NPIMap

Organization Active NPI

El Paso Medical Group PA

  • Internal Medicine Physician
  • El Paso, TX
National Provider Identifier
1538465745
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L3959 Issued in TX
Legal business name
EL PASO MEDICAL GROUP PA
Practice address
1201 E Schuster Ave Ste 4a
El Paso, TX 79902-4646
Phone
(915) 532-6069
Fax
(915) 532-1335
NPI assigned
Feb 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Authorized official

Name
Dr. Carmen Georgina Escandon, M.D.
Title
M.D.
Phone
(915) 532-6069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X L3959 TX Primary

Addresses

Primary practice location

1201 E Schuster Ave Ste 4a
El Paso, TX 79902-4646

Mailing address

1201 E Schuster Ave Ste 4a
El Paso, TX 79902-4646
Phone (915) 532-6069

National Provider Directory

National Provider Directory
Tax ID family
El Paso Medical Group PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1538465745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE STE 4A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024646",
            "telephone_number": "915-532-6069",
            "fax_number": "915-532-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 E SCHUSTER AVE STE 4A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024646",
            "telephone_number": "915-532-6069",
            "fax_number": "915-532-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "ESCANDON",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "GEORGINA",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "915-532-6069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L3959",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 4, 2011; 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.