Active NPI
Southwest Neurospine Institute PA
- Neurological Surgery Physician
- El Paso, TX
National Provider Identifier
1720244338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- M8814
- Legal business name
- SOUTHWEST NEUROSPINE INSTITUTE PA
- Practice address
- 1725 Brown St
El Paso, TX 79902-4726 - Phone
- (915) 590-2225
- Fax
- (915) 590-2229
- NPI assigned
- Aug 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George Martin, M.D.
- Title
- President
- Phone
- (915) 590-2225
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | M8814 | TX | Primary |
Addresses
Primary practice location
1725 Brown St
El Paso, TX 79902-4726
Mailing address
1725 Brown St
El Paso, TX 79902-4726
Phone (915) 590-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197231701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1841285756
-
- Orthopaedic Surgery Physician
- El Paso, TX
- NPI 1437131463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396224000000",
"number": "1720244338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 BROWN ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799024726",
"telephone_number": "915-590-2225",
"fax_number": "915-590-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 BROWN ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799024726",
"telephone_number": "915-590-2225",
"fax_number": "915-590-2229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST NEUROSPINE INSTITUTE PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-03",
"last_updated": "2014-03-31",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "915-590-2225",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "TX",
"license": "M8814",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "197231701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
- Southwest LTC - El Paso, LLC (Mountain View Healthcare Center)
- Southwest Medical Devices LLC
- Southwest Mountain Star Medical Center PA
- Southwest Nephrology
- Southwest Nephrology/Internal Medicine, P.a.
- Southwest Neurospine Staffing LLC
- Southwest Neurosurgical Consultants LLC
- Southwest OB GYN Assoc., P.a.
- Southwest Orthopaedics
- Southwest Orthopedic Technologists (Alejandro L.Becerra)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.