NPIMap

Organization Active NPI

Nicolas Rich Jr MD Faap PA

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1164597324
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NICOLAS RICH JR MD FAAP PA
Practice address
2905 N Stanton St
El Paso, TX 79902-2510
Phone
(915) 544-4484
Fax
(915) 544-4590
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Authorized official

Name
Nicolas Rich Jr., MDNPI 1689741712
Title
MD
Phone
(915) 544-4484

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X TX Primary

Addresses

Primary practice location

2905 N Stanton St
El Paso, TX 79902-2510

Mailing address

2905 N Stanton St
El Paso, TX 79902-2510
Phone (915) 544-4484

Other identifiers 1

IdentifierTypeStateIssuer
157088901OtherTXMEDICAID GROUP

National Provider Directory

National Provider Directory

Locations

2900 N Kansas St
El Paso, TX 79902
Phone (915) 544-4484

2905 N Stanton St
El Paso, TX 79902
Phone (915) 544-4484

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1164597324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 N STANTON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022510",
            "telephone_number": "915-544-4484",
            "fax_number": "915-544-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 N STANTON ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022510",
            "telephone_number": "915-544-4484",
            "fax_number": "915-544-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLAS RICH JR MD FAAP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "915-544-4484",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "157088901",
            "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 Sep 21, 2012; 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.