EL PASO KIDNEY SPECIALISTS PA (NPI# 1881680155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881680155 |
| Entity Type | Organization |
| Organization Name | EL PASO KIDNEY SPECIALISTS PA |
| Practice Address |
1310 Murchison Dr Ste 100 El Paso TX 79902 |
| Mailing Address |
1310 Murchison Dr Ste 100 El Paso TX 79902-4821 |
| Practice Telephone | 9155444500 |
| Practice Fax Number | 9155444572 |
| Mailing Telephone | 9155444500 |
| Mailing Fax Number | 9155469430 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2018-08-20 |
| Authorized Official Name | MR. FERNANDO RAUDALES (MEDICAL DOCTOR PRESIDENT) |
| Authorized Official Telephone | 9155444500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 161379601 | 05 |
| Street Address |
1310 MURCHISON DR STE 100 |
| City | EL PASO |
| State | TX |
| Zip Code | 79902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194299842 | Pamela O Ogbonna | Nurse Practitioner | 1310 Murchison Dr Ste 100, El Paso, TX 79902-4821 | 2019-01-16 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1073023131 | Pedro A Blandon Md Pa | Internal Medicine | 1250 E Cliff Dr Ste 3e, El Paso, TX 79902-4847 | 2017-10-03 |
| 1033630223 | I Vascular of El Paso Pllc | Internal Medicine | 11989 Pellicano Dr Ste D, El Paso, TX 79936-6288 | 2017-06-28 |
| 1376773663 | Paramveer Singh Saluja | Internal Medicine | 1566 Lomaland Dr, Kidney Consultants of El Paso, El Paso, TX 79935-4202 | 2009-07-21 |
| 1689888307 | Saurabh A Pande | Internal Medicine | 10470 Vista Del Sol Dr Ste 105, El Paso, TX 79925-7928 | 2007-05-10 |
| 1215051545 | Nephrology Associates of El Paso | Internal Medicine | 1250 E Cliff Dr Ste 1a, El Paso, TX 79902-4827 | 2007-03-19 |
| 1861486532 | Jorge Humberto Serna | Internal Medicine | 1310 Murchison Drive, Suite 100, El Paso, TX 79902 | 2005-09-08 |
| 1033103080 | Rey Francisco Rosario | Internal Medicine | 1250 E Cliff Dr, Suite 3e, El Paso, TX 79902-4850 | 2005-09-06 |
| 1639161698 | Michael A Velasquez | Internal Medicine | 9440 Viscount Blvd, Suite 210, El Paso, TX 79925-7049 | 2005-08-16 |
| 1891796892 | Srinivas Reddy Chitti Md Pa | Internal Medicine | 10501 Vista Del Sol Dr, Suite 210, El Paso, TX 79925-7940 | 2005-08-02 |
| 1588663868 | Troy M Denunzio Sr. | Internal Medicine | 5005 N Piedras St, Attn: Credentials Office, El Paso, TX 79920-5001 | 2005-07-19 |
| 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.