Geriatric PM&R LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

GERIATRIC PM&R LLC

Practice address

329 Vista del Rey Dr
El Paso, TX 79912-4824

Phone

(915) 209-0157

NPI assigned

Jul 1, 2015

Last updated

Nov 25, 2019By 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

Catherine Wakeham, MDNPI 1467686444

Title

Owner

Phone

(915) 209-0589

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Catherine Davenportpollock Wakeham, MD

  • Physical Medicine & Rehabilitation Physician
  • El Paso, TX
  • NPI 1467686444
  Authorized official Same address or phone

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1992188403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700390, DEPT 0471",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741700390",
            "telephone_number": "254-727-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 VISTA DEL REY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799124824",
            "telephone_number": "915-209-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC PM&R LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "WAKEHAM",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-209-0589",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J Georges, DC
• Gerald a Halaby, MD, PA
• Gerald B McCool DPM
• Oscar Ian Gereda
• Vanessa Gerhardt
• Meaza Germame, DNP
• German J Rigesti MD, PA
• German Jose Rigesti Mdpa
• Jalen German
• Gethin Williams (Imaging and Interventional Specialists of the Southwest)

• Physical Medicine & Rehabilitation Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.