Pamela J Daffern, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

0101059354 Issued in VA

Practice address

1020 Tijeras Ave NE
Suite 22
Albuquerque, NM 87106-4749

Phone

(505) 848-3124

Fax

(505) 843-9037

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23696/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Allergy Associates of New Mexico Inc

  • Allergy & Immunology Physician
  • Albuquerque, NM
  • NPI 1780047621
  Medicare reassignment NPD
• Allergy & Asthma Specialists of Virginia PC

  • Allergy & Immunology Physician
  • Mechanicsville, VA
  • NPI 1396970281
  NPD (past) Authorized official
• Allergy, Asthma and Sinus Center of Central Virginia

  • Allergy Physician
  • Colonial Heights, VA
  • NPI 1871619452
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1043309107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 TIJERAS AVE NE",
            "address_2": "SUITE 22",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064749",
            "telephone_number": "505-848-3124",
            "fax_number": "505-843-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TIJERAS AVE NE",
            "address_2": "SUITE 22",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064749",
            "telephone_number": "505-848-3124",
            "fax_number": "505-843-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAFFERN",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101059354",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0101059354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1598933145",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1396970281",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94507520",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sally M D'Angelo, MD
• Denise A D'Coda, MC, LMFT, LADAC
• Roberta Da Silva Ferreira Bilberry, MD
• Da' Nzho Home Care Services
• Joan Dacresdale, SLP
• Ethan Daffner, DO
• Bobbi Jo Daggett, CADAC #1034
• Skyler Dagucon
• Arthur Dahl
• Ryan Hsiung Dahl

• Allergy & Immunology Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Allergy & Immunology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.