Active NPI
D.M.C. Hospitalist, P.C.
- Hospitalist Physician
- Roswell, NM
National Provider Identifier
1578729000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- D.M.C. HOSPITALIST, P.C.
- Practice address
- 117 E 19TH St
Roswell, NM 88201-5151 - Phone
- (856) 858-6650
- NPI assigned
- Aug 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kurt Zumwalt
- Title
- Ceo
- Phone
- (410) 429-6115
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Hospitalist Physician | 208M00000X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
117 E 19TH St
Roswell, NM 88201-5151
Mailing address
1765 E Nine Mile Rd Ste 1-229
Pensacola, FL 32514-5479
Phone (410) 429-6115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03072339 | Medicaid | NM |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582243200000",
"number": "1578729000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1765 E NINE MILE RD STE 1-229",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325145479",
"telephone_number": "410-429-6115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E 19TH ST",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882015151",
"telephone_number": "856-858-6650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D.M.C. HOSPITALIST, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-04",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A",
"authorized_official_last_name": "ZUMWALT",
"authorized_official_first_name": "KURT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "410-429-6115",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03072339",
"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 Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.