JOHN M WILSON MD P C (NPI# 1063639391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063639391 |
| Entity Type | Organization |
| Organization Name | JOHN M WILSON MD P C |
| Practice Address |
6100 Seagull St Ne B-109 Albuquerque NM 87109-2500 |
| Practice Telephone | 5058789000 |
| Practice Fax Number | 5058788902 |
| Mailing Telephone | 5058789000 |
| Mailing Fax Number | 5058788902 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN M WILSON (MEDICAL DOCTOR) |
| Authorized Official Telephone | 5058789000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 302R00000X | Health Maintenance Organization | 96-161 | NM | Managed Care Organizations |
| X | 305R00000X | Preferred Provider Organization | 96-161 | NM | Managed Care Organizations |
| Street Address |
6100 SEAGULL ST NE B-109 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992791784 | Linda Keahey-oberdorfer | Physical Therapist | 6100 Seagull St Ne, Suite B-102, Albuquerque, NM 87109-2500 | 2005-09-27 |
| 1093247157 | Mary Liano | Behavior Technician | 6100 Seagull St Ne, Suite B200, Albuquerque, NM 87109-2500 | 2017-03-29 |
| 1639521768 | Ashley Archuleta | Technician, Other | 6100 Seagull St Ne, Suite B200, Albuquerque, NM 87109 | 2016-07-13 |
| 1427281716 | Olivia Melissa Pastore | Counselor | 6100 Seagull St Ne, Albuquerque, NM 87109-2500 | 2009-09-02 |
| 1033357504 | Christine Boling | Physical Therapist | 6100 Seagull St Ne, B-102, Albuquerque, NM 87109-2500 | 2009-01-21 |
| 1114095239 | Cathy Napier | Counselor | 6100 Seagull St Ne, B-109, Albuquerque, NM 87109-2500 | 2006-11-30 |
| 1972679272 | Rainbow's Promise Therapies, Inc. | Physical Therapist | 6100 Seagull St Ne, Suite B-102, Albuquerque, NM 87109-2500 | 2006-11-28 |
| 1871669127 | Betzi M Hitz | Dietitian, Registered | 6100 Seagull St Ne, Suite B-102, Albuquerque, NM 87109-2500 | 2006-11-28 |
| 1750457081 | William Alex Dunbar | Physical Therapist | 6100 Seagull St Ne, Suite B-102, Albuquerque, NM 87109-2500 | 2006-11-28 |
| 1164598132 | Samantha White Navarro | Physical Therapist | 6100 Seagull St Ne, Suite B-102, Albuquerque, NM 87109-2500 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 302R00000X |
| Grouping | Managed Care Organizations |
| Classification | Health Maintenance Organization |
| (1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
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|---|---|---|---|---|
| 1639523699 | Studio Vsc Preventive Health Maintenance of The Feet | Health Maintenance Organization | 910 8th St Sw, Albuquerque, NM 87102-4006 | 2016-04-15 |
| 1023479433 | Restorative Medical Massage Therapy | Health Maintenance Organization | 6801 Calle Laguna Ne, Albuquerque, NM 87113-1090 | 2016-03-11 |
| 1922426006 | New Mexico Health Connections | Health Maintenance Organization | 2440 Louisiana Blvd Ne, Albuquerque, NM 87110-4383 | 2014-04-04 |
| 1417373689 | Open Hearts Supported Living | Health Maintenance Organization | 10023 Calabacillas Ct Nw, Albuquerque, NM 87114-5825 | 2014-03-12 |
| 1003178849 | Matrix Medical Network | Health Maintenance Organization | 6815 Country Glen Ct Nw, Albuquerque, NM 87114-4387 | 2012-06-07 |
| 1083053839 | The Medic Group, LLC | Health Maintenance Organization | 6211 San Mateo Blvd Ne, Albuquerque, NM 87109-3533 | 2013-06-14 |
| 1710238456 | Frank D Roland | Health Maintenance Organization | 2501 Buena Vista Dr Se, Albuquerque, NM 87106-4260 | 2012-09-20 |
| 1528313228 | Duke City Recovery Toolbox, LLC | Health Maintenance Organization | 912 1st St Nw, Albuquerque, NM 87102-2355 | 2012-07-18 |
| 1518112655 | Alternative Wellness Center | Health Maintenance Organization | 9809 Candelaria Rd Ne, Ste 1b, Albuquerque, NM 87112-1458 | 2008-11-17 |
| 1780859470 | Accent On Vision East, LLC | Health Maintenance Organization | 7121 Prospect Pl Ne, Albuquerque, NM 87110-4313 | 2008-04-24 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.