Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ian Vanderwoude, PA-C, MSPAS

Individual provider Medical Physician Assistant · NPI 1851686414

Mr. Ian Vanderwoude, PA-C, MSPAS is a Medical Physician Assistant in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2011.

Licensed in
NM
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9210 Golf Course Rd NW
Albuquerque, NM 87114-5891
Phone: (505) 899-3933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA2011-0015 (NM)

Record details

NPI number1851686414
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , MSPAS
Sole proprietorNo
NPI enumeratedJune 12, 2011
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025

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