NORTHEAST PEDIATRIC NIGHT CLINIC, P.A. (NPI# 1174670533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174670533 |
| Entity Type | Organization |
| Organization Name | NORTHEAST PEDIATRIC NIGHT CLINIC, P.A. |
| Practice Address |
10755 Kenworthy St El Paso TX 79924-1717 |
| Practice Telephone | 9158215900 |
| Practice Fax Number | 9158215902 |
| Mailing Telephone | 9158215900 |
| Mailing Fax Number | 9158215902 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. HECTOR I OCARANZA (PRESIDENT) |
| Authorized Official Telephone | 9158215900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
K8807 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
10755 KENWORTHY ST |
| City | EL PASO |
| State | TX |
| Zip Code | 79924-1717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477741 | Akintoluwa Anthony Akinjaiyeju | Pediatrics | 10755 Kenworthy St, El Paso, TX 79924-1717 | 2005-06-16 |
| 1972037364 | Katrina Perez | Nurse Practitioner | 10755 Kenworthy St, El Paso, TX 79924-1717 | 2017-04-12 |
| 1578615704 | Northeast Cornerstone Pediatrics,pa | Pediatrics | 10755 Kenworthy St, El Paso, TX 79924-1717 | 2007-01-17 |
| 1023170859 | Mercedes Hidalgo Martinez | Registered Nurse | 10755 Kenworthy St, El Paso, TX 79924-1717 | 2006-12-15 |
| 1205998846 | Banke Olukemi Akinjaiyeju | Pharmacist | 10755 Kenworthy St, El Paso, TX 79924-1717 | 2006-12-13 |
| 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 | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447789250 | Ab Pediatric Health Clinic Pllc | Pediatrics | 1400 N El Paso St Ste E, El Paso, TX 79902-3438 | 2017-06-06 |
| 1841347218 | Border Pediatrics, P.a. | Pediatrics | 4500 N Mesa St, El Paso, TX 79912-6102 | 2007-01-05 |
| 1033260641 | Paul C Nowak | Pediatrics | 1225 E Cliff Dr, Bldg. 3 Suite 100, El Paso, TX 79902-4732 | 2007-01-12 |
| 1043387418 | Ruth Bernal | Pediatrics | 8061 Alameda Ave, El Paso, TX 79915-4705 | 2006-11-29 |
| 1003824038 | Texas Tech University Health Sciences Center El Paso | Pediatrics | 4801 Alberta Ave., El Paso, TX 79905 | 2006-08-04 |
| 1962435370 | Pediatric Group of Central El Paso | Pediatrics | 1400 N El Paso St, Bldg. E, El Paso, TX 79902-3437 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619440450 | Wishing Well Children's Clinic, Pllc | Pediatrics | 1259 Fm 1463, Suite 300, Katy, TX 77494 | 2019-01-04 |
| 1205284619 | Asha Davidson | Pediatrics | 6431 Fannin St Ste Msb 3126, Houston, TX 77030-1501 | 2016-05-25 |
| 1295113538 | Chandra Garvey | Pediatrics | 3600 Shire Blvd Ste 110, Richardson, TX 75082-2236 | 2015-05-06 |
| 1588099360 | Jennifer L Pitts | Pediatrics | 23920 Katy Fwy Ste 150, Katy, TX 77494-0881 | 2013-09-11 |
| 1699018705 | Steven Anthony Ricondo | Pediatrics | 6701 Fannin St Ste 1710, Houston, TX 77030-2616 | 2013-03-27 |
| 1568708006 | Marvin Ray Raley | Pediatrics | 1221 Welch St Apt 2, Houston, TX 77006-1180 | 2013-01-02 |
| 1346575867 | Andre Youssef Zarzour | Pediatrics | 8615 Herts Rd, Spring, TX 77379-6720 | 2009-10-16 |
| 1386885499 | Rockwall Medical Association, Pa | Pediatrics | 114 Kenway St, Rockwall, TX 75087-3536 | 2009-03-19 |
| 1851576516 | Elgin Pediatrics, Pa | Pediatrics | 214 Highway 290 E, Elgin, TX 78621-3214 | 2007-12-31 |
| 1588847107 | Raymonville Pediatrics | Pediatrics | 910 E Hidalgo Ave, Raymondville, TX 78580-4095 | 2007-12-06 |
| 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.