Organization Active NPI

Cohen Ave Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • El Paso, TX
National Provider Identifier
1205026069
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
PENDING Issued in TX
Legal business name
COHEN AVE SURGERY CENTER, LLC
Doing business as
Northeast Surgical Center
Practice address
4659 Cohen Ave.
Suite B
El Paso, TX 79924-4415
Phone
(915) 751-0000
Fax
(915) 751-0464
NPI assigned
Jul 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Lloyd David Williams, DPMNPI 1245203322
Title
Member
Phone
(915) 751-0000

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
Ambulatory Surgical Clinic/Center 261QA1903X PENDING TX Primary

Addresses

Primary practice location

4659 Cohen Ave.
Suite B
El Paso, TX 79924-4415

Mailing address

4659 Cohen Ave.
Suite B
El Paso, TX 79924-4415
Phone (915) 751-0000

Other names 1

  • Northeast Surgical Center Doing business as

National Provider Directory

National Provider Directory

Locations

4659 Cohen Ave
Unit B
El Paso, TX 79924
Phone (915) 217-1140

Practitioners & affiliated clinicians

Practitioners 1

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": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1205026069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4659 COHEN AVE.",
            "address_2": "SUITE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799244415",
            "telephone_number": "915-751-0000",
            "fax_number": "915-751-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4659 COHEN AVE.",
            "address_2": "SUITE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799244415",
            "telephone_number": "915-751-0000",
            "fax_number": "915-751-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COHEN AVE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "915-751-0000",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 27, 2009; 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.