CLAIRE MARIE PULTZ (NPI# 1174016455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174016455 |
| Entity Type | Individual |
| Full Name | CLAIRE MARIE PULTZ |
| Credential | PA-C |
| Practice Address |
2211 Lomas Blvd Ne Albuquerque NM 87106-2719 |
| Mailing Address |
11220 Amman Ave Ne Albuquerque NM 87122-3377 |
| Practice Telephone | 5052722111 |
| Mailing Telephone | 5052057030 |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
PA55605 | CA | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | PA2019-0058 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2211 LOMAS BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902016 | Gloria Doherty | Nurse Practitioner | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2005-06-15 |
| 1427659127 | Letitia Tomaszewski | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-08 |
| 1467053116 | Luis Aaron Trillo | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-07 |
| 1215538095 | Rafael Alejandro Fernandez-mancha | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-06 |
| 1144821950 | Jaylee Caruso | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-06 |
| 1508467648 | Christine Hsu Teng | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-05 |
| 1649871641 | Martin Jurado | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-05 |
| 1912508284 | Joshua Marquez | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-04 |
| 1609477850 | Jessica Elena Larsen | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-04 |
| 1619578879 | Kevin A Martinez | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-04 |
| Find all providers in the same location | ||||
| 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 | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952366700 | Philip Seidenberg | Emergency Medicine | Unm Department of Emergency Medicine Msc10, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-04-17 |
| 1669433017 | William M Roethel | Emergency Medicine | 601 Martin Luther King Ave Ne, Albuquerque, NM 87102-3619 | 2006-03-28 |
| 1245891647 | Abq Ip LLC | Emergency Medicine | 9310 Coors Blvd Nw, Albuquerque, NM 87114-4006 | 2019-06-26 |
| 1376007765 | Abq Ep, LLC | Emergency Medicine | 9310 Coors Blvd Nw, Albuquerque, NM 87114-4006 | 2019-01-30 |
| 1710247382 | Jonathan Drew | Emergency Medicine | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2012-05-17 |
| 1568738912 | Eugene Fayerberg | Emergency Medicine | 1100 Central Ave Se, Pmg Emergency Medicine, Albuquerque, NM 87106-4930 | 2012-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215230644 | Barbara Lynn Schmeits Hapke | Emergency Medicine | Country Road A-78, Private Road 2001 #18, Raton, NM 87740-0446 | 2010-12-07 |
| 1699807248 | Alfred William Neely | Emergency Medicine | 22 Meadow Hawk Ln, Silver City, NM 88022-9727 | 2007-03-09 |
| 1972682078 | Elin Mckinnon Ritchie | Emergency Medicine | Hc 74 Box 21913, El Prado, NM 87529 | 2006-11-02 |
| 1427039759 | Warner J Anderson | Emergency Medicine | 218 Cousins Road, Vanderwagen, NM 87326 | 2005-11-14 |
| 1003800822 | James D Schmitz | Emergency Medicine | 42 S Florida Ave, Alamogordo, NM 88310-9533 | 2005-09-08 |
| 1417319427 | Michael Francis Spigner | Emergency Medicine | 3001 Broadmoor Blvd Ne, Rio Rancho, NM 87144-2100 | 2016-03-28 |
| 1720291529 | Affilion LLC | Emergency Medicine | 4311 E Lohman Ave, Las Cruces, NM 88011 | 2007-05-08 |
| 1417003377 | Douglas Arlyn Kinkel | Emergency Medicine | 2450 S Telshor Blvd, Las Cruces, NM 88011-5069 | 2007-01-25 |
| 1669541785 | Janet I Mcmahon | Emergency Medicine | 80 B Veterans Blvd, Acoma, NM 87034 | 2006-11-06 |
| City | ALBUQUERQUE |
| Zip Code | 87106 |
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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.