El Paso Colon and Rectal Clinic PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

H9957 Issued in TX

Legal business name

EL PASO COLON AND RECTAL CLINIC PA

Practice address

900 Chelsea St
El Paso, TX 79903-4927

Phone

(915) 544-4042

Fax

(915) 857-7809

NPI assigned

Oct 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Miss Christine Gomez

Title

Office Manager

Phone

(915) 544-4042

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25904/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaime Rafael Gomez, M.D.

  • Surgery Physician
  • El Paso, TX
  • NPI 1760563381
  Medicare reassignment NPD
• Brent D Michener, DO

  • Surgery Physician
  • El Paso, TX
  • NPI 1417165002
  Medicare reassignment NPD
• Luis F Gomez, M.D.

  • Colon & Rectal Surgery Physician
  • El Paso, TX
  • NPI 1881647659
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1013098607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 N MESA ST STE 201",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125919",
            "telephone_number": "915-351-6600",
            "fax_number": "915-351-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CHELSEA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034927",
            "telephone_number": "915-544-4042",
            "fax_number": "915-857-7809"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3270 Joe Battle Blvd Ste 360",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799382656",
            "country_code": "US",
            "telephone_number": "915-857-5781",
            "fax_number": "915-857-7809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EL PASO COLON AND RECTAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "915-544-4042",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "H9957",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "N6538",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "H9957",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "N6538",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84633301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• El Paso City County Health and Environmental District
• El Paso City County Health and Environmental District
• El Paso City County Health and Environmental District
• El Paso City County Health and Environmental District
• El Paso City County Health and Environmental District
• El Paso Community Home Health, Inc.
• El Paso Community MHMR
• El Paso Community MHMR
• El Paso Community MHMR
• El Paso Community MHMR

• Surgery Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.