el paso - blue cross blue shield associationthis directory consists of el paso county. for other...
TRANSCRIPT
A Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association
El Paso
Welcome to Blue Choice PPOSM
Use this directory to find the doctors, health care professionals and hospitals that participate in the Blue Choice PPO network. The Blue Choice PPO participating providers are listed by category. This directory also includes information to help you manage your health care and use your benefits wisely.
This directory consists of El Paso county.
For other Blue Choice PPO participating providers not listed in this directory, call Customer Service at 1-800-521-2227 or you can go online to Provider Finder® at www.bcbstx.com for the most up-to-date list of Blue Choice PPO participating doctors and hospitals.
Using This Directory to Find a Blue Choice PPOSM Participating Provider
Each time you or a covered family member needs medical care, use this directory to find Blue Choice PPO participating providers, such as: • Doctors for routine and preventive care (check the listings for Primary Care Practitioners)• Hospitals• Specialists or other health care providers
Primary Care Practitioners are available for most routine and preventive care, while specialists generally practice only in the fields where they’re listed in this directory.
To provide corrections or updates to the provider information in this directory (such as the provider’s contract status or whether the provider is accepting new patients), please call Customer Service at 1-800-521-2227 (Monday through Friday from 8:00a.m. to 8:00 p.m. Central Time).
MORE INFORMATION IS JUST A CLICK AWAY We continue to update the Blue Choice PPOSM provider directory as changes occur. New doctors and providers contract to be in the network, others may change their office addresses and some leave the network. For the most up-to-date information, check Provider Finder® at www.bcbstx.com where you can find the doctor's, hospital's or other health care provider's address and phone number that you can send directly to your phone. In addition, there are maps for Primary Care Practitioners, specialists and hospitals to help locate them. Also, you can find the practice limitations, languages spoken, gender, professional affiliations and whether or not new patients are accepted. If you’re already a member and you’d rather speak with someone, call Customer Service at 1-800- 521-2227 (Monday through Friday from 8:00 a.m. to 8:00 p.m. Central Time).
IF YOU’RE THINKING ABOUT ENROLLING If you’re considering a health plan that uses the Blue Choice PPOSM network, read the following instructions to learn more about getting care from Blue Choice PPO participating doctors and providers. Then review the directory to find Blue Choice PPO participating providers in your area. Chances are the doctors and hospitals you want to use are in the network.
1
Helping You Keep Healthy and Control Costs We offer coverage for preventive care services that can help you keep healthy and identify health problems at an early stage. Preventive care benefits include coverage for services such as physical exams, well-woman exams and immunizations.
When you become a member, we give you information and tools at www.bcbstx.com to help you manage your health and control costs. Get the latest in health information and tools through the Blue Access® for Members link.Improve your overall health, learn how to manage a chronic health condition or prepare for a specific medical procedure with easy-to-use health and wellness information, tips, quizzes and tools.
Behavioral Health Services
Participating behavioral health and chemical dependency professionals and physicians are also listed in this directory. However, before seeing a behavioral health professional or physician, you must preauthorize your care by calling 1-800-528-7264. Blue Cross and Blue Shield preauthorizes services and helps you select a participating behavioral health professional or physician.
Coverage Outside of Texas If you're out of state and need care, you and your covered family members can receive covered care almost anywhere in the country from Blue Cross and Blue Shield participating doctors and hospitals through the BlueCard Program.
To find a list of participating doctors and hospitals in the BlueCard program within the United States and around the world, go to the BlueCard Doctor and Hospital Finder at www.bcbs.com. If you are a member, you also can call our dedicated BlueCard line at 1-800-810-BLUE (2583) and speak with a BlueCard customer service representative.
What to Do in an Emergency In an emergency, call 911 or seek help from any doctor or hospital immediately. You’re covered no matter where you go. You, your doctor, the hospital or a family member must then call Blue Cross and Blue Shield of Texas at the number on your member ID card during the first 48 hours of the emergency visit.
To arrange for emergency behavioral health services and precertify behavioral health inpatient hospital treatment, call 1-800-528-7264. Blue Cross and Blue Shield of Texas is available 24 hours a day, seven days a week.
YOUR COVERAGE DEPENDS ON YOUR SPECIFIC PLAN Coverage for specific services will depend on your health care benefit program. Be sure to read your benefit booklet for detailed information about your health care benefit plan.
CONTROLLING COSTS Blue Cross and Blue Shield of Texas works to keep your doctor and hospital costs as low as possible. Our network representatives continue to build strong relationships with doctors and hospitals across the state, while negotiating the best rates possible for our members.
2
Network Selection Criteria for Doctors and Hospitals
Network Selection Criteria for Doctors
Blue Cross and Blue Shield of Texas (BCBSTX) does not use quality measures, member experience measures or cost-related measures to select practitioners for participation in the Blue Choice PPO, Blue Essentials and Blue Essentials Access, Blue Advantage (BAV) HMO, Blue Advantage Plus HMO, Blue Cross Medicare Advantage (PPO), Blue Cross Medicare Advantage (HMO), Blue Premier and Blue Premier Access Marketplace plans. BCBSTX evaluates the Blue Choice PPO, Blue Essentials and Blue Essentials Access, Blue Advantage (BAV) HMO, Blue Advantage Plus HMO, Blue Cross Medicare Advantage (PPO), Blue Cross Medicare Advantage (HMO), Blue Premier and Blue Premier Access networks and takes into consideration the geographic distribution of medical and behavioral health providers to ensure that BCBSTX members have access to participating providers within federal and state availability and accessibility standards.
BCBSTX ensures that our practitioner network includes primary care practitioners, behavioral health practitioners and specialists that treat the highest volume conditions to meet our members' needs, including Cardiology, Endocrinology, OB/GYN, Oncology and Orthopedics among others.
The behavioral health specialty types available in these BCBSTX networks include, Psychiatry (including Psychiatry, Child Adolescent Psychiatry and Geriatric Psychiatry), Clinical Psychology, Licensed Clinical Social Worker, Licensed Counselor (including Licensed Professional Clinical Counselor and Licensed Marriage and Family Therapist).
Network Selection Criteria for Hospitals
Blue Cross and Blue Shield of Texas (BCBSTX) does not use quality measures, member experience measures or cost-related measures to select hospitals for participation in the Blue Choice PPO, Blue Essentials and Blue Essentials Access, Blue Advantage (BAV) HMO, Blue Advantage Plus HMO, Blue Cross Medicare Advantage (PPO), Blue Cross Medicare Advantage (HMO), Blue Premier and Blue Premier Access Marketplace plans. BCBSTX evaluates the Blue Choice PPO, Blue Essentials and Blue Essentials Access, Blue Advantage (BAV) HMO, Blue Advantage Plus HMO, Blue Cross Medicare Advantage (PPO), Blue Cross Medicare Advantage (HMO), Blue Premier and Blue Premier Access networks and takes into consideration the geographic distribution of hospitals to ensure that BCBSTX members have access to participating hospitals within federal and state availability and accessibility standards.
TX Physician Extenders
Primary Care Practitioner or PCP means the participating practitioner, Physician Assistant or Advanced Practice Registered Nurse who primarily provides your health care. A PCP may be a family practitioner, internist, pediatrician, and/or Obstetrician/Gynecologist. The PA or APN must work under the supervision of a Participating family practitioner, internist, pediatrician and/or Obstetrician/Gynecologist in the same PPO network.
Providers Joining the Network or Location The dates located under the provider’s information indicate that the provider will be joining the network and/or location soon. Services provided may not be covered until the provider is active.
Providers Leaving the Network or Location The dates located under the provider’s information indicate that the provider will be leaving the network and/or location soon. Services provided after departure will be out-of- network.
3
Medical/Surgical HospitalsMedical/Surgical hospitals are sorted alphabetically by city and name
Hospital Based ProvidersFacility-based PhysiciansHospital admissions may include services rendered by an anesthesiologist, pathologist, radiologist,emergency medicine physician or neonatologist. Blue Cross and Blue Shield of Texas makes everyeffort to contract with hospital based physicians that routinely provide services at BlueChoice networkfacilities.
The information provided is being made available to assist you in deciding which facility hascontracted hospital based physicians in an effort to minimize any out-of-pocket expenses you mayincur. Your out-of-pocket expenses will be greater if you utilize anesthesiologists, pathologists,radiologists, emergency medicine physicians and/or neonatologists that do not participate in theBlueChoice network.
To confirm the hospital you may choose includes anesthesiologists, pathologists, radiologists,emergency medicine physicians and neonatologists that participate in the BlueChoice network, referto this section.
AncillariesAcquired brain injury, ambulatory surgical centers, cardiac catheter labs, clinical & anatomicallaboratories, diabetes disease management, durable medical equipment, hearing aid suppliers, homehealth, home infusion therapy, hospice, imaging centers, prosthetics, orthotics & pedorthists, radiationtherapy centers, renal dialysis facilities, retail health clinics, skilled nursing facilities, sleep studycenters, subacute facilities, and urgent care centers sorted alphabetically by facility type, city andname
Freestanding Outpatient FacilitiesA Freestanding Outpatient Facility offers services diagnostic or surgical services in a non-hospitalbased setting.
Primary Care PractitionersPrimary care practitioners are sorted alphabetically by city, specialty and name
SpecialistsSpecialists are sorted alphabetically by city, specialty and name
Supervised and Sponsored ProvidersPhysician assistants, advanced practitioner nurses, certified nurse midwives and other supervisedand sponsored providers are sorted alphabetically by city, specialty and name
Behavioral Health FacilitiesBehavioral Health Facilities are sorted alphabetically by city and name
Behavioral Health PractitionersBehavioral Health Practitioners are sorted alphabetically by city, specialty and name
Practice Information AppendixPractice Information is sorted numerically
Index of Participating ProvidersPrimary care practitioners, specialists, behavioral health practitioners and supervised and sponsoredproviders are sorted alphabetically by last name
4
9-42..........................................................................................................................6-8............................................................................................................................
274-285..........................................................................................
86-273...................................................................................................................................................
286.......................................................................................................................
287-327......................................................................................................
48...........................................................................................................
43-47......................................................................................................................................................
49-85......................................................................................................................
5.............................................................................................................................
328-332.........................................................................................................
333-351......................................................................................................
EL PASOCobalt RehabilitationHospital El PasoNPI: 10538392331600 E Cliff Dr(915) 975-8630
Del Sol Camp LpdshNPI: 177053612010301 Gateway Blvd W(915) 595-9000
ER Physicians:Facility uses in-network andout-of-network ER physiciansDel Sol Rehabilitation UnitNPI: 168962959410301 Gateway Blvd W(915) 595-9000
Del Sol Rehabilitation UnitNPI: 177053612010301 Gateway West(915) 595-9000
El Paso Childrens HospitalNPI: 15586597144845 Alameda Avenue(915) 298-5444
ER Physicians:Facility uses in-network andout-of-network ER physiciansEl Paso LTAC HospitalNPI: 11948901031221 N Cotton St 3rd Floor(915) 496-9687
El Paso Specialty HospitalLTDNPI: 1366427130
♿1755 Curie DriveSte A(915) 544-3636
ER Physicians:Facility uses in-network andout-of-network ER physiciansEmergence Health NetworkNPI: 17700093347760 Alabama St(915) 757-7999
Foundation SurgicalHospital of El PasoNPI: 1487659884
♿1416 George Dieter(915) 598-4240
ER Physicians:Facility uses in-network andout-of-network ER physicians
Highlands RehabilitationHospitalNPI: 1740693316
♿1395 George Dieter Dr(915) 298-7222
Kindred Hospital El PasoNPI: 1013993559
♿1740 Curie Drive(915) 351-9044
Las Palmas Camp LpdshNPI: 1770536120
♿1801 N Oregon St(915) 521-1200
ER Physicians:Facility uses in-network andout-of-network ER physiciansLas Palmas RehabilitationHospitalNPI: 1942253398
♿300 Waymore(915) 577-2600
Rio Vista Behavioral HealthNPI: 13467248791390 Northwestern Dr(915) 493-8564
The Hospitals ofProvidence East CampusNPI: 19727099703280 Joe Battle Blvd(915) 832-2000
ER Physicians:Facility uses out-of-networkER physiciansThe Hospitals ofProvidence EmergencyRoom MoNPI: 18418434551890 George Dieter Dr(915) 225-7100
ER Physicians:Facility uses out-of-networkER physiciansThe Hospitals ofProvidence MemorialCampusNPI: 1700801909
♿2001 N Oregon Street(915) 577-6011
ER Physicians:Facility uses out-of-networkER physicians
The Hospitals ofProvidence NorthNPI: 186199480811274 McCombs St(915) 242-2400
ER Physicians:Facility uses out-of-networkER physiciansThe Hospitals ofProvidence Sierra CampusNPI: 1215969787
♿1625 Medical Center Drive(915) 747-4000
ER Physicians:Facility uses out-of-networkER physiciansThe Hospitals ofProvidence TransmountainCamNPI: 15385224122000 Transmountain Rd(915) 577-8467
ER Physicians:Facility uses in-network andout-of-network ER physiciansUniversity Medical Centerof El PasoNPI: 1316936990
♿4815 Alameda Avenue(915) 544-1200
ER Physicians:Facility uses in-network andout-of-network ER physicians
HORIZON CITYThe Hospitals ofProvidence HorizNPI: 100334433413600 Horizon BlvdSte 100(915) 407-7878
ER Physicians:Facility uses out-of-networkER physicians
Medical/Surgical HospitalsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Medical/Surgical HospitalsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
5
♿This Location is Handicap Accessible.
City Hospital / Facility Name Specialty
% Dollars Billed Out Of
Network *Network Status Providers
EL PASO
** DEL SOL CAMP LPDSH
Anesthesiology 3% IN NETWORK WEST STAR ANESTHESIA SERVICES PA
Emergency Room 100% OUT OF NETWORK EMERGENCY SERVICES OF TEXAS PA
Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS
Pathology 0% IN NETWORKDESERT PATHOLOGY SERVICES PA
RIO GRANDE PATHOLOGY SERVICES PA
Radiology 0% IN NETWORKRADADVANTAGE A PROFESSIONAL CORP
RADADVANTAGE TEXAS PA
EL PASO CHILDRENS HOSPITAL
Anesthesiology 3% IN NETWORK TX TECH UNIV HLTH SCI CTR EL PASO
Emergency Room 7% IN NETWORK LONGHORN EMERGENCY MEDICAL ASSOCS
Neonatology 17% IN NETWORK TX TECH UNIV HLTH SCI CTR EL PASO
Pathology 0% IN NETWORK EL PASO CHILDRENS PHYSICIAN GROUP
Radiology 0% IN NETWORK EL PASO IMAGING CONSULTANTS PLLC
FOUNDATION SURGICAL
HOSPITAL OF EL PASO
Anesthesiology 97% OUT OF NETWORK TEXAS AMS PLLC
Emergency Room 0% IN NETWORKPATRIOT EMERGENCY PHYSICIANS
SOUTHWEST MEDICAL ASSOCIATES INCNeonatology SERVICE NOT AVAILABLE
Pathology 0% IN NETWORK RIO GRANDE PATHOLOGY SERVICES PA
Radiology 0% IN NETWORKSYNERGY RADIOLOGY ASSOCIATES PATRIAD RADIOLOGY AND IMAGING LTD
LAS PALMAS CAMP LPDSH
Anesthesiology 3% IN NETWORK WEST STAR ANESTHESIA SERVICES PA
Emergency Room 100% OUT OF NETWORK EMERGENCY SERVICES OF TEXAS PA
Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS
Pathology 0% IN NETWORKDESERT PATHOLOGY SERVICES PA
RIO GRANDE PATHOLOGY SERVICES PA
Radiology 0% IN NETWORKRADADVANTAGE A PROFESSIONAL CORP
RADADVANTAGE TEXAS PA
THE HOSPITALS OF PROVIDENCE
EAST CAMPUS
Anesthesiology 0% IN NETWORK BHS PHYSICIANS NETWORK INC
Emergency Room 100% OUT OF NETWORK BLUFF CREEK EMERG MEDICINE ASSOCS
Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS
Pathology 0% IN NETWORK PATHOLOGY ASSOCIATES OF EL PASO
** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.
Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association
* % of Total Dollar Amount Billed 4/1/2019 - 3/31/2020
BlueChoice PPO℠ Current as of July 2020
El Paso Texas Hospital Based Physicians
Counties: El Paso
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
6
City Hospital / Facility Name Specialty
% Dollars Billed Out Of
Network *Network Status Providers
EL PASO
THE HOSPITALS OF PROVIDENCE
EAST CAMPUSRadiology 0% IN NETWORK SINGLETON ASSOCIATES PA
** THE HOSPITALS OF PROVIDENCE EMERGENCY
ROOM MONTWOOD
Anesthesiology 0% IN NETWORK BHS PHYSICIANS NETWORK INC
Emergency Room 100% OUT OF NETWORK PEARSALL EMERGENCY MED ASSOCIATES
Neonatology INSUFFICIENT CLAIMS DATA
Pathology 0% IN NETWORKPATHOLOGY ASSOCIATES OF EL PASO
RIO GRANDE PATHOLOGY SERVICES PARadiology 0% IN NETWORK M&S RADIOLOGY ASSOCIATES PA
THE HOSPITALS OF PROVIDENCE
MEMORIAL CAMPUS
Anesthesiology 1% IN NETWORK BHS PHYSICIANS NETWORK INC
Emergency Room 99% OUT OF NETWORK BLUFF CREEK EMERG MEDICINE ASSOCS
Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS
Pathology 0% IN NETWORK PATHOLOGY ASSOCIATES OF EL PASO
Radiology 0% IN NETWORK SINGLETON ASSOCIATES PA
THE HOSPITALS OF PROVIDENCE
NORTH
Anesthesiology 0% IN NETWORKBHS PHYSICIANS NETWORK INC
LAMP ANESTHESIA PLLCTX TECH UNIV HLTH SCI CTR EL PASO
Emergency Room 100% OUT OF NETWORK PEARSALL EMERGENCY MED ASSOCIATES
Neonatology INSUFFICIENT CLAIMS DATA
Pathology 0% IN NETWORKPATHOLOGY ASSOCIATES OF EL PASOTX TECH UNIV HLTH SCI CTR EL PASO
Radiology 0% IN NETWORK M&S RADIOLOGY ASSOCIATES PA
THE HOSPITALS OF PROVIDENCE
SIERRA CAMPUS
Anesthesiology 2% IN NETWORK BHS PHYSICIANS NETWORK INC
Emergency Room 98% OUT OF NETWORK BLUFF CREEK EMERG MEDICINE ASSOCS
Neonatology INSUFFICIENT CLAIMS DATA
Pathology 0% IN NETWORK PATHOLOGY ASSOCIATES OF EL PASO
Radiology 0% IN NETWORK SINGLETON ASSOCIATES PA
THE HOSPITALS OF PROVIDENCE TRANSMOUNTA
IN CAMPUS
Anesthesiology 4% IN NETWORK TX TECH UNIV HLTH SCI CTR EL PASO
Emergency Room 2% IN NETWORK PATRIOT EMERGENCY PHYSICIANS
Neonatology 0% IN NETWORK PEDIATRIX MEDICAL GROUP OF TEXAS
Pathology 3% IN NETWORK TX TECH UNIV HLTH SCI CTR EL PASO
** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.
Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association
* % of Total Dollar Amount Billed 4/1/2019 - 3/31/2020
BlueChoice PPO℠ Current as of July 2020
El Paso Texas Hospital Based Physicians
Counties: El Paso
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
7
City Hospital / Facility Name Specialty
% Dollars Billed Out Of
Network *Network Status Providers
EL PASO
THE HOSPITALS OF PROVIDENCE TRANSMOUNTA
IN CAMPUS
Radiology SERVICE NOT AVAILABLE
UNIVERSITY MEDICAL
CENTER OF EL PASO
Anesthesiology 0% IN NETWORK ANESTHESIA ASSOCIATES OF EL PASO
Emergency Room 26% IN NETWORK TX TECH UNIV HLTH SCI CTR EL PASO
Neonatology 0% IN NETWORKPEDIATRIX MEDICAL GROUP OF TEXASTX TECH UNIV HLTH SCI CTR EL PASO
Pathology 0% IN NETWORKTX TECH UNIV HLTH SCI CTR EL PASO
UNIVERSITY MED CTR OF EL PASORadiology 27% IN NETWORK TX TECH UNIV HLTH SCI CTR EL PASO
HORIZON CITYTHE HOSPITALS OF PROVIDENCE
HORIZ
Anesthesiology 0% IN NETWORK BHS PHYSICIANS NETWORK INC
Emergency Room 100% OUT OF NETWORK PEARSALL EMERGENCY MED ASSOCIATES
Neonatology INSUFFICIENT CLAIMS DATA
Pathology 0% IN NETWORKPATHOLOGY ASSOCIATES OF EL PASO
RIO GRANDE PATHOLOGY SERVICES PARadiology 0% IN NETWORK M&S RADIOLOGY ASSOCIATES PA
** Indicates Hospitals that are part of a large Hospital System with multiple locations. The specialty provider groups shown may not be practicing at the specific physical location. Please contact the hospital to confirm.
Blue Cross and Blue Shield of Texas, a Division of Health Care Service Corporation, a Mutual Legal Reserve Company, an Independent Licensee of the Blue Cross and Blue Shield Association
* % of Total Dollar Amount Billed 4/1/2019 - 3/31/2020
BlueChoice PPO℠ Current as of July 2020
El Paso Texas Hospital Based Physicians
Counties: El Paso
This grid indicates the contracting status and out of network dollars billed as a percent of total dollars billed for the Anesthesiologists, Pathologists, Radiologists, Emergency Room and Neonatologists Physicians/Groups
8
DEL SOL CAMPLPDSH
ANESTHESIOLOGYu Anderson, James S MDGender: MaleNPI: 1245228923
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
u Dillow, Roberto G MDGender: MaleNPI: 1336134170
410301 Gateway WestEl Paso, TX 79925(915) 577-0111Guzman, Barbara A DOGender: FemaleNPI: 1881993244
44815 Alameda AveEl Paso, TX 79905(915) 521-7040
u Lim, Douglas DOGender: MaleNPI: 1043288442
44815 Alameda AveEl Paso, TX 79905(915) 544-1200Murillo, Tomas MDGender: MaleNPI: 1043218290
410301 Gateway WestEl Paso, TX 79925(915) 577-0111Navejas, Elizabeth MDGender: FemaleNPI: 1265761845
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Okada, Ken MDGender: MaleNPI: 1679566715
410301 Gateway WestEl Paso, TX 79925(915) 577-0111Oyediran, Babatunde OMDGender: MaleNPI: 1639432107
410301 Gateway Blvd WSte 120El Paso, TX 79925(915) 595-9000
Rubio, Ruby N MDGender: FemaleNPI: 1689865875
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
EMERGENCY MEDICINEBlandon, Pedro A MDGender: MaleNPI: 1275531469
41416 George Dieter DrEl Paso, TX 79936(915) 598-4240
GENERAL SURGERYu Acosta, Jorge MDGender: MaleNPI: 139670120710201 Gateway Blvd WSte 100El Paso, TX 79925(915) 250-02201655 Mosswood StEl Paso, TX 79935(915) 591-77001521 Joe Battle BlvdEl Paso, TX 79936(915) 591-7700Agullo, Francisco J MDGender: MaleNPI: 11848210844801 Alberta AveEl Paso, TX 79905(915) 545-6880Bayazid, Saeb MDGender: MaleNPI: 12957217517500 N Mesa StSte 210El Paso, TX 79912(915) 307-7800
Cooney, Paul D MDGender: MaleNPI: 1568656189299 Shadow MountainSte CEl Paso, TX 79912(915) 219-8265299 Shadow Mountain DrSte CEl Paso, TX 79912(915) 581-6405299 Shadow Mountain DrSte CEl Paso, TX 79912(915) 774-555510500 Vista Del Sol Ste EEl Paso, TX 79925(915) 444-8571
u Familua, Oluwamayowa FMDGender: MaleNPI: 10637149701250 E Cliff DrSte 5aEl Paso, TX 79902(915) 532-18007878 Gateway Blvd ESte 204El Paso, TX 79915(915) 532-18004655 Cohen AveEl Paso, TX 79924(915) 532-1800
u Landeros, Mark M MDGender: MaleNPI: 19028570061390 George Dieter DrSte 110El Paso, TX 79936(915) 271-46401400 George DieterSte 260El Paso, TX 79936(915) 543-96001400 George Dieter DrSte 260El Paso, TX 79936(915) 543-9600Lara, Michael D MDGender: MaleNPI: 15987214901655 Mosswood StEl Paso, TX 79935(915) 591-7700
Monsivais, Jose J MDGender: MaleNPI: 181199450210175 Gateway Blvd WSte 230El Paso, TX 79925(915) 590-3666Pradhan, Kumuda R MDGender: MaleNPI: 14270536691700 N Oregon StSte 620El Paso, TX 79902(915) 504-6940
NEONATAL-PERINATALMEDICINERamos, Monica MDGender: FemaleNPI: 1831483429
42001 N Oregon StEl Paso, TX 79902(915) 577-6011
RADIOLOGYAguila, Jorge MDGender: MaleNPI: 1114226669
410301 Gateway Blvd WEl Paso, TX 79925(915) 521-1200Annamalai, Palam MDGender: MaleNPI: 1972529584
4221 N Kansas StreetSuite 700El Paso, TX 79901(281) 888-8999
410301 Gateway Blvd WestEl Paso, TX 79925(915) 595-9000
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
9
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
DEL SOL CAMPLPDSH (continued)
RADIOLOGY (continued)u Banerjee, Amitabha MDGender: MaleNPI: 1588653083
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410301 Gateway Blvd WestEl Paso, TX 79925(915) 595-9000
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
u Beville, Lee W MDGender: MaleNPI: 1497733703
42001 N Oregon StEl Paso, TX 79902(713) 461-3573Bold, Jonathan W MDGender: MaleNPI: 1053390021
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Campbell, John C MDGender: MaleNPI: 1689631285
410301 Gateway Blvd WestRadiologyEl Paso, TX 79925(915) 595-9000
Chamarthy, Murthy R MDGender: MaleNPI: 1376854752
410301 Gateway Blvd WestEl Paso, TX 79925(915) 595-9000Dar, Nabeel S MDGender: MaleNPI: 1851424899
410301 Gateway Blvd WestEl Paso, TX 79925(915) 595-9000
u Davis, Thomas N MDGender: MaleNPI: 1659365765
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000Fox, Stephen G MDGender: MaleNPI: 1023094737
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
u Ghaleb, Melhem R MDGender: MaleNPI: 10432016271300 Murchison DrSte 110El Paso, TX 79902(915) 577-0121
u Giyanani, Vishan L MDGender: MaleNPI: 11543138985005 N Piedras StEl Paso, TX 79920(915) 742-2121Hicks, Brandi N MDGender: FemaleNPI: 1942497797
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del SolSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
Hindi, Ammar M MDGender: MaleNPI: 1437306032
410301 Gateway Blvd WestEl Paso, TX 79925(915) 595-9000Jabara, Benjamin J MDGender: MaleNPI: 1750538252
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000Jalalzai, Waheed MDGender: MaleNPI: 1669444246
410301 Gateway Blvd WEl Paso, TX 79925(954) 838-2786Kerns, Scott R MDGender: MaleNPI: 1336137165
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000Khan, Muhammad N MDGender: MaleNPI: 16593477487500 N Mesa StSte 210El Paso, TX 79912(915) 307-7800Kholeif, Clark T MDGender: MaleNPI: 1831484112
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Knecht, Lance H MDGender: MaleNPI: 1417937418
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
More, Snehal R MDGender: FemaleNPI: 1700013893
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Takeuchi, Sean MDGender: MaleNPI: 1114956695
410301 Gateway Blvd WRadiologyEl Paso, TX 79925(915) 595-9000Tedesco, Kurtis L MDGender: MaleNPI: 1396969945
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del SolSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Todora, Michael A MDGender: MaleNPI: 1063465920
410301 Gateway Blvd WestEl Paso, TX 79925(915) 595-9000
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
10
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
DEL SOL CAMPLPDSH (continued)
RADIOLOGY (continued)Ungar, Joseph MDGender: MaleNPI: 1669645065423 Executive CenterEl Paso, TX 79902(915) 261-76881111 Hawkins BlvdSte 2aEl Paso, TX 79925(915) 771-83462270 Joe BattleSte JEl Paso, TX 79938(915) 996-9222Welte, Frank J MDGender: MaleNPI: 1568676948
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del SolSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
u Wilcox, John R MDGender: MaleNPI: 1114920444
410301 Gateway Blvd WestEl Paso, TX 79925(915) 595-9000
u Williams, Gethin MDGender: MaleNPI: 1235202482
44815 Alameda AveEl Paso, TX 79905(915) 544-12004532 N Mesa St Ste B2El Paso, TX 79912(915) 303-89774532 N Mesa St Ste B2El Paso, TX 79912(915) 303-8977
EAST EL PASOSURGERY CENTER
ANESTHESIOLOGYu Villarreal, Jose L MDGender: MaleNPI: 15482318485652 N Mesa StEl Paso, TX 79912(915) 351-1155
EL PASOCHILDRENSHOSPITAL
ANESTHESIOLOGYDiaz, Adora G CRNAGender: FemaleNPI: 1699237495
44845 Alameda AveEl Paso, TX 79905(915) 215-5666
EMERGENCY MEDICINEu Al Chalabi, Mustafa T MDGender: FemaleNPI: 1417932948
44845 Alameda AveEl Paso, TX 79905(915) 298-5444Flo, Frederick J MDGender: MaleNPI: 1184041402
44845 Alameda AveEl Paso, TX 79905(915) 298-5444
Cep America LLCGender: MaleNPI: 1184041402
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Idada, Francis MDGender: MaleNPI: 1124425129
44845 Alameda AveEl Paso, TX 79905(915) 298-5444Larson, Joshua S MDGender: MaleNPI: 1285977736
44845 Alameda AveEl Paso, TX 79905(915) 298-5444Villalba, Adam MDGender: MaleNPI: 1750768248
44845 Alameda AveEl Paso, TX 79905(915) 298-5444
GENERAL SURGERYu Davis, Brian R MDGender: MaleNPI: 18010437244801 Alberta AveEl Paso, TX 79905(915) 215-5300
u McLean, Susan P MDGender: FemaleNPI: 11746204624801 Alberta AvenueEl Paso, TX 79905(915) 215-5300Rios Tovar, Alejandro JMDGender: MaleNPI: 14778457094801 Alberta AveEl Paso, TX 79905(915) 215-5300
u Spurbeck, William W MDGender: MaleNPI: 15785548954801 Alberta AveEl Paso, TX 79905(915) 215-5300
u Tyroch, Alan H MDGender: MaleNPI: 19120077664801 Alberta AvenueEl Paso, TX 79905(915) 215-5300Walk, Ryan M MDGender: MaleNPI: 13161451134845 Alameda AveEl Paso, TX 79905(915) 298-5444
NEONATAL-PERINATALMEDICINE
u Bharwani, Salim K MDGender: MaleNPI: 18918260874845 Alameda AveEl Paso, TX 79905(915) 298-5444
u Chheda, Sadhana MDGender: FemaleNPI: 1871676452
44801 Alberta AveEl Paso, TX 79905(915) 545-68104815 Alameda AveEl Paso, TX 79905(915) 545-6810
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000McDaniel, Dawn D MDGender: FemaleNPI: 1124466875
