NPIMap

Organization Active NPI

Ecj Internal Medicine, PA Dba Westside Medical Care Center

  • General Practice Physician
  • El Paso, TX
National Provider Identifier
1750562211
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ECJ INTERNAL MEDICINE, PA DBA WESTSIDE MEDICAL CARE CENTER
Practice address
1501 N Mesa St
Suite 2-B
El Paso, TX 79902-4046
Phone
(915) 532-1222
Fax
(915) 532-1551
NPI assigned
Nov 26, 2007
Last updated
Dec 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Authorized official

Name
Ms. April Thomas
Title
Credentialing
Phone
(915) 532-1222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

1501 N Mesa St
Suite 2-B
El Paso, TX 79902-4046

Mailing address

1501 N Mesa St
Suite 2-B
El Paso, TX 79902-4046
Phone (915) 532-1222

Other identifiers 3

IdentifierTypeStateIssuer
1383903-13MedicaidTX
TXB113941OtherTXMEDICARE PTAN
TXB113940OtherTXGROUP PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1750562211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N MESA ST",
            "address_2": "SUITE 2-B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024046",
            "telephone_number": "915-532-1222",
            "fax_number": "915-532-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N MESA ST",
            "address_2": "SUITE 2-B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024046",
            "telephone_number": "915-532-1222",
            "fax_number": "915-532-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECJ INTERNAL MEDICINE, PA DBA WESTSIDE MEDICAL CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "915-532-1222",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1383903-13",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  PTAN",
            "identifier": "TXB113941",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "TXB113940",
            "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 Dec 19, 2012; 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.