Organization Active NPI

Southwest Neurospine Institute PA

  • Neurological Surgery Physician
  • El Paso, TX
National Provider Identifier
1720244338
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
M8814 Issued in TX
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

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
Dr. George Martin, M.D.NPI 1841285756
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)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
197231701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080930000414 TX Part B Supplier - Clinic/Group Practice 1951478106 Receives reassigned benefits from 1 practitioner
Practice locations: El Paso, TX
O20130605000763 TX DME Supplier - Physician - Unknown Physician Specialty 1951478106 Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

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": "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

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.

Verify at the official NPI Registry.