James F. Van Pelt,III,M.D.,PHD, P.C.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

91 338 Issued in NM

Legal business name

JAMES F. VAN PELT,III,M.D.,PHD, P.C.

Practice address

313 W Country Club Rd
Ste. 10
Roswell, NM 88201-5804

Phone

(575) 622-0816

Fax

(575) 623-6838

NPI assigned

Jun 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. James F Van Pelt III, M. D., PHD

Title

President/Medical Neurology

Phone

(575) 622-0816

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1639339955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 W COUNTRY CLUB RD",
            "address_2": "STE. 10",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015804",
            "telephone_number": "575-622-0816",
            "fax_number": "575-623-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W COUNTRY CLUB RD",
            "address_2": "STE. 10",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015804",
            "telephone_number": "575-622-0816",
            "fax_number": "575-623-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES F. VAN PELT,III,M.D.,PHD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "VAN PELT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL NEUROLOGY",
        "authorized_official_telephone_number": "575-622-0816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M. D., PHD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NM",
            "license": "91 338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31403531",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNM",
            "identifier": "NM002889",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack L Graham, MD, PC
• Holly M Jackson,, B.S.
• Brandon Jacobi, PHARMD
• Alan R Jakins, MD
• James E Lankford DDS PA
• Stephen Kent Janway, FNP-C
• Aaron Jasso, DNP, PMHNP
• Amanda Jauregui-Rodriguez
• Chelsie Jolene Jeakins
• Roxanne Jeffries

• Neurology Physician in Roswell, NM
• Providers in Roswell, NM by specialty
• Neurology Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.