Laura L Wylie (NPI# 1528230117, PAC ID# 0143390567) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1528230117 |
| PAC ID by PECOS | 0143390567 |
| Professional Enrollment ID | I20080528000320 |
| Full Name | Laura L Wylie |
| Organization Legal Name | NEXTCARE NEW MEXICO LLC |
| Address |
200 Rio Bravo Blvd Se B Nextcare Urgent Care Albuquerque NM 87105-5904 |
| Phone Number | 5055456138 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4082840749 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320001 | UNIVERSITY OF NEW MEXICO HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1800 Unser Blvd Nw, 500 Nextcare Unser, Albuquerque, NM 87120-3933 | 8887058558 | NEXTCARE NEW MEXICO LLC |
| 200 Rio Bravo Blvd Se B, Nextcare Urgent Care, Albuquerque, NM 87105-5904 | 5055456138 | NEXTCARE NEW MEXICO LLC |
| 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2745 | 5052722111 | UNM MEDICAL GROUP INC |
| 5504 Menaul Blvd Ne F, Albuquerque, NM 87110-3184 | 5053482868 | NEXTCARE NEW MEXICO LLC |
| 8201 Golf Course Rd Nw, A3 Nextcare Urgent Care, Albuquerque, NM 87120-5803 | 5058007070 | NEXTCARE NEW MEXICO LLC |
| 9551 Paseo Del Norte Ne, Suite D, Albuquerque, NM 87122-2976 | 5058007050 | NEXTCARE NEW MEXICO LLC |
| 1630 Rio Rancho Dr Se, Suite 101, Rio Rancho, NM 87124-1587 | 5053955518 | NEXTCARE NEW MEXICO LLC |
| Organization Legal Name | NEXTCARE NEW MEXICO LLC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Ray Spohn | Physician Assistant | Nextcare New Mexico LLC | 8201 Golf Course Rd Nw, A3 Nextcare Urgent Care, Albuquerque, NM 87120-5803 |
| Ryan C Davis | Physician Assistant | Nextcare New Mexico LLC | 5504 Menaul Blvd Ne F, Albuquerque, NM 87110-3184 |
| Mary Ellen Clark | Nurse Practitioner | Nextcare New Mexico LLC | 1800 Unser Blvd Nw, 500 Nextcare Unser, Albuquerque, NM 87120-3933 |
| Vincent P Ruiz | Physician Assistant | Nextcare New Mexico LLC | 200 Rio Bravo Blvd Se B, Nextcare Urgent Care, Albuquerque, NM 87105-5904 |
| Mark J Stevens | Family Medicine | Nextcare New Mexico LLC | 5504 Menaul Blvd Ne F, Albuquerque, NM 87110-3184 |
| Micah E Shaw | Physician Assistant | Nextcare New Mexico LLC | 5504 Menaul Blvd Ne F, Albuquerque, NM 87110-3184 |
| Dawn Michele Atkinson | Nurse Practitioner | Nextcare New Mexico LLC | 9551 Paseo Del Norte Ne, Suite D, Albuquerque, NM 87122-2976 |
| Amanda E Gallagher | Physician Assistant | Nextcare New Mexico LLC | 8201 Golf Course Rd Nw, A3 Nextcare Urgent Care, Albuquerque, NM 87120-5803 |
| Scot Wilging | Physician Assistant | Nextcare New Mexico LLC | 8201 Golf Course Rd Nw, A3 Nextcare Urgent Care, Albuquerque, NM 87120-5803 |
| Rachel S Camp | Physician Assistant | Nextcare New Mexico LLC | 1648 Alameda Blvd Nw, Albuquerque, NM 87114-8807 |
| Street Address |
200 RIO BRAVO BLVD SE B NEXTCARE URGENT CARE |
| City | ALBUQUERQUE |
| State | NM |
| Zip | 87105-5904 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent P Ruiz | Physician Assistant | Nextcare New Mexico LLC | 200 Rio Bravo Blvd Se B, Nextcare Urgent Care, Albuquerque, NM 87105-5904 |
| Cindi Kay Uhing | Physician Assistant | Nextcare New Mexico LLC | 200 Rio Bravo Blvd Se B, Nextcare Urgent Care, Albuquerque, NM 87105-5904 |
| Steven M Sambrano | Physician Assistant | Nextcare New Mexico LLC | 200 Rio Bravo Blvd Se B, Nextcare Urgent Care, Albuquerque, NM 87105-5904 |
| Nancy L Baltus | Physician Assistant | Nextcare New Mexico LLC | 200 Rio Bravo Blvd Se B, Nextcare Urgent Care, Albuquerque, NM 87105-5904 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna Marie Jaramillo | Physician Assistant | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Carol Bellistri | Nurse Practitioner | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Dolores J Cordova | Nurse Practitioner | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Virginia Valentine | Certified Clinical Nurse Specialist (cns) | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Susette L Eaves | Nurse Practitioner | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Jennifer Lynne Pantoja | Nurse Practitioner | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Jose R Flores | Nurse Practitioner | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Carla R Kychik | Nurse Practitioner | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Ramon R Duarte | Internal Medicine | Omni Medical Group LLC | 4201 Central Ave Nw, Suite K 3, Albuquerque, NM 87105-1647 |
| Sean Edward Portman | Physician Assistant | Carlos J Esparza Md PC | 801 Encino Pl Ne, Suite 3, Albuquerque, NM 87105-2639 |
| Find all physicians in zip 87105 | |||
| City | ALBUQUERQUE |
| Zip Code | 87105 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ALBUQUERQUE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Laura L Wylie.
| 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.