Edgar E. Fernandez MD PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

Q0045 Issued in TX

Legal business name

EDGAR E. FERNANDEZ MD PA

Doing business as

Border City Orthopedics

Practice address

1512 Zaragoza Road
Building C Ste 3-4
El Paso, TX 79936-8903

Phone

(915) 206-2120

Fax

(915) 206-2130

NPI assigned

Sep 16, 2014

Organization subpart

No

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

Authorized official

Name

Edgar E Fernandez, MDNPI 1407084734

Title

Director

Phone

(915) 274-4082

Specialties & licenses 1

Addresses

Other names 1

• Border City Orthopedics Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Edgar E Fernandez, M.D.

  • Orthopaedic Surgery Physician
  • El Paso, TX
  • NPI 1407084734
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1043612526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 GATEWAY BLVD W STE 120",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253315",
            "telephone_number": "915-779-1716",
            "fax_number": "915-779-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 ZARAGOZA ROAD",
            "address_2": "BUILDING C STE 3-4",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799368903",
            "telephone_number": "915-206-2120",
            "fax_number": "915-206-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGAR E. FERNANDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "915-274-4082",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "Q0045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Border City Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Border City Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.