DAVITA MEDICAL ENDOSCOPY
NPI 1962685834
Clinic/Center - Ambulatory Surgical in Albuquerque, NM

NPI Status: Active since December 13, 2007

Contact Information

5400 GIBSON BLVD SE
FLOOR 2; ELEVATOR C
ALBUQUERQUE, NM
ZIP 87108
Phone: (505) 262-7174
Fax: (505) 262-3562

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About DAVITA MEDICAL ENDOSCOPY

This page provides the complete NPI Profile along with additional information for Davita Medical Endoscopy, a provider established in Albuquerque, New Mexico operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1962685834 assigned on December 2007. The practitioner's primary taxonomy code is 261QA1903X with license number PENDING (NM). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Davita Medical Endoscopy. The authorized official of this NPI record is John G Liethen (Secretary)

NPI
1962685834
Provider Legal Name
OPTUMCARE ENDOSCOPY CENTER NEW MEXICO, LLC
Other Organization Name
DAVITA MEDICAL ENDOSCOPY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5400 GIBSON BLVD SE FLOOR 2; ELEVATOR C ALBUQUERQUE, NM 87108
Location Phone
(505) 262-7174
Location Fax
(505) 262-3562
Mailing Address
PO BOX 912680 DENVER, CO 80291
Mailing Phone
(505) 262-7000
Mailing Fax
(505) 262-3562
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-13-2007
Last Update Date
02-12-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
PENDING
License State
NM

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN G LIETHEN

Authorized Official Title
SECRETARY
Authorized Official Phone
(952) 205-6262

Reviews for DAVITA MEDICAL ENDOSCOPY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962685834
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291221281086
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 1 + 2 + 8 + 1 + 0 + 8 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1962685834 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013969286 MATTHEW D POAGE MD
Individual
Emergency Medicine5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
(904) 805-1300
1760436554 STEPHEN A WOLFE DO
Individual
Emergency Medicine5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
(904) 805-1300
1104870468 TERRENCE M CALLAHAN DO
Individual
Emergency Medicine5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
(904) 805-1300
1790730455 PAMELA V CUTLER MD
Individual
Emergency Medicine5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
(904) 805-1300
1417902784 JANE HABLE MD
Individual
Emergency Medicine5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
(904) 805-1300
1598710865 JAMES B HALL MD
Individual
Emergency Medicine5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
(904) 805-1300
1376599753 TRISH G MURA NP
Individual
Emergency Medicine5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
(904) 805-1300
1477592764 MARQUE D BROUSSARD MD
Individual
Emergency Medicine5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
(904) 805-1300
1760421887 CHARLES D MCGRATH MD
Individual
Emergency Medicine5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
(904) 805-1300
1205875044 WILLARD MICHAEL GARRETT MD
Individual
Emergency Medicine5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
(904) 805-1300
1750314340 GILLIAN BUDDINGTON PA
Individual
Physician Assistant (Medical)5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
(505) 262-7174
1770516270 CLAUDIA J ANISON MD
Individual
Hospitalist5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
(505) 232-1920
1659304210 AJIT S TIPIRNENI
Individual
Otolaryngology5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
(505) 262-7905
1457384018 TERESA MARROQUIN-ELIZONDO RD LD CDE
Individual
Registered Nurse (Diabetes Educator)5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
(505) 232-1920
1881627453 VIJAYALAKSHMI KUMAR MD
Individual
Internal Medicine (Rheumatology)5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
(505) 262-7000
1508899170 BONNIE CLARK PA C
Individual
Physician Assistant (Medical)5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
(505) 262-7026
1215960893 JEREMY M GLEESON MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
(505) 262-7455
1851326839 SUSAN R JOHNSON OD
Individual
Optometrist5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
(505) 262-3937
1104851187 JOHN E GRAHAM MD
Individual
Ophthalmology5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
(505) 262-3937
1326061698 VIRGINIA SIGLER CNP
Individual
Internal Medicine (Cardiovascular Disease)5400 GIBSON BLVD SE
ALBUQUERQUE, NM 87108
(505) 262-7000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962685834, enumerated in the NPI registry as an "organization" on December 13, 2007

The provider is located at 5400 Gibson Blvd Se Floor 2; Elevator C Albuquerque, Nm 87108 and the phone number is (505) 262-7174

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

This NPI record was last updated on December 13, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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