44845 Alameda AveEl Paso, TX 79905(915) 215-5700
u Porter, Alston M MDGender: MaleNPI: 13260993344845 Alameda AveEl Paso, TX 79905(915) 298-5444Singh, Ajay P MDGender: MaleNPI: 13960966994801 Alberta AveEl Paso, TX 79905(915) 215-57004845 Alameda AveEl Paso, TX 79905(915) 215-5700
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
11
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
EL PASOCHILDRENSHOSPITAL(continued)
NEONATAL-PERINATALMEDICINE (continued)Tullius, Zoe MDGender: FemaleNPI: 1770844201
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
44801 Alberta AveEl Paso, TX 79905(915) 215-5700
44801 Alberta AveEl Paso, TX 79905(915) 215-5700
44815 Alameda AveEl Paso, TX 79905(915) 215-5700
44815 Alameda AveEl Paso, TX 79905(915) 215-5700
44845 Alameda AveEl Paso, TX 79905(915) 215-5700
44845 Alameda AveEl Paso, TX 79905(915) 215-5700
PATHOLOGYBustamante, Daniel MDGender: MaleNPI: 1134411333
44815 Alameda AveEl Paso, TX 79905(915) 521-2290Lavezo, Jonathan L MDGender: MaleNPI: 1518352640
44815 Alameda AveEl Paso, TX 79905(915) 215-4956
44845 Alameda AveEl Paso, TX 79905(915) 215-4956
42000 A Trans Mountain RdEl Paso, TX 79911(915) 215-4956
Orazio, Attilio MDGender: MaleNPI: 1689631301
44815 Alameda AveEl Paso, TX 79905(915) 215-4956
42000 Trans Mountain RdEl Paso, TX 79911(915) 215-4956
u Wilson, Harry L MDGender: MaleNPI: 1134180094
42001 N OregonEl Paso, TX 79902(915) 838-1914
44815 Alameda AveEl Paso, TX 79905(915) 521-2290
44815 Alameda AveEl Paso, TX 79905(915) 521-2290
RADIOLOGYSilva, Naomi N MDGender: MaleNPI: 1205073459
44845 Alameda AveEl Paso, TX 79905(575) 532-7000Zafar, Abdul M MDGender: MaleNPI: 1164715520
44815 Alameda AveEl Paso, TX 79905(915) 215-5666
EL PASO CTRGASTROINTESTINALENDO
ANESTHESIOLOGYu Antohi, Octavian MDGender: MaleNPI: 1184674806
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
47420 Remcon CircleBldg AEl Paso, TX 79912(915) 532-8823
u Boone, James B MDGender: MaleNPI: 1942226618
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
43280 Joe Battle BlvdEl Paso, TX 79938(915) 271-4569Buendia, Francisco I MDGender: MaleNPI: 1811244270
42000 Trans Mountain RdEl Paso, TX 79911(915) 215-8400
42000 Transmountain RdEl Paso, TX 79911(915) 577-8467Camacho, Claudio MDGender: FemaleNPI: 1720195217
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
410301 Gatesway WestEl Paso, TX 79925(915) 595-9000
u Campos, Napoleon A MDGender: MaleNPI: 1396914933
41300 Murchison DrSte 200El Paso, TX 79902(915) 225-7604
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Carrillo, Ricardo D CRNAGender: MaleNPI: 1689173643
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Case, David CRNAGender: MaleNPI: 1548591969
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
410301 Gateway Blvd WSte 120El Paso, TX 79925(915) 595-9000
Fierro, Jessica C MDGender: FemaleNPI: 1841235199
41755 Curie DrEl Paso, TX 79902(941) 360-1566
u Ibrahim, Ali D MDGender: MaleNPI: 1780818427
41801 N Oregon StEl Paso, TX 79902(915) 774-555011331 James WattBldg 200El Paso, TX 79936(915) 260-825611331 James WattBldg 200 Ste AEl Paso, TX 79936(915) 260-8256Jean Pierre, Jean S MDGender: MaleNPI: 1235192618
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
44800 Alberta AveEl Paso, TX 79905(915) 545-6560
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200John, Ann K MDGender: FemaleNPI: 1154532307
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Lin, Steven C MDGender: MaleNPI: 1720041692
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
12
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
EL PASO CTRGASTROINTESTINALENDO (continued)
ANESTHESIOLOGY(continued)Lozano, Hector MDGender: MaleNPI: 1093811713
41755 Currie DriveSte AEl Paso, TX 79902(915) 772-2617150 S Resler DrEl Paso, TX 79912(915) 595-43751400 Common DrEl Paso, TX 79936(915) 595-4375Moreno, Joseph A MDGender: MaleNPI: 1629142864
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Morris, Russell R MDGender: MaleNPI: 1568736114
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Navejas, Elizabeth MDGender: FemaleNPI: 1265761845
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Patton, Samuel H MDGender: MaleNPI: 1932160736
41755 Curie DrEl Paso, TX 79902(915) 540-4864Reza Trujillo, Cesar MDGender: MaleNPI: 1043281744
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Rivera, Efrain MDGender: MaleNPI: 1780780858
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
Rubio, Ruby N MDGender: FemaleNPI: 1689865875
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Spraitzar, Sarah R MDGender: FemaleNPI: 1467694307
41900 Denver AveEl Paso, TX 79902(915) 544-4000
44815 Alameda AveEl Paso, TX 79905(706) 650-0705
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Teegarden, Ernest A DOGender: MaleNPI: 1033281241
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Wadhwa, Mukesh N DOGender: MaleNPI: 1184819203
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Warfel, Joel W MDGender: MaleNPI: 1518371954
44815 Alameda AveEl Paso, TX 79905(706) 650-0705
42000 A Transmountain RdEl Paso, TX 79911(915) 215-5666
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
EL PASO DAYSURGERY LLC
ANESTHESIOLOGYu Campos, Napoleon A MDGender: MaleNPI: 1396914933
41300 Murchison DrSte 200El Paso, TX 79902(915) 225-7604
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Nelson, Jess T MDGender: MaleNPI: 1558518985
41300 Murchison DrSte 200El Paso, TX 79902(915) 225-7604
u Vadi Latiff, V H MDGender: FemaleNPI: 1699850586
45959 Gateway Blvd WSte 120El Paso, TX 79925(915) 771-7261
EL PASO SPECIALTYHOSPITAL LTD
ANESTHESIOLOGYu Anderson, James S MDGender: MaleNPI: 1245228923
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
Annabi, Jeffrey H MDGender: MaleNPI: 1669498416615 E Schuster AveSte 7El Paso, TX 79902(915) 584-98007411 Remcon CirSte B1El Paso, TX 79912(915) 584-98004930 Osborne DrSte AEl Paso, TX 79922(915) 584-98001400 George DieterSte 240El Paso, TX 79936(915) 584-9800Case, David CRNAGender: MaleNPI: 1548591969
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
410301 Gateway Blvd WSte 120El Paso, TX 79925(915) 595-9000Horton, Erica A DOGender: FemaleNPI: 1801002951
44815 Alameda AveEl Paso, TX 79905(706) 650-0705Lozano, Hector MDGender: MaleNPI: 1093811713
41755 Currie DriveSte AEl Paso, TX 79902(915) 772-2617150 S Resler DrEl Paso, TX 79912(915) 595-43751400 Common DrEl Paso, TX 79936(915) 595-4375Morris, Russell R MDGender: MaleNPI: 1568736114
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
13
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
EL PASO SPECIALTYHOSPITAL LTD(continued)
ANESTHESIOLOGY(continued)
u Negrete, Margaret DOGender: FemaleNPI: 1033107479
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
44815 Alameda AveEl Paso, TX 79905(706) 650-0705
EMERGENCY MEDICINEu Atkinson, Darryl A DOGender: MaleNPI: 1366431421
41416 George Dieter DrEl Paso, TX 79936(915) 598-4240
RADIOLOGYFurlong, Joseph B MDGender: MaleNPI: 1801898622423 Executive Center BlvdEl Paso, TX 79902(915) 261-76881111 Hawkins BlvdSte 2aEl Paso, TX 79925(915) 771-83462270 Joe Battle BlvdSte JEl Paso, TX 79938(915) 996-9222Markham, Jeffrey C MDGender: MaleNPI: 1487858569
44815 Alameda AveEl Paso, TX 79905(915) 215-6000
Ungar, Joseph MDGender: MaleNPI: 1669645065423 Executive CenterEl Paso, TX 79902(915) 261-76881111 Hawkins BlvdSte 2aEl Paso, TX 79925(915) 771-83462270 Joe BattleSte JEl Paso, TX 79938(915) 996-9222
FOUNDATIONSURGICAL HOSP ELPASO
ANESTHESIOLOGYGan, Mark F DOGender: MaleNPI: 12150339315959 Gateway Blvd WSte 120El Paso, TX 79925(915) 772-2617
u Ibrahim, Ali D MDGender: MaleNPI: 1780818427
41801 N Oregon StEl Paso, TX 79902(915) 774-555011331 James WattBldg 200El Paso, TX 79936(915) 260-825611331 James WattBldg 200 Ste AEl Paso, TX 79936(915) 260-8256Moreno, Joseph A MDGender: MaleNPI: 1629142864
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
EMERGENCY MEDICINEBrooker, Matthew G DOGender: MaleNPI: 1396060364
41416 George Dieter DrEl Paso, TX 79936(915) 849-5100
Fagan, Scott R MDGender: MaleNPI: 1447495585
41416 George Dieter DrEl Paso, TX 79936(915) 849-5100Frazier, William J MDGender: MaleNPI: 1164407854
41416 George Dieter DrEl Paso, TX 79936(915) 849-5100Hill, Lance M DOGender: MaleNPI: 1750669750
41416 George Dieter DrEl Paso, TX 79936(915) 849-5100Law, Jennifer MDGender: FemaleNPI: 1386811438
41416 George Dieter DrEl Paso, TX 79936(915) 849-5100Madarang, Eric L DOGender: MaleNPI: 1336438878
41416 George Dieter DrEl Paso, TX 79936(915) 849-5100
u Moreno, Killeen M MDGender: FemaleNPI: 1366410672
41416 George Dieter DrEl Paso, TX 79936(915) 849-5100Peters, Kenneth W MDGender: MaleNPI: 1073790853
41416 George Dieter DrEl Paso, TX 79936(915) 849-5100Powell, Justin W DOGender: MaleNPI: 1487663191
41416 George Dieter DriveEl Paso, TX 79936(915) 849-5100Woodward, Harold L MDGender: MaleNPI: 1932123254
41416 George Dieter DriveEl Paso, TX 79936(915) 849-5100
GENERAL SURGERYArellano, Paul P MDGender: MaleNPI: 11341873961390 George Dieter DrSte 110El Paso, TX 79936(915) 271-46401400 George DieterSte 260El Paso, TX 79936(915) 593-96001400 George Dieter DrSte 260El Paso, TX 79936(915) 543-9600
u Gomez, Luis F MDGender: MaleNPI: 18816476591390 George Dieter DrSte 110El Paso, TX 79936(915) 271-46401400 George Dieter DrSte 260El Paso, TX 79936(915) 543-9600Lara, Michael D MDGender: MaleNPI: 15987214901655 Mosswood StEl Paso, TX 79935(915) 591-7700Monsivais, Jose J MDGender: MaleNPI: 181199450210175 Gateway Blvd WSte 230El Paso, TX 79925(915) 590-3666
RADIOLOGYCotter, Timothy MDGender: MaleNPI: 1790769511
41416 George Dieter DrEl Paso, TX 79936(847) 929-5460Dharia, Chiraag MDGender: MaleNPI: 1083880306
41416 George Dieter DrEl Paso, TX 79936(847) 929-5460
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
14
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
FOUNDATIONSURGICAL HOSP ELPASO (continued)
RADIOLOGY (continued)Fisher, Ian MDGender: MaleNPI: 1902828197
41416 George Dieter DrEl Paso, TX 79936(847) 929-5460Kim, Hong J MDGender: MaleNPI: 1356328256
41416 George Dieter DrEl Paso, TX 79936(847) 929-5460
u Loizeaux Witte, John NMDGender: MaleNPI: 1992850556
42001 N Oregon StEl Paso, TX 79902(915) 533-3798Sepahdari, Amir K MDGender: FemaleNPI: 1013096866
41416 George Dieter DrEl Paso, TX 79936(847) 929-5460
HIGHLANDSREHABILITATIONHOSPITAL
PATHOLOGYu Zepeda, Hector MDGender: MaleNPI: 1245291103
410175 Gateway Blvd WSte 116El Paso, TX 79925(915) 595-4700
HOSPITALSPROVIDENCE EASTCAMPUS
ANESTHESIOLOGYAlvarez, George H MDGender: MaleNPI: 1205852043
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
u Anderson, James S MDGender: MaleNPI: 1245228923
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
u Antohi, Octavian MDGender: MaleNPI: 1184674806
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
47420 Remcon CircleBldg AEl Paso, TX 79912(915) 532-8823
47420 Remcon CircleBldg AEl Paso, TX 79912(915) 532-8823
u Avila Hernandez, Jorge HMDGender: MaleNPI: 1013972652
42930 N Stanton StEl Paso, TX 79902(915) 271-4569Barreno, Ramon X MDGender: MaleNPI: 1558614180
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
Bodiford, Jason M MDGender: MaleNPI: 1639411184
42930 N Stanton StEl Paso, TX 79902(915) 527-1456
u Boone, James B MDGender: MaleNPI: 1942226618
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
43280 Joe Battle BlvdEl Paso, TX 79938(915) 271-4569Carrillo, Ricardo D CRNAGender: MaleNPI: 1689173643
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Diaz, Jose A MDGender: MaleNPI: 1942201199
42930 N Stanton StEl Paso, TX 79902(915) 271-4569Eidel, James M MDGender: MaleNPI: 1063488757
43280 Joe Battle BlvdEl Paso, TX 79938(915) 271-4569
u Escontrias, Adrian M MDGender: MaleNPI: 1316044050
45959 Gateway Blvd WSte 120El Paso, TX 79925(915) 772-2617
u Harris, Stephen R MDGender: MaleNPI: 1649342841
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
u He, Chaoying MDGender: MaleNPI: 1104913136
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
Jean Pierre, Jean S MDGender: MaleNPI: 1235192618
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
44800 Alberta AveEl Paso, TX 79905(915) 545-6560
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Kim, Ho Jin MDGender: MaleNPI: 1639276363
42930 N Stanton StEl Paso, TX 79902(915) 271-4569Lin, Steven C MDGender: MaleNPI: 1720041692
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Negrete, Margaret DOGender: FemaleNPI: 1033107479
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
44815 Alameda AveEl Paso, TX 79905(706) 650-0705Ortiz, Ivan A MDGender: MaleNPI: 1720184401
42930 N Stanton StEl Paso, TX 79902(915) 271-4569Porta, Kendra J MDGender: FemaleNPI: 1588898308
43280 Joe Battle BlvdEl Paso, TX 79938(915) 271-4569Rodriguez, David F MDGender: MaleNPI: 1093072241
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
15
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
HOSPITALSPROVIDENCE EASTCAMPUS (continued)
ANESTHESIOLOGY(continued)
u Ruiz, Javier MDGender: MaleNPI: 1811094147
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
u Shah, Arjav J MDGender: MaleNPI: 1063473700
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
u Wadhwa, Mukesh N DOGender: MaleNPI: 1184819203
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
GENERAL SURGERYBayazid, Saeb MDGender: MaleNPI: 12957217517500 N Mesa StSte 210El Paso, TX 79912(915) 307-7800Chorens, Albert L MDGender: MaleNPI: 166941354810470 Vista Del SolSte 216El Paso, TX 79925(915) 591-2000Cox, Derrick D MDGender: MaleNPI: 18010738381250 E Cliff DrSte 2aEl Paso, TX 79902(915) 577-79513270 Joe Battle BlvdSte 120El Paso, TX 79938(915) 351-0699
u Grieshop, Neil A MDGender: MaleNPI: 166948740110470 Vista Del SolSte 216El Paso, TX 79925(915) 591-2000Lawrance, Elizabeth A MDGender: FemaleNPI: 143715797110470 Vista Del SolSte 216El Paso, TX 79925(915) 591-2000
u Shimunov, Sergey DOGender: MaleNPI: 17809598741250 E Cliff DrSte 5aEl Paso, TX 79902(915) 532-18007878 Gateway Blvd ESte 204El Paso, TX 79915(915) 532-18004655 Cohen AveEl Paso, TX 79924(915) 532-18002204 E Joe Battle BlvdEl Paso, TX 79938(915) 271-4570
NEONATAL-PERINATALMEDICINE
u Chheda, Sadhana MDGender: FemaleNPI: 1871676452
44801 Alberta AveEl Paso, TX 79905(915) 545-68104815 Alameda AveEl Paso, TX 79905(915) 545-6810
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
Gupta, Dhruv MDGender: MaleNPI: 1982047726
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
42001 N Oregon StEl Paso, TX 79902(915) 577-6011
42000 Transmoutain RdEl Paso, TX 79912(915) 595-9000
43280 Joe Batle BlvdEl Paso, TX 79938(915) 577-6000
43280 Joe Battle BlvdEl Paso, TX 79938(915) 595-9000Weiss, Katherine J MDGender: FemaleNPI: 1053541862
41801 N OregonEl Paso, TX 79902(915) 521-1200
RADIOLOGYHicks, Brandi N MDGender: FemaleNPI: 1942497797
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del SolSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
HOSPS OFPROVIDENCESIERRA CAMPUS
ANESTHESIOLOGYAlvarez, George H MDGender: MaleNPI: 1205852043
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
u Anderson, James S MDGender: MaleNPI: 1245228923
42930 N Stanton StEl Paso, TX 79902(915) 271-4569Annabi, Jeffrey H MDGender: MaleNPI: 1669498416615 E Schuster AveSte 7El Paso, TX 79902(915) 584-98007411 Remcon CirSte B1El Paso, TX 79912(915) 584-98004930 Osborne DrSte AEl Paso, TX 79922(915) 584-98001400 George DieterSte 240El Paso, TX 79936(915) 584-9800
u Avila Hernandez, Jorge HMDGender: MaleNPI: 1013972652
42930 N Stanton StEl Paso, TX 79902(915) 271-4569Barreno, Ramon X MDGender: MaleNPI: 1558614180
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
16
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
HOSPS OFPROVIDENCESIERRA CAMPUS(continued)
ANESTHESIOLOGY(continued)
u Boone, James B MDGender: MaleNPI: 1942226618
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
43280 Joe Battle BlvdEl Paso, TX 79938(915) 271-4569Case, David CRNAGender: MaleNPI: 1548591969
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
410301 Gateway Blvd WSte 120El Paso, TX 79925(915) 595-9000
u Chaudhuri, Kallol MDGender: MaleNPI: 1689637050
44815 Alameda AveEl Paso, TX 79905(915) 545-6560
u Diaz, Jose A MDGender: MaleNPI: 1942201199
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
u Dillow, Roberto G MDGender: MaleNPI: 1336134170
410301 Gateway WestEl Paso, TX 79925(915) 577-0111
u Escontrias, Adrian M MDGender: MaleNPI: 1316044050
45959 Gateway Blvd WSte 120El Paso, TX 79925(915) 772-2617
Gan, Mark F DOGender: MaleNPI: 12150339315959 Gateway Blvd WSte 120El Paso, TX 79925(915) 772-2617
u Harris, Stephen R MDGender: MaleNPI: 1649342841
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
u Kim, Ho Jin MDGender: MaleNPI: 1639276363
42930 N Stanton StEl Paso, TX 79902(915) 271-4569Lozano, Hector MDGender: MaleNPI: 1093811713
41755 Currie DriveSte AEl Paso, TX 79902(915) 772-2617150 S Resler DrEl Paso, TX 79912(915) 595-43751400 Common DrEl Paso, TX 79936(915) 595-4375Moreno, Joseph A MDGender: MaleNPI: 1629142864
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Murillo, Tomas MDGender: MaleNPI: 1043218290
410301 Gateway WestEl Paso, TX 79925(915) 577-0111
u Negrete, Margaret DOGender: FemaleNPI: 1033107479
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
44815 Alameda AveEl Paso, TX 79905(706) 650-0705
Nelson, Jess T MDGender: MaleNPI: 1558518985
41300 Murchison DrSte 200El Paso, TX 79902(915) 225-7604Rivera, Efrain MDGender: MaleNPI: 1780780858
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Ruiz, Javier MDGender: MaleNPI: 1811094147
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
u Teegarden, Ernest A DOGender: MaleNPI: 1033281241
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Vadi Latiff, V H MDGender: FemaleNPI: 1699850586
45959 Gateway Blvd WSte 120El Paso, TX 79925(915) 771-7261
u Villarreal, Jose L MDGender: MaleNPI: 15482318485652 N Mesa StEl Paso, TX 79912(915) 351-1155
EMERGENCY MEDICINEBlandon, Pedro A MDGender: MaleNPI: 1275531469
41416 George Dieter DrEl Paso, TX 79936(915) 598-4240Chizen, Robert P MDGender: MaleNPI: 1922014810
41416 George Dieter DrEl Paso, TX 79936(915) 598-4240
Harper, William D MDGender: MaleNPI: 1922060425
44669 Cohen AveSte BEl Paso, TX 79924(915) 790-5700Cep America LLCGender: MaleNPI: 1922060425
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Molina, Armando MDGender: MaleNPI: 1073575577
41416 George Dieter DrEl Paso, TX 79936(915) 598-4240Montelongo, Juan A MDGender: MaleNPI: 1114955184
42001 N Oregon StEl Paso, TX 79902(915) 577-6011
GENERAL SURGERYAcosta Corrales, ManuelL MDGender: MaleNPI: 108361559510201 Gateway Blvd WSte 100El Paso, TX 79925(915) 250-02201655 Mosswood StEl Paso, TX 79935(915) 591-7700
u Acosta, Jorge MDGender: MaleNPI: 139670120710201 Gateway Blvd WSte 100El Paso, TX 79925(915) 250-02201655 Mosswood StEl Paso, TX 79935(915) 591-77001521 Joe Battle BlvdEl Paso, TX 79936(915) 591-7700
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
17
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
HOSPS OFPROVIDENCESIERRA CAMPUS(continued)
GENERAL SURGERY(continued)Agullo, Francisco J MDGender: MaleNPI: 11848210844801 Alberta AveEl Paso, TX 79905(915) 545-6880Arellano, Paul P MDGender: MaleNPI: 11341873961390 George Dieter DrSte 110El Paso, TX 79936(915) 271-46401400 George DieterSte 260El Paso, TX 79936(915) 593-96001400 George Dieter DrSte 260El Paso, TX 79936(915) 543-9600
u Brown, Courtney G MDGender: FemaleNPI: 15785137351201 E Schuster AveSte 4bEl Paso, TX 79902(915) 351-9200Chorens, Albert L MDGender: MaleNPI: 166941354810470 Vista Del SolSte 216El Paso, TX 79925(915) 591-2000Clapp, Benjamin L MDGender: MaleNPI: 17008042751700 N Mesa StEl Paso, TX 79902(915) 351-6020
Cooney, Paul D MDGender: MaleNPI: 1568656189299 Shadow MountainSte CEl Paso, TX 79912(915) 219-8265299 Shadow Mountain DrSte CEl Paso, TX 79912(915) 581-6405299 Shadow Mountain DrSte CEl Paso, TX 79912(915) 774-555510500 Vista Del Sol Ste EEl Paso, TX 79925(915) 444-8571Cox, Derrick D MDGender: MaleNPI: 18010738381250 E Cliff DrSte 2aEl Paso, TX 79902(915) 577-79513270 Joe Battle BlvdSte 120El Paso, TX 79938(915) 351-0699
u Crecca, Gerard F MDGender: MaleNPI: 11049654901700 Curie Suite 5300El Paso, TX 79902(915) 542-2825
u Diaz Luna, Hector J MDGender: MaleNPI: 18715391891601 North Brown StEl Paso, TX 79902(915) 533-1789
u Familua, Oluwamayowa FMDGender: MaleNPI: 10637149701250 E Cliff DrSte 5aEl Paso, TX 79902(915) 532-18007878 Gateway Blvd ESte 204El Paso, TX 79915(915) 532-18004655 Cohen AveEl Paso, TX 79924(915) 532-1800
u Gomez, Luis F MDGender: MaleNPI: 18816476591390 George Dieter DrSte 110El Paso, TX 79936(915) 271-46401400 George Dieter DrSte 260El Paso, TX 79936(915) 543-9600
u Grieshop, Neil A MDGender: MaleNPI: 166948740110470 Vista Del SolSte 216El Paso, TX 79925(915) 591-2000
u Kasha, Atur A DOGender: MaleNPI: 15987703561600 Medical Center DrSte 120El Paso, TX 79902(915) 313-9569
u Landeros, Mark M MDGender: MaleNPI: 19028570061390 George Dieter DrSte 110El Paso, TX 79936(915) 271-46401400 George DieterSte 260El Paso, TX 79936(915) 543-96001400 George Dieter DrSte 260El Paso, TX 79936(915) 543-9600Lara, Michael D MDGender: MaleNPI: 15987214901655 Mosswood StEl Paso, TX 79935(915) 591-7700
u Larson, Steven S MDGender: MaleNPI: 18614406531201 E Schuster AveBldg 4bEl Paso, TX 79902(915) 351-9200
Lawrance, Elizabeth A MDGender: FemaleNPI: 143715797110470 Vista Del SolSte 216El Paso, TX 79925(915) 591-2000Longoria, Alfredo MDGender: MaleNPI: 1154429595125 W Hague RdSte 320El Paso, TX 79902(915) 533-16034659 Cohen Ave Ste DEl Paso, TX 79924(915) 877-7343
u Shimunov, Sergey DOGender: MaleNPI: 17809598741250 E Cliff DrSte 5aEl Paso, TX 79902(915) 532-18007878 Gateway Blvd ESte 204El Paso, TX 79915(915) 532-18004655 Cohen AveEl Paso, TX 79924(915) 532-18002204 E Joe Battle BlvdEl Paso, TX 79938(915) 271-4570
u Spurbeck, William W MDGender: MaleNPI: 15785548954801 Alberta AveEl Paso, TX 79905(915) 215-5300
NEONATAL-PERINATALMEDICINEAlvarez, Roman D MDGender: MaleNPI: 15281583422001 N Oregon StEl Paso, TX 79902(915) 577-66222000 Transmountain RdEl Paso, TX 79911(915) 500-6560
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
18
u Board Certified in Listed Specialty.
HOSPS OFPROVIDENCESIERRA CAMPUS(continued)
NEONATAL-PERINATALMEDICINE (continued)Ayo, Luis A MDGender: MaleNPI: 11149766362001 N Oregon StEl Paso, TX 79902(915) 577-6983
u Caviglia, Roy J MDGender: MaleNPI: 1235158197
42001 N Oregon StEl Paso, TX 79902(915) 577-6983
u Chheda, Sadhana MDGender: FemaleNPI: 1871676452
44801 Alberta AveEl Paso, TX 79905(915) 545-68104815 Alameda AveEl Paso, TX 79905(915) 545-68104815 Alameda AveEl Paso, TX 79905(915) 545-6810
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000Weiss, Katherine J MDGender: FemaleNPI: 1053541862
41801 N OregonEl Paso, TX 79902(915) 521-1200
PATHOLOGYu Ayoub, Hanan H MDGender: FemaleNPI: 1073569778
42001 N Oregon StDept of PathologyEl Paso, TX 79902(843) 569-6542
u Diaz, Jaime A MDGender: MaleNPI: 1699719575
41301 E River AveEl Paso, TX 79902(915) 533-3000
u Elkins, Gregory C MDGender: MaleNPI: 1932197381
41625 Medical Center DrEl Paso, TX 79902(915) 747-4038
41625 Medical Center DrDept of PathologyEl Paso, TX 79902(915) 747-4000
41625 Medical Center DrDept of PathologyEl Paso, TX 79902(915) 747-4000
u Hakim, Mohamad N MDGender: MaleNPI: 1538140439
44815 Alameda AveEl Paso, TX 79905(915) 521-2290
42000 A Trans Mountain RdEl Paso, TX 79911(915) 877-8238Pester, Judith A MDGender: FemaleNPI: 1689662033
41625 Medical Center DrEl Paso, TX 79902(915) 747-4038Sotelo Rafiq, Elsa P MDGender: FemaleNPI: 1740424142
41301 E RiverEl Paso, TX 79902(915) 533-3000
RADIOLOGYMaster, Kiron S MDGender: MaleNPI: 1376535005
42001 N Oregon StEl Paso, TX 79902(713) 461-3573
Rao, Sandeep MDGender: MaleNPI: 1992905095
4221 N Kansas StreetSuite 700El Paso, TX 79901(281) 888-8999518 W San Antonio AveSte 8El Paso, TX 79901(915) 308-3621
42001 N Oregon StEl Paso, TX 79902(713) 461-3573
HOSPS OFPROVIDENCETRANSMOUNTAIN
ANESTHESIOLOGYAnnabi, Jeffrey H MDGender: MaleNPI: 1669498416615 E Schuster AveSte 7El Paso, TX 79902(915) 584-98007411 Remcon CirSte B1El Paso, TX 79912(915) 584-98004930 Osborne DrSte AEl Paso, TX 79922(915) 584-98001400 George DieterSte 240El Paso, TX 79936(915) 584-9800Bell, Christopher M MDGender: MaleNPI: 1013275627
42000 Trans Mountain Rd SteAEl Paso, TX 79911(915) 215-8400Buendia, Francisco I MDGender: MaleNPI: 1811244270
42000 Trans Mountain RdEl Paso, TX 79911(915) 215-8400
42000 Transmountain RdEl Paso, TX 79911(915) 577-8467
Esposito, James J MDGender: MaleNPI: 1790006534
44801 Alberta AveEl Paso, TX 79905(915) 215-8400
u Ibrahim, Ali D MDGender: MaleNPI: 1780818427
41801 N Oregon StEl Paso, TX 79902(915) 774-555011331 James WattBldg 200El Paso, TX 79936(915) 260-825611331 James WattBldg 200 Ste AEl Paso, TX 79936(915) 260-8256Kendall, Lindsay C MDGender: FemaleNPI: 1629333877
42000 Transmountain RdEl Paso, TX 79911(915) 215-8408Warfel, Joel W MDGender: MaleNPI: 1518371954
44815 Alameda AveEl Paso, TX 79905(706) 650-0705
42000 A Transmountain RdEl Paso, TX 79911(915) 215-5666
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
EMERGENCY MEDICINEGambarota, Marci C MDGender: FemaleNPI: 1689610248
42000 Transmountain RdEl Paso, TX 79911(214) 712-2068
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
19
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
HOSPS OFPROVIDENCETRANSMOUNTAIN(continued)
EMERGENCY MEDICINE(continued)Teleb, Mohamed MDGender: MaleNPI: 19525892851700 Curie Dr Ste 1500El Paso, TX 79902(915) 532-45421575 N Resler DrSte DEl Paso, TX 79912(915) 271-45693270 Joe Battle BlvdSte 215El Paso, TX 79938(915) 206-2999
GENERAL SURGERYu Alkhalili, Eyas MDGender: MaleNPI: 12455958752000 Transmountain RdEl Paso, TX 79911(915) 215-8400
u Amdemichael, Eden T MDGender: FemaleNPI: 16595305092000 Transmountain RdSte BEl Paso, TX 79911(915) 215-8408Bayazid, Saeb MDGender: MaleNPI: 12957217517500 N Mesa StSte 210El Paso, TX 79912(915) 307-7800Chiba, Shintaro MDGender: MaleNPI: 19122647632000 Trans Mountain RdSte BEl Paso, TX 79911(915) 215-8400
u Koch, Eric B MDGender: MaleNPI: 16199400202000 Transmountain RdSte 120 A BEl Paso, TX 79911(915) 271-4586
u Konstantinidis, IoannisMDGender: MaleNPI: 14777899722000 Transmountain RdSte BEl Paso, TX 79911(915) 215-8400
u Reznichenko, AleksandrA MDGender: MaleNPI: 1750402681125 W Hague St 170El Paso, TX 79902(915) 271-45962000 Transmountain RoadSte 120 A and BEl Paso, TX 79911(915) 671-38381580 Lomaland DriveEl Paso, TX 79935(915) 313-6300
u Shimunov, Sergey DOGender: MaleNPI: 17809598741250 E Cliff DrSte 5aEl Paso, TX 79902(915) 532-18007878 Gateway Blvd ESte 204El Paso, TX 79915(915) 532-18004655 Cohen AveEl Paso, TX 79924(915) 532-18002204 E Joe Battle BlvdEl Paso, TX 79938(915) 271-4570
NEONATAL-PERINATALMEDICINEWeiss, Katherine J MDGender: FemaleNPI: 1053541862
41801 N OregonEl Paso, TX 79902(915) 521-1200
PATHOLOGYLavezo, Jonathan L MDGender: MaleNPI: 1518352640
44815 Alameda AveEl Paso, TX 79905(915) 215-4956
44845 Alameda AveEl Paso, TX 79905(915) 215-4956
42000 A Trans Mountain RdEl Paso, TX 79911(915) 215-4956
RADIOLOGYCarswell, Aimee P MDGender: FemaleNPI: 1619156635
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
44815 Alameda AveEl Paso, TX 79905(915) 215-6000
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del SolEl Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Lowe, Richard E MDGender: MaleNPI: 1700999216
44815 Alameda AveEl Paso, TX 79905(915) 215-6000Warpinski, Amy L DOGender: FemaleNPI: 1801918396
42001 N Oregon StEl Paso, TX 79902(713) 461-3573
HOSPSPROVIDENCEMEMORIAL CAMPUS
ANESTHESIOLOGYAlvarez, George H MDGender: MaleNPI: 1205852043
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
u Anderson, James S MDGender: MaleNPI: 1245228923
42930 N Stanton StEl Paso, TX 79902(915) 271-4569Annabi, Jeffrey H MDGender: MaleNPI: 1669498416615 E Schuster AveSte 7El Paso, TX 79902(915) 584-98007411 Remcon CirSte B1El Paso, TX 79912(915) 584-98004930 Osborne DrSte AEl Paso, TX 79922(915) 584-98001400 George DieterSte 240El Paso, TX 79936(915) 584-9800
u Antohi, Octavian MDGender: MaleNPI: 1184674806
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
47420 Remcon CircleBldg AEl Paso, TX 79912(915) 532-8823
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
20
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
HOSPSPROVIDENCEMEMORIAL CAMPUS(continued)
ANESTHESIOLOGY(continued)
u Avila Hernandez, Jorge HMDGender: MaleNPI: 1013972652
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
u Chaudhuri, Kallol MDGender: MaleNPI: 1689637050
44815 Alameda AveEl Paso, TX 79905(915) 545-6560
u Diaz, Jose A MDGender: MaleNPI: 1942201199
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
u Dillow, Roberto G MDGender: MaleNPI: 1336134170
410301 Gateway WestEl Paso, TX 79925(915) 577-0111
u Escontrias, Adrian M MDGender: MaleNPI: 1316044050
45959 Gateway Blvd WSte 120El Paso, TX 79925(915) 772-2617Gan, Mark F DOGender: MaleNPI: 12150339315959 Gateway Blvd WSte 120El Paso, TX 79925(915) 772-2617
u Harris, Stephen R MDGender: MaleNPI: 1649342841
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
u Kim, Ho Jin MDGender: MaleNPI: 1639276363
42930 N Stanton StEl Paso, TX 79902(915) 271-4569Lozano, Hector MDGender: MaleNPI: 1093811713
41755 Currie DriveSte AEl Paso, TX 79902(915) 772-2617150 S Resler DrEl Paso, TX 79912(915) 595-43751400 Common DrEl Paso, TX 79936(915) 595-4375Moreno, Joseph A MDGender: MaleNPI: 1629142864
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Murillo, Tomas MDGender: MaleNPI: 1043218290
410301 Gateway WestEl Paso, TX 79925(915) 577-0111
u Negrete, Margaret DOGender: FemaleNPI: 1033107479
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
44815 Alameda AveEl Paso, TX 79905(706) 650-0705
44815 Alameda AveEl Paso, TX 79905(706) 650-0705Ortiz, Ivan A MDGender: MaleNPI: 1720184401
42930 N Stanton StEl Paso, TX 79902(915) 271-4569Porta, Kendra J MDGender: FemaleNPI: 1588898308
43280 Joe Battle BlvdEl Paso, TX 79938(915) 271-4569
Rivera, Efrain MDGender: MaleNPI: 1780780858
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Rodriguez, David F MDGender: MaleNPI: 1093072241
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
