DR. BLAKE ELDEN WAYMAN (NPI# 1205947033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205947033 |
| Entity Type | Individual |
| Full Name | DR. BLAKE ELDEN WAYMAN |
| Practice Address |
6901 Helen of Troy Drive, Bldg C El Paso TX 79911-3043 |
| Mailing Address |
6024 Upper Valley Rd El Paso TX 79932-4305 |
| Practice Telephone | 9155818090 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-08-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
12342 | TX | Dental Providers |
| Street Address |
6901 HELEN OF TROY DRIVE, BLDG C |
| City | EL PASO |
| State | TX |
| Zip Code | 79911-3043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669763 | Jared Lanham | Nurse Anesthetist, Certified Registered | 200 Woodrow Bean, El Pao, TX 79911 | 2020-04-27 |
| 1447809884 | Anthony Viscon | Nurse Practitioner | 2000 Woodrow Bean Transmountain Rd, El Paso, TX 79911 | 2019-09-09 |
| 1053977892 | Itzel Rivera | Nurse Practitioner | 2000 B Transmountain Road, Suite B 400, El Paso, TX 79911 | 2019-05-16 |
| 1518438878 | Peak Family Dental, PC | Clinic/Center | 7470 Cimarron Market, Bldg 6 Ste 300, El Paso, TX 79911 | 2018-12-16 |
| 1447789714 | Jennie Choi | Behavior Technician | 7340 Golden Sage Drive, El Paso, TX 79911 | 2017-06-08 |
| 1770035545 | Texas Tech University Health Sciences Center | Pathology | 2000 Transmountain Road, El Paso, TX 79911 | 2016-10-27 |
| 1255789616 | Texas Tech University Health Sciences Center El Paso | Pediatrics | 2000 B Transmountain Road, El Paso, TX 79911 | 2016-05-26 |
| 1538522412 | Tenet Hospitals Limited | General Acute Care Hospital | 2000 Transmountain Rd, El Paso, TX 79911 | 2016-03-30 |
| 1225340722 | Jesse Cheng Qiao | Family Medicine | 2000 A Transmountain, El Paso, TX 79911 | 2010-07-13 |
| 1164747861 | James Helge Nelson | Orthopaedic Surgery | 2000 Trans Mountain Rd Ste B, El Paso, TX 79911 | 2010-04-06 |
| Find all providers in zip 79911 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588947212 | Fox Plaza PC | Dentist | 5561 Alameda Ave Ste B, El Paso, TX 79905-2915 | 2011-09-20 |
| 1154500379 | North Mesa Dental, PC | Dentist | 615 Zargoza Road, Suite 88, El Paso, TX 79907 | 2007-10-25 |
| 1023078284 | Charles Hillam Stuart | Dentist | 7211 N Mesa St Ste 2, El Paso, TX 79912-3611 | 2006-03-23 |
| 1407831886 | Samuel Joseph Angulo | Dentist | 7332 Remcon Cir, Suite A, El Paso, TX 79912-1623 | 2005-12-08 |
| 1760020168 | Yuto Endo | Dentist | 1397 George Dieter Dr Ste B, El Paso, TX 79936-7681 | 2019-12-16 |
| 1750815882 | Viscount Endodontic Group Pllc | Dentist | 9398 Viscount Blvd, Ste. 4b, El Paso, TX 79925-8056 | 2017-04-15 |
| 1437464559 | Diana Kee-sun Choi | Dentist | 5005 N Piedras St, El Paso, TX 79920-5002 | 2010-08-12 |
| 1548498538 | North Mesa Dental, PC | Dentist | 1840 N Lee Trevino Dr, El Paso, TX 79936-4136 | 2009-06-29 |
| 1245366491 | Westside Endodontic Associates | Dentist | 7211 N Mesa St, Suite 2e, El Paso, TX 79912-3611 | 2007-02-24 |
| 1932215118 | Harry Vance Whitehill | Dentist | 1533 N Lee Trevino Dr, Suite 210, El Paso, TX 79936-5170 | 2006-08-21 |
| 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.