St. Luke'S Surgical Clinic

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ST. LUKE'S SURGICAL CLINIC

Practice address

706 Coeur Dalene Cir
El Paso, TX 79922-2133

Phone

(915) 603-2775

NPI assigned

Oct 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. John Christopher Dunn, MD

Title

President

Phone

(915) 603-2775

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• St. Luke's Surgical Clinic PLLC Doing business as

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1124744776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 COEUR DALENE CIR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799222133",
            "telephone_number": "915-603-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 COEUR DALENE CIR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799222133",
            "telephone_number": "915-603-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S SURGICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-15",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-603-2775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1689938359",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke's Surgical Clinic PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alex St. Louis, OTR
• Ryan Lance Staab, FNP-C
• Lilliana Staatz, MSW, LCSW
• Jacqueline Margaret Stagen, CRNA
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• Isaac Michael Stanaland, LMSW

• 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 Oct 17, 2022; 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.