u Ruiz, Javier MDGender: MaleNPI: 1811094147
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
u Teegarden, Ernest A DOGender: MaleNPI: 1033281241
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Vadi Latiff, V H MDGender: FemaleNPI: 1699850586
45959 Gateway Blvd WSte 120El Paso, TX 79925(915) 771-7261
u Villarreal, Jose L MDGender: MaleNPI: 15482318485652 N Mesa StEl Paso, TX 79912(915) 351-1155
EMERGENCY MEDICINEu Atkinson, Darryl A DOGender: MaleNPI: 1366431421
41416 George Dieter DrEl Paso, TX 79936(915) 598-4240Barron, Elaine M MDGender: MaleNPI: 1255312724
42001 N Oregon StEl Paso, TX 79902(915) 577-6011Berumen, Kenneth A MDGender: MaleNPI: 1588661243
42001 N Oregon StEl Paso, TX 79902(915) 577-6011
Blandon, Pedro A MDGender: MaleNPI: 1275531469
41416 George Dieter DrEl Paso, TX 79936(915) 598-4240Bowen, Samara R MDGender: FemaleNPI: 1821141557
44669 Cohen AveEl Paso, TX 79924(951) 544-1200
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Chambers, Jeffrey J MDGender: MaleNPI: 1811097132
42001 N Oregon StEl Paso, TX 79902(214) 712-2663
u Chavda, Suresh N MDGender: MaleNPI: 1689627846
42001 N Oregon StEl Paso, TX 79902(915) 577-6011Cheung, Michael S MDGender: MaleNPI: 1497017958
42001 N Oregon StEl Paso, TX 79902(214) 712-2068Chizen, Robert P MDGender: MaleNPI: 1922014810
41416 George Dieter DrEl Paso, TX 79936(915) 598-4240Cep America LLCGender: MaleNPI: 1821034448
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
21
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
HOSPSPROVIDENCEMEMORIAL CAMPUS(continued)
EMERGENCY MEDICINE(continued)
u Cosban, Travis MDGender: MaleNPI: 1700225265
42000 Transmountain RdEl Paso, TX 79911(214) 712-2068
44669 Cohen AveEl Paso, TX 79924(951) 544-1200
410780 Pebble Hills BlvdSte G 1El Paso, TX 79935(915) 773-0606
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Crosby, Mark I DOGender: MaleNPI: 1477713154
42000 Transmountain RdEl Paso, TX 79911(214) 712-2663Daggett, Benjamin D MDGender: MaleNPI: 1881833937
42001 N Oregon StEl Paso, TX 79902(214) 712-2068Donaldson, Chase MDGender: MaleNPI: 1356634315
42001 N Oregon StEl Paso, TX 79902(214) 712-2663Douglas, Derek MDGender: MaleNPI: 1154747657
42000 Trans Mountain RdEl Paso, TX 79911(972) 204-5263
Edson, Darren S MDGender: MaleNPI: 1699777391
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200
44669 Cohen AveEl Paso, TX 79936(951) 544-1200Evans, Peter S MDGender: MaleNPI: 1942227574
42001 N Oregon StEl Paso, TX 79902(915) 577-6011Fodor, Zsolt DOGender: MaleNPI: 1205858271
42001 N Oregon StEl Paso, TX 79902(915) 577-6011Gilardoni, Paul G MDGender: MaleNPI: 1891851135
42000 Transmountain RdEl Paso, TX 79911(214) 712-2663Gillett, David P MDGender: MaleNPI: 1225072234
42001 N Oregon StEl Paso, TX 79902(915) 577-6011Goldstein, Randy J MDGender: MaleNPI: 1487644498
42001 North Oregon StEl Paso, TX 79902(915) 577-6011Gonzales, Jacob R MDGender: MaleNPI: 1851771257
42000 Transmountain RoadEl Paso, TX 79911(214) 712-6068Good, Benjamin E MDGender: MaleNPI: 1730408964
42000 Transmountain RoadEl Paso, TX 79911(214) 712-2663
Good, Stacey F DOGender: FemaleNPI: 1487944336
42000 Transmountain RdEl Paso, TX 79911(214) 712-2663Hamm, Markus L MDGender: MaleNPI: 1730128430
41416 George Dieter DrEl Paso, TX 79936(915) 598-4240Hernandez, Andres MDGender: MaleNPI: 1710926035
42001 North Oregon StEl Paso, TX 79902(915) 577-6011
u Howell, Greg A MDGender: MaleNPI: 1386671444
42001 N Oregon StEl Paso, TX 79902(915) 577-6011Janke, Clifford O MDGender: MaleNPI: 1275574196
42001 N Oregon StEl Paso, TX 79902(915) 577-6011Kapp, Ronald MDGender: MaleNPI: 1760410906
41416 George Dieter DrEl Paso, TX 79936(915) 598-4240Kennebrew, Garry J MDGender: MaleNPI: 1255605952
42000 Trans Mountain RdEl Paso, TX 79911(214) 712-2068Lievano, Kang Mei N MDGender: FemaleNPI: 1689099293
42000 Transmountain RdEl Paso, TX 79911(214) 712-2663Lindsey, Michael W MDGender: MaleNPI: 1023454238
42001 N Oregon StEl Paso, TX 79902(214) 712-2068
Lovett, Paris B MDGender: MaleNPI: 1467485649
42001 N Oregon StEl Paso, TX 79902(214) 712-2663
u Mallett, Paul W MDGender: MaleNPI: 1700809803
42001 N Oregon StEl Paso, TX 79902(915) 577-6011Mangel, Ryan S MDGender: MaleNPI: 1811139306
41416 George Dieter DrEl Paso, TX 79936(915) 598-4240Cep America LLCGender: FemaleNPI: 1427138114
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Martinez, Miguel A MDGender: MaleNPI: 1225324692
42001 N Oregon StEl Paso, TX 79902(214) 712-2663McGann, Kevin Sean ADOGender: MaleNPI: 1225087729
42001 N Oregon StEl Paso, TX 79902(214) 712-2663Mendoza, Omar MDGender: MaleNPI: 1619977261
41625 Medical CenterDrEl Paso, TX 79902(915) 747-4000Miller, Garett P MDGender: MaleNPI: 1427303882
42001 N Oregon StEl Paso, TX 79902(214) 712-2068Montelongo, Juan A MDGender: MaleNPI: 1114955184
42001 N Oregon StEl Paso, TX 79902(915) 577-6011
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
22
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
HOSPSPROVIDENCEMEMORIAL CAMPUS(continued)
EMERGENCY MEDICINE(continued)Mullen, Casey K MDGender: FemaleNPI: 1104184993
42000 Transmountain RdEl Paso, TX 79911(214) 712-2663Murphy, Sean M MDGender: MaleNPI: 1962841353
42001 N Oregon StEl Paso, TX 79902(214) 712-2663
u Narra, Nagarjun MDGender: MaleNPI: 1154406288
42001 N Oregon StEl Paso, TX 79902(214) 712-2663Nazeer, Omer MDGender: MaleNPI: 1134475270
42001 N Oregon StEl Paso, TX 79902(214) 712-2663Ortiz, Carlos R MDGender: MaleNPI: 1801152525
42000 Transmountain RdEl Paso, TX 79911(214) 712-2663Palm, Daniel B MDGender: MaleNPI: 1093768202
41416 George Dieter DrEl Paso, TX 79936(915) 598-4240
u Partovi, Sirous N MDGender: MaleNPI: 1013960178
42001 North Oregon StEl Paso, TX 79902(915) 577-6011
u Patel, Ripal H MDGender: MaleNPI: 1114217338
42001 N Oregon StEl Paso, TX 79902(214) 712-2663
Quarles, Stephanie R MDGender: FemaleNPI: 1295936508
42001 N Oregon StEl Paso, TX 79902(214) 712-2663
u Ritz, Reis B MDGender: MaleNPI: 1952557928
42001 N Oregon StEl Paso, TX 79902(214) 712-2663Ross, Cray MDGender: MaleNPI: 1053622100
42001 N Oregon StEl Paso, TX 79902(214) 712-2068
u Rucker, Ebony MDGender: FemaleNPI: 1851602908
41521 Joe Battle BlvdSte BEl Paso, TX 79924(951) 544-1200
44669 Cohen AveEl Paso, TX 79924(951) 544-1200
41416 George Dieter DrEl Paso, TX 79936(915) 598-4240Cep America LLCGender: FemaleNPI: 1124375761
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Smit, Jozef L MDGender: MaleNPI: 1477537926
42000 Transmountain RdEl Paso, TX 79911(214) 712-2663Stiles, Charles T MDGender: MaleNPI: 1851356406
42001 N Oregon StEl Paso, TX 79902(214) 712-2663Sung, Helen M MDGender: FemaleNPI: 1386795276
42001 N Oregon StEl Paso, TX 79902(915) 577-6011
Tiffault, Gerard R MDGender: MaleNPI: 1053361675
42000 Transmountain RdEl Paso, TX 79911(214) 712-2068
GENERAL SURGERYAcosta Corrales, ManuelL MDGender: MaleNPI: 108361559510201 Gateway Blvd WSte 100El Paso, TX 79925(915) 250-02201655 Mosswood StEl Paso, TX 79935(915) 591-7700
u Acosta, Jorge MDGender: MaleNPI: 139670120710201 Gateway Blvd WSte 100El Paso, TX 79925(915) 250-02201655 Mosswood StEl Paso, TX 79935(915) 591-77001521 Joe Battle BlvdEl Paso, TX 79936(915) 591-7700Agullo, Francisco J MDGender: MaleNPI: 11848210844801 Alberta AveEl Paso, TX 79905(915) 545-6880
u Applebaum, Bruce J MDGender: MaleNPI: 190280367910470 Vista Del SolSte 216El Paso, TX 79925(915) 591-2000
Arellano, Paul P MDGender: MaleNPI: 11341873961390 George Dieter DrSte 110El Paso, TX 79936(915) 271-46401400 George DieterSte 260El Paso, TX 79936(915) 593-96001400 George Dieter DrSte 260El Paso, TX 79936(915) 543-9600
u Brown, Courtney G MDGender: FemaleNPI: 15785137351201 E Schuster AveSte 4bEl Paso, TX 79902(915) 351-9200Chorens, Albert L MDGender: MaleNPI: 166941354810470 Vista Del SolSte 216El Paso, TX 79925(915) 591-2000Clapp, Benjamin L MDGender: MaleNPI: 17008042751700 N Mesa StEl Paso, TX 79902(915) 351-6020Cox, Derrick D MDGender: MaleNPI: 18010738381250 E Cliff DrSte 2aEl Paso, TX 79902(915) 577-79513270 Joe Battle BlvdSte 120El Paso, TX 79938(915) 351-0699
u Crecca, Gerard F MDGender: MaleNPI: 11049654901700 Curie Suite 5300El Paso, TX 79902(915) 542-2825
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
23
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
HOSPSPROVIDENCEMEMORIAL CAMPUS(continued)
GENERAL SURGERY(continued)
u Diaz Luna, Hector J MDGender: MaleNPI: 18715391891601 North Brown StEl Paso, TX 79902(915) 533-1789
u Familua, Oluwamayowa FMDGender: MaleNPI: 10637149701250 E Cliff DrSte 5aEl Paso, TX 79902(915) 532-18007878 Gateway Blvd ESte 204El Paso, TX 79915(915) 532-18004655 Cohen AveEl Paso, TX 79924(915) 532-1800
u Gomez, Luis F MDGender: MaleNPI: 18816476591390 George Dieter DrSte 110El Paso, TX 79936(915) 271-46401400 George Dieter DrSte 260El Paso, TX 79936(915) 543-9600
u Grieshop, Neil A MDGender: MaleNPI: 166948740110470 Vista Del SolSte 216El Paso, TX 79925(915) 591-2000
u Kasha, Atur A DOGender: MaleNPI: 15987703561600 Medical Center DrSte 120El Paso, TX 79902(915) 313-9569
u Landeros, Mark M MDGender: MaleNPI: 19028570061390 George Dieter DrSte 110El Paso, TX 79936(915) 271-46401400 George DieterSte 260El Paso, TX 79936(915) 543-96001400 George Dieter DrSte 260El Paso, TX 79936(915) 543-9600Lara, Michael D MDGender: MaleNPI: 15987214901655 Mosswood StEl Paso, TX 79935(915) 591-7700
u Larson, Steven S MDGender: MaleNPI: 18614406531201 E Schuster AveBldg 4bEl Paso, TX 79902(915) 351-9200Lawrance, Elizabeth A MDGender: FemaleNPI: 143715797110470 Vista Del SolSte 216El Paso, TX 79925(915) 591-2000Longoria, Alfredo MDGender: MaleNPI: 1154429595125 W Hague RdSte 320El Paso, TX 79902(915) 533-16034659 Cohen Ave Ste DEl Paso, TX 79924(915) 877-7343Monsivais, Jose J MDGender: MaleNPI: 181199450210175 Gateway Blvd WSte 230El Paso, TX 79925(915) 590-3666
u Shimunov, Sergey DOGender: MaleNPI: 17809598741250 E Cliff DrSte 5aEl Paso, TX 79902(915) 532-18007878 Gateway Blvd ESte 204El Paso, TX 79915(915) 532-18004655 Cohen AveEl Paso, TX 79924(915) 532-18002204 E Joe Battle BlvdEl Paso, TX 79938(915) 271-4570
u Spurbeck, William W MDGender: MaleNPI: 15785548954801 Alberta AveEl Paso, TX 79905(915) 215-5300
NEONATAL-PERINATALMEDICINEAlvarez, Roman D MDGender: MaleNPI: 15281583422001 N Oregon StEl Paso, TX 79902(915) 577-66222000 Transmountain RdEl Paso, TX 79911(915) 500-65602000 Transmountain RdEl Paso, TX 79911(915) 500-6560Ayo, Luis A MDGender: MaleNPI: 11149766362001 N Oregon StEl Paso, TX 79902(915) 577-6983
u Caviglia, Roy J MDGender: MaleNPI: 1235158197
42001 N Oregon StEl Paso, TX 79902(915) 577-6983
u Chheda, Sadhana MDGender: FemaleNPI: 1871676452
44801 Alberta AveEl Paso, TX 79905(915) 545-68104815 Alameda AveEl Paso, TX 79905(915) 545-6810
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000Ramos, Monica MDGender: FemaleNPI: 1831483429
42001 N Oregon StEl Paso, TX 79902(915) 577-6011Tullius, Zoe MDGender: FemaleNPI: 1770844201
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
44801 Alberta AveEl Paso, TX 79905(915) 215-5700
44815 Alameda AveEl Paso, TX 79905(915) 215-5700
44845 Alameda AveEl Paso, TX 79905(915) 215-5700Weiss, Katherine J MDGender: FemaleNPI: 1053541862
41801 N OregonEl Paso, TX 79902(915) 521-1200
PATHOLOGYu Ayoub, Hanan H MDGender: FemaleNPI: 1073569778
42001 N Oregon StDept of PathologyEl Paso, TX 79902(843) 569-6542
u Bilbao, Jorge E MDGender: MaleNPI: 1881626877
41301 E RiverEl Paso, TX 79902(915) 533-3000
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
24
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
HOSPSPROVIDENCEMEMORIAL CAMPUS(continued)
PATHOLOGY(continued)
u Diaz, Jaime A MDGender: MaleNPI: 1699719575
41301 E River AveEl Paso, TX 79902(915) 533-3000
u Elkins, Gregory C MDGender: MaleNPI: 1932197381
41625 Medical Center DrEl Paso, TX 79902(915) 747-4038
41625 Medical Center DrDept of PathologyEl Paso, TX 79902(915) 747-4000
u Kime, Lynn R MDGender: MaleNPI: 1316908270
42001 North Oregon StreetEl Paso, TX 79902(800) 308-1708
u Llamas, Luis MDGender: MaleNPI: 1215998307
42001 North Oregon StEl Paso, TX 79902(915) 577-7316Trejo, Octavio MDGender: MaleNPI: 1629039623
42001 North Oregon StreetEl Paso, TX 79902(800) 308-1708
u Vargas, Arturo L MDGender: MaleNPI: 1760443626
42001 North Oregon StreetEl Paso, TX 79902(800) 308-1708
u Wilson, Harry L MDGender: MaleNPI: 1134180094
42001 N OregonEl Paso, TX 79902(915) 838-1914
44815 Alameda AveEl Paso, TX 79905(915) 521-2290
44815 Alameda AveEl Paso, TX 79905(915) 521-2290
44815 Alameda AveEl Paso, TX 79905(915) 521-2290
RADIOLOGYBagga, Harprabhjot MDGender: MaleNPI: 1700822913
42001 N Oregon StEl Paso, TX 79902(713) 461-3573Bailey, Lin H MDGender: FemaleNPI: 1083980163
42001 N Oregon StEl Paso, TX 79902(915) 533-3798
u Beville, Lee W MDGender: MaleNPI: 1497733703
42001 N Oregon StEl Paso, TX 79902(713) 461-3573
u Bradford, Ric A DOGender: MaleNPI: 1396754719
42001 N Oregon StEl Paso, TX 79902(713) 461-3573Butler, Gordon M MDGender: MaleNPI: 1477752681
42001 N Oregon StEl Paso, TX 79902(713) 461-3573Cammarata, Curtis A MDGender: MaleNPI: 1477521201
42001 N Oregon StEl Paso, TX 79902(713) 461-3573
Craig, Steven H MDGender: MaleNPI: 1417117268
42001 N Oregon StEl Paso, TX 79902(713) 461-3573
u Dossett, Lucy M MDGender: FemaleNPI: 1730175126
42001 N Oregon StEl Paso, TX 79902(713) 461-3573Esser, James M MDGender: MaleNPI: 1508956517
42001 N Oregon StEl Paso, TX 79902(713) 461-3573Furlong, Joseph B MDGender: MaleNPI: 1801898622423 Executive Center BlvdEl Paso, TX 79902(915) 261-76881111 Hawkins BlvdSte 2aEl Paso, TX 79925(915) 771-83462270 Joe Battle BlvdSte JEl Paso, TX 79938(915) 996-9222Haug, James C DOGender: MaleNPI: 1275875973
42001 N Oregon StEl Paso, TX 79902(713) 461-3573
u Isuani, Hugo E MDGender: MaleNPI: 1740256635
42600 N Oregon StSte 200El Paso, TX 79902(915) 544-5550
u Lackamp, Robert J MDGender: MaleNPI: 1356347892
42001 N Oregon StEl Paso, TX 79902(713) 461-3573Lee, Andrew Y MDGender: MaleNPI: 1942260948
42001 N Oregon StEl Paso, TX 79902(713) 461-3573
u Loizeaux Witte, John NMDGender: MaleNPI: 1992850556
42001 N Oregon StEl Paso, TX 79902(915) 533-3798Loree, Robert T MDGender: MaleNPI: 1720220783
42001 N Oregon StreetEl Paso, TX 79902(713) 461-3573Master, Kiron S MDGender: MaleNPI: 1376535005
42001 N Oregon StEl Paso, TX 79902(713) 461-3573
u Neiman, Parviz MDGender: MaleNPI: 1205828928
42001 N Oregon StEl Paso, TX 79902(713) 461-3573Nguyen, Khanh D MDGender: MaleNPI: 1093770869
42001 N Oregon StEl Paso, TX 79902(915) 833-6631
42001 N Oregon StreetEl Paso, TX 79902(713) 461-3573
u Pallares, Juan C MDGender: MaleNPI: 1578544987
42001 N Oregon StEl Paso, TX 79902(713) 461-3573Panapitiya, Narendra CMDGender: MaleNPI: 1720399785
42001 N Oregon StEl Paso, TX 79902(713) 461-3573
u Parisi, Sandro B MDGender: MaleNPI: 1750373288
42001 N Oregon StEl Paso, TX 79902(915) 833-6631
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
25
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
HOSPSPROVIDENCEMEMORIAL CAMPUS(continued)
RADIOLOGY (continued)u Patterson, David S MDGender: MaleNPI: 1144285313
42001 N Oregon StEl Paso, TX 79902(713) 461-3573Prasad, Shashank S MDGender: MaleNPI: 1992955587
42001 N Oregon StEl Paso, TX 79902(713) 461-3573Rao, Sandeep MDGender: MaleNPI: 1992905095
4221 N Kansas StreetSuite 700El Paso, TX 79901(281) 888-8999518 W San Antonio AveSte 8El Paso, TX 79901(915) 308-3621518 W San Antonio AveSte 8El Paso, TX 79901(915) 308-3621
42001 N Oregon StEl Paso, TX 79902(713) 461-3573
42001 N Oregon StEl Paso, TX 79902(713) 461-3573Saha, Arnold MDGender: MaleNPI: 1770726796
42001 N Oregon StEl Paso, TX 79902(713) 461-3573Sharma, Amit K MDGender: MaleNPI: 1508153685
42001 N Oregon StEl Paso, TX 79902(915) 533-3798
u Vaughn, David D MDGender: MaleNPI: 1386664373
42001 N Oregon StEl Paso, TX 79902(713) 461-3573
45400 Suncrest DrSte B3El Paso, TX 79912(317) 614-9864
u Wang, Benjamin Y MDGender: MaleNPI: 1932191590
42001 N Oregon StEl Paso, TX 79902(713) 461-3573Wendt, Frederick C MDGender: MaleNPI: 1972548139
42001 N Oregon StEl Paso, TX 79902(713) 461-3573Wickley, Aaron B MDGender: MaleNPI: 1568625275
42001 N Oregon StEl Paso, TX 79902(713) 461-3573
LAS PALMAS CAMPLPDSH
ANESTHESIOLOGYAlvarez, George H MDGender: MaleNPI: 1205852043
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
u Anderson, James S MDGender: MaleNPI: 1245228923
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
Annabi, Jeffrey H MDGender: MaleNPI: 1669498416615 E Schuster AveSte 7El Paso, TX 79902(915) 584-98007411 Remcon CirSte B1El Paso, TX 79912(915) 584-98004930 Osborne DrSte AEl Paso, TX 79922(915) 584-98001400 George DieterSte 240El Paso, TX 79936(915) 584-9800
u Avila Hernandez, Jorge HMDGender: MaleNPI: 1013972652
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
u Barbosa, Vera L MDGender: FemaleNPI: 1982655684
410301 Gateway WEl Paso, TX 79925(915) 595-9000Camacho, Claudio MDGender: FemaleNPI: 1720195217
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
410301 Gatesway WestEl Paso, TX 79925(915) 595-9000
u Chaudhuri, Kallol MDGender: MaleNPI: 1689637050
44815 Alameda AveEl Paso, TX 79905(915) 545-6560
u Diaz, Jose A MDGender: MaleNPI: 1942201199
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
u Dillow, Roberto G MDGender: MaleNPI: 1336134170
410301 Gateway WestEl Paso, TX 79925(915) 577-0111
u Escontrias, Adrian M MDGender: MaleNPI: 1316044050
45959 Gateway Blvd WSte 120El Paso, TX 79925(915) 772-2617Fierro, Jessica C MDGender: FemaleNPI: 1841235199
41755 Curie DrEl Paso, TX 79902(941) 360-1566Gan, Mark F DOGender: MaleNPI: 12150339315959 Gateway Blvd WSte 120El Paso, TX 79925(915) 772-2617
u Harris, Stephen R MDGender: MaleNPI: 1649342841
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
u Kim, Ho Jin MDGender: MaleNPI: 1639276363
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
u Lim, Douglas DOGender: MaleNPI: 1043288442
44815 Alameda AveEl Paso, TX 79905(915) 544-1200Moreno, Joseph A MDGender: MaleNPI: 1629142864
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Murillo, Tomas MDGender: MaleNPI: 1043218290
410301 Gateway WestEl Paso, TX 79925(915) 577-0111
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
26
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
LAS PALMAS CAMPLPDSH (continued)
ANESTHESIOLOGY(continued)Navejas, Elizabeth MDGender: FemaleNPI: 1265761845
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Negrete, Margaret DOGender: FemaleNPI: 1033107479
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
44815 Alameda AveEl Paso, TX 79905(706) 650-0705
44815 Alameda AveEl Paso, TX 79905(706) 650-0705
u Okada, Ken MDGender: MaleNPI: 1679566715
410301 Gateway WestEl Paso, TX 79925(915) 577-0111Rivera, Efrain MDGender: MaleNPI: 1780780858
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Rubio, Ruby N MDGender: FemaleNPI: 1689865875
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Ruiz, Javier MDGender: MaleNPI: 1811094147
42930 N Stanton StEl Paso, TX 79902(915) 271-4569Urias, Jorge A MDGender: MaleNPI: 1750359865
41801 N Oregon St.El Paso, TX 79902(915) 521-1200
u Vadi Latiff, V H MDGender: FemaleNPI: 1699850586
45959 Gateway Blvd WSte 120El Paso, TX 79925(915) 771-7261Villa Royval, Silvia M MDGender: FemaleNPI: 1649407974
44815 Alameda AveEl Paso, TX 79905(706) 650-0705
u Villarreal, Jose L MDGender: MaleNPI: 15482318485652 N Mesa StEl Paso, TX 79912(915) 351-1155
EMERGENCY MEDICINEBlandon, Pedro A MDGender: MaleNPI: 1275531469
41416 George Dieter DrEl Paso, TX 79936(915) 598-4240
u Cosban, Travis MDGender: MaleNPI: 1700225265
42000 Transmountain RdEl Paso, TX 79911(214) 712-2068
44669 Cohen AveEl Paso, TX 79924(951) 544-1200
410780 Pebble Hills BlvdSte G 1El Paso, TX 79935(915) 773-0606
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Molina, Armando MDGender: MaleNPI: 1073575577
41416 George Dieter DrEl Paso, TX 79936(915) 598-4240
GENERAL SURGERYAcosta Corrales, ManuelL MDGender: MaleNPI: 108361559510201 Gateway Blvd WSte 100El Paso, TX 79925(915) 250-02201655 Mosswood StEl Paso, TX 79935(915) 591-7700
u Acosta, Jorge MDGender: MaleNPI: 139670120710201 Gateway Blvd WSte 100El Paso, TX 79925(915) 250-02201655 Mosswood StEl Paso, TX 79935(915) 591-77001521 Joe Battle BlvdEl Paso, TX 79936(915) 591-7700Agullo, Francisco J MDGender: MaleNPI: 11848210844801 Alberta AveEl Paso, TX 79905(915) 545-6880
u Applebaum, Bruce J MDGender: MaleNPI: 190280367910470 Vista Del SolSte 216El Paso, TX 79925(915) 591-2000Arellano, Paul P MDGender: MaleNPI: 11341873961390 George Dieter DrSte 110El Paso, TX 79936(915) 271-46401400 George DieterSte 260El Paso, TX 79936(915) 593-96001400 George Dieter DrSte 260El Paso, TX 79936(915) 543-9600
Clapp, Benjamin L MDGender: MaleNPI: 17008042751700 N Mesa StEl Paso, TX 79902(915) 351-6020
u Crecca, Gerard F MDGender: MaleNPI: 11049654901700 Curie Suite 5300El Paso, TX 79902(915) 542-2825Del Coro Amengual,Carlos R MDGender: MaleNPI: 19422273841601 N Brown StEl Paso, TX 79902(915) 533-1789
u Diaz Luna, Hector J MDGender: MaleNPI: 18715391891601 North Brown StEl Paso, TX 79902(915) 533-1789
u Gomez, Luis F MDGender: MaleNPI: 18816476591390 George Dieter DrSte 110El Paso, TX 79936(915) 271-46401400 George Dieter DrSte 260El Paso, TX 79936(915) 543-9600
u Grieshop, Neil A MDGender: MaleNPI: 166948740110470 Vista Del SolSte 216El Paso, TX 79925(915) 591-2000
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
27
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
LAS PALMAS CAMPLPDSH (continued)
GENERAL SURGERY(continued)
u Landeros, Mark M MDGender: MaleNPI: 19028570061390 George Dieter DrSte 110El Paso, TX 79936(915) 271-46401400 George DieterSte 260El Paso, TX 79936(915) 543-96001400 George Dieter DrSte 260El Paso, TX 79936(915) 543-9600Lara, Michael D MDGender: MaleNPI: 15987214901655 Mosswood StEl Paso, TX 79935(915) 591-7700Longoria, Alfredo MDGender: MaleNPI: 1154429595125 W Hague RdSte 320El Paso, TX 79902(915) 533-16034659 Cohen Ave Ste DEl Paso, TX 79924(915) 877-7343Monsivais, Jose J MDGender: MaleNPI: 181199450210175 Gateway Blvd WSte 230El Paso, TX 79925(915) 590-3666Pradhan, Kumuda R MDGender: MaleNPI: 14270536691700 N Oregon StSte 620El Paso, TX 79902(915) 504-6940
u Spurbeck, William W MDGender: MaleNPI: 15785548954801 Alberta AveEl Paso, TX 79905(915) 215-5300
NEONATAL-PERINATALMEDICINEAyo, Luis A MDGender: MaleNPI: 11149766362001 N Oregon StEl Paso, TX 79902(915) 577-6983Brooks, Catherine A DOGender: FemaleNPI: 1033347943
41801 North OregonEl Paso, TX 79902(915) 521-1200
42001 N Oregon StEl Paso, TX 79902(915) 577-6011
42000 Trans Mountain RdEl Paso, TX 79911(915) 500-6560
u Chheda, Sadhana MDGender: FemaleNPI: 1871676452
44801 Alberta AveEl Paso, TX 79905(915) 545-68104815 Alameda AveEl Paso, TX 79905(915) 545-6810
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000Ramos, Monica MDGender: FemaleNPI: 1831483429
42001 N Oregon StEl Paso, TX 79902(915) 577-6011
PATHOLOGYAllen, Mariano MDGender: MaleNPI: 1902867088
410175 Gateway Blvd WSte 116El Paso, TX 79925(915) 595-4700
u Bilbao, Jorge E MDGender: MaleNPI: 1881626877
41301 E RiverEl Paso, TX 79902(915) 533-3000
u Dudrey, Ellen F MDGender: FemaleNPI: 1578524567
41801 N Oregon StEl Paso, TX 79902(915) 521-1341
42000 A TransmountainEl Paso, TX 79911(915) 877-8238
u Friedman, Glen C MDGender: MaleNPI: 1790733228
41801 N Oregon StEl Paso, TX 79902(915) 595-9253
u Zepeda, Hector MDGender: MaleNPI: 1245291103
410175 Gateway Blvd WSte 116El Paso, TX 79925(915) 595-4700
RADIOLOGYu Ali, Zulfiqar MDGender: MaleNPI: 1811169113
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(912) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del SolSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
u Allen, Michael S MDGender: MaleNPI: 1083662654
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Allison, Matthew C MDGender: MaleNPI: 1316958580
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
28
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
LAS PALMAS CAMPLPDSH (continued)
RADIOLOGY (continued)Appleton, Nicolas C MDGender: MaleNPI: 1992078695
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Aquino, Suzanne L MDGender: FemaleNPI: 1154311694
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
Armstrong, Linda K DOGender: FemaleNPI: 1285841916
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
42001 N Oregon StEl Paso, TX 79902(713) 461-3573
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Awwad, Reem S MDGender: FemaleNPI: 1811158967
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
u Banerjee, Amitabha MDGender: MaleNPI: 1588653083
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410301 Gateway Blvd WestEl Paso, TX 79925(915) 595-9000
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Barchie, Matthew F MDGender: MaleNPI: 1952518235
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
u Beville, Lee W MDGender: MaleNPI: 1497733703
42001 N Oregon StEl Paso, TX 79902(713) 461-3573
Boiteau, Guillaume MDGender: MaleNPI: 1699090654
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(912) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Bold, Jonathan W MDGender: MaleNPI: 1053390021
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
29
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
LAS PALMAS CAMPLPDSH (continued)
RADIOLOGY (continued)Breckwoldt, Reid D MDGender: MaleNPI: 1295737583
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(799) 258-7939
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Brewer, Edward S MDGender: MaleNPI: 1831422377
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
Caldemeyer, Karen S MDGender: FemaleNPI: 1679511356
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Carswell, Aimee P MDGender: FemaleNPI: 1619156635
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
44815 Alameda AveEl Paso, TX 79905(915) 215-6000
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del SolEl Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
Chang, John K MDGender: MaleNPI: 1720063852
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Davis, Steven W MDGender: MaleNPI: 1124002217
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
Flores, Rebecca A DOGender: FemaleNPI: 1215138227
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Fox, Stephen G MDGender: MaleNPI: 1023094737
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
u Ghaleb, Melhem R MDGender: MaleNPI: 10432016271300 Murchison DrSte 110El Paso, TX 79902(915) 577-0121
u Giyanani, Vishan L MDGender: MaleNPI: 11543138985005 N Piedras StEl Paso, TX 79920(915) 742-2121
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
30
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
LAS PALMAS CAMPLPDSH (continued)
RADIOLOGY (continued)u Greenberg, Harvey M MDGender: MaleNPI: 1841282423
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del SolSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Hellinger, Deborah R MDGender: FemaleNPI: 1710954516
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
Hicks, Brandi N MDGender: FemaleNPI: 1942497797
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del SolSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Higgins, Stanley M MDGender: MaleNPI: 1649271131
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
Hovsepian, Michael M MDGender: MaleNPI: 1154420107
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Hudkins, Matthew G MDGender: MaleNPI: 1356331136
44815 Alameda AveEl Paso, TX 79905(915) 215-6000Hughes, Jason D MDGender: MaleNPI: 1376536524
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
Irvine, Henry A MDGender: MaleNPI: 1780663609
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
u Isuani, Hugo E MDGender: MaleNPI: 1740256635
42600 N Oregon StSte 200El Paso, TX 79902(915) 544-5550
u Jacobson, Brent R DOGender: MaleNPI: 1962623447
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Jalalzai, Waheed MDGender: MaleNPI: 1669444246
410301 Gateway Blvd WEl Paso, TX 79925(954) 838-2786
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
31
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
LAS PALMAS CAMPLPDSH (continued)
RADIOLOGY (continued)Kain, Conor M MDGender: MaleNPI: 1760625685
410301 Gateway Blvd WestEl Paso, TX 79925(915) 595-9000
u Keegan, Catherine N MDGender: FemaleNPI: 1861656977
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Keenan, Sean C MDGender: MaleNPI: 1932190436
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Kerns, Scott R MDGender: MaleNPI: 1336137165
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
Kholeif, Clark T MDGender: MaleNPI: 1831484112
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Knecht, Lance H MDGender: MaleNPI: 1417937418
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000Mansfield, William P MDGender: MaleNPI: 1467421917
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 593-5108
McCarron, Audrey P MDGender: FemaleNPI: 1235442260
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
u Mitchell, Lex A MDGender: MaleNPI: 1780786392
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
More, Snehal R MDGender: FemaleNPI: 1700013893
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Moss, Roy L MDGender: MaleNPI: 1912978172
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Myers, Timothy V MDGender: MaleNPI: 1548249246
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
32
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
LAS PALMAS CAMPLPDSH (continued)
RADIOLOGY (continued)u Neiman, Parviz MDGender: MaleNPI: 1205828928
42001 N Oregon StEl Paso, TX 79902(713) 461-3573
u Nicell, Donald T MDGender: MaleNPI: 1689679631
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza EdEl Paso, TX 79938(915) 242-2911Nwanze, ChukwusomnazuMDGender: MaleNPI: 1043506066
410301 Gateway Blvd WestEl Paso, TX 79925(915) 595-9000
Rai, Surinder K DOGender: FemaleNPI: 1275950925
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Rao, Sandeep MDGender: MaleNPI: 1992905095
4221 N Kansas StreetSuite 700El Paso, TX 79901(281) 888-8999518 W San Antonio AveSte 8El Paso, TX 79901(915) 308-3621
42001 N Oregon StEl Paso, TX 79902(713) 461-3573Reiner, Bruce I MDGender: MaleNPI: 1447235783
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
Rickman, Christopher EMDGender: MaleNPI: 1497759898
