Rio Pecos Medical Associates LTD

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

RIO PECOS MEDICAL ASSOCIATES LTD

Practice address

305 W Country Club Rd
Roswell, NM 88201-5892

Phone

(575) 622-6322

Fax

(575) 622-6888

NPI assigned

Feb 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Cody Dodson

Title

Office Manager

Phone

(575) 622-6322

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1023151966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2608",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882022608",
            "telephone_number": "575-622-6322",
            "fax_number": "575-622-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W COUNTRY CLUB RD",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015892",
            "telephone_number": "575-622-6322",
            "fax_number": "575-622-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO PECOS MEDICAL ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "575-622-6322",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55526721",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Rhinehart
• Joseph Isaac Rhodes, DDS
• Andrea Rice
• Lisa Sue Richards,, BS
• Daniel Lyman Ridout III, MD
• Rio Pecos Medical Associates LTD
• Robert Elden Pennington MD, PHD, PC
• Jason Robinson
• Rhonda Marie Robinson, M.S. CCC-SLP
• Melinda Robson, PT

• Clinical Medical Laboratory in Roswell, NM
• Providers in Roswell, NM by specialty
• Clinical Medical Laboratory in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.