SHAWN CHRISTOFFER KLOCEK (NPI# 1699933572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699933572 |
| Entity Type | Individual |
| Full Name | SHAWN CHRISTOFFER KLOCEK |
| Credential | PA-C |
| Practice Address |
9201 Montgomery Blvd Ne After Hours Pediatrics Suite 201 Albuquerque NM 87111-2468 |
| Mailing Address |
10909 Sandman Dr Nw Albuquerque NM 87114-1982 |
| Practice Telephone | 5052982505 |
| Mailing Telephone | 5057929259 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA2008-0019 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9201 MONTGOMERY BLVD NE AFTER HOURS PEDIATRICS SUITE 201 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111-2468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154426971 | Linda Marie Mcclanahan | Physical Therapist | 9201 Montgomery Blvd Ne, Suite 302, Albuquerque, NM 87111-2468 | 2006-09-14 |
| 1801387964 | Luz Elena Browning | Counselor | 9201 Montgomery Blvd Ne, Albuquerque, NM 87111-2468 | 2018-05-24 |
| 1700377868 | Julia Marie Herrera | Counselor | 9201 Montgomery Blvd Ne, Albuquerque, NM 87111-2468 | 2018-05-24 |
| 1346604857 | Kara Tromp | Counselor | 9201 Montgomery Blvd Ne, Bldg 5, Albuquerque, NM 87111-2468 | 2016-04-11 |
| 1497171185 | Turning Point Detox, LLC | Rehabilitation, Substance Use Disorder Unit | 9201 Montgomery Blvd Ne, Bldg 5, Albuquerque, NM 87111-2468 | 2014-03-05 |
| 1326382433 | Erickson Begay | Physical Therapy Assistant | 9201 Montgomery Blvd Ne, Suite 302, Albuquerque, NM 87111-2468 | 2012-11-15 |
| 1235447152 | Paul Norman Tucker | Counselor | 9201 Montgomery Blvd Ne, Bldg 5, Albuquerque, NM 87111-2468 | 2010-09-14 |
| 1750610499 | Turning Point Recovery Center, Inc. | Clinic/Center | 9201 Montgomery Blvd Ne, Bldg 5, Albuquerque, NM 87111-2468 | 2009-12-08 |
| 1538308754 | Belinda Joyce Griego | Physical Therapist | 9201 Montgomery Blvd Ne, Suite 302, Albuquerque, NM 87111-2468 | 2009-02-11 |
| 1265626618 | Jennifer M Sandow | Physician Assistant | 9201 Montgomery Blvd Ne, Albuquerque, NM 87111-2468 | 2007-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438110 | Dehlen LLC | Counselor | 11000 Spain Rd Ne, Building E, Albuquerque, NM 87111 | 2018-08-22 |
| 1003313008 | Jessika Junick | Nurse Practitioner | 3825 Eubank Blvd Ne Ste A, Albuquerque, NM 87111 | 2018-04-07 |
| 1881113454 | Hayley Aragon-bell | Day Training/Habilitation Specialist | 3732 Mount Rainier Dr. Ne, Albuquerque, NM 87111 | 2017-09-14 |
| 1750803326 | Sarah Mckenzie Ochoa | Day Training/Habilitation Specialist | 3916 Garcia St Ne, Albuquerque, NM 87111 | 2017-07-14 |
| 1285179549 | Family Dental Health Care | Dentist | 4550 Eubank Blvd, Suite 203, Albuquerque, NM 87111 | 2016-12-22 |
| 1871036202 | Shobha Jagannath | Nurse Practitioner | 10700 Academy Rd Ne Apt 216, Albuquerque, NM 87111 | 2016-12-03 |
| 1508319310 | Mariana Boitano | Licensed Practical Nurse | 5400 Gibson Blvd., Albuquerque, NM 87111 | 2016-07-28 |
| 1184011082 | Adam Halpern | Specialist/Technologist | 4204 Parsifal St, Albuquerque, NM 87111 | 2015-04-20 |
| 1083015770 | Cvs Pharmacy | Public Health or Welfare | 5516 Camino Arbustos Ne, Albuquerque, NM 87111 | 2014-09-12 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in zip 87111 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474550 | Mara Swartzentruber | Physician Assistant | 3310 Linda Vista Ave Se, Albuquerque, NM 87106-1514 | 2020-10-13 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1487287413 | Thomas Clise | Physician Assistant | 629 San Pablo St Ne, Albuquerque, NM 87108-2137 | 2020-02-18 |
| 1912547324 | Kathleen Joyce L'heureux | Physician Assistant | 8124 Ventana Cielo Ave Nw, Albuquerque, NM 87114-5988 | 2020-01-14 |
| 1265097869 | Amber Zoubovitch | Physician Assistant | 7200 Montgomery Blvd Ne Ste 7121, Albuquerque, NM 87109-1510 | 2019-05-08 |
| 1639680739 | Wesley A Parker | Physician Assistant | 3777 Mdg, 2050a Second Street Se, Albuquerque, NM 87117-5522 | 2017-10-16 |
| 1003327487 | Elise Nicole Pedigo | Physician Assistant | 4700 Jefferson St Ne Ste 700, Albuquerque, NM 87109-2132 | 2017-10-12 |
| 1194170605 | Anna Marie Siow | Physician Assistant | 1014 Hummingbird Pl Sw, Albuquerque, NM 87105-8130 | 2016-05-03 |
| 1285032367 | Travis Householder | Physician Assistant | 201 Cedar St Se Ste 4610, Presbyterian Heart Group, Albuquerque, NM 87106-4936 | 2014-12-05 |
| 1508276973 | Stephanie Gonzales | Physician Assistant | 12241 Academy Rd Ne Ste 204, Albuquerque, NM 87111 | 2014-05-06 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87111 |
Please comment or provide details below to improve the information on SHAWN CHRISTOFFER KLOCEK.
| 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.