DR. HERBERT KOFFLER (NPI# 1184048142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184048142 |
| Entity Type | Individual |
| Full Name | DR. HERBERT KOFFLER |
| Credential | M.D. |
| Practice Address |
41 Agua Sarca Rd Placitas NM 87043-9405 |
| Practice Telephone | 5058675253 |
| Mailing Telephone | 5058675253 |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2014-02-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 74-189 | NM | Allopathic & Osteopathic Physicians |
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
74-189 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
41 AGUA SARCA RD |
| City | PLACITAS |
| State | NM |
| Zip Code | 87043-9405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174690234 | M Candis Mcguire Westby | Social Worker | 102 Vista Montana Loop, Placitas, NM 87043 | 2006-11-30 |
| 1043380041 | Judith Acosta | Social Worker | 16 Roadrunner Trail, Placitas, NM 87043 | 2006-11-08 |
| 1275562548 | Shara Moscinska | Counselor | 3 Homesteads Rd., Suite E, Placitas, NM 87043 | 2006-06-30 |
| 1922084201 | Rachael H Tingen | Dentist | 3 Homesteads Rd, Bldg. B, Placitas, NM 87043 | 2005-12-19 |
| 1861889354 | Justin Woods | Family Medicine | 10 Avenida Fresca, Placitas, NM 87043-8003 | 2015-04-22 |
| 1093043283 | Nadine Marie Hober | Nurse Practitioner | 25 Llano Del Norte, Placitas, NM 87043-8306 | 2009-11-26 |
| 1669773339 | Aaron Foster | Counselor | 9 Wildflower Ct, Placitas, NM 87043-8337 | 2010-11-10 |
| 1790789493 | Josef Nisenbaum | Radiology | 126 Diamond Tail Rd, Placitas, NM 87043-8338 | 2005-06-09 |
| 1518366434 | Irene Gale | Pharmacist | 3 Maize Trl, Placitas, NM 87043-8339 | 2014-08-15 |
| 1700218526 | Audrey Susan Petzold | Occupational Therapist | 32 Cuchilla De Lupe Rd, Placitas, NM 87043-8716 | 2013-08-02 |
| Find all providers in zip 87043 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235468331 | Jessie Ruth Maxwell | Pediatrics | Pediatrics Neonatology Msc10 5590, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2009-12-18 |
| 1730352154 | Dawn L Novak | Pediatrics | 3601 Yipee Calle Ct Nw, Albuquerque, NM 87120-2381 | 2008-04-07 |
| 1457534562 | Agatha R Norwood | Pediatrics | 201 Cedar Se, Ste 508, Albuquerque, NM 87106 | 2007-12-12 |
| 1235144783 | Dale C Alverson | Pediatrics | 1005 Columbia Dr Ne, Albuquerque, NM 87106-2626 | 2006-07-30 |
| 1497760961 | Kristi Watterberg | Pediatrics | 3 Rd Floor Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-07-30 |
| 1578578035 | Curtis Daniel Caldwell | Pediatrics | Department of Pediatrics Neonatology Msc10, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-07-30 |
| 1063953768 | Sheridan Childrens Healthcare Services of New Mexico Inc | Pediatrics | 117 E 19th St, Roswell, NM 88201-5151 | 2017-03-14 |
| 1306101415 | Deepak Yadav | Pediatrics | 4311 E Lohman Ave, Las Cruces, NM 88011 | 2012-07-05 |
| 1992964357 | Lynda Adrouche-amrani | Pediatrics | 3917 West Rd, Los Alamos, NM 87544-2275 | 2008-06-02 |
| 1104047265 | Tara Lynn Dupont | Pediatrics | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2745 | 2007-05-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.