Active NPI
McGuire Wound & Ostomy Center PC
- Nurse Practitioner
- Roswell, NM
National Provider Identifier
1801030093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R38567
- Legal business name
- MCGUIRE WOUND & OSTOMY CENTER PC
- Practice address
- 1717 W 2ND St
Suite 101
Roswell, NM 88201-2000 - Phone
- (575) 624-2095
- NPI assigned
- May 1, 2009
- 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
- Randall McGuire
- Title
- Owner
- Phone
- (575) 624-2095
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R38567 | NM | Primary |
Addresses
Primary practice location
1717 W 2ND St
Suite 101
Roswell, NM 88201-2000
Mailing address
PO Box 1555
Roswell, NM 88202
Phone (575) 624-2095
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343347200000",
"number": "1801030093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1555",
"city": "ROSWELL",
"state": "NM",
"postal_code": "88202",
"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": "1717 W 2ND ST",
"address_2": "SUITE 101",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882012000",
"telephone_number": "575-624-2095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCGUIRE WOUND & OSTOMY CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-01",
"last_updated": "2012-07-27",
"status": "A",
"authorized_official_last_name": "MCGUIRE",
"authorized_official_first_name": "RANDALL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "575-624-2095"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "R38567",
"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 Jul 27, 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.