Thomas Wulf (NPI# 1467405779, PAC ID# 1456354661) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
Nation Provider ID (NPI) | 1467405779 |
PAC ID by PECOS | 1456354661 |
Professional Enrollment ID | I20060808000437 |
Full Name | Thomas Wulf |
Organization Legal Name | FLT LLC |
Address |
607 W Country Club Rd Roswell NM 88201-5211 |
Phone Number | 5752087795 |
Gender | M |
Credential | MD |
Graduation Year | 2003 |
Primary Specialty | EMERGENCY MEDICINE |
Group Practice PAC ID | 9032419833 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
320006 | EASTERN NEW MEXICO MEDICAL CENTER |
320063 | CARLSBAD MEDICAL CENTER |
320086 | LOVELACE REGIONAL HOSPITAL - ROSWELL |
Address | Phone | Organization |
---|---|---|
607 W Country Club Rd, Roswell, NM 88201-5211 | 5752087795 | FLT LLC |
Organization Legal Name | FLT LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dawn Cherie Wulf | Nurse Practitioner | Flt LLC | 607 W Country Club Rd, Roswell, NM 88201-5211 |
Street Address |
607 W COUNTRY CLUB RD |
City | ROSWELL |
State | NM |
Zip | 88201-5211 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dawn Cherie Wulf | Nurse Practitioner | Flt LLC | 607 W Country Club Rd, Roswell, NM 88201-5211 |
Name | Specialty | Organization | Address |
---|---|---|---|
Maurice W Geldert | Optometry | 4511 N Main St, Suite A, Roswell, NM 88201-0309 | |
Cynthia Serrano | Occupational Therapy | Roswell Hand Clinic and Occupational Therapy Center | 110 W Country Club Rd, Roswell, NM 88201-0618 |
Patricia L Davis | Family Medicine | 1206 W 2nd St, Roswell, NM 88201-2010 | |
Vijay Chechani | Internal Medicine | 1717 W 2nd St, Suite 172, Roswell, NM 88201-2027 | |
Nathan Padilla | Clinical Social Worker | 1717 W 2nd St, Suite 100, Roswell, NM 88201-2029 | |
Douglas K Gillies | Chiropractic | 711 W 2nd St, Roswell, NM 88201-3001 | |
Darrel A Elwell | Physical Therapy | 800 W 2nd St, Sun Country Physical Therapy, Roswell, NM 88201-3004 | |
Angelica M Rodriguez | Qualified Audiologist | 1000 W 4th St, Roswell, NM 88201-3038 | |
John C Henry | Dermatology | 207 N Union Ave, Suite C, Roswell, NM 88201-3068 | |
Terry Todd | Chiropractic | Liberty Chiropractic LLC | 1500 N Washington, Roswell, NM 88201-3250 |
Find all physicians in zip 88201 |
City | ROSWELL |
Zip Code | 88201 |
Specialty | EMERGENCY MEDICINE |
City + Specialty | ROSWELL + EMERGENCY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.