NPIMap

Organization Active NPI

Paso del Norte Pediatrics, P.a.

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1073647244
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
F8501 Issued in TX
Legal business name
PASO DEL NORTE PEDIATRICS, P.A.
Practice address
2325 Pershing Dr
El Paso, TX 79903-3608
Phone
(915) 590-5600
Fax
(915) 590-7367
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Carlos A Gutierrez, M.D.
Title
Physician
Phone
(915) 590-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X F8501 TX Primary

Addresses

Primary practice location

2325 Pershing Dr
El Paso, TX 79903-3608

Mailing address

2325 Pershing Dr
El Paso, TX 79903-3608
Phone (915) 590-5600

Other identifiers 1

IdentifierTypeStateIssuer
161340801MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1073647244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 PERSHING DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033608",
            "telephone_number": "915-590-5600",
            "fax_number": "915-590-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 PERSHING DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033608",
            "telephone_number": "915-590-5600",
            "fax_number": "915-590-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASO DEL NORTE PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "915-590-5600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "F8501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161340801",
            "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 Aug 26, 2008; 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.