Organization Active NPI

Lyndon Mansfield MD PA

  • Allergy & Immunology Physician
  • El Paso, TX
National Provider Identifier
1992821094
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
LYNDON MANSFIELD MD PA
Practice address
1901 Arizona Ave
El Paso, TX 79902-5107
Phone
(915) 532-2663
Fax
(915) 532-0054
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Authorized official

Name
Mrs. Randee Mansfield
Title
Admnistrator
Phone
(915) 532-2663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

1901 Arizona Ave
El Paso, TX 79902-5107

Mailing address

2121 Wyoming Ave
El Paso, TX 79903-3508
Phone (915) 532-2663

Other identifiers 1

IdentifierTypeStateIssuer
158055701MedicaidTX

National Provider Directory

National Provider Directory

Locations

1901 Arizona Ave
El Paso, TX 79902
Phone (915) 532-2663

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1992821094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 WYOMING AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033508",
            "telephone_number": "915-532-2663",
            "fax_number": "915-532-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 ARIZONA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025107",
            "telephone_number": "915-532-2663",
            "fax_number": "915-532-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNDON MANSFIELD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "MANSFIELD",
        "authorized_official_first_name": "RANDEE",
        "authorized_official_title_or_position": "ADMNISTRATOR",
        "authorized_official_telephone_number": "915-532-2663",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158055701",
            "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 Feb 1, 2010; 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.