SAMER MUALA MD INC (NPI# 1912367459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912367459 |
| Entity Type | Organization |
| Organization Name | SAMER MUALA MD INC |
| Practice Address |
520 Rose Ln Wickenburg AZ 85390-1447 |
| Mailing Address |
14175 W Indian School Rd Ste B4-498 Goodyear AZ 85395-8407 |
| Practice Telephone | 7024533799 |
| Practice Fax Number | 7024535741 |
| Mailing Telephone | 7024533799 |
| Mailing Fax Number | 7024535741 |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-02-25 |
| Authorized Official Name | SAMER MOHD FARUQ MUALA (SOLE OWNER) |
| Authorized Official Telephone | 7024533799 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 48268 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
520 ROSE LN |
| City | WICKENBURG |
| State | AZ |
| Zip Code | 85390-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841282852 | Community Hospital Association, Inc. | General Acute Care Hospital | 520 Rose Ln, Wickenburg, AZ 85390-1447 | 2005-08-16 |
| 1376150946 | Community Hospital Association, Inc. | Pharmacy | 520 Rose Ln, Wickenburg, AZ 85390-1447 | 2020-09-28 |
| 1033772355 | Mikaila Renae Caraveo Ruiz | Physical Therapy Assistant | 520 Rose Ln, Wickenburg, AZ 85390-1447 | 2019-04-22 |
| 1902302110 | Audrey Jacobsen | Physical Therapist | 520 Rose Ln, Wickenburg, AZ 85390-1447 | 2018-04-05 |
| 1174026116 | Anu Hospitalist Pllc | Internal Medicine | 520 Rose Ln, Wickenburg, AZ 85390-1447 | 2018-03-15 |
| 1871096099 | H & H Hospitalist Pllc | Internal Medicine | 520 Rose Ln, Wickenburg, AZ 85390 | 2018-03-14 |
| 1093222754 | Wendy Thomas | Physical Therapist | 520 Rose Ln, Wickenburg, AZ 85390-1447 | 2018-01-03 |
| 1851832885 | Michael Bacon | Physical Therapist | 520 Rose Ln, Wickenburg, AZ 85390-1447 | 2017-03-09 |
| 1811435373 | Mary Elizabeth Stoddard | Nurse Practitioner | 520 Rose Ln, Wickenburg, AZ 85390-1447 | 2017-02-05 |
| 1144673237 | Tanner Miles Moore | Podiatrist | 520 Rose Ln, Wickenburg, AZ 85390-1447 | 2016-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559471 | Innovative Dermatology Alliance Az, PC | Dermatology | 390 Bralliar Rd, Wickenburg, AZ 85390 | 2020-05-11 |
| 1982040127 | Lottis & Associates, P.C. | Clinic/Center | 55 E. Yavapai St, Wickenburg, AZ 85390 | 2013-05-15 |
| 1760760250 | New Directions Integrative Wellness Center of Wickenburg, Arizona, Pll | Clinic/Center | 370 Palm Drive, Wickenburg, AZ 85390 | 2011-08-01 |
| 1326278953 | Amy Elizabeth Wasserbauer | Psychologist | One E Apache St, Remuda Ranch Treatment Center, Wickenburg, AZ 85390 | 2009-07-16 |
| 1063653061 | Wallace B Mendelson | Psychiatry & Neurology | 1 E. Apache St., Remuda Ranch, Wickenburg, AZ 85390 | 2009-03-20 |
| 1316195902 | Nichole Elsner | Counselor | 920 S Vulture Mine Rd, Wickenburg, AZ 85390 | 2008-09-08 |
| 1992962310 | Judy Rosittia Zobel | Acupuncturist | 519 Rose Lane, Wickenburg, AZ 85390 | 2008-05-22 |
| 1336361179 | Eduardo Rodolfo Huergo | Psychiatry & Neurology | One East Apache Street, Wickenburg, AZ 85390 | 2007-05-02 |
| 1972625515 | Kari Marie Froelicher | Counselor | 315 Apache Street, Wickenburg, AZ 85390 | 2007-04-04 |
| 1477689933 | Wickenburg Unified School District #9 | Local Education Agency (LEA) | 920 S. Vulture Mine Road, Special Education Office, Wickenburg, AZ 85390 | 2007-02-26 |
| Find all providers in zip 85390 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770862963 | Jeff Allan Baird | Family Medicine | 35119 S Us Highway 93, Wickenburg, AZ 85390-2456 | 2011-08-05 |
| 1548441926 | Vance B. Miller | Family Medicine | 500 W Savage St, Wickenburg, AZ 85390-4235 | 2007-11-14 |
| 1447446398 | Morton Stanley Thomas IIi IIi | Family Medicine | 56333 Hiway 93, 56333 Hiway 93, Wickenburg, AZ 85358-0129 | 2007-09-24 |
| 1083772545 | Adelante Healthcare, Inc. | Family Medicine | 811 North Tegner, Suite 113, Wickenburg, AZ 85390-2226 | 2006-12-05 |
| 1639243389 | Non-invasive Vascular Solution | Family Medicine | 1175 W Wickenburg Way Ste 4, Wickenburg, AZ 85390-2262 | 2006-11-17 |
| 1366511180 | Miller Clinic Ltd | Family Medicine | 500 Savage St, Wickenburg, AZ 85390 | 2006-11-07 |
| 1861459224 | Diane Elizabeth Juillard | Family Medicine | 490 W Bralliar Rd, Wickenburg, AZ 85390-2448 | 2006-04-28 |
| 1184628877 | Bradley J Meek | Family Medicine | 811 N Tegner St, Suite 113, Wickenburg, AZ 85390-5409 | 2005-06-09 |
| 1326493289 | Blair L Funk | Family Medicine | 523 Rose Ln, Wickenburg, AZ 85390-1448 | 2016-04-28 |
| 1003178666 | Jeremy J. Bramwell | Family Medicine | 523 Rose Ln, Wickenburg, AZ 85390 | 2012-06-11 |
| Find all providers in WICKENBURG | ||||
| City | WICKENBURG |
| Zip Code | 85390 |
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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.