SANDIA NEUROLOGY PC (NPI# 1700014479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700014479 |
| Entity Type | Organization |
| Organization Name | SANDIA NEUROLOGY PC |
| Practice Address |
101 Hospital Loop Ne Suite 111 Albuquerque NM 87109-2129 |
| Practice Telephone | 5058844406 |
| Mailing Telephone | 5058844406 |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2010-10-14 |
| Authorized Official Name | DR. SALLY LYNN HARRIS (CEO) |
| Authorized Official Telephone | 5058844406 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
101 HOSPITAL LOOP NE SUITE 111 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-2129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567962 | Barry James Beaven | Family Medicine | 101 Hospital Loop Ne, Ste 109, Albuquerque, NM 87109-2129 | 2005-06-13 |
| 1417344581 | Lydia Wallace | Emergency Medicine | 101 Hospital Loop Ne, Albuquerque, NM 87109-2129 | 2015-04-16 |
| 1992131916 | Atrinea Health LLC | Family Medicine | 101 Hospital Loop Ne, Suite 109, Albuquerque, NM 87109-2129 | 2013-09-23 |
| 1063848422 | Sarah Elizabeth Kabalka | Nurse Practitioner | 101 Hospital Loop Ne, Suite 114, Albuquerque, NM 87109 | 2013-09-17 |
| 1528399342 | Bonnie G. Miller, Lpcc, PC | Clinic/Center | 101 Hospital Loop Ne, Suite 215, Albuquerque, NM 87109-2129 | 2010-01-18 |
| 1932337557 | Angela L Drury PC | Podiatrist | 101 Hospital Loop Ne, Suite 115, Albuquerque, NM 87109-2129 | 2009-06-23 |
| 1770724916 | David C Leech Do Inc PC | Family Medicine | 101 Hospital Loop Ne, Suite 114, Albuquerque, NM 87109-2129 | 2009-03-18 |
| 1467691022 | Albuquerque Neuroscience, Inc. | Exclusive Provider Organization | 101 Hospital Loop Ne, Suite 209, Albuquerque, NM 87109-2129 | 2009-02-05 |
| 1114165719 | Glenn Michael Dempsey | Psychiatry & Neurology | 101 Hospital Loop Ne, Suite 209, Albuquerque, NM 87109-2129 | 2009-02-04 |
| 1942498142 | Rosalind Epstein Md Professional Corporation | Orthopaedic Surgery | 101 Hospital Loop Ne, Suite 113, Albuquerque, NM 87109-2129 | 2007-10-12 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083841399 | Elizabeth M Macri | Psychiatry & Neurology | 2211 Lomas Blvd Ne Unm-neurology Msc10 5620, Albuquerque, NM 87131-3011 | 2009-06-12 |
| 1417193459 | Semiramis Youssof | Psychiatry & Neurology | Msc 10 5620, Albuquerque, NM 87131-0001 | 2008-12-22 |
| 1831355106 | Matthew Todd Starr | Psychiatry & Neurology | Department of Neurology Msc10 5620 Health Ctr, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2008-08-05 |
| 1457531022 | John A Campa IIi | Psychiatry & Neurology | 7520 Montgomery Blvd Ne Bldg E4, Albuquerque, NM 87109-1554 | 2007-11-12 |
| 1730381179 | Erik Burton | Psychiatry & Neurology | 1101 Yale Blvd Ne, Albuquerque, NM 87106-3834 | 2007-06-05 |
| 1487856431 | Kenneth Imerman | Psychiatry & Neurology | Department of Neurology Msc10 5620, Health Science Center, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2007-06-01 |
| 1124167135 | Baljinder S Sandhu | Psychiatry & Neurology | Pmg Cedar Neurology, 201 Cedar Se, Albuquerque, NM 87106 | 2007-02-06 |
| 1821137837 | Luzma Cardona | Psychiatry & Neurology | Unm Hospital Neurology, 2211 Lomas Blvd Ne, Albuquerque, NM 87131-0001 | 2007-02-06 |
| 1235297839 | Manuel A Gurule | Psychiatry & Neurology | 4273 Montgomery Ne, Suite 110, Albuquerque, NM 87109-6746 | 2006-12-05 |
| 1417041807 | Anna Y Vigil | Psychiatry & Neurology | 201 Cedar St Se Ste 5630, Pmg Cedar Neurology, Albuquerque, NM 87106-4920 | 2006-10-03 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
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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.