Individual provider Active NPI

Mark A Jabor, MD

  • Plastic and Reconstructive Surgery Physician
  • El Paso, TX
National Provider Identifier
1659333573
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
L1894 Issued in TX
Practice address
1700 N Oregon
Suite 755
El Paso, TX 79902-3590
Phone
(915) 541-1225
Fax
(915) 541-1229
NPI assigned
Apr 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Specialties & licenses 1

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

Addresses

Primary practice location

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

Mailing address

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

Other names 1

  • Mark A Jabor Professional name

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

LicenseStateTypeSpecialty
022286LAMDPharmacist
L1894TXMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Outpatient Surgery Center Current Accepting new patients
West Texas Cosmetic Surgical Assoc PA Plastic and Reconstructive Surgery PastSince Jan 1, 1990 Accepting new patients
Emergency Physicians Center PastSince Nov 9, 2013 Accepting new patients

Locations

5664 N Mesa St
El Paso, TX 79912
Phone (915) 546-5600

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1659333573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N OREGON",
            "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",
            "address_2": "SUITE 755",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023590",
            "telephone_number": "915-541-1225",
            "fax_number": "915-541-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABOR",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "L1894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "JABOR",
            "middle_name": "A",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 17, 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.