DR. JUAN HERRADA (NPI# 1215934674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215934674 |
| Entity Type | Individual |
| Full Name | DR. JUAN HERRADA |
| Credential | M.D. |
| Practice Address |
7848 Gateway Blvd E El Paso TX 79915-1815 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 9155991313 |
| Practice Fax Number | 9155991635 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9724379605 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2008-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
J2449 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 000K3572 | 05 |
| Street Address |
7848 GATEWAY BLVD E |
| City | EL PASO |
| State | TX |
| Zip Code | 79915-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538309224 | Jennifer L Armendariz | Nurse Practitioner | 7848 Gateway Blvd E, El Paso, TX 79915-1815 | 2009-02-20 |
| 1245422518 | Sylvia A Coulehan | Nurse Practitioner | 7848 Gateway Blvd E, El Paso, TX 79915-1815 | 2007-08-10 |
| 1306923180 | Maria Chona Aloba | Internal Medicine | 7848 Gateway Blvd E, El Paso, TX 79915-1815 | 2006-11-01 |
| 1871680421 | Healthtexas Provider Network | Internal Medicine | 7848 Gateway Blvd E, El Paso, TX 79915-1815 | 2006-10-06 |
| 1669417937 | Oncology Pharmacy Services, Inc | Durable Medical Equipment & Medical Supplies | 7848 Gateway Blvd E, El Paso, TX 79915-1815 | 2006-06-19 |
| 1033158480 | Panagiotis N Valilis | Internal Medicine | 7848 Gateway Blvd E, El Paso, TX 79915-1815 | 2006-06-04 |
| 1477591493 | Arsenio Gregorio Lopez IIi | Internal Medicine | 7848 Gateway Blvd E, El Paso, TX 79915-1815 | 2006-06-03 |
| 1215975321 | Nanda K Gopalan | Internal Medicine | 7848 Gateway Blvd E, El Paso, TX 79915-1815 | 2006-06-02 |
| 1811944101 | Texas Oncology Pa | Internal Medicine | 7848 Gateway Blvd E, El Paso, TX 79915-1815 | 2006-05-30 |
| 1538169388 | Stephanie C. Han | Radiology | 7848 Gateway Blvd E, El Paso, TX 79915-1815 | 2005-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164081527 | Sandra Juarez | Licensed Vocational Nurse | 173 Coronado Rd #1008 Bldg 1, El Paso, TX 79915 | 2019-06-10 |
| 1356850861 | Md Shahaduzzaman | Nurse Practitioner | 7812 Gateway Blvd. East, Suite 110, El Paso, TX 79915 | 2017-09-27 |
| 1801247473 | Laura Alejandra Moreno Garcia | Pediatrics | 6974 Gateway Blvd E Ste F, El Paso, TX 79915 | 2016-06-24 |
| 1699133801 | El Paso Oral Surgery Center, Pllc | Dentist | 7878 Gateway Blvd East, Suite 301, El Paso, TX 79915 | 2016-02-02 |
| 1851763296 | Shela Marie Carter | Counselor | 7833 Corozal Dr., El Paso, TX 79915 | 2015-10-26 |
| 1841680691 | Texan Procedure Center, LLC | Clinic/Center | 7924 Gateway Blvd E Ste 150j, El Paso, TX 79915 | 2015-02-02 |
| 1356749105 | Walter Nongmo Zimoh | Pharmacist | 8045 North Loop Drive, El Paso, TX 79915 | 2014-12-10 |
| 1073918892 | Edgar B Reyes | Home Health | 183 Edith Dr., El Paso, TX 79915 | 2014-10-23 |
| 1275934408 | Sonia Esther Cortez | Counselor | 7722 North Loop, Suite 5, El Paso, TX 79915 | 2014-09-08 |
| 1336570704 | Elsa Erika Gomez | Counselor | 7722 Northloop, El Paso, TX 79915 | 2013-12-10 |
| Find all providers in zip 79915 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861522583 | El Paso Oncology and Internal Medicine, P.a | Internal Medicine | 2022 Murchison, Suite 100, El Paso, TX 79902-6396 | 2007-03-06 |
| 1669565586 | Southwest Cancer Center Pa | Internal Medicine | 1501 N Mesa, 1a, El Paso, TX 79902 | 2006-10-02 |
| 1235222159 | Ray O Lundy | Internal Medicine | 10460 Vista Del Sol, Ste 302, El Paso, TX 79925 | 2006-10-02 |
| 1639184005 | Haroutioun S Shahinian | Internal Medicine | 7812 Gateway East, Ste. 110, El Paso, TX 79915 | 2006-07-31 |
| 1942294608 | Robert Prieto | Internal Medicine | 2000b Trans Mountain Rd Ste B400, El Paso, TX 79911-3600 | 2005-09-08 |
| 1598074544 | Alexander Philipovskiy | Internal Medicine | 4800 Alberta Ave, El Paso, TX 79905-2709 | 2010-09-24 |
| 1811187024 | Haroutioun S Shahinian, Md, Pa | Internal Medicine | 1400 George Dieter Dr, Ste 270, El Paso, TX 79936-7601 | 2007-07-25 |
| 1326195108 | Warren Le Eric Alexander | Internal Medicine | 5005 North Piedras Street, El Paso, TX 79920 | 2007-01-04 |
| 1306923180 | Maria Chona Aloba | Internal Medicine | 7848 Gateway Blvd E, El Paso, TX 79915-1815 | 2006-11-01 |
| 1609972801 | Sumit Gaur | Internal Medicine | 4801 Alberta Ave, El Paso, TX 79905-2707 | 2006-09-15 |
| 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.