Organization Active NPI

Mark Andrews MD LLC

  • Family Medicine Physician
  • Roswell, NM
National Provider Identifier
1700230265
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
99-155 Issued in NM
Legal business name
MARK ANDREWS MD LLC
Practice address
3200 Mission Arch Dr
Roswell, NM 88201-8307
Phone
(575) 624-2583
NPI assigned
Apr 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Mark Andrews, MD
Title
Owner
Phone
(575) 317-7934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 99-155 NM Primary

Addresses

Primary practice location

3200 Mission Arch Dr
Roswell, NM 88201-8307

Mailing address

PO Box 4669
Roswell, NM 88202-4669
Phone (575) 624-2095

National Provider Directory

National Provider Directory

Locations

111 W Hobbs St
Roswell, NM 88203
Phone (505) 623-3311

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1700230265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4669",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882024669",
            "telephone_number": "575-624-2095",
            "fax_number": "575-627-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 MISSION ARCH DR",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882018307",
            "telephone_number": "575-624-2583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK ANDREWS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-317-7934",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "99-155",
            "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 Apr 20, 2016; 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.