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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MD2011-0142 | NM | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4502 Medical Dr, San Antonio, TX 782294402 | 2103582015 |
| Street Address |
1020 TIJERAS AVE NE STE 22 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87106-4749 |
| 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 |
| 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 Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| 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. |
| 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 | ||||
| City | ALBUQUERQUE |
| Zip Code | 87106 |
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| 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.