EL PASO PHYSICIAN GROUP PA (NPI# 1679524011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679524011 |
| Entity Type | Organization |
| Organization Name | EL PASO PHYSICIAN GROUP PA |
| Practice Address |
1626 Medical Center Dr 5th Floor, Suite 503 El Paso TX 79902-5010 |
| Mailing Address |
9229 Lbj Fwy Suite 250 Dallas TX 75243-3405 |
| Practice Telephone | 9155469200 |
| Practice Fax Number | 9155469800 |
| Mailing Telephone | 9727393097 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-06-10 |
| Authorized Official Name | CLAY M. HEIGHTEN (PRESIDENT) |
| Authorized Official Telephone | 9727393001 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 111N00000X | Chiropractor | Chiropractic Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0042KP | 01 |
| TX | 162360502 | 05 | |
| TX | 162360503 | 05 | |
| TX | 162360501 | 05 | |
| NM | 98535331 | 05 |
| Street Address |
1626 MEDICAL CENTER DR 5TH FLOOR, SUITE 503 |
| City | EL PASO |
| State | TX |
| Zip Code | 79902-5010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894575 | Leslie Yvonne Pina | Counselor | 1626 Medical Center Dr, El Paso, TX 79902-5010 | 2020-08-31 |
| 1255945093 | Daisy Duarte | Counselor | 1626 Medical Center Dr, El Paso, TX 79902-5010 | 2020-08-31 |
| 1831676790 | Ruben Joseph Fineron | Counselor | 1626 Medical Center Dr, El Paso, TX 79902-5010 | 2018-07-24 |
| 1598263378 | Jessica Rae Thomas | Counselor | 1626 Medical Center Dr, El Paso, TX 79902-5010 | 2018-01-26 |
| 1578076550 | Project Vida Health Center | Clinic/Center | 1626 Medical Center Dr, El Paso, TX 79902-5010 | 2017-11-13 |
| 1396086245 | Colleen S Murray | Nurse Practitioner | 1626 Medical Center Dr, Ste 503, El Paso, TX 79902-5010 | 2013-03-01 |
| 1093056947 | Alynna A Manriquez | Nurse Practitioner | 1626 Medical Center Dr, Ste 503, El Paso, TX 79902-5010 | 2013-03-01 |
| 1306181920 | Cecil Rene Arredondo | Specialist | 1626 Medical Center Dr, Suite 500, El Paso, TX 79902-5010 | 2012-12-07 |
| 1003184755 | Southwest Orthopaedics | Orthopaedic Surgery | 1626 Medical Center Dr, 500, El Paso, TX 79902-5010 | 2011-12-08 |
| 1356557425 | Aliviane, Inc. | Community/Behavioral Health | 1626 Medical Center Dr, El Paso, TX 79902-5010 | 2007-05-15 |
| Find all providers in the same location | ||||
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851852297 | Trinity Heritage Pllc | Internal Medicine | 2204 Joe Battle Blvd # D203, El Paso, TX 79938-4660 | 2019-03-28 |
| 1770048175 | Pablo Casares Md Pa | Internal Medicine | 1516 Lomaland Dr, El Paso, TX 79935-4202 | 2019-02-10 |
| 1922504588 | Spectrum Radiologists Services Inc | Internal Medicine | 4855 N Mesa St Ste 130, El Paso, TX 79912-5939 | 2018-04-03 |
| 1831612738 | Cinu Integrated Medical Pa, Pllc | Internal Medicine | 1556 Lomaland Dr Ste 101b, El Paso, TX 79935-4202 | 2017-07-23 |
| 1619490133 | Dwayne Friday, M.d., Pllc | Internal Medicine | 811 Chelsea St Ste B, El Paso, TX 79903-4925 | 2017-07-18 |
| 1376907576 | Rene Roberts Jr. | Internal Medicine | 400 Stewart Dr, El Paso, TX 79915-2530 | 2016-04-13 |
| 1891159349 | Roberto Gonzalez | Internal Medicine | 2311 N Mesa St Ste J, El Paso, TX 79902-3575 | 2016-04-11 |
| 1548643216 | Internal Medicine Providers of El Paso Pllc | Internal Medicine | 717 Lakeway Dr, El Paso, TX 79932-3120 | 2015-06-30 |
| 1326445347 | Mojgan Kaveh-talley | Internal Medicine | 5100 North Piedras Street, El Paso, TX 79930 | 2014-11-20 |
| 1699183848 | Nathaniel Griffith, Do Pa | Internal Medicine | 10701 Sam Snead Dr, El Paso, TX 79935-2413 | 2014-07-31 |
| 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.