Organization Active NPI

Epmed, PA

Doing business as Las Cruces Pain Center

  • Pain Medicine (Anesthesiology) Physician
  • Las Cruces, NM
National Provider Identifier
1467996629
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
EPMED, PA
Doing business as
Las Cruces Pain Center
Practice address
880 S Telshor Blvd
Suite 100
Las Cruces, NM 88011-8682
Phone
(575) 395-7246
Fax
(575) 652-4607
NPI assigned
Dec 7, 2016
Last updated
Jul 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Eduardo Genaro Vazquez, MDNPI 1225283211
Title
Ceo
Phone
(915) 598-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

880 S Telshor Blvd
Suite 100
Las Cruces, NM 88011-8682

Mailing address

3215 Gateway Blvd W
El Paso, TX 79903-4225
Phone (915) 598-7246

Other practice location 1

3500 Northrise Dr
Las Cruces, NM 88011-7274
Phone (575) 395-7246

Other identifiers 1

IdentifierTypeStateIssuer
58470701MedicaidNM

Other names 1

  • Las Cruces Pain Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1467996629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 GATEWAY BLVD W",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034225",
            "telephone_number": "915-598-7246",
            "fax_number": "915-633-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 S TELSHOR BLVD",
            "address_2": "SUITE 100",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118682",
            "telephone_number": "575-395-7246",
            "fax_number": "575-652-4607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3500 Northrise Dr",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880117274",
            "country_code": "US",
            "telephone_number": "575-395-7246",
            "fax_number": "575-652-4607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EPMED, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "GENARO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "915-598-7246",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58470701",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Cruces Pain Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.