Roswell Clinic Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ROSWELL CLINIC CORP

Doing business as

Family Practice Wound & Ostomy Care Center

Practice address

808 N Union Ave
Suite B
Roswell, NM 88201-3921

Phone

(575) 623-5299

NPI assigned

Mar 12, 2008

Last updated

Mar 12, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

ROSWELL CLINIC CORPAs reported in NPPES

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

Authorized official

Name

Debbie T. Brewer

Title

Director of Provider Enrollment

Phone

(877) 892-9813

Specialties & licenses 1

Addresses

Other names 1

• Family Practice Wound & Ostomy Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Roswell Clinic Corp

  dba Mesa Medical

  • Durable Medical Equipment & Medical Supplies
  • Roswell, NM
  • NPI 1043423379

  O20031111000799

  Same enrollment
• Roswell Clinic Corp

  dba Sierra Orthopedics

  • Durable Medical Equipment & Medical Supplies
  • Roswell, NM
  • NPI 1356553002

  O20031111000799

  Same enrollment
• Roswell Clinic Corp

  dba Eastern Plains Urology

  • Durable Medical Equipment & Medical Supplies
  • Roswell, NM
  • NPI 1396958633

  O20031111000799

  Same enrollment
• Roswell Clinic Corp

  • Family Medicine Physician
  • Roswell, NM
  • NPI 1649267618

  O20031111000799

  Same enrollment

Part of

Roswell Clinic Corp

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1285804716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 COMMERCE WAY",
            "address_2": "SUITE 180",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272829",
            "telephone_number": "866-419-4057",
            "fax_number": "615-465-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N UNION AVE",
            "address_2": "SUITE B",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882013921",
            "telephone_number": "575-623-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSWELL CLINIC CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROSWELL CLINIC CORP",
        "enumeration_date": "2008-03-12",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "DIRECTOR OF PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "877-892-9813"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Practice Wound & Ostomy Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yaweh Rosales, PT
• Rosewell Senior Living, LLC (La Villa Assisted Living and Memory Care Community)
• Phalla Ross
• Stasha Ross
• Roswell Clinic Corp (Mesa Medical)
• Roswell Clinic Corp (Sierra Orthopedics)
• Roswell Clinic Corp (Eastern Plains Urology)
• Roswell Clinic Corp (Ponderossa Medical Associates)
• Roswell Clinic Corp (Roswell Family Medicine and Walk-In Clinic)
• Roswell Clinic Corp

• Durable Medical Equipment & Medical Supplies in Roswell, NM
• Providers in Roswell, NM by specialty
• Durable Medical Equipment & Medical Supplies in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.