ANDRU ZIWASIMON ZELLER


Address: 1804 Carlisle Blvd Ne, Albuquerque, NM 87110-4906
Phone: 5052660888

ANDRU ZIWASIMON ZELLER (NPI# 1306930797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306930797
Entity Type Individual
Full Name ANDRU ZIWASIMON ZELLER
Credential MD
Practice Address 1804 Carlisle Blvd Ne
Albuquerque
NM 87110-4906
Practice Telephone 5052660888
Practice Fax Number 5057383936
Mailing Telephone 5052660888
Mailing Fax Number 5057383936
Enumeration Date 2006-10-03
Last Update Date 2015-12-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 2001-343 NM Allopathic & Osteopathic Physicians

Office Location

Street Address 1804 CARLISLE BLVD NE
City ALBUQUERQUE
State NM
Zip Code 87110-4906

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043226780 Linda J Butros Pediatrics 1804 Carlisle Blvd Ne, Albuquerque, NM 87110 2006-08-01
1093060733 Adam Joseph Cornejo Podiatrist 1804 Carlisle Blvd Ne, Albuquerque, NM 87110 2012-07-18
1205013950 Daniella Rodarte Massage Therapist 1804 Carlisle Blvd Ne, Albuquerque, NM 87110-4906 2008-01-24

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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

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City ALBUQUERQUE
Zip Code 87110

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Dataset Information

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.

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