Alan D Wamboldt (NPI# 1558305540, PAC ID# 1153362223) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1558305540 |
| PAC ID by PECOS | 1153362223 |
| Professional Enrollment ID | I20050520001012 |
| Full Name | Alan D Wamboldt |
| Organization Legal Name | ALAN D WAMBOLDT MD PLLC |
| Address |
7525 E Broadway Rd Suite 3 Mesa AZ 85206-1156 |
| Phone Number | 4808322097 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1982 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 9638110703 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030088 | BANNER BAYWOOD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 4808321200 | ALAN D WAMBOLDT MD PLLC |
| 7525 E Broadway Rd, Suite 3, Mesa, AZ 85206-1156 | 4808322097 | ALAN D WAMBOLDT MD PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 98% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 99% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 24% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 71% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 32% | |
| MIPS_EC_021_overall | Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin | 100% | |
| MIPS_EC_023_overall | Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients) | 100% | |
| MIPS_EC_109_overall | Osteoarthritis (OA): Function and Pain Assessment | 100% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | ALAN D WAMBOLDT MD PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justina D Alphin | Physician Assistant | Alan D Wamboldt Md Pllc | 7525 E Broadway Rd, Suite 3, Mesa, AZ 85206-1156 |
| Street Address |
7525 E BROADWAY RD SUITE 3 |
| City | MESA |
| State | AZ |
| Zip | 85206-1156 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Daniel Mcgrath | Qualified Audiologist | Hearing Solutions of Arizona LLC | 7525 E Broadway Rd, Suite 7, Mesa, AZ 85208-1156 |
| Robert P Tully | Internal Medicine | 7525 E Broadway Rd, Suite 2, Mesa, AZ 85208-1154 | |
| Gamal Aboul Nasr | Internal Medicine | 7525 E Broadway Rd, Suite 2, Mesa, AZ 85208-1154 | |
| Debra K Venkatesh | Qualified Audiologist | Hearing Solutions of Arizona LLC | 7525 E Broadway Rd, Suite 7, Mesa, AZ 85208-1156 |
| Andrea C Marti | Physical Therapy | Arizona Health and Rehab LLC | 7525 E Broadway Rd, Suite 6, Mesa, AZ 85208-1156 |
| Andres Monge | Physical Therapy | Arizona Health and Rehab LLC | 7525 E Broadway Rd, Suite 6, Mesa, AZ 85208-1156 |
| Katherine R Etukeren | Physical Therapy | Arizona Health and Rehab LLC | 7525 E Broadway Rd, Suite 6, Mesa, AZ 85208-1156 |
| Lloyd D Brenden | Dermatology | 7525 E Broadway Rd, Suite 10, Mesa, AZ 85208-1156 | |
| Katrina E Herron | Physical Therapy | Arizona Health and Rehab LLC | 7525 E Broadway Rd, Suite 6, Mesa, AZ 85208-1156 |
| Philip G Hilcove | Internal Medicine | 7525 E Broadway Rd, Suite 10, Mesa, AZ 85208-1156 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justina D Alphin | Physician Assistant | Alan D Wamboldt Md Pllc | 7525 E Broadway Rd, Suite 3, Mesa, AZ 85206-1156 |
| Ansan Thomas | Nurse Practitioner | Allied Internal Medicine Pllc | 51 S 48th St, Mesa, AZ 85206-1250 |
| Stephanie Deborah Kotsur | Nurse Practitioner | Allied Internal Medicine Pllc | 51 S 48th St, Mesa, AZ 85206-1250 |
| Hollis E Shaw | Hematology/oncology | 6242 E Arbor Ave, Suite 116, Mesa, AZ 85206-1309 | |
| Michele F Davis | Nurse Practitioner | Bruce C Davis, Md, PC | 6242 E Arbor Ave, Suite 101, Mesa, AZ 85206-1309 |
| Audrey A Lally | Registered Dietitian Or Nutrition Professional | 6242 E Arbor Ave, Suite 103, Mesa, AZ 85206-1309 | |
| Monica Abrante | Internal Medicine | 6242 E Arbor Ave, Suite 103, Mesa, AZ 85206-1309 | |
| Terry A Huff | Obstetrics/gynecology | Desert Rose Obgyn PC | 6242 E Arbor Ave, Suite 107, Mesa, AZ 85206-1309 |
| Lisa R Huff | Obstetrics/gynecology | Desert Rose Obgyn PC | 6242 E Arbor Ave, Suite 107, Mesa, AZ 85206-1309 |
| Bruce C Davis | General Surgery | Bruce C Davis, Md, PC | 6242 E Arbor Ave, Suite 101, Mesa, AZ 85206-1309 |
| Find all physicians in zip 85206 | |||
| City | MESA |
| Zip Code | 85206 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | MESA + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Alan D Wamboldt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.