KELLY L CAPERTON (NPI# 1730253477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730253477 |
| Entity Type | Individual |
| Full Name | KELLY L CAPERTON |
| Credential | MD |
| Practice Address |
201 Cedar Se Suite 507 Pmg Ob Hospitalist Albuquerque NM 87106 |
| Mailing Address |
Po Box 26666 Phs Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5055636381 |
| Practice Fax Number | 5055636380 |
| Mailing Telephone | 5059235356 |
| Mailing Fax Number | 5059235354 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
MD2005-0093 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 93725035 | 05 |
| Street Address |
201 CEDAR SE SUITE 507 PMG OB HOSPITALIST |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106 |
| 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 | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225123409 | Bruno J Caridi | Obstetrics & Gynecology | Pmg Cedar Obgyn, 201 Cedar Se, Albuquerque, NM 87106 | 2006-10-04 |
| 1356436539 | Cesar J. Hernandez | Obstetrics & Gynecology | 1010 Lead Ave Se Ste 4, Albuquerque, NM 87106-5214 | 2006-10-04 |
| 1639264716 | Richard Sauerman | Obstetrics & Gynecology | 201 Cedar Se 5th Floor Suite 5600, Pmg Cedar Obgyn, Albuquerque, NM 87106 | 2006-10-04 |
| 1265448831 | James R Hutchison | Obstetrics & Gynecology | 201 Cedar St Se Fl 5, Pmg Cedar Obgyn, Albuquerque, NM 87106-4917 | 2006-08-01 |
| 1841242047 | Jose Cortes | Obstetrics & Gynecology | Pmg Ob Hospitalist, 201 Cedar Se Suite 507, Albuquerque, NM 87106 | 2006-05-16 |
| 1003875089 | Kelly Drescher | Obstetrics & Gynecology | 883 Lead Ave Se Ste A, Albuquerque, NM 87102-3876 | 2006-03-20 |
| 1811175714 | Lovelace Health Systems LLC | Obstetrics & Gynecology | 4701 Montgomery Blvd Ne, Albuquerque, NM 87109-1219 | 2008-02-04 |
| 1831306570 | Sandia Obgyn Associates | Obstetrics & Gynecology | 4705 Montgomery Blvd Ne, Suite 105, Albuquerque, NM 87109-1226 | 2007-05-16 |
| 1548312929 | Kelly B Stuart | Obstetrics & Gynecology | Pmg Cedar Obgyn, 201 Cedar Se, Albuquerque, NM 87106 | 2007-01-17 |
| 1821183005 | Tawnya J Ingimundson | Obstetrics & Gynecology | 201 Cedar Se, Pmg Cedar Obgyn, Albuquerque, NM 87106 | 2006-10-04 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on KELLY L CAPERTON.
| 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.