Ipc Hospitalists Of New Mexico, Inc | |
8208 Louisiana Blvd Ne Ste. C Albuquerque NM 87113-1757 | |
(602) 789-0344 | |
(602) 870-7566 |
Full Name | Ipc Hospitalists Of New Mexico, Inc |
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Speciality | Internal Medicine |
Location | 8208 Louisiana Blvd Ne, Albuquerque, New Mexico |
Authorized Official Name and Position | R. Jeffrey Taylor (PRESIDENT & COO) |
Authorized Official Contact | 8187663502 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ipc Hospitalists Of New Mexico, Inc 8208 Louisiana Blvd Ne Ste. C Albuquerque NM 87113-1757 Ph: () - | Ipc Hospitalists Of New Mexico, Inc 8208 Louisiana Blvd Ne Ste. C Albuquerque NM 87113-1757 Ph: (602) 789-0344 |
NPI Number | 1578839163 |
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Provider Enumeration Date | 03/28/2012 |
Last Update Date | 04/22/2016 |
Medicare PECOS PAC ID | 6800051509 |
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Medicare Enrollment ID | O20120703000044 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578839163 | NPI | - | NPPES |
27573371 | Medicaid | NM | |
889234086 | Other | NM | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ronald E Sautter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376577577 PECOS PAC ID: 7911808050 Enrollment ID: I20040120000769 |
Provider Name | Mahmood Reza Zamanian |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386641876 PECOS PAC ID: 6709788292 Enrollment ID: I20040124000065 |
Provider Name | Joan Lewis |
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Provider Type | Practitioner - Interventional Pain Management |
Provider Identifiers | NPI Number: 1538203856 PECOS PAC ID: 4789661497 Enrollment ID: I20040701000198 |
Provider Name | Judith Hooffstetter |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114932506 PECOS PAC ID: 1658329099 Enrollment ID: I20050307000346 |
Provider Name | Lara L Goss |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316942501 PECOS PAC ID: 3072584366 Enrollment ID: I20050330000130 |
Provider Name | Henry Huson Middleton |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1063419547 PECOS PAC ID: 6204748288 Enrollment ID: I20050414000363 |
Provider Name | Robert A Gardner |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194717801 PECOS PAC ID: 8527087428 Enrollment ID: I20051215000412 |
Provider Name | Syed Mahdi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134203458 PECOS PAC ID: 1850393083 Enrollment ID: I20070201000066 |
Provider Name | John A Bennett |
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Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1427133065 PECOS PAC ID: 4688761349 Enrollment ID: I20071029000331 |
Provider Name | Gail Carman Dela Cruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568479079 PECOS PAC ID: 2769585991 Enrollment ID: I20090310000401 |
Provider Name | David B Durham |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1326264623 PECOS PAC ID: 6901986157 Enrollment ID: I20090429000529 |
Provider Name | Nooshin Bagheri |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083753081 PECOS PAC ID: 8729126008 Enrollment ID: I20091105000608 |
Provider Name | Eric W Metzler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144289851 PECOS PAC ID: 2860435260 Enrollment ID: I20100601000464 |
Provider Name | Lisa M Stolarczyk |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497930176 PECOS PAC ID: 4880874866 Enrollment ID: I20110208000740 |
Provider Name | Diana Lucia Darabant |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538460928 PECOS PAC ID: 5698956068 Enrollment ID: I20110218000510 |
Provider Name | Lorraine Olson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235113689 PECOS PAC ID: 0345424677 Enrollment ID: I20110412000421 |
Provider Name | Carol Schaffer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831497288 PECOS PAC ID: 7618093147 Enrollment ID: I20111018000656 |
Provider Name | Karam S Bhalla |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972642973 PECOS PAC ID: 4789847526 Enrollment ID: I20120515000495 |
Provider Name | David G Bowman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700873189 PECOS PAC ID: 0749181246 Enrollment ID: I20120703000090 |
Provider Name | Kathleen Carroll Voigt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831304047 PECOS PAC ID: 4587610761 Enrollment ID: I20120821000228 |
Provider Name | Lynnette Gail Wright |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871569509 PECOS PAC ID: 5597715276 Enrollment ID: I20120904000492 |
Provider Name | Jennifer M Ramon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285971192 PECOS PAC ID: 1759528409 Enrollment ID: I20130516000411 |
Provider Name | Susan L Miller |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538262407 PECOS PAC ID: 0648369280 Enrollment ID: I20130611000801 |
Provider Name | Cynthia Louise Nielsen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104248392 PECOS PAC ID: 0840420899 Enrollment ID: I20140313000673 |
Provider Name | Jean-paul Dedam |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649486770 PECOS PAC ID: 4486791001 Enrollment ID: I20140429001842 |
Provider Name | Clare M Ironside |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972988392 PECOS PAC ID: 4082923776 Enrollment ID: I20151020001854 |
Provider Name | Tani Schare |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831579531 PECOS PAC ID: 7719296060 Enrollment ID: I20151027002767 |
Provider Name | Mark J Stevens |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013145531 PECOS PAC ID: 1254591274 Enrollment ID: I20160621000818 |
Provider Name | Dmitriy Vladimirovich Bazaron |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043728249 PECOS PAC ID: 2567724743 Enrollment ID: I20180328001388 |
Provider Name | Mary Louise Blankenship |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356358477 PECOS PAC ID: 1759270770 Enrollment ID: I20180504001349 |
Provider Name | Jane-frances Shiti |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215461629 PECOS PAC ID: 9638415078 Enrollment ID: I20191010002673 |
Provider Name | Timothy John Rodgers |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215939541 PECOS PAC ID: 8921192089 Enrollment ID: I20200804001775 |
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