Gamut Medical Group PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L4774 Issued in TX

Legal business name

GAMUT MEDICAL GROUP PA

Practice address

8524 Mountain Ash Dr
El Paso, TX 79904-2442

Phone

(915) 783-8162

Fax

(915) 351-6601

NPI assigned

Mar 10, 2011

Organization subpart

No

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

Authorized official

Name

Ulysses Urquidi, MDNPI 1245288109

Title

President

Phone

(915) 783-8162

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ulysses Urquidi, M.D.

  • Family Medicine Physician
  • Fabens, TX
  • NPI 1245288109
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1790083012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8524 MOUNTAIN ASH DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799042442",
            "telephone_number": "915-783-8162",
            "fax_number": "915-351-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8524 MOUNTAIN ASH DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799042442",
            "telephone_number": "915-783-8162",
            "fax_number": "915-351-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMUT MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "URQUIDI",
        "authorized_official_first_name": "ULYSSES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-783-8162",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L4774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Gamez, PHMNP-BC
• Roberto Gabriel Gamez, M.D., M.P.H.
• Sergio Gamez
• Virginia Gamez, FNP
• Yazmin Adilene Gamez
• Gan & Muniz Enterprises, LLC
• Mark Gan, D.O.
• Hilda Gandara, MS, LPC
• Isaac Noel Gandara, MD
• Saranya Gangupalli, PT

• Family Medicine Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; 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.