ALFRED A. VAN BAAK


Address: 8300 Constitution Ave Ne Bldg D, Albuquerque, NM 87110-7613
Phone: 5052912730

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
MD2016-0051 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NM 07431210 05

Office Location

Street Address 8300 CONSTITUTION AVE NE BLDG D
City ALBUQUERQUE
State NM
Zip Code 87110-7613

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City ALBUQUERQUE
Zip Code 87110

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Dataset Information

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.

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