SEAN PORTMAN


Address: 3846 Masthead St Ne, Albuquerque, NM 87109-4479
Phone: 5052421711

SEAN PORTMAN (NPI# 1245788603) 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) 1245788603
Entity Type Individual
Full Name SEAN PORTMAN
Credential PA
Practice Address 3846 Masthead St Ne
Albuquerque
NM 87109-4479
Practice Telephone 5052421711
Practice Fax Number 5052420189
Mailing Telephone 5052421711
Mailing Fax Number 5052420189
Enumeration Date 2016-09-14
Last Update Date 2016-09-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA2016-0050 NM Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3846 MASTHEAD ST NE
City ALBUQUERQUE
State NM
Zip Code 87109-4479

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255399630 Carlos J Esparza Physical Medicine & Rehabilitation 3846 Masthead St Ne, Albuquerque, NM 87109-4479 2006-05-03
1356595250 Michaela Christine Reyes Nurse Practitioner 3846 Masthead St Ne, Bldg. C, Albuquerque, NM 87109-4479 2008-11-05
1366469314 Carlos J Esparza Md PC Physical Medicine & Rehabilitation 3846 Masthead St Ne, Albuquerque, NM 87109-4479 2006-07-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386286367 Mikaela Epaloose Behavior Technician 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 2019-10-11
1245872464 Marsha Director Behavior Technician 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 2019-10-09
1720637499 Nancy Gail Vice Technician 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 2019-09-05
1598314411 Chau Vu Behavior Technician Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 2019-09-04
1932753498 Noelle Nielsen Behavior Technician 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 2019-08-01
1952967952 Caridad Merkel Obstetrics & Gynecology 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 2019-05-15
1043795149 Margaret Mcconville Physical Therapist Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 2018-09-25
1922586262 Clark Endodontics LLC Dentist 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 2018-07-30
1447736202 Melissa Christine Scott Registered Nurse Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 2018-07-16
1508351990 Gianna Nicole Casarez-quintana Dentist 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 2018-06-27
Find all providers in zip 87109

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386284602 Christopher Whorley Physician Assistant 4683 Idlewilde Ln Se, Albuquerque, NM 87108-3421 2020-01-15
1053836809 Alysha Gallegos Physician Assistant 6112 Molinero Ct Sw, Albuquerque, NM 87105-6814 2017-08-13
1306225180 Allison Rose Crossey Physician Assistant 201 Cedar Street Se, Suite 6600, Albuquerque, NM 87106 2015-05-26
1336543115 Pamela O Black Md, P.a., Dba Quadra Health Institute Physician Assistant 3820 Commons Ave Ne # M, Albuquerque, NM 87109-5831 2014-10-22
1457686511 Bayle R. Curtis Physician Assistant 1806 Morningrise Pl Se, Albuquerque, NM 87108-4520 2009-10-07
1215173919 Amber Dawn Hansen Physician Assistant 1100 Cenrral Ave Se, Albuquerque, NM 87106 2008-12-30
1508028606 Angela Genette Baumeister Physician Assistant 707 13th St Nw, Albuquerque, NM 87102-1841 2008-06-30
1528230117 Laura Wylie Physician Assistant 1101 Medical Arts Ave Ne # 4, Building 4, Suite A, Unm Senior Health, Albuquerque, NM 87102-2706 2008-03-24
1457406951 Deneen Tomayko Physician Assistant 2211 Lomas Blvd Ne Fl 4, Albuquerque, NM 87106-2745 2007-01-24
1083793665 Karen Kay Nester Physician Assistant 4901 Lang Ave, Ne, Suite 100, Albuquerque, NM 87109-4597 2006-11-03
Find all providers in ALBUQUERQUE

Competitor

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City ALBUQUERQUE
Zip Code 87109

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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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