North Mesa Street Medical Center LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

NORTH MESA STREET MEDICAL CENTER LLC

Practice address

4532 N Mesa St
El Paso, TX 79912-6102

Phone

(630) 926-3408

NPI assigned

Jun 10, 2015

Organization subpart

No

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

Authorized official

Name

Anita Singh, MA

Title

VP Business Development

Phone

(630) 926-3408

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1144601634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 TOWER DR",
            "address_2": "232",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275777",
            "telephone_number": "630-926-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126102",
            "telephone_number": "630-926-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MESA STREET MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "VP BUSINESS DEVELOPMENT",
        "authorized_official_telephone_number": "630-926-3408",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.