Active NPI
Ortho El Paso
- Sports Medicine (Orthopaedic Surgery) Physician
- El Paso, TX
National Provider Identifier
1497147276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- Q1531
- Legal business name
- ORTHO EL PASO
- Practice address
- 12770 Edgemere Blvd
Building F
El Paso, TX 79938-4568 - Phone
- (915) 249-4000
- Fax
- (915) 206-5949
- NPI assigned
- Mar 3, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Vourazeris, MD
- Title
- Director
- Phone
- (915) 249-4000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | Q1531 | TX | Primary |
Addresses
Primary practice location
12770 Edgemere Blvd
Building F
El Paso, TX 79938-4568
Mailing address
12770 Edgemere Blvd.
BLDG. F.
El Paso, TX 79938-3331
Phone (915) 249-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12770 Edgemere Blvd
Bldg F
El Paso, TX 79938
Phone (915) 249-4000
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- El Paso, TX
- NPI 1609028729
-
- Orthopaedic Hand Surgery Physician
- El Paso, TX
- NPI 1174720668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694044800000",
"number": "1497147276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12770 EDGEMERE BLVD.",
"address_2": "BLDG. F.",
"city": "EL PASO",
"state": "TX",
"postal_code": "799383331",
"telephone_number": "915-249-4000",
"fax_number": "915-206-5949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12770 EDGEMERE BLVD",
"address_2": "BUILDING F",
"city": "EL PASO",
"state": "TX",
"postal_code": "799384568",
"telephone_number": "915-249-4000",
"fax_number": "915-206-5949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHO EL PASO",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-03",
"last_updated": "2023-09-07",
"certification_date": "2023-09-07",
"status": "A",
"authorized_official_last_name": "VOURAZERIS",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "915-249-4000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "TX",
"license": "Q1531",
"primary": true
}
],
"identifiers": [],
"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 Sep 7, 2023; 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.