El Paso Vascular P a

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

H3816 Issued in TX

Legal business name

EL PASO VASCULAR P A

Practice address

4532 N Mesa St
El Paso, TX 79912

Phone

(915) 577-8346

Fax

(915) 577-7932

NPI assigned

Nov 11, 2016

Last updated

Aug 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward Gomez, MDNPI 1528165289

Title

Owner

Phone

(915) 577-8346

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Edward R. Gomez, M.D.

  • Vascular Surgery Physician
  • El Paso, TX
  • NPI 1528165289
  Authorized official Same address or phone

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1245772987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 GATEWAY BLVD W",
            "address_2": "STE 120",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253331",
            "telephone_number": "915-779-1716",
            "fax_number": "915-771-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79912",
            "telephone_number": "915-577-8346",
            "fax_number": "915-577-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO VASCULAR P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-577-8346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "H3816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030882701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00679D",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• El Paso Vamc
• El Paso Vamc
• El Paso Vamc
• El Paso Vamc
• El Paso Vamc
• El Paso VI Enterprises, L.L.C. (St. Teresa Nursing & Rehab Center)
• El Paso VIII Enterprises, LLC (Vista Hills Health Care Center)
• El Paso Viva Dental
• El Paso Wellness and Healthcare Center P.a.
• El Paso Wellness Associates

• Vascular Surgery Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Vascular Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.