1053546796 NPI number — SIAVASH KARIMIAN MD OF NEW MEXICO PC DBA ROSWELL MEDICO

NPI Number: 1053546796
Health Care Provider/Practitioner: SIAVASH KARIMIAN MD OF NEW MEXICO PC DBA ROSWELL MEDICO

NPI Number : 1053546796 – XML Data Format

                    
<?xml version="1.0" encoding="UTF-8"?>
<Npi>
	<NPI>
		1053546796
	</NPI>
	<EntityType>
		Organization
	</EntityType>
	<ReplacementNPI/>
	<EIN/>
	<IsSoleProprietor/>
	<IsOrgSubpart>
		Y
	</IsOrgSubpart>
	<ParentOrgLBN>
		SIAVASH KARIMIAN MD OF NEW MEXICO PC DBA ROSWELL MEDICO
	</ParentOrgLBN>
	<ParentOrgTIN/>
	<OrgName>
		SIAVASH KARIMIAN MD OF NEW MEXICO PC DBA ROSWELL MEDICO
	</OrgName>
	<LastName/>
	<FirstName/>
	<MiddleName/>
	<NamePrefix/>
	<NameSuffix/>
	<Credential/>
	<OtherOrgName/>
	<OtherOrgNameTypeCode>
		6
	</OtherOrgNameTypeCode>
	<OtherLastName/>
	<OtherFirstName/>
	<OtherMiddleName/>
	<OtherNamePrefix/>
	<OtherNameSuffix/>
	<OtherCredential/>
	<OtherLastNameTypeCode/>
	<FirstLineMailingAddress>
		PO BOX 1617
	</FirstLineMailingAddress>
	<SecondLineMailingAddress/>
	<MailingAddressCityName>
		ROSWELL
	</MailingAddressCityName>
	<MailingAddressStateName>
		NM
	</MailingAddressStateName>
	<MailingAddressPostalCode>
		88202-1617
	</MailingAddressPostalCode>
	<MailingAddressCountryCode>
		US
	</MailingAddressCountryCode>
	<MailingAddressTelephoneNumber>
		575-625-8430
	</MailingAddressTelephoneNumber>
	<MailingAddressFaxNumber>
		575-625-8452
	</MailingAddressFaxNumber>
	<FirstLinePracticeLocationAddress>
		1621 N. WASHINGTON AVE
	</FirstLinePracticeLocationAddress>
	<SecondLinePracticeLocationAddress/>
	<PracticeLocationAddressCityName>
		ROSWELL
	</PracticeLocationAddressCityName>
	<PracticeLocationAddressStateName>
		NM
	</PracticeLocationAddressStateName>
	<PracticeLocationAddressPostalCode>
		88201
	</PracticeLocationAddressPostalCode>
	<PracticeLocationAddressCountryCode>
		US
	</PracticeLocationAddressCountryCode>
	<PracticeLocationAddressTelephoneNumber>
		575-625-8430
	</PracticeLocationAddressTelephoneNumber>
	<PracticeLocationAddressFaxNumber>
		575-625-8452
	</PracticeLocationAddressFaxNumber>
	<EnumerationDate>
		05/26/2009
	</EnumerationDate>
	<LastUpdateDate>
		07/10/2013
	</LastUpdateDate>
	<NPIDeactivationReasonCode/>
	<NPIDeactivationReason/>
	<NPIDeactivationDate/>
	<NPIReactivationDate/>
	<GenderCode/>
	<Gender/>
	<AuthorizedOfficialLastName>
		KARIMIAN
	</AuthorizedOfficialLastName>
	<AuthorizedOfficialFirstName>
		SIAVASH
	</AuthorizedOfficialFirstName>
	<AuthorizedOfficialMiddleName/>
	<AuthorizedOfficialTitle>
		PRESIDENT/OWENR
	</AuthorizedOfficialTitle>
	<AuthorizedOfficialNamePrefix>
		MR.
	</AuthorizedOfficialNamePrefix>
	<AuthorizedOfficialNameSuffix/>
	<AuthorizedOfficialCredential>
		MD
	</AuthorizedOfficialCredential>
	<AuthorizedOfficialTelephoneNumber>
		575-625-8430
	</AuthorizedOfficialTelephoneNumber>
	<Taxonomies>
		<Taxonomy>
			<TaxonomyCode>
				174400000X
			</TaxonomyCode>
			<TaxonomyName>
				Specialist
			</TaxonomyName>
			<LicenseNumber>
				MD2011-0412
			</LicenseNumber>
			<LicenseNumberStateCode>
				NM
			</LicenseNumberStateCode>
			<PrimaryTaxonomySwitch>
				N
			</PrimaryTaxonomySwitch>
		</Taxonomy>
		<Taxonomy>
			<TaxonomyCode>
				363A00000X
			</TaxonomyCode>
			<TaxonomyName>
				Physician Assistant
			</TaxonomyName>
			<LicenseNumber>
				2001-PA31
			</LicenseNumber>
			<LicenseNumberStateCode>
				NM
			</LicenseNumberStateCode>
			<PrimaryTaxonomySwitch>
				N
			</PrimaryTaxonomySwitch>
		</Taxonomy>
		<Taxonomy>
			<TaxonomyCode>
				363LP2300X
			</TaxonomyCode>
			<TaxonomyName>
				Primary Care Nurse Practitioner
			</TaxonomyName>
			<LicenseNumber>
				CNP001177
			</LicenseNumber>
			<LicenseNumberStateCode>
				NM
			</LicenseNumberStateCode>
			<PrimaryTaxonomySwitch>
				N
			</PrimaryTaxonomySwitch>
		</Taxonomy>
		<Taxonomy>
			<TaxonomyCode>
				363LA2100X
			</TaxonomyCode>
			<TaxonomyName>
				Acute Care Nurse Practitioner
			</TaxonomyName>
			<LicenseNumber>
				CNP02096
			</LicenseNumber>
			<LicenseNumberStateCode>
				NM
			</LicenseNumberStateCode>
			<PrimaryTaxonomySwitch>
				N
			</PrimaryTaxonomySwitch>
		</Taxonomy>
		<Taxonomy>
			<TaxonomyCode>
				101YP2500X
			</TaxonomyCode>
			<TaxonomyName>
				Professional Counselor
