DR. JOHN DAVID CAREY (NPI# 1770578924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770578924 |
| Entity Type | Individual |
| Full Name | DR. JOHN DAVID CAREY |
| Credential | M.D. |
| Practice Address |
12241 Academy Rd Ne Suite 204 Albuquerque NM 87111-8051 |
| Practice Telephone | 5059384214 |
| Practice Fax Number | 5059447720 |
| Mailing Telephone | 5059384214 |
| Mailing Fax Number | 5059447720 |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2014-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 20020450 | NM | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
20020450 | NM | Allopathic & Osteopathic Physicians |
| N | 207ZD0900X |
Pathology Specialization: Dermatopathology |
MD2002-0450 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 76659755 | 05 | |
| MC RR | P00177449 | 01 | |
| NM | BCBS | NM009L30 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649799784 | John Edmund Carey Iv | Chiropractor | 7329 Broadway, Kansas City, MO 64114-1357 | 2017-09-10 |
| 1962954149 | John K. Carey | Counselor | 221 W 5th St, Ship Bottom, NJ 08008-4753 | 2016-11-03 |
| 1871881730 | John Dylan Carey | Dentist | 7210 Norman Ln, San Antonio, TX 78240-5250 | 2011-07-13 |
| 1811223571 | John Patrick Carey | Physical Therapist | 27 Jeannes Pl, Tappan, NY 10983-2215 | 2009-10-29 |
| 1972743854 | John Timothy Carey Jr. | Psychologist | 370 Van Buren Ave, Apartment 102, Oakland, CA 94610-4802 | 2009-03-04 |
| 1427115575 | John Carey | Dentist | 2 Science Ct, Madison, WI 53711-1088 | 2007-01-01 |
| 1770650848 | John W Carey | Dentist | 4508 Holly Sprgs Pkwy, Ste 1, Canton, GA 30115-7842 | 2006-11-30 |
| 1558398198 | John Arthur Carey | Emergency Medicine | 51 Cedar Drive, Mt Pleasant, MI 48858-3234 | 2006-06-27 |
| 1225086358 | John J Carey | Internal Medicine | 1703 West Main Street, Willimantic, CT 06226-1133 | 2006-05-04 |
| 1801893672 | John Newton Carey | Family Medicine | 1501 5th Ave Ste 100, San Diego, CA 92101-3251 | 2005-07-07 |
| Street Address |
12241 ACADEMY RD NE SUITE 204 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111-8051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134120769 | Monique Leon Lee | Dentist | 12241 Academy Rd Ne, Suite 203, Albuquerque, NM 87111-8051 | 2005-08-04 |
| 1588066138 | High Desert Dermatology PC | Dermatology | 12241 Academy Rd Ne, Ste 204, Albuquerque, NM 87111-8051 | 2014-09-25 |
| 1376816983 | Sandia Heights Dental Care, LLC | Dentist | 12241 Academy Rd Ne, Suite 203, Albuquerque, NM 87111-8051 | 2012-02-13 |
| 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 | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639726920 | Ribera Healthcare | Dermatology | 6341 Riverside Plaza Ln Nw Ste A-1, Albuquerque, NM 87120-2646 | 2019-08-21 |
| 1497910848 | Rio Grande Dermatology, PC | Dermatology | 4545 Alameda Blvd Ne, Suite G, Albuquerque, NM 87113-1591 | 2008-07-25 |
| 1669692521 | Alan Charles Blaugrund | Dermatology | 321 Big Horn Ridge Dr Ne, Albuquerque, NM 87122-1454 | 2007-04-25 |
| 1598804502 | Monica Maria Romero | Dermatology | 6200 Uptown Blvd Suite 410, Dermatology & Skin Cancer Center of Nm, Albuquerque, NM 87110 | 2007-02-06 |
| 1700925740 | Amanda Coker Harper | Dermatology | 7520 Montgomery Blvd Ne Bldg D4, Albuquerque, NM 87109-1533 | 2007-02-06 |
| 1154652295 | David Michael Melamed | Dermatology | 5401 Lomas Blvd Ne, Suite B, Albuquerque, NM 87110-6457 | 2006-11-02 |
| 1295821098 | Janice F Moranz | Dermatology | 6409 A Candelaria Ne, Albuquerque, NM 87110 | 2006-10-05 |
| 1174636427 | Eduardo Humberto Tschen | Dermatology | 1203 Coal Ave Se, Albuquerque, NM 87106-5239 | 2006-08-17 |
| 1912917485 | Donald D. Harville | Dermatology | 8200 Constitution Pl Ne, Albuquerque, NM 87110-7656 | 2006-08-08 |
| 1255395836 | James Wendall Robison | Dermatology | 5601 Planeta Ct Ne, Albuquerque, NM 87111-1416 | 2006-04-12 |
| Find all providers in ALBUQUERQUE | ||||
| 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.