KEITH G WINTERKORN (NPI# 1538135165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538135165 |
| Entity Type | Individual |
| Full Name | KEITH G WINTERKORN |
| Credential | MD |
| Practice Address |
8020 Constitution Place Ne #202 Albuquerque NM 87110 |
| Practice Telephone | 5059983096 |
| Practice Fax Number | 5059983100 |
| Mailing Telephone | 5059983096 |
| Mailing Fax Number | 5059983100 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2020-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
86360 | NM | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
86-360 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 37390 | 05 | |
| AZ | 456815 | 05 |
| Street Address |
8020 CONSTITUTION PLACE NE #202 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457327082 | William Dean Zimmer | Radiology | 8020 Constitution Place Ne, #101, Albuquerque, NM 87110 | 2006-02-24 |
| 1326015520 | Garry M Brown | Radiology | 8020 Constitution Place Ne, #101, Albuquerque, NM 87110 | 2006-03-07 |
| 1538135512 | John Martin Stewart | Radiology | 8020 Constitution Place Ne, #101, Albuquerque, NM 87110 | 2006-02-28 |
| 1710953039 | Kathryn Miller | Radiology | 8020 Constitution Place Ne, #101, Albuquerque, NM 87110 | 2006-02-27 |
| 1447226667 | Richard Stanley Nenoff | Radiology | 8020 Constitution Place Ne, #101, Albuquerque, NM 87110 | 2006-02-27 |
| 1932175262 | Thomas Peter Martin | Radiology | 8020 Constitution Place Ne, #101, Albuquerque, NM 87110 | 2006-02-27 |
| 1174599708 | Arvis Guinn Williams | Radiology | 8020 Constitution Place Ne, #101, Albuquerque, NM 87110 | 2006-02-24 |
| 1841266483 | Bernadette Ann Redd | Radiology | 8020 Constitution Place Ne, #101, Albuquerque, NM 87110 | 2006-02-24 |
| 1013983659 | Stuart Bernard Paster | Radiology | 8020 Constitution Place Ne, #101, Albuquerque, NM 87110 | 2006-02-24 |
| 1467428003 | Timothy William Parker | Radiology | 8020 Constitution Place Ne, #101, Albuquerque, NM 87110 | 2006-02-24 |
| Find all providers in the same location | ||||
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124658299 | City Mobile Ultrasound, LLC | Radiology | 524 Richmond Dr Se, Albuquerque, NM 87106-2328 | 2020-01-17 |
| 1013407964 | Erika Jane Starks | Radiology | Radiology Msc 10-5530 1 University of New Mexico, Albuquerque, NM 87131-5040 | 2018-05-16 |
| 1700229523 | Martha F Terrazas | Radiology | Msc 10 5530 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-04-11 |
| 1922341585 | Katherine Nicole Epstein | Radiology | Msc10 5530 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-04-02 |
| 1962745869 | Joshua Eric Rider | Radiology | Unmh, 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2013-03-29 |
| 1346506904 | Andrew Bruner | Radiology | Msc 10-5550 1, University of New Mexico, Albuquerque, NM 87131 | 2012-04-09 |
| 1942576145 | Douglas James Alden | Radiology | 373 Big Horn Ridge Dr Ne, Albuquerque, NM 87122-1424 | 2012-04-02 |
| 1689947921 | Robert Johnson | Radiology | 804 Piedra Vista Rd Ne, Albuquerque, NM 87123-1954 | 2012-02-16 |
| 1386936623 | Matthew Stevens Myers | Radiology | Graduate Medical Education Msc 116093, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2011-05-04 |
| 1346530409 | Amirkasra Mojtahed | Radiology | 4352 Altura Mesa Ln Ne, Albuquerque, NM 87110-5059 | 2011-04-11 |
| 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.