PEDIATRIC HEALTH SERVICES PC (NPI# 1720109358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720109358 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC HEALTH SERVICES PC |
| Practice Address |
10110 Spain Rd Ne Albuquerque NM 87111-1965 |
| Practice Telephone | 5052945065 |
| Practice Fax Number | 5052982731 |
| Mailing Telephone | 5052945065 |
| Mailing Fax Number | 5052982731 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-03-26 |
| Authorized Official Name | LESLIE SUMNER (VP) |
| Authorized Official Telephone | 5052945065 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
A-569-71 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
10110 SPAIN RD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111-1965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295733467 | Wendell Weston Sumner | Pediatrics | 10110 Spain Rd Ne, Albuquerque, NM 87111-1965 | 2005-07-12 |
| 1275671893 | Vanita Sood | Pediatrics | 10110 Spain Rd Ne, Albuquerque, NM 87111-1965 | 2007-02-03 |
| 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 | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922013499 | Jane Mcgrath | Pediatrics | 625 Silver Ave Sw Ste 324, Albuquerque, NM 87102-3184 | 2006-07-30 |
| 1952316416 | Victor C Strasburger | Pediatrics | Dept Pediatrics 3rd Floor Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-07-30 |
| 1801165162 | Patsy Andrada | Pediatrics | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2745 | 2011-12-15 |
| 1457367047 | Susan Root | Pediatrics | 3rd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-08-01 |
| 1922013481 | Carol Clericuzio | Pediatrics | 2211 Lomas Blvd Ne, Msc10 5590, Albuquerque, NM 87131-0001 | 2006-07-30 |
| 1821003385 | Alberta Kong | Pediatrics | 3rd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215900766 | Michael Parrino | Pediatrics | 905 S 8th St Ste B, Deming, NM 88030-4037 | 2006-02-07 |
| 1124233903 | Allan L. Paul M.d., PC | Pediatrics | 2559 Medical Dr, Ste E, Alamogordo, NM 88310-8703 | 2007-05-14 |
| 1194714956 | Susie A John | Pediatrics | Us Hwy 491 North, Shiprock, NM 87420 | 2005-10-14 |
| City | ALBUQUERQUE |
| Zip Code | 87111 |
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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.