EAST EL PASO PHYSICIANS GROUP, INC. (NPI# 1083957625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083957625 |
| Entity Type | Organization |
| Organization Name | EAST EL PASO PHYSICIANS GROUP, INC. |
| Practice Address |
1416 George Dieter Dr El Paso TX 79936-7601 |
| Practice Telephone | 9155984240 |
| Practice Fax Number | 9155984412 |
| Mailing Telephone | 9155984240 |
| Mailing Fax Number | 9155984412 |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2016-03-03 |
| Authorized Official Name | ALFREDO ONTIVEROS (CEO) |
| Authorized Official Telephone | 9155984240 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAST EL PASO PHYSICIANS MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
1416 GEORGE DIETER DR |
| City | EL PASO |
| State | TX |
| Zip Code | 79936-7601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487659884 | Physicians Specialty Hospital of El Paso East Lp | General Acute Care Hospital | 1416 George Dieter Dr, El Paso, TX 79936-7601 | 2005-06-14 |
| 1609351907 | Samuel Sanchez | Nurse Anesthetist, Certified Registered | 1416 George Dieter Dr, El Paso, TX 79936-7601 | 2018-10-02 |
| 1962985937 | Louis Vincent Barton | Nurse Anesthetist, Certified Registered | 1416 George Dieter Dr, El Paso, TX 79936-7601 | 2018-09-14 |
| 1497244974 | Christopher P Belli | Nurse Anesthetist, Certified Registered | 1416 George Dieter Dr, El Paso, TX 79936 | 2018-05-09 |
| 1174926125 | Texas Ams Pllc | Nurse Anesthetist, Certified Registered | 1416 George Dieter Dr, El Paso, TX 79936-7601 | 2014-10-06 |
| 1811328438 | Torres Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 1416 George Dieter Dr, El Paso, TX 79936-7601 | 2013-12-07 |
| 1659712784 | Volunteer Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 1416 George Dieter Dr, El Paso, TX 79936-7601 | 2013-07-17 |
| 1205277456 | Jckm, LLC Abbe C Fannin Sole Mbr | Nurse Anesthetist, Certified Registered | 1416 George Dieter Dr, El Paso, TX 79936-7601 | 2013-07-16 |
| 1790028355 | Am Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 1416 George Dieter Dr, El Paso, TX 79936-7601 | 2013-04-02 |
| 1023364650 | Clinical Physicians Pathology Lab | Clinical Medical Laboratory | 1416 George Dieter Dr, El Paso, TX 79936-7601 | 2012-08-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1346889953 | Georges Chiropractic and Wellness Center, Pa | Chiropractor | 1400 N Zaragosa Suite D, El Paso, TX 79936 | 2019-12-30 |
| 1316597768 | Larry Felix | Specialist/Technologist | 11720 Teachers Dr., El Paso, TX 79936 | 2019-09-18 |
| 1508323486 | Aaron John Palos | Pharmacist | 11320 Montwood, Pharmacy, El Paso, TX 79936 | 2019-02-27 |
| 1366919508 | Katrina Belvin | Social Worker | 1390 Georger Dieter Dr., #140, El Paso, TX 79936 | 2018-10-25 |
| 1063993244 | Assisted Living | Meals | 11065 Tom Weiskopf Dr, El Paso, TX 79936 | 2018-08-24 |
| 1588142962 | Miriam Salazar | Occupational Therapy Assistant | 1351 James Watt Dr., El Paso, TX 79936 | 2018-07-30 |
| 1902315179 | David Galindo | Occupational Therapist | 1415 Zaragoza, El Paso, TX 79936 | 2017-09-20 |
| 1861915589 | Lizette Salcido | Behavior Technician | 3221 Running Deer Dr., El Paso, TX 79936 | 2017-07-25 |
| 1659801264 | Edith Nneoma Vincent | Registered Nurse | 11829 Gwen Evans Ln, El Paso, TX 79936 | 2017-06-15 |
| Find all providers in zip 79936 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346777190 | Diagnostic Pro Imaging | Radiology | 1335 Geronimo Dr, El Paso, TX 79925-1836 | 2017-05-11 |
| 1710388681 | Charles R De Jesus Morales | Radiology | 5001 El Paso Drive Csb-a02, Ttuhsc Radiology Dpt., El Paso, TX 79905 | 2014-09-10 |
| 1790051597 | Sajeev Rajan Ezhapilli Chennan | Radiology | 4815 Alameda Ave Dept Of, El Paso, TX 79905-2705 | 2012-03-26 |
| 1417235714 | Dinesh Kumar Sundarakumar | Radiology | 2001 No Oregron Street, El Paso, TX 79902-3320 | 2011-08-03 |
| 1033414404 | Point of View Imaging, LLC | Radiology | 10501 Gateway Blvd W Ste 140, El Paso, TX 79925-7929 | 2011-01-17 |
| 1467688325 | Silvia Ursula Green | Radiology | 5005 N. Piedras Strees, El Paso, TX 79920 | 2009-06-05 |
| 1386818417 | Isuani Radiology, P.a. | Radiology | 4150 Rio Bravo, Suite 201, El Paso, TX 79902-1054 | 2008-04-18 |
| 1669645065 | Joseph Ungar | Radiology | 410 Thorn Ave Apt 15, El Paso, TX 79912-1339 | 2008-04-07 |
| 1992989859 | Jose Gavito-higuera | Radiology | 4805 Alberta Ave, El Paso, TX 79905-2709 | 2007-12-27 |
| 1861698276 | Daniel Simon Schlusselberg | Radiology | 6090 Surety Dr Ste 101, El Paso, TX 79905-2060 | 2007-06-22 |
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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.