ROSWELL CLINIC CORP


Address: 350 W Country Club Rd, Ste 201, Roswell, NM 88201-5205
Phone: 8888015554

ROSWELL CLINIC CORP (NPI# 1649267618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649267618
Entity Type Organization
Organization Name ROSWELL CLINIC CORP
Practice Address 350 W Country Club Rd
Ste 201
Roswell
NM 88201-5205
Mailing Address Po Box 689022
Franklin
TN 37068-9022
Practice Telephone 8888015554
Mailing Telephone 6157788027
Mailing Fax Number 6156286877
Enumeration Date 2005-10-04
Last Update Date 2019-11-22
Authorized Official Name JAMES P WRIGHT (VP PHYSICIAN BUSINESS SERVICES)
Authorized Official Telephone 6157781502
Is Organization Subpart Y
Parent Organization Name ROSWELL CLINIC CORP

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
Allopathic & Osteopathic Physicians
N 207RS0012X Internal Medicine
Specialization: Sleep Medicine
Allopathic & Osteopathic Physicians
N 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians
N 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians
N 208600000X Surgery Allopathic & Osteopathic Physicians
Y 207Q00000X Family Medicine NM Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NM 60806516 05
NM RR MEDICARE DA5509 01
NM RR MEDICARE DD5451 01
NM BCBS NPI AND TIN 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1285804716 Roswell Clinic Corp Durable Medical Equipment & Medical Supplies 808 N Union Ave, Suite B, Roswell, NM 88201-3921 2008-03-12
1396958633 Roswell Clinic Corp Durable Medical Equipment & Medical Supplies 350 W Country Club Rd, Suite 205, Roswell, NM 88201-5205 2007-05-07
1043423379 Roswell Clinic Corp Durable Medical Equipment & Medical Supplies 350 W Country Club Rd, Suite 201, Roswell, NM 88201-5205 2007-05-07
1356553002 Roswell Clinic Corp Durable Medical Equipment & Medical Supplies 350 W Country Club Rd, Suite 103, Roswell, NM 88201-5205 2007-05-04
1871713909 Roswell Clinic Corp Durable Medical Equipment & Medical Supplies 601 W Country Club Rd, Suite 102, Roswell, NM 88201-5224 2007-04-30

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities ROSWELL CLINIC CORP. 350 W Country Club Rd, Roswell, NM 88201-5205

Office Location

Street Address 350 W COUNTRY CLUB RD
STE 201
City ROSWELL
State NM
Zip Code 88201-5205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558360131 Michael L Nowak Obstetrics & Gynecology 350 W Country Club Rd, Ste# 203, Roswell, NM 88201-5205 2005-07-18
1245656479 Jessie Marie Surla Nurse Practitioner 350 W Country Club Rd, Suite# 105, Roswell, NM 88201-5205 2014-03-12
1700215225 Robin Kenning Nurse Practitioner 350 W Country Club Rd, Suite #220, Roswell, NM 88201-5205 2013-11-05
1396958633 Roswell Clinic Corp Durable Medical Equipment & Medical Supplies 350 W Country Club Rd, Suite 205, Roswell, NM 88201-5205 2007-05-07
1043423379 Roswell Clinic Corp Durable Medical Equipment & Medical Supplies 350 W Country Club Rd, Suite 201, Roswell, NM 88201-5205 2007-05-07
1356553002 Roswell Clinic Corp Durable Medical Equipment & Medical Supplies 350 W Country Club Rd, Suite 103, Roswell, NM 88201-5205 2007-05-04
1821211988 Gustavo Velasquez Family Medicine 350 W Country Club Rd, Suite 101, Roswell, NM 88201-5205 2007-04-10
1508999780 Jennifer Alice Corrie Obstetrics & Gynecology 350 W Country Club Rd, Suite 203, Roswell, NM 88201-5205 2007-03-14
1295828218 Eastern Plains Medical Group, P.C. Specialist 350 W Country Club Rd, Suite 205, Roswell, NM 88201-5205 2006-10-02
1831109156 Jane Elizabeth Mcmillan Obstetrics & Gynecology 350 W Country Club Rd, Suite 203, Roswell, NM 88201-5205 2006-08-09
Find all providers in the same location

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114543196 Injury Md LLC Family Medicine 245 Steeple Point Dr, Roswell, GA 30076-5521 2020-06-24
1073070991 Hip Medical Georgia,llc Family Medicine 11660 Alpharetta Hwy Ste 285, Roswell, GA 30076-3876 2019-02-27
1326598541 Dove Medical Corporation Family Medicine 110 East 3rd Street, Roswell, NM 88201 2016-10-12
1801261714 Arnett Medical, LLC Family Medicine 1915 N Atkinson Ave, Roswell, NM 88201-7600 2015-12-02
1265792022 Brandon C Cometti Family Medicine 300 W Country Club Rd Ste 210, Roswell, NM 88201-5240 2012-05-25
1790095974 Lawrence Joseph Barbour Sr. Family Medicine 803 Sherrill Ln, Roswell, NM 88201-3469 2010-10-20
1699099390 New Mexico Medical Surgical Hospital LLC Family Medicine 2335 N Main St, Roswell, NM 88201-6452 2010-03-24
1700016284 Jeremy D Boyd Family Medicine 9420 Willeo Rd Ste 206, Roswell, GA 30075-6773 2009-07-20
1497990220 David Ludvig Hammer Family Medicine 10535 Turner Rd, Roswell, GA 30076-2438 2008-12-08
1578728309 Lakshmi Gopireddy Family Medicine 3000 Hospital Blvd Fl 2, Roswell, GA 30076 2008-07-21
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Competitor

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City ROSWELL
Zip Code 88201

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Dataset Information

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.

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