STANISLAV V BELYAEV (NPI# 1659368207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659368207 |
Entity Type | Individual |
Full Name | STANISLAV V BELYAEV |
Credential | MD |
Practice Address |
603 W Country Club Rd Roswell NM 88201-5211 |
Practice Telephone | 5756245624 |
Practice Fax Number | 5756224279 |
Mailing Telephone | 5756245624 |
Mailing Fax Number | 5756224279 |
Enumeration Date | 2005-09-29 |
Last Update Date | 2020-09-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 2003-0691 | NM | Allopathic & Osteopathic Physicians |
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
MD2003-0691 | NM | Allopathic & Osteopathic Physicians |
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MD2003-0691 | NM | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NM | 16500075 | 05 | |
NM | MEDICARE PTAN | 324241YPPR | 01 |
NM | MEDICARE PTAN / ROSWELL CLINIC CORP | 780148 | 01 |
Street Address |
603 W COUNTRY CLUB RD |
City | ROSWELL |
State | NM |
Zip Code | 88201-5211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316415979 | Mary Ellen Burton | Nurse Practitioner | 603 W Country Club Rd, Roswell, NM 88201-5211 | 2018-11-12 |
1790213189 | Helen Black | Social Worker | 603 W Country Club Rd, Roswell, NM 88201-5211 | 2017-05-30 |
1245427491 | Micheline R Olson | Nurse Practitioner | 603 W Country Club Rd, Roswell, NM 88201-5211 | 2007-10-02 |
1245398429 | Ashley Mackenzie Rivers | Internal Medicine | 603 W Country Club Rd, Roswell, NM 88201-5211 | 2006-12-04 |
1225107824 | Richard B Smith | Psychiatry & Neurology | 603 W Country Club Rd, Roswell, NM 88201-5211 | 2006-11-07 |
1770591596 | Stephen R Cain | Anesthesiology | 603 W Country Club Rd, Roswell, NM 88201-5211 | 2006-08-04 |
1386676476 | Daniel Joseph Nazon | Internal Medicine | 603 W Country Club Rd, Roswell, NM 88201-5211 | 2006-07-07 |
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 | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003073578 | Chirag D Popat | Internal Medicine | 4500 Hospital Blvd Ste 310, Roswell, GA 30076 | 2008-05-21 |
1356542856 | Faisal Manzoor Bhutta | Internal Medicine | 2500 Hospital Blvd, Suite 420, Roswell, GA 30076-4907 | 2007-05-30 |
1649267618 | Roswell Clinic Corp | Internal Medicine | 350 W Country Club Rd, Ste 201, Roswell, NM 88201-5205 | 2005-10-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114239878 | Ikrita Kaur Klair | Internal Medicine | 4351 E Lohman Ave Ste 211, Las Cruces, NM 88011-8260 | 2010-07-11 |
1932274933 | Barry L Marmorstein | Internal Medicine | 1023 County Road 142, Abiquiu, NM 87510-1444 | 2006-11-22 |
1427143601 | Richard H Seligman | Internal Medicine | 8300 Constitution Ne, Pmg Kaseman Sleep Lab/pulmonary, Albuquerque, NM 87110 | 2006-10-04 |
1760574966 | Michael Angelo Lucia | Internal Medicine | 4801 Beckner Rd, Santa Fe, NM 87507-3641 | 2006-09-28 |
1679588131 | Gary Ken Iwamoto | Internal Medicine | 2211 Lomas Blvd. Ne, Unm Internal Medicine Clinic B, Albuquerque, NM 87106 | 2006-07-30 |
1225076003 | San Juan Regional Medical Center Inc | Internal Medicine | 407 S. Schwartz Ave, Suite 201, Farmington, NM 87401-5973 | 2006-06-03 |
1043257520 | Miguel Pellerano | Internal Medicine | Pmg At 8300 Constitution - Pulmonary/critical Care, 8300 Constitution Ave Ne, Albuquerque, NM 87110 | 2006-06-01 |
1952373235 | Sivakumar Nagaraju | Internal Medicine | 500 Walter St Ne Ste 501, Albuquerque, NM 87102-2521 | 2006-02-02 |
1083602841 | Akshay Sood | Internal Medicine | 1101 Medical Arts Ave Ne Bldg 2, Unm Sleep Disorders Center, Albuquerque, NM 87102-2723 | 2005-10-06 |
1083615181 | Paul Feil | Internal Medicine | 2437 S Telshor Blvd, Las Cruces, NM 88011-5049 | 2005-08-10 |
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.