Active NPI
Anthony Mamone, PA-C
- Physician Assistant
- El Paso, TX
National Provider Identifier
1922471093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1810 Murchison Dr Ste 300
El Paso, TX 79902-2906 - Phone
- (915) 581-0357
- Fax
- (915) 584-8313
- NPI assigned
- Nov 11, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1810 Murchison Dr Ste 300
El Paso, TX 79902-2906
Mailing address
5005 N Piedras St
Wbamc
El Paso, TX 79920-5002
Phone (915) 569-4890
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210909002955 | TX | Practitioner - Physician Assistant | 3779989132 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmed Medical Group, PA | Current | Accepting new patients |
Locations
1810 Murchison Dr
Ste 300
El Paso, TX 79902
Phone (915) 533-8544
6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630627200000",
"number": "1922471093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 N PIEDRAS ST",
"address_2": "WBAMC",
"city": "EL PASO",
"state": "TX",
"postal_code": "799205002",
"telephone_number": "915-569-4890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 MURCHISON DR STE 300",
"city": "EL PASO",
"state": "TX",
"postal_code": "799022906",
"telephone_number": "915-581-0357",
"fax_number": "915-584-8313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAMONE",
"first_name": "ANTHONY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-11",
"last_updated": "2021-09-03",
"certification_date": "2021-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Sep 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.