NORTHEAST CORNERSTONE PEDIATRICS,PA (NPI# 1578615704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578615704 |
| Entity Type | Organization |
| Organization Name | NORTHEAST CORNERSTONE PEDIATRICS,PA |
| Other Organization Name | NEC PEDIATRICS |
| Practice Address |
10755 Kenworthy St El Paso TX 79924-1717 |
| Practice Telephone | 9158215900 |
| Practice Fax Number | 9158215902 |
| Mailing Telephone | 9158215900 |
| Mailing Fax Number | 9158215902 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2011-11-21 |
| Authorized Official Name | DR. AKINTOLUWA ANTHONY AKINJAIYEJU (PRESIDENT) |
| Authorized Official Telephone | 9158215900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | L9596 | TX | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NEC Pediatrics | Doing Business As Name - Organization |
| Street Address |
10755 KENWORTHY ST |
| City | EL PASO |
| State | TX |
| Zip Code | 79924-1717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669477741 | Akintoluwa Anthony Akinjaiyeju | Pediatrics | 10755 Kenworthy St, El Paso, TX 79924-1717 | 2005-06-16 |
| 1972037364 | Katrina Perez | Nurse Practitioner | 10755 Kenworthy St, El Paso, TX 79924-1717 | 2017-04-12 |
| 1174670533 | Northeast Pediatric Night Clinic, P.a. | Pediatrics | 10755 Kenworthy St, El Paso, TX 79924-1717 | 2007-01-05 |
| 1023170859 | Mercedes Hidalgo Martinez | Registered Nurse | 10755 Kenworthy St, El Paso, TX 79924-1717 | 2006-12-15 |
| 1205998846 | Banke Olukemi Akinjaiyeju | Pharmacist | 10755 Kenworthy St, El Paso, TX 79924-1717 | 2006-12-13 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526050 | 915 Pediatrics Pllc | Pediatrics | 3261 Joe Battle Blvd, El Paso, TX 79936-1156 | 2020-10-21 |
| 1053951665 | Desert Pediatrics, LLC | Pediatrics | 2601 E Yandell Dr Ste 117, El Paso, TX 79903-3724 | 2020-01-11 |
| 1366098949 | Evelyn Dannielle Acosta | Pediatrics | 6901 Helen of Troy Ste E1, El Paso, TX 79911-3130 | 2019-08-10 |
| 1023536109 | Cna Medical Care Pllc | Pediatrics | 12360 Montwood Drive, Ste B, El Paso, TX 79928 | 2017-09-08 |
| 1669908570 | Bhs Physicians Network, Inc | Pediatrics | 9870 Gateway Blvd N Ste A, El Paso, TX 79924-4414 | 2017-05-11 |
| 1659807568 | Bhs Physicians Network, Inc. | Pediatrics | 3270 Joe Battle Blvd Ste 120, El Paso, TX 79938-2655 | 2017-05-11 |
| 1801247473 | Laura Alejandra Moreno Garcia | Pediatrics | 6974 Gateway Blvd E Ste F, El Paso, TX 79915 | 2016-06-24 |
| 1255789616 | Texas Tech University Health Sciences Center El Paso | Pediatrics | 2000 B Transmountain Road, El Paso, TX 79911 | 2016-05-26 |
| 1275929556 | Jazmin Gonzalez | Pediatrics | 650 Belvidere St, El Paso, TX 79912-1761 | 2015-04-13 |
| 1396130571 | Jason Wang | Pediatrics | 1416 Murchison Dr, El Paso, TX 79902-2824 | 2015-04-03 |
| 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.