PEDIATRIC GROUP OF CENTRAL EL PASO (NPI# 1962435370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962435370 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC GROUP OF CENTRAL EL PASO |
| Practice Address |
1400 N El Paso St Bldg. E El Paso TX 79902-3437 |
| Mailing Address |
5959 Gateway Blvd W Ste. 120 El Paso TX 79925-3331 |
| Practice Telephone | 9155770444 |
| Mailing Telephone | 9157791716 |
| Mailing Fax Number | 9157791754 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2011-05-17 |
| Authorized Official Name | ARTURO CASILLAS (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 9155770444 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 085741901 | 05 | |
| TX | BCBS | 00U70B | 01 |
| Street Address |
1400 N EL PASO ST BLDG. E |
| City | EL PASO |
| State | TX |
| Zip Code | 79902-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568469245 | Rodolfo Fierro-stevens | Psychiatry & Neurology | 1400 N El Paso St, B, El Paso, TX 79902-3437 | 2005-07-07 |
| 1700163748 | Elizabeth Heredia Bravo | Nurse Practitioner | 1400 N El Paso St, Bldg A, El Paso, TX 79902-3437 | 2011-11-04 |
| 1952629826 | Andres Domingo Boadella | Pediatrics | 1400 N El Paso St, Bldg E, El Paso, TX 79902-3437 | 2010-05-17 |
| 1740414747 | Oscar E Perez Md Pa | Counselor | 1400 N El Paso St, Bldg A, El Paso, TX 79902-3437 | 2009-05-06 |
| 1821269036 | Rosalinda T Sanchez | Nurse Practitioner | 1400 N El Paso St, E, El Paso, TX 79902-3437 | 2008-03-14 |
| 1023096286 | Aboubakr A Bakr | Psychiatry & Neurology | 1400 N El Paso St, Bldg C, El Paso, TX 79902 | 2006-01-06 |
| 1528060969 | Antonio M. Ortega | Internal Medicine | 1400 N El Paso St, Building D, El Paso, TX 79902-3437 | 2005-08-15 |
| 1609875558 | Arturo Casillas | Pediatrics | 1400 N El Paso St, Bldg. E, El Paso, TX 79902-3437 | 2005-07-21 |
| 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 | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447789250 | Ab Pediatric Health Clinic Pllc | Pediatrics | 1400 N El Paso St Ste E, El Paso, TX 79902-3438 | 2017-06-06 |
| 1841347218 | Border Pediatrics, P.a. | Pediatrics | 4500 N Mesa St, El Paso, TX 79912-6102 | 2007-01-05 |
| 1033260641 | Paul C Nowak | Pediatrics | 1225 E Cliff Dr, Bldg. 3 Suite 100, El Paso, TX 79902-4732 | 2007-01-12 |
| 1174670533 | Northeast Pediatric Night Clinic, P.a. | Pediatrics | 10755 Kenworthy St, El Paso, TX 79924-1717 | 2007-01-05 |
| 1043387418 | Ruth Bernal | Pediatrics | 8061 Alameda Ave, El Paso, TX 79915-4705 | 2006-11-29 |
| 1003824038 | Texas Tech University Health Sciences Center El Paso | Pediatrics | 4801 Alberta Ave., El Paso, TX 79905 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619440450 | Wishing Well Children's Clinic, Pllc | Pediatrics | 1259 Fm 1463, Suite 300, Katy, TX 77494 | 2019-01-04 |
| 1205284619 | Asha Davidson | Pediatrics | 6431 Fannin St Ste Msb 3126, Houston, TX 77030-1501 | 2016-05-25 |
| 1295113538 | Chandra Garvey | Pediatrics | 3600 Shire Blvd Ste 110, Richardson, TX 75082-2236 | 2015-05-06 |
| 1588099360 | Jennifer L Pitts | Pediatrics | 23920 Katy Fwy Ste 150, Katy, TX 77494-0881 | 2013-09-11 |
| 1699018705 | Steven Anthony Ricondo | Pediatrics | 6701 Fannin St Ste 1710, Houston, TX 77030-2616 | 2013-03-27 |
| 1568708006 | Marvin Ray Raley | Pediatrics | 1221 Welch St Apt 2, Houston, TX 77006-1180 | 2013-01-02 |
| 1346575867 | Andre Youssef Zarzour | Pediatrics | 8615 Herts Rd, Spring, TX 77379-6720 | 2009-10-16 |
| 1386885499 | Rockwall Medical Association, Pa | Pediatrics | 114 Kenway St, Rockwall, TX 75087-3536 | 2009-03-19 |
| 1851576516 | Elgin Pediatrics, Pa | Pediatrics | 214 Highway 290 E, Elgin, TX 78621-3214 | 2007-12-31 |
| 1588847107 | Raymonville Pediatrics | Pediatrics | 910 E Hidalgo Ave, Raymondville, TX 78580-4095 | 2007-12-06 |
| Find all providers with the same taxonomy | ||||
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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.