DALE P ANDERSON


Address: 2501 Buena Vista Dr Se, Provider Enrollment, Albuquerque, NM 87106-4260
Phone: 5059235356

DALE P ANDERSON (NPI# 1629296686) 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) 1629296686
Entity Type Individual
Full Name DALE P ANDERSON
Credential MD
Practice Address 2501 Buena Vista Dr Se
Provider Enrollment
Albuquerque
NM 87106-4260
Mailing Address Po Box 26666
Provider Enrollment
Albuquerque
NM 87125-6666
Practice Telephone 5059235356
Practice Fax Number 5059235354
Mailing Telephone 5059235356
Mailing Fax Number 5059235354
Enumeration Date 2007-04-23
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 2001-130 NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NM PENDING 05

Other Providers DALE ANDERSON

NPI Name Taxonomy Address Enumeration
1093088254 Dale Albert Anderson Licensed Practical Nurse 17095 52nd Ave, Chippewa Falls, WI 54729-7119 2012-02-20
1992985048 Dale Stanley Anderson Home Health 1135 Cumberland St, Saint Paul, MN 55117-4850 2007-11-06
1861571911 Dale Michael Anderson Dentist 137 W Schrock Rd, Westerville, OH 43081-2831 2006-11-02
1144321746 Dale Johnson Anderson Psychiatry & Neurology 6365 Clayton Road, St Louis, MO 63117 2006-09-26
1679557359 Dale Allen Anderson Chiropractor 2389 Renaissance Dr, Ste A, Las Vegas, NV 89119-6106 2005-12-06
1477115301 Dale Anderson Licensed Practical Nurse 3727 S Tacoma Way, Tacoma, WA 98409-3134 2019-07-01
1750779591 Dale Anderson II Nurse Anesthetist, Certified Registered 5050 N Clinton St, Fort Wayne, IN 46825-5886 2015-01-01
1104110220 Dale Wayne Anderson Pharmacist 4160 Town Ctr, T-1861, Sherman, TX 75092-2567 2011-06-06
1124202965 Dale R. Anderson Counselor 450 Meadow Run Dr, Hastings, MI 49058-9053 2007-12-27
1063614568 Dale Robert Anderson Psychiatry & Neurology 157 Roosevelt Rd, Suite 300, Saint Cloud, MN 56301-5478 2007-06-05

Office Location

Street Address 2501 BUENA VISTA DR SE
PROVIDER ENROLLMENT
City ALBUQUERQUE
State NM
Zip Code 87106-4260

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881690071 Albert J Rizzoli Internal Medicine 2501 Buena Vista Dr Se, Albuquerque, NM 87106-4261 2005-06-22
1326392804 Nanette Wilcox Social Worker 2501 Buena Vista Dr Se, Albuquerque, NM 87106-4260 2012-11-05
1710238456 Frank D Roland Health Maintenance Organization 2501 Buena Vista Dr Se, Albuquerque, NM 87106-4260 2012-09-20
1770854416 Gypsum Medical Associates of New Mexico, PC Nurse Practitioner 2501 Buena Vista Dr Se, Albuquerque, NM 87106-4260 2012-01-25
1194032938 Kyle Holloway Pharmacist 2501 Buena Vista Dr Se, Suite 1400, Albuquerque, NM 87106-4260 2010-08-31
1558681668 Presbyterian Healthcare Services General Acute Care Hospital 2501 Buena Vista Dr Se, Albuquerque, NM 87106-4260 2010-06-11
1568784643 Abby Nicole Mozes Emergency Medicine 2501 Buena Vista Dr Se, Albuquerque, NM 87106-4260 2010-02-17
1245450790 Stanley N Stark Pediatrics 2501 Buena Vista Dr Se, Albuquerque, NM 87106-4260 2007-04-26
1417084153 Barbara Jeannine Fried-smith Pharmacist 2501 Buena Vista Dr Se, Albuquerque, NM 87106-4260 2007-02-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629679808 Jorge Licano Student in an Organized Health Care Education/Training Program Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 2020-11-04
1730780032 Joseph Sanchez Student in an Organized Health Care Education/Training Program (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 2020-11-03
1336746205 Evan Laub Pharmacist 2950 Central Ave. Sw, Albuquerque, NM 87106 2020-10-05
1487203154 Theresa Martinez Technician 5680 Avedon Dr. Se, Albuquerque, NM 87106 2019-09-05
1205300647 Louis Mayer II Specialist/Technologist 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 2019-01-18
1235633355 Terrena Grace Vigil Brady Occupational Therapist 1001 Yale Blvd, Albuquerque, NM 87106 2018-03-22
1205355195 Yaritza Ruiz Specialist/Technologist 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 2017-09-12
1457873382 Cynthia Bluhm Registered Nurse 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 2017-07-12
1295265882 Hallie Chancellor Behavior Technician 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 2017-06-15
1780111757 Jiana Hook Physical Medicine & Rehabilitation 1414 University Blvd. Se, Albuquerque, NM 87106 2017-05-22
Find all providers in zip 87106

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851862882 Medic Buddy, LLC Internal Medicine 3420 Constitution Ave Ne Ste C, Albuquerque, NM 87106-1238 2018-12-17
1962984518 Medical Whisperer Janet L Blanchard Md Internal Medicine Consultantllc Internal Medicine 717 Encino Pl Ne Ste 17, Albuquerque, NM 87102-2655 2018-08-30
1780189936 Dania Qaryouti Internal Medicine Internal Medicine Msc10 5550 1 University of New Mexic, Albuquerque, NM 87131-0001 2018-03-29
1649782962 Molina Healthcare of New Mexico Internal Medicine 400 Tijeras Ave Nw, Albuquerque, NM 87102-3234 2017-10-26
1679003503 Aubrey Del Rosario Internal Medicine Msc (10-5550) 1 University of New Mexico, Albuquerque, NM 87131 2017-06-13
1487181848 Lillian Khowong To Internal Medicine Msc Ophthalmology 1 University of New Mexico, Albuquerque, NM 87131-0001 2017-05-16
1780037507 Beulah Jyothy Koduru Internal Medicine 1 University of New Mexico Hospital Msc 10 5550, Albuquerque, NM 87131-5640 2016-07-16
1487006813 Andres Eduardo Mendez-hernandez Internal Medicine Msc (internal M) 1 University of New Mexico Albuquerque, Albuquerque, NM 87131-0001 2016-07-11
1902251234 Sakshi Sahni Internal Medicine Msc 10 5550 Gi Department 1 University of New Mexico, Albuquerque, NM 87131-7232 2016-04-23
1184078719 Sarah Olivia Sharkey Internal Medicine Msc Internal Medicine, 1 University of New Mexico, Albuquerque, NM 87131-0001 2016-04-20
Find all providers in ALBUQUERQUE

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City ALBUQUERQUE
Zip Code 87106

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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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