FAMILY MEDICINE PC (NPI# 1083802029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083802029 |
| Entity Type | Organization |
| Organization Name | FAMILY MEDICINE PC |
| Practice Address |
3825 Eubank Blvd Ne Albuquerque NM 87111-3559 |
| Mailing Address |
3825 Eubank Blvd Ne Albuquerque NM 87111-3575 |
| Practice Telephone | 5052928575 |
| Practice Fax Number | 5052928409 |
| Mailing Telephone | 5052928575 |
| Mailing Fax Number | 5052928409 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2008-05-12 |
| Authorized Official Name | DR. WILLIAM G HENDERSON (PRESIDENT) |
| Authorized Official Telephone | 5052928575 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
73-138 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 44727 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417921628 | Family Medicine PC | Family Medicine | 29255 Northwestern Hwy, Suite 203, Southfield, MI 48034-1018 | 2006-02-14 |
| Street Address |
3825 EUBANK BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111-3559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124012430 | Christian Meuli | Family Medicine | 3825 Eubank Blvd Ne, Ste C, Albuquerque, NM 87111-3575 | 2005-09-01 |
| 1558799080 | Genevieve Rae Cardona | Nurse Practitioner | 3825 Eubank Blvd Ne, #a, Albuquerque, NM 87111-3575 | 2013-10-18 |
| 1689941817 | Candace L. Percifull | Nurse Practitioner | 3825 Eubank Blvd Ne, Albuquerque, NM 87111 | 2011-11-16 |
| 1730499211 | Eva Elizabeth Houghton | Registered Nurse | 3825 Eubank Blvd Ne, Suite A, Albuquerque, NM 87111-3575 | 2010-10-18 |
| 1013155258 | Jonathan Asa Cade | Registered Nurse | 3825 Eubank Blvd Ne, Ste A, Albuquerque, NM 87111-3559 | 2009-01-26 |
| 1982885315 | Melinda O'neil | Nurse Practitioner | 3825 Eubank Blvd Ne, Albuquerque, NM 87111-3575 | 2007-11-14 |
| 1861434342 | Donald Edward Pichler | Legal Medicine | 3825 Eubank Blvd Ne, Suite F, Albuquerque, NM 87111-3575 | 2006-06-11 |
| 1891736682 | Family Physicians of Albuquerque, PC | Legal Medicine | 3825 Eubank Blvd Ne, Suite F, Albuquerque, NM 87111-3575 | 2006-06-10 |
| 1316900905 | William G Henderson | Family Medicine | 3825 Eubank Blvd Ne, Suite A, Albuquerque, NM 87111-3575 | 2006-04-06 |
| 1679567986 | Edward L Childers | Family Medicine | 3825 Eubank Blvd Ne, Ste C, Albuquerque, NM 87111-3575 | 2005-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438110 | Dehlen LLC | Counselor | 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 | 2018-08-22 |
| 1003313008 | Jessika Junick | Nurse Practitioner | 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 | 2018-04-07 |
| 1881113454 | Hayley Aragon-bell | Day Training/Habilitation Specialist | 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 | 2017-09-14 |
| 1750803326 | Sarah Mckenzie Ochoa | Day Training/Habilitation Specialist | 3916 Garcia St Ne, Albuquerque, NM 87111 | 2017-07-14 |
| 1285179549 | Family Dental Health Care | Dentist | 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 | 2016-12-22 |
| 1871036202 | Shobha Jagannath | Nurse Practitioner | 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 | 2016-12-03 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1184011082 | Adam Halpern | Specialist/Technologist | 4204 Parsifal St, Albuquerque, NM 87111 | 2015-04-20 |
| 1083015770 | Cvs Pharmacy | Public Health or Welfare | 5516 Camino Arbustos Ne, Albuquerque, NM 87111 | 2014-09-12 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in zip 87111 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591413 | Old Town Primary Care, Inc. | Clinic/Center | 501 14th St Nw, Albuquerque, NM 87104-1729 | 2019-11-01 |
| 1700269412 | Adler Medical LLC | Clinic/Center | 4241 Montgomery Blvd Ne, Albuquerque, NM 87109-1081 | 2015-06-30 |
| 1306158860 | Luma Kai, LLC | Clinic/Center | 3701 San Mateo Blvd Ne, Albuquerque, NM 87110-1230 | 2010-07-12 |
| 1225357981 | Lovelace Health System, Inc. | Clinic/Center | 11000 Broadway Blvd Se, Suite 1, Albuquerque, NM 87105-7469 | 2010-05-20 |
| 1124177696 | Torre D. Near D/b/a Statmed LLC | Clinic/Center | 3916 Carlisle Blvd Ne, Suite G, Albuquerque, NM 87107-4556 | 2007-01-10 |
| 1356405369 | St. Christopher Inc | Clinic/Center | 2800 San Mateo Blvd Ne, Suite 107, Albuquerque, NM 87110-3135 | 2006-12-21 |
| 1316545882 | Kingsley Clinic of New Mexico, LLC | Clinic/Center | 6300 Riverside Plaza Ln Nw Ste 100, Albuquerque, NM 87120-1908 | 2020-10-15 |
| 1902324692 | Turquoise Trail Primary Care LLC | Clinic/Center | 3825 Eubank Blvd Ne Ste C, Albuquerque, NM 87111-3559 | 2017-09-01 |
| 1831636687 | Nancy Elliott | Clinic/Center | 8300 Constitution Ne, Room 1303, Albuquerque, NM 87110 | 2017-01-31 |
| 1255784658 | Hippocare, Inc | Clinic/Center | 3911 4th St Nw Ste B, Albuquerque, NM 87107-2510 | 2016-07-20 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87111 |
Please comment or provide details below to improve the information on FAMILY MEDICINE PC.
| 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.