Active NPI
El Paso Integrated Physicians Group
- Family Medicine Physician
- El Paso, TX
National Provider Identifier
1851690499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- EL PASO INTEGRATED PHYSICIANS GROUP
- Practice address
- 8815 Dyer St
Suite 140
El Paso, TX 79904-2000 - Phone
- (915) 751-7302
- Fax
- (915) 544-2897
- NPI assigned
- Mar 22, 2011
- Last updated
- Mar 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert A Moreno, MD
- Title
- Prsident
- Phone
- (915) 577-0051
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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Gastroenterology Physician | 207RG0100X | |||
| Rheumatology Physician | 207RR0500X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | |||
| Family Nurse Practitioner | 363LF0000X | TX |
Addresses
Primary practice location
8815 Dyer St
Suite 140
El Paso, TX 79904-2000
Mailing address
PO Box 3157
El Paso, TX 79923-3157
Phone (915) 577-0051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092550501 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- El Paso Integrated Phys
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1063722320
-
- Podiatrist
- El Paso, TX
- NPI 1184926743
-
- Family Medicine Physician
- El Paso, TX
- NPI 1336452127
Locations
8815 Dyer St
Ste 140
El Paso, TX 79904
Phone (915) 751-7302
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1174518823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300752000000",
"number": "1851690499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3157",
"city": "EL PASO",
"state": "TX",
"postal_code": "799233157",
"telephone_number": "915-577-0051",
"fax_number": "915-544-2897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8815 DYER ST",
"address_2": "SUITE 140",
"city": "EL PASO",
"state": "TX",
"postal_code": "799042000",
"telephone_number": "915-751-7302",
"fax_number": "915-544-2897"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EL PASO INTEGRATED PHYSICIANS GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-22",
"last_updated": "2011-03-22",
"status": "A",
"authorized_official_last_name": "MORENO",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRSIDENT",
"authorized_official_telephone_number": "915-577-0051",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "092550501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
- El Paso Integrated Physicians Group
- El Paso Integrated Physicians Group
- El Paso Integrated Physicians Group (El Paso Integrated Physicians Group - Surecare Pharmacy)
- El Paso Integrated Physicians Group
- El Paso Integrated Physicians Group
- El Paso Internal Medicine
- El Paso Internal Medicine Care PA
- El Paso Internists,PA (Aime D. Serna)
- El Paso IV Enterprises, LLC (St Giles Nursing and Rehabilitation Center)
- El Paso Kidney Center East LTD (U.S. Renal Care East El Paso Dialysis)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.