HIGH PLAINS RADIATION ONCOLOGY, LLC (NPI# 1578876686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578876686 |
| Entity Type | Organization |
| Organization Name | HIGH PLAINS RADIATION ONCOLOGY, LLC |
| Practice Address |
405 W Country Club Rd Roswell NM 88201-5209 |
| Mailing Address |
4302 22nd Pl Lubbock TX 79410-1140 |
| Practice Telephone | 5756248738 |
| Practice Fax Number | 5756248738 |
| Mailing Telephone | 8067961122 |
| Mailing Fax Number | 8067961401 |
| Enumeration Date | 2010-07-17 |
| Last Update Date | 2010-07-17 |
| Authorized Official Name | PAUL ANDERSON (OWNER) |
| Authorized Official Telephone | 8067961122 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740593854 | High Plains Radiation Oncology, LLC | Radiology | 2219 Dillon Rd, Clovis, NM 88101-9454 | 2010-07-17 |
| 1972816239 | High Plains Radiation Oncology, LLC | Radiology | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2010-07-15 |
| 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 |
| 1295289437 | Truitt Radiation Oncology Services | Radiology | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2016-08-04 |
| 1447602834 | Arinola Odumusi | Internal Medicine | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2016-07-08 |
| 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 | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295761898 | John Samuel Truitt | Radiology | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2006-06-24 |
| 1063472561 | Syed M Rahman | Radiology | 405 W Country Club Rd, Radiation Oncology, Roswell, NM 88201-5209 | 2006-03-27 |
| 1447219878 | Loubna T Scally | Radiology | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740593854 | High Plains Radiation Oncology, LLC | Radiology | 2219 Dillon Rd, Clovis, NM 88101-9454 | 2010-07-17 |
| 1881884195 | Carlsbad Regional Oscology Center | Radiology | 2428 West Pierce Street, Carlsbad, NM 88220-3512 | 2007-08-01 |
| 1114995990 | Cherie Jean Hayostek | Radiology | Msc07-4025, 1 University of New Mexico, Albuquerque, NM 87131-5141 | 2006-03-09 |
| 1306831862 | Ramesh Gopal | Radiology | M. D. Anderson At Presbyterian Kaseman Hospital, 8300 Constitution Ave., Albuquerque, NM 87100 | 2005-09-12 |
| 1285639443 | Ronda Sue Fleck | Radiology | 2428 W Pierce St, Carlsbad, NM 88220-3512 | 2005-06-15 |
| 1134124407 | William Thompson | Radiology | 1201 Camino De Salud Ne, Albuquerque, NM 87102-4517 | 2005-06-14 |
| 1588668941 | Mirkutub M. Khan | Radiology | 4650 Jefferson Ln Ne, Albuquerque, NM 87109-2127 | 2005-06-13 |
| 1124021233 | Bryan W Goss | Radiology | 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 | 2005-05-23 |
| 1528494747 | Otero County Medical Group | Radiology | 2559 Medical Dr, Suite G, Alamogordo, NM 88310-8703 | 2013-09-19 |
| 1306125653 | Cancer Treatment and Prevention Specialist Inc | Radiology | 2450 S Telshor Blvd, Suite E, Las Cruces, NM 88011-5069 | 2011-08-04 |
| 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.