Individual provider Active NPI

Alboury Sow, M.D.

  • Emergency Medicine Physician
  • Rice Lake, WI
National Provider Identifier
1063790400
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
68062 Issued in WI
Practice address
1700 W Stout St
Rice Lake, WI 54868-5000
Phone
(715) 236-6291
NPI assigned
Aug 3, 2011
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 58686 MN
Emergency Medicine Physician 207P00000X 68062 WI Primary
Family Medicine Physician 207Q00000X 58686 MN
Family Medicine Physician 207Q00000X 68062 WI

Addresses

Primary practice location

1700 W Stout St
Rice Lake, WI 54868-5000

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other practice location 1

1680 Diagonal Rd
Worthington, MN 56187-1008
Phone (507) 372-3800

Other practice location 2

205 Parker St
Boscobel, WI 53805-1642
Phone (608) 375-4112

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com Health Information Exchange (HIE)
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20141003001870 MN Practitioner - Emergency MedicinePractitioner - Family Practice 4082834551 Reassigns benefits to 2 organizations
I20180112000415 WI Practitioner - Emergency MedicinePractitioner - Family Practice 4082834551 Reassigns benefits to 10 organizations
I20240404002102 TX Practitioner - Family Practice 4082834551 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Morehouse School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canyon Springs Emergency Medicine Associates PAGroup PAC ID 2769728641, 63 clinicians
Edinburg Emergency Medicine Associates PAGroup PAC ID 9638246408, 74 clinicians

Practice addresses (Care Compare)

140 Frontage Rd
Alamo, TX 78516-1602
Phone (956) 403-5100

1700 W Stout St
Rice Lake, WI 54868-5000
Phone (715) 236-6133

900 E Expressway
Suite 83
Mission, TX 78572-6131
Phone (956) 271-1200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58686MNMDSpecialist
68062WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Inc CurrentSince Oct 19, 2022 Accepting new patients
Sanford Health Network North Current Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Sep 12, 2018 Accepting new patients
MCHS Hospitals Inc Emergency Medicine Current Accepting new patients
Canyon Springs Emergency Medicine Associates, PA Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
Shavano Emergency Medicine Associates, PA Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Oct 19, 2022 Accepting new patients
Maverick Emergency Medicine Associates PA Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
McAllen Emergency Medicine Associates PA Emergency Medicine CurrentSince Nov 11, 2024 Accepting new patients
Memorial Hospital Inc CurrentSince Oct 19, 2022 Accepting new patients
Sanford Health Network North CurrentSince Jun 20, 2024 Accepting new patients
Sanford Health Network North Current Accepting new patients
Municipal Emergency Medicine Associates, PA Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Sanford Health Network North CurrentSince Jun 20, 2024 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Apr 30, 2020 Accepting new patients
MCHS Hospitals Inc CurrentSince Oct 19, 2022 Accepting new patients
Comal Emergency Physicians, PLLC Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Oak Creek Emergency Medicine Associates, PA Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
Flambeau Hospital Inc CurrentSince Oct 19, 2022 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Apr 30, 2020 Accepting new patients
Edinburg Emergency Medicine Associates PA Emergency Medicine CurrentSince Mar 1, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Oct 19, 2022 Accepting new patients
Marshfield Clinic Inc CurrentSince Jan 22, 2018 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Oct 19, 2022 Accepting new patients
RFC Radiology Associates LLC Past Accepting new patients

Locations

1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747

140 Frontage Rd
Alamo, TX 78516
Phone (956) 403-5100

3333 N Foster Maldonado Blvd
Eagle Pass, TX 78852
Phone (830) 733-5321

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

3615 N Interstate 69C
Edinburg, TX 78542
Phone (956) 259-2100

4702 S McColl Rd
Edinburg, TX 78539
Phone (956) 213-2600

1900 S D St
McAllen, TX 78503
Phone (956) 994-2000

3700 W Nolana Ave
McAllen, TX 78504
Phone (956) 213-2700

244 Creekside Xing
New Braunfels, TX 78130
Phone (830) 426-7700

435 W Ridge Rd
Pharr, TX 78577
Phone (956) 403-5550

1301 Wonder World Dr
San Marcos, TX 78666
Phone (512) 353-8979

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: alboury.sow@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: asow438768@direct.emplifyhealth.org
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 27

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 27

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1063790400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W STOUT ST",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548685000",
            "telephone_number": "715-236-6291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1680 Diagonal Rd",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "MN",
            "postal_code": "561871008",
            "country_code": "US",
            "telephone_number": "507-372-3800",
            "fax_number": "507-372-3806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Parker St",
            "address_purpose": "LOCATION",
            "city": "Boscobel",
            "state": "WI",
            "postal_code": "538051642",
            "country_code": "US",
            "telephone_number": "608-375-4112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOW",
        "first_name": "ALBOURY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-03",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "58686",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "68062",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "58686",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "68062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "205 Parker St",
            "city": "Boscobel",
            "state": "WI",
            "country_code": "US",
            "postal_code": "538051642",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1700 W Stout St",
            "city": "Rice Lake",
            "state": "WI",
            "country_code": "US",
            "postal_code": "548685000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

Verify at the official NPI Registry.