SHERIDAN CHILDRENS HEALTHCARE SERVICES OF NEW MEXICO INC (NPI# 1063953768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063953768 |
| Entity Type | Organization |
| Organization Name | SHERIDAN CHILDRENS HEALTHCARE SERVICES OF NEW MEXICO INC |
| Practice Address |
117 E 19th St Roswell NM 88201-5151 |
| Mailing Address |
Po Box 743946 Atlanta GA 30374-3946 |
| Practice Telephone | 9548382371 |
| Mailing Telephone | 9548382371 |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |
| Authorized Official Name | ROBERTO COWARD (PRESIDENT) |
| Authorized Official Telephone | 9548382371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
117 E 19TH ST |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-5151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003884859 | Mark David Murley | Nurse Anesthetist, Certified Registered | 117 E 19th St, Roswell, NM 88201-5151 | 2006-03-09 |
| 1568018935 | Zebastian Garcia | Physical Therapy Assistant | 117 E 19th St, Roswell, NM 88201-5151 | 2019-08-12 |
| 1972022838 | Shayla Haynes | Physical Therapist | 117 E 19th St, Roswell, NM 88201-5151 | 2017-09-12 |
| 1477072346 | Erin Olivia Brannan | Physical Medicine & Rehabilitation | 117 E 19th St, Roswell, NM 88201-5151 | 2017-09-12 |
| 1629595079 | Ronald Scott Awtry IIi | Nurse Anesthetist, Certified Registered | 117 E 19th St, Roswell, NM 88201-5151 | 2017-08-26 |
| 1770005282 | Eileen C Lewis | Dietitian, Registered | 117 E 19th St, Roswell, NM 88201-5151 | 2017-07-17 |
| 1083142830 | Clinical Colleagues Inc | Anesthesiology | 117 E 19th St, Roswell, NM 88201-5151 | 2017-05-24 |
| 1174956767 | Lovelace Health System LLC | General Acute Care Hospital | 117 E 19th St, Roswell, NM 88201-5151 | 2013-08-19 |
| 1275870867 | Albuquerque New Mexico Physicians, LLC | Emergency Medicine | 117 E 19th St, Roswell, NM 88201-5151 | 2013-01-16 |
| 1679839740 | Shrillia Jeanice Luna | Physical Therapist | 117 E 19th St, Roswell, NM 88201-5151 | 2012-04-03 |
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| 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 | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235468331 | Jessie Ruth Maxwell | Pediatrics | Pediatrics Neonatology Msc10 5590, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2009-12-18 |
| 1730352154 | Dawn L Novak | Pediatrics | 3601 Yipee Calle Ct Nw, Albuquerque, NM 87120-2381 | 2008-04-07 |
| 1457534562 | Agatha R Norwood | Pediatrics | 201 Cedar Se, Ste 508, Albuquerque, NM 87106 | 2007-12-12 |
| 1235144783 | Dale C Alverson | Pediatrics | 1005 Columbia Dr Ne, Albuquerque, NM 87106-2626 | 2006-07-30 |
| 1497760961 | Kristi Watterberg | Pediatrics | 3 Rd Floor Ambulatory Care Ctr, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-07-30 |
| 1578578035 | Curtis Daniel Caldwell | Pediatrics | Department of Pediatrics Neonatology Msc10, 2211 Lomas Blvd. Ne, Albuquerque, NM 87131-0001 | 2006-07-30 |
| 1306101415 | Deepak Yadav | Pediatrics | 4311 E Lohman Ave, Las Cruces, NM 88011 | 2012-07-05 |
| 1992964357 | Lynda Adrouche-amrani | Pediatrics | 3917 West Rd, Los Alamos, NM 87544-2275 | 2008-06-02 |
| 1104047265 | Tara Lynn Dupont | Pediatrics | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2745 | 2007-05-02 |
| 1225122286 | Ronald L. Poland | Pediatrics | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2745 | 2006-10-03 |
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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.