DR. HENRY LIN (NPI# 1730117672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730117672 |
| Entity Type | Individual |
| Full Name | DR. HENRY LIN |
| Credential | MD |
| Practice Address |
1501 San Pedro Dr Se 111 Albuquerque NM 87108-5153 |
| Practice Telephone | 5052651711 |
| Mailing Telephone | 5052651711 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2013-05-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
G52549 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A525490 | 05 | |
| CA | GROUP MEDICAID | GR0016910 | 01 |
| CA | GROUP RAILROAD MEDICARE | CE1617 | 01 |
| CA | GROUP NPI | 1356390009 | 01 |
| CA | GROUP MEDICARE PIN | W11675 | 01 |
| CA | BLUE SHIELD | 00G525490 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114434693 | Henry Yuheng Lin | Pharmacist | 10823 Zelzah Ave Bldg D, Granada Hills, CA 91344-4433 | 2018-01-05 |
| 1447334818 | Henry N Lin | Pediatrics | 4700 W Sunset Blvd Fl 4, Dept of Pediatrics, Los Angeles, CA 90027-6082 | 2006-10-24 |
| 1407966500 | Henry Lin | Allergy & Immunology | 8008 Monet Ave, Suite 107, Rancho Cucamonga, CA 91739-7509 | 2006-08-30 |
| 1710912100 | Henry Lin | Emergency Medicine | 622 West 168th St, Ph-1-137, New York, NY 10032 | 2006-07-12 |
| 1508894569 | Henry C. Lin | Nuclear Medicine | 1783 Stillwell Ave, Brooklyn, NY 11223-1006 | 2006-06-29 |
| 1124092085 | Henry Lin | Surgery | 417 State St Ste 330, Bangor, ME 04401-6638 | 2006-02-15 |
| 1679569040 | Henry Lin | Pediatrics | 3900 N Andrews Ave, Oakland Park, FL 33309-5240 | 2005-09-21 |
| 1770121675 | Henry Lin | Pharmacist | 27750 Santa Margarita Pkwy, Mission Viejo, CA 92691-6653 | 2019-12-11 |
| 1730573973 | Henry Lin | Student in an Organized Health Care Education/Training Program | 2157 Main St, Sisters of Charity Hospital, Department of Medicine, Buffalo, NY 14214-2648 | 2015-03-25 |
| 1679897029 | Henry Lin | Pharmacist | 8268 164th St, Jamaica, NY 11432-1121 | 2010-03-15 |
| Street Address |
1501 SAN PEDRO DR SE 111 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-5153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619964293 | Pamela Walton Mccoy | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5153 | 2005-09-29 |
| 1750981627 | Mae Maiefski | Speech-Language Pathologist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-10-29 |
| 1891300133 | Julianna Nacion | Occupational Therapist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-09-14 |
| 1376155614 | Jeffrey Shaffer | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-18 |
| 1851901490 | Tiffany Le Nguyen | Pharmacist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-07 |
| 1073123063 | Wasan Cartwright Jr. | Nurse Practitioner | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-08-04 |
| 1083223069 | Denise Lorraine Bennett | Social Worker | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-07-27 |
| 1073139168 | Ryan Charles Warner | Psychologist | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-24 |
| 1356965321 | Lemont Yazzie | Technician | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-04 |
| 1407470479 | Lamont Yazzie II | Technician | 1501 San Pedro Dr Se, Albuquerque, NM 87108-5180 | 2020-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1649688698 | Rishabh Gulati | Internal Medicine | Department of Internal Medicine Msc 10 5550, 1, University of New Mexico, Albuquerque, NM 87131-0001 | 2014-07-22 |
| 1033371307 | Jessica Chloe Ryder | Internal Medicine | 4705 Montgomery Blvd Ne Ste 102, Albuquerque, NM 87109-1246 | 2008-06-27 |
| 1235223629 | Nicholas A Volpicelli | Internal Medicine | 1001 Silver Ave Se Ste 200, Pmg Gi Silver, Albuquerque, NM 87106-4904 | 2006-10-03 |
| 1083636641 | Vinod Kumar Singh | Internal Medicine | 5400 Gibson Blvd Se Fl 2, Albuquerque, NM 87108 | 2006-07-24 |
| 1083649297 | Barry A Weiss | Internal Medicine | Pmg At 8300 Constitution - Gi, 8300 Constituiton Ave Ne, Albuquerque, NM 87110 | 2006-07-12 |
| 1538121595 | Denis Matthew Mccarthy | Internal Medicine | Nmvahcs-111f, 1501 San Pedro Blvd. Se, Albuquerque, NM 87108-5153 | 2006-04-05 |
| 1609849975 | Jeff Scott Zabel | Internal Medicine | 5400 Gibson Blvd Se, Albuquerque, NM 87108-4729 | 2006-02-08 |
| 1386643708 | Joseph Alcorn | Internal Medicine | 1001 Dr Martin Luther King Jr Ave Ne, Unm Digestive Disease Clinic, Albuquerque, NM 87106-4713 | 2005-07-18 |
| 1265094965 | Christopher Raymond Fredericks | Internal Medicine | 1100 Lead Ave Se, Albuquerque, NM 87106-5215 | 2019-07-02 |
| 1467795666 | Aleksandr Birg | Internal Medicine | Msc10 5550, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-04-05 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
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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.