Vista Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VISTA SURGERY CENTER LLC

Practice address

1400 Common Drive
El Paso, TX 79936

Phone

(915) 595-4375

Fax

(915) 975-8262

NPI assigned

Jun 27, 2007

Last updated

May 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marc Ellman, M.D.NPI 1780635268

Title

Manager

Phone

(915) 595-4375

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Vista Surgery Center LLCCCN 45C0001479

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marc Ellman, M.D.

  • Ophthalmology Physician
  • El Paso, TX
  • NPI 1780635268
  NPD Authorized official

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1033316765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 COMMON DRIVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79936",
            "telephone_number": "915-595-4375",
            "fax_number": "915-975-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 COMMON DRIVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79936",
            "telephone_number": "915-595-4375",
            "fax_number": "915-975-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "ELLMAN",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "915-595-4375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vista Health Clinic & Rehab LLC
• Vista Hills Family Dental
• Vista Hills Health Care Center LP (Vista Hills Health Care Center)
• Vista Hills Medical Equipment Corp.
• Vista Hills SNF LLC (Vista Hills Health Care Center)
• Visual Accents Optical
• Vital Move LLC
• Vital Pas Assisted Living LLC
• Vital Personal Assistant Services LLC
• Cesar E Vivanco, MD

• Ambulatory Surgical Clinic/Center in El Paso, TX
• Providers in El Paso, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.