IndividualActive
Theodore Gellert, PA-C
NPI 1689852196 · Surgical Physician Assistant · Albuquerque, NM
Provider details
- NPI number
- 1689852196
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA2007-0036 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2211 Lomas Blvd Ne
Msc10-5610 2-Acc
Albuquerque, NM 87106-2745
Phone: (505) 272-6901
Approximate (ZIP-level) locationGet directions
Mailing address
800 Salamanca St Nw
Los Ranchos De Albuquerque, NM 87107-5620
Registry dates
- Enumerated
- 2008-02-06
- Last updated
- 2023-07-14
- Certified
- 2023-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.