Organization Active NPI

Violeta Radenovich, MD, PA

  • Medical Specialty Clinic/Center
  • El Paso, TX
National Provider Identifier
1912274853
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
K0160 Issued in TX
Legal business name
VIOLETA RADENOVICH, MD, PA
Practice address
1250 E Cliff Dr Ste 4D
El Paso, TX 79902-4846
Phone
(915) 577-9339
Fax
(915) 541-1237
NPI assigned
Nov 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Catherine Hampel
Title
Office Administrator
Phone
(915) 577-9339

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X K0160 TX Primary

Addresses

Primary practice location

1250 E Cliff Dr Ste 4D
El Paso, TX 79902-4846

Mailing address

1250 E Cliff Dr Ste 4D
El Paso, TX 79902-4846
Phone (915) 577-9339

Other identifiers 2

IdentifierTypeStateIssuer
K0160OtherMEDICAL LICENSE
126563902MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1912274853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E CLIFF DR STE 4D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024846",
            "telephone_number": "915-577-9339",
            "fax_number": "915-541-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E CLIFF DR STE 4D",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024846",
            "telephone_number": "915-577-9339",
            "fax_number": "915-541-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIOLETA RADENOVICH, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "HAMPEL",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "915-577-9339"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "K0160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "K0160",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126563902",
            "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 Nov 21, 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.

Verify at the official NPI Registry.