East El Paso Physicians Group, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

EAST EL PASO PHYSICIANS GROUP, INC.

Practice address

1416 George Dieter Dr
El Paso, TX 79936-7601

Phone

(915) 598-4240

Fax

(915) 598-4412

NPI assigned

Apr 2, 2013

Last updated

Mar 3, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

EAST EL PASO PHYSICIANS MEDICAL CENTERAs reported in NPPES

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

Authorized official

Name

Alfredo Ontiveros

Title

Ceo

Phone

(915) 598-4240

Specialties & licenses 1

Addresses

Part of

East El Paso Physicians' Medical Center LLC

Locations

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1083957625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 GEORGE DIETER DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367601",
            "telephone_number": "915-598-4240",
            "fax_number": "915-598-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 GEORGE DIETER DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367601",
            "telephone_number": "915-598-4240",
            "fax_number": "915-598-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST EL PASO PHYSICIANS GROUP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST EL PASO PHYSICIANS MEDICAL CENTER",
        "enumeration_date": "2013-04-02",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "ONTIVEROS",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-598-4240"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• East El Paso Cosmetic Surgery Associates
• East El Paso Family Medicine PA
• East El Paso Healthcare Operations LLC (Tierra Este Nursing and Rehabilitation Center)
• East El Paso Physicians' Medical Center, LLC (Foundation Surgical Hospital of El Paso - Surecare Pharmacy)
• East El Paso Physicians' Medical Center, LLC (Legent Hospital of El Paso)
• East El Paso Womens Healthcare Center PA
• East-Side Oncology Clinic, PLLC
• Thomas Glenn Easter II, MD

• Diagnostic Radiology Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.