DR. JACOB SAMUEL HEYDEMANN (NPI# 1548263635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548263635 |
| Entity Type | Individual |
| Full Name | DR. JACOB SAMUEL HEYDEMANN |
| Credential | M.D. |
| Practice Address |
1300 Murchison Dr Ste 310 El Paso TX 79902-4851 |
| Practice Telephone | 9158383888 |
| Practice Fax Number | 9158383889 |
| Mailing Telephone | 9158383888 |
| Mailing Fax Number | 9158383889 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2013-03-04 |
| NPI Deactivation Date | 03/16/2006 |
| NPI Reactivation Date | 2006-03-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | F4077 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1300 MURCHISON DR STE 310 |
| City | EL PASO |
| State | TX |
| Zip Code | 79902-4851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154861243 | Toucamp Foundation Inc | Anesthesiology | 1300 Murchison Dr, Suite 200, El Paso, TX 79902-4842 | 2017-03-08 |
| 1336682038 | El Paso Work Hardening, LLC | Clinic/Center | 1300 Murchison Dr, Ste. 314, El Paso, TX 79902-4842 | 2016-11-29 |
| 1346799624 | Hector O Pacheco Md Pa | Orthopaedic Surgery | 1300 Murchison Dr, Suite 312, El Paso, TX 79902-4842 | 2016-09-27 |
| 1720497399 | Terren D Klein M.d. Pa | Nurse Practitioner | 1300 Murchison Dr, Ste 310, El Paso, TX 79902-4842 | 2014-08-08 |
| 1649697236 | Herbert J. Nassour, M. D., P.a. | Surgery | 1300 Murchison Dr, Suite 300, El Paso, TX 79902-4842 | 2014-03-21 |
| 1215254966 | Buena Vista Eye Care Pllc | Optometrist | 1300 Murchison Dr, Suite 140, El Paso, TX 79902-4842 | 2010-04-20 |
| 1386968527 | Buena Vista Eye Care Pllc | Optometrist | 1300 Murchison Dr, Suite 140, El Paso, TX 79902-4842 | 2010-03-17 |
| 1689806234 | El Paso Asc Lp | Nurse Anesthetist, Certified Registered | 1300 Murchison Dr, Suite 180, El Paso, TX 79902-4842 | 2009-08-17 |
| 1962640052 | Keith R. Johnson,m.d., P.a. | Specialist | 1300 Murchison Dr, Suite, 310, El Paso, TX 79902-4842 | 2009-01-27 |
| 1417114356 | Monica Valdez Ramirez | Optometrist | 1300 Murchison Dr, Suite 140, El Paso, TX 79902-4842 | 2008-05-19 |
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| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483767 | Eric Sides, M.d., Pa | Orthopaedic Surgery | 820 E Redd Rd Bldg B, El Paso, TX 79912-7275 | 2020-09-23 |
| 1952819641 | El Paso Specialty Physicians Group | Orthopaedic Surgery | 7420 Remcon Cir Ste A-2, El Paso, TX 79912-3529 | 2018-01-16 |
| 1043612526 | Edgar E. Fernandez Md Pa | Orthopaedic Surgery | 1512 Zaragoza Road, Building C Ste 3-4, El Paso, TX 79936-8903 | 2014-09-16 |
| 1265773345 | Everett Lee Campbell, Md, Pa | Orthopaedic Surgery | 8700 Montana Ave # C, El Paso, TX 79925-1221 | 2013-03-14 |
| 1134449960 | Octavio Licon, M.d. P.a. | Orthopaedic Surgery | 10410 Vista Del Sol Dr., El Paso, TX 79925 | 2010-06-03 |
| 1164747861 | James Helge Nelson | Orthopaedic Surgery | 2000 Trans Mountain Rd Ste B, El Paso, TX 79911 | 2010-04-06 |
| 1407084734 | Edgar E Fernandez | Orthopaedic Surgery | 1512 N Zaragoza Rd Ste C, El Paso, TX 79936 | 2009-06-25 |
| 1609028729 | Jason Duane Vourazeris | Orthopaedic Surgery | 12770 Edgemere Blvd, Building F, El Paso, TX 79938-4568 | 2008-10-21 |
| 1336305663 | Carlos Gonzalez | Orthopaedic Surgery | 1540 N Zaragoza Rd, El Paso, TX 79936-7905 | 2008-08-06 |
| 1720104276 | Jose Luis Diaz, M.d. P.a. | Orthopaedic Surgery | 10501 Vista Del Sol, Suite 220, El Paso, TX 79925-7941 | 2007-03-22 |
| 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.