Steven C Eberhardt | Radiology | 1650 University Blvd Ne, Albuquerque, NM 87102 | 2006-08-01 |
| 1902820467 | Scott A Barron | Radiology | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 | 2006-07-27 |
| 1801819909 | Robert S Mals | Radiology | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790933828 | Assured Imaging Women's Wellness of Southern Arizona, LLC | Radiology | 1400 Main St. Sw Suite K, Los Lunas, NM 87031 | 2008-09-03 |
| City | ALBUQUERQUE |
| Zip Code | 87114 |
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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.