NPIMap

Organization Active NPI

El Paso Pediatric Assoc. P.a.

  • Pediatrics Physician
  • El Paso, TX
National Provider Identifier
1821076233
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
EL PASO PEDIATRIC ASSOC. P.A.
Practice address
1160 Saddle Bronc Dr
El Paso, TX 79925-7045
Phone
(915) 593-2033
Fax
(915) 595-3916
NPI assigned
Jan 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Roger W Hovis
Title
Operations Manager
Phone
(915) 593-2033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1160 Saddle Bronc Dr
El Paso, TX 79925-7045

Mailing address

1160 Saddle Bronc Dr
El Paso, TX 79925-7045
Phone (915) 593-2033

Other practice location 1

650 Belvidere St
El Paso, TX 79912-1761
Phone (915) 533-1441

Other identifiers 2

IdentifierTypeStateIssuer
091795701MedicaidTX
091795702MedicaidTX

National Provider Directory

National Provider Directory

Locations

9398 Viscount Blvd
El Paso, TX 79925
Phone (915) 594-1033

1160 Saddle Bronc Dr
El Paso, TX 79925
Phone (915) 593-2033

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1821076233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 SADDLE BRONC DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257045",
            "telephone_number": "915-593-2033",
            "fax_number": "915-595-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 SADDLE BRONC DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799257045",
            "telephone_number": "915-593-2033",
            "fax_number": "915-595-3916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Belvidere St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799121761",
            "country_code": "US",
            "telephone_number": "915-533-1441",
            "fax_number": "915-532-5841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EL PASO PEDIATRIC ASSOC. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "HOVIS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "915-593-2033"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091795701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091795702",
            "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 Apr 12, 2022; 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.