NORTH EAST FAMILY CLINIC PA (NPI# 1255849097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255849097 |
| Entity Type | Organization |
| Organization Name | NORTH EAST FAMILY CLINIC PA |
| Practice Address |
9740 Dyer St Ste 111&112 El Paso TX 79924-4752 |
| Mailing Address |
1500 Finsterwald Pl El Paso TX 79936-6011 |
| Practice Telephone | 9155005030 |
| Mailing Telephone | 9152228747 |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-01-15 |
| Authorized Official Name | CLAUDIA JACQUEZ (MD LIASION) |
| Authorized Official Telephone | 9152024463 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DEA | FP3387772 | 01 |
| Street Address |
9740 DYER ST STE 111&112 |
| City | EL PASO |
| State | TX |
| Zip Code | 79924-4752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598936718 | Miguel Angel Caro | Nurse Practitioner | 9740 Dyer St Ste 111&112, El Paso, TX 79924-4752 | 2008-03-14 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170627 | Veronica Diane Garcia | Family Medicine | 5316 E Paisano Dr, El Paso, TX 79905-2942 | 2020-09-23 |
| 1881210599 | Sleep Doctor Pllc | Family Medicine | 840 E Redd Rd Bldg 1a, El Paso, TX 79912-7265 | 2020-06-18 |
| 1801420104 | San Jose Moscati Medical Home | Family Medicine | 1200 Golden Key Cir Ste 230, El Paso, TX 79925-5834 | 2020-02-25 |
| 1346882727 | Joseph William Garcia | Family Medicine | 2812 Granite Rock Dr, El Paso, TX 79938-2731 | 2019-10-17 |
| 1144781709 | Health Management Care Pa | Family Medicine | 9740 Dyer St Ste 111, El Paso, TX 79924-4700 | 2019-03-27 |
| 1346736444 | Rosa Ivelisse Colon | Family Medicine | 6545 Royal Ridge Dr, El Paso, TX 79912-7439 | 2018-07-02 |
| 1417450842 | Eq Medical Pa | Family Medicine | 7812 Gateway Blvd E Ste 230, El Paso, TX 79915-1837 | 2018-03-12 |
| 1841790078 | East El Paso Family Medicine Pa | Family Medicine | 1393 George Dieter Dr Ste D, El Paso, TX 79936-7410 | 2018-02-14 |
| 1255865879 | Dl Ep Enterprises, Inc | Family Medicine | 1325 Montana Ave, El Paso, TX 79902-5538 | 2017-04-20 |
| 1336672468 | Ibiye Owei | Family Medicine | 2000b Transmountain Rd Ste B400, El Paso, TX 79911-3600 | 2017-04-05 |
| 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.