NPIMap

Organization Active NPI

West Texas Cosmetic Surgical Assoc PA

  • Plastic and Reconstructive Surgery Physician
  • El Paso, TX
National Provider Identifier
1548446867
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
L1894 Issued in TX
Legal business name
WEST TEXAS COSMETIC SURGICAL ASSOC PA
Practice address
1700 N Oregon St
Suite 755
El Paso, TX 79902-3590
Phone
(915) 541-1225
Fax
(915) 541-1229
NPI assigned
Jan 16, 2008
Last updated
Mar 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Authorized official

Name
Elsa Jernigan
Title
Office Manager
Phone
(915) 541-1225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X E4959 TX
Plastic and Reconstructive Surgery Physician 2086S0122X L1894 TX Primary

Addresses

Primary practice location

1700 N Oregon St
Suite 755
El Paso, TX 79902-3590

Mailing address

1700 N Oregon St
Suite 755
El Paso, TX 79902-3590
Phone (915) 541-1225

Other identifiers 1

IdentifierTypeStateIssuer
126386MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1548446867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N OREGON ST",
            "address_2": "SUITE 755",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023590",
            "telephone_number": "915-541-1225",
            "fax_number": "915-541-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N OREGON ST",
            "address_2": "SUITE 755",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023590",
            "telephone_number": "915-541-1225",
            "fax_number": "915-541-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS COSMETIC SURGICAL ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "JERNIGAN",
        "authorized_official_first_name": "ELSA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "915-541-1225"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "E4959",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "L1894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126386",
            "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 28, 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.