DR. TRISHA SIMONE TAVARES (NPI# 1447461520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447461520 |
| Entity Type | Individual |
| Full Name | DR. TRISHA SIMONE TAVARES |
| Credential | M.D. |
| Practice Address |
201 Cedar St. Se Suite 4660 Albuquerque NM 87106 |
| Practice Telephone | 5055636530 |
| Practice Fax Number | 5055636551 |
| Mailing Telephone | 5055636530 |
| Mailing Fax Number | 5055636551 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2016-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
232402 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02881065 | 05 |
| Street Address |
201 CEDAR ST. SE SUITE 4660 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750673661 | Jessica Marie Valdez | Pediatrics | 2211 Lomas Blvd Ne Ste 2222, Albuquerque, NM 87106 | 2011-05-11 |
| 1235146275 | Jami Dalene Frost | Pediatrics | 4101 Indian School Rd Ne, Albuquerque, NM 87110-3988 | 2006-08-02 |
| 1043226780 | Linda J Butros | Pediatrics | 1804 Carlisle Blvd Ne, Albuquerque, NM 87110 | 2006-08-01 |
| 1760404255 | Prasad Mathew | Pediatrics | Ambulatory Care Ctr Fl 3, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-07-24 |
| 1104140086 | Amy Cruickshank | Pediatrics | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2010-03-20 |
| 1295822302 | John Kuttesch | Pediatrics | 2211 Lomas Blvd Ne Fl 3, Albuquerque, NM 87106-2719 | 2006-10-09 |
| 1164439121 | James Vance Mckinnell | Pediatrics | Department of Pediatrics Msc10 5590, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2006-08-02 |
| 1285641225 | Richard Heideman | Pediatrics | 2211 Lomas Blvd Ne, Ambulatory Care Center 3rd Floor, Albuquerque, NM 87106-2719 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700078375 | Giddel G A Thom | Pediatrics | 1515 W Fir St, Portales, NM 88130-5703 | 2007-08-16 |
| 1154369981 | Sam W Lew | Pediatrics | 1007 N Pope St, Silver City, NM 88061-5161 | 2006-06-03 |
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on DR. TRISHA SIMONE TAVARES.
| 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.