Individual provider Active NPI

Richard Patrick Vinson, M.D.

  • Dermatology Physician
  • El Paso, TX
National Provider Identifier
1710082268
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
K4601 Issued in TX
Practice address
8820 Gateway Blvd N
El Paso, TX 79904-1947
Phone
(915) 759-7700
Fax
(915) 759-7778
NPI assigned
Sep 13, 2006
Last updated
Oct 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X K4601 TX Primary
MOHS-Micrographic Surgery Physician 207ND0101X K4601 TX
Dermatopathology Physician 207ND0900X K4601 TX
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X K4601 TX
Pediatric Dermatology Physician 207NP0225X K4601 TX
Procedural Dermatology Physician 207NS0135X K4601 TX

Addresses

Primary practice location

8820 Gateway Blvd N
El Paso, TX 79904-1947

Mailing address

8820 Gateway Blvd N
El Paso, TX 79904-1947
Phone (915) 759-7700

Other identifiers 1

IdentifierTypeStateIssuer
1777849-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120313000440 TX Practitioner - Dermatology 2668430091 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain View Dermatology,P.a. Dermatology CurrentSince May 13, 2003 Accepting new patients

Locations

1723 Weston Brent Ln
El Paso, TX 79935
Phone (915) 759-7700

7100 Westwind Dr
Ste 270
El Paso, TX 79912
Phone (915) 759-7700

8820 Gateway Blvd N
El Paso, TX 79904
Phone (915) 759-0012

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1710082268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 GATEWAY BLVD N",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799041947",
            "telephone_number": "915-759-7700",
            "fax_number": "915-759-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 GATEWAY BLVD N",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799041947",
            "telephone_number": "915-759-7700",
            "fax_number": "915-759-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSON",
        "first_name": "RICHARD",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "K4601",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "K4601",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "K4601",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "TX",
            "license": "K4601",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "TX",
            "license": "K4601",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "TX",
            "license": "K4601",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1777849-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.