DR. EDITH R. GURROLA (NPI# 1700141157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700141157 |
| Entity Type | Individual |
| Full Name | DR. EDITH R. GURROLA |
| Credential | MD, MPP |
| Practice Address |
1100 Central Ave Se Albuquerque NM 87106-4930 |
| Mailing Address |
751 South Bascom Avenue Department of Emergency Medicine San Jose CA 95128 |
| Practice Telephone | 5058411125 |
| Practice Fax Number | 5058411737 |
| Mailing Telephone | (408) 885-5111 |
| Mailing Fax Number | 4088855117 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2017-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD2017-0464 | NM | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | R73247 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
1100 CENTRAL AVE SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-4930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354243 | Robert A Biazak | Anesthesiology | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2005-05-24 |
| 1043811045 | Nathan Michael Mabon | Registered Nurse | 1100 Central Ave Se, Albuquerque, NM 87106-4934 | 2020-11-05 |
| 1588274039 | Caryn Hong Thi Nguyen | Pharmacist | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2020-08-07 |
| 1396355996 | Hope Jessica Montoya | Internal Medicine | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2020-08-07 |
| 1326658030 | Chaniece Doyle | Pharmacist | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2020-08-06 |
| 1598375495 | Daniel Sanchez | Pharmacist | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2020-08-05 |
| 1215551478 | Yousuf Shakir | Pharmacist | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2020-06-03 |
| 1861037715 | Jeffrey Lillie | Nurse Anesthetist, Certified Registered | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2019-11-14 |
| 1396387502 | Justin Schmetterer | Pharmacist | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2019-10-09 |
| 1669023602 | Jalayne Faulhaber | Nurse Practitioner | 1100 Central Ave Se, Albuquerque, NM 87106-4930 | 2019-09-20 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730612359 | Adam Michael Tolar | Emergency Medicine | Mcs 11 6025, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2017-04-10 |
| 1538691712 | David Scott Fischman | Emergency Medicine | 6400 Paseo Del Norte Blvd Ne, Albuquerque, NM 87113-8711 | 2017-03-28 |
| 1265895486 | Nedda Fariba Karimi | Emergency Medicine | 4515 Coors Blvd Nw, Albuquerque, NM 87120-3699 | 2016-04-04 |
| 1417310764 | Justin Itty Mathew | Emergency Medicine | Department of Emergency Medicine Msc11 6025, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-04-04 |
| 1639532583 | Amanda Lauren Ventura | Emergency Medicine | Msc Emergency Medicine 1 University of New Mexico, Albuquerque, NM 87131-2364 | 2016-03-29 |
| 1083000178 | David Michael Glass | Emergency Medicine | Emergency Medicine Msc 11 6025, University of New Mexico, Albuquerque, NM 87131-0001 | 2015-04-15 |
| 1952797300 | Eleni Marie Bucuvalas | Emergency Medicine | Msc 11-6025, 1 University of New Mexico, Albuquerque, NM 87131 | 2015-04-13 |
| 1225423239 | Joseph Smith Jr. | Emergency Medicine | Msc 11 6025 University of New Mexico, Albuquerque, NM 87131-0001 | 2015-04-06 |
| 1073932471 | Kimberly Marie Ruth Pruett | Emergency Medicine | Unm Department of Emergency Medicine 1 Unm, Albuquerque, NM 87131-4700 | 2014-04-14 |
| 1538509484 | Jason S. Zeller | Emergency Medicine | Msc 11 6025 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-06-25 |
| 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.