TRUITT RADIATION ONCOLOGY SERVICES (NPI# 1295289437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295289437 |
| Entity Type | Organization |
| Organization Name | TRUITT RADIATION ONCOLOGY SERVICES |
| Practice Address |
405 W Country Club Rd Roswell NM 88201-5209 |
| Mailing Address |
9787 S Turkey Track Rd Hereford AZ 85615-9617 |
| Practice Telephone | 5756248738 |
| Practice Fax Number | 5756248758 |
| Mailing Telephone | 5205080754 |
| Mailing Fax Number | 5203782501 |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |
| Authorized Official Name | DR. JOHN SAMUEL TRUITT (PRESIDENT) |
| Authorized Official Telephone | 5205080754 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
86-136 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
405 W COUNTRY CLUB RD |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-5209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003802463 | Hany Nagy Yassa | Internal Medicine | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2005-09-21 |
| 1548880495 | Roswell Hospital Corporation | Clinical Medical Laboratory | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2020-04-21 |
| 1699306977 | Evan Brian Whipple | Nurse Anesthetist, Certified Registered | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2020-01-27 |
| 1457902215 | Capital Anesthesia Solutions of New Mexico LLC | Nurse Anesthetist, Certified Registered | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2019-09-24 |
| 1265081806 | Toni Pearce | Nurse Practitioner | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2019-09-06 |
| 1215408497 | Aanu Ogunbanjo | Hospitalist | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2018-12-16 |
| 1851875066 | Miao Yang | Registered Nurse | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2018-09-24 |
| 1053802892 | Ruben A. Supan, LLC | Nurse Practitioner | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2018-05-29 |
| 1447602834 | Arinola Odumusi | Internal Medicine | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2016-07-08 |
| 1457714925 | Juan Pablo Ortega-sandoya | Internal Medicine | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2016-04-01 |
| Find all providers in the same location | ||||
| 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 | 2085R0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Therapeutic Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750373692 | Radiation Oncology Associates, P.a. | Radiology | 4650 Jefferson Ln Ne, Albuquerque, NM 87109-2127 | 2005-08-17 |
Please comment or provide details below to improve the information on TRUITT RADIATION ONCOLOGY SERVICES.
| 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.