WOMEN'S MEDICAL CENTER LLP (NPI# 1780683292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780683292 |
| Entity Type | Organization |
| Organization Name | WOMEN'S MEDICAL CENTER LLP |
| Practice Address |
2000 W 21st St Suite A-1 Clovis NM 88101-4087 |
| Practice Telephone | 5057628055 |
| Practice Fax Number | 5057633351 |
| Mailing Telephone | 5057628055 |
| Mailing Fax Number | 5057633351 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2012-05-03 |
| Authorized Official Name | LONNIE RAY (ADMINISTRATOR) |
| Authorized Official Telephone | 5757628055 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 8738 | NM | Allopathic & Osteopathic Physicians |
| Street Address |
2000 W 21ST ST SUITE A-1 |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-4087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601498 | Debra L Cyphert | Nurse Practitioner | 2000 W 21st St, Suite E3, Clovis, NM 88101-4087 | 2005-06-30 |
| 1093261455 | Eastern New Mexico Endodontics, PC | Clinic/Center | 2000 W 21st St, Suite L1, Clovis, NM 88101-4087 | 2016-08-26 |
| 1184011389 | A Romero Enterprises L.L.C. | Clinic/Center | 2000 W 21st St, Suite E3, Clovis, NM 88101-4087 | 2015-04-25 |
| 1396131611 | Annette Ternes | Registered Nurse | 2000 W 21st St, Suite E3, Clovis, NM 88101-4087 | 2015-04-14 |
| 1821492638 | Melissa Ashley Sprinkle | Nurse Practitioner | 2000 W 21st St, Suite A-1, Clovis, NM 88101-4087 | 2014-10-22 |
| 1952732125 | Nicole T. Musshorn | Advanced Practice Midwife | 2000 W 21st St, Ste A-1, Clovis, NM 88101-4087 | 2013-12-12 |
| 1316228265 | Larissa A Juberg | Advanced Practice Midwife | 2000 W 21st St, Ste A-1, Clovis, NM 88101-4087 | 2011-09-06 |
| 1821272394 | Sarah Jo Welch | Dentist | 2000 W 21st St, Suite L1, Clovis, NM 88101-4087 | 2007-12-20 |
| 1891825162 | Jacob Haskell Moberly | Dentist | 2000 W 21st St, Ste L1, Clovis, NM 88101-4087 | 2007-03-06 |
| 1538209994 | Mahamadu Fuseini | Internal Medicine | 2000 W 21st St, Clovis, NM 88101-4087 | 2007-02-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366752107 | Carolina Sueldo | Obstetrics & Gynecology | 729 N Medical Center Dr W Ste 205, Clovis, CA 93611-6885 | 2010-10-14 |
| 1992024640 | Israel K Brown | Obstetrics & Gynecology | 2137 Herndon Ave, Suite 102, Clovis, CA 93611-6306 | 2010-05-20 |
| 1013235605 | Feei Feei Ung | Obstetrics & Gynecology | 1530 Shaw Ave, Clovis, CA 93611-4028 | 2010-05-07 |
| 1023344991 | Michael L Illingworth, Md Inc | Obstetrics & Gynecology | 681 Medical Center Dr W Ste 101, Clovis, CA 93611-6803 | 2009-10-27 |
| 1134331549 | Trung Tan Nguyen | Obstetrics & Gynecology | 782 Medical Center Dr E # 212, Clovis, CA 93611-6889 | 2007-05-06 |
| 1417011289 | Dan Mason Dorough | Obstetrics & Gynecology | 722 Medical Center Dr E #101, Clovis, CA 93611 | 2006-12-19 |
| 1144384918 | David William Dorough | Obstetrics & Gynecology | 722 Medical Center Dr East # 101, Clovis, CA 93611 | 2006-12-19 |
| 1891873709 | Gilbert K. Moran | Obstetrics & Gynecology | 681 Medical Center Dr. W, #101, Clovis, CA 93611 | 2006-11-01 |
| 1902831274 | H Michael Synn | Obstetrics & Gynecology | 722 Medical Center Dr E, Ste 105, Clovis, CA 93611-6810 | 2006-07-12 |
| 1114981255 | Subhashini J Ladella | Obstetrics & Gynecology | 726 N Medical Center Dr E Ste 223, Clovis, CA 93611-6886 | 2006-04-14 |
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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.