4642 N MESA ER PHYSICIANS PLLC (NPI# 1780197574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780197574 |
| Entity Type | Organization |
| Organization Name | 4642 N MESA ER PHYSICIANS PLLC |
| Practice Address |
4642 N Mesa St. El Paso TX 79912 |
| Mailing Address |
910 S Kimball Ave Southlake TX 76092-9005 |
| Practice Telephone | 8174210012 |
| Practice Fax Number | 8174210036 |
| Mailing Telephone | 8174210034 |
| Mailing Fax Number | 8174210036 |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2018-02-05 |
| Authorized Official Name | JOHN BRAXTON NEIMAN (GENERAL COUNSEL) |
| Authorized Official Telephone | 8174210034 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| Street Address |
4642 N MESA ST. |
| City | EL PASO |
| State | TX |
| Zip Code | 79912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903801 | Cristina Valerie Quinones | Registered Nurse | 444 Executive Blvd., Suite 148, El Paso, TX 79912 | 2020-08-20 |
| 1528698255 | Thomas Wayne Woo Sr. | Physical Therapist | 7430 Remcon Circle Bldg A, El Paso, TX 79912 | 2020-01-22 |
| 1760030290 | Susan De La Cruz | Nurse Practitioner | 6600 N Dessert Blvd, El Paso, TX 79912 | 2019-08-28 |
| 1558925438 | Smiles 4 Less Orthodontics, P.a. | Dentist | 7480 Remcon Cir, El Paso, TX 79912 | 2019-04-26 |
| 1831669423 | Jorge Lorenzo Soto | Occupational Therapy Assistant | 4700 N. Mesa St. F-4, El Paso, TX 79912 | 2018-11-27 |
| 1811464126 | Paloma Herrera | Spec/Tech, Health Info | 200 N Festival, El Paso, TX 79912 | 2018-10-25 |
| 1265910178 | Texas Kids Dental Care West Pa | Clinic/Center | 7480 Remcon, El Paso, TX 79912 | 2018-08-02 |
| 1528555463 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 | 2018-04-17 |
| 1679078927 | Kassandra Ashley Wright | Registered Nurse | 330 Bartlett Dr. Apt 2002, El Paso, TX 79912 | 2018-03-28 |
| 1013410802 | Maranatha Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 7100 Westwind Dr Ste 155, El Paso, TX 79912 | 2018-03-17 |
| Find all providers in zip 79912 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205858271 | Zsolt Fodor | Emergency Medicine | Ttuhsc, 4801 Alberta Drive, Suite B3200, El Paso, TX 79905 | 2006-07-25 |
| 1104854389 | Jeremy C White | Emergency Medicine | 4800 Alberta, El Paso, TX 79905 | 2006-06-28 |
| 1760427272 | William N. Meshel | Emergency Medicine | 8374 Reindeer Ave, El Paso, TX 79907-4337 | 2006-06-18 |
| 1275928954 | Cec El Paso East Er Physicians Pllc | Emergency Medicine | 1890 George Dieter Dr, El Paso, TX 79936-4327 | 2015-03-31 |
| 1528490570 | Cec El Paso Er Physicians Pllc | Emergency Medicine | 655 E Redd Rd, 201, El Paso, TX 79912-1218 | 2013-08-01 |
| 1144549106 | Elaine Mowinski Barron, M.d, Pa | Emergency Medicine | 1100 N Stanton St, Ste 807, El Paso, TX 79902-4159 | 2010-05-28 |
| 1689891061 | Venture Emergency Medicine Providers Inc | Emergency Medicine | 10301 Gateway Blvd W, El Paso, TX 79925-7701 | 2007-04-19 |
| 1366452450 | George L. Calero | Emergency Medicine | 1416 George Dieter Dr, El Paso, TX 79936-7601 | 2006-08-09 |
| 1548286651 | Mitchell J Farrell Md Pa | Emergency Medicine | 1416 George Dieter Dr, El Paso, TX 79936-7601 | 2006-07-14 |
| 1114943362 | Kin Wong | Emergency Medicine | 1221 N Cotton St, El Paso, TX 79902-3015 | 2006-07-14 |
| 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.