NPIMap

Organization Active NPI

Spine and Orthopedic Center of New Mexico PC

  • Orthopaedic Surgery Physician
  • Roswell, NM
National Provider Identifier
1972941474
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2002-0310 Issued in NM
Legal business name
SPINE AND ORTHOPEDIC CENTER OF NEW MEXICO PC
Practice address
400 N Pennsylvania Ave
Suite 101
Roswell, NM 88201-4754
Phone
(575) 623-9101
Fax
(575) 623-3020
NPI assigned
Jun 6, 2013
Last updated
Jan 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Dr. Omar Nizar Osmani, M.D.NPI 1376594903
Title
Owner
Phone
(575) 623-9101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 2002-0310 NM Primary
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0114X 2002-0310 NM
Orthopaedic Surgery of the Spine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0117X 2002-0310 NM

Addresses

Primary practice location

400 N Pennsylvania Ave
Suite 101
Roswell, NM 88201-4754

Mailing address

400 N Pennsylvania Ave
Suite 101
Roswell, NM 88201-4754
Phone (575) 623-9101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130927000281 NM Part B Supplier - Clinic/Group Practice 3870727175 Receives reassigned benefits from 13 practitioners
Practice locations: Roswell, NM
O20141117000924 NM DME Supplier - Physician - Orthopedic/Orthopedic Surgery 3870727175 Practice locations: Roswell, NM

National Provider Directory

National Provider Directory

Locations

400 N Pennsylvania Ave
Roswell, NM 88201
Phone (575) 623-9101

400 N Pennsylvania Ave
Ste 101
Roswell, NM 88201
Phone (575) 623-9101

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7206/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1972941474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N PENNSYLVANIA AVE",
            "address_2": "SUITE 101",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014754",
            "telephone_number": "575-623-9101",
            "fax_number": "575-623-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N PENNSYLVANIA AVE",
            "address_2": "SUITE 101",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014754",
            "telephone_number": "575-623-9101",
            "fax_number": "575-623-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND ORTHOPEDIC CENTER OF NEW MEXICO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "OSMANI",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "NIZAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-623-9101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NM",
            "license": "2002-0310",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NM",
            "license": "2002-0310",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NM",
            "license": "2002-0310",
            "primary": false
        }
    ],
    "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 Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.