UNIVERSITY OF NEW MEXICO MEDICAL GROUP, INC. (NPI# 1992966923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992966923 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF NEW MEXICO MEDICAL GROUP, INC. |
| Practice Address |
800 Odelia Rd Ne Albuquerque NM 87102-1619 |
| Mailing Address |
University of New Mexico School Based Health Ctrs Msc09 5040 1 University of New Mexico Albuquerque NM 87131-0001 |
| Practice Telephone | 5052441330 |
| Practice Fax Number | 5052441331 |
| Mailing Telephone | 5052720457 |
| Mailing Fax Number | 5052722043 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | MR. ANTHONY MASCIATRA (CEO) |
| Authorized Official Telephone | 5052728950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
425 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 3A01 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043472111 | University of New Mexico Medical Group, Inc. | Clinic/Center | 700 Louisiana Se, Albuquerque, NM 87108 | 2008-06-30 |
| 1790946739 | University of New Mexico Medical Group, Inc. | Clinic/Center | 11799 State Highway 14 S, Tijeras, NM 87059-8619 | 2008-06-23 |
| 1518129683 | University of New Mexico Medical Group, Inc. | Clinic/Center | 1138 Cardenas Dr Se, Albuquerque, NM 87108-4809 | 2008-06-30 |
| 1427210590 | University of New Mexico Medical Group, Inc. | Clinic/Center | 415 Thaxton Ave Se, Albuquerque, NM 87102-4855 | 2008-06-30 |
| 1649431677 | University of New Mexico Medical Group, Inc. | Clinic/Center | 4700 Coal Ave Se, Albuquerque, NM 87108-2804 | 2008-06-23 |
| Street Address |
800 ODELIA RD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174662779 | Marion Lauritzen | Speech-Language Pathologist | 800 Odelia Rd Ne, Albuquerque Hs, Albuquerque, NM 87102-1619 | 2007-02-06 |
| 1477160281 | Delcina Phelps | Speech-Language Pathologist | 800 Odelia Rd Ne, Albuquerque, NM 87102-1619 | 2020-09-25 |
| 1831723550 | Christina Gardner | Registered Nurse | 800 Odelia Rd Ne, Albuquerque, NM 87102-1619 | 2020-03-03 |
| 1316401383 | Alexandra Rendon-ruiz | Registered Nurse | 800 Odelia Rd Ne, Albuquerque, NM 87102-1619 | 2019-01-24 |
| 1811470511 | Greta Hansen Begg | Speech-Language Pathologist | 800 Odelia Rd Ne, Albuquerque, NM 87102-1619 | 2018-09-10 |
| 1093294837 | Kathleen Dolan-cox | Registered Nurse | 800 Odelia Rd Ne, Albuquerque, NM 87102-1619 | 2018-08-13 |
| 1326527565 | Nicole Sandoval | Registered Nurse | 800 Odelia Rd Ne, Albuquerque, NM 87102-1619 | 2018-08-08 |
| 1164888392 | Chad Jones | Specialist/Technologist | 800 Odelia Rd Ne, Albuquerque, NM 87102-1619 | 2016-01-04 |
| 1154442762 | Cecilia Galarza | Social Worker | 800 Odelia Rd Ne, Albuquerque Hs, Albuquerque, NM 87102-1619 | 2007-04-02 |
| 1437298197 | Linda Laswell | Speech-Language Pathologist | 800 Odelia Rd Ne, Albuquerque Hs, Albuquerque, NM 87102-1619 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 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 Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740784198 | Fnch Sbhc Naca High School | Clinic/Center | 1711 Stanford Dr Ne, Albuquerque, NM 87106-2535 | 2018-03-21 |
| 1043472111 | University of New Mexico Medical Group, Inc. | Clinic/Center | 700 Louisiana Se, Albuquerque, NM 87108 | 2008-06-30 |
| 1043661010 | University of New Mexico Medical Group Inc | Clinic/Center | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2016-06-30 |
| 1114307071 | Owens Administrative & Healthcare Support Services | Clinic/Center | 4300 Blake Rd Sw, Albuquerque, NM 87121-5179 | 2015-06-05 |
| 1699166140 | Sandia National Laboratories | Clinic/Center | 1515 Eubank Blvd Se Bldg. 831/832, Albuquerque, NM 87185-1019 | 2015-02-05 |
| 1174965610 | Presbyterian Medical Services | Clinic/Center | 1138 Cardenas Dr Se, Albuquerque, NM 87108-4809 | 2013-07-25 |
| 1598107039 | Presbyterian Medical Services | Clinic/Center | 1111 Easterday Dr Ne, Albuquerque, NM 87112-5115 | 2013-07-25 |
| 1043461163 | University of New Mexico | Clinic/Center | 1111 Easterday Dr Ne, Albuquerque, NM 87112-5115 | 2008-10-07 |
| 1518129683 | University of New Mexico Medical Group, Inc. | Clinic/Center | 1138 Cardenas Dr Se, Albuquerque, NM 87108-4809 | 2008-06-30 |
| 1427210590 | University of New Mexico Medical Group, Inc. | Clinic/Center | 415 Thaxton Ave Se, Albuquerque, NM 87102-4855 | 2008-06-30 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on UNIVERSITY OF NEW MEXICO MEDICAL GROUP, INC..
| 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.