DR. DANIEL MARANCENBAUM (NPI# 1790937068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790937068 |
| Entity Type | Individual |
| Full Name | DR. DANIEL MARANCENBAUM |
| Credential | MD |
| Practice Address |
3917 West Rd Ste 250 Los Alamos NM 87544-5302 |
| Mailing Address |
2055 Walsbrook San Antonio TX 78260-2436 |
| Practice Telephone | 5056619201 |
| Practice Fax Number | 5056619185 |
| Mailing Telephone | 5056950541 |
| Enumeration Date | 2008-10-18 |
| Last Update Date | 2018-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD2013-0460 | NM | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 042.0012038 | VT | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | MT189844 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 80983294 | 05 |
| Street Address |
3917 WEST RD STE 250 |
| City | LOS ALAMOS |
| State | NM |
| Zip Code | 87544-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295983195 | Salim Amrani | Colon & Rectal Surgery | 3917 West Rd Ste 250, Los Alamos, NM 87544-5302 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679945935 | Zia Home Health | Home Health | 1475 Central Ave., Suite 125, Los Alamos, NM 87544 | 2015-10-27 |
| 1295131167 | Sara Pocernik | Dietitian, Registered | 1450 Iris Street, Los Alamos, NM 87544 | 2014-11-05 |
| 1760824890 | Lisa Renee Marr Lyon | Psychologist | 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 | 2013-07-17 |
| 1558629725 | Rachel Meyer | Dentist | 112 Central Park Square, Los Alamos, NM 87544 | 2012-04-25 |
| 1902183908 | Susana T. Chavarria | Occupational Therapist | 5 Quemazon Pl., Los Alamos, NM 87544 | 2011-11-04 |
| 1881998664 | Dr. Tom Child and Adolescent Medicine | Pediatrics | Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 | 2011-01-07 |
| 1952565905 | Dawn Judy Barr | Social Worker | 3 Agila Ct, Los Alamos, NM 87544 | 2008-07-17 |
| 1649452129 | Ellen Vandergust Ballard | Dentist | 111 Longview, Suite B-3, White Rock, NM 87544 | 2007-11-27 |
| 1629290283 | Wildwind Dental | Dentist | 111 Longview Drive, Suite B3, Los Alamos, NM 87544 | 2007-05-03 |
| 1255407342 | Sarah Sue Teasdale | Counselor | 1362 C Trinity Dr, Los Alamos, NM 87544 | 2006-11-28 |
| Find all providers in zip 87544 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053629915 | Bridge Care for Women LLC | Obstetrics & Gynecology | 3500 Trinity Dr, Ste C-5, Los Alamos, NM 87544-1775 | 2010-09-14 |
| 1023147097 | Phc-los Alamos Inc | Obstetrics & Gynecology | 3917 West Rd, Los Alamos, NM 87544-2275 | 2007-03-05 |
| 1679506141 | Danielle Duquette Bridge | Obstetrics & Gynecology | 3917 West Rd, Los Alamos, NM 87544-2275 | 2006-07-08 |
| 1922058114 | Los Alamos Womens Health Services, PC | Obstetrics & Gynecology | 3917 West Rd, Suite 250, Los Alamos, NM 87544-2275 | 2006-05-11 |
| 1184693566 | Patricia Combs | Obstetrics & Gynecology | 3917 West Rd, Suite 250, Los Alamos, NM 87544-2275 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205472552 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 730 Saint Michaels Dr # 4b, Santa Fe, NM 87505-7606 | 2019-11-21 |
| 1588200836 | Planned Parenthood of The Rocky Mountains | Obstetrics & Gynecology | 9809 Candelaria Rd Ne Bldg 2, Albuquerque, NM 87112-1458 | 2019-11-21 |
| 1487176061 | Southwest Gynecology, Inc. | Obstetrics & Gynecology | 2930 Hillrise Dr Ste 2, Las Cruces, NM 88011-4776 | 2017-07-14 |
| 1417319815 | Stephanie Rieder | Obstetrics & Gynecology | Msc 10 5580 Department of Obstetrics and Gynecology, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-03-24 |
| 1629443049 | The Fertility Center of New Mexico LLC | Obstetrics & Gynecology | 201 Cedar St Se Ste S120, Albuquerque, NM 87106-4900 | 2015-12-10 |
| 1669854501 | Adenieki Mornan | Obstetrics & Gynecology | 2420 W Pierce St Ste 200, Carlsbad, NM 88220-3518 | 2015-06-28 |
| 1689051666 | Anwar Davis Jackson | Obstetrics & Gynecology | 2211 Lomas Blvd Ne Ste 4acc, Albuquerque, NM 87106-2719 | 2015-04-29 |
| 1609288562 | Trevor Quiner | Obstetrics & Gynecology | Msc Obgyn 1 University of New Mexico, Albuquerque, NM 87131 | 2014-05-27 |
| 1831518554 | Jacob T Sypher | Obstetrics & Gynecology | Us Hwy 160 North, Shiprock, NM 87420 | 2014-04-09 |
| 1932527579 | Elizabeth Anne Clark | Obstetrics & Gynecology | Dept of Ob Gyn Msc 10 5580, 1 University of New Mexico, Albuquerque, NM 87131 | 2014-04-01 |
| Find all providers with the same taxonomy | ||||
| City | LOS ALAMOS |
| Zip Code | 87544 |
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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.