Organization Active NPI

Dunamis Surgical Centers PLLC

  • Surgery Physician
  • El Paso, TX
National Provider Identifier
1629316328
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
N9450 Issued in TX
Legal business name
DUNAMIS SURGICAL CENTERS PLLC
Practice address
4655 Cohen Ave
El Paso, TX 79924-4415
Phone
(915) 532-1800
Fax
(888) 694-2748
NPI assigned
Jan 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Authorized official

Name
Oluwamayowa Franklin FamiluaNPI 1063714970
Title
President
Phone
(347) 738-7467

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X N9450 TX Primary

Addresses

Primary practice location

4655 Cohen Ave
El Paso, TX 79924-4415

Mailing address

4655 Cohen Ave
El Paso, TX 79924-4415
Phone (915) 532-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130424000118 TX Part B Supplier - Clinic/Group Practice 6406092279 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

4655 Cohen Ave
El Paso, TX 79924
Phone (915) 532-1800

9900 Montana Ave
Ste A
El Paso, TX 79925

9900 Montana Ave
Ste A2
El Paso, TX 79925
Phone (915) 532-1800

Practitioners & affiliated clinicians

Practitioners 3

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": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1629316328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4655 COHEN AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799244415",
            "telephone_number": "915-532-1800",
            "fax_number": "888-694-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 COHEN AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799244415",
            "telephone_number": "915-532-1800",
            "fax_number": "888-694-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNAMIS SURGICAL CENTERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "FAMILUA",
        "authorized_official_first_name": "OLUWAMAYOWA",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-738-7467"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "N9450",
            "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 Dec 29, 2021; 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.