DR. MICHAEL SUMNER MITNIK (NPI# 1538178736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538178736 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SUMNER MITNIK |
| Credential | MD |
| Practice Address |
4801 Mcmahon Blvd Nw Suite 155 Albuquerque NM 87114 |
| Practice Telephone | 5058932880 |
| Practice Fax Number | 5058932886 |
| Mailing Telephone | 5058932880 |
| Mailing Fax Number | 5058932886 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | NM84223 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 33589 | 05 |
| Street Address |
4801 MCMAHON BLVD NW SUITE 155 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891331773 | Head To Toe Wellness, LLC | Counselor | 4619 Greene Ave, Suite D, Albuquerque, NM 87114 | 2019-11-26 |
| 1255896353 | 32 Degrees Genuine, LLC | Counselor | 10143 4th St Nw, Albuquerque, NM 87114 | 2019-02-04 |
| 1548789365 | Maureen Chavez | Occupational Therapist | 10501 Golf Course, Albuquerque, NM 87114 | 2017-09-13 |
| 1982149043 | Professional Case Coordination Services LLC | Case Management | 4401 Aspen Glade Dr Nw, Albuquerque, NM 87114 | 2016-12-28 |
| 1124494323 | Geri Davis | Nurse Practitioner | 10511 Golf Course Rd Nw Ste 203, Albuquerque, NM 87114 | 2015-08-11 |
| 1427432111 | Marcia Nicole Cowen | Nurse Practitioner | 9210 Golfcourse Rd Nw, Albuquerque, NM 87114 | 2015-07-13 |
| 1013315399 | Amy Brown | Counselor | 707 Broadway Blvd. Ne, Suite 500, Albuquerque, NM 87114 | 2014-12-18 |
| 1851793392 | Elaine Barbara Beckett | Pharmacist | 10224 Coors-by-pass Nw, Albuquerque, NM 87114 | 2014-09-16 |
| 1174924344 | Sherrica Cressor | Counselor | 20 Pond Road, County Road 11, Cuba, NM 87114 | 2014-09-08 |
| 1427467513 | Colleen Temkin | Pharmacist | 10224 Coors By Pass Nw, Albuquerque, NM 87114 | 2014-08-04 |
| Find all providers in zip 87114 | ||||
| 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 | 87114 |
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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.