RANDALL NEDERHOFF (NPI# 1679535678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679535678 |
| Entity Type | Individual |
| Full Name | RANDALL NEDERHOFF |
| Practice Address |
2400 Unser Blvd Se Rio Rancho NM 87124-4740 |
| Mailing Address |
Po Box 26666 Phs Provider Enrollment Albuquerque NM 87125-6666 |
| Practice Telephone | 5052532100 |
| Practice Fax Number | 8502532121 |
| Mailing Telephone | 5059236770 |
| Mailing Fax Number | 5059235354 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2017-11-02 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
88-232 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
2400 UNSER BLVD SE |
| City | RIO RANCHO |
| State | NM |
| Zip Code | 87124-4740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356322762 | Imtiaz A Malik | Physician Assistant | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2005-11-11 |
| 1982252383 | Jessica Bartra | Nurse Practitioner | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2019-08-28 |
| 1376022822 | Hospitalist Medicine Physicians of New Mexico -tcg LLC | Internal Medicine | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2018-08-07 |
| 1144712837 | Eileen Shi | Physician Assistant | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2018-05-30 |
| 1194230714 | Nanette C Vela | Nurse Practitioner | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2017-12-05 |
| 1487179776 | Shirley Mae Crotwell | Psychologist | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2017-08-07 |
| 1528599727 | Priya Vallabh Shah | Pediatrics | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2017-03-21 |
| 1235670977 | Carly Nathan | Advanced Practice Midwife | 2400 Unser Blvd Se, Rio Rancho, NM 87124-4740 | 2017-03-14 |
| 1689119240 | Keri J Maracchini | Dietitian, Registered | 2400 Unser Blvd Se, Lower Level, Rio Rancho, NM 87124-4740 | 2017-01-05 |
| 1932653417 | Melissa T Torres | Nurse Practitioner | 2400 Unser Blvd Se, Physicians Office Bldg #08213, Rio Rancho, NM 87124-4740 | 2016-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895648 | Dallon Knight | Pharmacist | 1115 Nm-528 Se, Rio Rancho, NM 87124 | 2020-09-09 |
| 1447875133 | Paul D Phillip | Counselor | 1207 Golf Course Rd Ne, Suite C, Rio Rancho, NM 87124 | 2020-06-09 |
| 1093341810 | Clearsky Rehabilitation Hospital of Rio Rancho LLC | Rehabilitation Hospital | 2401 Westside Blvd, Rio Rancho, NM 87124 | 2020-03-13 |
| 1841840345 | Debra English | Technician | 2001 Yucca St Se, Rio Rancho, NM 87124 | 2019-09-17 |
| 1114589322 | Counseling Connections, LLC | Counselor | 2600 Istle Rd Ne, Rio Rancho, NM 87124 | 2019-07-08 |
| 1417414996 | Kimberly Lovette Lorenzini | Counselor | Rio Rancho Family Counseling, 1340 Monterrey Rd, Rio Rancho, NM 87124 | 2019-02-21 |
| 1225507197 | Speech and Language Possibilities, LLC | Audiologist | 273 Tigris Road Ne, Rio Rancho, NM 87124 | 2018-11-20 |
| 1063997823 | Cindy Pendrey, LLC | Clinic/Center | 2103 Golf Course Rd Se, Suite A, Rio Rancho, NM 87124 | 2018-09-27 |
| 1972094324 | Calmar Inc. | Durable Medical Equipment & Medical Supplies | 2003 Southern Blvd Ne, Suite 123, Rio Rancho, NM 87124 | 2018-05-22 |
| 1013404581 | New Mexico Dental Clinics LLC | Dentist | 1594 Sara Rd Se Ste C, Rio Rancho, NM 87124 | 2018-04-19 |
| Find all providers in zip 87124 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235468331 | Jessie Ruth Maxwell | Pediatrics | Pediatrics Neonatology Msc10 5590, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2009-12-18 |
| 1730352154 | Dawn L Novak | Pediatrics | 3601 Yipee Calle Ct Nw, Albuquerque, NM 87120-2381 | 2008-04-07 |
| 1457534562 | Agatha R Norwood | Pediatrics | 201 Cedar Se, Ste 508, Albuquerque, NM 87106 | 2007-12-12 |
| 1235144783 | Dale C Alverson | Pediatrics | 1005 Columbia Dr Ne, Albuquerque, NM 87106-2626 | 2006-07-30 |
| 1497760961 | Kristi Watterberg | Pediatrics | 3 Rd Floor Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-07-30 |
| 1578578035 | Curtis Daniel Caldwell | Pediatrics | Department of Pediatrics Neonatology Msc10, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-07-30 |
| 1063953768 | Sheridan Childrens Healthcare Services of New Mexico Inc | Pediatrics | 117 E 19th St, Roswell, NM 88201-5151 | 2017-03-14 |
| 1306101415 | Deepak Yadav | Pediatrics | 4311 E Lohman Ave, Las Cruces, NM 88011 | 2012-07-05 |
| 1992964357 | Lynda Adrouche-amrani | Pediatrics | 3917 West Rd, Los Alamos, NM 87544-2275 | 2008-06-02 |
| 1104047265 | Tara Lynn Dupont | Pediatrics | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2745 | 2007-05-02 |
| Find all providers with the same taxonomy | ||||
| City | RIO RANCHO |
| Zip Code | 87124 |
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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.