Jose Avitia (NPI# 1669511663, PAC ID# 9234273350) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MEDICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1669511663 |
| PAC ID by PECOS | 9234273350 |
| Professional Enrollment ID | I20120614000174 |
| Full Name | Jose Avitia |
| Organization Legal Name | NEW MEXICO ONCOLOGY HEMATOLOGY CONSULTANTS LTD |
| Address |
601 Martin Luther King Ave Ne New Mexico Cancer Center Albuquerque NM 87102-3619 |
| Phone Number | 5058428171 |
| Gender | M |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 2006 |
| Primary Specialty | MEDICAL ONCOLOGY |
| Secondary Specialties | HEMATOLOGY, HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 3577533447 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320061 | GALLUP INDIAN MEDICAL CENTER |
| 320038 | REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES |
| 320021 | PRESBYTERIAN HOSPITAL |
| 321308 | CIBOLA GENERAL HOSPITAL |
| 320009 | LOVELACE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4901 Lang Ave Ne, New Mexico Cancer Center, Albuquerque, NM 87109-4397 | 5058428171 | NEW MEXICO ONCOLOGY HEMATOLOGY CONSULTANTS LTD |
| 601 Martin Luther King Ave Ne, New Mexico Cancer Center, Albuquerque, NM 87102-3619 | 5058428171 | NEW MEXICO ONCOLOGY HEMATOLOGY CONSULTANTS LTD |
| 2240 College Dr, Gallup, NM 87301-7003 | 5057262400 | NEW MEXICO ONCOLOGY HEMATOLOGY CONSULTANTS LTD |
| Organization Legal Name | NEW MEXICO ONCOLOGY HEMATOLOGY CONSULTANTS LTD |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tamara M Goodman | Hospice/palliative Care | New Mexico Oncology Hematology Consultants Ltd | 4901 Lang Ave Ne, New Mexico Cancer Center, Albuquerque, NM 87109-4397 |
| Annette C Fontaine | Hematology/oncology | New Mexico Oncology Hematology Consultants Ltd | 601 Martin Luther King Ave Ne, New Mexico Cancer Center, Albuquerque, NM 87102-3619 |
| Sofia Palacio Cardenas | Internal Medicine | New Mexico Oncology Hematology Consultants Ltd | 4901 Lang Ave Ne, New Mexico Cancer Center, Albuquerque, NM 87109-4397 |
| Gregg E Franklin | Radiation Oncology | New Mexico Oncology Hematology Consultants Ltd | 4901 Lang Ave Ne, New Mexico Cancer Center, Albuquerque, NM 87109-4397 |
| Karen Degenevieve | Nurse Practitioner | New Mexico Oncology Hematology Consultants Ltd | 4901 Lang Ave Ne, New Mexico Cancer Center, Albuquerque, NM 87109-4397 |
| Courtney Marquez | Physician Assistant | New Mexico Oncology Hematology Consultants Ltd | 4901 Lang Ave Ne, New Mexico Cancer Center, Albuquerque, NM 87109-4397 |
| Matthew Ryan Bordegaray | Diagnostic Radiology | New Mexico Oncology Hematology Consultants Ltd | 4901 Lang Ave Ne, New Mexico Cancer Center, Albuquerque, NM 87109-4397 |
| James B Steier | Rheumatology | New Mexico Oncology Hematology Consultants Ltd | 4901 Lang Ave Ne, New Mexico Cancer Center, Albuquerque, NM 87109-4397 |
| Ronald P Kubica | Hematology/oncology | New Mexico Oncology Hematology Consultants Ltd | 4901 Lang Ave Ne, New Mexico Cancer Center, Albuquerque, NM 87109-4397 |
| Mary Kara Bucci | Radiation Oncology | New Mexico Oncology Hematology Consultants Ltd | 4901 Lang Ave Ne, New Mexico Cancer Center, Albuquerque, NM 87109-4397 |
| Street Address |
601 MARTIN LUTHER KING AVE NE NEW MEXICO CANCER CENTER |
| City | ALBUQUERQUE |
| State | NM |
| Zip | 87102-3619 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette C Fontaine | Hematology/oncology | New Mexico Oncology Hematology Consultants Ltd | 601 Martin Luther King Ave Ne, New Mexico Cancer Center, Albuquerque, NM 87102-3619 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Richard White | Nurse Practitioner | Lovelace Health System LLC | 601 Martin Luther King Jr Ave Ne, Albuquerque, NM 87102 |
| Amanda G Wilder | Clinical Social Worker | 200 Rosemont Ave Ne, Albuquerque, NM 87102-1569 | |
| Rachel L Rogers | Clinical Social Worker | 200 Rosemont Ave Ne, Suite D, Albuquerque, NM 87102-1599 | |
| Elaine K Padilla | Clinical Social Worker | Outcomes Inc | 1503 University Blvd Ne, Albuquerque, NM 87102-1708 |
| Kathryn Fehr | Clinical Social Worker | Outcomes Inc | 1503 University Blvd Ne, Albuquerque, NM 87102-1708 |
| Daniel Crowder | Clinical Social Worker | Outcomes Inc | 1503 University Blvd Ne, Albuquerque, NM 87102-1708 |
| Claire Greene | Clinical Social Worker | Outcomes Inc | 1503 University Blvd Ne, Albuquerque, NM 87102-1708 |
| Scott S Stoerner | Rheumatology | Albuquerque Center for Rheumatology PC | 1617 University Blvd Ne, Albuquerque, NM 87102-1710 |
| Jacqueline K Dean | Rheumatology | Albuquerque Center for Rheumatology PC | 1617 University Blvd Ne, Albuquerque, NM 87102-1710 |
| Leroy A Pacheco | Rheumatology | Albuquerque Center for Rheumatology PC | 1617 University Blvd Ne, Albuquerque, NM 87102-1710 |
| Find all physicians in zip 87102 | |||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
| Specialty | MEDICAL ONCOLOGY |
| City + Specialty | ALBUQUERQUE + MEDICAL ONCOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.