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WOMEN'S PELVIC SPECIALTY CARE NPI 1659525335


NPI Information

NPI: 1659525335
Provider Name: WOMEN'S PELVIC SPECIALTY CARE

Doing Business As: DOROTHY KAMMERER-DOAK MD

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 32D0712903

Address:
4705 MONTGOMERY BLVD NE
SUITE 201
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 899-0443
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WOMEN'S PELVIC SPECIALTY CARE is a medical specialty clinic center in Albuquerque, NM. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). WOMEN'S PELVIC SPECIALTY CARE NPI is 1659525335. The provider is registered as an organization entity type.
The provider Is Doing Business As Dorothy Kammerer-doak Md.

The provider's business location address is:

4705 MONTGOMERY BLVD NE
SUITE 201
ALBUQUERQUE, NM
ZIP 87109-226
Phone: (505) 899-0443
Fax: (505) 888-1398

The provider's authorized official is Dorothy Naomi Kammerer-doak .
The authorized official title is President, Secretary and has the following contact phone number (505) 888-0443.

The CLIA number assigned to this NPI record is 32D0712903 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/8/2008 and was last updated on 11/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical Specialty93-295NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1320019MEDICARE PINNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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