DONIPHAN PEDIATRICS PA (NPI# 1114385150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114385150 |
| Entity Type | Organization |
| Organization Name | DONIPHAN PEDIATRICS PA |
| Practice Address |
6621 Doniphan Dr Suite E Canutillo TX 79835-5002 |
| Practice Telephone | 9156424117 |
| Practice Fax Number | 9156424113 |
| Mailing Telephone | 9156424117 |
| Mailing Fax Number | 9156424113 |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |
| Authorized Official Name | VALERIA LARIS (HUMAN RESOURCES MANAGEMENT) |
| Authorized Official Telephone | 9156424117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932529542 | Doniphan Pediatrics Pa | Pediatrics | 6621 Doniphan Dr, Space D, Canutillo, TX 79835-5002 | 2014-04-22 |
| Street Address |
6621 DONIPHAN DR SUITE E |
| City | CANUTILLO |
| State | TX |
| Zip Code | 79835-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467632497 | Elizabeth Ceniceros | Counselor | 6621 Doniphan Dr, Suite G, Canutillo, TX 79835-5002 | 2007-11-07 |
| 1932529542 | Doniphan Pediatrics Pa | Pediatrics | 6621 Doniphan Dr, Space D, Canutillo, TX 79835-5002 | 2014-04-22 |
| 1255761144 | Melinda Gutierrez | Registered Nurse | 6621 Doniphan Dr, Canutillo, TX 79835-5002 | 2013-11-14 |
| 1093087041 | Elizabeth Jaramillo | Counselor | 6621 Doniphan Dr, Canutillo, TX 79835-5002 | 2012-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676723 | Araceli Daniela Locatelli | Behavior Technician | 6969 Fourth St., Canutillo, TX 79835 | 2019-05-29 |
| 1205208501 | Lorena Trevizo | Student in an Organized Health Care Education/Training Program | 6845 Doniphan, Canutillo, TX 79835 | 2015-10-26 |
| 1073993184 | Project Vida Health Center | Clinic/Center | 7000 E. 5th Street, Canutillo, TX 79835 | 2015-06-03 |
| 1487062212 | Maricela Hernandez | Dentist | 1713 Banker Road, Canutillo, TX 79835 | 2014-07-24 |
| 1861701484 | Northwest Community Health Center | Family Medicine | 7065 Second St, Canutillo, TX 79835 | 2010-09-30 |
| 1972837250 | Gabriela Villaneda | Speech-Language Pathologist | 1117 Tiffany Rd, 1117 Tiffany, Canutillo, TX 79835 | 2009-09-19 |
| 1932353257 | Chetan Shivaram Dds P.c | Dentist | 6821 Doniphan Dr, Canutillo, TX 79835 | 2008-11-13 |
| 1053430736 | Lauro Joseph Bustamante | Counselor | 6621 Doniphan, Canutillo, TX 79835 | 2007-03-27 |
| 1265566541 | Centro De Salud Familiar La Fe, Inc. | Clinic/Center | 1713 Banker Rd., El Paso, TX 79835 | 2007-03-16 |
| 1508957549 | Arthur Lee Daniel Jr. | Pharmacy | 6898 Doniphan, Canutillo, TX 79835 | 2006-09-27 |
| Find all providers in zip 79835 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639776586 | West Texas Family Medicine, Pllc | Clinic/Center | 315 W Cleveland St, Hale Center, TX 79041 | 2020-10-05 |
| 1780298547 | Coryell County Memorial Hospital Authority | Clinic/Center | 498 Avenue E, Moody, TX 76557-3579 | 2020-08-31 |
| 1760005953 | Eastland Memorial Hospital District | Clinic/Center | Walnut Street Clinic, 200 Walnut Street Clinic, Ranger, TX 76448-7644 | 2020-05-21 |
| 1023631306 | Eastland Memorial Hospital District | Clinic/Center | Emh Regional Healthcare Clinic, 2314 W. Commerce Street, Eastland, TX 76448-7644 | 2020-05-21 |
| 1346862752 | Ascension Seton | Clinic/Center | 249 Sportsplex Dr., Suite 204, Dripping Springs, TX 78620-2350 | 2020-05-08 |
| 1255977211 | Frio Hospital Association | Clinic/Center | 801 Fm W 117, Dilley, TX 78017 | 2019-11-25 |
| 1700447950 | Scott & White Hospital - Marble Falls | Clinic/Center | 105 Fm2342, Kingsland, TX 78639-6010 | 2019-06-27 |
| 1275193005 | Brenham Family Practice and Obstetrics Pa | Clinic/Center | 601 Medical Pkwy Ste D, Brenham, TX 77833-5430 | 2019-06-14 |
| 1588137103 | Nocona Hospital District | Clinic/Center | 108 E Boggess St, Saint Jo, TX 76265-0238 | 2019-01-07 |
| 1033687900 | Gainesville Community Hospital, Inc. | Clinic/Center | 801 N Grand Ave Ste 1&4, Gainesville, TX 76240-3573 | 2018-11-08 |
| Find all providers with the same taxonomy | ||||
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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.