DR. CARMELDA LABAZE (NPI# 1902149073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902149073 |
| Entity Type | Individual |
| Full Name | DR. CARMELDA LABAZE |
| Credential | MD |
| Practice Address |
5550 Wyoming Blvd Ne Albuquerque NM 87109-3167 |
| Mailing Address |
Po Box 26666 Albuquerque NM 87125-6666 |
| Practice Telephone | 5054626600 |
| Practice Fax Number | 5054626641 |
| Mailing Telephone | 5059236770 |
| Mailing Fax Number | 5059235354 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2017-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD2017-0293 | NM | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | RS2014-0556 | NM | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 14177544 | 05 |
| Street Address |
5550 WYOMING BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-3167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699869081 | Anthony R Vigil | Family Medicine | 5550 Wyoming Blvd Ne, Pmg Wyoming, Albuquerque, NM 87109-3167 | 2006-10-03 |
| 1144880451 | Victoria Jane Martineau | Pharmacist | 5550 Wyoming Blvd Ne, Albuquerque, NM 87109-3167 | 2019-06-18 |
| 1669828133 | Yibing Li | Family Medicine | 5550 Wyoming Blvd Ne, Albuquerque, NM 87109-3167 | 2016-05-13 |
| 1386953263 | Elisa D Lundin | Nurse Practitioner | 5550 Wyoming Blvd Ne, Albuquerque, NM 87109 | 2010-09-27 |
| 1992024327 | Nicholas Dutro | Family Medicine | 5550 Wyoming Blvd Ne, Albuquerque, NM 87109-3167 | 2010-05-25 |
| 1497940506 | Brea Ann Bond | Family Medicine | 5550 Wyoming Blvd Ne, Albuquerque, NM 87109-3167 | 2007-09-11 |
| 1275661910 | George L Eisberg | Family Medicine | 5550 Wyoming Blvd Ne, Pmg Wyoming, Albuquerque, NM 87109-3167 | 2007-03-02 |
| 1972661148 | Jeanne M Corns | Psychologist | 5550 Wyoming Blvd Ne, Pmg Wyoming, Albuquerque, NM 87109 | 2006-12-04 |
| 1720172117 | Corina I. Procell | Family Medicine | 5550 Wyoming Blvd Ne, Albuquerque, NM 87109 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027696 | Comprehensive Gastrostomy Tube Cares, LLC | Family Medicine | 8100 Wyoming Blvd Ne Ste M4-701, Albuquerque, NM 87113-1946 | 2020-09-10 |
| 1740898428 | Dr. Maggie Wilson, PC | Family Medicine | 717 Encino Pl Ne Ste 5, Albuquerque, NM 87102-2624 | 2020-07-17 |
| 1831734813 | Leandra Lee Medina | Family Medicine | 7050 Barstow St Ne Ste B, Albuquerque, NM 87111-1056 | 2019-11-13 |
| 1093374589 | Palliative and Transitional Care of Nm LLC | Family Medicine | 805 Guadalupe Cir Nw, Albuquerque, NM 87114-1710 | 2019-06-10 |
| 1649834904 | Mederi Life LLC | Family Medicine | 4325 Carlisle Blvd Ne Ste B, Albuquerque, NM 87107-4826 | 2019-04-23 |
| 1649733619 | Susan Giron | Family Medicine | 6704 Baker Ave Ne, Albuquerque, NM 87109-2746 | 2019-04-08 |
| 1982163267 | Nm Spirit of Wellness LLC | Family Medicine | 123 Girard Blvd Se, Albuquerque, NM 87106-2227 | 2019-03-18 |
| 1891266458 | Karen Ann Longenecker | Family Medicine | 2300 Menaul Blvd Ne Fl 3, Albuquerque, NM 87107-1851 | 2018-12-07 |
| 1144797135 | Erin Aleisha Langford | Family Medicine | 4588 Paradise Blvd Nw # 100, Albuquerque, NM 87114-4105 | 2018-10-28 |
| 1740761972 | Maria Marcela Colom Bickford | Family Medicine | Msc 09-5040 I University of New Mexico, Albuquerque, NM 87131 | 2018-08-26 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
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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.