Eastside Occmed Center, PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

EASTSIDE OCCMED CENTER, PA

Practice address

1721 N Lee Trevino Dr
El Paso, TX 79936-4521

Phone

(915) 590-9424

NPI assigned

Nov 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca Ayers

Title

Admin Assistant

Phone

(915) 842-0504

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1497936959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 N LEE TREVINO DR",
            "address_2": "PO BOX 12850",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364521",
            "telephone_number": "915-590-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 N LEE TREVINO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799364521",
            "telephone_number": "915-590-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE OCCMED CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "ADMIN ASSISTANT",
        "authorized_official_telephone_number": "915-842-0504",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastside Dental Care, PLLC
• Eastside Doctors' Association, LLC
• Eastside Eye Associates, P.a.
• Eastside Family Care Center PLLC
• Eastside Night Clinic
• Eastside Physiotherapy Clinic
• Eastside Rehabilitation Medicine & Pain Clinic, PA
• Eastside Rheumatology, PLLC
• Eastside Total Healthcare, LLC
• Eastside Women'S Healthcare Center, P.a.

• General Practice Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.