NPIMap

Organization Active NPI

G Athansi Orfanos MD PA

  • Pediatrics Physician
  • Edinburg, TX
National Provider Identifier
1245453901
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L3055 Issued in TX
Legal business name
G ATHANSI ORFANOS MD PA
Doing business as
G ATHANSI ORFANOS MD PA
Practice address
2703 W Trenton Rd
Edinburg, TX 78539-3433
Phone
(956) 682-9559
Fax
(956) 682-9767
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gerardo Athanasi Orfanos, MDNPI 1306838040
Title
Owner
Phone
(956) 682-9559

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: 193400000X SINGLE SPECIALTY GROUP 208000000X L3055 TX Primary

Addresses

Primary practice location

2703 W Trenton Rd
Edinburg, TX 78539-3433

Mailing address

2703 W Trenton Rd
Edinburg, TX 78539-3433
Phone (956) 682-9559

Other identifiers 1

IdentifierTypeStateIssuer
L3055OtherTXLICENSE

Other names 1

  • G ATHANSI ORFANOS MD PA Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180604000346 TX Part B Supplier - Clinic/Group Practice 1658636188 Receives reassigned benefits from 1 practitioner
Practice locations: Edinburg, TX

National Provider Directory

National Provider Directory

Locations

2703 W Trenton Rd
#G
Edinburg, TX 78539
Phone (956) 682-8575

2703 W Trenton Rd
Edinburg, TX 78539
Phone (956) 682-9559

508 N 10th St
McAllen, TX 78501

3715 S Cage Blvd
Pharr, TX 78577

Practitioners & affiliated clinicians

Practitioners 10

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245453901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393433",
            "telephone_number": "956-682-9559",
            "fax_number": "956-682-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 W TRENTON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393433",
            "telephone_number": "956-682-9559",
            "fax_number": "956-682-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G ATHANSI ORFANOS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORFANOS",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_middle_name": "ATHANASI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-682-9559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L3055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "L3055",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G ATHANSI ORFANOS MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.