Organization Active NPI

David W. Isaac

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1619202058
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J9713 Issued in TX
Legal business name
DAVID W. ISAAC
Practice address
3901 N Mesa St
El Paso, TX 79902-1501
Phone
(915) 838-0100
Fax
(915) 838-0122
NPI assigned
Oct 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Authorized official

Name
Mrs. Anne T Jolly
Title
Nurse Practitioner
Phone
(915) 838-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X J9713 TX Primary

Addresses

Primary practice location

3901 N Mesa St
El Paso, TX 79902-1501

Mailing address

3901 N Mesa St
El Paso, TX 79902-1501
Phone (915) 838-0100

National Provider Directory

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": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1619202058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021501",
            "telephone_number": "915-838-0100",
            "fax_number": "915-838-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021501",
            "telephone_number": "915-838-0100",
            "fax_number": "915-838-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W. ISAAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "JOLLY",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "915-838-0100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J9713",
            "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 Oct 2, 2009; 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.