Elaine Marie Difederico, M.D.

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

MD2007-0481 Issued in NM

Practice address

Msc10 5580 1 Unm
Unm HSC OBGYN
Albuquerque, NM 87131

Phone

(505) 272-6386

Fax

(505) 272-3921

NPI assigned

May 15, 2007

Last updated

May 7, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367884800000",
    "number": "1508072752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 BRADBURY SE, STE 2222",
            "address_2": "UNM HSC OBGYN",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87106",
            "telephone_number": "505-272-3120",
            "fax_number": "505-272-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MSC10 5580 1 UNM",
            "address_2": "UNM HSC OBGYN",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87131",
            "telephone_number": "505-272-6386",
            "fax_number": "505-272-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFEDERICO",
        "first_name": "ELAINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2013-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "OR",
            "license": "MD19904",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NM",
            "license": "MD2007-0481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Dietl, MD
• Matthias A Dietrich
• Christine Dietz, PT
• Dale D. Dietz, LCSW
• Hannah Lee Dietz
• Michael Digirolamo, M.D.
• Robert E Dikeman, M.D.
• Rodrigue Dikuba, DDS
• Paige Marie Dildy, LMSW
• Trudy Dileo, CRNA

• Maternal & Fetal Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Maternal & Fetal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.