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Robinette, Alison MDGender: FemaleNPI: 1649444761
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
Shah, Rajvee M MDGender: FemaleNPI: 1336261403
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Silva, Katrina S DOGender: FemaleNPI: 1760658611
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
33
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
LAS PALMAS CAMPLPDSH (continued)
RADIOLOGY (continued)Song, Young S MDGender: MaleNPI: 1770569105
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Tedesco, Kurtis L MDGender: MaleNPI: 1396969945
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del SolSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
Terreri, Anthony A MDGender: MaleNPI: 1457332447
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Thomas, Linda P MDGender: FemaleNPI: 1053386326
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
u Thompson, Robert L MDGender: MaleNPI: 1164498226
410301 Gateway Blvd WEl Paso, TX 79925(915) 521-1200
Townsend, Dwight A MDGender: MaleNPI: 1811981590
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista De SolSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Ungar, Joseph MDGender: MaleNPI: 1669645065423 Executive CenterEl Paso, TX 79902(915) 261-76881111 Hawkins BlvdSte 2aEl Paso, TX 79925(915) 771-83462270 Joe BattleSte JEl Paso, TX 79938(915) 996-9222
u Ward, David L MDGender: MaleNPI: 1780745216
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
Ward, Matthew J MDGender: MaleNPI: 1740289644
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Welte, Frank J MDGender: MaleNPI: 1568676948
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del SolSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911Wendt, Frederick C MDGender: MaleNPI: 1972548139
42001 N Oregon StEl Paso, TX 79902(713) 461-3573
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
34
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
LAS PALMAS CAMPLPDSH (continued)
RADIOLOGY (continued)u Williams, Gethin MDGender: MaleNPI: 1235202482
44815 Alameda AveEl Paso, TX 79905(915) 544-12004532 N Mesa St Ste B2El Paso, TX 79912(915) 303-89774532 N Mesa St Ste B2El Paso, TX 79912(915) 303-8977Wright, William H MDGender: MaleNPI: 1194702266
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
SURG ASSISTDelolmo, Lorenzo LSAGender: MaleNPI: 1326167172421 Stotts AveEl Paso, TX 79932(915) 240-8234
PASO DEL NORTESURGERY CENTER
ANESTHESIOLOGYu Antohi, Octavian MDGender: MaleNPI: 1184674806
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
47420 Remcon CircleBldg AEl Paso, TX 79912(915) 532-8823
u Boone, James B MDGender: MaleNPI: 1942226618
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
43280 Joe Battle BlvdEl Paso, TX 79938(915) 271-4569Camacho, Claudio MDGender: FemaleNPI: 1720195217
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
410301 Gatesway WestEl Paso, TX 79925(915) 595-9000
u Campos, Napoleon A MDGender: MaleNPI: 1396914933
41300 Murchison DrSte 200El Paso, TX 79902(915) 225-7604
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Carrillo, Ricardo D CRNAGender: MaleNPI: 1689173643
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
Case, David CRNAGender: MaleNPI: 1548591969
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
410301 Gateway Blvd WSte 120El Paso, TX 79925(915) 595-9000
u Escontrias, Adrian M MDGender: MaleNPI: 1316044050
45959 Gateway Blvd WSte 120El Paso, TX 79925(915) 772-2617Fierro, Jessica C MDGender: FemaleNPI: 1841235199
41755 Curie DrEl Paso, TX 79902(941) 360-1566Gan, Mark F DOGender: MaleNPI: 12150339315959 Gateway Blvd WSte 120El Paso, TX 79925(915) 772-2617
u Ibrahim, Ali D MDGender: MaleNPI: 1780818427
41801 N Oregon StEl Paso, TX 79902(915) 774-555011331 James WattBldg 200El Paso, TX 79936(915) 260-825611331 James WattBldg 200 Ste AEl Paso, TX 79936(915) 260-8256Jean Pierre, Jean S MDGender: MaleNPI: 1235192618
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
44800 Alberta AveEl Paso, TX 79905(915) 545-6560
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
John, Ann K MDGender: FemaleNPI: 1154532307
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Lin, Steven C MDGender: MaleNPI: 1720041692
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Lozano, Hector MDGender: MaleNPI: 1093811713
41755 Currie DriveSte AEl Paso, TX 79902(915) 772-2617150 S Resler DrEl Paso, TX 79912(915) 595-43751400 Common DrEl Paso, TX 79936(915) 595-4375Moreno, Joseph A MDGender: MaleNPI: 1629142864
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Morris, Russell R MDGender: MaleNPI: 1568736114
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Navejas, Elizabeth MDGender: FemaleNPI: 1265761845
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Patton, Samuel H MDGender: MaleNPI: 1932160736
41755 Curie DrEl Paso, TX 79902(915) 540-4864
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
35
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
PASO DEL NORTESURGERY CENTER(continued)
ANESTHESIOLOGY(continued)Reza Trujillo, Cesar MDGender: MaleNPI: 1043281744
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Rivera, Efrain MDGender: MaleNPI: 1780780858
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Rubio, Ruby N MDGender: FemaleNPI: 1689865875
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Spraitzar, Sarah R MDGender: FemaleNPI: 1467694307
41900 Denver AveEl Paso, TX 79902(915) 544-4000
44815 Alameda AveEl Paso, TX 79905(706) 650-0705
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Teegarden, Ernest A DOGender: MaleNPI: 1033281241
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Wadhwa, Mukesh N DOGender: MaleNPI: 1184819203
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
Warfel, Joel W MDGender: MaleNPI: 1518371954
44815 Alameda AveEl Paso, TX 79905(706) 650-0705
42000 A Transmountain RdEl Paso, TX 79911(915) 215-5666
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
GENERAL SURGERYu Brown, Courtney G MDGender: FemaleNPI: 15785137351201 E Schuster AveSte 4bEl Paso, TX 79902(915) 351-9200
u Grieshop, Neil A MDGender: MaleNPI: 166948740110470 Vista Del SolSte 216El Paso, TX 79925(915) 591-2000
u Larson, Steven S MDGender: MaleNPI: 18614406531201 E Schuster AveBldg 4bEl Paso, TX 79902(915) 351-9200
SURGICAL CENTEROF EL PASO
ANESTHESIOLOGYu Anderson, James S MDGender: MaleNPI: 1245228923
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
u Antohi, Octavian MDGender: MaleNPI: 1184674806
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
47420 Remcon CircleBldg AEl Paso, TX 79912(915) 532-8823
u Barbosa, Vera L MDGender: FemaleNPI: 1982655684
410301 Gateway WEl Paso, TX 79925(915) 595-9000
u Boone, James B MDGender: MaleNPI: 1942226618
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
43280 Joe Battle BlvdEl Paso, TX 79938(915) 271-4569Camacho, Claudio MDGender: FemaleNPI: 1720195217
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
410301 Gatesway WestEl Paso, TX 79925(915) 595-9000
u Campos, Napoleon A MDGender: MaleNPI: 1396914933
41300 Murchison DrSte 200El Paso, TX 79902(915) 225-7604
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Carrillo, Ricardo D CRNAGender: MaleNPI: 1689173643
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
Case, David CRNAGender: MaleNPI: 1548591969
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
410301 Gateway Blvd WSte 120El Paso, TX 79925(915) 595-9000
u Escontrias, Adrian M MDGender: MaleNPI: 1316044050
45959 Gateway Blvd WSte 120El Paso, TX 79925(915) 772-2617Fierro, Jessica C MDGender: FemaleNPI: 1841235199
41755 Curie DrEl Paso, TX 79902(941) 360-1566Gan, Mark F DOGender: MaleNPI: 12150339315959 Gateway Blvd WSte 120El Paso, TX 79925(915) 772-2617
u Ibrahim, Ali D MDGender: MaleNPI: 1780818427
41801 N Oregon StEl Paso, TX 79902(915) 774-555011331 James WattBldg 200El Paso, TX 79936(915) 260-825611331 James WattBldg 200 Ste AEl Paso, TX 79936(915) 260-8256Jean Pierre, Jean S MDGender: MaleNPI: 1235192618
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
44800 Alberta AveEl Paso, TX 79905(915) 545-6560
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
36
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
SURGICAL CENTEROF EL PASO(continued)
ANESTHESIOLOGY(continued)John, Ann K MDGender: FemaleNPI: 1154532307
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Lin, Steven C MDGender: MaleNPI: 1720041692
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Lozano, Hector MDGender: MaleNPI: 1093811713
41755 Currie DriveSte AEl Paso, TX 79902(915) 772-2617150 S Resler DrEl Paso, TX 79912(915) 595-4375150 S Resler DrEl Paso, TX 79912(915) 595-43751400 Common DrEl Paso, TX 79936(915) 595-43751400 Common DrEl Paso, TX 79936(915) 595-4375Moreno, Joseph A MDGender: MaleNPI: 1629142864
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Morris, Russell R MDGender: MaleNPI: 1568736114
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
Navejas, Elizabeth MDGender: FemaleNPI: 1265761845
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Negrete, Margaret DOGender: FemaleNPI: 1033107479
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
44815 Alameda AveEl Paso, TX 79905(706) 650-0705
u Patton, Samuel H MDGender: MaleNPI: 1932160736
41755 Curie DrEl Paso, TX 79902(915) 540-4864Reza Trujillo, Cesar MDGender: MaleNPI: 1043281744
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Rivera, Efrain MDGender: MaleNPI: 1780780858
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Rubio, Ruby N MDGender: FemaleNPI: 1689865875
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Spraitzar, Sarah R MDGender: FemaleNPI: 1467694307
41900 Denver AveEl Paso, TX 79902(915) 544-4000
44815 Alameda AveEl Paso, TX 79905(706) 650-0705
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Teegarden, Ernest A DOGender: MaleNPI: 1033281241
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Villarreal, Jose L MDGender: MaleNPI: 15482318485652 N Mesa StEl Paso, TX 79912(915) 351-1155
u Wadhwa, Mukesh N DOGender: MaleNPI: 1184819203
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200Warfel, Joel W MDGender: MaleNPI: 1518371954
44815 Alameda AveEl Paso, TX 79905(706) 650-0705
42000 A Transmountain RdEl Paso, TX 79911(915) 215-5666
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
GENERAL SURGERYLongoria, Alfredo MDGender: MaleNPI: 1154429595125 W Hague RdSte 320El Paso, TX 79902(915) 533-16034659 Cohen Ave Ste DEl Paso, TX 79924(915) 877-7343
UNIVERSITYMEDICAL CENTEREL PASO
ANESTHESIOLOGYu Barbosa, Vera L MDGender: FemaleNPI: 1982655684
410301 Gateway WEl Paso, TX 79925(915) 595-9000
u Brin, Edward N MDGender: MaleNPI: 1760412688
44815 Alameda AveEl Paso, TX 79905(915) 544-1200Burroughs, Devin BCRNAGender: MaleNPI: 1982230264
44815 Alameda AveEl Paso, TX 79905(706) 650-0705
u Campos, Napoleon A MDGender: MaleNPI: 1396914933
41300 Murchison DrSte 200El Paso, TX 79902(915) 225-7604
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Chaudhuri, Kallol MDGender: MaleNPI: 1689637050
44815 Alameda AveEl Paso, TX 79905(915) 545-6560
u Diaz, Jose A MDGender: MaleNPI: 1942201199
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
u Dillow, Roberto G MDGender: MaleNPI: 1336134170
410301 Gateway WestEl Paso, TX 79925(915) 577-0111
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
37
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
UNIVERSITYMEDICAL CENTEREL PASO (continued)
ANESTHESIOLOGY(continued)Esposito, James J MDGender: MaleNPI: 1790006534
44801 Alberta AveEl Paso, TX 79905(915) 215-8400
u Gonzalez, Jorge A MDGender: MaleNPI: 1053365932
41801 N Oregon StEl Paso, TX 79902(915) 595-9000
44815 Alameda AveEl Paso, TX 79905(706) 650-0705Guzman, Barbara A DOGender: FemaleNPI: 1881993244
44815 Alameda AveEl Paso, TX 79905(915) 521-7040Hestermann, Braden J MDGender: MaleNPI: 1629310321
44815 Alameda AveEl Paso, TX 79905(706) 650-0705
u Hoover, Lance R MDGender: MaleNPI: 1730155466
44815 Alameda AveEl Paso, TX 79905(706) 650-0705Horton, Erica A DOGender: FemaleNPI: 1801002951
44815 Alameda AveEl Paso, TX 79905(706) 650-0705
Jean Pierre, Jean S MDGender: MaleNPI: 1235192618
42930 N Stanton StEl Paso, TX 79902(915) 271-4569
44800 Alberta AveEl Paso, TX 79905(915) 545-6560
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Lim, Douglas DOGender: MaleNPI: 1043288442
44815 Alameda AveEl Paso, TX 79905(915) 544-1200Mancone, Angelica MDGender: FemaleNPI: 1285054197
44815 Alameda AveEl Paso, TX 79905(706) 650-0705Morris, Russell R MDGender: MaleNPI: 1568736114
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
u Raphael, Leonard S MDGender: MaleNPI: 1609987916
44815 Alameda AveEl Paso, TX 79905(706) 650-0705Shydohub, Alexander VMDGender: MaleNPI: 1801850649
44815 Alameda AveEl Paso, TX 79905(706) 650-0705
u Spraitzar, Sarah R MDGender: FemaleNPI: 1467694307
41900 Denver AveEl Paso, TX 79902(915) 544-4000
44815 Alameda AveEl Paso, TX 79905(706) 650-0705
4125 W Castellano DrEl Paso, TX 79912(915) 532-8200
Urias, Jorge A MDGender: MaleNPI: 1750359865
41801 N Oregon St.El Paso, TX 79902(915) 521-1200Villa Royval, Silvia M MDGender: FemaleNPI: 1649407974
44815 Alameda AveEl Paso, TX 79905(706) 650-0705
u White, Ronald L MDGender: MaleNPI: 1487677944
44815 Alameda AveEl Paso, TX 79905(706) 650-0705
EMERGENCY MEDICINEBaca, Marshall G DOGender: MaleNPI: 1922340074
44815 Alameda AveEl Paso, TX 79905(915) 215-4600Beuerle, John R MDGender: MaleNPI: 1114061504
44669 Cohen AveEl Paso, TX 79924(951) 544-1200
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Blandon, Pedro A MDGender: MaleNPI: 1275531469
41416 George Dieter DrEl Paso, TX 79936(915) 598-4240Bowen, Samara R MDGender: FemaleNPI: 1821141557
44669 Cohen AveEl Paso, TX 79924(951) 544-1200
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200
Cep America LLCGender: MaleNPI: 1386961936
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Cep America LLCGender: MaleNPI: 1821034448
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200
u Cosban, Travis MDGender: MaleNPI: 1700225265
42000 Transmountain RdEl Paso, TX 79911(214) 712-2068
44669 Cohen AveEl Paso, TX 79924(951) 544-1200
410780 Pebble Hills BlvdSte G 1El Paso, TX 79935(915) 773-0606
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Cep America LLCGender: MaleNPI: 1427345073
41521 Joe Battle BlvdEl Paso, TX 79936(951) 544-1200Desai, Pranav J MDGender: MaleNPI: 1487896288
44669 Cohen AveSte BEl Paso, TX 79924(915) 790-5700Cep America LLCGender: MaleNPI: 1487896288
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
38
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
UNIVERSITYMEDICAL CENTEREL PASO (continued)
EMERGENCY MEDICINE(continued)Edson, Darren S MDGender: MaleNPI: 1699777391
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200
44669 Cohen AveEl Paso, TX 79936(951) 544-1200Fitzgerald, Ryan MDGender: MaleNPI: 1205360476
44669 Cohen AveEl Paso, TX 79924(951) 544-1200
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Flo, Frederick J MDGender: MaleNPI: 1184041402
44845 Alameda AveEl Paso, TX 79905(915) 298-5444Cep America LLCGender: MaleNPI: 1184041402
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Franklin, William E DOGender: MaleNPI: 1497702492
44669 Cohen AveEl Paso, TX 79924(951) 544-1200
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Goldstein, Randy J MDGender: MaleNPI: 1487644498
42001 North Oregon StEl Paso, TX 79902(915) 577-6011
Harper, William D MDGender: MaleNPI: 1922060425
44669 Cohen AveSte BEl Paso, TX 79924(915) 790-5700Cep America LLCGender: MaleNPI: 1922060425
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Cep America LLCGender: MaleNPI: 1245216878
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200
u Cep America LLCGender: FemaleNPI: 1003115890
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200James, Brian D DOGender: MaleNPI: 1376905570
44669 Cohen AveSte BEl Paso, TX 79924(915) 790-5700Cep America LLCGender: MaleNPI: 1376905570
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200
u Katan, Brian S MDGender: MaleNPI: 1104864362
44669 Cohen AveEl Paso, TX 79924(951) 544-1200
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200
u Kilgo, Robert W MDGender: MaleNPI: 1457340549
44815 Alameda AveEl Paso, TX 79905(915) 545-7333Cep America LLCGender: MaleNPI: 1700827474
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Cep America LLCGender: FemaleNPI: 1083051569
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Mackay, John M MDGender: MaleNPI: 1851380810
44815 Alameda AveEl Paso, TX 79905(915) 545-7333
44669 Cohen AveEl Paso, TX 79924(951) 544-1200
44669 Cohen AveEl Paso, TX 79924(951) 544-1200
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Cep America LLCGender: FemaleNPI: 1427138114
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Marsan, Nathanael P MDGender: MaleNPI: 1619331469
44669 Cohen AveSte BEl Paso, TX 79924(915) 790-5700
Cep America LLCGender: MaleNPI: 1619331469
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Melamed, Matthew J MDGender: MaleNPI: 1124441753
44669 Cohen AveSte BEl Paso, TX 79924(915) 790-5700Cep America LLCGender: MaleNPI: 1124441753
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Cep America LLCGender: MaleNPI: 1386756807
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Cep America LLCGender: MaleNPI: 1801216007
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Mullen, Casey K MDGender: FemaleNPI: 1104184993
42000 Transmountain RdEl Paso, TX 79911(214) 712-2663
u Cep America LLCGender: FemaleNPI: 1821102096
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200
u Newell, Cameron M MDGender: MaleNPI: 1811252869
44815 Alameda AveEl Paso, TX 79905(915) 215-4619
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
39
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
UNIVERSITYMEDICAL CENTEREL PASO (continued)
EMERGENCY MEDICINE(continued)Nordquist, Erik K MDGender: MaleNPI: 1043467798
44815 Alameda AveEl Paso, TX 79905(915) 215-4600Cep America LLCGender: FemaleNPI: 1326272188
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Ortiz, Carlos R MDGender: MaleNPI: 1801152525
42000 Transmountain RdEl Paso, TX 79911(214) 712-2663Patek, Gregory C MDGender: MaleNPI: 1912023169
44815 Alameda AveEl Paso, TX 79905(915) 215-4600Pittman, Eric F MDGender: MaleNPI: 1497287171
44669 Cohen AveEl Paso, TX 79924(951) 544-1200
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200
u Rucker, Ebony MDGender: FemaleNPI: 1851602908
41521 Joe Battle BlvdSte BEl Paso, TX 79924(951) 544-1200
44669 Cohen AveEl Paso, TX 79924(951) 544-1200
41416 George Dieter DrEl Paso, TX 79936(915) 598-4240
Samsel, Kara MDGender: FemaleNPI: 1477972115
44815 Alameda AveEl Paso, TX 79905(915) 215-4600Sehgal, Neha DOGender: FemaleNPI: 1386900967
44815 Alameda AveEl Paso, TX 79905(915) 215-4600Cep America LLCGender: FemaleNPI: 1124375761
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200Sidhu, Gurbans MDGender: MaleNPI: 1700310554
44669 Cohen AveEl Paso, TX 79924(951) 544-1200
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200
u Watkins, Sarah A MDGender: FemaleNPI: 1558788919
44815 Alameda AvEl Paso, TX 79905(915) 215-4600Weber, Nancy W DOGender: FemaleNPI: 16090527034815 Alameda AveEl Paso, TX 79905(915) 215-4600
u Cep America LLCGender: FemaleNPI: 1477538296
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200
Yousef, Karl A MDGender: MaleNPI: 1225561384
44669 Cohen AveEl Paso, TX 79924(951) 544-1200
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200
u Zakula, Mark MDGender: MaleNPI: 1932164472
44669 Cohen AveSte BEl Paso, TX 79924(915) 790-5700
u Cep America LLCGender: MaleNPI: 1932164472
41521 Joe Battle BlvdSte BEl Paso, TX 79936(951) 544-1200
GENERAL SURGERYu Acosta, Jorge MDGender: MaleNPI: 139670120710201 Gateway Blvd WSte 100El Paso, TX 79925(915) 250-02201655 Mosswood StEl Paso, TX 79935(915) 591-77001521 Joe Battle BlvdEl Paso, TX 79936(915) 591-7700Agullo, Francisco J MDGender: MaleNPI: 11848210844801 Alberta AveEl Paso, TX 79905(915) 545-6880
u Amdemichael, Eden T MDGender: FemaleNPI: 16595305092000 Transmountain RdSte BEl Paso, TX 79911(915) 215-8408
u Andrade, Alonso MDGender: MaleNPI: 16990966854801 Alberta AveEl Paso, TX 79905(915) 215-5300
u Davis, Brian R MDGender: MaleNPI: 18010437244801 Alberta AveEl Paso, TX 79905(915) 215-5300
u Gomez, Luis F MDGender: MaleNPI: 18816476591390 George Dieter DrSte 110El Paso, TX 79936(915) 271-46401400 George Dieter DrSte 260El Paso, TX 79936(915) 543-9600
u Konstantinidis, IoannisMDGender: MaleNPI: 14777899722000 Transmountain RdSte BEl Paso, TX 79911(915) 215-8400
u Kronfol, Ziad MDGender: MaleNPI: 18717509844801 Alberta AvenueEl Paso, TX 79905(915) 215-5300Lara, Michael D MDGender: MaleNPI: 15987214901655 Mosswood StEl Paso, TX 79935(915) 591-7700
u McLean, Susan P MDGender: FemaleNPI: 11746204624801 Alberta AvenueEl Paso, TX 79905(915) 215-5300Rios Tovar, Alejandro JMDGender: MaleNPI: 14778457094801 Alberta AveEl Paso, TX 79905(915) 215-5300
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
40
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
UNIVERSITYMEDICAL CENTEREL PASO (continued)
GENERAL SURGERY(continued)
u Spurbeck, William W MDGender: MaleNPI: 15785548954801 Alberta AveEl Paso, TX 79905(915) 215-5300
u Tyroch, Alan H MDGender: MaleNPI: 19120077664801 Alberta AvenueEl Paso, TX 79905(915) 215-5300
NEONATAL-PERINATALMEDICINEAyo, Luis A MDGender: MaleNPI: 11149766362001 N Oregon StEl Paso, TX 79902(915) 577-6983
u Chheda, Sadhana MDGender: FemaleNPI: 1871676452
44801 Alberta AveEl Paso, TX 79905(915) 545-68104815 Alameda AveEl Paso, TX 79905(915) 545-6810
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000Singh, Ajay P MDGender: MaleNPI: 13960966994801 Alberta AveEl Paso, TX 79905(915) 215-57004845 Alameda AveEl Paso, TX 79905(915) 215-5700
Tullius, Zoe MDGender: FemaleNPI: 1770844201
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
44801 Alberta AveEl Paso, TX 79905(915) 215-5700
44815 Alameda AveEl Paso, TX 79905(915) 215-5700
44845 Alameda AveEl Paso, TX 79905(915) 215-5700
PATHOLOGYBustamante, Daniel MDGender: MaleNPI: 1134411333
44815 Alameda AveEl Paso, TX 79905(915) 521-2290
u Dudrey, Ellen F MDGender: FemaleNPI: 1578524567
41801 N Oregon StEl Paso, TX 79902(915) 521-1341
42000 A TransmountainEl Paso, TX 79911(915) 877-8238
42000 A TransmountainEl Paso, TX 79911(915) 877-8238Gamez, Roberto G MDGender: MaleNPI: 1700078656
44815 Alameda AveEl Paso, TX 79905(915) 215-4956
42000 A Trans Mountain RdEl Paso, TX 79911(915) 877-8238Gilani, Syed M MDGender: MaleNPI: 1023435328
44815 Alameda AveEl Paso, TX 79905(915) 544-1200
u Hakim, Mohamad N MDGender: MaleNPI: 1538140439
44815 Alameda AveEl Paso, TX 79905(915) 521-2290
42000 A Trans Mountain RdEl Paso, TX 79911(915) 877-8238Lavezo, Jonathan L MDGender: MaleNPI: 1518352640
44815 Alameda AveEl Paso, TX 79905(915) 215-4956
44845 Alameda AveEl Paso, TX 79905(915) 215-4956
42000 A Trans Mountain RdEl Paso, TX 79911(915) 215-4956Manglik, Niti MDGender: FemaleNPI: 1487944229
44815 Alameda AveEl Paso, TX 79905(915) 521-2290Orazio, Attilio MDGender: MaleNPI: 1689631301
44815 Alameda AveEl Paso, TX 79905(915) 215-4956
42000 Trans Mountain RdEl Paso, TX 79911(915) 215-4956Padilla, Angelica MDGender: FemaleNPI: 1619232873
44815 Alameda AveEl Paso, TX 79905(915) 521-22902000 Transmountain RdEl Paso, TX 79911(915) 521-2290
u Padilla, Osvaldo MDGender: MaleNPI: 1033221189
44815 Alameda AveEl Paso, TX 79905(915) 215-4956
42000 A Transmountain RdEl Paso, TX 79911(915) 877-8238
u Qiao, Jesse C MDGender: MaleNPI: 1225340722
44815 Alameda AveEl Paso, TX 79905(915) 215-4956
42000 A TransmountainEl Paso, TX 79911(915) 877-8238
u Wilson, Harry L MDGender: MaleNPI: 1134180094
42001 N OregonEl Paso, TX 79902(915) 838-1914
44815 Alameda AveEl Paso, TX 79905(915) 521-2290
44815 Alameda AveEl Paso, TX 79905(915) 521-2290
RADIOLOGYBermo, Mohammed S MDGender: MaleNPI: 1972902732
44815 Alberta AveEl Paso, TX 79905(915) 215-8408Calleros Macias, Jesus EMDGender: MaleNPI: 1508821430
44815 Alameda AveEl Paso, TX 79905(915) 545-6845
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
41
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
UNIVERSITYMEDICAL CENTEREL PASO (continued)
RADIOLOGY (continued)Carswell, Aimee P MDGender: FemaleNPI: 1619156635
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
44815 Alameda AveEl Paso, TX 79905(915) 215-6000
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del SolEl Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
u Dykes, Thomas M MDGender: MaleNPI: 1851359822
44815 Alameda AveEl Paso, TX 79905(915) 215-6000Edwards, Oliver L MDGender: MaleNPI: 1871796508
44815 Alameda AveEl Paso, TX 79905(915) 215-6000Ezhapilli Chennan, SajeevR MDGender: MaleNPI: 1790051597
44815 Alameda AveEl Paso, TX 79905(915) 215-6000Georgelas, Timothy J MDGender: MaleNPI: 1184688970
44815 Alameda AveEl Paso, TX 79905(915) 215-6000
u Ghaleb, Melhem R MDGender: MaleNPI: 10432016271300 Murchison DrSte 110El Paso, TX 79902(915) 577-0121Hudkins, Matthew G MDGender: MaleNPI: 1356331136
44815 Alameda AveEl Paso, TX 79905(915) 215-6000Kunam, Vamsi K MDGender: MaleNPI: 1942516521
44815 Alameda AveEl Paso, TX 79905(915) 215-6000Lowe, Richard E MDGender: MaleNPI: 1700999216
44815 Alameda AveEl Paso, TX 79905(915) 215-6000Markham, Jeffrey C MDGender: MaleNPI: 1487858569
44815 Alameda AveEl Paso, TX 79905(915) 215-6000
u Naylor, Anthony D MDGender: MaleNPI: 1891751699
44815 Alameda AveEl Paso, TX 79905(915) 545-6845Puntenney, Elizabeth AMDGender: FemaleNPI: 1457589251
44815 Alameda AveEl Paso, TX 79905(915) 215-5606Rangashamanna, Vital MDGender: MaleNPI: 1750805917
44815 Alameda AveEl Paso, TX 79905(915) 215-6000Texas Tech UnivHealthscience CtrGender: MaleNPI: 1750805917
42000 Transmountain RdEl Paso, TX 79911(915) 215-6000
u Ruhnke, Thomas J MDGender: MaleNPI: 1831199546
44815 Alameda AveEl Paso, TX 79905(915) 215-5625Sundarakumar, Dinesh KMDGender: MaleNPI: 1417235714
4221 N Kansas StreetSuite 700El Paso, TX 79901(281) 888-8999
44815 Alameda AveEl Paso, TX 79905(915) 215-4755Tullius, Thomas G MDGender: MaleNPI: 1467794818
44815 Alameda AveEl Paso, TX 79905(915) 544-1200
u Ward, David L MDGender: MaleNPI: 1780745216
41801 N Oregon StEl Paso, TX 79902(915) 521-1200
41535 N Resler DrEl Paso, TX 79912(915) 231-1600
410301 Gateway Blvd WEl Paso, TX 79925(915) 595-9000
410460 Vista Del Sol DrSte 201El Paso, TX 79925(915) 593-5108
41951 N Zaragoza RdEl Paso, TX 79938(915) 242-2911
u Williams, Gethin MDGender: MaleNPI: 1235202482
44815 Alameda AveEl Paso, TX 79905(915) 544-12004532 N Mesa St Ste B2El Paso, TX 79912(915) 303-8977
Zafar, Abdul M MDGender: MaleNPI: 1164715520
44815 Alameda AveEl Paso, TX 79905(915) 215-5666
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Facility-based PhysiciansYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
42
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.
AMBULANCE - AIR
EL PASORocky Mountain HoldingsLLCNPI: 14078552401751 Shuttle Columbia DrSte 313(830) 643-0079
AMBULATORYSURGICAL CENTER(ASC)
East El Paso SurgeryCenterNPI: 1205899705
♿7835 Corral Drive(915) 533-8412
El Paso CtrGastrointestinal EndoNPI: 13261148691620 N Mesa(915) 545-5300
El Paso Day Surgery LLCNPI: 14078070501300 Murchison DrSte 200(915) 594-9333
Endoscopy Center of ElPasoNPI: 1033181862
♿1300 Murchison DrSte 180(915) 544-5000
Paso Del Norte SurgeryCenterNPI: 1881678662
♿125 W Castellano Dr(915) 532-8200
Surgical Center of El PasoNPI: 1225091721
♿1815 North Stanton(915) 533-8412
Vista Surgery Center LLCNPI: 1033316765
♿1400 Common DrSte A(915) 267-2020
West El Paso SurgicalCenterNPI: 1922559327820 Redd Rd(915) 352-2100
CLINICALLABORATORIES
Quest Diagnostics(Quest)(PREFERREDSTATEWIDEPROVIDER) For moreinformation oncurrent listings ofQuest facilities anddrawing stations,you may call Quest’stoll-free number at 1-888-277-8772 oraccess Quest’swebsite atwww.QuestDiagnostics.com/patientLaboratoryCorporation ofAmericaClinical PathologyLaboratories, Inc.
CLINICAL ANDANATOMICALLABORATORIES
Clinical PathologyLaboratoriesNPI: 11947694971501 N Mesa(915) 546-9043
Clinical PathologyLaboratoriesNPI: 11947694977430 Remcon(915) 842-0183
Clinical PathologyLaboratoriesNPI: 119476949710500 Vista Del Sol #B(915) 629-7565
Delight LabsNPI: 13164400018623 N Loop Dr(915) 321-4124
Gyn Path Services Inc ParkPlazaNPI: 1588656748
♿8815 Dyer StSte 200(915) 755-8478
Laboratory Corporation ofAmericaNPI: 1003891821
♿1900 N Oregon St #100c(915) 838-6009
Laboratory Corporation ofAmerica IesNPI: 1003891821
♿1700 Cliff Dr(915) 533-3001
Quest Diagnostics1810 Murchison Dr #240(915) 533-3701
Quest Diagnostics♿5255 Woodrow BeanTransmountain Dr Ste 15(915) 757-2694
Quest Diagnostics7101 Gateway Blvd W(915) 201-1655
Quest DiagnosticsNPI: 17907215381900 N Oregon St #108(915) 542-4877
Quest Diagnostics ClinicalLab In1900 N Oregon St #108(915) 542-4877
Quest Diagnostics ClinicalLab In840 E Redd Rd(915) 760-5053
Quest Diagnostics ClinicalLab In4930 Osborne Dr #D(915) 875-0789
Quest Diagnostics ClinicalLab In10470 Vista Del Sol Dr #103(915) 592-5555
Quest Diagnostics ClinicalLab In1831 N Zaragoza RdSte 107(915) 921-5933
University Medical CenterEl PasoNPI: 19324349254815 Alameda Ave(915) 544-1200
We Medical Labs LLCNPI: 11144825102022 Murchison DrSte 116(915) 218-6040
DURABLE MEDICALEQUIPMENT
1st Medical SupplyNPI: 1376762450
♿10662 Vista Del Sol DrSte B(915) 855-8858
Advant Edge Pharmacy IncNPI: 14775475521576 Lomaland Dr(915) 595-0409
All Choice MedicalNPI: 1437206273
♿155 McCutcheonSte H(915) 544-0400
Allied MedicalNPI: 1033221841
♿7365 Remcon CirSte C303(915) 581-8290
Apria Healthcare IncNPI: 1689684128
♿11500 Pelicano DrSte C1(915) 594-8204
Byram HealthcareNPI: 1912952375Mail Order Supplier(866) 321-0900
Caring Medical EquipmentLLCNPI: 13069066499924 Dyer(915) 921-6396
Coram Specialty InfusionSvcsNPI: 18615998967365 Remcon CircleSte A 102(915) 833-0140
Diabetic Solutions IncNPI: 1699723312
♿6344 Edgemere Blvd(915) 881-0800
Durable OrthopaedicSupplies L L CNPI: 1316955693
♿1700 Murchison DrSte 209(915) 532-2228
Edgepark Surgical SupplyNPI: 1609858729
♿Mail Order Supplier(800) 321-0591
AncillariesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
AncillariesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
43
♿This Location is Handicap Accessible.