			</TaxonomyName>
			<LicenseNumber>
				143171
			</LicenseNumber>
			<LicenseNumberStateCode>
				NM
			</LicenseNumberStateCode>
			<PrimaryTaxonomySwitch>
				N
			</PrimaryTaxonomySwitch>
		</Taxonomy>
		<Taxonomy>
			<TaxonomyCode>
				207Q00000X
			</TaxonomyCode>
			<TaxonomyName>
				Family Medicine Physician
			</TaxonomyName>
			<LicenseNumber>
				MD2007-0234
			</LicenseNumber>
			<LicenseNumberStateCode>
				NM
			</LicenseNumberStateCode>
			<PrimaryTaxonomySwitch>
				Y
			</PrimaryTaxonomySwitch>
		</Taxonomy>
	</Taxonomies>
	<HealthcareProviderTaxonomyGroups>
		<HealthcareProviderTaxonomyGroup>
			<HealthcareProviderTaxonomyGroupName>
				193200000X MULTI-SPECIALTY GROUP
			</HealthcareProviderTaxonomyGroupName>
			<HealthcareProviderTaxonomyGroupDescription>
				Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
			</HealthcareProviderTaxonomyGroupDescription>
		</HealthcareProviderTaxonomyGroup>
		<HealthcareProviderTaxonomyGroup>
			<HealthcareProviderTaxonomyGroupName>
				193200000X MULTI-SPECIALTY GROUP
			</HealthcareProviderTaxonomyGroupName>
			<HealthcareProviderTaxonomyGroupDescription>
				Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
			</HealthcareProviderTaxonomyGroupDescription>
		</HealthcareProviderTaxonomyGroup>
		<HealthcareProviderTaxonomyGroup>
			<HealthcareProviderTaxonomyGroupName>
				193200000X MULTI-SPECIALTY GROUP
			</HealthcareProviderTaxonomyGroupName>
			<HealthcareProviderTaxonomyGroupDescription>
				Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
			</HealthcareProviderTaxonomyGroupDescription>
		</HealthcareProviderTaxonomyGroup>
		<HealthcareProviderTaxonomyGroup>
			<HealthcareProviderTaxonomyGroupName>
				193200000X MULTI-SPECIALTY GROUP
			</HealthcareProviderTaxonomyGroupName>
			<HealthcareProviderTaxonomyGroupDescription>
				Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
			</HealthcareProviderTaxonomyGroupDescription>
		</HealthcareProviderTaxonomyGroup>
		<HealthcareProviderTaxonomyGroup>
			<HealthcareProviderTaxonomyGroupName>
				193200000X MULTI-SPECIALTY GROUP
			</HealthcareProviderTaxonomyGroupName>
			<HealthcareProviderTaxonomyGroupDescription>
				Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
			</HealthcareProviderTaxonomyGroupDescription>
		</HealthcareProviderTaxonomyGroup>
		<HealthcareProviderTaxonomyGroup>
			<HealthcareProviderTaxonomyGroupName>
				193200000X MULTI-SPECIALTY GROUP
			</HealthcareProviderTaxonomyGroupName>
			<HealthcareProviderTaxonomyGroupDescription>
				Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization.
			</HealthcareProviderTaxonomyGroupDescription>
		</HealthcareProviderTaxonomyGroup>
	</HealthcareProviderTaxonomyGroups>
</Npi>

                    
                

NPI Number XSD (XML Schema Definition)

                
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                           <xs:element name="LastName" type="xs:string"></xs:element>
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                           <xs:element name="AuthorizedOfficialLastName"></xs:element>
                           <xs:element name="AuthorizedOfficialFirstName"></xs:element>
                           <xs:element name="AuthorizedOfficialMiddleName"></xs:element>
                           <xs:element name="AuthorizedOfficialTitle"></xs:element>
                           <xs:element name="AuthorizedOfficialNamePrefix"></xs:element>
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                           <xs:element name="AuthorizedOfficialCredential"></xs:element>
                           <xs:element name="AuthorizedOfficialTelephoneNumber"></xs:element>
                           <xs:element name="Taxonomies">
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                                                               <xs:element name="LicenseNumber" type="xs:string"></xs:element>
                                                               <xs:element name="LicenseNumberStateCode" type="xs:string"></xs:element>
                                                               <xs:element name="PrimaryTaxonomySwitch" type="xs:string"></xs:element>
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