MATTHEW BORDEGARAY


Address: 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619
Phone: 5052980301

MATTHEW BORDEGARAY (NPI# 1225353550) 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) 1225353550
Entity Type Individual
Full Name MATTHEW BORDEGARAY
Practice Address 601 Dr Martin Luther King Jr Ave Ne
Lovelace Medical Center
Albuquerque
NM 87102-3619
Mailing Address Po Box 4934
Albuquerque
NM 87196-4934
Practice Telephone 5052980301
Practice Fax Number 5055543302
Mailing Telephone 5052980301
Mailing Fax Number 5055543302
Enumeration Date 2010-03-30
Last Update Date 2016-07-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
ME121091 FL Allopathic & Osteopathic Physicians
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
MD2016-0170 NM Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 601 DR MARTIN LUTHER KING JR AVE NE
LOVELACE MEDICAL CENTER
City ALBUQUERQUE
State NM
Zip Code 87102-3619

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649261611 Gilbert M Martinez Nuclear Medicine 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 2005-10-31
1114533239 Mattie Firlit Dietitian, Registered 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 2020-09-23
1184263303 Seth Tyler Gambone Nurse Anesthetist, Certified Registered 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 2020-01-06
1518527530 Shannon Erickson Dietitian, Registered 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 2019-06-20
1396218095 Caroline Jane Spencer Dietitian, Registered 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 2019-01-04
1023596491 Jason Michael Rotonda Registered Nurse 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102 2018-07-30
1275010985 Main Street Anesthesia of New Mexico, LLC Anesthesiology 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 2018-07-25
1740779560 Paris Arlette Cook Pharmacist 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 2018-05-07
1386150076 Raiza Stephanie Mena Registered Nurse 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 2017-12-18
1255843710 Bernadette Perea-zamora Registered Nurse 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 2017-10-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407454937 Julie Wood Acupuncturist 1600 Luna Circle Nw, Albuquerque, NM 87102 2020-10-16
1770121410 Emily Perez Counselor 218 Broadway Ne, Albuquerque, NM 87102 2019-12-12
1417503392 Tess Holtry Behavior Technician 1424 Walter St Nw, Albuquerque, NM 87102 2019-08-15
1942867486 Christy E Cheromiah Behavioral Analyst Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 2019-05-21
1730744103 Faith Petra Maxwell Behavior Technician 900 Arno St, Albuquerque, NM 87102 2019-05-01
1568923761 Storm Swinford Behavioral Analyst Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 2019-03-29
1093276651 Tina Marie Trujillo Behavioral Analyst Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 2019-03-27
1861950370 Meghan Montoya Student in an Organized Health Care Education/Training Program 801 Camino De Salud, Albuquerque, NM 87102 2019-03-05
1174099329 Dilshani N Tyson Counselor 600 1st Street Nw Ste 200, Albuquerque, NM 87102 2018-10-15
1962987925 Tania L Goldfeder Social Worker New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 2018-09-26
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982627238 William Schaeffer Radiology Unm Dept of Radiology Msc10 5530, 1 University of New Mexico, Albuquerque, NM 87131-0001 2006-07-26
1598756595 Michael Allen Gooden Radiology 201 Cedar St Se Ste 800, Albuquerque, NM 87106-4912 2005-10-31
1770587115 Edward Poon Radiology 3860 Masthead St Ne, Albuquerque, NM 87109-4479 2005-06-13
1932736907 City Mobile Group, LLC Radiology 524 Richmond Dr Se, Albuquerque, NM 87106-2328 2020-03-26
1811341662 Pain Consultants & Intervention PC Radiology 3860 Masthead St Ne, Albuquerque, NM 87109-4479 2016-04-19
1174911093 New Mexico Center for Minimally Invasive Therapies Radiology 4901 Lang Ave Ne, Suite 202, Albuquerque, NM 87109-4495 2014-12-30
1487997243 Emily Rose Ochmanek Radiology Msc 10 5530, 1 University of New Mexico, Albuquerque, NM 87131-0001 2013-03-30
1053638981 Ryan Craig Lebaron Radiology Msc10 5530, 1 University of New Mexico, Albuquerque, NM 87131-0001 2010-05-03
1659697720 Paul Ryan Vantine Radiology 1 University of New Mexico, Albuquerque, NM 87131-0001 2010-04-14
1649413584 Charles Edward Lohr IIi Radiology 4411 The 25 Way Ne, Suite 150, Albuquerque, NM 87109-5857 2009-04-08
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Competitor

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City ALBUQUERQUE
Zip Code 87102

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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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