Terry Mize, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2013-0012 Issued in NM

Practice address

University of New Mexico Msc09 5040
Albuquerque, NM 87131-1000

Phone

(505) 925-0857

NPI assigned

Apr 7, 2010

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1578889127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 TULANE PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062153",
            "telephone_number": "770-364-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF NEW MEXICO MSC09 5040",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871311000",
            "telephone_number": "505-925-0857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1462 Clifton Rd NE",
            "address_2": "Suite 280",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303221000",
            "country_code": "US",
            "telephone_number": "404-727-7825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIZE",
        "first_name": "TERRY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "005610",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2013-0012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vipin Mittal
• Henry Lawrance Mittleman, DPM
• Shana Mix, RDH
• Sean Miyaki Lopez, MOT
• Felicia Mize
• MJ Zimmerman LPCC, LLC (MJ Zimmerman LPCC)
• MJR Communication Therapy, LLC
• MJRX II LLC (Best Buy Drugs)
• MJRX LLC (Rx Innovations)
• MKB Therapy, MKB, LLC

• Physician Assistant in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.