NPIMap

Organization Active NPI

El Paso Anesthesiology Services PA

  • Anesthesiology Physician
  • El Paso, TX
National Provider Identifier
1063412591
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
EL PASO ANESTHESIOLOGY SERVICES PA
Practice address
5959 Gateway Blvd West
Suite 120
El Paso, TX 79925-3315
Phone
(915) 779-1716
Fax
(915) 771-6496
NPI assigned
Jul 27, 2005
Last updated
Apr 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
Angie Vasquez
Title
Credentialing MGR
Phone
(915) 779-1716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

5959 Gateway Blvd West
Suite 120
El Paso, TX 79925-3315

Mailing address

5959 Gateway Blvd West
Suite 120
El Paso, TX 79925-3315
Phone (915) 779-1716

Other identifiers 2

IdentifierTypeStateIssuer
DA2172OtherTXRAILROAD MEDICARE
158783402MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1063412591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 GATEWAY BLVD WEST",
            "address_2": "SUITE 120",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253315",
            "telephone_number": "915-779-1716",
            "fax_number": "915-771-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 GATEWAY BLVD WEST",
            "address_2": "SUITE 120",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253315",
            "telephone_number": "915-779-1716",
            "fax_number": "915-771-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO ANESTHESIOLOGY SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "CREDENTIALING MGR",
        "authorized_official_telephone_number": "915-779-1716"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA2172",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158783402",
            "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 Apr 24, 2014; 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.