Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Scott David Loberg, AA

Individual provider Anesthesiologist Assistant · NPI 1093265969

Scott David Loberg, AA is an Anesthesiology Assistant in Albuquerque, New Mexico. Qualified in 2016, 10 years ago. Practices with Gundersen Lutheran Medical Center Inc, a 896-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado, New Mexico and Wisconsin.

Years since qualifying
10
Licensed in
CO, NM, WI
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone: (505) 272-2111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1010 Three Springs Blvd, Durango, CO 81301-8296 — (970) 761-3200

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence AA2019-003 (NM)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence ANT.0000197 (CO)
Anesthesiologist Assistant Taxonomy 367H00000X · Licence 89 (WI)

Record details

NPI number1093265969
Entity typeIndividual (Type 1)
GenderMale
Credentials AA
Sole proprietorNo
NPI enumeratedOctober 4, 2016
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025
Mailing address1836 South Ave, La Crosse, WI 54601-5429

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Gundersen Lutheran Medical Center Inc — 896 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Albuquerque