EAST-SIDE ONCOLOGY CLINIC, PLLC (NPI# 1689007718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689007718 |
| Entity Type | Organization |
| Organization Name | EAST-SIDE ONCOLOGY CLINIC, PLLC |
| Practice Address |
3022 Trawood Dr B El Paso TX 79936 |
| Practice Telephone | 9158491345 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2014-01-21 |
| Authorized Official Name | DR. NAGENDER MANKAN (OWNER) |
| Authorized Official Telephone | 9156031242 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
P2726 | TX | Ambulatory Health Care Facilities |
| Street Address |
3022 TRAWOOD DR B |
| City | EL PASO |
| State | TX |
| Zip Code | 79936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154325603 | Louie Leyva | Nurse Practitioner | 3022 Trawood Dr, El Paso, TX 79936-4329 | 2005-06-10 |
| 1245601459 | Montwood Family Medical Center | Clinic/Center | 3022 Trawood Dr, El Paso, TX 79936-4329 | 2015-10-14 |
| 1891036661 | Randy P Maestre | Physical Therapy Assistant | 3022 Trawood Dr, Ste. B, El Paso, TX 79936-4329 | 2013-03-04 |
| 1356680433 | Michelle Gonzalez | Physical Therapist | 3022 Trawood Dr, Ste. B, El Paso, TX 79936-4329 | 2013-02-08 |
| 1720254790 | Curtis Hoppe | Counselor | 3022 Trawood Dr, El Paso, TX 79936-4329 | 2008-04-30 |
| 1952572166 | Vivian Villarreal | Nurse Practitioner | 3022 Trawood Dr, El Paso, TX 79936-4329 | 2008-03-14 |
| 1255514287 | Spencer Brothers Pharmacy | Durable Medical Equipment & Medical Supplies | 3022 Trawood Dr, El Paso, TX 79936-4329 | 2007-12-13 |
| 1851423990 | Dr Ajai J Agarwal Md Pa | Preferred Provider Organization | 3022 Trawood Dr, El Paso, TX 79936-4329 | 2007-03-12 |
| 1437240256 | Ajai Agarwal | Family Medicine | 3022 Trawood Dr, Ste A, El Paso, TX 79936-4329 | 2006-09-27 |
| 1750489043 | Victor Songbandith | Family Medicine | 3022 Trawood Dr, El Paso, TX 79936-4329 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285233171 | Center At Zaragoza, LLC | Skilled Nursing Facility | 12660 Pebble Hills Blvd., El Paso, TX 79936 | 2020-10-21 |
| 1346889953 | Georges Chiropractic and Wellness Center, Pa | Chiropractor | 1400 N Zaragosa Suite D, El Paso, TX 79936 | 2019-12-30 |
| 1316597768 | Larry Felix | Specialist/Technologist | 11720 Teachers Dr., El Paso, TX 79936 | 2019-09-18 |
| 1508323486 | Aaron John Palos | Pharmacist | 11320 Montwood, Pharmacy, El Paso, TX 79936 | 2019-02-27 |
| 1366919508 | Katrina Belvin | Social Worker | 1390 Georger Dieter Dr., #140, El Paso, TX 79936 | 2018-10-25 |
| 1063993244 | Assisted Living | Meals | 11065 Tom Weiskopf Dr, El Paso, TX 79936 | 2018-08-24 |
| 1588142962 | Miriam Salazar | Occupational Therapy Assistant | 1351 James Watt Dr., El Paso, TX 79936 | 2018-07-30 |
| 1902315179 | David Galindo | Occupational Therapist | 1415 Zaragoza, El Paso, TX 79936 | 2017-09-20 |
| 1861915589 | Lizette Salcido | Behavior Technician | 3221 Running Deer Dr., El Paso, TX 79936 | 2017-07-25 |
| 1659801264 | Edith Nneoma Vincent | Registered Nurse | 11829 Gwen Evans Ln, El Paso, TX 79936 | 2017-06-15 |
| Find all providers in zip 79936 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356726863 | El Paso Hyperbaric Center, Inc. | Clinic/Center | 1715 Saul Kleinfeld Dr, El Paso, TX 79936-3743 | 2015-07-26 |
| 1881914372 | Sergio B Pacheco M.d,p.a | Clinic/Center | 1900 N Oregon St Ste 410, El Paso, TX 79902-3348 | 2010-06-07 |
| 1467450981 | El Paso Internists,pa | Clinic/Center | 100 Executive Center Blvd Ste B, El Paso, TX 79902-1102 | 2005-07-08 |
| 1184075079 | Hyperbaric Excellence Center Inc | Clinic/Center | 1715 Saul Kleinfeld Dr, El Paso, TX 79936-3706 | 2016-06-22 |
| 1912274853 | Violeta Radenovich, Md, Pa | Clinic/Center | 1250 E Cliff Dr Ste 4d, El Paso, TX 79902-4846 | 2011-11-21 |
| 1043528094 | Jose A Ramirez Mdpa | Clinic/Center | 1250 E Cliff Dr, Suite 4e, El Paso, TX 79902-4850 | 2010-09-23 |
| 1538314570 | El Paso Diagnostic Imaging Ct Ltd | Clinic/Center | 1810 Murchison Dr, El Paso, TX 79902-2906 | 2008-11-18 |
| 1275711962 | Randy J Pollet Md Pa | Clinic/Center | 1725 Brown St, El Paso, TX 79902-4726 | 2008-02-05 |
| 1528244068 | Wendy D. Phipps, Md, Pa | Clinic/Center | 401 Boston Ave, Suite A, El Paso, TX 79902-2601 | 2008-01-15 |
| 1699773119 | Robert P. May | Clinic/Center | 1700 Curie Dr, Ste 5000, El Paso, TX 79902-2905 | 2005-07-08 |
| 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.