ANIL SHETTY (NPI# 1215058359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215058359 |
| Entity Type | Individual |
| Full Name | ANIL SHETTY |
| Practice Address |
2211 Lomas Blvd Ne University of New Mexico Health Sciences Center Albuquerque NM 87106-2719 |
| Mailing Address |
933 Bradbury Dr Se Suite 2222 Albuquerque NM 87106-4374 |
| Practice Telephone | 5052725504 |
| Practice Fax Number | 5052721669 |
| Mailing Telephone | 5052723120 |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2017-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | MD2009-0440 | NM | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | A 96895 | CA | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | 4301075872 | MI | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | MD2009-0440 | NM | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | A 96895 | CA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 4301075872 | MI | Allopathic & Osteopathic Physicians |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD2009-0440 | NM | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
A 96895 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
2211 LOMAS BLVD NE UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER |
| 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 | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649289158 | Chester Y Sakura Jr. | Surgery | 1020 Tijeras Ne, Ste 235, Albuquerque, NM 87106 | 2006-08-05 |
| 1275859670 | Lorant Divald | Surgery | 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2010-04-12 |
| 1629214838 | New Mexico Plastic Surgeons, PC | Surgery | 1020 Tijeras Ave Ne, Ste. 16, Albuquerque, NM 87106-4749 | 2008-12-18 |
| 1467668723 | The Plastic Surgery Center, P.C. | Surgery | 2207 San Pedro Dr Ne, Albuquerque, NM 87110-4175 | 2007-05-15 |
| 1457445827 | John M Finley | Surgery | 8300 Constitution Pl Ne, Pmg Kaseman Dermatology/plastic Surgery, Albuquerque, NM 87110-7637 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417209792 | Adams Plastic Surgery, PC | Surgery | 2300 E 30th St Ste 103, Farmington, NM 87401-8990 | 2012-10-10 |
| 1669686903 | Steven Mark Garren | Surgery | 105 Avenida Frijoles, Santa Fe, NM 87507-3539 | 2007-05-09 |
| 1124110283 | Todd E Williams | Surgery | 2300 E 30th St Bldg B, Ste 103, Farmington, NM 87401-8991 | 2006-09-28 |
| 1609218452 | St. Vincent Hospital | Surgery | 465 Saint Michaels Dr, Suite 204, Santa Fe, NM 87505 | 2013-07-22 |
| 1669595559 | Roger Miller | Surgery | 465 Saint Michaels Dr, Santa Fe, NM 87505-7670 | 2007-04-08 |
| 1619060274 | Todd Williams, Md PC | Surgery | 2300 E 30th St Bldg B, Ste 103, Farmington, NM 87401-8991 | 2006-10-02 |
| 1891734547 | Jean Shimanek | Surgery | 101 Hospital Lp Ne, Ste 214, Albuq, NM 87109-2128 | 2006-06-06 |
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on ANIL SHETTY.
| 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.