UPTOWN DERMATOLOGY LLC (NPI# 1285260588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285260588 |
Entity Type | Organization |
Organization Name | UPTOWN DERMATOLOGY LLC |
Practice Address |
8016 Constitution Pl Ne Albuquerque NM 87110-7628 |
Practice Telephone | 5055084309 |
Practice Fax Number | 5058355687 |
Mailing Telephone | 5055084309 |
Mailing Fax Number | 5058355687 |
Enumeration Date | 2020-03-18 |
Last Update Date | 2020-03-18 |
Authorized Official Name | DR. RAN H BANG (PRESIDENT) |
Authorized Official Telephone | 5055084309 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Street Address |
8016 CONSTITUTION PL NE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87110-7628 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
Find all providers in zip 87110 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295350437 | Clinica Para Todos | Clinic/Center | 7345 Yorktown Ave Ne, Albuquerque, NM 87109-5070 | 2020-06-13 |
1083188585 | Hearing and Vision Store | Clinic/Center | 8400 Menaul Blvd Ne Ste F, Albuquerque, NM 87112-2200 | 2019-01-17 |
1144733924 | Heights Family Wellness Center LLC | Clinic/Center | 5800 Mcleod Rd Ne Ste C, Albuquerque, NM 87109-2467 | 2017-11-14 |
1316303647 | Southwest Care Center | Clinic/Center | 4710 Jefferson St Ne Ste A, Albuquerque, NM 87109-2156 | 2015-12-31 |
1568842953 | The Human Body Shop | Clinic/Center | 617 Solano Dr Se, Albuquerque, NM 87108-3380 | 2015-06-01 |
1356736573 | Visionquest Irb | Clinic/Center | 2501 Yale Blvd Se, Suite 301, Albuquerque, NM 87106-4200 | 2015-04-03 |
1235531468 | Health Quest Wellness Central LLC | Clinic/Center | 723 Silver Ave Sw Ste L1, Albuquerque, NM 87102-3018 | 2014-09-18 |
1033547302 | Health Quest Wellness Cottonwood LLC | Clinic/Center | 9664 Eagle Ranch Rd Nw Ste A-1, Albuquerque, NM 87114-1578 | 2013-10-24 |
1598058232 | Over The Edge Group Home for Disable | Clinic/Center | 7010 Phoenix Ave Ne Apt 310, Albuquerque, NM 87110-3505 | 2011-05-26 |
1295027894 | Christine Dombroski, Pt LLC | Clinic/Center | 313 Montclaire Dr Se Apt 5, Albuquerque, NM 87108-2676 | 2011-05-15 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87110 |
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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.