Organization Active NPI

I-Vascular Center of El Paso

  • Nephrology Physician
  • El Paso, TX
National Provider Identifier
1720504319
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
J5769 Issued in TX
Legal business name
I-VASCULAR CENTER OF EL PASO
Practice address
11989 Pellicano Dr Ste D
El Paso, TX 79936-6288
Phone
(210) 240-9996
NPI assigned
Aug 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Authorized official

Name
Dr. Anwar Gerges, MD
Title
Medical Director
Phone
(210) 240-9996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X J5769 TX Primary

Addresses

Primary practice location

11989 Pellicano Dr Ste D
El Paso, TX 79936-6288

Mailing address

19234 Stonehue
San Antonio, TX 78258-3477
Phone (210) 481-9544

National Provider Directory

National Provider Directory

Locations

19234 Stonehue
San Antonio, TX 78258
Phone (210) 481-9544

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1720504319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19234 STONEHUE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583477",
            "telephone_number": "210-481-9544",
            "fax_number": "210-481-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11989 PELLICANO DR STE D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366288",
            "telephone_number": "210-240-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I-VASCULAR CENTER OF EL PASO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "GERGES",
        "authorized_official_first_name": "ANWAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "210-240-9996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "J5769",
            "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 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.