ALFRED A. VAN BAAK (NPI# 1528355153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528355153 |
Entity Type | Individual |
Full Name | ALFRED A. VAN BAAK |
Credential | M.D |
Practice Address |
8300 Constitution Ave Ne Bldg D Albuquerque NM 87110-7613 |
Mailing Address |
Po Box 26666 Phs Provider Enrollment Albuquerque NM 87125-6666 |
Practice Telephone | 5052912730 |
Mailing Telephone | 5059236770 |
Mailing Fax Number | 5059235354 |
Enumeration Date | 2011-07-04 |
Last Update Date | 2019-06-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD2016-0051 | NM | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 07431210 | 05 |
Street Address |
8300 CONSTITUTION AVE NE BLDG D |
City | ALBUQUERQUE |
State | NM |
Zip Code | 87110-7613 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750364048 | Marjorie Patricia Anderson | Family Medicine | 8300 Constitution Ave Ne Bldg D, Albuquerque, NM 87110 | 2005-11-21 |
1518000975 | Marissa S Rodriguez | Pharmacist | 8300 Constitution Ave Ne Bldg D, Presbyterian Medical Group, Albuquerque, NM 87110-7613 | 2007-02-15 |
1710900220 | William Armstrong Brown | Colon & Rectal Surgery | 8300 Constitution Ave Ne Bldg D, Albuquerque, NM 87110-7613 | 2006-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
Find all providers in zip 87110 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083841399 | Elizabeth M Macri | Psychiatry & Neurology | 2211 Lomas Blvd Ne Unm-neurology Msc10 5620, Albuquerque, NM 87131-3011 | 2009-06-12 |
1417193459 | Semiramis Youssof | Psychiatry & Neurology | Msc 10 5620, Albuquerque, NM 87131-0001 | 2008-12-22 |
1831355106 | Matthew Todd Starr | Psychiatry & Neurology | Department of Neurology Msc10 5620 Health Ctr, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2008-08-05 |
1457531022 | John A Campa IIi | Psychiatry & Neurology | 7520 Montgomery Blvd Ne Bldg E4, Albuquerque, NM 87109-1554 | 2007-11-12 |
1730381179 | Erik Burton | Psychiatry & Neurology | 1101 Yale Blvd Ne, Albuquerque, NM 87106-3834 | 2007-06-05 |
1487856431 | Kenneth Imerman | Psychiatry & Neurology | Department of Neurology Msc10 5620, Health Science Center, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2007-06-01 |
1124167135 | Baljinder S Sandhu | Psychiatry & Neurology | Pmg Cedar Neurology, 201 Cedar Se, Albuquerque, NM 87106 | 2007-02-06 |
1821137837 | Luzma Cardona | Psychiatry & Neurology | Unm Hospital Neurology, 2211 Lomas Blvd Ne, Albuquerque, NM 87131-0001 | 2007-02-06 |
1235297839 | Manuel A Gurule | Psychiatry & Neurology | 4273 Montgomery Ne, Suite 110, Albuquerque, NM 87109-6746 | 2006-12-05 |
1417041807 | Anna Y Vigil | Psychiatry & Neurology | 201 Cedar St Se Ste 5630, Pmg Cedar Neurology, Albuquerque, NM 87106-4920 | 2006-10-03 |
Find all providers in ALBUQUERQUE |
City | ALBUQUERQUE |
Zip Code | 87110 |
Please comment or provide details below to improve the information on ALFRED A. VAN BAAK.
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.