WILLEM J VAN DER WERF M.D. NPI 1275563397

NPI Information

NPI: 1275563397
Provider Name: WILLEM J VAN DER WERF, M.D.
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2218 N 3RD ST
PHOENIX, AZ
ZIP 85004
Phone: (602) 252-2543
Get Directions

Willem J Van Der Werf, M.D. is a transplant surgery in Phoenix, AZ with 36 years of experience. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee Willem J Van Der Werf, M.D. NPI is 1275563397. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year:1988

The provider's business location address is:

2218 N 3RD ST
PHOENIX, AZ
ZIP 85004-401
Phone: (602) 252-2543
Fax: (602) 252-3861

The NPI 1275563397 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 enumeration date for this NPI number is 7/4/2006 and was last updated on 10/8/2020.

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
1	174400000X	Specialist		5249271205	UTAH	No
2	204F00000X	Transplant Surgery		49927	ARIZONA	Yes

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
1	806894300	MEDICAID	IDAHO
2	TPRA07781	OTHER		MOLINA
3	52492781200001	OTHER		BLUE CROSS BLUE SHIELD
4	QM000006442	OTHER		ALTIUS
5	119626000	MEDICAID	WYOMING
6	4658850	OTHER		CIGNA

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: 4/28/2024

NPI Synchronization or Removal

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