WOMEN'S PELVIC SPECIALTY CARE OF NEW MEXICO, LLC


Address: 4705 Montgomery Blvd Ne, Suite 201, Albuquerque, NM 87109-1226
Phone: 5058880443

WOMEN'S PELVIC SPECIALTY CARE OF NEW MEXICO, LLC (NPI# 1629471032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629471032
Entity Type Organization
Organization Name WOMEN'S PELVIC SPECIALTY CARE OF NEW MEXICO, LLC
Practice Address 4705 Montgomery Blvd Ne
Suite 201
Albuquerque
NM 87109-1226
Practice Telephone 5058880443
Mailing Telephone 5058880443
Enumeration Date 2014-09-29
Last Update Date 2014-09-29
Authorized Official Name ALANA MAE WILLIAMS (BUSINESS OWNER)
Authorized Official Telephone 5054004907
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VF0040X Obstetrics & Gynecology
Specialization: Female Pelvic Medicine and Reconstructive Surgery
Allopathic & Osteopathic Physicians

Office Location

Street Address 4705 MONTGOMERY BLVD NE
SUITE 201
City ALBUQUERQUE
State NM
Zip Code 87109-1226

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407853872 Susan Brandt Graham Obstetrics & Gynecology 4705 Montgomery Blvd Ne, Ste 102, Albuquerque, NM 87109-1246 2005-06-30
1578042958 Rebecca Ann Archuleta Midwife 4705 Montgomery Blvd Ne, Albuquerque, NM 87109-1226 2018-08-07
1487166641 Deanna Sue Marquardt Romine Registered Nurse 4705 Montgomery Blvd Ne, Albuquerque, NM 87109-1226 2017-10-27
1194278143 Southwest Medical Associates, Inc. Advanced Practice Midwife 4705 Montgomery Blvd Ne, Suite 301, Albuquerque, NM 87109-1226 2016-07-26
1902296106 Melynda Lopez Advanced Practice Midwife 4705 Montgomery Blvd Ne, Ste 301, Albuquerque, NM 87109-1226 2015-01-27
1619392172 Melissa Moore Registered Nurse 4705 Montgomery Blvd Ne, Ste 301, Albuquerque, NM 87109-1226 2014-02-20
1205272481 Nicole M Dishong Registered Nurse 4705 Montgomery Blvd Ne, Suite 301, Albuquerque, NM 87109-1226 2013-05-15
1376884759 Katheryne Anne Barron Nurse Practitioner 4705 Montgomery Blvd Ne, Lmg Gastroenterology Clinic 102, Albuquerque, NM 87109 2013-03-08
1487998639 Christina C Chaney Advanced Practice Midwife 4705 Montgomery Blvd Ne, Suite 301, Albuquerque, NM 87109-1226 2012-11-11
1598013716 Jaya Nova Martin Advanced Practice Midwife 4705 Montgomery Blvd Ne, Ste 301, Albuquerque, NM 87109-1226 2012-08-20
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207VF0040X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Female Pelvic Medicine and Reconstructive Surgery

Taxonomy Definition

A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487879987 Peter C. Jeppson Obstetrics & Gynecology 933 Bradbury Dr Se, Suiet 2222, Albuquerque, NM 87106-4374 2007-04-17

Competitor

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City ALBUQUERQUE
Zip Code 87109

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Dataset Information

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.

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