DURABLE MEDICALEQUIPMENT (continued)
EL PASO (continued)Envision Home MedicalEquipmentNPI: 13566763818929 Viscount Blvd(915) 313-3600
Evals Medical EquipmentNPI: 18112830548888 Dyer St Ste 102(915) 351-1862
Gk Dreams DMENPI: 1427251933
♿4321 North Mesa(915) 351-2950
Hillside Medical EquipmentLLCNPI: 1922230424
♿10664 Vista Del SolSte A(915) 593-1500
HME Specialists LLCNPI: 10130658871477 Lomaland DrSte E1(915) 781-6500
J and R MedicalNPI: 1972516144Mail Order Supplier(877) 505-4207
KCI USA IncNPI: 1447332572
♿11601 Pellicano DrSte B4(800) 275-4524
Lincare IncNPI: 1467469064
♿5200 N Mesa StSte C103(915) 845-2000
Major Medical SupplyNPI: 1669442471
♿12025 Rojas Ste C and D(888) 772-7295
McKesson Patient CareSolutionsNPI: 1386986297Mail Order Supplier(888) 202-5700
Medme ServicesCorporationNPI: 1619099777
♿4110 Rio BravoSte 110(915) 313-9922
Nickes Medical Supply LLCNPI: 1427111780
♿2820 N Stanton(915) 533-8870
Premier Medical SupplyLLCNPI: 14677303661545 Goodyear Dr Ste D(915) 594-3333
R Medical Outreach andAssoc LLCNPI: 108391129111601 PellicanoSte B3(915) 595-8998
Respiratory & MedicalHomecare Unlimited IncNPI: 1073539896
♿9801 Carnegie Ave(915) 595-3356
Romo Medical EquipmentLLCNPI: 10231439301141 Larry MahanSte C(866) 790-4199
Softair MedicalNPI: 1700873619
♿907 Chelsea St Ste G(915) 562-1506
Sun City Medical SupplyNPI: 1659304020
♿1530 GoodyearSte A(915) 590-7008
Sun Country MedicalEquipmentNPI: 1619964533
♿11233 Rojas Ste A(915) 592-4346
United Seating and MobilityLLCNPI: 17708918891111 Baranca DrSte 700(915) 591-3130
Wheelchair and WalkerRentals IncNPI: 1609989540
♿611 Montana Avenue(915) 544-7144
HEARING AID SUPPLIERJack Jones HearingCenters IncNPI: 11341152566348 Edgemere Blvd(915) 774-9987
Livingston Hearing AidCenter IncNPI: 1710936836201 Blacker Ave(915) 532-4327
Livingston Hearing AidCenter IncNPI: 17109368367500 N MesaSte 218(915) 587-4327
Livingston Hearing AidCentersNPI: 17109368368838 ViscountSte A(915) 590-4327
Miracle Ear CenterNPI: 12354746445020 N Desert BlvdSte C 1 A(915) 760-8830
Miracle Ear CenterNPI: 17506279986100 Montana AveSte E(915) 881-8301
Mission Hearing Aid CenterNPI: 12658240156044 Gateway Blvd ESte 301(915) 303-9200
Southwest Hearing AidSolutionsNPI: 14273396701188 N Yarbrough DrSte U(915) 504-1715
HOME HEALTH
CLINTNew Mission Home CareLLCNPI: 1053449447
♿12708 Alameda Ave(915) 851-9200
EL PASO1st Choice Home HealthNPI: 1558599944
♿10662 Vista Del Sol(915) 855-9333
Altomar Home HealthcareIncNPI: 1891734240
♿3214 E Yandell(915) 845-2211
Always Caring Health CareServices IncNPI: 1568577526
♿4171 N Mesa StBldg D Ste 400(915) 545-4663
Aveanna HealthcareNPI: 17607068999440 Viscount BlvdSte 104(915) 629-9260
Avida Home HealthNPI: 19120652362211 E Missouri AveSte W101(915) 532-8432
Caprock Home HealthServicesNPI: 1588649107
♿11180 La Quinta(915) 598-6522
Cornerstone Home HealthNPI: 166963144610470 Vista Del SolSte 108(972) 938-1000
Desert Star Home HealthNPI: 1649550880
♿2829 Montana AveSte 202(915) 566-0999
El Paso Home HealthNPI: 1295728996
♿1401 Montana AveSte C(915) 534-7521
AncillariesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
AncillariesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
44
♿This Location is Handicap Accessible.
HOME HEALTH(continued)
EL PASO (continued)El Paso Nursing ServicesIncNPI: 15684699894141 Pinnacle StSte 209(915) 546-2311
Evangel Home CareServicesNPI: 12452710302112 Trawood Dr Ste B 1(915) 351-1790
Guardian Angel HomeHealthcareNPI: 1265450993
♿1537 N Zaragoza Rd Ste 2a(915) 594-1116
Home Care Unlimited of ElPasoNPI: 1134122450
♿1160 Airway BlvdSte B6(915) 757-1373
Monte Cristo Health CareIncNPI: 18617793655959 Gateway Blvd WSte 520(915) 771-8100
Nurses Care HomeServicesNPI: 105362927911351 James WattBldg C Ste 300(915) 599-9998
Outreach Health ServicesNPI: 15080427147878 Gateway E BlvdSte 401(915) 595-8729
Pueblo De Salud HomeHealth ServNPI: 10534013723431 Pershing DrSte A4(915) 590-3330Joining Network orLocation:08/15/2020
Rio Grande Home HealthNPI: 1538125752
♿7717 Lockheed DrSte E(915) 772-3529
Santa Fe Home Care LLCNPI: 1356354906611 Newman(915) 845-3900
Tender Care Home HealthNPI: 15280194116400 Escondido Dr(915) 581-3345
TLC Home HealthcareServices IncNPI: 19122366701635 N Lee Trevino(915) 772-4852
Urgent Care Home HealthIncNPI: 1730333519
♿3707 Admiral St(915) 594-8070
Victoria Home HealthcareIncNPI: 1962662759
♿1005 Desierto Seco Dr(915) 587-5284
Vital Care Home HealthAgencyNPI: 116442098011204 Montwood(915) 595-4804
Yagel Therapy ServicesNPI: 13567216902416 Montana Ave(915) 703-6380
HOME INFUSIONTHERAPY
Amerita IncNPI: 1154548402
♿7338 Remcon CirSte 300(915) 613-5580
Coram Specialty InfusionServicesNPI: 1861599896
♿3817 ConstitutionSte 300(915) 833-0140
HOSPICECima Hospice of El PasoLPNPI: 15381056486600 MontanaSte G(915) 778-1222
Gentiva HospiceNPI: 11947260837500 Viscount BlvdSte C38(915) 778-9058
Global Hospice CareNPI: 15383840291817 Wyoming Ave(915) 543-6060
Hospice of El PasoNPI: 1982686192
♿1440 Miracle Way(915) 532-5699
La Mariposa HospiceNPI: 1598797201
♿1733 Curie Dr Ste 206(915) 577-7870
IMAGING CENTERAkumin Imaging Texas LLCNPI: 12357712059870 Gateway Blvd NSte E(915) 544-7300
Del Sol Diag CtrNPI: 177053612010420 Vista Del Sol(915) 629-5318
Del Sol Medical CtrNPI: 177053612010301 Gateway West Blvd(915) 595-9000
Del Sol Regional OncologyNPI: 177053612010460 Vista Del Sol(915) 629-3440
Del Sol Womens HealthCenterNPI: 177053612010460 Vista Del Sol #201(915) 593-5108
Desert Imaging ServicesNPI: 12251370787812 Gateway E BlvdSte 120(915) 577-0100
Desert Imaging Services LPNPI: 1225137078
♿122 W Castellano Dr(915) 577-0100
Diagnostic OutpatientImagingNPI: 1326082603
♿6065 Montana Ave Ste A6(915) 881-1900
Diagnostic OutpatientImaging LTDNPI: 13260826031426 George Dieter Dr(915) 881-1900
Hagan Imaging LLCNPI: 1417941279
♿1800 N Mesa StSte 101(915) 544-4624
Las Palmas DiagnosticCenterNPI: 17705361201700 N Oregon StSte G40(915) 521-1180
Las Palmas RegionalOncology CtrNPI: 1770536120101 Rim Rd #100(915) 521-1647
Las Palmas WomensDiagnostic CtrNPI: 17705361201700 N Oregon #G40(915) 521-1182
Professional RadiologyPLLCNPI: 1861918815
♿10501 Gateway Blvd WSte 101(915) 225-2480
Southwest X Ray LPNPI: 1467524231
♿10501 Gateway Blvd West(915) 544-7300
Southwest X Ray LPNPI: 14675242312204 Joe BattleBldg B Ste 107(915) 544-7300
AncillariesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
AncillariesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
45
♿This Location is Handicap Accessible.
PROSTHESES,ORTHOTICS &PEDORTHISTS
EL PASO (continued)Custom Orthotics andProstheticsNPI: 12554179293901 Montana AveSte C(915) 566-3440
Hanger ClinicNPI: 1407882376
♿3909 North Mesa St Ste 200(915) 532-4444
Hanger ClinicNPI: 1609802578
♿2267 Trawood DrSte C1(915) 599-8883
Hanger ClinicNPI: 19224245555255 Woodrow BeanSte 2b(915) 307-9149
Precision ProstheticsOrthoticsNPI: 13665856891501 E Missouri Ave(915) 544-2961
Texas Artificial Limbs LabIncNPI: 1134171606
♿2900 Pershing DrSte D(915) 562-6100
Total Orthotic andProsthetic SolNPI: 1063458917900 East Yandell(915) 541-8677
Total Orthotic andProsthetic SolNPI: 13263797361393 George Dieter DrSte C(915) 595-0730
RADIATION THERAPYCENTER
Las Palmas Medical CenterNPI: 1770536120
♿1801 North Oregon Street(915) 521-1200
RENAL DIALYSISFACILITY
Americas DialysisNPI: 1053636548715 N Americas Ave(915) 872-8185
Ara East El Paso DialysisCenterNPI: 15689458891120 McRae Blvd Bldg D(915) 591-0053
Ascarate DialysisNPI: 19427377547281 Alameda Ave(815) 881-1796
BMA El Paso CliffviewNPI: 1356453245
♿1225 E Cliff DrSte 1a(915) 532-6411
BMA El Paso GatewayNPI: 1578675450
♿10767 Gateway WestSte 600(915) 599-2891
Canutillo DialysisNPI: 12457213987251 S Desert Blvd(915) 877-4900
Central City DialysisNPI: 1972566040
♿1310 Murchison DrSte 200(915) 533-8503
Cielo Vista DialysisNPI: 1285697250
♿7200 Gateway Blvd ESte B(915) 771-6893
Davita East Dialysis ClinicNPI: 184138228011989 Pellicano Drive(915) 856-6363
Dsi El Paso West RenalCenterNPI: 1568418119
♿3100 N Stanton StSte B(915) 532-7007
El Paso Ara Dialysis CenterNPI: 1528566692
♿2400 N Oregon StSte C(915) 533-8575
El Paso Kidney Center EastNPI: 1083660617
♿10737 Gateway Blvd W#100(915) 590-8334
El Paso Peritoneal DialysisNPI: 12153432151310 Murchinson DrSte C(915) 351-0893
Five Points Dialysis TXNPI: 16790761452929 Montana Ave(915) 566-0634
FMC Dialysis ServicesVista Del SolNPI: 1508978495
♿10420 Vista Del Sol #201(915) 592-8496
Fresenius Kidney Care ElPaso TraNPI: 119422909610112 Dyer St(915) 757-2271
Fresenius Med CareHorizon DialNPI: 192214201712245 Rojas Dr(915) 872-0270
Fresenius Medical Care ElPaso WeNPI: 1811359698
♿1430 Northwestern Dr(915) 584-5400
Loma Vista Dialysis CntrNPI: 1114980927
♿1382 A Lomaland Drive(915) 591-0834
Mesa Vista at HomeNPI: 1336103514
♿1211 E Cliff Dr(915) 533-8147
Mission Hills DialysisNPI: 1821052010
♿2700 North Stanton(915) 351-0722
Montana Vista DialysisNPI: 14678431442204 Joe Battle Blvd(915) 849-8374
Mountain Pass DialysisNPI: 18518285525612 Dyer St(915) 564-5052
Ridgecrest DialysisNPI: 146775918312249 Rojas Dr(915) 790-0839
Sun City Dialysis CtrNPI: 1215991344600 Newman St(915) 351-2010
Transmountain DialysisNPI: 14573150125800 Woodrow Bean Dr(915) 751-5400
Upper Valley DialysisNPI: 17109069387933 North Mesa(915) 832-0555
US Renal Care North ElPaso DialyNPI: 13062159673359 Fred Wilson Ave(915) 304-5816
West Texas DialysisNPI: 1538123120
♿5595 Alameda Ave BSte B(915) 881-0254
SOCORRODsi El Paso South DialysisNPI: 1669781738
♿10651 North Loop Dr(915) 255-4344
Socorro DialysisNPI: 193256401010697 N Loop Dr(915) 790-0538
SKILLED NURSINGFACILITY
EL PASOCimarron Park Nursing andRehabNPI: 16194087967441 Paseo Del Norte(915) 842-8700
El Paso Health & Rehab CtrNPI: 1124352901
♿11525 Vista Del Sol Drive(915) 855-3636
Franklin Heights Nursing &RehabNPI: 1386884047223 S Resler(915) 584-9417
AncillariesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
AncillariesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
46
♿This Location is Handicap Accessible.
SKILLED NURSINGFACILITY (continued)
EL PASO (continued)Grace Pointe WellnessCenterNPI: 1427440635
♿2301 N Oregon St(915) 532-8941
Oasis Nursing and RehabCenterNPI: 18010365619001 N Loop(915) 584-9417
Vibralife of El PasoRehabilitatiNPI: 18215363193421 Joe Battle Blvd(915) 599-5500
Vista Hills Health CareCenterNPI: 1508192998
♿1599 Lomaland Drive(915) 593-1131
SLEEP STUDIESCENTER
Sonno Sleep CenterNPI: 15181816842311 North Mesa Bldg E(915) 533-8499
URGENT CARE CENTERAfter Hours Urgent CareLLCNPI: 198297289911880 Vista Del Sol DrSte B(915) 855-7900
CarenowNPI: 14174358277845 N Mesa St Ste A(915) 206-4690
Concentra Urgent CareNPI: 17101765246320 Gateway Blvd E(915) 772-2111
Concentra Urgent CareNPI: 17101765246320 Gateway Blvd East(915) 772-2111
Concentra Urgent CareNPI: 17101765241610 N Zaragosa RdSte D1(866) 944-6046
Country Club Urgent CareCenterNPI: 14779546838041 N Mesa StSte B2(915) 307-3870
El Paso Urgent Care CenterNPI: 196270283710501 Gateway Blvd WSte 105(915) 307-2371
Medpost El Paso CimarronNPI: 11043666327480 Paseo Del Norte(915) 308-2060
Medpost El PasoKenworthyNPI: 135686147010765 Kenworthy StSte A(915) 320-4021
Medpost North ZaragozaNPI: 19821102191801 N Zaragoza Rd Ste A(915) 249-3106
Medpost U Care El PasoViscountNPI: 17607223349100 Viscount Blvd(915) 594-4475
Medpost Urgent Care ElPaso EdgemNPI: 144767654912371 Edgemere BlvdSte 207 209(915) 856-0008
Nuch of TexasNPI: 13062579937480 Paseo Del Norte(915) 308-2060
Nuch of TexasNPI: 1306257993601 Sunland Park Dr(915) 577-8223
Nuch of TexasNPI: 130625799310765 Kenworthy StSte A(915) 320-4021
Nuch of TexasNPI: 13062579939100 Viscount Blvd(915) 594-4475
Nuch of TexasNPI: 13062579931801 N Zaragoza RdSte A(915) 249-3106
Nuch of TexasNPI: 130625799312371 Edgemere BlvdSte 207 Ste 209(915) 856-0008
Pediamed Night ClinicNPI: 18617014192931 George DieterSte F(915) 593-6645
Southwest Urgent CareCenter LLCNPI: 12453478712030 North Mesa(915) 532-7100
UcareNPI: 10537805363051 N Zaragoza Rd(915) 401-8019
Upper Valley Urgent CareCenter PNPI: 1093727042121 East Redd Rd(915) 584-8882
AncillariesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
AncillariesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
47
♿This Location is Handicap Accessible.
AMBULATORYSURGICAL CENTER(ASC)
EL PASOEast El Paso SurgeryCenterNPI: 1205899705
♿7835 Corral Drive(915) 533-8412
El Paso CtrGastrointestinal EndoNPI: 13261148691620 N Mesa(915) 545-5300
El Paso Day Surgery LLCNPI: 14078070501300 Murchison DrSte 200(915) 594-9333
Endoscopy Center of ElPasoNPI: 1033181862
♿1300 Murchison DrSte 180(915) 544-5000
Paso Del Norte SurgeryCenterNPI: 1881678662
♿125 W Castellano Dr(915) 532-8200
Surgical Center of El PasoNPI: 1225091721
♿1815 North Stanton(915) 533-8412
Vista Surgery Center LLCNPI: 1033316765
♿1400 Common DrSte A(915) 267-2020
West El Paso SurgicalCenterNPI: 1922559327820 Redd Rd(915) 352-2100
Freestanding Outpatient FacilitiesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Freestanding Outpatient FacilitiesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
48
♿This Location is Handicap Accessible.
BEXAR
INTERNAL MEDICINEGaona, Raul E MDGender: MaleNPI: 1649259920926 Brooklyn AveSte 100(210) 229-9282Hospital Affiliations:Baptist Health System;Santa Rosa MedicalCenter; Southwest GeneralHospitalClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneLanguage: Spanish
CANUTILLO
FAMILY PRACTICEHabib, Shahnaz MDGender: FemaleNPI: 1053435917
♿1713 Banker Rd(915) 231-4370Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: Spanish
u Kidwai, Shahroz MDGender: MaleNPI: 10132000621713 Banker Rd(915) 231-4370Hospital Affiliations:Baylor Surgical Hosp LasColinas; Navarro RegionalHospital; North CentralSurgical Center; Palo PintoGeneral HospitalClinic Affiliation: RegionalEmployee Assistance ProgBoard Certifications:Family Practice
Villavicencio Fernan,Sandra MDGender: FemaleNPI: 18810343957000 5th St(915) 542-3075Clinic Affiliation: ProjectVida Health CenterBoard Certifications:None
INTERNAL MEDICINEPayne, Carolyn E MDGender: FemaleNPI: 15082476027000 E 5th St(915) 542-3075Clinic Affiliation: ProjectVida Health CenterBoard Certifications:None
PEDIATRICSLozano, Jesus L MDGender: MaleNPI: 19725014351713 Banker Rd(915) 231-4370Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: SpanishSpurbeck, Maria V MDGender: FemaleNPI: 1649291428
♿1713 Banker Rd(915) 231-4370Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: English;Spanish
Zebda, Mohamed A DOGender: MaleNPI: 13263807677000 5th St(915) 542-3075Clinic Affiliation: ProjectVida Health CenterBoard Certifications:None
CLINT
PEDIATRICSu Okpalaji, Chukwujekwu I
MDGender: MaleNPI: 1265708580
U100 San Elizario Rd Ste H(915) 209-3722Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: ClintPediatricsBoard Certifications:PediatricsLanguage: Spanish
EL PASO
FAMILY PRACTICEu Aaluri, Srinivasa R MDGender: MaleNPI: 12655665093612 Pera Ave(915) 533-7057Hospital Affiliations: LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: ProjectVida Health CenterBoard Certifications:Family PracticeLanguage: Hindi; Spanish;Telugu
Abd Alla, Marwa K MDGender: FemaleNPI: 1477947455501 N Yarbrough DrBldg B(915) 595-1844Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneAdedeji, Adekunle A MDGender: MaleNPI: 19020869371030 N Zaragoza RdSte X(915) 881-4155Hospital Affiliations:Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityHealth SystemClinic Affiliation:Dominion Medical ServicesPLLC; Kingsway MedicalCenter PLLCBoard Certifications:NoneLanguage: American Sign;Creoles and Pidgins;Spanish; Yoruba
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 BEXAR
49
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
FAMILY PRACTICE(continued)
u Agarwal, Ajai J MDGender: MaleNPI: 1437240256
♿U1015 N Zaragosa Rd(915) 855-8550♿U9311 Diana Dr(915) 855-8550♿U3022 Trawood Dr(915) 855-8550♿3028 Trawood Dr(915) 857-9933Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation:Montwood Family MedicalCenterBoard Certifications:Family PracticeLanguage: Hindi; Spanish
u Ahnfeldt, Kari M DOGender: FemaleNPI: 1861604779
♿10780 Pebble Hills BlvdSte G 1(915) 773-0606Clinic Affiliation: CentroSan VicenteBoard Certifications:Family PracticeAlonzo, Jesus MDGender: MaleNPI: 14574202426600 N Desert Blvd(915) 521-2210Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
Alorgbey, Douglas D MDGender: MaleNPI: 187193864713001 Eastlake BlvdSte 105(915) 248-23452260 N Zaragoza RdSte A118 A119(915) 313-29442260 N Zaragoza RdSte A118 and A119(915) 313-2944Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Laredo MedicalCenter; Las Palmas CampLpdsh; Memorial HermannHospital; MemorialHermann NE HospitalClinic Affiliation:Transmountain PrimaryCare PA; Zaragoza FamilyClinicBoard Certifications:NoneLanguage: SpanishAltenberg, Leo L MDGender: MaleNPI: 1033201488154 N Festival DrSte A(915) 271-8400Hospital Affiliations:Bellville Medical Center;Lubbock Heart Hospital LP;University Medical CenterEl PasoClinic Affiliation: El PasoMen's ClinicBoard Certifications:NoneLanguage: Spanish
Alvarado, Sergio A MDGender: MaleNPI: 1841424181
U2267 Trawood DrSte G 2(915) 256-97511393 George Dieter DrSte D(915) 228-4915Hospital Affiliations: LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: East ElPaso Family Medicine PA;We Care ClinicBoard Certifications:NoneLanguage: SpanishAragon, Lorenzo B MDGender: MaleNPI: 1669420998
♿9849 Kenworthy St(915) 215-5500Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishArmendariz, Rafael DOGender: MaleNPI: 1346243235
♿U3329 Montana Ave(915) 591-2704♿U400 Shadow Mountain Dr(915) 591-2704♿U6974 Gateway Blvd ESte F(915) 774-8850♿U8030 N Loop DrBldg C(915) 598-3461Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: Salud YVida PABoard Certifications:NoneLanguage: Spanish
u Arroyave, Ana M MDGender: FemaleNPI: 1518160548631 A N ReslerSuite 101(915) 842-0676♿7100 Westwind DrSte 120(915) 249-4676Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: AnaMaria Arroyave MD PLLC;Gr Dallas HlthcareEnterprisesBoard Certifications:Family PracticeLanguage: SpanishAviles, Fernando J MDGender: MaleNPI: 125553199210412 Vista Del Sol DrSte 1b(915) 593-9300Clinic Affiliation: EastsideRehabilitation Medicine ofPain ClinicBoard Certifications:NoneAyala, Jose Ruben MDGender: MaleNPI: 1376743518
♿1600 Medical CenterDr Ste 405(915) 533-66909870 Gateway Blvd NSte A(915) 577-1125Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: BhsPhysicians Network Inc; GrDallas Hlthcare EnterprisesBoard Certifications:None
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
50
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
FAMILY PRACTICE(continued)Baker, Ronald F MDGender: MaleNPI: 1427052042
♿11880 Vista Del Sol Dr(915) 855-7900Hospital Affiliations:Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: El PasoPrimary Healthcare PhysicBoard Certifications:NoneLanguage: Spanish
u Becerra, Juan G MDGender: MaleNPI: 16799676401810 Murchison DrSte 250(915) 249-4470Clinic Affiliation: MedicalServices of The Border PABoard Certifications:Family Practice
u Beltran, Celina R MDGender: FemaleNPI: 1265692750
♿1208 Myrtle Ave(915) 351-8972♿1600 Montana Ave(915) 533-8398♿8061 Alameda Ave(915) 859-7545♿10780 Pebble Hills BlvdSte G 1(915) 773-0606Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: CentroSan VicenteBoard Certifications:Family PracticeLanguage: English;Spanish
Benitez, Adolfo L MDGender: MaleNPI: 1528268166
♿3270 Joe Battle BlvdSte 100(915) 504-6900Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: FamilyMedicine and Skin Care CtrBoard Certifications:NoneLanguage: German;SpanishBorrego, Manuel MDGender: MaleNPI: 1962510578
U1810 McRae Blvd Ste A(915) 288-38023101 Forney Ln(915) 317-6033Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: UnitedMedical Walk In Clinic PABoard Certifications:NoneLanguage: Spanish
u Busey, Blake DOGender: MaleNPI: 16394668732000b Transmountain Rd(915) 215-8408Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Family Practice
Cajas, Oswaldo MDGender: MaleNPI: 15482517622260 Trawood Dr(915) 591-4632Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: SpanishCalderoni, Henry H MDGender: MaleNPI: 1861483083
41721 N Lee Trevino Dr(915) 590-9424Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp LpdshClinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: SpanishCatinella, Anthony P MDGender: MaleNPI: 12857248722000b Transmountain Rd(915) 215-8408Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
u Cheng, Wei MDGender: MaleNPI: 10737407839849 Kenworthy(915) 215-5500Hospital Affiliations: DelSol Camp Lpdsh; El PasoChildrens Hospital; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Family Practice
Diaz, Marco MDGender: MaleNPI: 11040155776000 Northern Pass DrBldg A(915) 264-1830Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation: FmucPLLCBoard Certifications:NoneLanguage: Spanish
u Dombrowsky, Joseph WMDGender: MaleNPI: 15787231517430 N Mesa St(915) 875-1801Clinic Affiliation: A To ZzSleep Group LLCBoard Certifications:Family PracticeElder Quintana, William FMDGender: MaleNPI: 19725398497812 Gateway Blvd ESte 230(915) 592-8223Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Metropolitan MethodistHospitalClinic Affiliation: EqMedical PABoard Certifications:None
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
51
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
FAMILY PRACTICE(continued)Enriquez, Andres S MDGender: MaleNPI: 1982616173
♿U836 E Redd Rd(915) 833-8444Hospital Affiliations:Hosps of Providence SierraCampusClinic Affiliation: FranklinMedical CenterBoard Certifications:NoneLanguage: SpanishEscandon, Carmen G MDGender: FemaleNPI: 1790792687
♿550 S Mesa Hills DrSte C2(915) 845-5700Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: FamilyMedicine and AestheticsPABoard Certifications:NoneLanguage: Spanish
u Esparza, Mary JosephineA DOGender: FemaleNPI: 10830936602000 B Transmountain Rd(915) 215-5500Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Family PracticeLanguage: Spanish
Farrell, Mitchell J MDGender: MaleNPI: 1932140613
♿U1523 N Zaragoza Rd(915) 857-4559Hospital Affiliations:Foundation Surgical HospEl PasoClinic Affiliation: SummitUrgent Care CenterBoard Certifications:NoneLanguage: SpanishFlores, Marissa MDGender: FemaleNPI: 11547025791521 Joe Battle Blvd(915) 521-2200Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
u Franck, Agathe MDGender: FemaleNPI: 13565120659849 Kenworthy(915) 215-5500Hospital Affiliations:Hosps of ProvidenceTransmountain; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Family PracticeLanguage: Spanish
u Garcia, Angel J MDGender: MaleNPI: 1801058177
♿11851 Physicians Dr(915) 493-6646Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: El PasoCenter For Family and SpoBoard Certifications:Family Practice; SportsMedicineLanguage: Spanish
Garza, Luis R MDGender: MaleNPI: 1366604746
♿3612 Pera Ave(915) 533-7057Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: American Sign;Spanish
u Genrich, Colby M MDGender: MaleNPI: 1134513229125 W Hague(915) 215-58009849 Kenworthy(915) 215-5500Hospital Affiliations: ElPaso Childrens Hospital;Hosps of ProvidenceTransmountain; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Family PracticeGenrich, Katherine C MDGender: FemaleNPI: 15082849852260 Trawood Dr(915) 591-4632Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneGomez, Lorena MDGender: FemaleNPI: 1801891486
♿45160 El Paso Dr(915) 774-2550Clinic Affiliation: WellmedMedical Group PABoard Certifications:None
u Gonzalez, Benjamin A MDGender: MaleNPI: 1457607269
U9398 Viscount Blvd Bldg 4Ste C(915) 594-1033Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: FamilyMed Assoc of El PasoBoard Certifications:Family PracticeLanguage: SpanishGonzalez, Esteban A MDGender: MaleNPI: 1881912996
U300 S Zaragoza Rd(915) 790-5700Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: SpanishGuerra, Francisco J MDGender: MaleNPI: 1356323224
♿U10965 Ben CrenshawBldg 1(915) 594-4000Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation: TheDoctors InBoard Certifications:NoneLanguage: SpanishGuzman, Jorge G MDGender: MaleNPI: 1427049378
♿1485 George Dieter DrSte 107(915) 790-5700Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
52
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
FAMILY PRACTICE(continued)Habib, Shahnaz MDGender: FemaleNPI: 1053435917
♿U700 South Ochoa St(915) 545-4550♿823 E Yandell Dr(915) 545-7205♿200 Lisbon St(915) 778-9200Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: SpanishHaidarian, Mina MDGender: FemaleNPI: 1265526644
♿6604 Westwind Dr(915) 845-4600Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation:Westwind MedicalAssociatesBoard Certifications:NoneLanguage: SpanishHernandez Garcia, Juan CMDGender: MaleNPI: 15980534238061 Alameda Ave(915) 859-7545Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp LpdshClinic Affiliation: CentroSan VicenteBoard Certifications:NoneLanguage: Spanish
Hernandez, Arturo MDGender: MaleNPI: 1114112141
♿11680 Pebble Hills BlvdSte 107(915) 219-9434Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: ArturoHernandez MD PABoard Certifications:NoneLanguage: SpanishHernandez, Christine KMDGender: FemaleNPI: 1649291782
♿42260 Trawood Dr(915) 591-4632Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra CampusClinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: SpanishHernandez, David MDGender: MaleNPI: 1194016147300 S Zaragoza Rd(915) 790-5700Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
Hinojos, Ralu MDGender: MaleNPI: 1992801294
♿11880 Vista Del Sol Dr(915) 855-7900Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Las Palmas Camp LpdshClinic Affiliation: El PasoPrimary Healthcare PhysicBoard Certifications:NoneLanguage: SpanishHolland, David A MDGender: MaleNPI: 1801972351
47430 Remcon CirBldg A(915) 584-0051Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: Spanish
u Horn, Kathryn V MDGender: FemaleNPI: 1548218985
♿9849 Kenworthy St(915) 215-5500Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Family PracticeLanguage: SpanishJackson, George W MDGender: MaleNPI: 1962406694
47430 Remcon CirBldg A(915) 584-0051Hospital Affiliations:Hosps of Providence SierraCampus; Las PalmasCamp LpdshClinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: Spanish
u Janosz, Caleb J MDGender: MaleNPI: 14476061811521 Joe Battle(915) 521-2200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:Family Practice
u Jaraba, Jaime I MDGender: MaleNPI: 10130615229999 Kenworth Ste 1000(915) 298-3434Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: WellmedMedical Group PABoard Certifications:Family Practice
u Jones Allen, Angela S MDGender: FemaleNPI: 1447200712615 N Zaragoza Rd(915) 516-6868Hospital Affiliations:Hosps of Providence SierraCampus; UniversityMedical Center El PasoClinic Affiliation: WellmedMedical Group PABoard Certifications:Family Practice
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
53
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
FAMILY PRACTICE(continued)
u Kidwai, Shahroz MDGender: MaleNPI: 1013200062700 S Ochoa St(915) 545-4550823 E Yandell Dr(915) 545-7205200 Lisbon(915) 545-61401505 Mescalero(915) 772-3366Hospital Affiliations:Baylor Surgical Hosp LasColinas; Navarro RegionalHospital; North CentralSurgical Center; Palo PintoGeneral HospitalClinic Affiliation: RegionalEmployee Assistance ProgBoard Certifications:Family PracticeLemez, Alma MDGender: FemaleNPI: 1578568044
♿U6955 N Mesa StSte 302(915) 500-4307Clinic Affiliation: AlmaLemez MD PABoard Certifications:NoneLanguage: Spanish
Leyva, Edward S MDGender: MaleNPI: 1922331776
♿8815 DyerSte 140(915) 751-7302♿4532 N Mesa StFloor 2(915) 544-0326Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoIntegrated PhysicianBoard Certifications:NoneLanguage: SpanishLindo, Rolando J MDGender: MaleNPI: 13062650466600 N Desert Blvd(915) 521-2210Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: SpanishLindo, Rolando J MDGender: MaleNPI: 16593628461521 Joe Battle Blvd(915) 521-2220Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:None
Loaiza, Jose L MDGender: MaleNPI: 1407979255
♿7100 Westwind DrSte 120(915) 249-4676Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: AnaMaria Arroyave MD PLLCBoard Certifications:NoneLanguage: Spanish
u Lopez, Hector DOGender: MaleNPI: 13462438479870 Gateway Blvd NorthSte B1(915) 751-55711701 N Lee Trevino DrSte C(915) 706-4065Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; MedicalArts HospitalClinic Affiliation: BhsPhysicians Network Inc;Community Medical ClinicPABoard Certifications:Family PracticeLanguage: Spanish
u Loya Valencia, Carlos EMDGender: MaleNPI: 14476467081575 N Resler Dr Ste D(915) 271-4569631 N Resler DrSte 101(915) 842-06769870 Gateway Blvd NSte A(915) 881-3368Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: BhsPhysicians Network IncBoard Certifications:Family Practice; SportsMedicineLanguage: Spanish
u Luna Jr, Jose MDGender: MaleNPI: 1700877255
♿1208 Myrtle Ave(915) 351-8972♿1600 Montana Ave(915) 533-8398♿8061 Alameda Ave(915) 859-7545♿10780 Pebble HillsBlvd Ste G1(915) 773-0606Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: CentroSan VicenteBoard Certifications:Family PracticeLanguage: Spanish
u Madrid, Elise M MDGender: FemaleNPI: 1497138937125 W Hague(915) 215-5800Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Family PracticeManquero Butler, Martha IMDGender: FemaleNPI: 1255398293
♿3615 Rutherglen St(915) 772-5400Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: NewLight Primary Care PABoard Certifications:NoneLanguage: Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
54
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
FAMILY PRACTICE(continued)Marin, Jose A MDGender: MaleNPI: 1053666719
♿U13001 EastlakeBlvd Ste 105(915) 248-2345Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation:Transmountain PrimaryCare PABoard Certifications:NoneLanguage: SpanishMarquez Smith, TeresaMDGender: FemaleNPI: 1114998051
U6090 Surety DrSte 430 G(915) 799-8416Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: MentalHealthy and Wellness ColleBoard Certifications:NoneLanguage: Spanish
u Martin, Charmaine A MDGender: FemaleNPI: 1336107531
♿9849 Kenworthy St(915) 215-5500Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Family PracticeLanguage: Spanish
Martinez, Pablo F MDGender: MaleNPI: 1316266687
U423 Executive Center(915) 261-7688
U1111 Hawkins BlvdSte 2a(915) 771-83462270 Joe BattleSte J(915) 996-9222Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: JosephB Furlong MD PABoard Certifications:NoneLanguage: SpanishMartinez, Tony MDGender: MaleNPI: 1831388396
♿1201 E Schuster AveSte 3a(915) 532-1971Clinic Affiliation: TonyMartinez MD PABoard Certifications:NoneLanguage: Spanish
u Merli, Nicole M MDGender: FemaleNPI: 17406910621721 N Lee Trevino Dr(915) 590-9424Clinic Affiliation: WellmedMedical Group PABoard Certifications:Family PracticeMolokwu, Jennifer C MDGender: FemaleNPI: 1407022957
♿9849 Kenworthy St(915) 215-5500Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
Molokwu, Regina I MDGender: FemaleNPI: 1861719593
U1521 Joe Battle Blvd(915) 521-2220Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: English;Spanish
u Monroy, Anwar E MDGender: MaleNPI: 15686509921031 N Zaragoza(915) 858-101311351 James Watt Bldg E(915) 317-7699Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh; LasPalmas RehabilitationHospitalClinic Affiliation: Anwar EMonroy MD PABoard Certifications:Family Practice; GeriatricMedicineLanguage: SpanishMontanez, Tomy MDGender: MaleNPI: 1659342442
♿700 S Ochoa St(915) 545-4550♿823 E Yandell Dr(915) 545-7025♿200 Lisbon St(915) 778-9200Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: Spanish
Montoya, Melissa M DOGender: FemaleNPI: 15881975949849 Kenworthy St(915) 215-5561Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneMunoz, Xavier J DOGender: MaleNPI: 1184738544299 Shadow Mountain DrSte C(915) 581-64057812 E Gateway Ste 230(915) 774-55557812 Gateway Blvd ESte 230(915) 592-8223Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Las Palmas Camp LpdshClinic Affiliation:Complete Care PartnersLLC; Family Medicine ofWest Texas Pll; Xavier JMunoz DO PABoard Certifications:NoneLanguage: Spanish
u Murphy, Daniel MDGender: MaleNPI: 1376822726125 West Hague Ste 340(915) 215-55009849 Kenworthy St(915) 215-5500Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Family PracticeLanguage: Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
55
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
FAMILY PRACTICE(continued)Najera, Raul A MDGender: MaleNPI: 1790983229
♿47878 Gateway Blvd ESte 201(915) 595-3889Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra CampusClinic Affiliation: EpOptimum Health CenterBoard Certifications:NoneLanguage: SpanishNduka, Chinwe C MDGender: FemaleNPI: 1316946734
♿U125 W Hague RdSte 140(915) 774-0458Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: ChinweNduka MD PABoard Certifications:NoneLanguage: SpanishNoriega, Oscar A MDGender: MaleNPI: 18018858684875 Maxwell Avenue(915) 533-70573612 Pera Ave(915) 533-7057Hospital Affiliations:Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: Spanish
Padilla, Manuel A DOGender: MaleNPI: 1164440400
♿1651 Joe Battle Blvd(915) 849-9010Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: Sun CityMedical Clinic PABoard Certifications:NoneLanguage: SpanishParra, Guillermo MDGender: MaleNPI: 1346231941
♿3017 Trawood Dr(915) 855-2005Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation: Familyand Occupational HealthClinicBoard Certifications:NoneLanguage: SpanishPatterson, John MDGender: MaleNPI: 156865326911680 Pebble Hills BlvdSte 107(915) 219-9434Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: JohnPatterson MD PABoard Certifications:NoneLanguage: Spanish
Penaranda, Eribeth K MDGender: FemaleNPI: 1548480312
♿6000 Northern Pass DrSte A100(915) 264-1830Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial CampusClinic Affiliation: FmucPLLCBoard Certifications:NoneLanguage: SpanishPeralta, Max A MDGender: MaleNPI: 1184694978
♿1733 Curie DrSte 105(915) 533-7400Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: Sun CityFamily Physicians PABoard Certifications:NoneLanguage: Spanish
u Perez, Juan R MDGender: MaleNPI: 1649278276
♿U4900 AlamedaSte D(915) 845-2220♿U840 E Redd Rd Bldg 2(915) 845-2220Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Kindred HospitalEl PasoClinic Affiliation: El PasoWellness & Healthcare CtrPBoard Certifications:Family PracticeLanguage: Spanish
u Personett, Becky B MDGender: FemaleNPI: 1104907120
