PAMELA J DAFFERN MD NPI 1043309107

NPI Information

  • NPI: 1043309107
  • Provider Name: PAMELA J DAFFERN, MD
  • Classification: Allergy & Immunology - 207K00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1020 TIJERAS AVE NE
    SUITE 22
    ALBUQUERQUE, NM
    ZIP 87106
  • Phone: (505) 848-3124

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NPI Details

Pamela J Daffern, MD is an allergy immunology in Albuquerque, NM. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. Pamela J Daffern, MD NPI is 1043309107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1020 TIJERAS AVE NE
SUITE 22
ALBUQUERQUE, NM
ZIP 87106-749
Phone: (505) 848-3124
Fax: (505) 843-9037

The NPI 1043309107 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
  • Professional service for multiple injections of allergen (HCPCS:95117)
  • Professional service for single injection of allergen (HCPCS:95115)

The enumeration date for this NPI number is 10/12/2006 and was last updated on 3/3/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine0101059354VIRGINIANo
2207K00000XAllergy & Immunology0101059354VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E10745MEDICARE UPIN
21396970281OTHERVIRGINIAGROUP NPI
31598933145OTHERNEW MEXICOGROUP NPI
494507520MEDICAIDNEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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