Organization Active NPI

Halsted Surgical Association

  • Surgery Physician
  • El Paso, TX
National Provider Identifier
1366630170
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
J2048 Issued in TX
Legal business name
HALSTED SURGICAL ASSOCIATION
Practice address
10201 Gateway Blvd W Ste 420
El Paso, TX 79925-7647
Phone
(915) 593-9800
Fax
(915) 593-9805
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Maria Angelina Halsted, M.D.
Title
Owner
Phone
(915) 593-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X J2048 TX Primary

Addresses

Primary practice location

10201 Gateway Blvd W Ste 420
El Paso, TX 79925-7647

Mailing address

7408 Umbria Dr
El Paso, TX 79904-3505
Phone (915) 593-9800

Other identifiers 1

IdentifierTypeStateIssuer
0036DUOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

10201 Gateway Blvd W
Ste 420
El Paso, TX 79925
Phone (915) 593-9800

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1366630170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7408 UMBRIA DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799043505",
            "telephone_number": "915-593-9800",
            "fax_number": "915-593-9805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10201 GATEWAY BLVD W STE 420",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257647",
            "telephone_number": "915-593-9800",
            "fax_number": "915-593-9805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALSTED SURGICAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "HALSTED",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ANGELINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-593-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "J2048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0036DU",
            "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 Jun 16, 2008; 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.