KEVIN DALE PERDUE (NPI# 1679593420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679593420 |
Entity Type | Individual |
Full Name | KEVIN DALE PERDUE |
Credential | M.D. |
Practice Address |
1900 Redrock Dr Gallup NM 87301-5682 |
Mailing Address |
1901 Redrock Dr Gallup NM 87301-5683 |
Practice Telephone | 5058637200 |
Practice Fax Number | 5057266720 |
Mailing Telephone | 5058637000 |
Mailing Fax Number | 5057266720 |
Enumeration Date | 2006-07-21 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgery | MD2006-0520 | NM | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 124003 | 05 | |
NM | LOVELACE | 10027150 | 01 |
NM | MOLINA | QMYPR0072225 | 01 |
NM | 56238835 | 05 | |
NM | BCBS | NM001H96 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043770548 | Kevin S Perdue | Counselor | 48 Private Drive 339, South Point, OH 45680-8919 | 2019-03-21 |
Street Address |
1900 REDROCK DR |
City | GALLUP |
State | NM |
Zip Code | 87301-5682 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598743056 | Steven Arrowsmith | Urology | 1900 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5682 | 2006-01-05 |
1538131321 | Linda Van Asselt-king | Advanced Practice Midwife | 1900 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5682 | 2006-02-06 |
1821060633 | David R Webb | Neuromusculoskeletal Medicine, Sports Medicine | 1900 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5682 | 2006-02-06 |
1003887829 | Philip Kamps | Obstetrics & Gynecology | 1900 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5682 | 2006-01-30 |
1609846658 | Theodore L. Lemle | Surgery | 1900 Redrock Dr, Rehoboth Mckinley Christian Health Services, Gallup, NM 87301-5682 | 2006-01-24 |
1801866983 | Mary M. Forlines | Advanced Practice Midwife | 1900 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5682 | 2006-01-23 |
1386622561 | Kimberly Marie Kesler | Surgery | 1900 Redrock Dr, Gallup, NM 87301-5682 | 2006-01-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154966141 | Karen Marie Acuesta Arboleda | Registered Nurse | 516 E Nizhoni Bld., Gallup, NM 87301 | 2019-11-13 |
1811453707 | Kelly Dahn | Respiratory Therapist, Certified | 516 E Hizhoni Blvd, Gallup, NM 87301 | 2019-02-15 |
1417411232 | Frances Griego | Registered Nurse | 28b Alma Drive, Gallup, NM 87301 | 2019-01-25 |
1891267605 | Hozho Academy | Occupational Therapist | 306 Nm-564, Gallup, NM 87301 | 2018-12-19 |
1922514686 | Jjdac, LLC | Ambulance | 208 W Maloney Ave, Gallup, NM 87301 | 2017-12-18 |
1508382698 | Katherine L Kuehl | Pharmacist | Walgreens 1870 E Historic Highway 66, Galliup, NM 87301 | 2017-08-21 |
1497285001 | Jessica Kate Savant | Registered Nurse | 516 E Nazhoni Blvd, Gallup, NM 87301 | 2017-06-15 |
1770013385 | Nicole Aline Pavy | Registered Nurse | 516 E. Nizhioni Blvd, Gallup, NM 87301 | 2017-06-15 |
1730612276 | Camie Renee Nelson | Contractor | 121 Bishop Drive, Gallup, NM 87301 | 2017-04-11 |
1508216227 | Marriah Silversmith | Technician, Other | 3426 Blue Hill Ave, Gallup, NM 87301 | 2016-06-14 |
Find all providers in zip 87301 |
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 |
---|---|---|---|---|
1053424895 | Catherine Grace Hawthorne | Orthopaedic Surgery | 305 S Strong Dr, Gallup, NM 87301 | 2006-08-16 |
1215961800 | Richard Dean Nichols | Orthopaedic Surgery | 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 | 2006-07-10 |
1811929607 | David Frank Poe | Orthopaedic Surgery | 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 | 2006-07-06 |
1326079799 | Randolph Leigh Copeland | Orthopaedic Surgery | 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 | 2006-07-05 |
1801827530 | Joseph Peter Frechette | Orthopaedic Surgery | 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 | 2006-07-05 |
1144251877 | John M Gossard | Orthopaedic Surgery | 516 E. Nizhoni Blvd., Box 1337, Gallup, NM 87301-1337 | 2006-07-05 |
1588691364 | Elisheva Flink | Orthopaedic Surgery | 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2006-06-27 |
1356385371 | Shabbar Hussain | Orthopaedic Surgery | 516 E. Nizhoni Blvd., Gallup, NM 87301-5748 | 2006-06-16 |
1124068085 | William Lloyd Barnard Jr. | Orthopaedic Surgery | 516 East Nizhoni Blvd., Gallup, NM 87301-1337 | 2006-06-08 |
1669420428 | John H York | Orthopaedic Surgery | 516 E Nizhoni Blvd, Gallup, NM 87301 | 2006-05-04 |
Find all providers in GALLUP |
Please comment or provide details below to improve the information on KEVIN DALE PERDUE.
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.