Paul R. Whitwam, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

73-226 Issued in NM

Practice address

601 W Country Club Rd
Suite #102
Roswell, NM 88201-5224

Phone

(575) 623-3333

Fax

(575) 624-4781

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1912950122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W COUNTRY CLUB RD",
            "address_2": "SUITE #102",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015224",
            "telephone_number": "575-623-3333",
            "fax_number": "575-624-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W COUNTRY CLUB RD",
            "address_2": "SUITE #102",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882015224",
            "telephone_number": "575-623-3333",
            "fax_number": "575-624-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITWAM",
        "first_name": "PAUL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "73-226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21977364",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raelene Whitehead
• Barbara L. Whitlock, M.E.D.
• Brian Keith Whitlock, PH.D.
• Rachel M. Whitlock, DO
• Barbara Gloria Whitten, NP
• Whole World Health Care, PC
• Roger Willcoxen, RRT, AE-C
• Ayanna Williams, DNP
• Dale Williams, LPCC
• Kila Williams, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.