DR. GARY KANNER (NPI# 1568992220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568992220 |
| Entity Type | Individual |
| Full Name | DR. GARY KANNER |
| Credential | MD |
| Practice Address |
1010 Spruce St Espanola NM 87532-2724 |
| Mailing Address |
Po Box 26666 Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5057537111 |
| Mailing Telephone | 5059236770 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2020-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 4301112793 | NM | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | MD2020-0828 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
1010 SPRUCE ST |
| City | ESPANOLA |
| State | NM |
| Zip Code | 87532-2724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477552172 | Peter Holtz | Nurse Anesthetist, Certified Registered | 1010 Spruce St, Espanola, NM 87532-3456 | 2005-07-15 |
| 1861004715 | Folsom Anesthesia LLC | Nurse Anesthetist, Certified Registered | 1010 Spruce St, Espanola, NM 87532-2746 | 2020-08-21 |
| 1417514712 | Kathy Lynn Wirz | Nurse Practitioner | 1010 Spruce St, Espanola, NM 87532-2724 | 2019-05-22 |
| 1790259455 | Elizabeth Nunez | Nurse Practitioner | 1010 Spruce St, Espanola, NM 87532-2724 | 2019-01-16 |
| 1477062370 | Vanessa Monique Lucero | Pharmacist | 1010 Spruce St, Espanola, NM 87532-2724 | 2017-09-22 |
| 1972023810 | Amelia Brooks Kreienkamp | Pediatrics | 1010 Spruce St, Espanola, NM 87532-2724 | 2017-06-21 |
| 1033640263 | Kimberly Allen | Nurse Practitioner | 1010 Spruce St, Espanola, NM 87532-2724 | 2017-03-21 |
| 1336670405 | Julian R. Benavidez | Pediatrics | 1010 Spruce St, Espanola, NM 87532-2724 | 2017-03-21 |
| 1912303900 | Leora Ellen Shein | Registered Nurse | 1010 Spruce St, Presbyterian Espanola Hospital, Espanola, NM 87532-2724 | 2014-11-18 |
| 1831500461 | Andrew Sanchez | Physical Therapist | 1010 Spruce St, Espanola, NM 87532-2724 | 2014-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720690423 | David A. Bustos | Non-emergency Medical Transport (VAN) | 1736 Calle Culebra, Espanola, NM 87532 | 2020-08-24 |
| 1407484942 | Rosita Lorreyna Sanchez | Behavior Technician | 3 Calle Baca, Espanola, NM 87532 | 2020-03-30 |
| 1437615564 | Troy Campbell | Counselor | 19525 Tomas Ln, Espanola, NM 87532 | 2019-02-13 |
| 1174099428 | Marisa Anaya | Registered Nurse | 420 N Coronado Ave, Espanola, NM 87532 | 2018-10-15 |
| 1780169938 | Celina Velasquez | Specialist/Technologist | 8 Camino Velasquez Ln., Espanola, NM 87532 | 2018-10-03 |
| 1356864656 | Jacqueline Andrea Zamora Alvarado | Behavior Technician | 3 Boneyard Rd, Espanola, NM 87532 | 2017-07-19 |
| 1619423902 | Mariah Maureen Martinez | Specialist/Technologist | 1421 Montana Vista St, Espanola, NM 87532 | 2016-08-28 |
| 1851847180 | Shannon Vigil | Perfusionist | 829 Calle Juan Jose Vigil, Espanola, NM 87532 | 2016-08-28 |
| 1144684234 | Tanya P. Reyes | Family Medicine | El Centro Family Health, 2010 Industrial Park Rd., Espanola, NM 87532 | 2016-04-05 |
| 1780058768 | Kale Lee Dennis | Massage Therapist | 2 Old Orchard Ln, Espanola, NM 87532 | 2015-11-13 |
| Find all providers in zip 87532 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003143918 | Emily Drummond | Emergency Medicine | 1010 Spruce St, Espanola, NM 87532-2724 | 2009-11-13 |
| 1407097827 | Lea Pazos Creekmur O'dell | Emergency Medicine | 1010 Spruce St, Espanola, NM 87532-2724 | 2009-03-13 |
| 1174694616 | Fernando Bayardo | Emergency Medicine | 1010 Spruce St, Espanola Hospital, Espanola, NM 87532-2724 | 2006-11-13 |
| 1437220977 | Raul Quan | Emergency Medicine | 1010 Spruce St, Espanola Hospital, Espanola, NM 87532-2724 | 2006-11-13 |
| 1477647865 | Valerie Merl | Emergency Medicine | 1010 Spruce St, Espanola Hospital, Espanola, NM 87532-2724 | 2006-10-03 |
| 1386738771 | Patrick Montoya | Emergency Medicine | 1010 Spruce St, Espanola Hospital, Espanola, NM 87532-2724 | 2006-10-03 |
| 1851485247 | Timothy Bajema | Emergency Medicine | 1010 Spruce St, Presbyterian Espanola Hospital, Espanola, NM 87532-2724 | 2006-10-03 |
| 1023102415 | Karen G Connaughton | Emergency Medicine | 1010 Spruce St, Espanola Hospital, Espanola, NM 87532-2724 | 2006-10-03 |
| 1154307593 | Presbyterian Healthcare Services | Emergency Medicine | 1010 Spruce St, Espanola, NM 87532-3456 | 2005-12-19 |
| 1215912191 | Presbyterian Healthcare Services | Emergency Medicine | 1010 Spruce St, Espanola, NM 87532-3456 | 2005-12-13 |
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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.