| Infectious Diseases And Internal Medicine Associates P.c. | |
|
5901 Harper Dr Ne Albuquerque NM 87109-3587 | |
| (505) 848-3730 | |
| (505) 848-3732 |
| Full Name | Infectious Diseases And Internal Medicine Associates P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 5901 Harper Dr Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Janiva Back (PRACTICE MANAGER) |
| Authorized Official Contact | 5058483730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Diseases And Internal Medicine Associates P.c. 5901 Harper Dr Ne Albuquerque NM 87109-3587 Ph: (505) 848-3730 | Infectious Diseases And Internal Medicine Associates P.c. 5901 Harper Dr Ne Albuquerque NM 87109-3587 Ph: (505) 848-3730 |
| NPI Number | 1932275021 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 12/23/2020 |
| Medicare PECOS PAC ID | 4183617913 |
|---|---|
| Medicare Enrollment ID | O20040406001719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932275021 | NPI | - | NPPES |
| CG7958 | Other | NM | RR MEDICARE # |
| K4066 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | FA0003189 (New Mexico) | Primary |
| Provider Name | Joseph A Gorvetzian |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1669432431 PECOS PAC ID: 5597785832 Enrollment ID: I20051130000980 |
| Provider Name | Felix S Cerna |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1982664884 PECOS PAC ID: 5890715817 Enrollment ID: I20051205000741 |
| Provider Name | Greogry Mertz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417964479 PECOS PAC ID: 1254423486 Enrollment ID: I20070817000414 |
| Provider Name | David W Stryker |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1598725434 PECOS PAC ID: 1850396433 Enrollment ID: I20090311000668 |
| Provider Name | Jeffrey P Ross |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1033179841 PECOS PAC ID: 8628061462 Enrollment ID: I20090401000050 |
| Provider Name | Thomas C Roberts |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922068832 PECOS PAC ID: 2860497443 Enrollment ID: I20100916000786 |
| Provider Name | Christine Boehringer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376545848 PECOS PAC ID: 5799673109 Enrollment ID: I20101026001086 |
| Provider Name | Mark Danforth Lacy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134177215 PECOS PAC ID: 9638181910 Enrollment ID: I20200624000244 |
| Provider Name | Julianna Ferreira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811512015 PECOS PAC ID: 9931525250 Enrollment ID: I20200729002593 |
| Provider Name | Sara Sears Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801167614 PECOS PAC ID: 1254594195 Enrollment ID: I20210211003524 |
| Provider Name | Monica L Carten |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114017795 PECOS PAC ID: 1850422254 Enrollment ID: I20210309001662 |
| Provider Name | Mohamed Al Kateb |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1275988180 PECOS PAC ID: 7517387947 Enrollment ID: I20220721003652 |
| Provider Name | Jorge Marko Soria Moncada |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558857904 PECOS PAC ID: 9638414154 Enrollment ID: I20231122000691 |
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