SANDIA SURGERY CENTER LLC (NPI# 1881089894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881089894 |
| Entity Type | Organization |
| Organization Name | SANDIA SURGERY CENTER LLC |
| Practice Address |
5203 Juan Tabo Blvd Ne Suite 1e Albuquerque NM 87111-2683 |
| Mailing Address |
5203 Juan Tabo Blvd Ne Suite 1b Albuquerque NM 87111-2683 |
| Practice Telephone | 5053690066 |
| Mailing Telephone | 5053690066 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MRS. ROBIN CHAVEZ (MANAGER) |
| Authorized Official Telephone | 5053690066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
NM | Ambulatory Health Care Facilities |
| Street Address |
5203 JUAN TABO BLVD NE SUITE 1E |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87111-2683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871881326 | Eating Disorders Treatment Center, LLC | Community/Behavioral Health | 5203 Juan Tabo Blvd Ne, Suite 2-b, Albuquerque, NM 87111-2683 | 2011-07-19 |
| 1861041204 | Melissa Ann Sandford | Counselor | 5203 Juan Tabo Blvd Ne, Albuquerque, NM 87111-2683 | 2019-09-09 |
| 1588113153 | Cynthia Davis-hubler | Counselor | 5203 Juan Tabo Blvd Ne, Albuquerque, NM 87111-2683 | 2016-09-23 |
| 1831547892 | Kelly Monteith | Social Worker | 5203 Juan Tabo Blvd Ne, Ste 2 A, Albuquerque, NM 87111-2683 | 2016-06-01 |
| 1750737656 | Eating Disorders Treatment Center | Counselor | 5203 Juan Tabo Blvd Ne, Suite 2a, Albuquerque, NM 87111-2683 | 2016-05-10 |
| 1538514575 | Katherine Paras | Counselor | 5203 Juan Tabo Blvd Ne, 2a, Albuquerque, NM 87111-2683 | 2016-04-27 |
| 1467825984 | Nicholas Zamora | Counselor | 5203 Juan Tabo Blvd Ne, Suite 2a, Albuquerque, NM 87111-2683 | 2015-11-05 |
| 1588045033 | Dietitiansabq | Dietitian, Registered | 5203 Juan Tabo Blvd Ne, Suite 2e, Albuquerque, NM 87111-2683 | 2015-06-10 |
| 1104220672 | Kimberly Reid Payne | Counselor | 5203 Juan Tabo Blvd Ne, Ste 2a, Albuquerque, NM 87111-2683 | 2014-10-13 |
| 1255744199 | Clarissa A Sandoval | Counselor | 5203 Juan Tabo Blvd Ne, 2 A, Albuquerque, NM 87111-2683 | 2014-06-09 |
| Find all providers in the same location | ||||
| 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 | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104468602 | Presbyterian Hospital Asc | Clinic/Center | 201 Cedar St Se Ste 7650, Albuquerque, NM 87106-4911 | 2019-10-16 |
| 1871922807 | Bear Canyon Oral & Facial Surgery | Clinic/Center | 10151 Montgomery Ne Ste 2-d, Albuquerque, NM 87111 | 2013-11-12 |
| 1629615851 | Southwest Oral and Maxillofacial Surgeons LLC | Clinic/Center | 5900 Cubero Dr Ne Ste A, Albuquerque, NM 87109-3879 | 2019-12-06 |
| 1699159053 | Mvi Surgery Center,llc | Clinic/Center | 1720 Wyoming Blvd Ne, Albuquerque, NM 87112-3855 | 2015-07-16 |
| 1932536067 | Acute Care Surgery Medical Group of New Mexico, Inc. | Clinic/Center | 4221 Montgomery Blvd Ne, Albuquerque, NM 87109-1103 | 2013-10-03 |
| 1639456973 | Physician Surgery Center of Albuquerque LLC | Clinic/Center | 9551 Paseo Del Norte Ne, Albuquerque, NM 87122-2975 | 2011-11-15 |
| 1962685834 | Optumcare Endoscopy Center New Mexico, LLC | Clinic/Center | 5400 Gibson Blvd Se, Floor 2; Elevator C, Albuquerque, NM 87108-4729 | 2007-12-13 |
| 1184753568 | Eisbach Facial Plastic Surgery PC | Clinic/Center | 7800 Constitution Ave Ne, Albuquerque, NM 87110-7552 | 2007-03-03 |
| 1831109560 | New Mexico Orthopaedic Surgery Center, LLC | Clinic/Center | 201 Cedar St Se, Ste 7650, Albuquerque, NM 87106-4917 | 2006-08-08 |
| 1871538694 | Southwest Endoscopy Ltd | Clinic/Center | 7788 Jefferson St Ne, Albuquerque, NM 87109-4342 | 2006-06-17 |
| 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.