BERNARD M AGBEMADZO (NPI# 1013940675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013940675 |
| Entity Type | Individual |
| Full Name | BERNARD M AGBEMADZO |
| Credential | MD |
| Practice Address |
Pmg Hematology/oncology 8300 Constitution Ave Ne Albuquerque NM 87110 |
| Mailing Address |
Po Box 26666 Phs Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5055596100 |
| Practice Fax Number | 5055596101 |
| Mailing Telephone | 5059235356 |
| Mailing Fax Number | 5059235354 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
2002-0192 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 50057804 | 05 |
| Street Address |
PMG HEMATOLOGY/ONCOLOGY 8300 CONSTITUTION AVE NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081839 | Clark E Haskins | Internal Medicine | 4901 Lang Avenue Ne, Albuquerque, NM 87109-4397 | 2005-05-23 |
| 1831724517 | Joseph Ekofo | Internal Medicine | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-03-03 |
| 1750444915 | Esme E Finlay | Internal Medicine | 1201 Camino De Salud Ne, Albuquerque, NM 87102-4517 | 2006-12-19 |
| 1275532970 | Ronald P Kubica | Internal Medicine | 4901 Lang Ave Ne, Albuquerque, NM 87109 | 2005-07-15 |
| 1417950536 | Richard O Giudice | Internal Medicine | 4901 Lang Ave Ne, Albuquerque, NM 87109-4397 | 2005-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558446187 | San Juan Oncology Associates, PC | Internal Medicine | 735 W Animas St, Farmington, NM 87401-5616 | 2006-10-25 |
| 1932148384 | Constance Daphne Wash | Internal Medicine | 150 S Roadrunner Pkwy, Las Cruces, NM 88011-7044 | 2006-06-04 |
| 1366439101 | Richard Bush Ross | Internal Medicine | 2477 S Telshor Blvd, Las Cruces, NM 88011-5049 | 2005-10-05 |
| 1225031321 | Jan M Merin | Internal Medicine | 3917 West Rd, Los Alamos, NM 87544-2275 | 2005-05-23 |
| 1477804409 | Las Cruces Cancer Care LLC | Internal Medicine | 1180 Mall Dr, Suite B, Las Cruces, NM 88011-8101 | 2012-10-01 |
| 1477882876 | Peter Bernat | Internal Medicine | 2559 Medical Dr, Suite G, Alamogordo, NM 88310-8703 | 2009-12-14 |
| 1609105139 | St. Vincent Hospital | Internal Medicine | 490 A W Zia Rd, Santa Fe, NM 87505-6996 | 2009-12-11 |
| 1679515589 | Maynard Darvy Fuller | Internal Medicine | 150 S Roadrunner Pkwy, Las Cruces, NM 88011-7044 | 2006-06-12 |
| 1831161082 | Gerald Robertson | Internal Medicine | Rehoboth Mckinley Christian Health Care Services, 2111 College Drive, Gallup, NM 87301 | 2006-02-02 |
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on BERNARD M AGBEMADZO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.