Active NPI
Ghada H Altaher, M.D.
- Ophthalmology Physician
- El Paso, TX
National Provider Identifier
1649222829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- L9997
- Practice address
- 1600 Medical Center Dr
Suite 120
El Paso, TX 79902-5002 - Phone
- (915) 545-2700
- Fax
- (915) 545-2701
- NPI assigned
- May 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | L9997 | TX | Primary |
Addresses
Primary practice location
1600 Medical Center Dr
Suite 120
El Paso, TX 79902-5002
Mailing address
1600 Medical Center Dr
Suite 120
El Paso, TX 79902-5002
Phone (915) 545-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173225701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L9997 | TX | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Dallas Healthcare Enterprises | Past | Accepting new patients | |
| Burt a Ginsburg MD PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1649222829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 MEDICAL CENTER DR",
"address_2": "SUITE 120",
"city": "EL PASO",
"state": "TX",
"postal_code": "799025002",
"telephone_number": "915-545-2700",
"fax_number": "915-545-2701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 MEDICAL CENTER DR",
"address_2": "SUITE 120",
"city": "EL PASO",
"state": "TX",
"postal_code": "799025002",
"telephone_number": "915-545-2700",
"fax_number": "915-545-2701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTAHER",
"first_name": "GHADA",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-16",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "L9997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173225701",
"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 Aug 12, 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.