PAOLO MIMBELLA (NPI# 1831599794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831599794 |
| Entity Type | Individual |
| Full Name | PAOLO MIMBELLA |
| Credential | M.D. |
| Practice Address |
3215 Gateway Blvd W El Paso TX 79903 |
| Mailing Address |
3215 Gateway Blvd W El Paso TX 79903-4225 |
| Practice Telephone | 9155987246 |
| Practice Fax Number | 9156336598 |
| Mailing Telephone | 9155987246 |
| Mailing Fax Number | 9156336598 |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2020-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
S3025 | TX | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
S3025 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 402548801 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12200 Paseo Nuevo Dr, El Paso, TX 799285796 | 9155987246 | 9156336598 |
| 7825 N Mesa St, El Paso, TX 799321623 | 9155987246 | 9156336598 |
| Street Address |
3215 GATEWAY BLVD W |
| City | EL PASO |
| State | TX |
| Zip Code | 79903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700896982 | David A Durussel | Physical Medicine & Rehabilitation | 3215 Gateway Blvd W, El Paso, TX 79903 | 2006-08-09 |
| 1376180877 | Mari C Padilla | Nurse Practitioner | 3215 Gateway Blvd W, El Paso, TX 79903-4225 | 2019-12-03 |
| 1780157909 | Marie Claudine Aloeyi | Nurse Practitioner | 3215 Gateway Blvd W, El Paso, TX 79903-4225 | 2019-01-10 |
| 1144797093 | Alma Gabriela Kelly | Nurse Practitioner | 3215 Gateway Blvd W, El Paso, TX 79903-4225 | 2018-10-30 |
| 1801396890 | Norma Patricia Center | Nurse Practitioner | 3215 Gateway Blvd W, El Paso, TX 79903 | 2018-02-15 |
| 1376097642 | Katherine L Johnston | Registered Nurse | 3215 Gateway Blvd W, El Paso, TX 79903-4225 | 2016-08-04 |
| 1104289438 | Presidio Laboratories Corp | Clinical Medical Laboratory | 3215 Gateway Blvd W, Suite C, El Paso, TX 79903-4225 | 2016-04-04 |
| 1598135931 | Celene Milagros Robles | Nurse Practitioner | 3215 Gateway Blvd W, El Paso, TX 79903-4225 | 2015-09-28 |
| 1215318381 | Awnik Kumar Sarkar | Anesthesiology | 3215 Gateway Blvd W, El Paso, TX 79903-4225 | 2015-06-15 |
| 1609262302 | Epmed, Pa | Clinical Medical Laboratory | 3215 Gateway Blvd W, Suite C, El Paso, TX 79903-4225 | 2015-04-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447757562 | Jacqueline J. Pantoja | Behavior Technician | 4100 Cumberland Ave, El Paso, TX 79903 | 2018-04-06 |
| 1891207718 | Luna Tierra Casa De Partos | Midwife | 4130 Hueco Ave., El Paso, TX 79903 | 2017-11-01 |
| 1275982415 | James Blanco I | Counselor | 6000 Welch #15, El Paso, TX 79903 | 2016-06-08 |
| 1902269426 | Mayra Gaona | Contractor | 3431 Pershing Dr. Ste D1, El Paso, TX 79903 | 2016-04-01 |
| 1164777918 | Silvia Elena Marrufo | Chiropractor | 2601 E Yandell Dr Ste 223, El Paso, TX 79903 | 2012-07-18 |
| 1992062335 | Claudia Marie Yagel | Occupational Therapist | 2429 Montanna Ave, #a, El Paso, TX 79903 | 2012-04-23 |
| 1801164199 | Kavita Bhakta | Pharmacist | 2879 Montana, El Paso, TX 79903 | 2011-12-01 |
| 1396032074 | Oscar Arteaga | Community/Behavioral Health | 4664 Caples Cir, El Paso, TX 79903 | 2011-07-01 |
| 1487977716 | William Beaumont Army Medical Center-army Substance Abuse Program | Social Worker | 1512 Mathias, El Paso, TX 79903 | 2010-03-01 |
| 1841434008 | Sun City Behavioral Health Care | Counselor | 2931 Montana Ave., Suite B, El Paso, TX 79903 | 2009-04-30 |
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| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265922876 | Occmed Centers of El Paso, Pa | Physical Medicine & Rehabilitation | 311 Camino Estancias, El Paso, TX 79912-3424 | 2018-05-18 |
| 1700896982 | David A Durussel | Physical Medicine & Rehabilitation | 3215 Gateway Blvd W, El Paso, TX 79903 | 2006-08-09 |
| 1184618597 | Brian James August | Physical Medicine & Rehabilitation | 4532 N Mesa St Ste 2a, El Paso, TX 79912-6287 | 2005-08-31 |
| 1831196708 | Kevin J Sandberg | Physical Medicine & Rehabilitation | 1397 George Dieter, Ste D, El Paso, TX 79936 | 2005-07-06 |
| 1891810792 | Eastside Rehabilitation Medicine & Pain Clinic, Pa | Physical Medicine & Rehabilitation | 10412 Vista Del Sol Dr, Ste 1b, El Paso, TX 79925-7946 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314700 | Texas P&a LLC | Physical Medicine & Rehabilitation | 400 S Zang Blvd Ste 1210, Dallas, TX 75208-6624 | 2020-10-23 |
| 1598300386 | Ppsm Pllc | Physical Medicine & Rehabilitation | 4126 Southwest Fwy Ste 1700, Houston, TX 77027-7317 | 2019-11-15 |
| 1942844634 | Bioprorestore LLC | Physical Medicine & Rehabilitation | 3275 College Park Dr, The Woodlands, TX 77384-4501 | 2019-11-05 |
| 1619511300 | South Garland Medical Pllc | Physical Medicine & Rehabilitation | 1301 Northwest Hwy Ste 209, Garland, TX 75041-5896 | 2019-11-05 |
| 1295389492 | Complete Pain Solutions | Physical Medicine & Rehabilitation | 1241 Campbell Rd, Houston, TX 77055-6453 | 2019-07-26 |
| 1063998706 | Advanced Rehab Medicine, Pllc | Physical Medicine & Rehabilitation | 9119 Hwy 6, Suite 230, #127, Missouri City, TX 77479 | 2018-07-16 |
| 1710475801 | Performance Pain and Sports Medicine, Pllc | Physical Medicine & Rehabilitation | 4126 Southwest Fwy Ste 1300, Houston, TX 77027-7310 | 2018-04-25 |
| 1275037574 | Rdt Technologies LLC | Physical Medicine & Rehabilitation | 3701 S Cooper St Ste 161, Arlington, TX 76015-3466 | 2018-03-21 |
| 1437662145 | Dfw Pain Institute Pllc | Physical Medicine & Rehabilitation | 14908 Devonshire Ln, Frisco, TX 75035-0648 | 2017-11-16 |
| 1710496245 | Advanced Health & Diagnostic Partners | Physical Medicine & Rehabilitation | 95 S Fair Manor Cir, The Woodlands, TX 77382-1085 | 2017-09-27 |
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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.