KOH BOAYUE (NPI# 1639134620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639134620 |
| Entity Type | Individual |
| Full Name | KOH BOAYUE |
| Credential | MD |
| Practice Address |
2211 Lomas Blvd Ne 3rd Floor Albuquerque NM 87106-2745 |
| Mailing Address |
933 Bradbury Dr Se Suite 2222 Albuquerque NM 87106-4374 |
| Practice Telephone | 5052724461 |
| Practice Fax Number | 5052728699 |
| Mailing Telephone | 5052723120 |
| Mailing Fax Number | 5052728060 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2012-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
O1060668A | IN | Allopathic & Osteopathic Physicians |
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
MD2009-0038 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 96307251 | 05 | |
| IN | 200526690 | 05 | |
| OH | 2190258 | 05 |
| Street Address |
2211 LOMAS BLVD NE 3RD FLOOR |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-2745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902016 | Gloria Doherty | Nurse Practitioner | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2005-06-15 |
| 1427659127 | Letitia Tomaszewski | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-08 |
| 1467053116 | Luis Aaron Trillo | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-07 |
| 1215538095 | Rafael Alejandro Fernandez-mancha | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-06 |
| 1144821950 | Jaylee Caruso | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-06 |
| 1508467648 | Christine Hsu Teng | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-05 |
| 1649871641 | Martin Jurado | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-05 |
| 1912508284 | Joshua Marquez | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-04 |
| 1609477850 | Jessica Elena Larsen | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-04 |
| 1619578879 | Kevin A Martinez | Student in an Organized Health Care Education/Training Program | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2020-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033435490 | Heloisa Prado Soares | Internal Medicine | Msc07 4025 1 University of Nm, Albuquerque, NM 87131-9416 | 2010-04-10 |
| 1487743092 | Wadih Arap | Internal Medicine | 1 University of New Mexico Msc 07 4025, 1201 Camino De Salud, Albuquerque, NM 87131-0001 | 2006-10-12 |
| 1114990298 | Murray M Bern | Internal Medicine | Unm Cancer Ctr, Msc 07-4025 1201 Camino De Salud, Albuquerque, NM 87131-0001 | 2006-02-09 |
| 1073506531 | Kenneth J Smith | Internal Medicine | 8300 Constitution Ave. Ne, Presbyterian Oncology Kaseman Hospital, Albuquerque, NM 87110-7613 | 2005-08-30 |
| 1114920238 | Douglas A. Clark | Internal Medicine | 4901 Lang Ave Ne, Albuquerque, NM 87109-4397 | 2005-05-23 |
| 1790183135 | Lovelace Health System, LLC | Internal Medicine | 715 Dr Martin Luther King Jr Ave Ne, Suite 102, Albuquerque, NM 87102-3661 | 2014-12-17 |
| 1235579632 | Gautam Kishore Valecha | Internal Medicine | 8300 Constitution Ave Ne, Albuquerque, NM 87110-7613 | 2013-06-28 |
| 1326393380 | Neda Hashemi Sadraei | Internal Medicine | 1 University of New Mexico, Albuquerque, NM 87131 | 2012-07-16 |
| 1184980989 | Paul Allen Brittain | Internal Medicine | 715 Dr Martin Luther King Jr Ave Ne Ste 102, Albuquerque, NM 87102 | 2012-04-05 |
| 1972824084 | Emrullah Yilmaz | Internal Medicine | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2010-06-14 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
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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.