Southwest Anesthesia Group, P.a.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

SOUTHWEST ANESTHESIA GROUP, P.A.

Practice address

5959 Gateway Blvd W
Ste. 120
El Paso, TX 79925-3331

Phone

(915) 774-5539

Fax

(915) 771-6558

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Mark Gan, D.O.

Title

Physician

Phone

(915) 779-1716

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226620800000",
    "number": "1497851190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 GATEWAY BLVD W",
            "address_2": "STE. 120",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253331",
            "telephone_number": "915-774-5539",
            "fax_number": "915-771-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 GATEWAY BLVD W",
            "address_2": "STE. 120",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799253331",
            "telephone_number": "915-774-5539",
            "fax_number": "915-771-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST ANESTHESIA GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-11-14",
        "status": "A",
        "authorized_official_last_name": "GAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "915-779-1716",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094933101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00K80Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Sky Physician Services LLC
• Southfork Anesthesia PLLC
• Southwest #1, LLC
• Southwest Allergy and Asthma Associates
• Southwest Ambulatory Surgery Center, PLLC
• Southwest Behavioral Services of El Paso PLLC
• Southwest Cancer Center PA
• Southwest Cardiovascular Intervention Clinic, PA
• Southwest Celebrity Smiles PLLC
• Southwest Center for Reproductive Health, P.a.

• Anesthesiology Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.