CLEVELAND H. PARDUE, III MD – NPI #1174622393
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

CLEVELAND PARDUE, III is a physician located in SANTA FE, NM. NPPES has assigned the NPI number 1174622393 to CLEVELAND PARDUE, III on September 22, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

The NPI profile was previously updated about 18 years ago on Oct 24, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLEVELAND PARDUE, III below.

NPI Profile for
CLEVELAND H. PARDUE, III

NPI Number
1174622393
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CLEVELAND H. PARDUE, III
Credentials
MD
Primary location
465 ST MICHAELS DRIVE
SUITE 202
SANTA FE, NM 87505
Phone: (505) 984-0303 Fax: (505) 984-1116
Mailing address
455 SAINT MICHAELS DR
PHYSICIAN PRACTICES/CENTRAL BILLING OFFICE
SANTA FE, NM 87505-7601
Phone: (505) 820-5227 Fax: (505) 820-5645
Sole Proprietor
No
Updated
Identifiers

Identifiers for CLEVELAND PARDUE, III

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNM20404
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)
NM 82101

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.