New Mexico Medical Surgical Hospital LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NEW MEXICO MEDICAL SURGICAL HOSPITAL LLC

Doing business as

Roswell Regional Family Care

Practice address

2335 N Main St
Roswell, NM 88201-6452

Phone

(575) 622-4665

Fax

(575) 622-4557

NPI assigned

Mar 24, 2010

Last updated

Mar 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen C. Petrovich

Title

Senior Vice President

Phone

(615) 296-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Roswell Regional Family Care Doing business as

Locations

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.

• Frederick B French, M.D.

  • Specialist
  • Roswell, NM
  • NPI 1689649394
  NPD (past)

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1699099390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 N MAIN ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882016452",
            "telephone_number": "575-622-4665",
            "fax_number": "575-622-4557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 N MAIN ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882016452",
            "telephone_number": "575-622-4665",
            "fax_number": "575-622-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO MEDICAL SURGICAL HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "PETROVICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "615-296-3000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7707576",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roswell Regional Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alicia Nevarez Metcalf
• New Day Services, LLC
• New Mexico Healthcare Services LLC (Excelacare Home Health)
• New Mexico Medical Surgical Hospital LLC (Roswell Regional Hospital)
• New Mexico Medical Surgical Hospital LLC (Roswell Regional Hospital)
• New Mexico Prosthetic-Orthotic Center, Inc
• New Mexico Psychiatric Services Corporation
• New Mexico Speech and Swallowing Services, LLC
• Newmex Case Management, LLC
• Next Phase Inc. (Comfort Keepers)

• Family Medicine Physician in Roswell, NM
• Providers in Roswell, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.