Organization Active NPI

Wendy D. Phipps, MD, PA

  • Medical Specialty Clinic/Center
  • El Paso, TX
National Provider Identifier
1528244068
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
L4648 Issued in TX
Legal business name
WENDY D. PHIPPS, MD, PA
Practice address
401 Boston Ave
Suite a
El Paso, TX 79902-2601
Phone
(915) 544-9700
Fax
(915) 544-9701
NPI assigned
Jan 15, 2008
Last updated
Mar 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Authorized official

Name
Wendy D Phipps, M.D.NPI 1700883519
Title
Owner
Phone
(915) 544-9700

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
Medical Specialty Clinic/Center 261QM2500X L4648 TX Primary

Addresses

Primary practice location

401 Boston Ave
Suite a
El Paso, TX 79902-2601

Mailing address

401 Boston Ave
Suite a
El Paso, TX 79902-2601
Phone (915) 544-9700

Other identifiers 1

IdentifierTypeStateIssuer
165329703MedicaidTX

National Provider Directory

National Provider Directory

Locations

401 Boston Ave
#A
El Paso, TX 79902
Phone (915) 544-9700

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": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1528244068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BOSTON AVE",
            "address_2": "SUITE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022601",
            "telephone_number": "915-544-9700",
            "fax_number": "915-544-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BOSTON AVE",
            "address_2": "SUITE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799022601",
            "telephone_number": "915-544-9700",
            "fax_number": "915-544-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WENDY D. PHIPPS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "PHIPPS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-544-9700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "L4648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165329703",
            "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 Mar 21, 2013; 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.