DR. JASON E. MUDD


Address: 1020 Tijeras Ave Ne Ste 22, Albuquerque, NM 87106-4749
Phone: 5058483124

DR. JASON E. MUDD (NPI# 1881879005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881879005
Entity Type Individual
Full Name DR. JASON E. MUDD
Credential MD
Practice Address 1020 Tijeras Ave Ne Ste 22
Albuquerque
NM 87106-4749
Practice Telephone 5058483124
Mailing Telephone 5058483124
Enumeration Date 2008-01-07
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology MD2011-0142 NM Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
4502 Medical Dr, San Antonio, TX 782294402 2103582015

Office Location

Street Address 1020 TIJERAS AVE NE STE 22
City ALBUQUERQUE
State NM
Zip Code 87106-4749

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215026497 Allyson Marie Ray Specialist 1020 Tijeras Ave Ne Ste 22, Albuquerque, NM 87106-4749 2006-10-12
1447878301 Claudia E Puig-roman Audiologist 1020 Tijeras Ave Ne Ste 22, Albuquerque, NM 87106-4749 2020-07-08
1649761461 Cristina Maria Hollowwa Physician Assistant 1020 Tijeras Ave Ne Ste 22, Albuquerque, NM 87106-4749 2018-05-29
1396060349 Selena Liao Otolaryngology 1020 Tijeras Ave Ne Ste 22, Albuquerque, NM 87106-4749 2010-04-01
1205969300 Allyson M Ray Md PC Otolaryngology 1020 Tijeras Ave Ne Ste 22, Albuquerque, NM 87106-4749 2007-03-14
1841339850 Laura Brainard Otolaryngology 1020 Tijeras Ave Ne Ste 22, Albuquerque, NM 87106-4749 2007-02-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629679808 Jorge Licano Student in an Organized Health Care Education/Training Program Unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 2020-11-04
1730780032 Joseph Sanchez Student in an Organized Health Care Education/Training Program (unmh Hospital 2211 Lomas Blvd Ne, Albuquerque, NM 87106 2020-11-03
1336746205 Evan Laub Pharmacist 2950 Central Ave. Sw, Albuquerque, NM 87106 2020-10-05
1487203154 Theresa Martinez Technician 5680 Avedon Dr. Se, Albuquerque, NM 87106 2019-09-05
1205300647 Louis Mayer II Specialist/Technologist 1414 University Blvd Tow Diehm Athletic Facility, Albuquerque, NM 87106 2019-01-18
1235633355 Terrena Grace Vigil Brady Occupational Therapist 1001 Yale Blvd, Albuquerque, NM 87106 2018-03-22
1205355195 Yaritza Ruiz Specialist/Technologist 1200 Avenida Cesar Chavez, 231d, Albuquerque, NM 87106 2017-09-12
1457873382 Cynthia Bluhm Registered Nurse 7600 Cedar St Se Ste 7600, Albuquerque, NM 87106 2017-07-12
1295265882 Hallie Chancellor Behavior Technician 1801 Gibson Blvd Se Apt 1046, Albuquerque, NM 87106 2017-06-15
1780111757 Jiana Hook Physical Medicine & Rehabilitation 1414 University Blvd. Se, Albuquerque, NM 87106 2017-05-22
Find all providers in zip 87106

Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871843599 Ent&sinuscenterabqpc Otolaryngology 401 Edith Blvd Ne Fl 2, Albuquerque, NM 87102-2525 2012-09-11
1528387792 Nathan Boyd Otolaryngology Department of Surgery Msc 10 5610, 1 University of New Mexico, Albuquerque, NM 87131-0001 2010-05-26
1306162318 Duncan Alexander Meiklejohn Otolaryngology 2211 Lomas Blvd. Ne, 2nd Floor, Unm Surgical Specialties Clinic, Albuquerque, NM 87106 2010-04-15
1619197316 Eugene W. Wasylenki Otolaryngology 7012 Vista Del Arroyo Ave Ne, Albuquerque, NM 87109-2933 2007-04-26
1487783981 Alex E Moreano Otolaryngology 201 Cedar St Se Ste 46404th, Pmg Cedar Ent, Albuquerque, NM 87106-4917 2007-03-02
1295874238 Tania Kraai Otolaryngology Unm Hospital Otolaryngology, 2211 Lomas Blvd Ne, Albuquerque, NM 87131-0001 2007-02-06
1346339561 Bonnie L. Renfro Otolaryngology 8300 Consitution Ave. Ne, Albuquerque, NM 87110 2006-10-12
1902990385 Joseph N Onyia Otolaryngology 201 Cedar St Se Ste 4600, Albuquerque, NM 87106-4925 2006-10-03
1578506226 Liat Shama Otolaryngology 1 University of New Mexico Dept Of, Msc10-5610, Albuquerque, NM 87131-0001 2006-06-13
1508854258 Frederick Fiber Otolaryngology 401 Edith Blvd Ne, Albuquerque, NM 87102-2509 2005-10-06
Find all providers in ALBUQUERQUE

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City ALBUQUERQUE
Zip Code 87106

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Dataset Information

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.

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