Organization Active NPI

Roswell Ear, Nose & Throat & Allergy L. L. C.

  • Specialist
  • Roswell, NM
National Provider Identifier
1447430509
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
CS00208445 Issued in NM
Legal business name
ROSWELL EAR, NOSE & THROAT & ALLERGY L. L. C.
Practice address
342 Sherrill LN Ste a
Roswell, NM 88201-5831
Phone
(575) 622-2911
Fax
(575) 622-2598
NPI assigned
Nov 6, 2007
Last updated
Nov 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Dr. Jan D. Hobbs, M.D.NPI 1225090046
Title
Owner
Phone
(575) 622-2911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X CS00208445 NM Primary

Addresses

Primary practice location

342 Sherrill LN Ste a
Roswell, NM 88201-5831

Mailing address

342 Sherrill LN Ste a
Roswell, NM 88201-5831
Phone (575) 622-2911

Other identifiers 2

IdentifierTypeStateIssuer
NM009D18OtherNMBCBS OF NEW MEXICO
90859561OtherNMMEDICAID

National Provider Directory

National Provider Directory

Locations

342 Sherrill Ln
Ste A
Roswell, NM 88201
Phone (505) 622-2911

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1447430509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 SHERRILL LN STE A",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015831",
            "telephone_number": "575-622-2911",
            "fax_number": "575-622-2598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 SHERRILL LN STE A",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015831",
            "telephone_number": "575-622-2911",
            "fax_number": "575-622-2598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSWELL EAR, NOSE & THROAT & ALLERGY L. L. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "HOBBS",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-622-2911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "CS00208445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEW MEXICO",
            "identifier": "NM009D18",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "90859561",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.