DR. TRACY IRENE GEORGE (NPI# 1083761142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083761142 |
| Entity Type | Individual |
| Full Name | DR. TRACY IRENE GEORGE |
| Credential | M.D. |
| Practice Address |
933 Bradley Dr. Suite 2222 Albuquerque NM 87106 |
| Mailing Address |
933 Bradley Dr. Se Suite 2222 Albuquerque NM 87106 |
| Practice Telephone | 5052723203 |
| Mailing Telephone | 5052723203 |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2017-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZH0000X |
Pathology Specialization: Hematology |
10552861-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207ZH0000X |
Pathology Specialization: Hematology |
MD20120889 | NM | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
10552861-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD20120889 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NEVADA MEDICAL LICENSE | 14173 | 01 |
| NM | NEW MEXICO MEDICAL BOARD LICENSE | MD2012-0889 | 01 |
| FL | FLORIDA MEDICAL LICENSE | ME 118408 | 01 |
| CA | CALIFORNIA PHYSICIAN AND SURGEON LICENSE | A62223 | 01 |
| LA | LOUISIANA MEDICAL LICENSE | MD.207588 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669466710 | Tracy Privette George | Nurse Practitioner | 201 W Hampton St, Dillon, SC 29536-3333 | 2005-09-06 |
| 1851999072 | Tracy Carlene George | Pharmacist | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-09 |
| 1164052320 | Tracy George | Registered Nurse | 11990 Jackson St, Clinton, LA 70722-3210 | 2020-01-16 |
| 1598283889 | Tracy George Jr. | Social Worker | 4425 S Jones Blvd, Las Vegas, NV 89103-3370 | 2017-09-06 |
| 1720259047 | Tracy E George | Social Worker | 11 Whitehall Rd, Rochester, NH 03867-3226 | 2008-03-14 |
| Street Address |
933 BRADLEY DR. SUITE 2222 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 207ZH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Hematology |
| A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811153000 | Marian Alice Rollins-raval | Pathology | Department of Pathology Msc08 4640, Fitz Hall, Room 335 1 University of New Mexico, Albuquerque, NM 87131 | 2008-08-06 |
| 1548258346 | Mohammed Ali Vasef | Pathology | 2211 Lomas Ne, Albuquerque, NM 87131 | 2005-10-06 |
| 1053637157 | James Anthony Halfacre Jr. | Pathology | 1100 Central Ave Se, Albuquerque, NM 87106 | 2010-04-14 |
| 1780909523 | Daniel Babu | Pathology | 1 University of New Mexico, Hsc Dept of Pathology Msc08 4640, Albuquerque, NM 87131 | 2010-04-05 |
| 1528241619 | Jane C Huang | Pathology | 1 University of New Mexico, Msc08-4640, Albuquerque, NM 87131-0001 | 2007-12-11 |
| 1750506812 | David Rodriguez Czuchlewski | Pathology | 1001 Woodward Pl Ne, Albuquerque, NM 87102-2705 | 2007-04-16 |
| 1770706459 | Alexei Gennadievich Bakhirev | Pathology | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2007-04-11 |
| 1356480396 | Hank J Hanna | Pathology | Unm Hospital Pathology, 2211 Lomas Blvd Ne, Albuquerque, NM 87131-0001 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871818617 | Brenda Ly | Pathology | 640 Quantum Rd Ne, Rio Rancho, NM 87124-4506 | 2010-04-05 |
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on DR. TRACY IRENE GEORGE.
| 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.