HD Elshire III MD PHD Facs, Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

HD ELSHIRE III MD PHD FACS, INC

Practice address

1415 Ross Ave
El Centro, CA 92243-4306

Phone

(760) 339-7100

NPI assigned

Aug 24, 2019

Organization subpart

No

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

Authorized official

Name

Harry Elshire III, MD, PHD, FACS

Title

Owner

Phone

(858) 740-8700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1437706397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 S RANCHO SANTA FE RD STE E70-360",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244300",
            "telephone_number": "951-527-5660",
            "fax_number": "961-527-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 ROSS AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434306",
            "telephone_number": "760-339-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HD ELSHIRE III MD PHD FACS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-24",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "ELSHIRE",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-740-8700",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD, PHD, FACS"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in El Centro, CA
• Providers in El Centro, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.