Organization Active NPI

S & G Medical Services PLLC

  • Family Medicine Physician
  • El Paso, TX
National Provider Identifier
1215488085
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
S & G MEDICAL SERVICES PLLC
Practice address
12350 Montwood Dr
Suite 300
El Paso, TX 79928-5694
Phone
(915) 231-6224
Fax
(915) 231-6710
NPI assigned
Oct 17, 2016
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Annette Griego, F.N.P.NPI 1902093016
Title
Family Nurse Practitioner
Phone
(915) 231-6224

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

12350 Montwood Dr
Suite 300
El Paso, TX 79928-5694

Mailing address

12350 Montwood Dr
Suite 300
El Paso, TX 79928-5694
Phone (915) 231-6224

Other names 1

  • El Paso Family and Pediatric Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170203000354 TX Part B Supplier - Clinic/Group Practice 0244513968 Receives reassigned benefits from 4 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

11601 Pellicano Dr
Ste C6
El Paso, TX 79936

1900 N Oregon St
Ste 500
El Paso, TX 79902
Phone (915) 202-4463

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1215488085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12350 MONTWOOD DR",
            "address_2": "SUITE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799285694",
            "telephone_number": "915-231-6224",
            "fax_number": "915-231-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12350 MONTWOOD DR",
            "address_2": "SUITE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799285694",
            "telephone_number": "915-231-6224",
            "fax_number": "915-231-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & G MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "GRIEGO",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "915-231-6224",
        "authorized_official_credential": "F.N.P."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Paso Family and Pediatric Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.