Organization Active NPI

Texas Urogynecology & Laser Surgery Center PA

  • Gynecology Physician
  • El Paso, TX
National Provider Identifier
1528201373
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
TEXAS UROGYNECOLOGY & LASER SURGERY CENTER PA
Practice address
4501 N Mesa St
El Paso, TX 79912-6101
Phone
(915) 533-5600
Fax
(915) 533-5604
NPI assigned
Apr 9, 2009
Last updated
Oct 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

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

Authorized official

Name
Dr. Richard W Farnam, M.D.NPI 1205818234
Title
President
Phone
(915) 487-2558

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
Gynecology Physician 207VG0400X NU Primary

Addresses

Primary practice location

4501 N Mesa St
El Paso, TX 79912-6101

Mailing address

4501 N Mesa St
El Paso, TX 79912-6101
Phone (915) 533-5600

Other identifiers 1

IdentifierTypeStateIssuer
0096SGOtherTXBLUE CROSS BLUE SHIELD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2014034Texas Urogynecology & Laser Surgery Center4501 N Mesa, El Paso, TX 79912Certificate of waiverMar 15, 2028

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11541/brand/56/csg/761/fhir/r4

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": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1528201373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126101",
            "telephone_number": "915-533-5600",
            "fax_number": "915-533-5604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799126101",
            "telephone_number": "915-533-5600",
            "fax_number": "915-533-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS UROGYNECOLOGY & LASER SURGERY CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "FARNAM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-487-2558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0096SG",
            "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 Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.