DARRELL ELLIOTT BENKO (NPI# 1023538139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023538139 |
Entity Type | Individual |
Full Name | DARRELL ELLIOTT BENKO |
Credential | AGPCNP-BC |
Practice Address |
5212 Marcillus Ave El Paso TX 79924-5340 |
Practice Telephone | (915) 540-0263 |
Mailing Telephone | 9155400263 |
Enumeration Date | 2017-06-21 |
Last Update Date | 2017-07-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | AP134227 | TX | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP134227 | TX | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
787152 | TX | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP134227 | TX | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
787152 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP134227 | TX | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
787152 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5212 MARCILLUS AVE |
City | EL PASO |
State | TX |
Zip Code | 79924-5340 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134761331 | Cep America LLC | Emergency Medicine | 4669 Cohen Ave, El Paso, TX 79924 | 2019-10-09 |
1962906735 | Clara Nohely Velasquez-morales | Pharmacist | 9839 Kenworthy St., Pharmacy, El Paso, TX 79924 | 2018-03-19 |
1861846305 | Attea Catherine Costanzo | Speech-Language Pathologist | 5132 Prince Edward, El Paso, TX 79924 | 2016-04-21 |
1962807669 | Sam's East, Inc. | Technician/Technologist | 9498 Gateway North, El Paso, TX 79924 | 2014-10-24 |
1700287034 | San Lorenzo Adult Provider Services and Pediatrics LLC | In Home Supportive Care | 5625 Hemmingway, El Paso, TX 79924 | 2014-09-05 |
1790194561 | Amir A Yavari | Dentist | 10039 Dyer Street, El Paso, TX 79924 | 2014-08-06 |
1366781676 | Mary L Halliburton | Dietitian, Registered | 4741 Joel Drive, Apt 33, El Paso, TX 79924 | 2013-02-06 |
1902144330 | El Paso Viva Dental | Dentist | 9584 Dyer St., Suite B, El Paso, TX 79924 | 2013-01-18 |
1053682823 | Florentino Ray Penilla | Pharmacist | 10090 Rushing Road, El Paso, TX 79924 | 2012-01-25 |
1518296284 | Jeffrey Charles Gorbett | Pharmacist | 10780 Kenworthy, El Paso, TX 79924 | 2009-12-09 |
Find all providers in zip 79924 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194331470 | Clara Dornisha Green | Nurse Practitioner | 5847 Acacia Cir Apt 1816, El Paso, TX 79912-4881 | 2020-09-22 |
1952774523 | Alex Maese | Nurse Practitioner | 1641 N Zaragoza Rd Ste B, El Paso, TX 79936-7968 | 2015-11-04 |
1467052035 | Sandra Luz Herrera | Nurse Practitioner | 2311 N Mesa St Ste B, El Paso, TX 79902-3575 | 2020-10-31 |
1578108775 | Gabrielle Olivas | Nurse Practitioner | 1250 E Cliff Dr Ste 4d, El Paso, TX 79902-4846 | 2019-11-12 |
1811460579 | Gloria Adriana Rodriguez | Nurse Practitioner | 8915 Montana Ave, El Paso, TX 79925-1202 | 2019-01-05 |
1114429974 | Laura Graciela Lightner | Nurse Practitioner | 11890 Vista Del Sol Dr Ste A-117, El Paso, TX 79936-2501 | 2018-03-07 |
1023523107 | Cynthia Montanez-mckinney | Nurse Practitioner | 2260 Trawood Dr, El Paso, TX 79935-3040 | 2017-12-11 |
1558801308 | Mindy Estella Villa | Nurse Practitioner | 5001 N Piedras St, El Paso, TX 79930-4210 | 2017-02-27 |
1669916201 | Stela Middleton | Nurse Practitioner | 3270 Joe Battle Blvd, El Paso, TX 79938 | 2016-12-16 |
1013466390 | Homero Guaderrama | Nurse Practitioner | 300 S Zaragoza Rd, El Paso, TX 79907-6635 | 2016-09-27 |
Find all providers in EL PASO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.