EL PASO INTEGRATED PHYSICIANS GROUP (NPI# 1851690499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851690499 |
| Entity Type | Organization |
| Organization Name | EL PASO INTEGRATED PHYSICIANS GROUP |
| Practice Address |
8815 Dyer St Suite 140 El Paso TX 79904-2000 |
| Mailing Address |
Po Box 3157 El Paso TX 79923-3157 |
| Practice Telephone | 9157517302 |
| Practice Fax Number | 9155442897 |
| Mailing Telephone | 9155770051 |
| Mailing Fax Number | 9155442897 |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2011-03-22 |
| Authorized Official Name | ROBERT A MORENO (PRSIDENT) |
| Authorized Official Telephone | 9155770051 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
TX | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 092550501 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528505708 | El Paso Integrated Physicians Group | Pharmacy | 4532 N Mesa St Ste 1a, El Paso, TX 79912-6286 | 2017-01-25 |
| 1184926743 | El Paso Integrated Physicians Group | Podiatrist | 1810 Murchison Dr, Suite 300, El Paso, TX 79902-2930 | 2010-12-02 |
| 1063722320 | El Paso Integrated Physicians Group | Neurological Surgery | 1810 Murchison Dr, Suite 300, El Paso, TX 79902-2930 | 2010-10-20 |
| 1336452127 | El Paso Integrated Physicians Group | Optometrist | 2022 Murchison Dr, Suit 104, El Paso, TX 79902-3032 | 2010-07-21 |
| 1801108865 | El Paso Integrated Physicians Group | Optometrist | 1810 Murchison Dr, Suite 300, El Paso, TX 79902-2930 | 2010-07-07 |
| 1598775348 | El Paso Integrated Physicians Group | Internal Medicine | 4532 N Mesa St, 2nd Floor, El Paso, TX 79912 | 2006-08-08 |
| Street Address |
8815 DYER ST SUITE 140 |
| City | EL PASO |
| State | TX |
| Zip Code | 79904-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770575938 | Philip A Miles | Pathology | 8815 Dyer St, Suite 200, El Paso, TX 79904-2000 | 2005-08-15 |
| 1225279045 | Gablink Inc | Home Health | 8815 Dyer St, Suite 170, El Paso, TX 79904-2034 | 2009-03-09 |
| 1013935188 | William Francis Davitt IIi | Ophthalmology | 8815 Dyer St, Suite 130, El Paso, TX 79904-2000 | 2006-07-17 |
| 1588656748 | Gyn Path Services, Inc. | Clinical Medical Laboratory | 8815 Dyer St, Suite 200, El Paso, TX 79904-2000 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700385762 | Matthew Jacob Lares | Physical Therapist | 4242 Hondo Pass Drive Suite 110, El Paso, TX 79904 | 2018-02-06 |
| 1598263170 | Jennifer Suzanne Banks | Registered Nurse | 7760 Alabama Street, El Paso, TX 79904 | 2018-01-29 |
| 1508306796 | Jacqueline Gazelle Romero | Specialist/Technologist | 4601 Hondo Pass Dr Ste A, El Paso, TX 79904 | 2017-03-07 |
| 1306215967 | Dsi El Paso North, LLC | Clinic/Center | 3359 Fred Wilson Avenue, El Paso, TX 79904 | 2015-09-24 |
| 1225380587 | El Paso Eyecare Pllc | Optometrist | 9009 Gateway Blvd. South, El Paso, TX 79904 | 2012-10-11 |
| 1154617819 | Edward J Valdez | Durable Medical Equipment & Medical Supplies | 8888 Dyer St Ste 102, El Paso, TX 79904 | 2011-06-21 |
| 1548469521 | Wainwright Family Resource Center | Pediatrics | 4417 Tetons, El Paso, TX 79904 | 2007-07-11 |
| 1730256355 | Luis Raul Munoz | Pediatrics | 2900 N. Kansas St, El Paso, TX 79904 | 2006-11-29 |
| 1912012139 | Travis M Hausler | Dentist | 4721 Sierra Madre, El Paso, TX 79904 | 2006-08-20 |
| 1962422097 | Alexandra Jordan | Nurse Practitioner | 4417 Tetons Drive, El Paso, TX 79904 | 2006-07-20 |
| Find all providers in zip 79904 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170627 | Veronica Diane Garcia | Family Medicine | 5316 E Paisano Dr, El Paso, TX 79905-2942 | 2020-09-23 |
| 1881210599 | Sleep Doctor Pllc | Family Medicine | 840 E Redd Rd Bldg 1a, El Paso, TX 79912-7265 | 2020-06-18 |
| 1801420104 | San Jose Moscati Medical Home | Family Medicine | 1200 Golden Key Cir Ste 230, El Paso, TX 79925-5834 | 2020-02-25 |
| 1346882727 | Joseph William Garcia | Family Medicine | 2812 Granite Rock Dr, El Paso, TX 79938-2731 | 2019-10-17 |
| 1144781709 | Health Management Care Pa | Family Medicine | 9740 Dyer St Ste 111, El Paso, TX 79924-4700 | 2019-03-27 |
| 1346736444 | Rosa Ivelisse Colon | Family Medicine | 6545 Royal Ridge Dr, El Paso, TX 79912-7439 | 2018-07-02 |
| 1417450842 | Eq Medical Pa | Family Medicine | 7812 Gateway Blvd E Ste 230, El Paso, TX 79915-1837 | 2018-03-12 |
| 1841790078 | East El Paso Family Medicine Pa | Family Medicine | 1393 George Dieter Dr Ste D, El Paso, TX 79936-7410 | 2018-02-14 |
| 1255865879 | Dl Ep Enterprises, Inc | Family Medicine | 1325 Montana Ave, El Paso, TX 79902-5538 | 2017-04-20 |
| 1336672468 | Ibiye Owei | Family Medicine | 2000b Transmountain Rd Ste B400, El Paso, TX 79911-3600 | 2017-04-05 |
| 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.