El Paso Oncology and Internal Medicine, P.a

Organization Active NPI Internal Medicine Physician · El Paso, TX

NPI 1861522583 · NPPES record last updated Jan 17, 2024

Key facts

NPI
1861522583
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
EL PASO ONCOLOGY AND INTERNAL MEDICINE, P.A
Practice address
5620 Gateway Blvd E
El Paso, TX 79905-1717
Phone
(915) 255-9317
Fax
(915) 249-6275
NPI assigned
Mar 6, 2007
Organization subpart
No

Authorized official

Name
Norma Boeta
Title
Business Manager
Phone
(915) 255-9317

Practitioners 11

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040727000626 TX Part B Supplier - Clinic/Group Practice 9234119793 Receives reassigned benefits from 4 practitioners
Practice locations: El Paso, TX

National Provider Directory

Locations

5620 Gateway Blvd E
El Paso, TX 79905
Phone (915) 255-9317

5577 Alameda Ave
El Paso, TX 79905
Phone (915) 775-8587

125 N Glenwood St
Ste A
El Paso, TX 79905
Phone (915) 775-8587

2022 Murchison Dr
Ste 100
El Paso, TX 79902
Phone (915) 533-5388

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X Yes
Hematology & Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RH0003X

Addresses

Primary practice location

5620 Gateway Blvd E
El Paso, TX 79905-1717

Mailing address

5620 Gateway Blvd E
El Paso, TX 79905-1717
Phone (915) 255-9317

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 17, 2024.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1861522583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5620 GATEWAY BLVD E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799051717",
            "telephone_number": "915-255-9317",
            "fax_number": "915-249-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5620 GATEWAY BLVD E",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799051717",
            "telephone_number": "915-255-9317",
            "fax_number": "915-249-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO ONCOLOGY AND INTERNAL MEDICINE, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "BOETA",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "915-255-9317"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

All providers in El Paso, TX · Internal Medicine Physician in Texas

Sources for this page

Verify at the official NPI Registry.