NEW MEXICO MEDICAL SURGICAL HOSPITAL LLC (NPI# 1205164118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205164118 |
| Entity Type | Organization |
| Organization Name | NEW MEXICO MEDICAL SURGICAL HOSPITAL LLC |
| Other Organization Name | ROSWELL REGIONAL HOSPITAL |
| Practice Address |
117 E 19th St Roswell NM 88201 |
| Practice Telephone | 5756277000 |
| Practice Fax Number | 5756277007 |
| Mailing Telephone | 5756277000 |
| Mailing Fax Number | 5756277007 |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2010-04-21 |
| Authorized Official Name | MR. ROBERT C TYK (CFO) |
| Authorized Official Telephone | 5756253364 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208M00000X | Hospitalist | NM | Allopathic & Osteopathic Physicians | |
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
NM | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Roswell Regional Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699099390 | New Mexico Medical Surgical Hospital LLC | Family Medicine | 2335 N Main St, Roswell, NM 88201-6452 | 2010-03-24 |
| 1114934254 | New Mexico Medical Surgical Hospital LLC | General Acute Care Hospital | 117 E 19th St, Roswell, NM 88201-5151 | 2006-08-02 |
| Street Address |
117 E 19TH ST |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201 |
| 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 |
| 1063953768 | Sheridan Childrens Healthcare Services of New Mexico Inc | Pediatrics | 117 E 19th St, Roswell, NM 88201-5151 | 2017-03-14 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396759809 | Diagnostic Imaging Services | Clinic/Center | 11660 Alpharetta Highway, Ste# 550, Roswell, GA 30076 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043594179 | Lubbock Ct, Inc. | Clinic/Center | 3305 N Grimes St, Hobbs, NM 88240-1219 | 2011-10-07 |
| 1649467747 | Dean Shippey | Clinic/Center | 1600 N Main, Lovington, NM 88260 | 2007-10-02 |
| 1275759391 | New Mexico Imaging and Wellness | Clinic/Center | 401 Edith Blvd, Suite B-1, Albuquerque, NM 87102-2509 | 2007-04-17 |
| 1215016415 | Indian Wells Ultrasound Imaging Inc | Clinic/Center | 205 W Boutz Rd. Bldg #1, Las Cruces, NM 88005 | 2006-11-06 |
| 1538466099 | Grant County Imaging Center LLC | Clinic/Center | 1600 E 32nd St, Silver City, NM 88061-7287 | 2011-02-18 |
| 1760795330 | Mercy Regional Medical Center of Durango | Clinic/Center | 604 S Rio Grande Ave, Aztec, NM 87410-2260 | 2010-07-23 |
| 1316268030 | Insight Health Corp | Clinic/Center | 2525 S Telshor Blvd, Las Cruces, NM 88011-5071 | 2010-06-16 |
| 1962632646 | Dhhs Phs Naihs Shiprock Hospital | Clinic/Center | 6 Road 7586, Bloomfield, NM 87413-4934 | 2009-07-16 |
| 1831329515 | Dhhs Phs Naihs Shiprock Hospital | Clinic/Center | Us Hwy 491 North, Shiprock, NM 87420-0160 | 2009-07-16 |
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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.