BEVERLY A PUCKA (NPI# 1881701191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881701191 |
| Entity Type | Individual |
| Full Name | BEVERLY A PUCKA |
| Credential | MD |
| Practice Address |
1001 Coal Ave Se Albuquerque NM 87106-5205 |
| Mailing Address |
6320 Riverside Plaza Ln Nw Ste B Albuquerque NM 87120-1710 |
| Practice Telephone | 5058436168 |
| Practice Fax Number | 5057921978 |
| Mailing Telephone | 5058436168 |
| Mailing Fax Number | 5057921978 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2018-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
86107 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 37325 | 05 |
| Street Address |
1001 COAL AVE SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851353593 | James T. Lin | Specialist | 1001 Coal Ave Se, Albuquerque, NM 87106-5205 | 2006-04-06 |
| 1558831255 | Jana Welder | Family Medicine | 1001 Coal Ave Se, Albuquerque, NM 87106-5205 | 2018-11-26 |
| 1518445212 | Erin Elizabeth Martinez | Obstetrics & Gynecology | 1001 Coal Ave Se, Albuquerque, NM 87106-5205 | 2018-08-03 |
| 1891148490 | Heather Ewing Veitch | Advanced Practice Midwife | 1001 Coal Ave Se, Albuquerque, NM 87106-5205 | 2016-07-19 |
| 1306186895 | Metwest Inc | Clinical Medical Laboratory | 1001 Coal Ave Se, Albuquerque, NM 87106-5205 | 2013-02-21 |
| 1669767752 | Kaycee Fiaseu | Obstetrics & Gynecology | 1001 Coal Ave Se, Albuquerque, NM 87106 | 2011-06-16 |
| 1891009650 | Katherine Reilly Behning | Nurse Practitioner | 1001 Coal Ave Se, Albuquerque, NM 87106-5205 | 2010-08-03 |
| 1952615239 | Nitasha Garg Jain | Obstetrics & Gynecology | 1001 Coal Ave Se, Albuquerque, NM 87106 | 2010-07-29 |
| 1598082281 | Melissa Lynn Valdez | Obstetrics & Gynecology | 1001 Coal Ave Se, Albuquerque, NM 87106-5205 | 2010-04-21 |
| 1780848648 | Danielle Elizabeth Hoelter | Advanced Practice Midwife | 1001 Coal Ave Se, Albuquerque, NM 87106-5205 | 2008-07-10 |
| Find all providers in the same location | ||||
| 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 | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1033234729 | Ronald Kirk Cooper | Obstetrics & Gynecology | 2409 Cutler Ave Ne, Albuquerque, NM 87106-2507 | 2007-03-20 |
| 1114074457 | New Mexico Gynecology Consultants, PC | Obstetrics & Gynecology | 4901 Lang Ave., Ne, Suite 203, Albuquerque, NM 87109-4597 | 2007-01-05 |
| 1134224959 | Amy Garcia | Obstetrics & Gynecology | 100 Sun Ave Ne Ste 650, Albuquerque, NM 87109-4670 | 2006-09-14 |
| 1841235587 | Frances Mclemore Fisk | Obstetrics & Gynecology | 4161 Montgomery Blvd Ne, Albuquerque, NM 87109-6742 | 2006-06-17 |
| 1801865878 | Shamarie Sais | Obstetrics & Gynecology | 3602 Campus Blvd Ne, Albuquerque, NM 87106-1314 | 2006-03-14 |
| 1891794038 | Steven Anthony Komadina | Obstetrics & Gynecology | 4801 Mcmahon Blvd Nw, #101, Albuquerque, NM 87114-5090 | 2005-07-19 |
| 1407853872 | Susan Brandt Graham | Obstetrics & Gynecology | 4705 Montgomery Blvd Ne, Ste 102, Albuquerque, NM 87109-1246 | 2005-06-30 |
| 1982148375 | Shamarie Sais, Md, PC | Obstetrics & Gynecology | 3602 Campus Blvd Ne, Albuquerque, NM 87106-1314 | 2016-12-05 |
| 1427357920 | Bosque Womens Care PC | Obstetrics & Gynecology | 5150 San Francisco Rd Ne, Albuquerque, NM 87109-4640 | 2011-03-23 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
Please comment or provide details below to improve the information on BEVERLY A PUCKA.
| 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.