Heritage Neurology PA

Primary specialty

Neurocritical Care PhysicianTaxonomy code 2084A2900X

License

Q9956 Issued in TX

Legal business name

HERITAGE NEUROLOGY PA

Practice address

2270 Joe Battle Blvd Ste Q
El Paso, TX 79938-2610

Phone

(915) 317-1500

Fax

(915) 201-5101

NPI assigned

May 31, 2018

Organization subpart

No

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

Authorized official

Name

Olajide O Benson, MDNPI 1417191289

Title

Owner

Phone

(713) 505-5358

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18537/brand/1/csg/1/fhir/r4

Practitioners 2

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

• Olajide Oladele Benson, MD

  • Neurology Physician
  • El Paso, TX
  • NPI 1417191289
  Medicare reassignment NPD Authorized official
• Martin Burciaga, FNP

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1013686542
  NPD (past)

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1548752041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 N MESA ST STE 201",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125919",
            "telephone_number": "915-351-6600",
            "fax_number": "915-351-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 JOE BATTLE BLVD STE Q",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799382610",
            "telephone_number": "915-317-1500",
            "fax_number": "915-201-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE NEUROLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "OLAJIDE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-505-5358",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurocritical Care",
            "state": "TX",
            "license": "Q9956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3883670-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grecia Heredia, PHARMD, AAHIVP
• Miguel Esteban Heredia
• Herekar Eg LLC
• Herekar PLLC
• Aamr Arif Herekar, M.D.
• Karen Leora Herman, MD
• Peter Simon Herman, MD
• Hermanos in Home Health LLC
• Cecilia Hermosillo, M.S.
• Dalila Hermosillo

• Neurocritical Care Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Neurocritical Care Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.