El Paso Physician Group PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EL PASO PHYSICIAN GROUP PA

Practice address

1626 Medical Center Dr
5TH Floor, Suite 503
El Paso, TX 79902-5010

Phone

(915) 546-9200

Fax

(915) 546-9800

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Clay M. Heighten, M.D.NPI 1154421527

Title

President

Phone

(972) 739-3001

Specialties & licenses 10

Addresses

Other identifiers 5

Locations

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clay M Heighten, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1154421527
  NPD (past) Authorized official
• Robert P Chizen, MD

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1922014810
  NPD (past)
• Thelma E Diaz, NP

  • Adult Health Nurse Practitioner
  • El Paso, TX
  • NPI 1740404862
  NPD (past)
• Steven Philip Glusman, MD

  • Neurology Physician
  • El Paso, TX
  • NPI 1275530974
  NPD (past)
• Dempsey D Gordon, DO

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1609882596
  NPD (past)
• Annette Griego, NP

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1902093016
  NPD (past)
• Neil Anthony Grieshop, M.D.

  • Trauma Surgery Physician
  • El Paso, TX
  • NPI 1669487401
  NPD (past)
• Alexandra Jordan, NP

  • Nurse Practitioner
  • El Paso, TX
  • NPI 1962422097
  NPD (past)
• Nichole E Lugo, PA

  • Physician Assistant
  • El Paso, TX
  • NPI 1265437347
  NPD (past)
• Jaime Moreno, MD

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1144281478
  NPD (past)
• Jose Prieto Jr., MD

  • Pediatrics Physician
  • El Paso, TX
  • NPI 1215931878
  NPD (past)
• Carlos Manuel Remirez, MD

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1437149655
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1679524011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 LBJ FWY",
            "address_2": "SUITE 250",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433405",
            "telephone_number": "972-739-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 MEDICAL CENTER DR",
            "address_2": "5TH FLOOR, SUITE 503",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025010",
            "telephone_number": "915-546-9200",
            "fax_number": "915-546-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO PHYSICIAN GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "HEIGHTEN",
        "authorized_official_first_name": "CLAY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-739-3001",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162360502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162360503",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98535331",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0042KP",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162360501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• El Paso Pellicano Family Dentistry (Pellicano Family Dentistry)
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• El Paso Pelvic Health PLLC
• El Paso Physical Therapy Specialists LLC (El Paso Physical Therapy Services)
• El Paso Primary Healthcare Physician (Physicians Healthcare Associates)
• El Paso Primary Healthcare Physicians, P.a.
• El Paso Prosthetic Center, LLC
• El Paso Psychiatric Associates PA (Alternatives Centre for Behavioral Health)
• El Paso Psychiatric Associates PA (Alternatives Centre for Behavioral Health)

• Internal Medicine Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.