Active NPI
Nicholas Chefor Asobo
- Family Medicine Physician
- El Paso, TX
National Provider Identifier
1720163975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L627972
- Practice address
- 3008 Stone Lake PL
El Paso, TX 79936-0806 - Phone
- (402) 616-3466
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L627972 | MI | Primary |
Addresses
Primary practice location
3008 Stone Lake PL
El Paso, TX 79936-0806
Mailing address
3008 Stone Lake PL
El Paso, TX 79936-0806
Phone (402) 616-3466
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150310000525 | TX | Order and Referring Only - Family Practice | 4183940125 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L627972 | MI | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720163975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3008 STONE LAKE PL",
"city": "EL PASO",
"state": "TX",
"postal_code": "799360806",
"telephone_number": "402-616-3466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3008 STONE LAKE PL",
"city": "EL PASO",
"state": "TX",
"postal_code": "799360806",
"telephone_number": "402-616-3466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASOBO",
"first_name": "NICHOLAS",
"middle_name": "CHEFOR",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "L627972",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.