Medimount Clinic PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDIMOUNT CLINIC PLLC

Doing business as

Canyon Family Clinic

Practice address

7470 Cimarron PLZ Ste 300
El Paso, TX 79911-2220

Phone

(915) 307-7800

NPI assigned

Feb 20, 2023

Last updated

Sep 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emmanuel Anekwe, MDNPI 1205871720

Title

Partner

Phone

(915) 996-9363

Specialties & licenses 1

Addresses

Other names 1

• Canyon Family Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Adekunle Adedayo Adedeji, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • El Paso, TX
  • NPI 1902086937
  Medicare reassignment Care Compare group NPD
• Emmanuel C Anekwe, MD

  • Nephrology Physician
  • El Paso, TX
  • NPI 1205871720

  Internal Medicine

  Medicare reassignment NPD Authorized official
• Ikedieze Igwe Chukwu, M.D.

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1720285661
  Medicare reassignment Care Compare group NPD
• Melissa Guadalupe Zamora, APRN

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1003678681
  Medicare reassignment Care Compare group NPD
• Santos Javier Aguirre, FNP

  • Primary Care Nurse Practitioner
  • Socorro, TX
  • NPI 1174072797
  Medicare reassignment NPD
• Jesus Enrique Salcido Jr., NP

  • Family Nurse Practitioner
  • El Paso, TX
  • NPI 1255910188
  Medicare reassignment NPD
• Yvette Monique Montana, FNP-C

  • Family Medicine Physician
  • El Paso, TX
  • NPI 1447173091
  NPD (past)

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1932807864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7470 CIMARRON PLZ STE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799112220",
            "telephone_number": "915-307-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7470 CIMARRON PLZ STE 300",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799112220",
            "telephone_number": "915-307-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIMOUNT CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "ANEKWE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "915-996-9363",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medical Services of the Border PA
• Medical Specialty Group PLLC
• Medical Supplies of USA LLC
• Medical Vip Services PLLC
• Medico Clinical Laboratories
• Rocio Elisa Medina Martinez
• Estela Marisa Medina-Ontiveros, PHARMD
• Andrianna Michelle Medina
• Christopher Medina, LVN
• Desiree Medina, FNP

• Internal Medicine Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.