Pooneh Newton (NPI# 1730583626, PAC ID# 0446572606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1730583626 |
| PAC ID by PECOS | 0446572606 |
| Professional Enrollment ID | I20141126000085 |
| Full Name | Pooneh Newton |
| Organization Legal Name | EPIPHANY DERMATOLOGY OF NEW MEXICO, LLC |
| Address |
5600 Eubank Blvd Ne Suite 110 Albuquerque NM 87111-1519 |
| Phone Number | 5058801920 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4082919691 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5600 Eubank Blvd Ne, Suite 110, Albuquerque, NM 87111-1519 | 5058801920 | EPIPHANY DERMATOLOGY OF NEW MEXICO, LLC |
| No 5 Calle Medico, Suite A, Santa Fe, NM 87505-4762 | 5055576300 | EPIPHANY DERMATOLOGY OF NEW MEXICO, LLC |
| Organization Legal Name | EPIPHANY DERMATOLOGY OF NEW MEXICO, LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shana E Peterson | Physician Assistant | Epiphany Dermatology of New Mexico, LLC | No 5 Calle Medico, Suite A, Santa Fe, NM 87505-4762 |
| Janice F Moranz | Dermatology | Epiphany Dermatology of New Mexico, LLC | 5600 Eubank Blvd Ne, Suite 110, Albuquerque, NM 87111-1519 |
| Mary Catherine Curry | Dermatology | Epiphany Dermatology of New Mexico, LLC | 5512 E Main St, Suite A, Farmington, NM 87402-4421 |
| Donald D Harville | Dermatology | Epiphany Dermatology of New Mexico, LLC | 8316 Kaseman Ct Ne, Albuquerque, NM 87110-7639 |
| Ryan L Holcomb | Physician Assistant | Epiphany Dermatology of New Mexico, LLC | No 5 Calle Medico, Suite A, Santa Fe, NM 87505-4762 |
| Timothy E Busch | Physician Assistant | Epiphany Dermatology of New Mexico, LLC | 5600 Eubank Blvd Ne, Suite 110, Albuquerque, NM 87111-1519 |
| Lisa Long | Physician Assistant | Epiphany Dermatology of New Mexico, LLC | No 5 Calle Medico, Suite A, Santa Fe, NM 87505-4762 |
| John K Clayshulte Iii | Physician Assistant | Epiphany Dermatology of New Mexico, LLC | 5600 Eubank Blvd Ne, Suite 110, Albuquerque, NM 87111-1519 |
| Anne Woodling | Nurse Practitioner | Epiphany Dermatology of New Mexico, LLC | No 5 Calle Medico, Suite A, Santa Fe, NM 87505-4762 |
| James Kerner | Dermatology | Epiphany Dermatology of New Mexico, LLC | No 5 Calle Medico, Suite A, Santa Fe, NM 87505-4762 |
| Street Address |
5600 EUBANK BLVD NE SUITE 110 |
| City | ALBUQUERQUE |
| State | NM |
| Zip | 87111-1519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janice F Moranz | Dermatology | Epiphany Dermatology of New Mexico, LLC | 5600 Eubank Blvd Ne, Suite 110, Albuquerque, NM 87111-1519 |
| Timothy E Busch | Physician Assistant | Epiphany Dermatology of New Mexico, LLC | 5600 Eubank Blvd Ne, Suite 110, Albuquerque, NM 87111-1519 |
| John K Clayshulte Iii | Physician Assistant | Epiphany Dermatology of New Mexico, LLC | 5600 Eubank Blvd Ne, Suite 110, Albuquerque, NM 87111-1519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Niki M Ninopoulos | Physician Assistant | High Desert Dermatology PC | 12241 Academy Nerd, Suite 204, Albuquerque, NM 87111 |
| Zachary Haas | Podiatry | Albuquerque Associated Podiatrists | 8080 Academy Blvd Ne, Suite C, Albuquerque, NM 87111 |
| Stephanie S Gonzales | Physician Assistant | High Desert Dermatology PC | 12241 Academy Nerd, Suite 204, Albuquerque, NM 87111 |
| Matthew D Cobb | Podiatry | Albuquerque Associated Podiatrists | 8080 Academy Blvd Ne, Suite C, Albuquerque, NM 87111 |
| John Carey | Dermatology | High Desert Dermatology PC | 12241 Academy Nerd, Suite 204, Albuquerque, NM 87111 |
| Mark Haas | Podiatry | Albuquerque Associated Podiatrists | 8080 Academy Blvd Ne, Suite C, Albuquerque, NM 87111 |
| Emily J Bryl | Physician Assistant | High Desert Dermatology PC | 12241 Academy Nerd, Suite 204, Albuquerque, NM 87111 |
| Sonja M Strack | Clinical Social Worker | Formation Counseling Services Inc | 8600 Academy Rd Ne, Albuquerque, NM 87111-1107 |
| Alicia D Holder | Clinical Social Worker | Formation Counseling Services Inc | 8600 Academy Rd Ne, Albuquerque, NM 87111-1107 |
| Don C Woods | Clinical Social Worker | Formation Counseling Services Inc | 8600 Academy Rd Ne, Albuquerque, NM 87111-1107 |
| Find all physicians in zip 87111 | |||
| City | ALBUQUERQUE |
| Zip Code | 87111 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ALBUQUERQUE + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.