MD for Men, LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

MD FOR MEN, LLC

Practice address

8300 Carmel Ave NE
Suite 303
Albuquerque, NM 87122-3147

Phone

(505) 916-1768

NPI assigned

Jan 21, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Sharon Beth Gonzales

Title

Cfo

Phone

(505) 235-4228

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wayne W Kuang, MD

  • Urology Physician
  • Albuquerque, NM
  • NPI 1720043151
  Medicare reassignment NPD
• Jerome Wayne Baca, PA-C

  • Medical Physician Assistant
  • Albuquerque, NM
  • NPI 1811243462
  Medicare reassignment

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410048000000",
    "number": "1750704102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 CARMEL AVE NE",
            "address_2": "SUITE 303",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223147",
            "telephone_number": "505-433-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 CARMEL AVE NE",
            "address_2": "SUITE 303",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223147",
            "telephone_number": "505-916-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD FOR MEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-09-07",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "505-235-4228",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "86635026",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael McTernan
• Roderick McVeety, MD
• Bennie C McWilliams, MD
• Maura McWilliams, SLP
• MD Choice Hospice Inc
• MD Health Care LLC
• MD Holdings LLC
• MD Hospice LLC
• MD Urgent Care PC
• MD24 NM, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.