Mcmahon, Scott W
Mcmahon, Scott W is an individual health care provider with primary practice located at 330 N Main St , Roswell NM 88201-4725. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Mcmahon, Scott W can be contacted via phone (575) 624-2095.Contact Information
Primary practice address
330 N Main St
Roswell NM 88201-4725
Phone: (575) 624-2095
Fax: (575) 208-0780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 92-302 | New Mexico |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 92-302 | New Mexico |
Profile Details
| NPI number | 1528078938 |
|---|---|
| LBN Legal business name | Mcmahon, Scott W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 2006 |
| Last updated | Dec 23rd, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528078938 | NPPES |
| New Mexico | Other | NM009Y96 | BLUE CROSS BLUE SHIELD ID |
| New Mexico | MEDICAID | 17600065 | BLUE CROSS BLUE SHIELD ID |
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