Mark R Mouritsen (NPI# 1033120712, PAC ID# 7911993845) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1033120712 |
| PAC ID by PECOS | 7911993845 |
| Professional Enrollment ID | I20041101000643 |
| Full Name | Mark R Mouritsen |
| Organization Legal Name | HEAVENS URGENT CARE LLC |
| Address |
95 S Idaho Rd Suite 140 Apache Junction AZ 85119-0006 |
| Phone Number | 4806461001 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7416204474 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030134 | BANNER GOLDFIELD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 105 S Delaware Dr, Suite 2, Apache Junction, AZ 85120-6512 | 4806461001 | HEAVENS MEDICAL PLC |
| 95 S Idaho Rd, Suite 140, Apache Junction, AZ 85119-0006 | 4806461001 | HEAVENS URGENT CARE LLC |
| 7525 E Broadway Rd, Suite 11, Mesa, AZ 85208-1156 | 4806461001 | HEAVENS MEDICAL PLC |
| Organization Legal Name | HEAVENS URGENT CARE LLC |
| Physicians | 1 |
| Street Address |
95 S IDAHO RD SUITE 140 |
| City | APACHE JUNCTION |
| State | AZ |
| Zip | 85119-0006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason P Heavens | Family Medicine | Heavens Medical Plc | 95 S Idaho Rd, Suite 140, Apache Junction, AZ 85119-0006 |
| James D Burkett | Physician Assistant | Heavens Medical Plc | 95 S Idaho Rd, Suite 140, Apache Junction, AZ 85119-0006 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Guy T Mcdougal | Optometry | Southwestern Eye Center, Ltd | 110 S Idaho Rd, Apache Junction, AZ 85119-2379 |
| Lisa R Field Sherlock | Optometry | Southwestern Eye Center, Ltd | 110 S Idaho Rd, Apache Junction, AZ 85119-2379 |
| Phillip J Pokorny | Chiropractic | 110 S Idaho Rd, Suite 140, Apache Junction, AZ 85119-2379 | |
| Charles Louis Schaffer | Ophthalmology | Southwestern Eye Center, Ltd | 110 S Idaho Rd, Apache Junction, AZ 85119-2379 |
| Thomas J Nelson | Physician Assistant | Horizon Health and Wellness Inc | 477 E Broadway Ave, Apache Junction, AZ 85119-5201 |
| Roman Madsen | Physician Assistant | Horizon Health and Wellness Inc | 477 E Broadway Ave, Apache Junction, AZ 85119-5201 |
| Nichole B Roller | Nurse Practitioner | Horizon Health and Wellness Inc | 477 E Broadway Ave, Apache Junction, AZ 85119-5201 |
| Emily Ilene Correa | Physician Assistant | Horizon Health and Wellness Inc | 477 E Broadway Ave, Apache Junction, AZ 85119-5201 |
| Jocelyn Verdugo | Family Medicine | Horizon Health and Wellness Inc | 477 E Broadway Ave, Apache Junction, AZ 85119-5201 |
| Amy Melissa Porter | Nurse Practitioner | Horizon Health and Wellness, Inc. | 477 E Broadway Ave, Apache Junction, AZ 85119-5201 |
| Find all physicians in zip 85119 | |||
| City | APACHE JUNCTION |
| Zip Code | 85119 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | APACHE JUNCTION + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Mark R Mouritsen.
| 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.