DANIEL DERKSEN (NPI# 1184639643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184639643 |
| Entity Type | Individual |
| Full Name | DANIEL DERKSEN |
| Credential | MD |
| Practice Address |
933 Bradbury Dr Se Suite 2222 Albuquerque NM 87106-4374 |
| Mailing Address |
2400 Tucker Ne Msc09 5040 Albuquerque NM 87131-0001 |
| Practice Telephone | 5052723120 |
| Mailing Telephone | 5052721734 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2012-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 86-28 | NM | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275735029 | Daniel J. Derksen | Dentist | 714 Abbott Rd, East Lansing, MI 48823-3101 | 2007-06-04 |
| Street Address |
933 BRADBURY DR SE SUITE 2222 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-4374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083604854 | Jess Graham | Radiology | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2005-10-24 |
| 1821603713 | Mushtaq Syed | Community Health Worker | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2020-09-09 |
| 1609363811 | Storm A Dorrough | Student in an Organized Health Care Education/Training Program | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2018-04-13 |
| 1851849996 | Mushobwe Miles | Case Manager/Care Coordinator | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2016-09-19 |
| 1831647916 | Darcy Marie Murphy | Case Manager/Care Coordinator | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2016-09-16 |
| 1124470307 | Arthur Lopez | Psychologist | 933 Bradbury Dr Se, Pfs Suite 1120, Albuquerque, NM 87106-4374 | 2016-07-12 |
| 1043661010 | University of New Mexico Medical Group Inc | Clinic/Center | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2016-06-30 |
| 1720446545 | Tanya L Montoya | Case Manager/Care Coordinator | 933 Bradbury Dr Se, Albuquerque, NM 87106-4374 | 2016-02-08 |
| 1396119061 | Alethea Re | Nurse's Aide | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2015-11-18 |
| 1437521325 | Violeta Duran | Registered Nurse | 933 Bradbury Dr Se, Suite 2222, Albuquerque, NM 87106-4374 | 2015-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679808 | Jorge Licano | Student in an Organized Health Care Education/Training Program | Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-04 |
| 1730780032 | Joseph Sanchez | Student in an Organized Health Care Education/Training Program | (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2020-11-03 |
| 1336746205 | Evan Laub | Pharmacist | 2950 Central Ave. Sw, Albuquerque, NM 87106 | 2020-10-05 |
| 1487203154 | Theresa Martinez | Technician | 5680 Avedon Dr. Se, Albuquerque, NM 87106 | 2019-09-05 |
| 1205300647 | Louis Mayer II | Specialist/Technologist | 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 | 2019-01-18 |
| 1235633355 | Terrena Grace Vigil Brady | Occupational Therapist | 1001 Yale Blvd, Albuquerque, NM 87106 | 2018-03-22 |
| 1205355195 | Yaritza Ruiz | Specialist/Technologist | 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 | 2017-09-12 |
| 1457873382 | Cynthia Bluhm | Registered Nurse | 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 | 2017-07-12 |
| 1295265882 | Hallie Chancellor | Behavior Technician | 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 | 2017-06-15 |
| 1780111757 | Jiana Hook | Physical Medicine & Rehabilitation | 1414 University Blvd. Se, Albuquerque, NM 87106 | 2017-05-22 |
| Find all providers in zip 87106 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027696 | Comprehensive Gastrostomy Tube Cares, LLC | Family Medicine | 8100 Wyoming Blvd Ne Ste M4-701, Albuquerque, NM 87113-1946 | 2020-09-10 |
| 1740898428 | Dr. Maggie Wilson, PC | Family Medicine | 717 Encino Pl Ne Ste 5, Albuquerque, NM 87102-2624 | 2020-07-17 |
| 1831734813 | Leandra Lee Medina | Family Medicine | 7050 Barstow St Ne Ste B, Albuquerque, NM 87111-1056 | 2019-11-13 |
| 1093374589 | Palliative and Transitional Care of Nm LLC | Family Medicine | 805 Guadalupe Cir Nw, Albuquerque, NM 87114-1710 | 2019-06-10 |
| 1649834904 | Mederi Life LLC | Family Medicine | 4325 Carlisle Blvd Ne Ste B, Albuquerque, NM 87107-4826 | 2019-04-23 |
| 1649733619 | Susan Giron | Family Medicine | 6704 Baker Ave Ne, Albuquerque, NM 87109-2746 | 2019-04-08 |
| 1982163267 | Nm Spirit of Wellness LLC | Family Medicine | 123 Girard Blvd Se, Albuquerque, NM 87106-2227 | 2019-03-18 |
| 1891266458 | Karen Ann Longenecker | Family Medicine | 2300 Menaul Blvd Ne Fl 3, Albuquerque, NM 87107-1851 | 2018-12-07 |
| 1144797135 | Erin Aleisha Langford | Family Medicine | 4588 Paradise Blvd Nw # 100, Albuquerque, NM 87114-4105 | 2018-10-28 |
| 1740761972 | Maria Marcela Colom Bickford | Family Medicine | Msc 09-5040 I University of New Mexico, Albuquerque, NM 87131 | 2018-08-26 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
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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.