SANDIA OBGYN ASSOCIATES (NPI# 1831306570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831306570 |
| Entity Type | Organization |
| Organization Name | SANDIA OBGYN ASSOCIATES |
| Practice Address |
4705 Montgomery Blvd Ne Suite 105 Albuquerque NM 87109-1226 |
| Practice Telephone | 5057273280 |
| Practice Fax Number | 5057273282 |
| Mailing Telephone | 5057273280 |
| Mailing Fax Number | 5057273282 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2008-09-18 |
| Authorized Official Name | DR. CARL JOHN CONNORS (PRESIDENT) |
| Authorized Official Telephone | 5057273280 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
A913-90 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | BCBS -HMO OF NEW MEXICO | NM004926 | 01 |
| NM | MOLINA HEALTHCARE | 201001970 | 01 |
| NM | F8452 | 05 |
| Street Address |
4705 MONTGOMERY BLVD NE SUITE 105 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-1226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407853872 | Susan Brandt Graham | Obstetrics & Gynecology | 4705 Montgomery Blvd Ne, Ste 102, Albuquerque, NM 87109-1246 | 2005-06-30 |
| 1578042958 | Rebecca Ann Archuleta | Midwife | 4705 Montgomery Blvd Ne, Albuquerque, NM 87109-1226 | 2018-08-07 |
| 1487166641 | Deanna Sue Marquardt Romine | Registered Nurse | 4705 Montgomery Blvd Ne, Albuquerque, NM 87109-1226 | 2017-10-27 |
| 1194278143 | Southwest Medical Associates, Inc. | Advanced Practice Midwife | 4705 Montgomery Blvd Ne, Suite 301, Albuquerque, NM 87109-1226 | 2016-07-26 |
| 1902296106 | Melynda Lopez | Advanced Practice Midwife | 4705 Montgomery Blvd Ne, Ste 301, Albuquerque, NM 87109-1226 | 2015-01-27 |
| 1629471032 | Women's Pelvic Specialty Care of New Mexico, LLC | Obstetrics & Gynecology | 4705 Montgomery Blvd Ne, Suite 201, Albuquerque, NM 87109-1226 | 2014-09-29 |
| 1619392172 | Melissa Moore | Registered Nurse | 4705 Montgomery Blvd Ne, Ste 301, Albuquerque, NM 87109-1226 | 2014-02-20 |
| 1205272481 | Nicole M Dishong | Registered Nurse | 4705 Montgomery Blvd Ne, Suite 301, Albuquerque, NM 87109-1226 | 2013-05-15 |
| 1376884759 | Katheryne Anne Barron | Nurse Practitioner | 4705 Montgomery Blvd Ne, Lmg Gastroenterology Clinic 102, Albuquerque, NM 87109 | 2013-03-08 |
| 1487998639 | Christina C Chaney | Advanced Practice Midwife | 4705 Montgomery Blvd Ne, Suite 301, Albuquerque, NM 87109-1226 | 2012-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730253477 | Kelly L Caperton | Obstetrics & Gynecology | 201 Cedar Se Suite 507, Pmg Ob Hospitalist, Albuquerque, NM 87106 | 2006-11-17 |
| 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 |
| 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 | 87109 |
Please comment or provide details below to improve the information on SANDIA OBGYN ASSOCIATES.
| 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.