JEFFREY P BECKENBAUGH (NPI# 1407850340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407850340 |
| Entity Type | Individual |
| Full Name | JEFFREY P BECKENBAUGH |
| Credential | DO |
| Practice Address |
5150 Journal Center Blvd Ne Fl 2 Albuquerque NM 87109-5900 |
| Mailing Address |
5803 Neal Ave N Oak Park Heights MN 55082-2177 |
| Practice Telephone | 5053428400 |
| Practice Fax Number | 5053428401 |
| Mailing Telephone | 6514398807 |
| Mailing Fax Number | 6514390232 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2019-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 40868 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1701 Curve Crest Blvd W Ste 104, Stillwater, MN 550826181 | 6514398807 | 6514390232 |
| Street Address |
5150 JOURNAL CENTER BLVD NE FL 2 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083197032 | Davita Medical Group New Mexico, LLC | Durable Medical Equipment & Medical Supplies | 5150 Journal Center Blvd Ne Fl 2, Albuquerque, NM 87109-5900 | 2018-09-14 |
| 1174025191 | Optumcare New Mexico, LLC | Durable Medical Equipment & Medical Supplies | 5150 Journal Center Blvd Ne Fl 2, Albuquerque, NM 87109-5900 | 2018-03-06 |
| 1548513716 | Lisa Marie Taylor | Nurse Practitioner | 5150 Journal Center Blvd Ne Fl 2, Albuquerque, NM 87109-5900 | 2012-10-24 |
| 1679584684 | Kathy Jean O'connor | Internal Medicine | 5150 Journal Center Blvd Ne Fl 2, Albuquerque, NM 87109-5900 | 2006-08-11 |
| 1457374555 | William Charles Syme | Surgery | 5150 Journal Center Blvd Ne Fl 2, Albuquerque, NM 87109-5900 | 2006-07-26 |
| 1447273552 | Gary Nelson | Podiatrist | 5150 Journal Center Blvd Ne Fl 2, Albuquerque, NM 87109-5900 | 2006-07-26 |
| 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 Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235549890 | Geneva Vicenta Tranchida | Orthopaedic Surgery | Unm Orthopedics Ms10 5600, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2014-05-05 |
| 1033404314 | Heather Menzer | Orthopaedic Surgery | Msc10 5600, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2011-06-14 |
| 1497076624 | Brian Neil Hodges | Orthopaedic Surgery | Msc10 5600 (orthopedics), 1 University of New Mexico, Albuquerque, NM 87114-0001 | 2010-06-22 |
| 1891925194 | Sidney Schultz | Orthopaedic Surgery | 2212 Vista Larga Dr. N.e., Albuquerque, NM 87106-3732 | 2009-07-21 |
| 1154577146 | Samuel A Mcarthur | Orthopaedic Surgery | 1101 Medical Arts Ave Ne Bldg 5, Albuquerque, NM 87102-2719 | 2008-08-11 |
| 1194909739 | Richard Ball | Orthopaedic Surgery | 6100 Pan Am E Fwy, Suite 455, Albuquerque, NM 87109-3460 | 2007-12-18 |
| 1003012493 | Carl Jan Gilmore | Orthopaedic Surgery | Msc08 4770, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2007-06-22 |
| 1124140413 | Donnie Edward Lujan | Orthopaedic Surgery | New Mexico Orthopaedic Associates, 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106 | 2007-04-06 |
| 1952425985 | Alan L Altman | Orthopaedic Surgery | 500 Walter St Ne Suite #301, Lovelace Medical Towers, Albuquerque, NM 87102 | 2007-03-16 |
| 1790824795 | Eric Charles Benson | Orthopaedic Surgery | Unm Hospital Orthopaedic Surgery, 2211 Lomas Blvd Ne, Albuquerque, NM 87131-0001 | 2007-02-06 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on JEFFREY P BECKENBAUGH.
| 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.