EL PASO CENTER FOR PEDIATRIC GASTROENTEROLOGY PA (NPI# 1194208892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194208892 |
| Entity Type | Organization |
| Organization Name | EL PASO CENTER FOR PEDIATRIC GASTROENTEROLOGY PA |
| Practice Address |
2311 N Mesa St Ste C El Paso TX 79902-3575 |
| Practice Telephone | 9152690064 |
| Mailing Telephone | 9152690064 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2020-09-22 |
| Authorized Official Name | MARIDINE CO (PRESIDENT) |
| Authorized Official Telephone | 9152690064 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 384898803 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11331 James Watt Dr Ste 100, El Paso, TX 799366401 | 9152690064 |
| Street Address |
2311 N MESA ST STE C |
| City | EL PASO |
| State | TX |
| Zip Code | 79902-3575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467077883 | Texas Gastrodiagnostics, LLC | Internal Medicine | 2311 N Mesa St Ste C, El Paso, TX 79902-3575 | 2020-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457827222 | Planned Parenthood of Greater Texas - El Paso Family Planning | Clinic/Center | 1511 E. Missouri Ave, Ste B, El Paso, TX 79902 | 2018-10-19 |
| 1700364072 | Patricia Rosales | Counselor | 611 Newman Street, El Paso, TX 79902 | 2018-07-30 |
| 1275020117 | Maximo Arroyo | Acupuncturist | 1627 Montana Ave, El Paso, TX 79902 | 2018-04-17 |
| 1699288464 | Eva Gonzalez-lewis | Social Worker | 1225 E. Cliff Dr Bldg 3 Ste#100, El Paso, TX 79902 | 2017-11-14 |
| 1710496625 | Ivan Ramon Manuel Chavez | Spec/Tech, Health Info | 2924 Piedmont Dr, El Paso, TX 79902 | 2017-09-22 |
| 1609306992 | Vidanta Personal Assistance Services Inc | Nursing Care | 1801 E Yandell Dr, El Paso, TX 79902 | 2017-06-19 |
| 1083154967 | Lamp Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 1300 Murchison Dr. #200, El Paso, TX 79902 | 2017-02-27 |
| 1053769422 | Winston Lu | Pharmacist | 3001 N Mesa St, El Paso, TX 79902 | 2016-05-26 |
| 1841672904 | Norma Avitia | Counselor | 1225 E Cliff Dr Bldg 3, El Paso, TX 79902 | 2015-06-25 |
| 1962826370 | Josefina Avalos | Social Worker | 1101 E. Schuster, El Paso, TX 79902 | 2014-02-06 |
| Find all providers in zip 79902 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275532863 | Luis A Santos | Pediatrics | 125 W Hague Rd Ste 360, El Paso, TX 79902-5818 | 2005-07-18 |
| 1669912853 | Ho Din and Harrison Pllc | Pediatrics | 433 Executive Center Blvd, El Paso, TX 79902-1003 | 2017-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033537550 | Wenly Ruan | Pediatrics | 6701 Fannin St # D1010.00, Houston, TX 77030-2608 | 2014-04-01 |
| 1336566611 | Savini Lanka Britto | Pediatrics | 6621 Fannin Steet, Mark Wallace Tower 1010.00, Houston, TX 77030 | 2014-03-25 |
| 1609122860 | Huyen Nguyen | Pediatrics | 2350 N Stemmons Fwy Ste 4500, Dallas, TX 75207-2700 | 2012-07-25 |
| 1871736504 | Vera Ajuma Okwu | Pediatrics | 225 E Sonterra Blvd Ste 213, San Antonio, TX 78258-3992 | 2009-04-10 |
| 1770749947 | Gi Care for Kids Pa | Pediatrics | 1810 Hale Ave, Suite 9, Harlingen, TX 78550-7541 | 2008-08-06 |
| 1306009436 | Robert Simek | Pediatrics | 3502 9th St Ste 320, Lubbock, TX 79415-3368 | 2008-07-09 |
| 1679771117 | Lillienne Yoon Chan | Pediatrics | 7777 Forest Ln Ste B304, Dallas, TX 75230-6818 | 2007-07-05 |
| 1578639340 | Nelson Jesus Spinetti | Pediatrics | 2707 Cornerstone Blvd, Edinburg, TX 78539-8464 | 2006-11-25 |
| 1598845836 | Bryan S. Vartabedian | Pediatrics | 17580 Interstate 45 South, The Woodlands, TX 77384 | 2006-10-17 |
| 1831109909 | Ben Joseph Elizondo | Pediatrics | 109 Gallery Circle, Suite 127, San Antonio, TX 78258 | 2006-08-09 |
| 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.