Organization Active NPI

Eddie Nassar MD PA

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1699009456
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
EDDIE NASSAR MD PA
Practice address
5000 Doniphan Dr
Ste 104
El Paso, TX 79932-1619
Phone
(915) 881-4225
Fax
(915) 881-4197
NPI assigned
Sep 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Dr. Eddie Nassar, M.D.NPI 1053495267
Title
Director
Phone
(915) 881-4225

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

5000 Doniphan Dr
Ste 104
El Paso, TX 79932-1619

Mailing address

5000 Doniphan Dr
Ste 104
El Paso, TX 79932-1619
Phone (915) 881-4225

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2002505Eddie Nassar MD PA5000 Doniphan Ste 104, El Paso, TX 79932Certificate of waiverJan 19, 2028

National Provider Directory

National Provider Directory

Locations

5000 Doniphan Dr
Ste 104
El Paso, TX 79932
Phone (915) 881-4197

Practitioners & affiliated clinicians

Practitioners 2

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": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1699009456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 DONIPHAN DR",
            "address_2": "STE 104",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321619",
            "telephone_number": "915-881-4225",
            "fax_number": "915-881-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 DONIPHAN DR",
            "address_2": "STE 104",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799321619",
            "telephone_number": "915-881-4225",
            "fax_number": "915-881-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDIE NASSAR MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "NASSAR",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "915-881-4225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "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 Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.