Uzodinma Raphael Dim MD, PA

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

P0720 Issued in TX

Legal business name

UZODINMA RAPHAEL DIM MD, PA

Doing business as

International CardioVascular

Practice address

2200 George Dieter Drive
El Paso, TX 79936-9998

Phone

(915) 248-2434

Fax

(915) 248-2443

NPI assigned

Oct 6, 2014

Last updated

Jan 27, 2016By 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

Dr. Uzodinma Raphael Dim, MDNPI 1194990424

Title

Owner/President

Phone

(915) 248-2434

Specialties & licenses 3

Addresses

Other names 1

• International CardioVascular Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Uzodinma Raphael Dim MD, PA

  • Cardiac Rehabilitation Clinic/Center
  • El Paso, TX
  • NPI 1689491623

  4688971575

  Same PAC ID

Tax ID family

Uzodinma Raphael Dim MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Uzodinma Raphael Dim MD, PA

  • Cardiac Rehabilitation Clinic/Center
  • El Paso, TX
  • NPI 1689491623
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Uzodinma Raphael Dim MD, PA

  • Cardiac Rehabilitation Clinic/Center
  • El Paso, TX
  • NPI 1689491623
  NPPES parent name

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.

• Uzodinma Raphael Dim, M.D.

  • Interventional Cardiology Physician
  • El Paso, TX
  • NPI 1194990424
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1386047298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GEORGE DIETER DRIVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799369998",
            "telephone_number": "915-248-2434",
            "fax_number": "915-248-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GEORGE DIETER DRIVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799369998",
            "telephone_number": "915-248-2434",
            "fax_number": "915-248-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UZODINMA RAPHAEL DIM MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "DIM",
        "authorized_official_first_name": "UZODINMA",
        "authorized_official_middle_name": "RAPHAEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "915-248-2434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "P0720",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "TX",
            "license": "P0720",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "P0720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "International CardioVascular",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stanley Usen, MD
• Kimberly Usher, PH.D.
• Rukayat A Usman, PHARMD.
• Usv Optical Inc
• Frederick S Utter, CRNA
• Uzodinma Raphael Dim MD, PA
• V & V Group, Inc (US National Personal Care)
• V Helena Vadi Latiff MD PA
• VA Clinic
• Liliana Vacio, LPC-S, LCDC

• Interventional Cardiology Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Interventional Cardiology Physician in Texas

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