DR. GEROLD J BLAZEK (NPI# 1467452664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467452664 |
| Entity Type | Individual |
| Full Name | DR. GEROLD J BLAZEK |
| Credential | MD |
| Practice Address |
4401 Masthead St Ne Suite 120 Albuquerque NM 87109-4327 |
| Mailing Address |
Po Box 36840 Albuquerque NM 87176-6840 |
| Practice Telephone | 5052437729 |
| Practice Fax Number | 5052434804 |
| Mailing Telephone | 5052437729 |
| Mailing Fax Number | 5052434804 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2011-08-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 86-176 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 37812 | 05 |
| Street Address |
4401 MASTHEAD ST NE SUITE 120 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-4327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043619158 | Zia Ambulatory Anesthesia, LLC | Anesthesiology | 4401 Masthead St Ne, Suite 120, Albuquerque, NM 87109-4493 | 2014-08-14 |
| 1225382666 | Joel H. Ramadan | Nurse Anesthetist, Certified Registered | 4401 Masthead St Ne, Suite 120, Albuquerque, NM 87109-4497 | 2012-11-07 |
| 1235406869 | Clare R. Amato | Nurse Anesthetist, Certified Registered | 4401 Masthead St Ne, #120, Albuquerque, NM 87109-4497 | 2011-11-28 |
| 1285922278 | Kimberly Beckham | Pharmacist | 4401 Masthead St Ne, Ste 120, Albuquerque, NM 87109-4493 | 2011-07-12 |
| 1891014817 | Finley Shane Beckham | Nurse Anesthetist, Certified Registered | 4401 Masthead St Ne, Suite 120, Albuquerque, NM 87109-4493 | 2010-06-01 |
| 1740486133 | Philip C Snyder | Anesthesiology | 4401 Masthead St Ne, Suite 120, Albuquerque, NM 87109-4493 | 2007-06-22 |
| 1417072034 | Chau N Tran | Registered Nurse | 4401 Masthead St Ne, Suite 120, Albuquerque, NM 87109-4493 | 2007-03-20 |
| 1518979848 | John J. Olsen | Anesthesiology | 4401 Masthead St Ne, Suite 120, Albuquerque, NM 87109-4327 | 2006-08-13 |
| 1427060771 | Frances M. Samper | Anesthesiology | 4401 Masthead St Ne, Suite 120, Albuquerque, NM 87109-4327 | 2006-08-13 |
| 1407868656 | Ernie O. Villescas | Anesthesiology | 4401 Masthead St Ne, Suite 120, Albuquerque, NM 87109-4327 | 2006-08-13 |
| Find all providers in the same location | ||||
| 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 | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1477992535 | Ranjani Venkataramani | Anesthesiology | 2211 Lomas Blvd Ne # 10-6000, Albuquerque, NM 87106 | 2013-06-21 |
| 1790120533 | Austin O Oetken | Anesthesiology | Anesthesia University of New Mexico, Albuquerque, NM 87131 | 2013-05-07 |
| 1184966871 | Karyn Marie Nunez | Anesthesiology | Dept of Anesthesiology and Critical Care, Albuquerque, NM 87131-0001 | 2013-03-21 |
| 1922346428 | Keith Levitt | Anesthesiology | 8100 Wyoming Blvd Ne #712, Suite M4, Albuquerque, NM 87113 | 2013-01-18 |
| 1811244270 | Francisco Buendia | Anesthesiology | 2211 Lomas Blvd Ne # 106000, Acm 200, Albuquerque, NM 87106-2719 | 2012-08-04 |
| 1578829388 | Joshua David Bevans | Anesthesiology | Msc 10 6000 I University of New Mexico, Albuquerque, NM 87131-0001 | 2012-04-05 |
| 1982970679 | Brittany Leigh Collins | Anesthesiology | 8927 Helmick Pl Ne, Albuquerque, NM 87122-4228 | 2012-03-27 |
| 1285905109 | Neelema Sinha | Anesthesiology | 2211 Lomas Blvd Ne 2nd Floor Acm 200, University of New Mexico Anesthesiology Msc 10-6000, Albuquerque, NM 87106 | 2012-01-24 |
| 1295020162 | Brian R. Gebhardt | Anesthesiology | 1720 Louisiana Blvd. Ne, Suite 401, Albuquerque, NM 87110 | 2011-06-18 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
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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.