DR. DENNIS R KLOBERDANZ (NPI# 1174517601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174517601 |
Entity Type | Individual |
Full Name | DR. DENNIS R KLOBERDANZ |
Credential | MD |
Practice Address |
2300 E 30th St Bldg D Ste 101 Farmington NM 87401-8990 |
Practice Telephone | 5053271400 |
Practice Fax Number | 5053273474 |
Mailing Telephone | 5053271400 |
Mailing Fax Number | 5053273474 |
Enumeration Date | 2005-09-12 |
Last Update Date | 2008-05-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
87-256 | NM | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | NM LICENSE | 87-256 | 01 |
NM | 8060 | 05 | |
NM | BCBS | 00NM001536 | 01 |
Street Address |
2300 E 30TH ST BLDG D STE 101 |
City | FARMINGTON |
State | NM |
Zip Code | 87401-8990 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205208105 | Casey C Roberts | Physician Assistant | 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 | 2015-10-30 |
1649510546 | Jared Drew Miller | Physician Assistant | 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 | 2013-03-01 |
1518204031 | Georgean L Chapman | Registered Nurse | 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 | 2013-01-04 |
1700157336 | Diane W Searle | Registered Nurse | 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 | 2012-01-12 |
1841583531 | April Stovall | Registered Nurse | 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 | 2011-05-27 |
1336375443 | Diandra Coral Becenti | Physician Assistant | 2300 E 30th St Bldg D, Suite 101, Farmington, NM 87401-8990 | 2009-06-03 |
1407073687 | Adam Crandall Johnson | Orthopaedic Surgery | 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 | 2007-04-19 |
1336201136 | Carol W Miller | Physician Assistant | 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 | 2006-12-15 |
1982795704 | Ellen E Colyer | Registered Nurse | 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 | 2006-09-27 |
1750356820 | Orthopedic Associates Pa | Orthopaedic Surgery | 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 | 2006-02-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
Find all providers in zip 87401 |
Taxonomy Code | 207XX0801X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Trauma |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619950326 | Markus E Garard | Orthopaedic Surgery | 630 W Maple St, Farmington, NM 87401-6113 | 2005-11-28 |
1023001757 | Robert L Grossheim | Orthopaedic Surgery | 2300 E 30th, Bldg D Ste 101, Farmington, NM 87401-8990 | 2005-08-29 |
1578567905 | Robert C Lehmer | Orthopaedic Surgery | 2300 E 30th St Bldg D Ste 101, Farmington, NM 87401-8990 | 2005-06-13 |
1407830466 | William Douglas Gurley | Orthopaedic Surgery | 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 | 2005-12-02 |
1598749061 | Jason Lucas | Orthopaedic Surgery | 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990 | 2005-11-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508103268 | Ronald Wayne Racca | Orthopaedic Surgery | 12700 Calle Del Oso Pl Ne, Albuquerque, NM 87111-8056 | 2013-01-14 |
City | FARMINGTON |
Zip Code | 87401 |
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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.