♿U4421 Edgar Park Ave(915) 757-2874Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshBoard Certifications:Family PracticeLanguage: SpanishPo, Patricia L MDGender: FemaleNPI: 14677978111700 Murchison Dr(915) 533-74651720 Murchison Dr(915) 534-12167411 Remcon Cir Ste B 1(915) 249-22203100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: BhsPhysicians Network Inc;Border Pain Institute PA; ElPaso Specialty PhysiciansBoard Certifications:NoneLanguage: Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
56
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
FAMILY PRACTICE(continued)
u Provencio, Mauro MDGender: MaleNPI: 1952560682
U9740 Dyer StSte 111 112(915) 500-5030♿12810 Edgemere Blvd(915) 504-6955Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: NorthEast Family Clinic PA; SunCity Sports Medicine andFamiBoard Certifications:Family PracticeLanguage: SpanishRegalado, Nora G MDGender: FemaleNPI: 1992024699
♿5500 N Desert Ste A1(915) 790-5700Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: SpanishRemirez, Carlos M MDGender: MaleNPI: 14371496556024 Aztec Rd(915) 594-7787Hospital Affiliations:Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation:Physicians and AlliedHealth ProfBoard Certifications:NoneLanguage: Spanish
u Reyna Maldonado, EdgarD MDGender: MaleNPI: 12152945662270 Joe Battle BlvdSte M(915) 855-7000Hospital Affiliations:Foundation Surgical HospEl Paso; HospitalsProvidence East CampusClinic Affiliation: BorderRegional Family MedicineBoard Certifications:Family PracticeLanguage: SpanishRigesti, German J MDGender: MaleNPI: 1285625418
♿4900 Alameda AveSte D(915) 532-8800Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; Palo PintoGeneral HospitalClinic Affiliation: GermanJ Rigesti MD PABoard Certifications:NoneLanguage: SpanishRocha, Alejandro DOGender: MaleNPI: 1528028099
U299 Shadow Mountain DrSte C(915) 581-6405
U10500 Vista Del Sol Ste C(915) 444-857110500 Vista Del Sol Ste C(915) 774-5555Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation:Alejandro Rocha Jr DO PA;Complete Care PartnersLLC; Family Medicine ofWest Texas PllBoard Certifications:NoneLanguage: Spanish
Rocha, Sandra T DOGender: FemaleNPI: 1518938687
♿840 E Redd Rd Bldg 4(915) 577-9003840 Redd Road Bldg 4(915) 774-5555Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation:Complete Care PartnersLLC; Westside FamilyMedicineBoard Certifications:NoneLanguage: Spanish
u Rodriguez Gonzalez,Hector L MDGender: MaleNPI: 1780091520
♿U3329 Montana Ave(915) 591-2704♿U400 Shadow Mountain Dr(915) 591-2704♿U6974 Gateway Blvd EastSte F(915) 591-2704♿8030 N Loop Dr Bldg C(915) 591-2704Clinic Affiliation: Salud YVida PABoard Certifications:Family PracticeLanguage: SpanishRymer, Jessica M MDGender: FemaleNPI: 1942644224
U810 E Redd RdSte D(915) 298-100810870 Gateway Blvd NSte B(915) 751-52454659 Cohen AveSte A(915) 217-1140181 Gus Rallis Dr(915) 242-0339Clinic Affiliation: ClinicasMI DoctorBoard Certifications:NoneLanguage: Spanish
u Sam, Gloria MDGender: FemaleNPI: 1366854614300 S Zaragoza Ave(915) 790-5700Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:Family PracticeLanguage: SpanishSepulveda, Sarah A MDGender: FemaleNPI: 13860390979849 Kenworthy St(915) 215-5500Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneShafi, Nazish MDGender: FemaleNPI: 16092954844659 Cohen Unit A(915) 881-3368Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneSherman, John M MDGender: MaleNPI: 1538167366
♿128 ThunderbirdSte E(915) 566-9369Hospital Affiliations: LasPalmas Camp LpdshBoard Certifications:NoneLanguage: Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
57
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
FAMILY PRACTICE(continued)
u Shokar, Gurjeet S MDGender: MaleNPI: 14675209579849 Kenworthy St(915) 215-5500Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El Paso;UTMB Health GalvestonClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Family PracticeLanguage: SpanishShokar, Navkiran MDGender: FemaleNPI: 1588722151
♿9849 Kenworthy St(915) 215-5500Hospital Affiliations: ElPaso Childrens Hospital; StJoseph Medical Center;University Medical CenterEl Paso; UTMB HealthGalvestonClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishShults, Sandra D MDGender: FemaleNPI: 13767394744532 Mesa St Ste 2a(915) 544-03261387 George Dieter DrSte D103(915) 544-0326Clinic Affiliation: El PasoIntegrated PhysicianBoard Certifications:NoneLanguage: Spanish
Silvia, Scott K MDGender: MaleNPI: 1558453670
U5835 Cromo Drive Ste 3(915) 774-5555
U5835 Cromo Ste 3(915) 585-7016Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; Las PalmasRehabilitation HospitalClinic Affiliation:Complete Care PartnersLLC; Scott K Silvia MD PABoard Certifications:NoneLanguage: SpanishSongbandith, Virabandi VMDGender: MaleNPI: 1750489043
♿U1015 N Zaragoza Rd(915) 860-4762♿U9311 Diana Dr(915) 751-2448♿U3028 Trawood Dr Ste A(915) 855-8550Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation:Montwood Family MedicalCenterBoard Certifications:NoneLanguage: Spanish
u Stewart, Kevin L MDGender: MaleNPI: 16795786601700 Murchison DrSte 211(915) 533-5100Hospital Affiliations:Lamb Healthcare Center;Medical Arts Hospital;Midland Memorial Hospital;W J Mangold MemorialHospitalClinic Affiliation: CenterFor Venous DiseaseManagemBoard Certifications:Family PracticeLanguage: SpanishThomas, John P MDGender: MaleNPI: 1144229766
49999 Kenworthy Ste 1000(915) 298-3434Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: Spanish
u Thompson, Kida A MDGender: FemaleNPI: 13465045031810 Murchison DrSte 110(915) 533-61004501 N Mesa St(915) 533-6100631 N Resler DrSte 102(915) 842-06769870 Gateway Blvd NSte A(915) 881-33681390 George Dieter DrSte 110(915) 271-46403270 Joe Battle BlvdSte 275(915) 271-4600Hospital Affiliations:Wilbarger General HospitalClinic Affiliation: BhsPhysicians Network IncBoard Certifications:Family PracticeThornburg, Carroll W DOGender: MaleNPI: 1568460962725 S Mesa Hills DrBldg 1 Ste 1(915) 887-3414Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation:Emergence Health NetworkBoard Certifications:NoneLanguage: Spanish
u Tomas, Iris A MDGender: FemaleNPI: 18911076376600 N Desert Blvd(915) 521-2210Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:Family PracticeLanguage: Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
58
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
FAMILY PRACTICE(continued)Vazquez, Gerardo MDGender: MaleNPI: 1548588833
♿9849 Kenworthy St(915) 215-5500Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: American Sign;Spanish
u Villalobos, Victor M MDGender: MaleNPI: 1811979867
♿U6151 Dew Dr Ste 410(915) 584-8124♿3379 Wedgewood Dr Ste C(915) 592-8500♿1860 Dean Martin DrSte 104(915) 855-7680♿3551 Rich Beem BlvdSte C(915) 298-3607Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: Mt WestHealth Center PABoard Certifications:Family PracticeLanguage: Spanish
Villavicencio Fernan,Sandra MDGender: FemaleNPI: 18810343953501 Hueco Ave(915) 533-70574875 Maxwell Ave(915) 313-99083612 Pera Ave(915) 533-7057901 Ascencion St(915) 533-705714900b Greg Dr(915) 857-2638Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneWolfe, Perry T MDGender: MaleNPI: 1154300192
♿1515 N Oregon St(915) 532-1014Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshBoard Certifications:NoneLanguage: SpanishWoo Telles, Argelia MDGender: FemaleNPI: 1548266216
♿1251 N Zaragoza Rd(915) 859-8594Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; Las PalmasCamp LpdshBoard Certifications:NoneLanguage: Spanish
Wright, Justin M MDGender: MaleNPI: 1518118561125 W Hague Rd Ste 340(915) 215-55009849 Kenworthy St(915) 215-5511Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishZayas, Raul MDGender: MaleNPI: 1942252549
U1900 N Oregon StSte 500(915) 544-8844
U12350 MontwoodSte 300(915) 231-622411880 Vista Del Sol Dr(915) 855-7900Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: El PasoFamily and Pediatric Clin;El Paso Primary HealthcarePhysicBoard Certifications:NoneLanguage: Spanish
GENERAL PRACTICEJuarez, Edward C MDGender: MaleNPI: 1285625400
♿U1721 N Lee Trevino Dr(915) 590-9424Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; KindredHospital El Paso; LasPalmas Camp Lpdsh; LasPalmas RehabilitationHospitalClinic Affiliation: JuarezEdward C MDBoard Certifications:NoneLanguage: SpanishLoflin, James R MDGender: MaleNPI: 1447240429
♿3615 Rutherglen St(915) 772-5400Hospital Affiliations: DelSol Camp LpdshClinic Affiliation: NewLight Primary Care PABoard Certifications:NoneLanguage: SpanishLoya, Juan F MDGender: MaleNPI: 1124248513
♿700 S Ochoa(915) 545-4550♿823 E Yandell(915) 545-7205♿200 Lisbon(915) 545-6140Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: Arabic;Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
59
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
GENERAL PRACTICE(continued)Robledo, Laura L MDGender: FemaleNPI: 19523064824545 N Mesa St(915) 500-6080Clinic Affiliation: El PasoPrimary Care AssociatesBoard Certifications:None
GERIATRIC MEDICINEBrooker, Olmer R MDGender: MaleNPI: 1952304297
♿11880 Vista Del Sol Dr(915) 855-7900Clinic Affiliation: El PasoPrimary Healthcare PhysicBoard Certifications:Internal MedicineLanguage: Spanish
u Casner, Paul R MDGender: MaleNPI: 1225077092
♿4801 Alberta Ave(915) 545-6640Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Geriatric Medicine; InternalMedicineLanguage: SpanishHo, Hoi MDGender: MaleNPI: 1427094820
♿4801 Alberta Ave(915) 545-6640Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: Spanish;Vietnamese
u Monroy, Anwar E MDGender: MaleNPI: 15686509921031 N Zaragoza(915) 858-101311351 James Watt Bldg E(915) 317-7699Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh; LasPalmas RehabilitationHospitalClinic Affiliation: Anwar EMonroy MD PABoard Certifications:Family Practice; GeriatricMedicineLanguage: SpanishSongbandith, Virabandi VMDGender: MaleNPI: 1750489043
♿U1015 N Zaragoza Rd(915) 860-4762♿U9311 Diana Dr(915) 751-2448♿U3028 Trawood Dr Ste A(915) 855-8550Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation:Montwood Family MedicalCenterBoard Certifications:NoneLanguage: SpanishYusoof, Syed A MDGender: MaleNPI: 1548206840
♿10501 Gateway BlvdSte 105(915) 533-0406Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusBoard Certifications:NoneLanguage: Spanish
INTERNAL MEDICINEAbalihi, Carol N MDGender: FemaleNPI: 1326136243
♿U12350 Paseo Nuevo Dr(915) 225-4470Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; SweenyCommunity HospitalClinic Affiliation: Carol NAbalihi MD PABoard Certifications:NoneLanguage: French;Spanish
u Aboud, Ambrose MDGender: MaleNPI: 1407843873
♿1900 N Oregon StSte 500(915) 544-8844♿1900 North OregonSte 500(915) 544-8844Hospital Affiliations: ElPaso Specialty HospitalLTD; Hospitals ProvidenceEast Campus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; KindredHospital El Paso; LasPalmas Camp LpdshClinic Affiliation:Physicians and AlliedHealth Prof; St JudeInternational Cancer AssoBoard Certifications:Internal Medicine; MedicalOncologyLanguage: Spanish
u Aboud, Dwayne M MDGender: MaleNPI: 1437158938
♿154 N Festival Dr Villa G(915) 845-4024Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampusClinic Affiliation: Lauro IOrtega MD PABoard Certifications:Internal MedicineLanguage: Arabic;SpanishAguilar, Oscar M MDGender: MaleNPI: 12957325926000 Northern Pass DrSte A100(915) 600-2905211 Barlett DrSte 102(915) 600-29051671 N Zaragoza RdSte B(915) 996-5210Hospital Affiliations:Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; KindredHospital El Paso; UniversityMedical Center El PasoClinic Affiliation: TexasIntegrative Medicine andCABoard Certifications:Cardiovascular DiseaseLanguage: Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
60
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
INTERNAL MEDICINE(continued)Ahmed, Farooque MDGender: MaleNPI: 1164424982125 W Hague RdSte 130(915) 206-2150Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: FranklinMedical PLLCBoard Certifications:NoneLanguage: English;SpanishAlnajjar, Mohammed RMDGender: MaleNPI: 19725243382311 N Mesa Bldg B(915) 544-1533Hospital Affiliations: D MCogdell Memorial Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoInternal Med Care PABoard Certifications:NoneLanguage: Arabic;Spanish
Alvarez, Sonia MDGender: FemaleNPI: 1538114285
45160 El Paso Dr(915) 774-2550Hospital Affiliations:Ascension Seton MedCenter Austin; AscensionSeton Northwest; DellSeton Medical Center atUT; Hosps of ProvidenceSierra CampusClinic Affiliation: WellmedMedical Group PABoard Certifications:NoneAmakiri, Onyema E DOGender: MaleNPI: 1811166721
♿1556 Lomaland DrSte 101(915) 317-5553Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: GatewayInternal Medicine Assc PABoard Certifications:NoneLanguage: Spanish
u Annabi, Michael H MDGender: MaleNPI: 1962484378
♿615 E Schuster AveSte 7(915) 544-6657♿4930 Osborne DrSte A(915) 587-9455Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: MichaelH Annabi MD PABoard Certifications:Internal MedicineLanguage: Spanish
u Assi, Muneer E DOGender: MaleNPI: 1598721904
♿1700 E Cliff DrSte 100(915) 351-6200Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: MuneerE Assi DopaBoard Certifications:Internal MedicineLanguage: Spanish
u Aung, Ko K MDGender: MaleNPI: 19322726554801 Alberta Ave(915) 215-5200Hospital Affiliations:University Health System;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: Burmese;SpanishBarahona, Jose A MDGender: MaleNPI: 1720151509
♿10501 Vista Del Sol DrSte 110(915) 849-0243Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; HighlandsRehabilitation Hospital;Hospitals Providence EastCampus; HospsProvidence MemorialCampusBoard Certifications:NoneLanguage: Spanish
Bazil Mieses, Osvaldo DMDGender: MaleNPI: 117452373214470 Horizon BlvdSte J(915) 852-3225Hospital Affiliations:Hospitals Providence EastCampusClinic Affiliation: MoazamPABoard Certifications:NoneLanguage: SpanishBeltran, Armando MDGender: MaleNPI: 1649267295
♿2022 Murchison DrSte 100(915) 533-5388♿10201 Gateway Blvd WSte 100(915) 590-3291Hospital Affiliations:Bellville Medical Center;Culberson Hospital Inc;Golden Plains CommunityHospital; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Stephens MemorialHospitalClinic Affiliation: El PasoOncology and InternaBoard Certifications:NoneLanguage: Spanish
u Bender, Arianna MDGender: FemaleNPI: 1609942598
♿100 Executive Center BlvdSte A(915) 532-8233Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: AriannaBender MD PABoard Certifications:Internal MedicineLanguage: English;Hungarian; Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
61
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.
EL PASO (continued)
INTERNAL MEDICINE(continued)
u Bista, Sangita MDGender: FemaleNPI: 10638759044801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal Medicine
u Boppana, Ratna C MDGender: FemaleNPI: 10435749814801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineBosah, Augustine O MDGender: MaleNPI: 1588794192
♿U6955 N Mesa St Ste 101(915) 613-3010Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: ChezTherese Medical Center PABoard Certifications:NoneBotez, Maria I MDGender: FemaleNPI: 1346349420
U11170 La Quinta PlSte A(915) 591-3900Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: EepInternal Medicine PABoard Certifications:None
u Brooker, Olmer R MDGender: MaleNPI: 1952304297
♿11880 Vista Del Sol Dr(915) 855-7900Clinic Affiliation: El PasoPrimary Healthcare PhysicBoard Certifications:Internal MedicineLanguage: Spanish
u Burgos, Jose D MDGender: MaleNPI: 124543742510657 Vista Del Sol DrSuite E(915) 307-4669Hospital Affiliations:Christus Mother FrancesTyler; Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation:Mobilemed PLLCBoard Certifications:Internal MedicineLanguage: SpanishCaballero, Yuri J MDGender: MaleNPI: 1174517577
♿4532 N Mesa StFloor 2(915) 544-0326Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: El PasoIntegrated PhysicianBoard Certifications:NoneLanguage: Spanish
u Calianga, Cesar R MDGender: MaleNPI: 1255301834
♿7812 Gateway Blvd ESte 200(915) 592-6868Hospital Affiliations:Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshBoard Certifications:Infectious Diseases;Internal MedicineLanguage: Spanish;TagalogCardenas, Maria G MDGender: FemaleNPI: 1164426748
U1400 George Dieter DrSte 210(915) 855-1720♿1742 N Zaragoza RdSte A(915) 855-1720Hospital Affiliations: ElPaso Specialty HospitalLTD; Foundation SurgicalHosp El Paso; HighlandsRehabilitation Hospital;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; KindredHospital El Paso; LasPalmas Camp LpdshClinic Affiliation: EpFamily Clinic PA;Physicians and AlliedHealth ProfBoard Certifications:NoneLanguage: Spanish
u Casares, Pablo A MDGender: MaleNPI: 10738277624532 N Mesa StSte 2a(915) 544-0326♿1516 Lomaland Dr(915) 308-61381387 George Dieter DrSte D 103(915) 544-0326Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: El PasoIntegrated Physician; PabloCasares MD PABoard Certifications:Internal MedicineLanguage: Spanish
u Cashin, Laura M DOGender: FemaleNPI: 1811168461
♿4801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: American Sign;Spanish
u Casner, Paul R MDGender: MaleNPI: 1225077092
♿4801 Alberta Ave(915) 545-6640Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Geriatric Medicine; InternalMedicineLanguage: Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
62
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
INTERNAL MEDICINE(continued)Castillo, Gregorio Joel AMDGender: MaleNPI: 1184695488
♿10501 Vista Del Sol DrSte 200(915) 592-8880Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra CampusClinic Affiliation: GregorioJoel Castillo MD PABoard Certifications:NoneLanguage: Spanish;Tagalog
u Chauvet, Marcelo MDGender: MaleNPI: 17202986804815 Alameda Ave(915) 544-1200Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus;Memorial Hermann SWHospitalClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:Internal MedicineLanguage: SpanishChukwu, Ikedieze I MDGender: MaleNPI: 1720285661
♿11620 Pellicano DrSte A(915) 996-9363Hospital Affiliations:Hospitals Providence EastCampusClinic Affiliation: RegentCross Medical Clinic PLLCBoard Certifications:NoneLanguage: French;Spanish
Ciubuc, Radu I MDGender: MaleNPI: 15684773211600 Medical Center StSte 400(915) 217-2163Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Lyndon B Johnson GeneralHospitalClinic Affiliation: RaduCiubuc MD PABoard Certifications:NoneLanguage: Spanish
u Davis, Harry E MDGender: MaleNPI: 1992731061
♿4801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: Spanish
De Jesus Perdomo,Eduardo M MDGender: MaleNPI: 1639179690
U299 Shadow Mountain DrSte C(915) 581-6405♿U7812 Gateway Blvd ESte 230(915) 592-82237812 Gatway Blvd ESte 230(915) 774-5555Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation:Complete Care PartnersLLC; Eduardo M De JesusMD PA; Family Medicine ofWest Texas PllBoard Certifications:NoneLanguage: Spanish
u De La Mora, Diego MDGender: MaleNPI: 11243496674801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: Spanish
u Deoker, Abhizith MDGender: MaleNPI: 14474813954801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: Spanish
Didia, Silvia C MDGender: FemaleNPI: 1356385355
♿4801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishDihowm, Fatma M MDGender: FemaleNPI: 10931579504801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
u Edwards, Brian P MDGender: MaleNPI: 19727312714801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: Spanish
u Eleje, Augustine O MDGender: MaleNPI: 1902843030
♿U1700 N Oregon StSte 780(915) 533-8797Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation:Augustine O Eleje MD PABoard Certifications:Internal MedicineLanguage: Ibo; Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
63
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
INTERNAL MEDICINE(continued)Famatigan, Maria G MDGender: FemaleNPI: 1992702773
47430 Remcon Cir Bldg A(915) 584-0051Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: SpanishFarrag, Safa E MDGender: FemaleNPI: 15889838294801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
u Francis, Maureen D MDGender: FemaleNPI: 16997506874801 Alberta Ave(915) 545-6640Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: Spanish
u Friday, Dwayne MDGender: MaleNPI: 1619101557
♿811 Chelsea St Ste A(915) 259-1390Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial CampusClinic Affiliation: DwayneFriday MD PLLCBoard Certifications:Internal MedicineLanguage: Spanish
u Gajendran, Mahesh MDGender: MaleNPI: 12858339212000 Trans Mountain RdSte B(915) 215-8408Hospital Affiliations:Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampusClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: SpanishGonzalez Cama, Omar MDGender: MaleNPI: 1780682260
♿1715 Saul Kleinfeld DrBldg A(915) 222-8275Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation:Gonzalez Omar MDBoard Certifications:NoneLanguage: Spanish
Gonzalez Sozer,Mariaelena MDGender: FemaleNPI: 1114937216
♿125 W Hague Ste 110(915) 351-7644Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshBoard Certifications:NoneLanguage: Spanish
u Gonzalez, Jaime MDGender: MaleNPI: 1477848695
U2931 Montana AveSte A(915) 562-4246Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Transmountain;Las Palmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: Sun CityMedical Practice PABoard Certifications:Internal MedicineLanguage: SpanishGriffith, Nathaniel L DOGender: MaleNPI: 1811918766
U1600 N Lee TrevinoSte C 1(915) 599-9993Hospital Affiliations: ElPaso LTAC Hospital; ElPaso Specialty HospitalLTD; HighlandsRehabilitation Hospital;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation:Nathaniel Griffith DO PABoard Certifications:NoneLanguage: Spanish
u Guerra, Luis G MDGender: MaleNPI: 1538112198550 S Mesa Hills DrSte C 3(915) 532-1587♿550 S Mesa Hills DrSte C3(915) 532-1587Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: BhsPhysicians Network Inc;Mesa Hills InternalMedicine PLLCBoard Certifications:Internal MedicineLanguage: SpanishGuvvala, Suvarna L MDGender: FemaleNPI: 10335389474801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
u Haydar, Zafer H MDGender: MaleNPI: 19220406586065 Montana AveSte A 2(915) 774-5555♿6065 Montana AveSte A2(915) 771-7200Hospital Affiliations:Ascension Providence;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Kindred Hospital El Paso;Las Palmas Camp LpdshClinic Affiliation:Complete Care PartnersLLC; E P Premier MedicalGroup PABoard Certifications:Internal MedicineLanguage: Arabic;Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
64
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
INTERNAL MEDICINE(continued)
u Hazboun, Ramsey R MDGender: MaleNPI: 1700949369
♿311 McClintock(915) 842-8622Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: RamseyR Hazboun MD PABoard Certifications:Internal MedicineLanguage: Spanish
u Ho, Hoi MDGender: MaleNPI: 1427094820
♿4801 Alberta Ave(915) 545-6640Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: Spanish;Vietnamese
u Htay, Thwe T MDGender: FemaleNPI: 12453265294801 Alberta Ave(915) 215-5200Hospital Affiliations:Odessa Regional MedicalCenter; Rankin CountyHospital District; UniversityHealth System; UniversityMedical Center El Paso;Winkler County MemorialHospitalClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: Burmese;Spanish
Hunko, Gabriela MDGender: FemaleNPI: 1063427433
♿10555 Vista Del SolSte 120(915) 540-7070♿6065 Montana AveSte C10(915) 540-7070Hospital Affiliations:Hosps of Providence SierraCampus; Las PalmasCamp LpdshClinic Affiliation: GabrielaHunko MD PLLCBoard Certifications:NoneLanguage: German;SpanishIbrahim, Parisa MDGender: FemaleNPI: 1386804326631 N ReslerSte 101(915) 842-0676631 N Resler DrSte 101(915) 842-0676Hospital Affiliations:Houston MethodistWillowbrookClinic Affiliation: BhsPhysicians Network Inc; GrDallas Hlthcare EnterprisesBoard Certifications:NoneJimenez, Mauricio E MDGender: MaleNPI: 1922007673
4501 N Yarbrough Dr Ste B(915) 595-1844Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: Portuguese;Spanish
Juarez, Edward C MDGender: MaleNPI: 1285625400
4
U2260 Trawood Dr(915) 591-4632♿U1721 N Lee Trevino Dr(915) 590-9424Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; KindredHospital El Paso; LasPalmas Camp Lpdsh; LasPalmas RehabilitationHospitalClinic Affiliation: JuarezEdward C MD; WellmedMedical Group PABoard Certifications:NoneLanguage: Spanish
u Kandpal, Saurabh B MDGender: MaleNPI: 1669655817
♿10470 Vista Del Sol DrSte 105(915) 218-6055Clinic Affiliation: IahiarPABoard Certifications:Internal Medicine
u Kavonian, Gary D MDGender: MaleNPI: 15583213318041 N Mesa StSte B(915) 307-3416Clinic Affiliation: CountryClub Medical CenterBoard Certifications:Internal MedicineKurian, Asha M MDGender: FemaleNPI: 1083880470311 McClintock Dr(915) 247-8893Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Las Palmas Camp Lpdsh;Methodist Spec &Transplant Hosp; St DavidsN Austin Medical CtrClinic Affiliation: Mathewand Kurian Physician ServiBoard Certifications:None
u Lam, Man T MDGender: MaleNPI: 1790784692
♿1221 N Cotton St(915) 598-1600Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshBoard Certifications:Infectious Diseases;Internal MedicineLanguage: Chinese;SpanishLee, Jeanne MDGender: FemaleNPI: 1033376942
4501 N Yarbrough DrBldg A(915) 401-8999
4501 N Yarbrough Dr Bldg A(915) 401-8999Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: WellmedNetworks IncBoard Certifications:None
u Lehker, Angelica MDGender: FemaleNPI: 14173044294801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLopez Leyva, Manuel DMDGender: MaleNPI: 1942265533
♿10201 Gateway Blvd WSte 210(915) 591-2922Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp LpdshBoard Certifications:NoneLanguage: Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
65
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
INTERNAL MEDICINE(continued)Marranzini, Benito A MDGender: MaleNPI: 1083617328
♿1516 Lomaland Dr(915) 593-2600Hospital Affiliations:Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: FrontierMedical CenterBoard Certifications:NoneLanguage: SpanishMartinez, Hector R MDGender: MaleNPI: 16593735201810 Murchison DrSte 300(915) 533-8544Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh; LasPalmas RehabilitationHospitalClinic Affiliation: EcjInternal Medicine PABoard Certifications:NoneLanguage: SpanishMartin, Gregory E MDGender: MaleNPI: 1326107657
♿550 S Mesa Hills DrSte A 4(915) 881-4681Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshBoard Certifications:NoneLanguage: Spanish
Mathew, Paul MDGender: MaleNPI: 1891727129311 McClintock Dr(915) 247-8893Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; MethodistSpec & Transplant HospClinic Affiliation: Mathewand Kurian Physician ServiBoard Certifications:None
u Mehta, Nilesh S MDGender: MaleNPI: 1225045735
♿10555 Vista Del SolSte 120(915) 540-7070♿6065 Montana Ave Ste C10(915) 540-7070Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; SurgicalCenter of El PasoClinic Affiliation: NileshMehta MD PLLCBoard Certifications:Internal MedicineLanguage: Hindi; SpanishMendez Ramirez, Jose MMDGender: MaleNPI: 184149837513001 EastlakeBlvd Ste 105(915) 248-23455021 Crossroads Dr(915) 521-7050Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Las Palmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation:Transmountain PrimaryCare PA; University MedCtr of El PasoBoard Certifications:NoneLanguage: Spanish
u Mendoza, Michelle L MDGender: FemaleNPI: 19624682981721 N Lee Trevino Dr(915) 590-9424Hospital Affiliations:Hosps of Providence SierraCampusClinic Affiliation: WellmedMedical Group PABoard Certifications:Internal Medicine
u Wellmed Medical GroupPAGender: FemaleNPI: 19624682981810 Murchison DrSte 300(915) 401-8999501 N Yarbrough DrBldg A(915) 401-8999Hospital Affiliations:Hosps of Providence SierraCampusClinic Affiliation: WellmedMedical Group PABoard Certifications:Internal MedicineMeshel, William N MDGender: MaleNPI: 17604272724532 N Mesa StSte 2a(915) 544-0326Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LambHealthcare Center; LasPalmas Camp Lpdsh;Limestone Medical Center;Martin County HospitalDistrict; Muleshoe AreaMedical Center; PermianRegional Medical Center;Winkler County MemorialHospitalClinic Affiliation: El PasoIntegrated PhysicianBoard Certifications:NoneLanguage: Spanish
Meza, Ana M MDGender: FemaleNPI: 15088131719999 Kenworthy StSte 1000(915) 298-3434Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: Spanish
u Mgbokwere, Chioma J MDGender: FemaleNPI: 1144501875
♿14470 Horizon BlvdSte J(915) 577-1134Hospital Affiliations:Hospitals Providence EastCampusClinic Affiliation: GrDallas Hlthcare EnterprisesBoard Certifications:Internal Medicine;Pediatrics
u Miranda, Blas A MDGender: MaleNPI: 1962577098
♿U8269 North Loop Dr(915) 591-1615Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; Las PalmasCamp LpdshClinic Affiliation:Candelaria Medical CenterBoard Certifications:Internal MedicineLanguage: Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
66
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
INTERNAL MEDICINE(continued)Moazam, Mustafa M MDGender: MaleNPI: 13069874742001 N Oregon St(915) 577-68893913 Broaddus Ave(915) 852-32257888 Gateway Blvd E2nd Floor Ste B(915) 315-2584935 Sunland Park DrSte 101 and 102(915) 852-3225Hospital Affiliations:Ascension Providence; DelSol Camp Lpdsh; El PasoChildrens Hospital;Hospitals Providence EastCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: MoazamPABoard Certifications:None
u Molinares, Vanina MDGender: FemaleNPI: 16494805184801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: American Sign;Spanish
Moreno, Robert A MDGender: MaleNPI: 1174518823
♿4532 N Mesa StFloor 2(915) 544-0326Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; Las PalmasRehabilitation HospitalClinic Affiliation: El PasoIntegrated PhysicianBoard Certifications:NoneLanguage: SpanishNayak, Tanaya MDGender: FemaleNPI: 1427150457
U300 S Zaragoza(915) 790-5700Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: SpanishNeira Juarez, Carlos J MDGender: MaleNPI: 1346218203
41810 Murchison DrSte 300(915) 533-8544Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: WellmedMedical Group PABoard Certifications:None
Nunez, Angelica A MDGender: FemaleNPI: 19324952564815 Alameda Ave(915) 544-1200Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp Lpdsh;Methodist Spec &Transplant Hosp; UniversityMedical Center El PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: SpanishNutis, Dinorah J MDGender: FemaleNPI: 1912934928
♿1700 Curie DrSte 4700(915) 532-1197Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation:Borderland Medica PABoard Certifications:NoneLanguage: SpanishNwiloh, Victor M MDGender: MaleNPI: 18513380322204 Joe Battle BlvdSte D203(817) 966-3226Hospital Affiliations:Methodist Charlton MedicalCenter; United RegionalHlth Care SystemClinic Affiliation: TrinityHeritage Clinic PLLC;Victor Nwiloh PABoard Certifications:None
Orellana, Miguel A MDGender: MaleNPI: 1588607071
♿10525 Vista Del Sol DrSte 110(915) 593-1887Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh; StJoseph Medical Center;University Medical CenterEl PasoClinic Affiliation: Miguel AOrellana MD PABoard Certifications:NoneLanguage: SpanishOrtega, Antonio M MDGender: MaleNPI: 1528060969
♿1400 N El Paso Bldg D(915) 544-9969Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; KindredHospital El Paso; LasPalmas Camp LpdshBoard Certifications:NoneLanguage: Spanish;TagalogOrtega, Lauro I MDGender: MaleNPI: 1467890772154 N Festival Dr Villa G(915) 845-4024Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampusClinic Affiliation: Lauro IOrtega MD PABoard Certifications:NoneLanguage: Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
67
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
INTERNAL MEDICINE(continued)Ovalle, Alejandro MDGender: MaleNPI: 1265466726550 S Mesa Hills DrSte C 3(915) 532-1587550 S Mesa Hills DrSte C3(915) 351-0388Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: BhsPhysicians Network Inc;Mesa Hills InternalMedicine PLLCBoard Certifications:NoneLanguage: SpanishPalacios, Mariano MDGender: MaleNPI: 1407840820
♿4532 N Mesa StFloor 2(915) 544-0326Hospital Affiliations: ElPaso Specialty HospitalLTD; Foundation SurgicalHosp El Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh; LasPalmas RehabilitationHospitalClinic Affiliation: El PasoIntegrated PhysicianBoard Certifications:NoneLanguage: Spanish
Payne, Carolyn E MDGender: FemaleNPI: 15082476023501 Hueco Ave(915) 533-70574875 Maxwell Ave(915) 313-99083612 Pera Ave(915) 533-7057901 Ascencion St(915) 533-705714900b Greg Dr(915) 857-2638Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NonePayne, Douglas B MDGender: MaleNPI: 1487639183
♿550 S Mesa Hills DrSte C2 E1(915) 532-6069Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: El PasoMedical Group PABoard Certifications:NoneLanguage: SpanishPerez, Leida P MDGender: FemaleNPI: 1083824916300 S Zaragoza(915) 521-7253Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
Pinaroc, Teresa R MDGender: FemaleNPI: 104342052411548 Vista Del Sol Dr(915) 594-0565Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: TeresaR Pinaroc MD PABoard Certifications:NoneLanguage: Ilocana;Spanish; Tagalog
u Polanco, Daniel MDGender: MaleNPI: 1568469856
♿47430 Remcon CirBldg A(915) 584-0051Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: WellmedMedical Group PABoard Certifications:Internal MedicineLanguage: SpanishPorras, Enrique MDGender: MaleNPI: 1073591459
♿508 Rosinante Rd(915) 598-2100Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Kindred HospitalEl Paso; Las Palmas CampLpdshClinic Affiliation: EnriquePorras MD PABoard Certifications:NoneLanguage: Spanish
Porras, Jose L MDGender: MaleNPI: 1386638617
♿4532 N Mesa StFloor 2(915) 544-0326Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoIntegrated PhysicianBoard Certifications:NoneLanguage: SpanishRamirez, Saul I MDGender: MaleNPI: 17800316334774 Loma Del Sur Dr(915) 751-7773Clinic Affiliation: WellmedMedical Group PABoard Certifications:None
u Rodarte, Galo A MDGender: MaleNPI: 1376585489400 E Robinson AveSte A(915) 532-9220Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: Galo ARodarte MD PABoard Certifications:Internal MedicineLanguage: SpanishRodriguez, Ismael MDGender: MaleNPI: 17304508591521 Joe Bottle Blvd(915) 790-5700Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:None
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
68
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.
