DR. CATHERINE MARIE RADOVICH (NPI# 1699743328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699743328 |
| Entity Type | Individual |
| Full Name | DR. CATHERINE MARIE RADOVICH |
| Credential | M.D. |
| Practice Address |
516 Nizhoni Blvd Gallup Indian Medical Center Gallup NM 87301-4555 |
| Mailing Address |
Po Box 1337 Gallup Indian Medical Center Gallup NM 87305 |
| Practice Telephone | 5057221000 |
| Mailing Telephone | 5057221000 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 91287 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 414904 | 05 | |
| NM | S0796 | 05 |
| Street Address |
516 NIZHONI BLVD GALLUP INDIAN MEDICAL CENTER |
| City | GALLUP |
| State | NM |
| Zip Code | 87301-4555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670861 | Michael Davis | Optometrist | 516 Nizhoni Blvd, Department 18, Gallup, NM 87301-5748 | 2005-06-22 |
| 1083161509 | Denice Bobelu | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301 | 2016-09-01 |
| 1730438912 | Natasha Renee Sellers | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-1337 | 2012-09-05 |
| 1003184201 | Nancy Davis | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-12-02 |
| 1760788012 | Diana D Chavez | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-02-03 |
| 1649576232 | Linda Lovell | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-01-31 |
| 1871898692 | Patricia Bialach | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-01-26 |
| 1861797052 | Elizabeth A Verostko | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-01-19 |
| 1457656191 | Lisa Marie Shaurette | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2011-01-11 |
| 1003110537 | Sally Catherine Kaufman | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2010-12-23 |
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| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952521874 | Michael Eric Ivory | General Practice | 516 E. Nizhoni Blvd., Gallup, NM 87301-1337 | 2007-04-26 |
| 1679648901 | Georges Duval | General Practice | 308 E Hill Ave, Gallup, NM 87301-6155 | 2006-11-21 |
| 1316915051 | Paula Renee Mora | General Practice | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2006-03-09 |
| 1801864590 | Adriann Westine Begay | General Practice | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2006-03-09 |
| 1073581583 | Cleora Shunkamolah | General Practice | 516 E Nizhoni Blvd, Gallup, NM 87301-5748 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616679 | Gemma Cristina Zapater | General Practice | 923 Calle Fuerte Ne, Albuquerque, NM 87113-2373 | 2020-10-15 |
| 1710596036 | Provider Cares Network LLC | General Practice | 10401 Montgomery Pkwy Ne Ste 1a, Albuquerque, NM 87111-3876 | 2020-07-23 |
| 1154948081 | Designed Health Options, LLC | General Practice | 5065 Corrales Rd., Corrales, NM 87048 | 2020-06-26 |
| 1538714381 | Uyama A Fernandez | General Practice | 400 Gold Ave Sw Ste 220, Albuquerque, NM 87102-3278 | 2019-08-08 |
| 1386180909 | Lisselle Marie Villarrubia Ocasio | General Practice | Msc10 6000 1 University of New Mexico, Albuquerque, NM 87131-5505 | 2017-01-07 |
| 1225586969 | Joan Goldsworthy | General Practice | Unm School of Medicine Msc09 5040, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-09-12 |
| 1033568902 | Karen Griest | General Practice | 68 Pinon Trl, Cedar Crest, NM 87008-9444 | 2016-06-10 |
| 1447610886 | Sean T Mcgee | General Practice | Univeristy of New Mexico, Albuquerque, NM 87131-0001 | 2016-02-27 |
| 1275901266 | Lynn Schrader Sweeney | General Practice | 701 Kerney Dr, Farmington, NM 87401-3660 | 2015-09-08 |
| 1942608708 | Marathon Health, Inc. | General Practice | 2208 W Main St, C/o Concho Employee Health Center, Artesia, NM 88210-3720 | 2014-12-10 |
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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.