Michael Nowak (NPI# 1558360131, PAC ID# 2264427384) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1558360131 |
| PAC ID by PECOS | 2264427384 |
| Professional Enrollment ID | I20110615000065 |
| Full Name | Michael Nowak |
| Organization Legal Name | ROSWELL CLINIC CORP |
| Address |
350 W Country Club Rd Suite 103 Roswell NM 88201-5205 |
| Phone Number | 8662389652 |
| Gender | M |
| Credential | DO |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9436062759 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 320006 | EASTERN NEW MEXICO MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 350 W Country Club Rd, Suite 103, Roswell, NM 88201-5205 | 8662389652 | ROSWELL CLINIC CORP |
| 405 W Country Club Rd, Roswell, NM 88201-5209 | 5056228170 | ROSWELL CLINIC CORP |
| 601 Country Club Rd, Suite 201, Roswell, NM 88201-7662 | 5056270535 | ROSWELL CLINIC CORP |
| Organization Legal Name | ROSWELL CLINIC CORP |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leticia Medrano | Nurse Practitioner | Roswell Clinic Corp | 115 E 23rd St, Roswell, NM 88201-6471 |
| Mary Ellen Burton | Nurse Practitioner | Roswell Clinic Corp | 350 E Country Club Rd, Suite 205, Roswell, NM 88201-6525 |
| Kim Hestand | Nurse Practitioner | Roswell Clinic Corp | 300 W Country Club Rd, Suite 230, Roswell, NM 88201-5202 |
| Alyssa Gallegos | Certified Nurse Midwife (cnm) | Roswell Clinic Corp | 350 E Country Club Dr, Suite 203, Roswell, NM 88201-6525 |
| Darla Melton | Nurse Practitioner | Roswell Clinic Corp | 350 W Country Club Rd, 101 Agave Senior Care and Wellness, Roswell, NM 88201-5222 |
| Fundador L Adajar | Cardiovascular Disease (cardiology) | Roswell Clinic Corp | 601 Country Club Rd, Suite 201, Roswell, NM 88201-7662 |
| Virgle O Herrin Jr. | Family Medicine | Roswell Clinic Corp | 2890 N Wilshire Blvd, Cardiovascular Associates of Roswell, Roswell, NM 88201-5225 |
| Richard Pinon Jr. | Family Medicine | Roswell Clinic Corp | 601 W Country Club Rd, Suite 101, Roswell, NM 88201-5227 |
| James J Castle | Orthopedic Surgery | Roswell Clinic Corp | 405 W Country Club Rd, Roswell, NM 88201-5209 |
| Jan D Hobbs | Otolaryngology | Roswell Clinic Corp | 405 W Country Club Rd, Roswell, NM 88201-5209 |
| Street Address |
350 W COUNTRY CLUB RD SUITE 103 |
| City | ROSWELL |
| State | NM |
| Zip | 88201-5205 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darla Melton | Nurse Practitioner | Roswell Clinic Corp | 350 W Country Club Rd, 101 Agave Senior Care and Wellness, Roswell, NM 88201-5222 |
| Jay Bishop | Urology | Roswell Clinic Corp | 350 W Country Club Rd, Suite 103, Roswell, NM 88201-5205 |
| Audrey Vega | Family Medicine | Roswell Clinic Corp | 350 W Country Club Rd, 101 Agave Senior Care and Wellness, Roswell, NM 88201-5222 |
| Jane E Mcmillan | Obstetrics/gynecology | Roswell Clinic Corp | 350 W Country Club Rd, Suite 103, Roswell, NM 88201-5205 |
| 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 | OBSTETRICS/GYNECOLOGY |
| City + Specialty | ROSWELL + OBSTETRICS/GYNECOLOGY |
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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.