GRAY PEARLS LLC (NPI# 1932562360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932562360 |
| Entity Type | Organization |
| Organization Name | GRAY PEARLS LLC |
| Practice Address |
2506 Tramway Terrace Ct Ne Albuquerque NM 87122-2317 |
| Practice Telephone | 5055061984 |
| Mailing Telephone | 5055061984 |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2016-04-02 |
| Authorized Official Name | ELLEN KIM (SOLE MEMBER/PHYSICIAN) |
| Authorized Official Telephone | 5055061984 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
97-289 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
2506 TRAMWAY TERRACE CT NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87122-2317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700426988 | Sophia Khalil | Student in an Organized Health Care Education/Training Program | 11128 Jordan Avenue Northeast, Albuquerque, NM 87122 | 2020-01-15 |
| 1457716664 | Raymond Martinez | Pharmacist | 7847 Tramway Ne, Albuquerque, NM 87122 | 2015-12-15 |
| 1891181913 | Paul Wright | Occupational Therapist | 30 Canocito Drive Ne, Albuquerque, NM 87122 | 2015-04-15 |
| 1356736615 | Tracy Pfeifer | Day Training/Habilitation Specialist | 8920 Holly Avenue Ne, Suite 102b, Albuquerque, NM 87122 | 2015-04-03 |
| 1346595071 | Jonathan Harper Kelley | Dentist | 9015 Paseo Del Norte Ne Ste A, Albuquerque, NM 87122 | 2012-07-18 |
| 1639444946 | Charlsey Leigh Mcdonald | Physical Therapist | 7920 Carmel Ave. Ne, Suite 2, Albuquerque, NM 87122 | 2012-03-20 |
| 1235462250 | Pamela Kay Limke | Pharmacist | 12112 Summer Wind Pl Ne, Albuquerque, NM 87122 | 2009-09-09 |
| 1437395332 | High Desert Pedicatrics PC | Pediatrics | 8650 Almeda Boulevard, Ne, Unit 101 E, Albuquerque, NM 87122 | 2008-12-23 |
| 1952427510 | Thomas Harry Heflin | Dentist | 8000 Carmel Ave, Albuquerque, NM 87122 | 2007-03-22 |
| 1497885032 | Thomas H Heflin Dds Pa | Dentist | 8000 Carmel Avenue Ne, Albuquerque, NM 87122 | 2007-03-06 |
| Find all providers in zip 87122 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093954448 | Housecalls Unlimited LLC | Family Medicine | 1320 Tanglewood Pl Nw, Albuquerque, NM 87120-6548 | 2009-02-09 |
| 1437258951 | Gerard Edward Muraida | Family Medicine | 5639 Jefferson St Ne, Albuquerque, NM 87109-3412 | 2006-09-21 |
| 1144232679 | William F Orr Jr. | Family Medicine | 8220 San Pedro Dr Ne Ste 300, Albuquerque, NM 87113-2476 | 2006-08-13 |
| 1659388619 | Suzanne Pinon | Family Medicine | 8400 Menaul Blvd Ne, Suite A-141, Albuquerque, NM 87112-2260 | 2006-08-02 |
| 1780605923 | David Bennahum | Family Medicine | Westside Family / Senior Health Center, 4808 Mc Mahon Blvd., Albuquerque, NM 87114 | 2006-07-22 |
| 1750377412 | Percy M Pentecost | Family Medicine | 3016 Mackland Ave Ne, Albuquerque, NM 87106-2018 | 2005-09-27 |
| 1689671174 | Joseph Mario Lovato | Family Medicine | 4425 Rio Trumperos Court Ne, Albuquerque, NM 87120-5333 | 2005-06-30 |
| 1538667068 | Lauren Harris | Family Medicine | 8100 Wyoming Blvd Ne Ste M4, Albuquerque, NM 87113 | 2018-01-30 |
| 1891984688 | Ricardo Ortega Md, LLC | Family Medicine | 5519 Rabadi Castle Ave Nw, Albuquerque, NM 87114-1412 | 2007-10-17 |
| 1417964453 | Walter B Forman | Family Medicine | 8210 Louisiana Blvd. Ne, Suite C, Albuquerque, NM 87113-1761 | 2006-08-02 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87122 |
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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.