JAY R BISHOP (NPI# 1407846850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407846850 |
| Entity Type | Individual |
| Full Name | JAY R BISHOP |
| Credential | D.O. |
| Practice Address |
350 W Country Club Rd Suite#205 Roswell NM 88201-5205 |
| Mailing Address |
350 W Country Club Rd Suite #205 Roswell NM 88201-5205 |
| Practice Telephone | 5756227593 |
| Practice Fax Number | 5756225538 |
| Mailing Telephone | 5756227593 |
| Mailing Fax Number | 5756225538 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2013-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | A-1577-10 | NM | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 46011 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | DEAN | 13590 | 01 |
| WI | UNITY | 390807236AE | 01 |
| NM | 00040021 | 05 | |
| WI | 43509400 | 05 | |
| NM | BCBS OF NM | NPI & TIN# | 01 |
| WI | TOUCHPOINT | 46011 | 01 |
| WI | RAILROAD MEDICARE | P00061174 | 01 |
| WI | JOHN DEERE | WI01K8 | 01 |
| Street Address |
350 W COUNTRY CLUB RD SUITE#205 |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-5205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558360131 | Michael L Nowak | Obstetrics & Gynecology | 350 W Country Club Rd, Ste# 203, Roswell, NM 88201-5205 | 2005-07-18 |
| 1245656479 | Jessie Marie Surla | Nurse Practitioner | 350 W Country Club Rd, Suite# 105, Roswell, NM 88201-5205 | 2014-03-12 |
| 1700215225 | Robin Kenning | Nurse Practitioner | 350 W Country Club Rd, Suite #220, Roswell, NM 88201-5205 | 2013-11-05 |
| 1396958633 | Roswell Clinic Corp | Durable Medical Equipment & Medical Supplies | 350 W Country Club Rd, Suite 205, Roswell, NM 88201-5205 | 2007-05-07 |
| 1043423379 | Roswell Clinic Corp | Durable Medical Equipment & Medical Supplies | 350 W Country Club Rd, Suite 201, Roswell, NM 88201-5205 | 2007-05-07 |
| 1356553002 | Roswell Clinic Corp | Durable Medical Equipment & Medical Supplies | 350 W Country Club Rd, Suite 103, Roswell, NM 88201-5205 | 2007-05-04 |
| 1821211988 | Gustavo Velasquez | Family Medicine | 350 W Country Club Rd, Suite 101, Roswell, NM 88201-5205 | 2007-04-10 |
| 1508999780 | Jennifer Alice Corrie | Obstetrics & Gynecology | 350 W Country Club Rd, Suite 203, Roswell, NM 88201-5205 | 2007-03-14 |
| 1295828218 | Eastern Plains Medical Group, P.C. | Specialist | 350 W Country Club Rd, Suite 205, Roswell, NM 88201-5205 | 2006-10-02 |
| 1831109156 | Jane Elizabeth Mcmillan | Obstetrics & Gynecology | 350 W Country Club Rd, Suite 203, Roswell, NM 88201-5205 | 2006-08-09 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275008351 | Center for Special Surgery LLC | Urology | 11660 Alpharetta Hwy Ste 720, Roswell, GA 30076-4916 | 2018-10-04 |
| 1528308988 | Georgia Urology Pa | Urology | 1357 Hembree Rd Ste 250, Roswell, GA 30076-5724 | 2013-02-21 |
| 1346474913 | Arthur Anthony Caire V | Urology | 350 W Country Club Rd Ste 205, Roswell, NM 88201-5221 | 2009-05-11 |
| 1720085624 | Paul Alphonse Jr. | Urology | 2500 Hospital Blvd Ste 290, Roswell, GA 30076-4918 | 2005-07-07 |
| 1568467611 | John Leihugh Moseley | Urology | 1357 Hembree Rd, Suite 250, Roswell, GA 30076 | 2005-06-16 |
| 1386128494 | Advanced Urology Institute of Georgia | Urology | 11660 Alpharetta Hwy, Bldg 700 Ste 700, Roswell, GA 30076-4956 | 2018-09-25 |
| 1306229851 | Daniel Rahe Belew | Urology | 1357 Hembree Rd Ste 250, Roswell, GA 30076-5724 | 2015-07-01 |
| 1134532609 | Bryce Thompson Wyatt | Urology | 1357 Hembree Rd Ste 250, Roswell, GA 30076-5724 | 2014-06-03 |
| 1598107641 | D. E. Wenner IIi, M.d., P.C. | Urology | 1600 Se Main St, Suite F, Roswell, NM 88203-5423 | 2013-07-17 |
| 1255690905 | Sophia D Goodridge | Urology | 2500 Hospital Blvd Ste 290, Roswell, GA 30076 | 2012-05-15 |
| 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.