DR. JACQUELINE KIM DEAN (NPI# 1184690364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184690364 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE KIM DEAN |
| Credential | MD |
| Practice Address |
1617 University Blvd Ne Albuquerque NM 87102-1710 |
| Practice Telephone | 5053414841 |
| Practice Fax Number | 5053459914 |
| Mailing Telephone | 5053414841 |
| Mailing Fax Number | 5053459914 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2012-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
2001-170 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 12737011 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770780058 | Jacqueline S Dean | Nurse Anesthetist, Certified Registered | 9850 Genesee Ave Ste 107-148, La Jolla, CA 92037-1224 | 2007-06-29 |
| 1811214323 | Jacqueline Lorraine Dean | Counselor | 4211 Government Blvd, Mobile, AL 36693-4813 | 2010-04-23 |
| Street Address |
1617 UNIVERSITY BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87102-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639145808 | Albuquerque Center for Rheumatology PC | Physical Medicine & Rehabilitation | 1617 University Blvd Ne, Albuquerque, NM 87102-1710 | 2006-02-27 |
| 1053507715 | Scott Stoerner | Internal Medicine | 1617 University Blvd Ne, Albuquerque, NM 87102-1710 | 2007-09-17 |
| 1568438752 | Leroy Arnold Pacheco | Internal Medicine | 1617 University Blvd Ne, Albuquerque, NM 87102-1710 | 2006-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454937 | Julie Wood | Acupuncturist | 1600 Luna Circle Nw, Albuquerque, NM 87102 | 2020-10-16 |
| 1770121410 | Emily Perez | Counselor | 218 Broadway Ne, Albuquerque, NM 87102 | 2019-12-12 |
| 1417503392 | Tess Holtry | Behavior Technician | 1424 Walter St Nw, Albuquerque, NM 87102 | 2019-08-15 |
| 1942867486 | Christy E Cheromiah | Behavioral Analyst | Open Skies Helathcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-05-21 |
| 1730744103 | Faith Petra Maxwell | Behavior Technician | 900 Arno St, Albuquerque, NM 87102 | 2019-05-01 |
| 1568923761 | Storm Swinford | Behavioral Analyst | Open Skies Healthcare, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-29 |
| 1093276651 | Tina Marie Trujillo | Behavioral Analyst | Open Skies Health Care, 707 Broadway Blvd Ne, Albuquerque, NM 87102 | 2019-03-27 |
| 1861950370 | Meghan Montoya | Student in an Organized Health Care Education/Training Program | 801 Camino De Salud, Albuquerque, NM 87102 | 2019-03-05 |
| 1174099329 | Dilshani N Tyson | Counselor | 600 1st Street Nw Ste 200, Albuquerque, NM 87102 | 2018-10-15 |
| 1962987925 | Tania L Goldfeder | Social Worker | New Mexico Solutions, 707 Broadway Ne Suite 500, Albuquerque, NM 87102 | 2018-09-26 |
| Find all providers in zip 87102 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669668497 | Monthida Fangtham | Internal Medicine | Doim Rheumatology, 1 University of New Mexico Msc 10-5550, Albuquerque, NM 87131-0001 | 2007-09-14 |
| 1730204520 | Juliet Coquia | Internal Medicine | 8100 Constitution Pl Ne Ste 210, Pmg Kaseman Arthritis Clinic, Albuquerque, NM 87110-7625 | 2007-03-20 |
| 1760576136 | Erik E Carlson | Internal Medicine | Pmg Rheumatology, 8300 Constitution Ave Ne, Albuquerque, NM 87110 | 2006-10-03 |
| 1356435747 | Peter Rosandich | Internal Medicine | 8200 Louisiana Blvd Ne, New Mexico Rheumatology LLC, Albuquerque, NM 87113-2105 | 2006-10-03 |
| 1952339681 | Roderick Fields | Internal Medicine | 2211 Lomas, Ne, 5th Floor-5acc, Albuquerque, NM 87106-0001 | 2006-06-29 |
| 1881690071 | Albert J Rizzoli | Internal Medicine | 2501 Buena Vista Dr Se, Albuquerque, NM 87106-4261 | 2005-06-22 |
| 1386009314 | Sandia Rheumatology LLC | Internal Medicine | 3820 Masthead St Ne, Albuquerque, NM 87109-4582 | 2015-12-17 |
| 1245617091 | Jaren Robert Trost | Internal Medicine | 2901 Transport St Se, Albuquerque, NM 87106-4382 | 2015-04-30 |
| 1922449974 | Mirza Moazam Beg | Internal Medicine | 8300 Constitution Ave Ne, Albuquerque, NM 87110 | 2013-07-07 |
| 1730529918 | Clifford Stermer | Internal Medicine | 8300 Constitution Ave Ne, Albuquerque, NM 87110 | 2013-07-02 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
Please comment or provide details below to improve the information on DR. JACQUELINE KIM DEAN.
| 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.