Organization Active NPI

Meridan Medical & Associates

  • Adult Medicine Physician
  • El Paso, TX
National Provider Identifier
1720679129
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
MERIDAN MEDICAL & ASSOCIATES
Practice address
1900 N Mesa St Ste B
El Paso, TX 79902-3309
Phone
(915) 200-3788
Fax
(915) 200-3914
NPI assigned
Jan 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Authorized official

Name
Taneka Wilborn, ANP-BCNPI 1902327430
Title
Owner
Phone
(915) 200-3788

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
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

1900 N Mesa St Ste B
El Paso, TX 79902-3309

Mailing address

1900 N Mesa St Ste B
El Paso, TX 79902-3309
Phone (915) 200-3788

Other practice location 1

550 S Mesa Hills Dr Ste A4
El Paso, TX 79912-5758
Phone (915) 200-3788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210412000273 TX Part B Supplier - Clinic/Group Practice 5698183770 Receives reassigned benefits from 4 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

1900 N Mesa St
El Paso, TX 79902
Phone (915) 200-3788

1900 N Mesa St
Ste B
El Paso, TX 79902
Phone (915) 200-3788

Practitioners & affiliated clinicians

Practitioners 4

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": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1720679129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N MESA ST STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023309",
            "telephone_number": "915-200-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N MESA ST STE B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023309",
            "telephone_number": "915-200-3788",
            "fax_number": "915-200-3914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 S Mesa Hills Dr Ste A4",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799125758",
            "country_code": "US",
            "telephone_number": "915-200-3788",
            "fax_number": "915-200-3914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERIDAN MEDICAL & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A",
        "authorized_official_last_name": "WILBORN",
        "authorized_official_first_name": "TANEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-200-3788",
        "authorized_official_credential": "ANP-BC"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "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 Dec 30, 2025; 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.