MEDICARE: JODY MASTERS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA2006-0044	NM

General Provider Information

NPI Number	:	1356501431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JODY MASTERS PA

Provider Business Mailing Address
First Line	:	4316 CARLISLE BLVD NE
Second Line	:	STE C
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-4829
Country	:	US
Telephone Number	:	505-888-1075
Fax Number	:	505-888-1082

Provider Business Practice Location Address
First Line	:	4316 CARLISLE BLVD NE
Second Line	:	STE C
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-4829
Country	:	US
Telephone Number	:	505-888-1075
Fax Number	:	505-888-1082

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2008
Last Update Date	:	06/12/2008

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1013972181 — SHERRY COURTNEY LPCC
Practice Location Address:

4316 CARLISLE BLVD NE , SUITE D
ALBUQUERQUE, NM
87107-4829

Practice Phone: 505-837-2100
Practice Fax: 505-888-7943

1205892940 — MARK GANAS RNCS
Practice Location Address:

4316 CARLISLE BLVD NE , SUITE D
ALBUQUERQUE, NM
87107-4829

Practice Phone: 505-837-2100
Practice Fax: 505-888-7943

1558384644 — NANCY GRECES MD
Practice Location Address:

4316 CARLISLE BLVD NE , STE C
ALBUQUERQUE, NM
87107-4829

Practice Phone: 505-888-1075
Practice Fax: 505-888-1082

1134298854 — MS. JANICE LYN KOLTONUK LISW
Practice Location Address:

4316 CARLISLE BLVD NE , STE D
ALBUQUERQUE, NM
87107-4829

Practice Phone: 505-837-2100
Practice Fax: 505-888-7943

1124350111 — ALAN ZELICOFF MD
Practice Location Address:

4316 CARLISLE BLVD NE , STE C
ALBUQUERQUE, NM
87107-4829

Practice Phone: 505-888-1075
Practice Fax: 505-888-1082

Directions to “ JODY MASTERS PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.