KATHLEEN A SHORE (NPI# 1720240492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720240492 |
Entity Type | Individual |
Full Name | KATHLEEN A SHORE |
Credential | DO |
Practice Address |
2400 Tucker Ne Albuquerque NM 87131-0001 |
Mailing Address |
933 Bradbury Dr Se Ste 2222 Albuquerque NM 87106-4375 |
Practice Telephone | 5052721734 |
Practice Fax Number | 5052726308 |
Mailing Telephone | 5052723120 |
Mailing Fax Number | 5052728060 |
Enumeration Date | 2008-06-25 |
Last Update Date | 2017-10-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 20A12544 | CA | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | A156710 | NM | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | R1020 | AZ | Student, Health Care |
Street Address |
2400 TUCKER NE |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87131-0001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255320198 | Jan Fawcett | Psychiatry & Neurology | 2400 Tucker Ne, Msc09 5030, Albuquerque, NM 87131-0001 | 2005-10-13 |
1376962241 | Francheska Sevyllyn Gurule | Family Medicine | 2400 Tucker Ne, Albuquerque, NM 87131-5781 | 2014-04-08 |
1730516055 | Cristina Beato | Family Medicine | 2400 Tucker Ne, Albuquerque, NM 87131-0001 | 2013-10-01 |
1346508975 | James Eugene Cheek | Preventive Medicine | 2400 Tucker Ne, Albuquerque, NM 87131-0001 | 2012-05-02 |
1235405986 | Kira Anne Paisley | Family Medicine | 2400 Tucker Ne, Msc09 5040, Albuquerque, NM 87131-0001 | 2012-03-27 |
1598031395 | Sara Thorp | Family Medicine | 2400 Tucker Ne, Family Medicine Center, Albuquerque, NM 87131-0001 | 2012-03-26 |
1598058752 | Maggie Klappauf | Physician Assistant | 2400 Tucker Ne, Albuquerque, NM 87131-0001 | 2011-05-20 |
1962723205 | Mary Beth Sutter | Family Medicine | 2400 Tucker Ne, Albuquerque, NM 87131-0001 | 2010-06-22 |
1174848808 | David G Stromberg | Family Medicine | 2400 Tucker Ne, Albuquerque, NM 87131-0001 | 2010-04-06 |
1790922128 | David G. Pitonzo | Physician Assistant | 2400 Tucker Ne, Msc 09 5040, Albuquerque, NM 87131-0001 | 2009-01-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780204404 | Samantha Cody Russell | Student in an Organized Health Care Education/Training Program | Unm Health Sciences Center Msc09-5030, Albuquerque, NM 87131 | 2020-04-22 |
1366061590 | Maria Paula Ramirez-cruz | Student in an Organized Health Care Education/Training Program | Unm School of Medicine Department of Obgyn, Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-08 |
1457989527 | Kate Kollars | Student in an Organized Health Care Education/Training Program | Msc 095040, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-04-01 |
1063046316 | Stephanie Annel Zarrasola | Student in an Organized Health Care Education/Training Program | Msc 09 5020, 1 University of New Mexico, Albuquerque, NM 87131 | 2020-02-25 |
1346703675 | Apoorva Cheeti | Student in an Organized Health Care Education/Training Program | 1 University of New Mexico, Msc10-5550, Albuquerque, NM 87131 | 2019-04-12 |
1194287649 | Jennifer Nicole Crawford | Psychologist | Msc09 5030 1 Unm, Albuquerque, NM 87131 | 2019-04-03 |
1437610672 | Julia Howard | Student in an Organized Health Care Education/Training Program | Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
1730640954 | Derek Scott Young Jr. | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine Msc 10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-29 |
1255891347 | Logan Van Essen | Student in an Organized Health Care Education/Training Program | Department of Internal Medicine Msc10-5550, 1 University of New Mexico, Albuquerque, NM 87131 | 2019-03-23 |
1932664976 | Akbar Oaris | Student in an Organized Health Care Education/Training Program | University of New Mexico - Department of Internal Medic, 1 University of New Mexico (msc 10-5550), Albuquerque, NM 87131 | 2019-02-04 |
Find all providers in zip 87131 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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1740898428 | Dr. Maggie Wilson, PC | Family Medicine | 717 Encino Pl Ne Ste 5, Albuquerque, NM 87102-2624 | 2020-07-17 |
1831734813 | Leandra Lee Medina | Family Medicine | 7050 Barstow St Ne Ste B, Albuquerque, NM 87111-1056 | 2019-11-13 |
1093374589 | Palliative and Transitional Care of Nm LLC | Family Medicine | 805 Guadalupe Cir Nw, Albuquerque, NM 87114-1710 | 2019-06-10 |
1649834904 | Mederi Life LLC | Family Medicine | 4325 Carlisle Blvd Ne Ste B, Albuquerque, NM 87107-4826 | 2019-04-23 |
1649733619 | Susan Giron | Family Medicine | 6704 Baker Ave Ne, Albuquerque, NM 87109-2746 | 2019-04-08 |
1982163267 | Nm Spirit of Wellness LLC | Family Medicine | 123 Girard Blvd Se, Albuquerque, NM 87106-2227 | 2019-03-18 |
1891266458 | Karen Ann Longenecker | Family Medicine | 2300 Menaul Blvd Ne Fl 3, Albuquerque, NM 87107-1851 | 2018-12-07 |
1144797135 | Erin Aleisha Langford | Family Medicine | 4588 Paradise Blvd Nw # 100, Albuquerque, NM 87114-4105 | 2018-10-28 |
1740761972 | Maria Marcela Colom Bickford | Family Medicine | Msc 09-5040 I University of New Mexico, Albuquerque, NM 87131 | 2018-08-26 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87131 |
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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.