JOHN RANDALL UNDERWOOD (NPI# 1962467555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962467555 |
| Entity Type | Individual |
| Full Name | JOHN RANDALL UNDERWOOD |
| Credential | M.D. |
| Practice Address |
400 N Pennsylvania Ave Ste 570 Roswell NM 88201-4792 |
| Mailing Address |
2669 Scenic Dr Alamogordo NM 88310-8700 |
| Practice Telephone | 5754340159 |
| Practice Fax Number | 8886876133 |
| Mailing Telephone | 5754340159 |
| Mailing Fax Number | 8886876133 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2019-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD2019-0235 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 78176565 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649207622 | John Franklin Underwood | Dentist | 1 Jarrett White Rd. Bldg. 320, Tripler Amc, HI 96859-5000 | 2006-06-27 |
| 1508391194 | John Scott Underwood | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr Rm 5867, Indianapolis, IN 46202-5109 | 2017-04-20 |
| 1174981286 | John M. Underwood | Nurse Anesthetist, Certified Registered | 1044 Belmont Ave, Youngstown, OH 44504-1006 | 2016-02-03 |
| 1528080546 | John L Underwood | Emergency Medicine | 111 E Wisconsin Ave, Milwaukee, WI 53202-4815 | 2006-07-25 |
| 1619937802 | John G Underwood II | Internal Medicine | 9091 Ellerbe Rd, Ste 200, Shreveport, LA 71106-6738 | 2006-03-23 |
| Street Address |
400 N PENNSYLVANIA AVE STE 570 |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-4792 |
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982948139 | Innovative Pain Management Center LLC | Anesthesiology | 1300 Upper Hembree Rd, Building 100, Suite B, Roswell, GA 30076-0927 | 2012-11-11 |
| 1285805713 | Oscar Jameson Stokes | Anesthesiology | 1300 Upper Hembree Rd, Building 100, Suite B, Roswell, GA 30076-0927 | 2008-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093134983 | Matthew Steven Bergsten | Anesthesiology | 3600 Coors Blvd Nw Ste 200, Albuquerque, NM 87120-1436 | 2014-04-08 |
| 1932411220 | James H. Rice, M.d.,pc | Anesthesiology | 4700 Jefferson Blvd Nw, Suite 700, Albuquerque, NM 87109-2132 | 2010-07-02 |
| 1114958790 | Dr.thomas J Whalen Md PC | Anesthesiology | 8314 Kaseman Ct Ne, Albuquerque, NM 87110 | 2006-07-05 |
| 1568499697 | James H Rice | Anesthesiology | 4700 Jefferson Blvd. Ne, Suite 700, Albuquerque, NM 87109-2132 | 2006-06-26 |
| 1043265275 | William Laing Johnson | Anesthesiology | 4115 Montgomery Blvd Ne, Albuquerque, NM 87109-1102 | 2006-05-24 |
| 1588621551 | Angelique Marie Hart | Anesthesiology | 1530 Bishops Lodge Rd, Santa Fe, NM 87506-0005 | 2006-04-26 |
| 1710965272 | Carmelita Agodon | Anesthesiology | 1901 Redrock Dr, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301-5683 | 2006-01-05 |
| 1316922750 | Llewelyn Anthony Williams | Anesthesiology | 2170 E Lohman Ave, Suite C, Las Cruces, NM 88001-8411 | 2005-12-08 |
| 1134120645 | Thomas Joseph Whalen IIi | Anesthesiology | 914 Pinehurst Rd Se, Rio Rancho, NM 87124-2219 | 2005-08-09 |
| 1942202205 | Irwin John Isaacs | Anesthesiology | 4163 Montgomery Blvd Ne, Albuquerque, NM 87109-6742 | 2005-06-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JOHN RANDALL UNDERWOOD.
| 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.