Deitra Gates (NPI# 1366865560, PAC ID# 8325277387) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL NURSE SPECIALIST.
| Nation Provider ID (NPI) | 1366865560 |
| PAC ID by PECOS | 8325277387 |
| Professional Enrollment ID | I20140215000129 |
| Full Name | Deitra Gates |
| Organization Legal Name | ALBUQUERQUE UROLOGY ASSOCIATES, PA |
| Address |
610 Broadway Blvd Ne Albuquerque NM 87102-2372 |
| Phone Number | 5052423991 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | CLINICAL NURSE SPECIALIST |
| Group Practice PAC ID | 3779545850 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 610 Broadway Blvd Ne, Albuquerque, NM 87102-2372 | 5052423991 | ALBUQUERQUE UROLOGY ASSOCIATES, PA |
| Organization Legal Name | ALBUQUERQUE UROLOGY ASSOCIATES, PA |
| Physicians | 1 |
| Street Address |
610 BROADWAY BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip | 87102-2372 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Richard White | Nurse Practitioner | Lovelace Health System LLC | 601 Martin Luther King Jr Ave Ne, Albuquerque, NM 87102 |
| Amanda G Wilder | Clinical Social Worker | 200 Rosemont Ave Ne, Albuquerque, NM 87102-1569 | |
| Rachel L Rogers | Clinical Social Worker | 200 Rosemont Ave Ne, Suite D, Albuquerque, NM 87102-1599 | |
| Elaine K Padilla | Clinical Social Worker | Outcomes Inc | 1503 University Blvd Ne, Albuquerque, NM 87102-1708 |
| Kathryn Fehr | Clinical Social Worker | Outcomes Inc | 1503 University Blvd Ne, Albuquerque, NM 87102-1708 |
| Daniel Crowder | Clinical Social Worker | Outcomes Inc | 1503 University Blvd Ne, Albuquerque, NM 87102-1708 |
| Claire Greene | Clinical Social Worker | Outcomes Inc | 1503 University Blvd Ne, Albuquerque, NM 87102-1708 |
| Scott S Stoerner | Rheumatology | Albuquerque Center for Rheumatology PC | 1617 University Blvd Ne, Albuquerque, NM 87102-1710 |
| Jacqueline K Dean | Rheumatology | Albuquerque Center for Rheumatology PC | 1617 University Blvd Ne, Albuquerque, NM 87102-1710 |
| Leroy A Pacheco | Rheumatology | Albuquerque Center for Rheumatology PC | 1617 University Blvd Ne, Albuquerque, NM 87102-1710 |
| Find all physicians in zip 87102 | |||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
| Specialty | CLINICAL NURSE SPECIALIST |
| City + Specialty | ALBUQUERQUE + CLINICAL NURSE SPECIALIST |
Please comment or provide details below to improve the information on Deitra Gates.
| 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.