Andrew Weston Perry, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · El Paso, TX
NPI 1780443085 · NPPES record last updated Mar 18, 2024
Key facts
- NPI
- 1780443085
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- Medical Plaza II
10175 Gateway Blvd West, Suite 140
El Paso, TX 79925 - Phone
- (915) 218-8828
- NPI assigned
- Mar 18, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240621000937 | TX | Order and Referring Only - Internal Medicine |
0446793244 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Las Palmas del Sol Internal Medicine, PLLC | Current |
Accepting new patients |
Locations
10175 Gateway Blvd W
Ste 140
El Paso, TX 79925
Phone (915) 218-8828
10175 Gateway Blvd W
Ste 300
El Paso, TX 79925
Phone (915) 218-8828
Interoperability endpoints
- andrew.perry@hca8.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
Medical Plaza II
10175 Gateway Blvd West, Suite 140
El Paso, TX 79925
Mailing address
Medical Plaza II
10175 Gateway Blvd West, Suite 300
El Paso, TX 79925
NPI Registry JSON
{
"created_epoch": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1780443085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL PLAZA II",
"address_2": "10175 GATEWAY BLVD WEST, SUITE 300",
"city": "EL PASO",
"state": "TX",
"postal_code": "79925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL PLAZA II",
"address_2": "10175 GATEWAY BLVD WEST, SUITE 140",
"city": "EL PASO",
"state": "TX",
"postal_code": "79925",
"telephone_number": "915-218-8828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "ANDREW",
"middle_name": "WESTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-18",
"last_updated": "2024-03-18",
"certification_date": "2024-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
- Perinatal Associates of New Mexico, LTD
- Perinatal Healthcare Associates
- Perioperative Experts PLLC
- Carlos Perlasca
- Jackie Ann Perriello
- Devon Perry
- Joanne M Perry
- Deborah Perryman
- Pershing Family Dental, PC
- Pershing Family Dental, PC
All providers in El Paso, TX · Student in an Organized Health Care Education/Training Program in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.