DR. BRADLEY D RAISHER (NPI# 1912965237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912965237 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY D RAISHER |
| Credential | MD |
| Practice Address |
201 Cedar Suite 700 Albuquerque NM 87106 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 5058483700 |
| Practice Fax Number | 5058483703 |
| Mailing Telephone | 2083812222 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2014-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
M11905 | ID | Allopathic & Osteopathic Physicians |
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
96345 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | L0722 | 05 |
| Street Address |
201 CEDAR SUITE 700 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106 |
| 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 | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326351214 | James E Goldsmith | Pediatrics | 201 Cedar St Se Ste 700, Albuquerque, NM 87106-4905 | 2010-07-20 |
| 1558534883 | Bharat Srichand Dara | Pediatrics | 201 Cedar St Se, Suite 700, Albuquerque, NM 87106-4917 | 2008-04-08 |
| 1750580411 | Pediatrix Cardiology of New Mexico, P.C. | Pediatrics | 201 Cedar St Se, Ste. 700, Albuquerque, NM 87106-4917 | 2007-07-13 |
| 1023155074 | Umesh Chandra Joashi | Pediatrics | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2007-01-31 |
| 1578653705 | Pediatric Cardiology Associates of New Mexico PC | Pediatrics | 201 Cedar St Se, Suite 700, Albuquerque, NM 87106-4905 | 2006-10-16 |
| 1598775660 | Gerard Holmes | Pediatrics | 201 Cedar Se, Suite 700, Albuquerque, NM 87106 | 2006-08-09 |
| 1063429017 | J. Waldman | Pediatrics | 3rd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-08-02 |
| 1952316408 | M. Beth Goens | Pediatrics | 3rd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-07-30 |
| 1376586925 | Jon Love | Pediatrics | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2745 | 2006-06-13 |
| 1174570410 | William Berman Jr. | Pediatrics | 201 Cedar Se, Ste 700, Albuquerque, NM 87106 | 2006-05-30 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
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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.