Paisano Medical Center, LP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

522056 Issued in TX

Legal business name

PAISANO MEDICAL CENTER, LP

Practice address

5340 El Paso Dr Ste a
El Paso, TX 79905-2838

Phone

(915) 778-9811

Fax

(915) 778-1521

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Robert M Kaufman, RN FNPNPI 1174574537

Title

Tenant

Phone

(915) 778-9811

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Michael Kaufman, RNFNP-C

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1174574537
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1386631448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 EL PASO DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052838",
            "telephone_number": "915-778-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 EL PASO DR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799052838",
            "telephone_number": "915-778-9811",
            "fax_number": "915-778-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAISANO MEDICAL CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "TENANT",
        "authorized_official_telephone_number": "915-778-9811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "522056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161063601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TP1153702901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Paige, DO
• Paincare Latino PLLC
• Craig Leslie Paine, RN
• Esmeralda Valentina Painter, RD
• Paisano Kidz Dental, PLLC
• Hemant Pal, MD
• Jeremy Francis Palacio, MD
• Manuela Palacio, LPC
• Irving A Palacios Y Trejo, SA-C
• Aida Leticia Palacios, PHARMACIST

• Family Medicine Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.