Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. IAN VANDERWOUDE, PA-C, MSPAS
ActiveMR. IAN VANDERWOUDE, PA-C, MSPAS is a Medical Physician Assistant healthcare provider located in ALBUQUERQUE, New Mexico. NPI 1851686414 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · ALBUQUERQUE, NM
Registration Details
- NPI Number
- 1851686414
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2011 (15.218384058578 yrs)
- Last Updated
- Sep 15, 2025
- License
-
PA2011-0015 (NM)
Practice Information
- Address
-
9210 GOLF COURSE RD NWALBUQUERQUE, NM, 871145891Browse NM providers · Browse ZIP 87114
- Phone
- 5058993933
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in ALBUQUERQUE, NM
| Name | Credential | NPI |
|---|---|---|
| MR. HOWARD T DIAZ | PAC | 1639174824 |
| SHERRY F MINOLETTI | PAC | 1821093022 |
| RONALD J LEMELIN | PA-C | 1023013216 |
| CAROL TRAN | PA | 1043216179 |
| MRS. EDWINA CHRISTINE GARCIA | P.A. | 1306847876 |
| CAROLINE COOK | — | 1831191378 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.