Michael Wayne Mouw (NPI# 1063479376, PAC ID# 9234117268) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1063479376 |
| PAC ID by PECOS | 9234117268 |
| Professional Enrollment ID | I20181004002061 |
| Full Name | Michael Wayne Mouw |
| Organization Legal Name | APP OF NEW MEXICO ED PLLC |
| Address |
601 Dr Martin Luther King Jr Ave Ne Lovelace Medical Center Albuquerque NM 87102-3619 |
| Phone Number | 5057278000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 1983 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7416259445 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320074 | LOVELACE WESTSIDE HOSPITAL |
| 320017 | LOVELACE WOMEN'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 | 5057278000 | APP OF NEW MEXICO ED PLLC |
| Organization Legal Name | APP OF NEW MEXICO ED PLLC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew D Poage | Emergency Medicine | App of New Mexico Ed Pllc | 10501 Golf Course Road Nw, Lovelace Westside Hospital, Albuquerque, NM 87114-5019 |
| William J. Bussey | Emergency Medicine | App of New Mexico Ed Pllc | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Stacy Lynn Prescott | Emergency Medicine | App of New Mexico Ed Pllc | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Willard M Garrett | Emergency Medicine | App of New Mexico Ed Pllc | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Grant P Chanin | Nurse Practitioner | App of New Mexico Ed Pllc | 10501 Golf Course Road Nw, Lovelace Westside Hospital, Albuquerque, NM 87114-5019 |
| Janet Anne Rosenquist | Emergency Medicine | App of New Mexico Ed Pllc | 10501 Golf Course Road Nw, Lovelace Westside Hospital, Albuquerque, NM 87114-5019 |
| Rebecca Alberta Echols | Nurse Practitioner | App of New Mexico Ed Pllc | 10501 Golf Course Road Nw, Lovelace Westside Hospital, Albuquerque, NM 87114-5019 |
| Alicia Pruitt | Nurse Practitioner | App of New Mexico Ed Pllc | 10501 Golf Course Road Nw, Lovelace Westside Hospital, Albuquerque, NM 87114-5019 |
| Wende R Buras | Emergency Medicine | App of New Mexico Ed Pllc | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Keith P Dungo | Emergency Medicine | App of New Mexico Ed Pllc | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Street Address |
601 DR MARTIN LUTHER KING JR AVE NE LOVELACE MEDICAL CENTER |
| City | ALBUQUERQUE |
| State | NM |
| Zip | 87102-3619 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara L Orr | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Sergio J Rybka | Urology | Southwest Medical Associates, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Jason Rotonda | Nurse Practitioner | Southwest Medical Associates, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Nawang Sherpa | Internal Medicine | Southwest Medical Associates, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| William J. Bussey | Emergency Medicine | App of New Mexico Ed Pllc | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Michael Arthur Anderson | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Robin D Knight | Internal Medicine | Southwest Medical Associates, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Laura Bauders | Certified Registered Nurse Anesthetist (crna) | Main Street Anesthesia of New Mexico, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| James P Bradley | Pulmonary Disease | Southwest Medical Associates, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Stephanie D Flores | Internal Medicine | Southwest Medical Associates, LLC | 601 Dr Martin Luther King Jr Ave Ne, Lovelace Medical Center, Albuquerque, NM 87102-3619 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Richard White | Nurse Practitioner | Lovelace Health System LLC | 601 Martin Luther King Jr Ave Ne, Albuquerque, NM 87102 |
| Amanda G Wilder | Clinical Social Worker | 200 Rosemont Ave Ne, Albuquerque, NM 87102-1569 | |
| Rachel L Rogers | Clinical Social Worker | 200 Rosemont Ave Ne, Suite D, Albuquerque, NM 87102-1599 | |
| Elaine K Padilla | Clinical Social Worker | Outcomes Inc | 1503 University Blvd Ne, Albuquerque, NM 87102-1708 |
| Kathryn Fehr | Clinical Social Worker | Outcomes Inc | 1503 University Blvd Ne, Albuquerque, NM 87102-1708 |
| Daniel Crowder | Clinical Social Worker | Outcomes Inc | 1503 University Blvd Ne, Albuquerque, NM 87102-1708 |
| Claire Greene | Clinical Social Worker | Outcomes Inc | 1503 University Blvd Ne, Albuquerque, NM 87102-1708 |
| Scott S Stoerner | Rheumatology | Albuquerque Center for Rheumatology PC | 1617 University Blvd Ne, Albuquerque, NM 87102-1710 |
| Jacqueline K Dean | Rheumatology | Albuquerque Center for Rheumatology PC | 1617 University Blvd Ne, Albuquerque, NM 87102-1710 |
| Leroy A Pacheco | Rheumatology | Albuquerque Center for Rheumatology PC | 1617 University Blvd Ne, Albuquerque, NM 87102-1710 |
| Find all physicians in zip 87102 | |||
| City | ALBUQUERQUE |
| Zip Code | 87102 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | ALBUQUERQUE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Michael Wayne Mouw.
| 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.