TODD J ALAN (NPI# 1083620090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083620090 |
| Entity Type | Individual |
| Full Name | TODD J ALAN |
| Credential | MD |
| Practice Address |
# 377mdg 2050a Second Street Se Kirtland Afb NM 87117-0001 |
| Practice Telephone | 5052630711 |
| Mailing Telephone | 5052630711 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2008-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 23409 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47055301100 | 05 |
| Street Address |
# 377MDG 2050A SECOND STREET SE |
| City | KIRTLAND AFB |
| State | NM |
| Zip Code | 87117-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245614544 | Rowland Coyle | Military Health Care Provider | 701 Stephen Moody Rd, Albuquerque, NM 87117 | 2015-07-16 |
| 1649619511 | National Vision Optical | Technician/Technologist | 7901 Gibson Blvd, Bldg 20176, Kirtland, NM 87117 | 2013-06-24 |
| 1437493020 | Sarah Michael Workman | Nurse Practitioner | 1501 San Pedro Drive Se, Bld 47, 377mdg/mdos/sgow, Albuquerque, NM 87117 | 2012-11-20 |
| 1871852210 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Kirtland Afb Building 20170, Albuquerque, NM 87117 | 2012-05-04 |
| 1528180502 | Gay C Davis | Speech-Language Pathologist | 25000 East Kirtland Afb, Wherry Es, Albuquerque, NM 87117 | 2007-04-03 |
| 1952493017 | Angela Marie Albrecht | Family Medicine | 377 Medical Group 2050 A Second St Se, Albuquerque, NM 87117 | 2006-09-28 |
| 1104930734 | Lesley Dale Pacheco | Social Worker | 2050 A 2nd Street, Kirtland Afb, NM 87117 | 2006-08-19 |
| 1053355735 | Joseph Agage Ouma | Family Medicine | 377th Mdg, Kirtland Afb, 2050 A Second St, Se, Albuquerque, NM 87117 | 2006-06-15 |
| 1033762927 | Mary Mauldin | Registered Nurse | 1515 Eubank Blvd, Albuquerque, NM 87117 | 2019-07-19 |
| 1811540834 | Angie Leigh Avila-quigley | Registered Nurse | 1515 Eubank, Albuquerque, NM 87117 | 2019-07-18 |
| Find all providers in zip 87117 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841273109 | Mylene Tran Huynh | Family Medicine | 2050a 2nd St Se, Kirtland Afb, NM 87117-5522 | 2005-11-21 |
| 1982692802 | James Curtis Bloom | Family Medicine | 2050 2nd St Se, Kirtland Afb, NM 87117-5524 | 2005-10-13 |
| 1497849244 | James Edward Hougas Jr. | Family Medicine | 2050a Second Street Se, 377 Mdg, Kirtland Afb, NM 87117 | 2006-10-03 |
| 1306823067 | Antonio J. Eppolito | Family Medicine | 2050 2nd St Se, Kirtland Afb, NM 87117-5522 | 2005-12-23 |
| 1497739098 | Kenneth Egerstrom | Family Medicine | 2050a 2nd St Se, Kirtland Afb, NM 87117-5522 | 2005-12-06 |
| 1619966629 | Christopher Michael Hudson | Family Medicine | 2050 2nd St Se, Kirtland Afb, NM 87117-5524 | 2005-10-21 |
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| 1063027761 | Compassion Care Clinic PC | Family Medicine | 600 Hwy 195, Ste A, Elephant Butte, NM 87935 | 2020-09-10 |
| 1063027696 | Comprehensive Gastrostomy Tube Cares, LLC | Family Medicine | 8100 Wyoming Blvd Ne Ste M4-701, Albuquerque, NM 87113-1946 | 2020-09-10 |
| 1700498748 | Sandia View Family Medicine, PC | Family Medicine | 4200 Meadowlark Ln Se Ste 2, Rio Rancho, NM 87124-1050 | 2020-08-20 |
| 1740898428 | Dr. Maggie Wilson, PC | Family Medicine | 717 Encino Pl Ne Ste 5, Albuquerque, NM 87102-2624 | 2020-07-17 |
| 1861028102 | Lindsay Sue Cerrone | Family Medicine | 6 Kalma Ln, Edgewood, NM 87015-9593 | 2020-03-18 |
| 1053947408 | Optimal Wellness Journey | Family Medicine | 3231 Caminito San Lucas, Santa Fe, NM 87507-0443 | 2020-03-18 |
| 1831734813 | Leandra Lee Medina | Family Medicine | 7050 Barstow St Ne Ste B, Albuquerque, NM 87111-1056 | 2019-11-13 |
| 1053952473 | Healthnm, LLC | Family Medicine | 3612 Plano Vista Rd Ne, Rio Rancho, NM 87124-4182 | 2019-10-07 |
| 1497301824 | Gila Regional Medical Center | Family Medicine | 901 S. Gold Avenue, Deming, NM 88030 | 2019-08-12 |
| Find all providers with the same taxonomy | ||||
| City | KIRTLAND AFB |
| Zip Code | 87117 |
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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.