Warren D. McKelvy MD Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

77-217 Issued in NM

Legal business name

WARREN D. MCKELVY MD PEDIATRICS LLC

Practice address

313 W Country Club Rd
Ste 13
Roswell, NM 88201-5804

Phone

(575) 625-1371

Fax

(575) 623-4400

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Rob McKelvy

Title

Office Manager

Phone

(575) 625-1371

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Warren Douglas McKelvy, MD

  • Pediatrics Physician
  • Roswell, NM
  • NPI 1790738565
  NPD (past)
• Leishatt Torreblanca Villena, M.D.

  • Pediatrics Physician
  • Roswell, NM
  • NPI 1255766184
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1104935386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 W COUNTRY CLUB RD",
            "address_2": "STE 13",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015804",
            "telephone_number": "575-625-1371",
            "fax_number": "575-623-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W COUNTRY CLUB RD",
            "address_2": "STE 13",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015804",
            "telephone_number": "575-625-1371",
            "fax_number": "575-623-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN D. MCKELVY MD PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "MCKELVY",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "575-625-1371"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NM",
            "license": "77-217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1875",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leon Jerome Walker
• Maria Walker
• Nancy Walker, FNP-C
• Ruobing Wang
• Carrie G Warner, FNP-BC
• Van R Warren, DOM
• Shelba Marlene Washichek, R.N.
• Andrew Neil Wasserberg, PA
• Brandon Waters
• Ann Marie Watkins, RPH

• Pediatrics Physician in Roswell, NM
• Providers in Roswell, NM by specialty
• Pediatrics Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.