DR. SAW SAN (NPI# 1043548514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043548514 |
| Entity Type | Individual |
| Full Name | DR. SAW SAN |
| Credential | D.O. |
| Practice Address |
Soldiers Family Medical Clinic -11th Abd Bde Surgeon Fort Bliss El Paso TX 79916 |
| Mailing Address |
4649 Loma Del Sur Dr 3305 El Paso TX 79934-3350 |
| Practice Telephone | 5174889607 |
| Mailing Telephone | 5174889607 |
| Enumeration Date | 2009-11-21 |
| Last Update Date | 2011-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 5101019069 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
SOLDIERS FAMILY MEDICAL CLINIC -11TH ABD BDE SURGEON FORT BLISS |
| City | EL PASO |
| State | TX |
| Zip Code | 79916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730717042 | James Cain | Dietitian, Registered | Fort Bliss, El Paso, TX 79916 | 2020-03-31 |
| 1477190783 | Daryl E. Stevens Sr. | Social Worker | 2415 Carrington Rd, El Paso, TX 79916 | 2019-12-05 |
| 1427518901 | Danielle Hicks | Physician Assistant | 2496 Ricker Rd., El Paso, TX 79916 | 2019-03-21 |
| 1306327796 | Dustin Tyler Nygard | Dentist | East Bliss Dental Clinic, 21227 Torch St, Ft. Bliss, TX 79916 | 2018-08-24 |
| 1558886911 | Aaron M Lazuka | Dentist | Bldg 128 Chaffe Rd., Fort Bliss, TX 79916 | 2017-08-07 |
| 1487100012 | Cristina Martinez Madison | Dental Assistant | 2954 Carrington Rd, Fort Bliss, TX 79916 | 2016-09-01 |
| 1932559689 | Regina Vernetta Adamson | Dental Assistant | Bldg 128 Chaffee Road, Attn: Dentac Headquarters Us Army Dental Activity, Ft Bliss, TX 79916 | 2016-06-14 |
| 1760832471 | Yvonne Melton | Dental Hygienist | Us Army Dental Activity Bldg 128 Chaffee Road, Attn: Dentac Headquareters, Ft Bliss, TX 79916 | 2016-06-14 |
| 1780034405 | John Franklin Caswell | Dental Hygienist | Us Army Dental Activity, Bldg 128 Chaffee Road, Attn: Dentac Headquarters, Ft Bliss, TX 79916 | 2016-06-14 |
| 1073999231 | Martha Villafrade-blume | Social Worker | 2485 A Hinman Road, Fort Bliss, TX 79916 | 2015-08-10 |
| Find all providers in zip 79916 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528683810 | Umc El Paso Healthcare Inc | General Practice | 7500 Viscount Blvd Ste 140, El Paso, TX 79925-5692 | 2020-06-11 |
| 1023580925 | Esperanza Medical and Wellness | General Practice | 12102 Montwood Dr Ste F, El Paso, TX 79936-4570 | 2018-12-18 |
| 1386177400 | Luis Rochin | General Practice | 3215 Gateway Blvd W Ste B, El Paso, TX 79903-4225 | 2017-04-05 |
| 1881041689 | Colin Patrick Martyn | General Practice | 13001 Eastlake Blvd Ste 105, El Paso, TX 79928-6312 | 2016-05-21 |
| 1437512506 | Chirag Acharya | General Practice | 5501 N Stanton St Apt 6, El Paso, TX 79912 | 2016-04-05 |
| 1851773907 | Remigio Flor | General Practice | Wbamc, 5005 N Piedras St, Mchm-dos-gsr, El Paso, TX 79920-5001 | 2015-06-25 |
| 1821483322 | Cesar Siska | General Practice | 1409 Likins, El Paso, TX 79925-7992 | 2015-04-01 |
| 1245644673 | Robert Jessie Atchison | General Practice | 5005 N. Piedras St. Attn: Gme, William Beaumont Army Medical Center, El Paso, TX 79920-5001 | 2014-06-13 |
| 1124277629 | Denise Lavette Deshields | General Practice | 3901 State Jail Rd, El Paso, TX 79938-8465 | 2008-09-09 |
| 1831345495 | Sumithra Rajashekhar | General Practice | 11167 Leo Collins Dr, El Paso, TX 79936-4630 | 2008-08-14 |
| 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.