NPIMap

Organization Active NPI

Ep Medical Imaging Technology, LP

  • Diagnostic Ultrasound Physician
  • El Paso, TX
National Provider Identifier
1508987165
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
EP MEDICAL IMAGING TECHNOLOGY, LP
Practice address
10767 Gateway Blvd W
Suite 520
El Paso, TX 79935-4919
Phone
(915) 598-3888
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dr. Jeanette Tan, M.D.
Title
Vice President of General Partner
Phone
(915) 598-3888

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085B0100X
Radiation Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0001X
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X
Vascular & Interventional Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0204X
Diagnostic Ultrasound PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

10767 Gateway Blvd W
Suite 520
El Paso, TX 79935-4919

Mailing address

10767 Gateway Blvd W
Suite 520
El Paso, TX 79935-4919
Phone (915) 598-3888

Other identifiers 1

IdentifierTypeStateIssuer
P00465290OtherTXMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

10767 Gateway Blvd W
Ste 520
El Paso, TX 79935
Phone (915) 598-3888

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1508987165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10767 GATEWAY BLVD W",
            "address_2": "SUITE 520",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354919",
            "telephone_number": "915-598-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10767 GATEWAY BLVD W",
            "address_2": "SUITE 520",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799354919",
            "telephone_number": "915-598-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EP MEDICAL IMAGING TECHNOLOGY, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF GENERAL PARTNER",
        "authorized_official_telephone_number": "915-598-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00465290",
            "state": "TX"
        }
    ],
    "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 May 7, 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.