Organization Active NPI

Sun City Neurology, P.a.

  • Neurology Physician
  • El Paso, TX
National Provider Identifier
1164420832
Registry record updated Mar 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
L2280 Issued in TX
Legal business name
SUN CITY NEUROLOGY, P.A.
Practice address
812 N Virginia St
Suite 215
El Paso, TX 79902-5300
Phone
(915) 592-7500
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2014

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

Authorized official

Name
Dr. Steven Glusman, M.D.
Title
President
Phone
(915) 592-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X L2280 TX Primary

Addresses

Primary practice location

812 N Virginia St
Suite 215
El Paso, TX 79902-5300

Mailing address

PO Box 13085
Coronado Station
El Paso, TX 79913-3085
Phone (915) 592-7500

Other identifiers 1

IdentifierTypeStateIssuer
159931801MedicaidTX

National Provider Directory

National Provider Directory

Locations

812 N Virginia St
Ste 215
El Paso, TX 79902
Phone (915) 592-7500

1015 N Zaragoza Rd
El Paso, TX 79907
Phone (915) 860-4762

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396051200000",
    "number": "1164420832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13085",
            "address_2": "CORONADO STATION",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799133085",
            "telephone_number": "915-592-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 N VIRGINIA ST",
            "address_2": "SUITE 215",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025300",
            "telephone_number": "915-592-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY NEUROLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2014-03-29",
        "status": "A",
        "authorized_official_last_name": "GLUSMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-592-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L2280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159931801",
            "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 Mar 29, 2014; 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.