EL PASO (continued)
INTERNAL MEDICINE(continued)Rodriguez, Luis L MDGender: MaleNPI: 1649420381
♿14900 Greg Dr(915) 857-2638Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: Spanish
u Romero Ramos, Samuel FMDGender: MaleNPI: 13664335832311 N Mesa StSte J(915) 533-4445Clinic Affiliation: SamuelF Romero MD PABoard Certifications:Internal MedicineLanguage: Spanish
u Rosales, Edmundo MDGender: MaleNPI: 16493537231575 N Resler DrSte D(915) 271-4569631 N Resler DrSte 101(915) 842-0676Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: BhsPhysicians Network IncBoard Certifications:Internal Medicine
Rovner, Sergio F MDGender: MaleNPI: 1437164803
♿1516 Lomaland Dr(915) 593-2600Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: FrontierMedical CenterBoard Certifications:NoneLanguage: French;SpanishRuck, Lela MDGender: FemaleNPI: 12355437602000 Transmountain Rd SteB(915) 215-8410Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneSaenz Alvarado, RodrigoJ MDGender: MaleNPI: 10333296104532 N Mesa StFloor 2(915) 544-0326Hospital Affiliations:Hosps of Providence SierraCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: El PasoIntegrated PhysicianBoard Certifications:NoneLanguage: Spanish
See, Gladina M MDGender: FemaleNPI: 1174514814
♿U300 S Zaragosa Rd(915) 790-5700Hospital Affiliations: LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish;TagalogSerna, Aime D MDGender: FemaleNPI: 1548489248
♿4100 Executive Center BlvdSte B(915) 532-7881Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoInternists PABoard Certifications:NoneLanguage: SpanishShoemake, Brittany D MDGender: FemaleNPI: 1407171440
42260 Trawood Dr(915) 591-4632Hospital Affiliations:Baylor University MedicalCenter; Hosps ofProvidence Sierra CampusClinic Affiliation: WellmedMedical Group PABoard Certifications:None
u Shukla, Vani MDGender: FemaleNPI: 1235154980
♿4801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: Hindi; Spanish
Silva, Jose J MDGender: MaleNPI: 13261188111020 Montana Ave(915) 500-9876♿125 W HagueSte 170(915) 544-29921485 George DieterSte 107(915) 790-5700Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Kindred HospitalEl Paso; Las Palmas CampLpdshClinic Affiliation: SilvaInternal Medicine PA; SilvaJose J MD; University MedCtr of El PasoBoard Certifications:NoneLanguage: SpanishSquare, Jaime H MDGender: MaleNPI: 1205046752
U11880 Vista Del Sol Dr(915) 855-7900♿U11890 Vista Del Sol DrSte A117(915) 777-3151Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps ProvidenceMemorial Campus; KindredHospital El Paso; LasPalmas Camp LpdshClinic Affiliation: El PasoPrimary Healthcare Physic;Workers Pain ManagementCenter PlBoard Certifications:NoneLanguage: Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
69
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
INTERNAL MEDICINE(continued)Tan, Jeanette S MDGender: FemaleNPI: 1518938810
♿7812 Gateway Blvd ESte 220(915) 598-6628Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: JeanetteTan MD PABoard Certifications:NoneLanguage: Chinese;Mandarin; Spanish;Tagalog
u Tolbert Bornstein, NatalieMDGender: FemaleNPI: 1508860198
♿42260 Trawood Dr(915) 591-4632Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: WellmedMedical Group PABoard Certifications:Internal MedicineLanguage: Spanish
Tyroch, Roxanne M MDGender: FemaleNPI: 1972571743
♿4687 N Mesa Ste 100(915) 532-5858Hospital Affiliations: ClayCounty Memorial Hospital;Del Sol Camp Lpdsh;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation:Intellimedicine PABoard Certifications:NoneLanguage: SpanishUgarte, Adrian O MDGender: MaleNPI: 1568444768
♿U9963 A Alameda Ave(915) 872-0477Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; PermianRegional Medical Center;Southwest GeneralHospital; University MedicalCenter El PasoBoard Certifications:NoneLanguage: SpanishWatson, Wayne K MDGender: MaleNPI: 18119956406600 Desert Blvd N(915) 521-2210Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; John Peter SmithHospital; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
Wieland, Kristina M MDGender: FemaleNPI: 1821162868
♿44774 Loma Del Sur(915) 751-7773Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: Spanish
u Wu, Jie MDGender: FemaleNPI: 1356501209
♿42260 Trawood Dr(915) 591-4632Hospital Affiliations:Foundation Surgical HospEl Paso; HospitalsProvidence East CampusClinic Affiliation: WellmedMedical Group PABoard Certifications:Internal MedicineLanguage: SpanishYusoof, Syed A MDGender: MaleNPI: 1548206840
♿10501 Gateway BlvdSte 105(915) 533-040610501 Gateway Blvd WSte 105(915) 533-040610501 Gateway Blvd WSte 105(915) 533-0406Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: FamilyPractice & Urgent Care;Syed Ather Yusoof MD PABoard Certifications:NoneLanguage: Spanish
OBSTETRICS-GYNECOLOGYAsgharian, Robert B MDGender: MaleNPI: 1497834345
♿9398 Viscount BlvdSte 2a(915) 593-8888Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation:Asgharian PABoard Certifications:Female Pelvic Med &Reconstructive SurgeryLanguage: SpanishBlackburn, Bert A MDGender: MaleNPI: 16199564551733 Curie DrSte 300(915) 532-3906Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; Paso DelNorte Surgery CenterBoard Certifications:NoneLanguage: SpanishFlores, Andres A MDGender: MaleNPI: 12052439126600 N Desert Blvd(915) 521-2210Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
70
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
OBSTETRICS-GYNECOLOGY(continued)Gutierrez, Laura C MDGender: FemaleNPI: 17002294326000 Northern Pass Bldg B(915) 629-04429398 Viscount BlvdSte 2b(915) 629-0442Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: HerHealth Obgyn FertilityClinicBoard Certifications:NoneLanguage: Spanish
u Hale, Anne V MDGender: FemaleNPI: 1063409274
♿11167 1/2 La Quinta Pl(915) 633-0585Hospital Affiliations:Hospitals Providence EastCampusClinic Affiliation: InvogueTotal Womens HealthcarePBoard Certifications:Obstetrics-GynecologyLanguage: Spanish
Iwaloye, Femi D MDGender: MaleNPI: 1801037973
♿8720 Alameda StSte C(915) 307-6159♿1671 N Zaragoza RdSte A(915) 595-5439Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: FemiDavid Iwaloye MD PABoard Certifications:NoneLanguage: Spanish
u Lacy, Linda S MDGender: FemaleNPI: 12755042272000 Transmountain RdSte 130(915) 541-11447430 Remcon Cir Ste B100(915) 541-1144Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; SurgicalCenter of El PasoClinic Affiliation: BhsPhysicians Network IncBoard Certifications:Obstetrics-GynecologyLanguage: Spanish
Longoria, Leonardo A MDGender: MaleNPI: 1558689554
♿4659 Cohen Ave D(915) 877-7343♿4659 Cohen Ave Ste D(915) 877-7343Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Transmountain;Las Palmas Camp LpdshClinic Affiliation: LalkMedica PABoard Certifications:NoneLanguage: SpanishPitre, Clarence A MDGender: MaleNPI: 1821174897
♿10470 Vista Del Sol DrSte 208(915) 590-7773Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: TonyPitre MD PABoard Certifications:NoneLanguage: SpanishRamirez, Diego MDGender: MaleNPI: 16395131611521 Joe Battle Blvd(915) 521-2200Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp Lpdsh;University Medical Center;University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
u Rosen, Andrew P MDGender: MaleNPI: 1639181712
♿3800 N Mesa StSte C6 7(915) 838-7940Hospital Affiliations: ElPaso Day Surgery LLC;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: AndrewP Rosen MD PABoard Certifications:Obstetrics-GynecologyLanguage: Spanish
u Vera, Robert W MDGender: MaleNPI: 1962505479
♿4801 Alberta Ave(915) 545-6730Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Obstetrics-GynecologyLanguage: American Sign;Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
71
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
PEDIATRICSu Akinjaiyeju, Akintoluwa A
MDGender: MaleNPI: 1669477741
♿U10755 Kenworthy(915) 821-2300♿U10755 Kenworthy St(915) 821-5900♿3660 Joe Battle BlvdSte 8(915) 821-5900Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: NecPediatrics; NortheastPediatric Night ClinicBoard Certifications:PediatricsLanguage: Pashtu; Polish;Pushto; Spanish; Yoruba
u Alpard, Allan J MDGender: MaleNPI: 1609854538
♿U650 Belvidere St(915) 533-1441♿1160 Saddle Bronc Dr(915) 593-2033Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoPediatric Associates PABoard Certifications:PediatricsLanguage: Spanish
Antowan, Cenan M MDGender: MaleNPI: 1457468787
♿1201 E Schuster AveBldg 7(915) 215-5700♿4801 Alberta Ave(915) 215-5700♿11950 Bob Mitchell Dr(915) 856-5760Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Arabic;Spanish
u Aristizabal Ortiz, AndresMDGender: MaleNPI: 1760670756
U3901 N Mesa St(915) 838-1914
U11040 Vista Del Sol DrSte C(915) 591-7704♿U1390 George Dieter DrSte 100(915) 591-7704Hospital Affiliations: ElPaso Childrens Hospital;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: PediatricPartners El Paso PA;Physicians and AlliedHealth Prof; WestsidePediatric Night Clinic PABoard Certifications:Pediatrics
u Asiain, Maria D MDGender: FemaleNPI: 1023114220
♿2900 N Kansas(915) 544-4484Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: Rich JrNicolas MDBoard Certifications:PediatricsLanguage: SpanishAzarcon Samonte,Patricia A MDGender: FemaleNPI: 1538166947
♿11544 Vista Del Sol DrBldg A(915) 592-2600Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation:Childrens Clinic of El PasoPABoard Certifications:NoneLanguage: Spanish;TagalogBausas, Wilma I MDGender: FemaleNPI: 1851362610
♿721 S Ochoa(915) 545-7090♿721 S Ochoa St(915) 545-7090♿200 Lisbon St(915) 778-9200Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: Spanish
Baylon Andrew, AngelicaMDGender: FemaleNPI: 1740644061
U3901 N Mesa(915) 838-19143901 N Mesa St(915) 838-0100Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: David WIsaac; Westside PediatricNight Clinic PABoard Certifications:None
u Boadella, Andres D MDGender: MaleNPI: 1952629826
♿1400 N El Paso StBldg E(915) 577-0455Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: AbPediatric Health ClinicPLLCBoard Certifications:PediatricsLanguage: Spanish
u Bowen, Michael L DOGender: MaleNPI: 1336299098
U810 E Redd RdSte D(915) 875-0725
U810 E Redd Rd Ste D(915) 298-1008Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: BowenPediatrics PA; Clinicas MIDoctorBoard Certifications:PediatricsLanguage: Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
72
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
PEDIATRICS (continued)Braid, Reyna M MDGender: FemaleNPI: 19828937801570 Lomaland DrSte A(915) 590-4718Clinic Affiliation: ClinicasMI DoctorBoard Certifications:None
u Canales, Roberto MDGender: MaleNPI: 1093827255
♿U1733 Curie Dr Suite 103(915) 532-2985♿U2295 Trawood Suite C(915) 532-2985Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: CanalesRoberto MDBoard Certifications:PediatricsLanguage: Arabic;SpanishCasillas, Arturo MDGender: MaleNPI: 160987555810870 Gateway Blvd NSte B(915) 751-5245181 Gus Rallis Dr(915) 242-0339Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: ClinicasMI DoctorBoard Certifications:NoneLanguage: Spanish
Casillas, Arturo C MDGender: MaleNPI: 1609875558
♿4659 Cohen Ave Ste C(915) 217-1140♿181 Gus Rallis Dr(915) 242-0339♿1512 North Zaragoza RdSte A1(915) 855-7700Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: PediatricGroup of Central El PasBoard Certifications:NoneLanguage: Spanish
u Chavez, Roberto C MDGender: MaleNPI: 17001668811733 Curie Suite 103(915) 532-2985Hospital Affiliations:Ascension Providence;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampusClinic Affiliation: CanalesRoberto MDBoard Certifications:PediatricsColeman, Scott K MDGender: MaleNPI: 1689652307
♿U650 Belvidere St(915) 533-1441♿U1160 Saddle Bronc Dr(915) 593-2033Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: El PasoPediatric Associates PABoard Certifications:NoneLanguage: Spanish
Colon Dordal, Ramon AMDGender: MaleNPI: 1467515940
♿U11160 La Quinta Pl(915) 591-1494Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: Sun CityPediatrics PABoard Certifications:NoneLanguage: SpanishCovarrubias, Eduardo MDGender: MaleNPI: 1568429348
♿1570 Lomaland Dr Ste A(915) 590-45551570 Lomaland Dr. Ste A(915) 530-4718Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: ClinicasMI DoctorBoard Certifications:NoneLanguage: SignLanguage; Spanish
u Curbelo, Niurka MDGender: FemaleNPI: 1760677678
♿4500 N Mesa St(915) 532-9000Clinic Affiliation: BorderPediatrics PABoard Certifications:PediatricsLanguage: Spanish
Days, Alison L MDGender: FemaleNPI: 1801851308
♿433 Executive CenterBlvd(915) 307-8087Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: HealthyDays PediatricsBoard Certifications:NoneLanguage: SpanishDe Anda Ortiz, Jose L MDGender: MaleNPI: 1386642528125 W HagueSte 370(915) 533-3444Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshBoard Certifications:NoneLanguage: SpanishDe La Rosa, Jose M MDGender: MaleNPI: 1558374868
♿11867 Physicians Dr(915) 855-9037Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishDelgado Rios, Yezika AMDGender: FemaleNPI: 1164871976
♿2270 Joe Battle BlvdSte E G(915) 642-9444Clinic Affiliation: YezikaDelgado MD PABoard Certifications:None
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
73
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
PEDIATRICS (continued)Fonseca, Anacani MDGender: FemaleNPI: 19728105391201 E Schuster AveBldg 7(915) 215-57004801 Alberta Ave(915) 215-57002000 B Transmountain Rd(915) 215-8400Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishFrausto, Marcella A MDGender: FemaleNPI: 1578541124
♿12430 Montwood Dr(915) 849-9733Hospital Affiliations:Highlands RehabilitationHospital; HospitalsProvidence East Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: MarcellaA Frausto MD PABoard Certifications:NoneLanguage: Spanish
u Fuhrman, Bradley P MDGender: MaleNPI: 1700971967
♿4801 Alberta Ave(915) 215-5700Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:PediatricsLanguage: French;Spanish
u Garcia, Blanca I MDGender: FemaleNPI: 1629080833
♿1201 E Schuster AveBldg 7(915) 215-5700♿4801 Alberta Ave(915) 215-5700♿11950 Bob Mitchell Rd(915) 215-5830Hospital Affiliations: BSAHospital LLC; El PasoChildrens Hospital; Hospsof Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:PediatricsLanguage: SpanishGarza, Brianna C MDGender: FemaleNPI: 1043624620650 Belvidere St(915) 533-14411160 Saddle Bronco Dr(915) 593-2033Hospital Affiliations: ElPaso Childrens Hospital;Las Palmas Camp LpdshClinic Affiliation: El PasoPediatric Associates PABoard Certifications:NoneLanguage: SpanishGeorge, Jessy A MDGender: FemaleNPI: 16890930641201 E Schuster AveBldg 7(915) 215-57004801 Alberta Ave(915) 215-5700Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
u Gomez, Gilberto MDGender: MaleNPI: 1215044557
♿2325 Pershing Dr(915) 590-5600Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: Paso DelNorte Pediatrics PABoard Certifications:PediatricsLanguage: SpanishGonzalez Mora, EvelynMDGender: FemaleNPI: 1285798785
♿U11160 La Quinta Pl(915) 591-1494Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation: Sun CityPediatrics PABoard Certifications:NoneLanguage: SpanishGonzalez Sozer,Mariaelena MDGender: FemaleNPI: 1114937216
♿125 W Hague Ste 110(915) 351-7644Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshBoard Certifications:NoneLanguage: Spanish
u Gorla, Sudheer R MDGender: MaleNPI: 15384572391201 E Schuster Ave Bldg7(915) 215-57004801 Alberta Ave(915) 215-57005340 El Paso DrSte M(915) 242-8402Hospital Affiliations: ElPaso Childrens Hospital;Hosps of ProvidenceTransmountain; LasPalmas Camp LpdshClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Pediatric Cardiology;Pediatrics
u Gutierrez, Carlos A MDGender: MaleNPI: 1922042985
♿2325 Pershing Dr(915) 590-5600Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: Paso DelNorte Pediatrics PA;Southwest Pediatric NightClinicBoard Certifications:PediatricsLanguage: French;Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
74
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
PEDIATRICS (continued)u Handal, Gilberto A MDGender: MaleNPI: 1629081948
♿1201 E Schuster AveBldg 7(915) 215-5700♿4801 Alberta Ave(915) 215-5700♿5340 El Paso DrSte M(915) 242-8402Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Pediatric InfectiousDisease; PediatricsLanguage: SpanishHernandez, Arturo A MDGender: MaleNPI: 16199809352931 George Dieter DrSte F(915) 593-5437Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: Arturo AHernandez MD PABoard Certifications:NoneLanguage: Spanish
Howze, Sheri L MDGender: FemaleNPI: 13161377971600 N Lee Trevino DrSte D3(915) 255-0905Hospital Affiliations:Bs&w Medical Center LakePointeClinic Affiliation: Bee WellEl Paso Pediatrics PLLCBoard Certifications:NoneIbarra, Isela MDGender: FemaleNPI: 1265485932
♿3917 N Mesa St(915) 544-5439Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: Sun CityKidz Clinic PABoard Certifications:NoneLanguage: SpanishIsaac, David W MDGender: MaleNPI: 1497756613
♿U3901 N Mesa St(915) 838-0100♿U1541 N Zaragoza Rd(915) 633-8171Hospital Affiliations: ElPaso Childrens Hospital;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: David WIsaac; Desert ViewPediatric Night Clini;Westside Pediatric NightClinic PABoard Certifications:NoneLanguage: Spanish
u Jiao, Ma Reyna D MDGender: FemaleNPI: 19526708124800 Alberta Ave(915) 215-5700Hospital Affiliations: ElPaso Childrens Hospital;Valley Baptist MedicalCenterClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Pediatrics
u Kataria, Rahul MDGender: MaleNPI: 1811254287
U1521 Joe Battle Blvd(915) 521-2200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:PediatricsLanguage: SpanishKronfol, Rana N MDGender: FemaleNPI: 1992731608
♿U650 Belvidere St(915) 533-1441♿U1160 Saddle Bronc Dr(915) 593-2033Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; TexasChildrens HospitalClinic Affiliation: El PasoPediatric Associates PABoard Certifications:NoneLanguage: Spanish
Kypuros, Kristina MDGender: FemaleNPI: 10030242584845 Alameda Ave(915) 298-5444Hospital Affiliations:Methodist Hospital; StDavids Surgical Hospital;University Medical CenterEl PasoClinic Affiliation: El PasoChildrens Physician GroupBoard Certifications:NoneLanguage: American Sign
u Lazaro, Shelley S MDGender: FemaleNPI: 1033345962
U1733 Curie Suite 103(915) 532-2985Hospital Affiliations:Ascension Providence; DelSol Camp Lpdsh; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: CanalesRoberto MDBoard Certifications:PediatricsLeyva, Rodolfo MDGender: MaleNPI: 198262453214505 Horizon Blvd(915) 852-4089♿1729 Weston Brent LnSte A(915) 595-1905Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: HorizonCity PediatricsBoard Certifications:NoneLanguage: Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
75
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
PEDIATRICS (continued)Liptakova, Helena H MDGender: FemaleNPI: 110482080210870 Gateway Blvd NSte B(915) 751-5255♿10870 Gateway NorthSte B(915) 751-5245Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: ClinicasMI Doctor; Helena HLiptakova MD PLLCBoard Certifications:NoneLanguage: SpanishLodhi, Huma Y MDGender: FemaleNPI: 127553784711040 Vista Del SolSte C(915) 591-770411351 James Watt DrBldg F(915) 225-3807Hospital Affiliations: DelSol Camp Lpdsh; El PasoChildrens Hospital; Hospsof Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: El PasoKids Klinic; Physicians andAllied Health ProfBoard Certifications:NoneLanguage: Spanish
Lozano, Jesus L MDGender: MaleNPI: 1972501435721 S Ochoa St(915) 545-7090815 E Yandell St(915) 351-1557200 Lisbon St(915) 545-6140Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: Spanish
u Machorro, Angelica I MDGender: FemaleNPI: 1134171747
♿3917 N Mesa St(915) 544-5439Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: Sun CityKidz Clinic PABoard Certifications:PediatricsLanguage: Spanish
Maiyegun, Sitratullah OMDGender: FemaleNPI: 1649466244
♿1201 E Schuster AveBldg 7(915) 215-5700♿4801 Alberta Ave(915) 215-5700♿11950 Bob Mitchell Dr(915) 856-5760Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishMarquez Smith, TeresaMDGender: FemaleNPI: 1114998051
♿U11331-600 James Watt(915) 838-1400
U1541 N Zaragoza Rd(915) 633-8171Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: DesertView Pediatric Night CliniBoard Certifications:NoneLanguage: SpanishMateo, Christina C MDGender: FemaleNPI: 1700179645
♿6600 N Desert Blvd(915) 521-2210Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Oromo;Spanish
u Mendiola, Anna Marie TMDGender: FemaleNPI: 1518129378
♿U1208 Myrtle Ave(915) 351-8972♿1600 Montana Ave(915) 533-8398♿U8061 Alameda Ave(915) 859-7545♿10780 Pebble HillsBlvd Ste G1(915) 773-0606Clinic Affiliation: CentroSan VicenteBoard Certifications:PediatricsLanguage: English;Spanish; TagalogMendoza Castillo, RodinR MDGender: MaleNPI: 105345883614505 Horizon Blvd(915) 852-4089Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: HorizonCity PediatricsBoard Certifications:NoneLanguage: SpanishMendoza Casti, Rodin RMDGender: MaleNPI: 1053458836
♿7888 Gateway Blvd East(915) 857-6390Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: NewHorizons PediatricspaBoard Certifications:NoneLanguage: Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
76
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
PEDIATRICS (continued)u Mgbokwere, Chioma J MDGender: FemaleNPI: 1144501875
♿14470 Horizon BlvdSte J(915) 577-1134Hospital Affiliations:Hospitals Providence EastCampusClinic Affiliation: GrDallas Hlthcare EnterprisesBoard Certifications:Internal Medicine;PediatricsMoazam, Mustafa M MDGender: MaleNPI: 13069874742001 N Oregon St(915) 577-68893913 Broaddus Ave(915) 852-32257888 Gateway Blvd E2nd Floor Ste B(915) 315-2584935 Sunland Park DrSte 101 and 102(915) 852-3225Hospital Affiliations:Ascension Providence; DelSol Camp Lpdsh; El PasoChildrens Hospital;Hospitals Providence EastCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: MoazamPABoard Certifications:None
Munoz, Luis R MDGender: MaleNPI: 1730256355
♿42900 N Kansas(915) 544-4484Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: Rich JrNicolas MDBoard Certifications:NoneLanguage: Spanish
u Muyot Cortes, Leslie NMDGender: FemaleNPI: 11244475942000 B Transmountains Rd(915) 215-8408Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Pediatrics
u Naga, Osama I MDGender: MaleNPI: 1912169921
U6901 Helen of TroySte E1(915) 351-0302Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: OsamaNaga MD PABoard Certifications:PediatricsLanguage: Arabic;Spanish
u Nassar, Eddie R MDGender: MaleNPI: 1053495267
♿5000 Doniphan DrSte 104(915) 881-4225Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; North CentralBaptist Hospital; NortheastBaptist HospitalClinic Affiliation: EddieNassar MD PABoard Certifications:PediatricsLanguage: Arabic;Spanish
u Nnebe, Florence O MDGender: FemaleNPI: 1477536894
♿U1900 N Mesa St(915) 532-8187Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: AkaiComprehensive PediatricPABoard Certifications:PediatricsLanguage: Spanish
u Nowak, Paul C MDGender: MaleNPI: 1033260641
♿1800 N Mesa Ste 102(915) 545-2600Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshBoard Certifications:PediatricsLanguage: Spanish
Ortega, Rose L MDGender: FemaleNPI: 1285655068
♿815 E Yandell(915) 351-1557♿823 E Yandell Dr(915) 545-7205♿200 Lisbon St(915) 778-9200Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: SpanishOrtiz, Jorge L MDGender: MaleNPI: 108361259214505 Horizon Blvd(915) 852-4089♿11400 Vista Del Sol(915) 590-0662Hospital Affiliations: DelSol Camp Lpdsh; El PasoChildrens Hospital;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: HorizonCity Pediatrics; Jorge OrtizMD PABoard Certifications:NoneLanguage: Spanish
u Paniagua, Julian R MDGender: MaleNPI: 17707795066000 Northern Pass DrSte B2(915) 321-5057Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation:Cimarron PediatricsBoard Certifications:PediatricsLanguage: Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
77
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
PEDIATRICS (continued)u Patel, Jagdish D MDGender: MaleNPI: 1518959709
♿U11026 Vista Del Sol(915) 593-5444Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: PediatricHealth Centers of El PasoPABoard Certifications:PediatricsLanguage: Hindi; Spanish
u Patel, Jignesh D MDGender: MaleNPI: 1275525818
♿U11026 Vista Del Sol(915) 593-5444Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: PediatricHealth Centers of El PasoPABoard Certifications:PediatricsLanguage: SpanishPatel, Riddhi J MDGender: FemaleNPI: 1114306255
U11026 Vista Del Sol(915) 593-5444Clinic Affiliation: PediatricHealth Centers of El PasoPABoard Certifications:None
u Pathak, Indu S MDGender: FemaleNPI: 15685086384801 Alberta Ave(915) 215-5700Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:PediatricsPeralta Kattengell, IvaniaMDGender: FemaleNPI: 1205916186
♿1700 N Oregon StSte 700(915) 544-2225Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: ABCKids Pediatrics PABoard Certifications:NoneLanguage: Spanish
u Prieto Jimene, Carmen AMDGender: FemaleNPI: 1528175064
♿1201 E Schuster AveBldg 7(915) 215-5700♿4801 Alberta Ave(915) 215-5700♿11950 Bob Mitchell Rd(915) 856-5760Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:PediatricsLanguage: Spanish
Prieto, Jose MDGender: MaleNPI: 1215931878
♿U11040 Vista Del Sol DrSte C(915) 591-7704♿U1390 George Dieter DrSte 100(915) 591-7704Hospital Affiliations: ElPaso Childrens Hospital;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: PediatricPartners El Paso PA;Physicians and AlliedHealth ProfBoard Certifications:NoneLanguage: SpanishProdanovic, Maria L MDGender: FemaleNPI: 1194930966
♿3917 N Mesa St(915) 544-5439Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: Sun CityKidz Clinic PABoard Certifications:NoneLanguage: Spanish
Ramirez, Amado MDGender: MaleNPI: 1679689277
♿1440 George Dieter DrSte C(915) 594-7777Hospital Affiliations: DelSol Camp Lpdsh; El PasoChildrens Hospital; Hospsof Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: AmadoRamirez Jr MD PABoard Certifications:NoneLanguage: French;SpanishRenteria Alvarez, Jose MMDGender: MaleNPI: 16695512972311 N Mesa(915) 542-17512311 N Mesa St Ste G(915) 351-06994659 Cohen AveSte A(915) 751-00003270 Joe Battle BlvdSte 120(915) 351-06993270 Joe Battle BlvdSte 120(915) 577-1961Hospital Affiliations: DelSol Rehabilitation Unit; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: BhsPhysicians Network Inc; GrDallas Hlthcare EnterprisesBoard Certifications:None
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
78
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
PEDIATRICS (continued)Reyna, Ricardo MDGender: MaleNPI: 1043494735
U100 E Schuster Ave(915) 317-5900♿3901 N Mesa St(915) 838-01003901 N Mesa St(915) 838-1914
U1541 N Zaragoza Rd(915) 633-8171Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: David WIsaac; Desert ViewPediatric Night Clini;Ricardo Reyna III MDPLLC; Westside PediatricNight Clinic PABoard Certifications:NoneLanguage: SpanishRich, Nicolas MDGender: MaleNPI: 1689741712
♿42900 N Kansas(915) 544-4484Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: Rich JrNicolas MDBoard Certifications:NoneLanguage: Spanish
Rodriguez, Kim V MDGender: FemaleNPI: 1629056387
♿U650 Belvidere St(915) 533-1441♿U1160 Saddle Bronc Dr(915) 593-2033Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: El PasoPediatric Associates PABoard Certifications:NoneLanguage: Spanish
u Roncallo, Ruben R MDGender: MaleNPI: 18513187373901 N Mesa St(915) 838-1914♿4500 N Mesa St(915) 532-9000Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: BorderPediatrics PA; WestsidePediatric Night Clinic PABoard Certifications:PediatricsLanguage: Spanish
u Ruiz, Vanessa MDGender: FemaleNPI: 19728453522900 N Kansas(915) 544-4484Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: Rich JrNicolas MDBoard Certifications:PediatricsLanguage: Spanish
u Sainz, Jorge G MDGender: MaleNPI: 18917714164321 N Mesa StSte B(915) 996-9700Hospital Affiliations: ElPaso Childrens Hospital;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: PininosPediatric Services PLLCBoard Certifications:PediatricsLanguage: Spanish
u Salloum, Hassan N MDGender: MaleNPI: 1972619500
U700 South Ochoa St(915) 545-4550
U3901 N Mesa St(915) 838-1914♿7102 Westwind Dr(915) 581-5100♿1541 N Zaragoza Rd(915) 219-7878
U1541 N Zaragoza Rd(915) 633-8171Hospital Affiliations: DelSol Camp Lpdsh; El PasoChildrens Hospital;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: CentroDe Salud Familiar La FeInc; Desert View PediatricNight Clini; Doctor SalloumPediatric Clinic; WestsidePediatric Night Clinic PABoard Certifications:PediatricsLanguage: Arabic; French;Spanish
u Salloum, Maha S MDGender: FemaleNPI: 1013024579
♿U7102 Westwind Dr(915) 581-5100Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp LpdshClinic Affiliation: DoctorSalloum Pediatric ClinicBoard Certifications:PediatricsLanguage: Arabic;Spanish
u Segapeli, Joseph H MDGender: MaleNPI: 1831176833
♿U650 Belvidere St(915) 533-3144♿1160 Saddle Bronc Dr(915) 593-2033Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: El PasoPediatric Associates PABoard Certifications:PediatricsLanguage: Spanish
u Shirsat, Pratibha K MDGender: FemaleNPI: 197261031911026 Vista Del Sol(915) 593-5444Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: PediatricHealth Centers of El PasoPABoard Certifications:PediatricsLanguage: Arabic;Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
79
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
PEDIATRICS (continued)u Singh, Namrata S MDGender: FemaleNPI: 1447367818
♿1201 E SchusterBldg 7(915) 215-5700♿4801 Alberta Ave(915) 215-5700♿11950 Bob Mitchell Dr(915) 856-5760Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:PediatricsLanguage: Indian; SpanishSpurbeck, Maria V MDGender: FemaleNPI: 1649291428
♿721 S Ochoa St(915) 545-7090♿815 E Yandel Dr(915) 351-1557♿815 E Yandell Dr(915) 351-1557♿200 Lisbon St(915) 545-6140Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: English;Spanish
u Talamas, Emilia MDGender: FemaleNPI: 1356358121
