Montana Pediatric Night Clinic PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

M0296 Issued in TX

Legal business name

MONTANA PEDIATRIC NIGHT CLINIC PA

Practice address

11800 Montana Ave
El Paso, TX 79936-1501

Phone

(915) 546-4140

Fax

(915) 546-4144

NPI assigned

Jun 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Stanley Usen, MDNPI 1265466353

Title

President

Phone

(915) 546-4140

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Stanley Usen, MD

  • Pediatrics Physician
  • El Paso, TX
  • NPI 1265466353
  Medicare reassignment NPD Authorized official
• Vivian Alexis Duron, CPNP-PC

  • Pediatric Nurse Practitioner
  • El Paso, TX
  • NPI 1194656710
  NPD (past)

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1104231596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799361501",
            "telephone_number": "915-546-4140",
            "fax_number": "915-546-4144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799361501",
            "telephone_number": "915-546-4140",
            "fax_number": "915-546-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA PEDIATRIC NIGHT CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "USEN",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-546-4140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M0296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose J. Monsivais, M.D.
• Cristal Montalvo
• Denise Montalvo, LPC, NCC
• Montana Dental, PLLC
• Montana Medical Clinic-Manuel Hernandez,M.D.
• Yvette Monique Montana, FNP-C
• Michelle Josech Montanez Rivera
• Armando Montanez
• Cynthia Montanez, FNP-C
• Jesscia Montanez

• Pediatrics Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.