NEW MEXICO ORTHOPAEDIC ASSOCIATES PC (NPI# 1104113364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104113364 |
Entity Type | Organization |
Organization Name | NEW MEXICO ORTHOPAEDIC ASSOCIATES PC |
Practice Address |
1010 Lead Ave Se Suite 100 Albuquerque NM 87106-5214 |
Mailing Address |
201 Cedar St Se Suite 6600 Albuquerque NM 87106-4917 |
Practice Telephone | 5057244400 |
Practice Fax Number | 5053385050 |
Mailing Telephone | 5057244300 |
Mailing Fax Number | 5057244384 |
Enumeration Date | 2011-07-07 |
Last Update Date | 2011-07-07 |
Authorized Official Name | DR. ANTHONY F PACHELLI (PRESIDENT PRACTICE OVERSIGHT BOARD) |
Authorized Official Telephone | 5057244300 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 2251H1200X |
Physical Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 2251S0007X |
Physical Therapist Specialization: Sports |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 225XE1200X |
Occupational Therapist Specialization: Ergonomics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
N | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952697922 | New Mexico Orthopaedic Associates PC | Durable Medical Equipment & Medical Supplies | 1201 Rio Rancho Blvd Se, Suite E, Rio Rancho, NM 87124 | 2011-06-28 |
1568759728 | New Mexico Orthopaedic Associates PC | Durable Medical Equipment & Medical Supplies | 8220 Louisiana Blvd Ne, Suite D, Albuquerque, NM 87113-2105 | 2011-07-07 |
1740577907 | New Mexico Orthopaedic Associates PC | Durable Medical Equipment & Medical Supplies | 1010 Lead Ave Se, Suite 100, Albuquerque, NM 87106-5214 | 2011-07-07 |
1144516113 | New Mexico Orthopaedic Associates PC | Physical Therapist | 1201 Rio Rancho Blvd Se, Suite E, Rio Rancho, NM 87124 | 2011-06-28 |
1215223037 | New Mexico Orthopaedic Associates PC | Physical Therapist | 8220 Louisiana Blvd Ne, Suite D, Albuquerque, NM 87113-2105 | 2011-06-20 |
1942236971 | New Mexico Orthopaedic Associates PC | Durable Medical Equipment & Medical Supplies | 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106-4917 | 2006-06-23 |
1407898299 | New Mexico Orthopaedic Associates PC | Orthopaedic Surgery | 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106-4917 | 2006-06-13 |
Street Address |
1010 LEAD AVE SE SUITE 100 |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87106-5214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467434878 | Harold F. Baskin | Obstetrics & Gynecology | 1010 Lead Ave Se, Suite 2, Albuquerque, NM 87106-5214 | 2005-11-20 |
1578009296 | Rio Grande Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 1010 Lead Ave Se, Ste 400, Albuquerque, NM 87106-5214 | 2017-01-19 |
1871964528 | Elizabeth Jaramillo | Physical Therapist | 1010 Lead Ave Se, Suite 100, Albuquerque, NM 87106-5214 | 2015-10-07 |
1538536552 | Leann Nichole Bullock | Physical Therapist | 1010 Lead Ave Se, Albuquerque, NM 87106-5214 | 2015-08-25 |
1497165666 | Amy Martinez | Physical Therapist | 1010 Lead Ave Se, Suite 100, Albuquerque, NM 87106-5214 | 2014-04-28 |
1740577907 | New Mexico Orthopaedic Associates PC | Durable Medical Equipment & Medical Supplies | 1010 Lead Ave Se, Suite 100, Albuquerque, NM 87106-5214 | 2011-07-07 |
1063439800 | Albuquerque Women's Health, PC | Obstetrics & Gynecology | 1010 Lead Ave Se, Suite 4, Albuquerque, NM 87106-5214 | 2006-07-17 |
1861429441 | Tammi M Wilham | Occupational Therapist | 1010 Lead Ave Se, Albuquerque, NM 87106-5214 | 2006-06-27 |
1952389488 | Sandra K Knudsen | Physical Therapist | 1010 Lead Ave Se, Albuquerque, NM 87106-5214 | 2006-01-05 |
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 | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033686316 | Clark Bearsmith | Physical Therapist | 7849 Tramway Blvd Ne, Albuquerque, NM 87122-2515 | 2018-10-25 |
1407376460 | Marisa Raquel Esquivel | Physical Therapist | 9201 Montgomery Blvd Ne Ste 302, Albuquerque, NM 87111-2467 | 2017-06-21 |
1730511130 | Krista Leigh Riebli | Physical Therapist | 6700 Jefferson St Ne Bldg E, Albuquerque, NM 87109-4393 | 2013-08-07 |
1154426971 | Linda Marie Mcclanahan | Physical Therapist | 9201 Montgomery Blvd Ne, Suite 302, Albuquerque, NM 87111-2468 | 2006-09-14 |
1922055185 | Leanne M Adell | Physical Therapist | 600 Central Ave Se, Suite D, Albuquerque, NM 87102-3656 | 2006-05-30 |
1144797432 | Scoliosis Abq LLC | Physical Therapist | 6739 Academy Rd Ne, Albuquerque, NM 87109-3351 | 2018-10-25 |
1376010660 | Susan Halbig | Physical Therapist | 6739 Academy Rd Ne, Albuquerque, NM 87109-3351 | 2018-10-25 |
1326597980 | Brigit Barre | Physical Therapist | 4400 Lead Ave Se, Albuquerque, NM 87108-2844 | 2016-09-23 |
1831542406 | Julianne Keith | Physical Therapist | 6330 Riverside Plaza Ln Nw, Suite 150, Albuquerque, NM 87120-2681 | 2016-07-19 |
1942690789 | Diane Datz | Physical Therapist | 6330 Riverside Plaza Ln Nw, 303, Albuquerque, NM 87120-2681 | 2015-02-02 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87106 |
Please comment or provide details below to improve the information on NEW MEXICO ORTHOPAEDIC ASSOCIATES 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.