JERALD T LOY


Address: 3901 Carlisle Blvd Ne, Albuquerque, NM 87107-4503
Phone: 5058888500

JERALD T LOY (NPI# 1104851021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104851021
Entity Type Individual
Full Name JERALD T LOY
Credential PA
Practice Address 3901 Carlisle Blvd Ne
Albuquerque
NM 87107-4503
Mailing Address Po Box 27829
Albuquerque
NM 87125
Practice Telephone 5058888500
Practice Fax Number 5058888503
Mailing Telephone 5052627026
Mailing Fax Number 5057279276
Enumeration Date 2006-07-11
Last Update Date 2011-02-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA2004-0005 NM Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 18556019 05

Office Location

Street Address 3901 CARLISLE BLVD NE
City ALBUQUERQUE
State NM
Zip Code 87107-4503

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407889074 Heather E Dountas Physician Assistant 3901 Carlisle Blvd Ne, Albuquerque, NM 87107 2006-07-08
1134604978 Niki Manole Ninopoulos Dermatology 3901 Carlisle Blvd Ne, Albuquerque, NM 87107-4503 2018-09-27
1043734411 Laura Kris Mccleskey Nurse Practitioner 3901 Carlisle Blvd Ne, Albuquerque, NM 87107-4503 2017-07-27
1740431311 Beverly R Firth Clinical Nurse Specialist 3901 Carlisle Blvd Ne, Albuquerque, NM 87107-4503 2008-10-01
1902091457 Sneha Surendra Sharma Pharmacist 3901 Carlisle Blvd Ne, Lovelace Carlisle Pharmacy, Albuquerque, NM 87107 2007-09-07
1487781803 Farnoush Falakrou Pharmacist 3901 Carlisle Blvd Ne, Albuquerque, NM 87107-4503 2007-02-27
1083798128 Lovelace Health Systems Inc Pharmacy 3901 Carlisle Blvd Ne, Albuquerque, NM 87107-4503 2006-10-25
1487664298 Lovelace Healthcare Center-carlisle Internal Medicine 3901 Carlisle Blvd Ne, Albuquerque, NM 87107-4503 2006-08-08
1558384735 Roderick Mcveety Family Medicine 3901 Carlisle Blvd Ne, Albuquerque, NM 87107-4503 2006-07-26
1114940822 Gerhard Y Nyase Family Medicine 3901 Carlisle Blvd Ne, Albuquerque, NM 87107-4503 2006-07-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619589785 Benjamin Argant Behavior Technician 331 Candelaria Road North East Suite A, Albuquerque, NM 87107 2020-08-20
1679138861 Susan Luna, Lpcc LLC Counselor 3221 B Candelaria Ne, Albuquerque, NM 87107 2019-05-03
1407310881 Eleanor Cloe Tibbetts Speech-Language Pathologist 7103 4th St. Nw Chatterbox Speech Therapy, Los Ranchos, NM 87107 2019-01-30
1386174829 Triple D Medical Transportation, LLC. Secured Medical Transport (VAN) 2123 Menaul Blvd Ne Ste B, Albuquerque, NM 87107 2017-06-18
1487100715 Kayleen Weinandt Community/Behavioral Health 3301 Los Arboles Ne, Albuquerque, NM 87107 2016-08-28
1811345549 Inverse Medical, LLC Non-emergency Medical Transport (VAN) 1015 Cottonwood Dr. Suite J, Albuquerque, NM 87107 2016-06-03
1710349220 Evolv Strong, LLC Specialist/Technologist 3201 Candelaria Rd Ne, Albuquerque, NM 87107 2016-03-23
1982072443 Erik Robinson Social Worker 7801 Academy Road, Ne 2-200, Albueruque, NM 87107 2015-09-14
1033505763 Sam Newmon Ma, Lpcc Counselor 320-h Osuna Rd Ne, Suite 4, Albuquerque, NM 87107 2015-04-09
1760896203 Jocelyn Fiaschetti Social Worker 7704 4th Street Nw, Albuquerque, NM 87107 2014-06-12
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386284602 Christopher Whorley Physician Assistant 4683 Idlewilde Ln Se, Albuquerque, NM 87108-3421 2020-01-15
1053836809 Alysha Gallegos Physician Assistant 6112 Molinero Ct Sw, Albuquerque, NM 87105-6814 2017-08-13
1306225180 Allison Rose Crossey Physician Assistant 201 Cedar Street Se, Suite 6600, Albuquerque, NM 87106 2015-05-26
1336543115 Pamela O Black Md, P.a., Dba Quadra Health Institute Physician Assistant 3820 Commons Ave Ne # M, Albuquerque, NM 87109-5831 2014-10-22
1457686511 Bayle R. Curtis Physician Assistant 1806 Morningrise Pl Se, Albuquerque, NM 87108-4520 2009-10-07
1215173919 Amber Dawn Hansen Physician Assistant 1100 Cenrral Ave Se, Albuquerque, NM 87106 2008-12-30
1508028606 Angela Genette Baumeister Physician Assistant 707 13th St Nw, Albuquerque, NM 87102-1841 2008-06-30
1528230117 Laura Wylie Physician Assistant 1101 Medical Arts Ave Ne # 4, Building 4, Suite A, Unm Senior Health, Albuquerque, NM 87102-2706 2008-03-24
1457406951 Deneen Tomayko Physician Assistant 2211 Lomas Blvd Ne Fl 4, Albuquerque, NM 87106-2745 2007-01-24
1083793665 Karen Kay Nester Physician Assistant 4901 Lang Ave, Ne, Suite 100, Albuquerque, NM 87109-4597 2006-11-03
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City ALBUQUERQUE
Zip Code 87107

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Dataset Information

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.

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