JOSEF NISENBAUM (NPI# 1790789493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790789493 |
| Entity Type | Individual |
| Full Name | JOSEF NISENBAUM |
| Credential | DO |
| Practice Address |
126 Diamond Tail Rd Placitas NM 87043-8338 |
| Practice Telephone | 5052643550 |
| Practice Fax Number | 5053326921 |
| Mailing Telephone | 5052643550 |
| Mailing Fax Number | 5053326921 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2019-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A-1195-02 | NM | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
A-1195-02 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 31201059 | 05 |
| Street Address |
126 DIAMOND TAIL RD |
| City | PLACITAS |
| State | NM |
| Zip Code | 87043-8338 |
| 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 |
| 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 |
| 1679638738 | Sally Rae Goble | Marriage & Family Therapist | 28 Paseo De San Antonio, Placitas, NM 87043-8735 | 2006-12-27 |
| Find all providers in zip 87043 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124658299 | City Mobile Ultrasound, LLC | Radiology | 524 Richmond Dr Se, Albuquerque, NM 87106-2328 | 2020-01-17 |
| 1013407964 | Erika Jane Starks | Radiology | Radiology Msc 10-5530 1 University of New Mexico, Albuquerque, NM 87131-5040 | 2018-05-16 |
| 1700331196 | Joseph B. Furlong, P.a. | Radiology | 190 Howard Place, Suite A, Las Cruces, NM 88011 | 2016-08-16 |
| 1588028393 | Prime Digital Radiology, PC | Radiology | 9 W Alary Ln, Corrales, NM 87048-8396 | 2016-04-07 |
| 1700229523 | Martha F Terrazas | Radiology | Msc 10 5530 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-04-11 |
| 1922341585 | Katherine Nicole Epstein | Radiology | Msc10 5530 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2013-04-02 |
| 1962745869 | Joshua Eric Rider | Radiology | Unmh, 2211 Lomas Blvd Ne, Albuquerque, NM 87106 | 2013-03-29 |
| 1346506904 | Andrew Bruner | Radiology | Msc 10-5550 1, University of New Mexico, Albuquerque, NM 87131 | 2012-04-09 |
| 1942576145 | Douglas James Alden | Radiology | 373 Big Horn Ridge Dr Ne, Albuquerque, NM 87122-1424 | 2012-04-02 |
| 1689947921 | Robert Johnson | Radiology | 804 Piedra Vista Rd Ne, Albuquerque, NM 87123-1954 | 2012-02-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JOSEF NISENBAUM.
| 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.