NPIMap

Organization Active NPI

Michael a Rowley MD PA

  • Diagnostic Radiology Physician
  • Clovis, NM
National Provider Identifier
1174716781
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
80-293 Issued in NM
Legal business name
MICHAEL A ROWLEY MD PA
Practice address
2100 N MLK Jr Blvd
Radiology Department
Clovis, NM 88101
Phone
(575) 769-7350
Fax
(575) 769-7296
NPI assigned
Aug 27, 2007
Last updated
Aug 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Mrs. Dironda Walley
Title
Office Manager
Phone
(575) 762-5955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 80-293 NM Primary

Addresses

Primary practice location

2100 N MLK Jr Blvd
Radiology Department
Clovis, NM 88101

Mailing address

PO Box 928
Clovis, NM 88102-0928
Phone (575) 762-5955

Other identifiers 2

IdentifierTypeStateIssuer
02899MedicaidNM
NM007F30OtherNMBLUE CROSS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 102

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 102

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1174716781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 928",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881020928",
            "telephone_number": "575-762-5955",
            "fax_number": "575-762-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N MLK JR BLVD",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "88101",
            "telephone_number": "575-769-7350",
            "fax_number": "575-769-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A ROWLEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "WALLEY",
        "authorized_official_first_name": "DIRONDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "575-762-5955",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NM",
            "license": "80-293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02899",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "NM007F30",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.