Organization Active NPI

Women's Medical Center LLP

  • Obstetrics & Gynecology Physician
  • Clovis, NM
National Provider Identifier
1780683292
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
8738 Issued in NM
Legal business name
WOMEN'S MEDICAL CENTER LLP
Practice address
2000 W 21St St
Suite a-1
Clovis, NM 88101-4087
Phone
(505) 762-8055
Fax
(505) 763-3351
NPI assigned
Jul 18, 2005
Last updated
May 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Lonnie Ray
Title
Administrator
Phone
(575) 762-8055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 8738 NM Primary

Addresses

Primary practice location

2000 W 21St St
Suite a-1
Clovis, NM 88101-4087

Mailing address

2000 W 21St St
Suite a-1
Clovis, NM 88101-4087
Phone (505) 762-8055

National Provider Directory

National Provider Directory

Locations

2000 W 21st St
Clovis, NM 88101
Phone (505) 762-8055

2000 W 21st St
Ste A1
Clovis, NM 88101
Phone (505) 762-8055

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1780683292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W 21ST ST",
            "address_2": "SUITE A-1",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014087",
            "telephone_number": "505-762-8055",
            "fax_number": "505-763-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W 21ST ST",
            "address_2": "SUITE A-1",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881014087",
            "telephone_number": "505-762-8055",
            "fax_number": "505-763-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S MEDICAL CENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "LONNIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "575-762-8055"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NM",
            "license": "8738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.