DR. DENNIS R KLOBERDANZ


Address: 2300 E 30th St Bldg D, Ste 101, Farmington, NM 87401-8990
Phone: 5053271400

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0801X Orthopaedic Surgery
Specialization: Orthopaedic Trauma
87-256 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NM NM LICENSE 87-256 01
NM 8060 05
NM BCBS 00NM001536 01

Office Location

Street Address 2300 E 30TH ST BLDG D
STE 101
City FARMINGTON
State NM
Zip Code 87401-8990

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207XX0801X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Orthopaedic Trauma

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1508103268 Ronald Wayne Racca Orthopaedic Surgery 12700 Calle Del Oso Pl Ne, Albuquerque, NM 87111-8056 2013-01-14

Competitor

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City FARMINGTON
Zip Code 87401

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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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