NPIMap

Individual provider Active NPI

Ernest A Teegarden, D.O.

  • Anesthesiology Physician
  • El Paso, TX
National Provider Identifier
1033281241
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
E3127 Issued in TX
Practice address
7300 Remcon Cir
Suite 200
El Paso, TX 79912-1642
Phone
(915) 532-3600
Fax
(915) 532-8999
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X E3127 TX
Anesthesiology Physician 207L00000X E3127 TX Primary

Addresses

Primary practice location

7300 Remcon Cir
Suite 200
El Paso, TX 79912-1642

Mailing address

7300 Remcon Cir
Ste 200
El Paso, TX 79912-1642
Phone (915) 532-3600

Other identifiers 5

IdentifierTypeStateIssuer
P01696897OtherTXRR
133035902MedicaidTX
133035911MedicaidTX
8FX659OtherTXBCBS
133035912MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
E3127TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Anesthesia Specialists PA Anesthesiology Past Accepting new patients
Stephen R. Harris, M.D. Inc PastSince Jan 7, 2017 Accepting new patients
Tico Telehealth Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1033281241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 REMCON CIR",
            "address_2": "STE 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121642",
            "telephone_number": "915-532-3600",
            "fax_number": "915-532-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 REMCON CIR",
            "address_2": "SUITE 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799121642",
            "telephone_number": "915-532-3600",
            "fax_number": "915-532-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEGARDEN",
        "first_name": "ERNEST",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "E3127",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "E3127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR",
            "identifier": "P01696897",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133035902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133035911",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8FX659",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133035912",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.