Kent R Hootman (NPI# 1194707943, PAC ID# 8123125614) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
| Nation Provider ID (NPI) | 1194707943 |
| PAC ID by PECOS | 8123125614 |
| Professional Enrollment ID | I20090831000380 |
| Full Name | Kent R Hootman |
| Organization Legal Name | MODERN VASCULAR - NAVAJO LLC |
| Address |
7800 Constitution Ave Ne Albuquerque NM 87110-7552 |
| Phone Number | 5052789160 |
| Gender | M |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Secondary Specialties | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 8426300344 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7800 Constitution Ave Ne, Albuquerque, NM 87110-7552 | 5052789160 | MODERN VASCULAR - NAVAJO LLC |
| 1580 Hwy 264, Suite B, Gallup, NM 87301-3302 | 5053106881 | MODERN VASCULAR - NAVAJO LLC |
| Organization Legal Name | MODERN VASCULAR - NAVAJO LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Keleher | Nurse Practitioner | Modern Vascular - Navajo LLC | 1580 Hwy 264, Suite B, Gallup, NM 87301-3302 |
| Street Address |
7800 CONSTITUTION AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip | 87110-7552 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maureen Polikoff | Clinical Social Worker | 2201 San Pedro Ne, Albuquerque, NM 87110 | |
| Maureen E Owens | Nurse Practitioner | Minuteclinic Diagnostic of New Mexico, LLC | 4340 San Mateo Blvd Ne, Albuquerque, NM 87110-1234 |
| Susan G Blair-buckley | Physician Assistant | Minuteclinic Diagnostic of New Mexico, LLC | 4340 San Mateo Blvd Ne, Albuquerque, NM 87110-1234 |
| Heather A Armes | Physician Assistant | Minuteclinic Diagnostic of New Mexico, LLC | 4340 San Mateo Blvd Ne, Albuquerque, NM 87110-1234 |
| Curtis M Quintana | Physician Assistant | Minuteclinic Diagnostic of New Mexico, LLC | 4340 San Mateo Blvd Ne, Albuquerque, NM 87110-1234 |
| Ana G Huaman | Ophthalmology | 3901 Georgia St Ne, Suite G 2, Albuquerque, NM 87110-1359 | |
| Julie D Krawchuck | Nurse Practitioner | 3901 Georgia St Ne, Suite B1, Albuquerque, NM 87110-1390 | |
| Mitchell R Silverstein | Clinical Social Worker | 3901 Georgia St Ne, 2 Family Choices Counseling Center, Albuquerque, NM 87110-1390 | |
| Robert L Jarrell Jr | Optometry | Robert L Jarrell, Od, Pa | 3901 Georgia Nest, Albuquerque, NM 87110-1391 |
| Emerson S Corley | Clinical Social Worker | The Enhancement Center, P.C. | 3901 Georgia St Ne, Suite A4, Albuquerque, NM 87110-1391 |
| Find all physicians in zip 87110 | |||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
| Specialty | INTERVENTIONAL RADIOLOGY |
| City + Specialty | ALBUQUERQUE + INTERVENTIONAL RADIOLOGY |
Please comment or provide details below to improve the information on Kent R Hootman.
| 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.