JAMES F. VAN PELT,III,M.D.,PHD, P.C. (NPI# 1639339955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639339955 |
| Entity Type | Organization |
| Organization Name | JAMES F. VAN PELT,III,M.D.,PHD, P.C. |
| Practice Address |
313 W Country Club Rd Ste. 10 Roswell NM 88201-5804 |
| Practice Telephone | 5756220816 |
| Practice Fax Number | 5756236838 |
| Mailing Telephone | 5756220816 |
| Mailing Fax Number | 5756236838 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-09-25 |
| Authorized Official Name | DR. JAMES F VAN PELT III (PRESIDENT/MEDICAL NEUROLOGY) |
| Authorized Official Telephone | 5756220816 |
| Authorized Official Credential | M. D., PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
91 338 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 31403531 | 05 | |
| NM | BCBSNM | NM002889 | 01 |
| Street Address |
313 W COUNTRY CLUB RD STE. 10 |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-5804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668909 | Carlton N Walker | Dentist | 313 W Country Club Rd, Ste 6, Roswell, NM 88201-5804 | 2005-06-13 |
| 1548624372 | Mark D Antenucci Dpm PC | Podiatrist | 313 W Country Club Rd, Suite 7, Roswell, NM 88201-5804 | 2016-04-07 |
| 1104241173 | Pearson Heart Clinic, LLC | Internal Medicine | 313 W Country Club Rd, Roswell, NM 88201-5804 | 2014-02-26 |
| 1255766184 | Leishatt Torreblanca Villena | Pediatrics | 313 W Country Club Rd, Suite 13, Roswell, NM 88201-5804 | 2013-09-10 |
| 1396182838 | Sparkman Behavioral Health, P. C. | Nurse Practitioner | 313 W Country Club Rd, Suite 5, Roswell, NM 88201-5804 | 2013-05-23 |
| 1710250493 | Loretta Margaret Sparkman | Nurse Practitioner | 313 W Country Club Rd, Suite 5, Roswell, NM 88201-5804 | 2012-02-10 |
| 1316266711 | Mekdess A Abebe | Internal Medicine | 313 W Country Club Rd, Roswell, NM 88201-5804 | 2010-05-25 |
| 1447480983 | Timothy Brent Price | Dentist | 313 W Country Club Rd, #6, Roswell, NM 88201-5804 | 2009-07-17 |
| 1093955189 | Donald J Willis D.o. P.C. | Family Medicine | 313 W Country Club Rd, Suite 9, Roswell, NM 88201-5804 | 2009-03-02 |
| 1508900473 | Julia I Jones | Nurse Practitioner | 313 W Country Club Rd, Roswell, NM 88201-5804 | 2007-02-16 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861754657 | Heather Dianne Horton | Psychiatry & Neurology | 2500 Hospital Blvd Ste 440, Roswell, GA 30076 | 2012-06-08 |
| 1487720967 | Bruce Eric Bosse | Psychiatry & Neurology | 2500 Hospital Blvd, Ste 440, Roswell, GA 30076 | 2006-11-28 |
| 1407880867 | Jose Lujan-palma | Psychiatry & Neurology | 402 W Country Club Rd, Roswell, NM 88201-5247 | 2006-07-10 |
| 1083667182 | James F Vanpelt | Psychiatry & Neurology | 313 W Country Club Rd, Suite 10, Roswell, NM 88201-5804 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477190882 | St Vincent Hospital | Psychiatry & Neurology | 465 Saint Michaels Dr Ste 230, Santa Fe, NM 87505-7670 | 2019-12-04 |
| 1447592498 | Mark Land Grossetete | Psychiatry & Neurology | 117 Camino De Vida Ste 300, Santa Rosa, NM 88435 | 2013-03-17 |
| 1083841399 | Elizabeth M Macri | Psychiatry & Neurology | 2211 Lomas Blvd Ne Unm-neurology Msc10 5620, Albuquerque, NM 87131-3011 | 2009-06-12 |
| 1417193459 | Semiramis Youssof | Psychiatry & Neurology | Msc 10 5620, Albuquerque, NM 87131-0001 | 2008-12-22 |
| 1578715272 | Paul Dolph Flaggman | Psychiatry & Neurology | 811 Vista Canada Ln, Santa Fe, NM 87501-8714 | 2008-10-14 |
| 1831355106 | Matthew Todd Starr | Psychiatry & Neurology | Department of Neurology Msc10 5620 Health Ctr, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2008-08-05 |
| 1457531022 | John A Campa IIi | Psychiatry & Neurology | 7520 Montgomery Blvd Ne Bldg E4, Albuquerque, NM 87109-1554 | 2007-11-12 |
| 1730381179 | Erik Burton | Psychiatry & Neurology | 1101 Yale Blvd Ne, Albuquerque, NM 87106-3834 | 2007-06-05 |
| 1487856431 | Kenneth Imerman | Psychiatry & Neurology | Department of Neurology Msc10 5620, Health Science Center, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2007-06-01 |
| 1912039173 | Wendy Dimmette Md P C | Psychiatry & Neurology | 1235 8th St Ste 700, Las Vegas, NM 87701-4219 | 2007-03-12 |
| Find all providers with the same taxonomy | ||||
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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.