Organization Active NPI

Wayne a Delamater MD PA

  • Ophthalmology Physician
  • Roswell, NM
National Provider Identifier
1568577229
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WAYNE A DELAMATER MD PA
Practice address
1606 SE Main St
Roswell, NM 88203-5404
Phone
(575) 624-0370
Fax
(575) 624-0376
NPI assigned
Aug 20, 2006
Last updated
Oct 12, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Marilyn Heimmerman
Title
Office Manager
Phone
(575) 624-0370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

1606 SE Main St
Roswell, NM 88203-5404

Mailing address

PO Box 8190
Roswell, NM 88202-8190
Phone (575) 624-0370

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1568577229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8190",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882028190",
            "telephone_number": "575-624-0370",
            "fax_number": "575-624-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 SE MAIN ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882035404",
            "telephone_number": "575-624-0370",
            "fax_number": "575-624-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE A DELAMATER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "HEIMMERMAN",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "575-624-0370"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 12, 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.