WANICHA BURAPHACHEEP-COGGINS (NPI# 1083736136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083736136 |
| Entity Type | Individual |
| Full Name | WANICHA BURAPHACHEEP-COGGINS |
| Credential | M.D. |
| Practice Address |
2040 S Pacheco St Nm Doh Family Planning Program Santa Fe NM 87505-5472 |
| Practice Telephone | 5054768870 |
| Practice Fax Number | 5054768898 |
| Mailing Telephone | 5054768870 |
| Mailing Fax Number | 5054768898 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
98-34 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
2040 S PACHECO ST NM DOH FAMILY PLANNING PROGRAM |
| City | SANTA FE |
| State | NM |
| Zip Code | 87505-5472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508914896 | State of New Mexico | Case Management | 2040 S Pacheco St, Santa Fe, NM 87505-5472 | 2007-01-05 |
| 1790981967 | Maternal Health Program | Clinic/Center | 2040 S Pacheco St, Santa Fe, NM 87505-5472 | 2007-06-25 |
| 1023225778 | Children's Medical Services | Public Health or Welfare | 2040 S Pacheco St, Santa Fe, NM 87505-5472 | 2007-05-16 |
| 1982810909 | Susan Marie Chacon | Social Worker | 2040 S Pacheco St, Santa Fe, NM 87505-5472 | 2007-05-15 |
| 1821120742 | Children's Medical Services | Clinic/Center | 2040 S Pacheco St, Santa Fe, NM 87505-5472 | 2007-03-09 |
| 1497886881 | Department of Health Families First | Case Management | 2040 S Pacheco St, Santa Fe, NM 87505-5472 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939031 | Enchanted Sky Hospice,llc | Hospice Care, Community Based | 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 | 2020-07-16 |
| 1700409968 | Caa Consulting, LLC | Clinic/Center | 1448 S St. Francis Drive, Santa Fe, NM 87505 | 2020-05-22 |
| 1104447093 | Dana Marie Tsyconyea Simmons | Counselor | 1640 Calle Medico, Suite E, Santa Fe, NM 87505 | 2020-05-01 |
| 1114574217 | Kumara Hampton Therapy, LLC | Counselor | 11 Calle Medico Suite 4, Santa Fe, NM 87505 | 2019-08-22 |
| 1245886977 | Caroline Ward | Technician | 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 | 2019-08-19 |
| 1205490752 | Alyson Yacono | Physical Therapist | 104 Old Las Vegas Highway, Santa Fe, NM 87505 | 2019-04-30 |
| 1366919649 | Allyson Matthews | Speech-Language Pathologist | Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 | 2018-10-25 |
| 1093280281 | Diamond Care Santa Fe LLC | Skilled Nursing Facility | 635 Harkle Road, Santa Fe, NM 87505 | 2018-10-04 |
| 1972087054 | Changing Woman Initiative | Advanced Practice Midwife | 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 | 2018-09-24 |
| 1154812782 | Heart Wing, LLC | Social Worker | 2724 Alamosa Drive, Santa Fe, NM 87505 | 2018-05-18 |
| Find all providers in zip 87505 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720094394 | Sheila Hickey | Pediatrics | 1127 University Blvd Ne, Albuquerque, NM 87102-1740 | 2006-08-01 |
| 1548275019 | Gary Overturf | Pediatrics | 3rd Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-07-30 |
Please comment or provide details below to improve the information on WANICHA BURAPHACHEEP-COGGINS.
| 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.