DR. RIYADH ZIHRAW AL-JAMMALY (NPI# 1770998775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770998775 |
| Entity Type | Individual |
| Full Name | DR. RIYADH ZIHRAW AL-JAMMALY |
| Credential | MD |
| Practice Address |
27th Medical Group 224 W D.l. Ingram Ave Cannon Afb NM 88103-5103 |
| Mailing Address |
27th Medical Group Sghc 224 W D.l. Ingram Ave Cannon Afb NM 88103-5103 |
| Practice Telephone | 5757841108 |
| Practice Fax Number | 5757846028 |
| Mailing Telephone | 5759043917 |
| Mailing Fax Number | 5757846028 |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2019-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
56764 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Brookdale Plz, Brooklyn, NY 112123139 | 7182405000 |
| Street Address |
27TH MEDICAL GROUP 224 W D.L. INGRAM AVE |
| City | CANNON AFB |
| State | NM |
| Zip Code | 88103-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821076829 | Neil M Horner | Optometrist | 27th Medical Group, 224 W D.l. Ingram Ave, Cannon Afb, NM 88101-5103 | 2006-01-09 |
| 1235693151 | Marvin D Cox | Social Worker | 27th Medical Group, 224 W D.l. Ingram Ave, Cannon Afb, NM 88103-5103 | 2019-01-24 |
| 1043693104 | Kimberly Baker | Family Medicine | 27th Medical Group, 224 W D.l. Ingram Ave, Cannon Afb, NM 88103-5103 | 2015-07-07 |
| 1588938534 | Joshua M Hall | Pharmacist | 27th Medical Group, 224 W D.l. Ingram Ave, Cannon Afb, NM 88103-5103 | 2012-03-07 |
| 1487735965 | Bobby N Holstead | Psychologist | 27th Medical Group, 224 W D.l. Ingram Ave, Cannon Afb, NM 88101-5103 | 2006-10-18 |
| 1629045091 | Becky L Kaime | Pharmacist | 27th Medical Group, 224 W D.l. Ingram Ave, Cannon Afb, NM 88103-5103 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346747151 | Isabella Wolak | Pharmacist | 224 D L Ingram Blvd, Cannon Afb, NM 88103 | 2018-04-09 |
| 1225480544 | Stacey Tatro | Dentist | 224 West D.l. Ingram Ave., Bldg 1408, Cannon Afb, NM 88103 | 2016-07-11 |
| 1871965673 | Chad Bryan Carter | Dentist | 224 W Dl Ingram Ave, Sgpd/dental Clinic, Cannon Air Force Base, NM 88103 | 2015-10-20 |
| 1740660836 | Terah Clifford | Dental Hygienist | 224 W Dl Ingram Blvd, Bldg 1408 Dental Clinic, Cannon Afb, NM 88103 | 2015-06-03 |
| 1528452208 | Taylor Bottari | Physician Assistant | 208 W Dl Ingram, Cannon Afb, NM 88103 | 2015-03-20 |
| 1588071328 | Gretchen Evelynn Szymanski | Nurse Practitioner | Cannon Afb, 224 W D.l. Ingram Blvd, Cannon Afb, NM 88103 | 2014-07-14 |
| 1396155206 | Jennifer Brynn Bendokas | Physician Assistant | 224 West Dl Ingram Avenue, Cannon Afb, NM 88103 | 2014-04-30 |
| 1366889487 | Jeremy Michael Strohmayer | General Practice | 511 Chindt Blvd Building 300, 27soss/osm, Cannon Afb, NM 88103 | 2013-05-30 |
| 1356622401 | Matthew John Nielsen | Dentist | 224 W D.l. Ingram, Bld. 1408, Cannon Afb, NM 88103 | 2011-09-02 |
| 1689965485 | Bryan Wade Sixkiller | Optometrist | 27th Somdg, 208 W. Casa Blanca Ave., Apo, AA 88103 | 2011-04-27 |
| Find all providers in zip 88103 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982219499 | Chrysalis Healthcare LLC | Psychiatry & Neurology | 2632 Mesilla St Ne Ste 6, Albuquerque, NM 87110-3614 | 2020-09-11 |
| 1386283943 | Luxe Psychiatric and Wellness Services LLC | Psychiatry & Neurology | 613 W 2nd St Ste 3, Roswell, NM 88201-4671 | 2019-12-31 |
| 1386283869 | New Age Behavioral Health, LLC | Psychiatry & Neurology | 3600 Rodeo Ln Ste 5, Santa Fe, NM 87507-6400 | 2019-12-31 |
| 1922646595 | Psychogenesis LLC | Psychiatry & Neurology | 3900 Eubank Blvd Ne Ste 18, Albuquerque, NM 87111-3427 | 2019-12-14 |
| 1255991428 | Robert Charles Larsen | Psychiatry & Neurology | 7 Paintbrush Cir, Santa Fe, NM 87506-9539 | 2019-06-19 |
| 1316391063 | North Star Psychiatric Services, LLC | Psychiatry & Neurology | 1475 Central Ave, Suite 210, Los Alamos, NM 87544-3160 | 2016-04-19 |
| 1063891307 | Lynnet M Bulambo | Psychiatry & Neurology | 613 W 2nd St # 1&3, Roswell, NM 88201-4671 | 2015-05-20 |
| 1134515737 | Amanda S Valone | Psychiatry & Neurology | 1501 San Pedro Dr Se Rm 145, Albuquerque, NM 87108-5180 | 2015-04-09 |
| 1932514288 | Christine M Clark | Psychiatry & Neurology | 1 University of New Mexico # 95030, Albuquerque, NM 87131-0001 | 2014-06-25 |
| 1790105369 | Monique Elise Ethne Simpson | Psychiatry & Neurology | 320 Gold Ave Sw Ste 1001, Albuquerque, NM 87102-3228 | 2014-04-22 |
| Find all providers with the same taxonomy | ||||
| City | CANNON AFB |
| Zip Code | 88103 |
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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.