Mauro S Ganzon (NPI# 1932165503, PAC ID# 9436130523) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1932165503 |
| PAC ID by PECOS | 9436130523 |
| Professional Enrollment ID | I20040525001481 |
| Full Name | Mauro S Ganzon |
| Organization Legal Name | WISE CLINICAL CARE ASSOCIATES |
| Address |
133 N Fm 730 Unit 105 Boyd TX 76023-3072 |
| Phone Number | 9404332151 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6204988975 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450271 | WISE REGIONAL HEALTH SYSTEM |
| 450419 | TEXAS HEALTH HARRIS METHODIST HOSPITAL AZLE |
| Address | Phone | Organization |
|---|---|---|
| 133 N Fm, 730 Unit 105, Boyd, TX 76023-3072 | 9404332151 | WISE CLINICAL CARE ASSOCIATES |
| Organization Legal Name | WISE CLINICAL CARE ASSOCIATES |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Barret Moeder | General Surgery | Wise Clinical Care Associates | 2000 Ben Merritt Dr, Unit B, Decatur, TX 76234-3848 |
| Ryan Andrew Matthiesen | Family Medicine | Wise Clinical Care Associates | 2432 Avondale Haslet Rd, Suite 200, Haslet, TX 76052-3428 |
| Henock Zabher | Cardiovascular Disease (cardiology) | Wise Clinical Care Associates | 2301 S Fm, 51 Suite 100, Decatur, TX 76234-3864 |
| Lauren Hailey Morton | Nurse Practitioner | Wise Clinical Care Associates | 133 N Fm, 730 Unit 105, Boyd, TX 76023-3072 |
| Leisha Monette Blaylock | Nurse Practitioner | Wise Clinical Care Associates | 2202 Us Hwy 380, Suite 111, Bridgeport, TX 76426-2177 |
| Cynthia Lynn Hartman | Obstetrics/gynecology | Wise Clinical Care Associates | 2451 S Fm, 51 Suite 200, Decatur, TX 76234-3860 |
| Robert Kendall Clifford Jr. | Orthopedic Surgery | Wise Clinical Care Associates | 1851 Medical Ctr Dr, Decatur, TX 76234-3852 |
| Beryl A Brigham | Nurse Practitioner | Wise Clinical Care Associates | 2014 Ben Merritt Dr, Suite A, Decatur, TX 76234-3851 |
| Neelima U Maddukuri | Hematology/oncology | Wise Clinical Care Associates | 2010 Ben Merritt Dr, Unit A, Decatur, TX 76234-3853 |
| Michael David Shaffer | Family Medicine | Wise Clinical Care Associates | 3124 N Tarrant Pkwy, 200 Fit N Wise Rehab Clinic Alliance, Fort Worth, TX 76177-8618 |
| Street Address |
133 N FM 730 UNIT 105 |
| City | BOYD |
| State | TX |
| Zip | 76023-3072 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren Hailey Morton | Nurse Practitioner | Wise Clinical Care Associates | 133 N Fm, 730 Unit 105, Boyd, TX 76023-3072 |
| Jana Marie Brady | Nurse Practitioner | Wise Clinical Care Associates | 133 N Fm, 730 Unit 105, Boyd, TX 76023-3072 |
| Meagan Lynn Barefoot | Physician Assistant | Wise Clinical Care Associates | 133 N Fm, 730 Unit 105, Boyd, TX 76023-3072 |
| James D Moore | Nurse Practitioner | Wise Clinical Care Associates | 133 N Fm, 730 Unit 105, Boyd, TX 76023-3072 |
| Arsalla Islam | General Surgery | Wise Clinical Care Associates | 133 N Fm, 730 Unit 105, Boyd, TX 76023-3072 |
| Whitney Victoria Miller | Nurse Practitioner | Wise Clinical Care Associates | 133 N Fm, 730 Unit 105, Boyd, TX 76023-3072 |
| Alissa Marie Sobieraj | Physician Assistant | Wise Clinical Care Associates | 133 N Fm, 730 Unit 105, Boyd, TX 76023-3072 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy W Mcintyre | Family Medicine | 308 W Rock Island Ave, Boyd, TX 76023-3106 |
| City | BOYD |
| Zip Code | 76023 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BOYD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mauro S Ganzon.
| 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.