MCGUIRE WOUND & OSTOMY CENTER PC (NPI# 1801030093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801030093 |
| Entity Type | Organization |
| Organization Name | MCGUIRE WOUND & OSTOMY CENTER PC |
| Practice Address |
1717 W 2nd St Suite 101 Roswell NM 88201-2000 |
| Mailing Address |
Po Box 1555 Roswell NM 88202 |
| Practice Telephone | 5756242095 |
| Mailing Telephone | 5756242095 |
| Mailing Fax Number | 5756275721 |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2012-07-27 |
| Authorized Official Name | RANDALL MCGUIRE (OWNER) |
| Authorized Official Telephone | 5756242095 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R38567 | NM | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1717 W 2ND ST SUITE 101 |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518938315 | Michael A Fraga | Clinical Neuropsychologist | 1717 W 2nd St, Roswell, NM 88201-2000 | 2006-01-30 |
| 1265807192 | Choices Center for Independent Living Inc. | Case Management | 1717 W 2nd St, Suite 115, Roswell, NM 88201-2000 | 2015-12-03 |
| 1669750824 | Tammy Lynn Ray | Homeopath | 1717 W 2nd St, Suite 116, Roswell, NM 88201-2000 | 2011-07-21 |
| 1871733659 | Gretta Dickman | Massage Therapist | 1717 W 2nd St, Suite 115, Roswell, NM 88201-2000 | 2009-03-06 |
| 1548400559 | Allergy & Asthma Clinic, LLC | Allergy & Immunology | 1717 W 2nd St, Suite 219, Roswell, NM 88201-2000 | 2009-03-03 |
| 1316135957 | Sleep Diagnostic Centers of New | Clinic/Center | 1717 W 2nd St, Suite 172, Roswell, NM 88201-2000 | 2007-10-09 |
| 1982826079 | Prn Medical | Family Medicine | 1717 W 2nd St, Suite 115, Roswell, NM 88201-2000 | 2007-05-02 |
| 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 | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780217513 | Abigail Drew Pothen | Nurse Practitioner | 11660 Alpharetta Hwy Ste 700, Roswell, GA 30076-4956 | 2020-02-20 |
| 1295367464 | Haley Hodoval | Nurse Practitioner | 1250 Upper Hembree Rd Ste B, Roswell, GA 30076-4651 | 2020-02-06 |
| 1306477153 | Jessica Mae Kirby | Nurse Practitioner | 2370 Ashton Dr, Roswell, GA 30076-4232 | 2020-01-30 |
| 1659921625 | Charmaine P Grant | Nurse Practitioner | 540 E Crossville Rd Ste 210, Roswell, GA 30075-7661 | 2019-09-12 |
| 1720190515 | Tina H Strickland | Nurse Practitioner | 1380 Upper Hembree Road, Roswell, GA 30076 | 2006-08-31 |
| 1073523478 | Kimberly A Hansen | Nurse Practitioner | 109 W Bland St, Roswell, NM 88203-5708 | 2006-08-08 |
| 1881602274 | Heather A Carl | Nurse Practitioner | 1295 Hembree Rd Ste 101, Roswell, GA 30076-5721 | 2006-08-03 |
| 1831180405 | Katherine E Mallion | Nurse Practitioner | 1511 S Grand Ave, Roswell, NM 88203-5407 | 2005-11-02 |
| 1457340978 | Ingrid Lea Bloomfield | Nurse Practitioner | 4500 Hospital Blvd Ste 320, Roswell, GA 30076-0001 | 2005-10-18 |
| 1467445262 | North Fulton Anesthesia Associates PC | Nurse Practitioner | 3000 Hospital Blvd, Roswell, GA 30076-4915 | 2005-08-26 |
| Find all providers in ROSWELL | ||||
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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.