BENOIT BLONDEAU (NPI# 1902872708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902872708 |
| Entity Type | Individual |
| Full Name | BENOIT BLONDEAU |
| Credential | MD MBA |
| Practice Address |
933 Bradbury Dr Se Ste 2222 Albuquerque NM 87106 |
| Mailing Address |
933 Bradbury Dr Se Ste 2222 Albuquerque NM 87106-4375 |
| Practice Telephone | 5052726487 |
| Mailing Telephone | 5052726487 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2019-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
MD2019-0810 | NM | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD2019-0810 | NM | Allopathic & Osteopathic Physicians |
| N | 2086H0002X |
Surgery Specialization: Hospice and Palliative Medicine |
MD2019-0810 | NM | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2301 Holmes St, Kansas City, MO 641082640 | 8164040099 | |
| 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106 | 5052726487 |
| Street Address |
933 BRADBURY DR SE STE 2222 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447252606 | Catherine Obojski | Nurse Anesthetist, Certified Registered | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 | 2005-06-01 |
| 1639770639 | Phillip Adam Mora Jr. | Case Manager/Care Coordinator | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 | 2020-11-05 |
| 1699380642 | Sarah Heredia | Registered Nurse | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 | 2020-09-15 |
| 1457969586 | Ugur Barut | Registered Nurse | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 | 2020-07-15 |
| 1104451285 | Brianna Newberry | Case Manager/Care Coordinator | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 | 2020-03-09 |
| 1639724255 | Ashton Mckinney | Nurse Practitioner | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 | 2019-08-09 |
| 1154986040 | Theresa A Weidemann | Nurse Practitioner | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106 | 2019-05-06 |
| 1215439062 | Sarah Elizabeth Davis | Nurse Practitioner | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 | 2018-03-07 |
| 1912438862 | Emily Ball | Emergency Medicine | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 | 2017-03-22 |
| 1629420161 | Jennifer Gonzales | Social Worker | 933 Bradbury Dr Se Ste 2222, Albuquerque, NM 87106-4375 | 2016-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477895548 | Tanner Spees | Surgery | 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2013-03-26 |
| 1821017161 | Carey Sue Hill | Surgery | 2211 Lomas Blvd Ne, General Surgery-acc 2nd Floor, Albuquerque, NM 87106-2745 | 2006-07-18 |
| 1013947258 | Krista L Turner | Surgery | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2745 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063408722 | Loretta L Christensen | Surgery | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2005-09-27 |
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on BENOIT BLONDEAU.
| 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.