PETER R CROTTA


Address: 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106-4917
Phone: 5057244300

PETER R CROTTA (NPI# 1891773818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891773818
Entity Type Individual
Full Name PETER R CROTTA
Credential PA-C
Practice Address 201 Cedar St Se
Suite 6600
Albuquerque
NM 87106-4917
Practice Telephone 5057244300
Practice Fax Number 5057244384
Mailing Telephone 5057244300
Mailing Fax Number 5057244384
Enumeration Date 2006-01-09
Last Update Date 2013-07-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 91-165 NM Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
84-PA002 NM Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM 00093328 05

Office Location

Street Address 201 CEDAR ST SE
SUITE 6600
City ALBUQUERQUE
State NM
Zip Code 87106-4917

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053315390 Robert E. Federici Internal Medicine 201 Cedar St Se, Suite 7600, Albuquerque, NM 87106-4917 2005-06-01
1184269581 Felicia Strange Physician Assistant 201 Cedar St Se, Albuquerque, NM 87106-4917 2019-11-10
1033699731 Jessica Frances Brisson Physician Assistant 201 Cedar St Se, Albuquerque, NM 87106-4917 2018-08-21
1043759756 Diana Lynn Gabaldon Pharmacist 201 Cedar St Se, Suite 4620, Albuquerque, NM 87106-4917 2017-02-14
1891233045 Presbyterian Healthcare Services General Acute Care Hospital 201 Cedar St Se, Suite 4602, Albuquerque, NM 87106-4917 2017-02-08
1366993024 Anne Karlovitz Nurse Practitioner 201 Cedar St Se, Albuquerque, NM 87106-4917 2016-10-18
1346691649 Cara J Garner Dietitian, Registered 201 Cedar St Se, Suite 4660, Albuquerque, NM 87106-4917 2016-06-28
1922479914 Michelle Maxedon Genetic Counselor, MS 201 Cedar St Se, Suite 405, Albuquerque, NM 87106-4917 2015-10-15
1366827537 Sarah Streng Occupational Therapist 201 Cedar St Se, Suite 6600, Albuquerque, NM 87106-4917 2015-07-29
1306228283 Cristina Ferraro Physician Assistant 201 Cedar St Se, Suite 7600, Albuquerque, NM 87106-4917 2015-06-26
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013398072 Lauren Soules Physician Assistant 3615 Highway 528 Nw, Albuquerque, NM 87114-8919 2015-06-16
1447666508 Audrey Rich Physician Assistant 201 Cedar Ave, Albuquerque, NM 87106 2014-07-09
1104178813 Adam M Newman Physician Assistant University of New Mexico Hospital Department, Msc 10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 2012-10-04
1255682944 Armstrong Medical LLC Physician Assistant 13170 Central Ave Se, Suite B 345, Albuquerque, NM 87123 2012-09-21
1982818860 Kristen Marron Bushnell Physician Assistant Pmg At 8300 Constitution - General Surgery, 8300 Constitution Ave Ne, Albuquerque, NM 87110 2007-05-09
1629092457 David A Mcculloch Physician Assistant 1501 San Pedro, Se, Va Medical Center, Albuquerque, NM 87108 2006-07-26
1861444143 Beverly Heck Bierbach Physician Assistant Vamc, Ent Surgery, 1501 San Pedro, Se, Albuquerque, NM 87108-5153 2006-05-16
1881654218 Paul Lee Armstrong Physician Assistant 13170 Central Ave Se Ste B345, Albuquerque, NM 87123 2006-03-28
1477535698 Daryl Edson Smith Physician Assistant 4504 Waynesboro Rd Nw, Albuquerque, NM 87120-3823 2005-11-15
1366431355 Michelle M Ruthmann Physician Assistant 8301 Spain Rd Ne, Albuquerque, NM 87109-3166 2005-10-21
Find all providers in ALBUQUERQUE

Competitor

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City ALBUQUERQUE
Zip Code 87106

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Dataset Information

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.

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