Organization Active NPI

El Paso Heart and Vascular Clinic, P.a.

  • Cardiovascular Disease Physician
  • El Paso, TX
National Provider Identifier
1932144409
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
EL PASO HEART AND VASCULAR CLINIC, P.A.
Practice address
1700 N Oregon St
Suite 630
El Paso, TX 79902-3584
Phone
(915) 225-0410
Fax
(915) 225-0419
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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

Authorized official

Name
Jerry Winkler Miller, M.D.
Title
President
Phone
(915) 225-0410

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X

Addresses

Primary practice location

1700 N Oregon St
Suite 630
El Paso, TX 79902-3584

Mailing address

1700 N Oregon St
Suite 630
El Paso, TX 79902-3584
Phone (915) 225-0410

Other identifiers 1

IdentifierTypeStateIssuer
158594501MedicaidTX

National Provider Directory

National Provider Directory

Locations

1700 N Oregon St
Ste 630
El Paso, TX 79902
Phone (915) 225-0410

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1932144409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N OREGON ST",
            "address_2": "SUITE 630",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023584",
            "telephone_number": "915-225-0410",
            "fax_number": "915-225-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N OREGON ST",
            "address_2": "SUITE 630",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799023584",
            "telephone_number": "915-225-0410",
            "fax_number": "915-225-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO HEART AND VASCULAR CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "WINKLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-225-0410",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158594501",
            "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 Oct 27, 2008; 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.