CLIFFORD R STOLLER (NPI# 1053327361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053327361 |
| Entity Type | Individual |
| Full Name | CLIFFORD R STOLLER |
| Credential | M.D. |
| Practice Address |
6100 Seagull St Ne Suite 106 Albuquerque NM 87109-2500 |
| Practice Telephone | 5058834395 |
| Practice Fax Number | 5058834397 |
| Mailing Telephone | 5058834395 |
| Mailing Fax Number | 5058834397 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
82-316 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 000037341 | 05 |
| Street Address |
6100 SEAGULL ST NE SUITE 106 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992791784 | Linda Keahey-oberdorfer | Physical Therapist | 6100 Seagull St Ne, Suite B-102, Albuquerque, NM 87109-2500 | 2005-09-27 |
| 1093247157 | Mary Liano | Behavior Technician | 6100 Seagull St Ne, Suite B200, Albuquerque, NM 87109-2500 | 2017-03-29 |
| 1639521768 | Ashley Archuleta | Technician, Other | 6100 Seagull St Ne, Suite B200, Albuquerque, NM 87109 | 2016-07-13 |
| 1427281716 | Olivia Melissa Pastore | Counselor | 6100 Seagull St Ne, Albuquerque, NM 87109-2500 | 2009-09-02 |
| 1033357504 | Christine Boling | Physical Therapist | 6100 Seagull St Ne, B-102, Albuquerque, NM 87109-2500 | 2009-01-21 |
| 1063639391 | John M Wilson Md P C | Health Maintenance Organization | 6100 Seagull St Ne, B-109, Albuquerque, NM 87109-2500 | 2007-04-19 |
| 1114095239 | Cathy Napier | Counselor | 6100 Seagull St Ne, B-109, Albuquerque, NM 87109-2500 | 2006-11-30 |
| 1972679272 | Rainbow's Promise Therapies, Inc. | Physical Therapist | 6100 Seagull St Ne, Suite B-102, Albuquerque, NM 87109-2500 | 2006-11-28 |
| 1871669127 | Betzi M Hitz | Dietitian, Registered | 6100 Seagull St Ne, Suite B-102, Albuquerque, NM 87109-2500 | 2006-11-28 |
| 1750457081 | William Alex Dunbar | Physical Therapist | 6100 Seagull St Ne, Suite B-102, Albuquerque, NM 87109-2500 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| 1770849366 | Rebecca Dutton | Physical Medicine & Rehabilitation | 1 University of New Mexico # 105600, Albuquerque, NM 87131-0001 | 2012-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336795780 | Susan J Williams | Physical Medicine & Rehabilitation | 1721 1/2 E University Ave, Las Cruces, NM 88001-5780 | 2019-08-12 |
| 1154894251 | Yvette R Pomponi | Physical Medicine & Rehabilitation | 1005 Diamond St, Las Vegas, NM 87701-4279 | 2019-01-10 |
| City | ALBUQUERQUE |
| Zip Code | 87109 |
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| 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.