SOUTHEASTERN NEW MEXICO SURGICAL CENTER, LLC (NPI# 1073594446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073594446 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN NEW MEXICO SURGICAL CENTER, LLC |
| Other Organization Name | CENTER FOR AMBULATORY SURGERY AND ENDOSCOPY OF SOUTHEASTERN NEW MEXICO |
| Practice Address |
113 E 19th St Roswell NM 88201-5151 |
| Practice Telephone | 5056277000 |
| Practice Fax Number | 5056277007 |
| Mailing Telephone | 5056277000 |
| Mailing Fax Number | 5056277007 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. LAURI J ROSE (ADMINISTRATOR) |
| Authorized Official Telephone | 5056277000 |
| Authorized Official Credential | MBA, CASC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
6786 | NM | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 74469 | 05 |
| Other Name | Type Code |
|---|---|
| CENTER FOR AMBULATORY SURGERY AND ENDOSCOPY OF SOUTHEASTERN NEW MEXICO | Doing Business As Name - Organization |
| Street Address |
113 E 19TH ST |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-5151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
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| 1346240751 | Roswell Center for Foot & Ankle Surgery, LLC | Clinic/Center | 1357 Hembree Rd Ste 100, Roswell, GA 30076-5710 | 2005-07-28 |
| 1912388976 | Roswell Pain Surgical Center | Clinic/Center | 1300 Upper Hembree Rd, Suite B, Roswell, GA 30076-0927 | 2015-06-16 |
| 1528339645 | The Graivier Center | Clinic/Center | 1295 Hembree Rd, Bldg. B, Suite 100, Roswell, GA 30076-5721 | 2012-01-20 |
| 1356672919 | Cpmsc Roswell, PC | Clinic/Center | 1295 Hembree Rd, Suite A-101, Roswell, GA 30076-5721 | 2010-01-21 |
| 1164664595 | Alpharetta Head and Neck Surgical Center, LLC | Clinic/Center | 1360 Upper Hembree Rd, Suite 202, Roswell, GA 30076-1171 | 2009-03-31 |
| 1942413943 | Rock Bridge Surgical Institute, LLC | Clinic/Center | 2500 Hospital Blvd, Suite 460, Roswell, GA 30076-4975 | 2007-05-07 |
| 1720085277 | Roswell Surgery Center LLC | Clinic/Center | 1285 Hembree Rd, Ste 200c, Roswell, GA 30076-4995 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104468602 | Presbyterian Hospital Asc | Clinic/Center | 201 Cedar St Se Ste 7650, Albuquerque, NM 87106-4911 | 2019-10-16 |
| 1093368151 | Desert Peaks Surgery Center LLC | Clinic/Center | 1131 Mall Dr Ste A, Las Cruces, NM 88011-8191 | 2019-07-18 |
| 1871922807 | Bear Canyon Oral & Facial Surgery | Clinic/Center | 10151 Montgomery Ne Ste 2-d, Albuquerque, NM 87111 | 2013-11-12 |
| 1598042343 | Lohman Endoscopy Center, LLC | Clinic/Center | 4381 E Lohman Ave, Las Cruces, NM 88011-8255 | 2011-11-08 |
| 1568667202 | Southwestern Ear, Nose & Throat Associates, Pa | Clinic/Center | 1620 Hospital Drive, Santa Fe, NM 87505 | 2007-06-20 |
| 1639121759 | Surgery Center of Eastern New Mexico LLC | Clinic/Center | 2421 W 21st St, Clovis, NM 88101-2006 | 2006-05-17 |
| 1306810692 | Los Alamos Nm Endoscopy Asc LLC | Clinic/Center | 1911 Central Ave, Suite 100, Los Alamos, NM 87544-3023 | 2006-02-14 |
| 1548249675 | Endoscopy Center of Santa Fe Lp | Clinic/Center | 1630 Hospital Dr, Santa Fe, NM 87505-4772 | 2006-01-17 |
| 1629615851 | Southwest Oral and Maxillofacial Surgeons LLC | Clinic/Center | 5900 Cubero Dr Ne Ste A, Albuquerque, NM 87109-3879 | 2019-12-06 |
| 1669844858 | Las Cruces Surgery Center - Telshor LLC | Clinic/Center | 1205 S Telshor Blvd, Las Cruces, NM 88011-4748 | 2015-10-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.