WAYNE W CHARLAND (NPI# 1346273331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346273331 |
| Entity Type | Individual |
| Full Name | WAYNE W CHARLAND |
| Credential | MD |
| Practice Address |
1901 Redrock Dr Gallup NM 87301-5683 |
| Practice Telephone | 5058637149 |
| Practice Fax Number | 5057266720 |
| Mailing Telephone | 5058637000 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD2006-0699 | NM | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
27583 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | BCBS OF NM | NM001P78 | 01 |
| NM | MOLINA | QMYPR0072832 | 01 |
| NM | Q9165 | 05 | |
| NM | LOVELACE | 10029149 | 01 |
| AZ | 153911 | 05 |
| Street Address |
1901 REDROCK DR |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-5683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710965272 | Carmelita Agodon | Anesthesiology | 1901 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5683 | 2006-01-05 |
| 1114164076 | Thomas Hall | Internal Medicine | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2009-01-14 |
| 1841445574 | Greg Allen Kirk | Physical Therapist | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2008-11-21 |
| 1164572533 | Rehoboth Mckinley Christian Health Care Services | Durable Medical Equipment & Medical Supplies | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2007-01-10 |
| 1053477505 | Western New Mexico Emergency Physicians PC | Emergency Medicine | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2006-12-29 |
| 1689784506 | Rehoboth Mckinley Christian Health Care Services, Inc | Internal Medicine | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2006-08-30 |
| 1720198088 | Lisa June Cope | Registered Nurse | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2006-08-30 |
| 1508809229 | Southwest Radiology Associates PC | Radiology | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2006-06-13 |
| 1801864970 | Pierre Lanthiez | Radiology | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2006-03-14 |
| 1861464141 | Oscar Palomo | Emergency Medicine | 1901 Redrock Dr, Gallup, NM 87301-5683 | 2006-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
| 1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
| 1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
| 1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
| 1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
| 1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
| 1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
| 1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
| 1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
| Find all providers in zip 87301 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972119725 | Madeline Woodward | Pathology | 1020 Stanford Dr Ne, Albuquerque, NM 87106-3720 | 2020-09-17 |
| 1891173647 | Rebecca L. Lynn Kunak | Pathology | Msc 07-4040 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2015-05-13 |
| 1457761108 | Laura Naomi Toth | Pathology | Msc 07-4040 I University of New Mexico, Albuquerque, NM 87131 | 2014-05-03 |
| 1902224488 | Alae Abod Yaseen | Pathology | Msc (pathology) 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2014-04-02 |
| 1881026078 | Shweta Agarwal | Pathology | 1 University of New Mexico Msc08-4640, Albuquerque, NM 87131-0001 | 2013-07-30 |
| 1720421290 | Joshua K Routh | Pathology | Msc 07 0404 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-04-15 |
| 1457600496 | Nathan James Thompson | Pathology | Department of Pathology Bmsb 335 915 Camino, Albuquerque, NM 87131-0001 | 2012-09-06 |
| 1033474077 | Joseph Ross Griggs | Pathology | Msc 08 4640, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-07-05 |
| 1265792170 | Paul Christopher Yell | Pathology | Msc Pathology 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-05-24 |
| 1346516325 | Joanna L. Conant | Pathology | Msc Pathology Department, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2012-03-23 |
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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.