♿11167 La Quinta Pl(915) 591-4453Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshBoard Certifications:PediatricsLanguage: SpanishTantoush, Manal MDGender: FemaleNPI: 16596233873501 Hueco Ave(915) 533-70574875 Maxwell Ave(915) 757-0038901 Adcencion St(915) 533-7057Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: ProjectVida Health CenterBoard Certifications:None
u Tesorero Tengco, MafaldaD MDGender: FemaleNPI: 1851309207
♿U1733 Curie DrSte 103(915) 532-2985♿U2295 TrawoodSte C(915) 532-2985Hospital Affiliations:Ascension Providence;Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial CampusClinic Affiliation: CanalesRoberto MDBoard Certifications:PediatricsLanguage: Spanish
Usen, Stanley O MDGender: MaleNPI: 1265466353
U11800 Montana Ave(915) 546-4140Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: M & CChildrens Clinic; MontanaPediatric Night ClinicBoard Certifications:NoneLanguage: Spanish
u Valdes, Marisol MDGender: FemaleNPI: 1588018329
♿2270 Joe Battle BlvdSte E G(915) 642-9444Clinic Affiliation: MarisolValdes MD PABoard Certifications:Pediatrics
u Valenzuela, Manuel F MDGender: MaleNPI: 18513904543901 N Mesa(915) 838-19146633 N Mesa StSte 202(915) 500-4093Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: ManuelF Valenzuela MD PA;Westside Pediatric NightClinic PABoard Certifications:PediatricsLanguage: Spanish
u Velasquez, Linda K MDGender: FemaleNPI: 1679647648
U9740 Dyer StSte 111 112(915) 500-5030♿U9740 Dyer St Ste 112(915) 500-503011040 Vista Del Sol DrSte C(915) 591-7704Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: NorthEast Family Clinic PA;Physicians and AlliedHealth ProfBoard Certifications:PediatricsLanguage: SpanishViado, Emma S MDGender: FemaleNPI: 1629069208
♿U1208 Myrtle Ave(915) 351-8972♿1600 Montana Ave(915) 533-8398♿4815 Alameda Ave(915) 544-1200♿300 S Zaragoza Rd(915) 790-5700♿U8061 Alameda Avenue(915) 859-7545♿10780 Pebble HillsBlvd Ste G1(915) 773-0606Hospital Affiliations:Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation: CentroSan Vicente; UniversityMed Ctr of El PasoBoard Certifications:NoneLanguage: Spanish;Tagalog
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
80
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
PEDIATRICS (continued)u Villanos, Maria Theresa M
MDGender: FemaleNPI: 1386704914
♿1201 E Schuster AveBldg 7(915) 215-5700♿4801 Alberta Ave(915) 215-5700♿11861 Physicians Dr(915) 855-9037♿11950 Bob Mitchell Rd(915) 856-5760Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:PediatricsLanguage: Spanish;TagalogWang, Jason J MDGender: MaleNPI: 13961305712601 E Yandell DrSte 117(915) 302-3030Board Certifications:NoneLanguage: Mandarin;SpanishWawer Chubb, Allison KDOGender: FemaleNPI: 16393384941160 Saddle Bronc Dr(915) 593-2033Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: El PasoPediatric Associates PABoard Certifications:None
Wojciechowska, JoannaMDGender: FemaleNPI: 1871600197
♿1201 E Schuster StBldg 7(915) 215-5700♿4801 Alberta Ave(915) 545-6920♿300 Vocational(915) 545-6810♿11950 Bob Mitchell(915) 856-5760Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
u Zabanal, Rosario C MDGender: FemaleNPI: 1962587949
♿1208 Myrtle Ave(915) 351-8972♿1600 Montana Ave(915) 533-8398♿8061 Alameda Ave(915) 859-7545♿10780 Pebble HillBlvd Ste G1(915) 773-0606Hospital Affiliations: RioGrande Regional Hospital;University Medical CenterEl PasoClinic Affiliation: CentroSan VicenteBoard Certifications:PediatricsLanguage: Spanish
Zate, Sarah M MDGender: FemaleNPI: 15180069642000 E Transmountain Rd(915) 215-8408Hospital Affiliations:Hosps of ProvidenceTransmountain; TheHospitals of ProvidenceHorizClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
Zebda, Mohamed A DOGender: MaleNPI: 13263807671626 Medical Center Dr(915) 533-70573501 Hueco Ave(915) 533-70574875 Maxwell Ave(915) 313-99083607 Rivera Ave(915) 533-70573612 Pera Ave(915) 533-70576040 Surety DrUnit 2(915) 533-70571100 Colina De Paz(915) 533-7057150 Nonap Rd(915) 533-7057901 Ascencion St(915) 533-705711700 School Ln(915) 533-705711710 Pebble Hills Blvd(915) 533-705712000 Montwood Dr(915) 533-705714400 Pebble Hills Blvd(915) 533-705714900b Greg Dr(915) 857-26382200 Sun Country Dr(915) 533-70573216 Tim Foster St(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:None
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
81
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
FABENS
FAMILY PRACTICEBrito, Jacquelyn MDGender: FemaleNPI: 1255725222101 Potasio St(915) 521-2270Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneNevarez, Alba N MDGender: FemaleNPI: 1164740361101 S Potasio St(915) 790-5700Hospital Affiliations:University Medical Center;University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:None
INTERNAL MEDICINETrevino, Marina MDGender: FemaleNPI: 1922164664
♿101 Potasio(915) 521-2270Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish;Tagalog
PEDIATRICSLynch, Janel M MDGender: FemaleNPI: 1518209600101 Potasio(915) 544-1200Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: SpanishViado, Emma S MDGender: FemaleNPI: 1629069208
♿101 Potasio(915) 521-2270Hospital Affiliations:Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish;Tagalog
HORIZON CITY
FAMILY PRACTICEColon Pineiro, Edgardo LMDGender: MaleNPI: 177080953513600 Horizon Blvd(915) 206-8357Hospital Affiliations: ElPaso Childrens Hospital;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoBoard Certifications:NoneLanguage: Spanish
INTERNAL MEDICINEu Del Moral, Cecilia I MDGender: FemaleNPI: 141792381413650 Eastlake BlvdSte 102 104(915) 642-628813650 Eastlake DrSte 102(915) 217-211713650 Eastlake Dr BldgA Ste 104(915) 852-5086Clinic Affiliation: El PasoPrimary Care PLLC; RMartz El Paso PLLCBoard Certifications:Internal MedicineLanguage: SpanishEscobedo, Diana MDGender: FemaleNPI: 1104278795494 N Kenazo AveSte I-J(915) 845-7300Clinic Affiliation: DianaEscobedo MD PABoard Certifications:None
u Mgbokwere, Chioma J MDGender: FemaleNPI: 1144501875
♿13800 Eastlake BlvdSte 400(915) 577-113413800 Eastlake DrSte 400(915) 577-1134Hospital Affiliations:Hospitals Providence EastCampusClinic Affiliation: BhsPhysicians Network Inc; GrDallas Hlthcare EnterprisesBoard Certifications:Internal Medicine;Pediatrics
Moazam, Mustafa M MDGender: MaleNPI: 1306987474
U14470 Horizon BlvdSte J(915) 852-3225Hospital Affiliations:Ascension Providence; DelSol Camp Lpdsh; El PasoChildrens Hospital;Hospitals Providence EastCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: MoazamPABoard Certifications:None
OBSTETRICS-GYNECOLOGYPitre, Clarence A MDGender: MaleNPI: 1821174897
♿14505 Horizon BlvdSte C(915) 852-7142Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: TonyPitre MD PABoard Certifications:NoneLanguage: Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
FABENS 08/07/2020
82
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
HORIZON CITY(continued)
PEDIATRICSAntowan, Cenan M MDGender: MaleNPI: 1457468787
♿12583 Darrington Rd(915) 852-1380Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Arabic;Spanish
u Garcia, Blanca I MDGender: FemaleNPI: 1629080833
♿500 S Darrington Rd(915) 852-1380Hospital Affiliations: BSAHospital LLC; El PasoChildrens Hospital; Hospsof Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:PediatricsLanguage: SpanishMaiyegun, Sitratullah OMDGender: FemaleNPI: 1649466244
♿500 S Darrington Rd(915) 852-1380Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
u Mgbokwere, Chioma J MDGender: FemaleNPI: 1144501875
♿13800 Eastlake BlvdSte 400(915) 577-1134Hospital Affiliations:Hospitals Providence EastCampusClinic Affiliation: GrDallas Hlthcare EnterprisesBoard Certifications:Internal Medicine;PediatricsMoazam, Mustafa M MDGender: MaleNPI: 1306987474
U14470 Horizon BlvdSte J(915) 852-3225Hospital Affiliations:Ascension Providence; DelSol Camp Lpdsh; El PasoChildrens Hospital;Hospitals Providence EastCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: MoazamPABoard Certifications:None
u Nnebe, Florence O MDGender: FemaleNPI: 1477536894
♿U14476 Horizon BlvdSte G and H(915) 532-8187Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: AkaiComprehensive PediatricPABoard Certifications:PediatricsLanguage: Spanish
u Prieto Jimene, Carmen AMDGender: FemaleNPI: 1528175064
♿500 S Darrington Rd(915) 852-1380Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:PediatricsLanguage: Spanish
u Singh, Namrata S MDGender: FemaleNPI: 1447367818
♿500 S Darrington Rd(915) 852-1380Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:PediatricsLanguage: Indian; Spanish
u Villanos, Maria Theresa MMDGender: FemaleNPI: 1386704914
♿500 S Darrington Rd(915) 852-1380Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:PediatricsLanguage: Spanish;Tagalog
Zebda, Mohamed A DOGender: MaleNPI: 132638076713000 Emerald Pass Ave(915) 533-705713600 Ryderwood Dr(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:None
SAN ELIZARIO
FAMILY PRACTICEu Beltran, Celina R MDGender: FemaleNPI: 1265692750
♿13017 Perico Dr(915) 851-0999Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: CentroSan VicenteBoard Certifications:Family PracticeLanguage: English;SpanishHabib, Shahnaz MDGender: FemaleNPI: 1053435917
♿12101 Socorro Rd(915) 851-5519Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: Spanish
u Kidwai, Shahroz MDGender: MaleNPI: 10132000621313 San Antonio(915) 251-5519Hospital Affiliations:Baylor Surgical Hosp LasColinas; Navarro RegionalHospital; North CentralSurgical Center; Palo PintoGeneral HospitalClinic Affiliation: RegionalEmployee Assistance ProgBoard Certifications:Family Practice
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 HORIZON CITY
83
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
SAN ELIZARIO(continued)
FAMILY PRACTICE(continued)
u Luna Jr, Jose MDGender: MaleNPI: 1700877255
♿13017 Perico Dr(915) 851-0999Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: CentroSan VicenteBoard Certifications:Family PracticeLanguage: SpanishMontanez, Tomy MDGender: MaleNPI: 1659342442
♿12101 Socorro Rd(915) 851-5519Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: Spanish
u Reyna Maldonado, EdgarD MDGender: MaleNPI: 121529456612008 Socorro RdSte A(915) 885-7000Hospital Affiliations:Foundation Surgical HospEl Paso; HospitalsProvidence East CampusClinic Affiliation: BorderRegional Family MedicineBoard Certifications:Family PracticeLanguage: Spanish
GENERAL PRACTICELoya, Juan F MDGender: MaleNPI: 1124248513
♿U12101 Socorro Rd(915) 851-5519Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: Arabic;Spanish
PEDIATRICSBausas, Wilma I MDGender: FemaleNPI: 1851362610
♿1313 San Antonio(915) 851-5519Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: SpanishLozano, Jesus L MDGender: MaleNPI: 197250143512101 Socorro Rd(915) 545-6156Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: Spanish
u Mendiola, Anna Marie TMDGender: FemaleNPI: 1518129378
♿13017 Perico Dr(915) 851-0999Clinic Affiliation: CentroSan VicenteBoard Certifications:PediatricsLanguage: English;Spanish; TagalogOrtega, Rose L MDGender: FemaleNPI: 1285655068
♿12101 Socorro Rd(915) 851-5519Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: SpanishSpurbeck, Maria V MDGender: FemaleNPI: 1649291428
♿12101 Socorro Rd(915) 851-5519Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: English;SpanishViado, Emma S MDGender: FemaleNPI: 1629069208
♿13017 Perico Dr(915) 851-0999Hospital Affiliations:Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation: CentroSan VicenteBoard Certifications:NoneLanguage: Spanish
u Zabanal, Rosario C MDGender: FemaleNPI: 1962587949
♿13017 Perico Dr(915) 851-0999Hospital Affiliations: RioGrande Regional Hospital;University Medical CenterEl PasoClinic Affiliation: CentroSan VicenteBoard Certifications:PediatricsLanguage: Spanish
SOCORRO
FAMILY PRACTICEAdedeji, Adekunle A MDGender: MaleNPI: 1902086937
♿10720 N Loop DrSte A(915) 858-0500Hospital Affiliations:Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityHealth SystemClinic Affiliation: SocorroMedical Clinic LLCBoard Certifications:NoneLanguage: American Sign;Creoles and Pidgins;Spanish; Yoruba
u Iglesias, Michelle MDGender: FemaleNPI: 13860874929895 Alameda Ave Ste 118(915) 440-0099Hospital Affiliations:Hospitals Providence EastCampusClinic Affiliation: IglesiasFamily Medicine PABoard Certifications:Family PracticeLanguage: English;Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SAN ELIZARIO 08/07/2020
84
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
SOCORRO(continued)
INTERNAL MEDICINEAbalihi, Carol N MDGender: FemaleNPI: 1326136243
♿U10600 N Loop Dr(915) 219-9650Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; SweenyCommunity HospitalClinic Affiliation: Carol NAbalihi MD PABoard Certifications:NoneLanguage: French;Spanish
PEDIATRICSDe Anda Ortiz, Jose L MDGender: MaleNPI: 1386642528
U10211 Alameda Ave(915) 440-4266Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: TheLower Valley PediatricNightBoard Certifications:NoneLanguage: Spanish
u Roncallo, Ruben R MDGender: MaleNPI: 1851318737
U10211 Alameda Ave(915) 440-4266Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: TheLower Valley PediatricNightBoard Certifications:PediatricsLanguage: SpanishZebda, Mohamed A DOGender: MaleNPI: 132638076710150 Alameda Ave(915) 533-705711471 Alameda Ave(915) 533-7057301 Bovee Rd(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:None
VINTON
FAMILY PRACTICEu Agarwal, Ajai J MDGender: MaleNPI: 1437240256
♿U7920 Doniphan Dr(915) 855-8550Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation:Montwood Family MedicalCenterBoard Certifications:Family PracticeLanguage: Hindi; Spanish
Songbandith, Virabandi VMDGender: MaleNPI: 1750489043
♿U7920 Doniphan Dr(915) 886-3399Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation:Montwood Family MedicalCenterBoard Certifications:NoneLanguage: Spanish
GERIATRIC MEDICINESongbandith, Virabandi VMDGender: MaleNPI: 1750489043
♿U7920 Doniphan Dr(915) 886-3399Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation:Montwood Family MedicalCenterBoard Certifications:NoneLanguage: Spanish
YSLETA PUEBLO
FAMILY PRACTICESilvestre Tobias, LorenaMDGender: FemaleNPI: 13566011329314 Juanchido Ln(915) 858-1076Clinic Affiliation: YsletaDel Sur Pueblo CommunityHealth CenterBoard Certifications:NoneLanguage: Spanish
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Primary Care PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 SOCORRO
85
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
ANTHONY
OBSTETRICS-GYNECOLOGY
u Zamudio, Jose M MDGender: MaleNPI: 1407822281361 Vinton Rd(915) 545-1200Hospital Affiliations:Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: BhsPhysicians Network IncBoard Certifications:Obstetrics-GynecologyLanguage: Spanish
OPTOMETRYJackson, Richard P ODGender: MaleNPI: 1972616134
♿U216 W Washington(915) 886-3005Board Certifications:NoneLanguage: German;Spanish
THERAPEUTICOPTOMETRYJackson, Richard P ODGender: MaleNPI: 1972616134
♿U216 W Washington(915) 886-3005Board Certifications:NoneLanguage: German;Spanish
CANUTILLO
ANP/CERT/CLNPu Carrillo, Esteban APNGender: MaleNPI: 13568920207000 5th St(915) 542-3075Clinic Affiliation: ProjectVida Health CenterBoard Certifications:ANP/CERT/CLNPLanguage: SpanishGaona, Maria D APNGender: FemaleNPI: 1770083560
♿7000 E 5th(915) 542-3075Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: SpanishHernandez, Vanessa MAPNGender: FemaleNPI: 19921766141713 Banker Rd(915) 231-4370Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneJacquez, Vicente APNGender: MaleNPI: 18617252281713 Banker Rd(915) 231-4370Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneMcKelroy, Yostin Z APNGender: FemaleNPI: 16397325307000 E 5th St(915) 542-3075Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: Spanish
Nathan, Athena APNGender: FemaleNPI: 1811367220
♿1713 Banker Rd(915) 231-4370Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneZamora, Juan P APNGender: MaleNPI: 13862095267000 Fifth St(915) 542-3075Clinic Affiliation: ProjectVida Health CenterBoard Certifications:None
PHYSICIAN ASSISTANTPeralta, Jasmine PAGender: FemaleNPI: 14972624717000 E 5th St(915) 542-3075Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: Spanish
DELL CITY
ANP/CERT/CLNPGaona, Maria D APNGender: FemaleNPI: 1770083560
♿104 S DodsonBuilding B(915) 964-2860Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: Spanish
EL PASO
ACUPUNCTUREAcosta, William G LACGender: MaleNPI: 1871066308
U3274 Rain Dance Dr(915) 309-1998Clinic Affiliation: InnovateYour HealthBoard Certifications:NoneArroyo, Maximo E LACGender: MaleNPI: 12750201171627 Montana Ave(915) 329-4857Board Certifications:NoneWeir, Wendy R LACGender: FemaleNPI: 1366780611
U1204 Montana Ave(575) 650-7543Board Certifications:None
ALLERGY/IMMUNOLOGY
u Casillas, Adrian MDGender: MaleNPI: 1871528125125 W Hague RdSte 400(915) 320-38541575 N Resler DrSte D(915) 271-456911163 La QuintaSte A 200(915) 320-3854Hospital Affiliations:Hosps of Providence SierraCampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:Allergy/Immunology
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
ANTHONY 08/07/2020
86
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ALLERGY/IMMUNOLOGY (continued)Funkhouser, Todd A MDGender: MaleNPI: 1326015173211 Bartlett(915) 303-55224659 Cohen Ave Ste C(915) 777-7207Clinic Affiliation:Southwest Hcp Access PABoard Certifications:NoneLanguage: SpanishGonzalez, Luis A MDGender: MaleNPI: 1649220138
♿6955 N Mesa Ste 106(915) 581-8751♿10400 Vista Del Sol DrSte 201(915) 594-1145Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshBoard Certifications:NoneLanguage: Spanish
u Venzor, Jose MDGender: MaleNPI: 1447254784
♿U5020 N Desert BlvdSte C1-B(915) 585-1920♿U11410 Vista Del Sol Dr(915) 592-6269Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation:Southwest Allergy andAsthmaassociates PABoard Certifications:Allergy/ImmunologyLanguage: Spanish
York, John C MDGender: MaleNPI: 1891884003
♿6633 N Mesa StSte 101(915) 584-9675Clinic Affiliation: John CYork MD PABoard Certifications:NoneLanguage: Spanish
ANESTHESIOLOGYAlvarez, George H MDGender: MaleNPI: 1205852043
41801 N Oregon St(915) 521-1200Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: WestStar Anesthesia ServicesPABoard Certifications:None
u Anderson, James S MDGender: MaleNPI: 1245228923
42930 N Stanton St(915) 271-4569Hospital Affiliations: DelSol Camp Lpdsh; El PasoSpecialty Hospital LTD;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Surgical Center of El PasoClinic Affiliation: BhsPhysicians Network IncBoard Certifications:Anesthesiology
Annabi, Jeffrey H MDGender: MaleNPI: 1669498416
♿615 E Schuster AveSte 7(915) 584-9800♿7411 Remcon CirSte B1(915) 584-9800♿4930 Osborne DrSte A(915) 584-9800♿1400 George DieterSte 240(915) 584-9800Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: Jeffrey HAnnabi MD PABoard Certifications:NoneLanguage: Spanish
u Antohi, Octavian MDGender: MaleNPI: 1184674806
4
U2930 N Stanton St(915) 271-4569
4
U125 W Castellano Dr(915) 532-8200
47420 Remcon CircleBldg A(915) 532-8823Hospital Affiliations: ElPaso Ctr GastrointestinalEndo; HospitalsProvidence East Campus;Hosps ProvidenceMemorial Campus;Longview Regional MedicalCenter; Paso Del NorteSurgery Center; SurgicalCenter of El PasoClinic Affiliation: BhsPhysicians Network Inc; ElPaso Ams PLLC; RioGrande Urology PABoard Certifications:Anesthesiology
u Avila Hernandez, Jorge HMDGender: MaleNPI: 1013972652
42930 N Stanton St(915) 271-4569Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: BhsPhysicians Network IncBoard Certifications:Anesthesiology
u Barbosa, Vera L MDGender: FemaleNPI: 1982655684
410301 Gateway W(915) 595-9000Hospital Affiliations:Cataract Surgical Center ofLubbock; Las PalmasCamp Lpdsh; SurgicalCenter of El Paso;University Medical CenterEl PasoClinic Affiliation: WestStar Anesthesia ServicesPABoard Certifications:AnesthesiologyBarreno, Ramon X MDGender: MaleNPI: 1558614180
42930 N Stanton St(915) 271-4569Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra CampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
87
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANESTHESIOLOGY(continued)Bates, John C MDGender: MaleNPI: 1154555647
4
U1416 George Dieter Dr(915) 598-4240Hospital Affiliations:Baptist Health System;Methodist Hospital;Methodist MansfieldMedical CtrClinic Affiliation: GreaterHouston AnesthesiologyPABoard Certifications:NoneBell, Christopher M MDGender: MaleNPI: 1013275627
4
U2000 Trans Mountain Rd SteA(915) 215-8400Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneBlanco, Adolfo A MDGender: MaleNPI: 1144286824
4
U4815 Alameda Ave(700) 665-0070Hospital Affiliations:University Medical CenterClinic Affiliation:Anesthesia Associates ofEl PasoBoard Certifications:NoneBodiford, Jason M MDGender: MaleNPI: 1639411184
42930 N Stanton St(915) 527-1456Hospital Affiliations:Hospitals Providence EastCampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:None
u Boone, James B MDGender: MaleNPI: 1942226618
4
U125 W Castellano Dr(915) 532-8200
43280 Joe Battle Blvd(915) 271-4569Hospital Affiliations: ElPaso Ctr GastrointestinalEndo; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; LongviewRegional Medical Center;Paso Del Norte SurgeryCenter; Surgical Center ofEl PasoClinic Affiliation: BhsPhysicians Network Inc; ElPaso Ams PLLCBoard Certifications:AnesthesiologyBouchra Hanna, Hani KMDGender: MaleNPI: 1619184777
4
U4815 Alameda Ave(706) 650-0705Hospital Affiliations:Christus Spohn Hos CctxShoreline; MemorialHermann SW Hospital; StDavids Medical Center;The Womans Hospital ofTexas; University MedicalCenter; UTMB HealthGalvestonClinic Affiliation:Anesthesia Associates ofEl PasoBoard Certifications:None
u Brin, Edward N MDGender: MaleNPI: 1760412688
44815 Alameda Ave(915) 544-1200Hospital Affiliations:Medical Center Hospital;Rio Grande RegionalHospital; University MedicalCenter El Paso; ValleyRegional Medical Center;Wise Health SystemClinic Affiliation:Anesthesia Associates ofEl PasoBoard Certifications:Anesthesiology
Buendia, Francisco I MDGender: MaleNPI: 1811244270
4
U2000 Trans Mountain Rd(915) 215-8400
4
U2000 Transmountain Rd(915) 577-8467Hospital Affiliations: ElPaso Ctr GastrointestinalEndo; Hosps of ProvidenceTransmountain; LongviewRegional Medical Center;Medical Arts SurgeryCenterClinic Affiliation: El PasoAms PLLC; TX Tech UnivHlth Sci Ctr El PasoBoard Certifications:NoneBurroughs, Devin BCRNAGender: MaleNPI: 1982230264
4
U4815 Alameda Ave(706) 650-0705Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:Anesthesia Associates ofEl PasoBoard Certifications:NoneCamacho, Claudio MDGender: FemaleNPI: 1720195217
4
U125 W Castellano Dr(915) 532-8200
410301 Gatesway West(915) 595-9000Hospital Affiliations: ElPaso Ctr GastrointestinalEndo; Las Palmas CampLpdsh; Longview RegionalMedical Center; LubbockHeart Hospital LP; PasoDel Norte Surgery Center;Physicians SurgicalHospitals LLC; SurgicalCenter of El PasoClinic Affiliation: El PasoAms PLLC; West StarAnesthesia Services PABoard Certifications:None
u Campos, Napoleon A MDGender: MaleNPI: 1396914933
4
U1300 Murchison DrSte 200(915) 225-7604
4
U125 W Castellano Dr(915) 532-8200Hospital Affiliations:Corpus Christi MedicalCenter; El Paso CtrGastrointestinal Endo; ElPaso Day Surgery LLC;Longview Regional MedicalCenter; Medical ArtsSurgery Center; Paso DelNorte Surgery Center;Surgical Center of El Paso;University Medical CenterEl PasoClinic Affiliation: El PasoAms PLLC; ToucampFoundation IncBoard Certifications:AnesthesiologyCarrillo, Ricardo D CRNAGender: MaleNPI: 1689173643
4
U125 W Castellano Dr(915) 532-8200Hospital Affiliations: ElPaso Ctr GastrointestinalEndo; HospitalsProvidence East Campus;Longview Regional MedicalCenter; Paso Del NorteSurgery Center; SurgicalCenter of El PasoClinic Affiliation: El PasoAms PLLCBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
88
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.UThis Provider Has Extended Hours.
EL PASO (continued)
ANESTHESIOLOGY(continued)Case, David CRNAGender: MaleNPI: 1548591969
4
U125 W Castellano Dr(915) 532-8200
4
U10301 Gateway Blvd WSte 120(915) 595-9000Hospital Affiliations: ElPaso Ctr GastrointestinalEndo; El Paso SpecialtyHospital LTD; Hosps ofProvidence Sierra Campus;Longview Regional MedicalCenter; Paso Del NorteSurgery Center; SurgicalCenter of El PasoClinic Affiliation: El PasoAms PLLC; West StarAnesthesia Services PABoard Certifications:None
u Chaudhuri, Kallol MDGender: MaleNPI: 1689637050
♿4
U
4815 Alameda Ave(915) 545-6560Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:AnesthesiologyLanguage: Chinese;Hebrew; Spanish; Urdu
u Coleman, Jessie D MDGender: MaleNPI: 11748062773215 Gateway Blvd W(915) 598-724612200 Paseo Nuevo Dr(915) 598-72467825 N Mesa St(915) 598-7246Clinic Affiliation: El PasoPain Center PABoard Certifications:AnesthesiologyLanguage: SpanishDiaz, Adora G CRNAGender: FemaleNPI: 1699237495
44845 Alameda Ave(915) 215-5666Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
u Diaz, Jose A MDGender: MaleNPI: 1942201199
42930 N Stanton St(915) 271-4569Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: BhsPhysicians Network IncBoard Certifications:Anesthesiology
u Dillow, Roberto G MDGender: MaleNPI: 1336134170
410301 Gateway West(915) 577-0111Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: El PasoAnesthesiology ServicesPABoard Certifications:AnesthesiologyEidel, James M MDGender: MaleNPI: 1063488757
43280 Joe Battle Blvd(915) 271-4569Hospital Affiliations:Hospitals Providence EastCampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:None
u Escontrias, Adrian M MDGender: MaleNPI: 1316044050
♿45959 Gateway Blvd WSte 120(915) 772-2617Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh; PasoDel Norte Surgery Center;Surgical Center of El PasoClinic Affiliation:Southwest AnesthesiaGroupBoard Certifications:AnesthesiologyLanguage: Spanish
Esposito, James J MDGender: MaleNPI: 1790006534
4
U4801 Alberta Ave(915) 215-8400Hospital Affiliations:Hosps of ProvidenceTransmountain; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneFierro, Jessica C MDGender: FemaleNPI: 1841235199
41755 Curie Dr(941) 360-1566Hospital Affiliations: ElPaso Ctr GastrointestinalEndo; Las Palmas CampLpdsh; Longview RegionalMedical Center; MedicalArts Surgery Center; PasoDel Norte Surgery Center;Surgical Center of El PasoClinic Affiliation: El PasoAms PLLCBoard Certifications:NoneGan, Mark F DOGender: MaleNPI: 1215033931
♿5959 Gateway Blvd WSte 120(915) 772-2617Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Longview Regional MedicalCenter; Medical ArtsSurgery Center; Paso DelNorte Surgery Center;Surgical Center of El PasoClinic Affiliation:Southwest AnesthesiaGroupBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
89
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANESTHESIOLOGY(continued)
u Gonzalez, Jorge A MDGender: MaleNPI: 1053365932
4
U1801 N Oregon St(915) 595-9000
4
U4815 Alameda Ave(706) 650-0705Hospital Affiliations:Medical Center Hospital;South Texas HealthSystem; University MedicalCenter El Paso; ValleyRegional Medical Center;Wise Health SystemClinic Affiliation:Anesthesia Associates ofEl Paso; West StarAnesthesia Services PABoard Certifications:AnesthesiologyGuzman, Barbara A DOGender: FemaleNPI: 1881993244
44815 Alameda Ave(915) 521-7040Hospital Affiliations: DelSol Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation:Anesthesia Associates ofEl PasoBoard Certifications:None
u Harris, Stephen R MDGender: MaleNPI: 1649342841
42930 N Stanton St(915) 271-4569Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: BhsPhysicians Network IncBoard Certifications:Anesthesiology
u He, Chaoying MDGender: MaleNPI: 1104913136
42930 N Stanton St(915) 271-4569Hospital Affiliations:Hospitals Providence EastCampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:AnesthesiologyHestermann, Braden J MDGender: MaleNPI: 1629310321
4
U4815 Alameda Ave(706) 650-0705Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:Anesthesia Associates ofEl PasoBoard Certifications:None
u Hoover, Lance R MDGender: MaleNPI: 1730155466
4
U4815 Alameda Ave(706) 650-0705Hospital Affiliations:Corpus Christi MedicalCenter; University MedicalCenter El PasoClinic Affiliation:Anesthesia Associates ofEl PasoBoard Certifications:AnesthesiologyHorton, Erica A DOGender: FemaleNPI: 1801002951
4
U4815 Alameda Ave(706) 650-0705Hospital Affiliations: ElPaso Specialty HospitalLTD; University MedicalCenter El PasoClinic Affiliation:Anesthesia Associates ofEl PasoBoard Certifications:None
u Ibrahim, Ali D MDGender: MaleNPI: 1780818427
4
U1801 N Oregon St(915) 774-5550
U11331 James WattBldg 200(915) 260-825611331 James WattBldg 200 Ste A(915) 260-8256Hospital Affiliations: ElPaso Ctr GastrointestinalEndo; Foundation SurgicalHosp El Paso; Hosps ofProvidence Transmountain;Longview Regional MedicalCenter; Medical ArtsSurgery Center; Paso DelNorte Surgery Center;Surgical Center of El Paso;University Medical CenterClinic Affiliation: DonyaAnesthesiology and Pain;West Star AnesthesiaServices PABoard Certifications:AnesthesiologyJean Pierre, Jean S MDGender: MaleNPI: 1235192618
4
U2930 N Stanton St(915) 271-4569
44800 Alberta Ave(915) 545-6560
4
U125 W Castellano Dr(915) 532-8200Hospital Affiliations: ElPaso Ctr GastrointestinalEndo; HospitalsProvidence East Campus;Longview Regional MedicalCenter; Paso Del NorteSurgery Center; SantaRosa Medical Center;Surgical Center of El Paso;University Medical CenterEl PasoClinic Affiliation: BhsPhysicians Network Inc; ElPaso Ams PLLC; TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
John, Ann K MDGender: FemaleNPI: 1154532307
4
U125 W Castellano Dr(915) 532-8200Hospital Affiliations:Baylor University MedicalCenter; Bs&w MedicalCenter Temple; El Paso CtrGastrointestinal Endo;Longview Regional MedicalCenter; Paso Del NorteSurgery Center; St DavidsMedical Center; SurgicalCenter of El PasoClinic Affiliation: El PasoAms PLLCBoard Certifications:NoneJohnsen, Michael W MDGender: MaleNPI: 1437123361
4
U4815 Alameda Ave(706) 650-0705Hospital Affiliations:University Medical CenterClinic Affiliation:Anesthesia Associates ofEl PasoBoard Certifications:NoneKendall, Lindsay C MDGender: FemaleNPI: 1629333877
42000 Transmountain Rd(915) 215-8408Hospital Affiliations:Hosps of ProvidenceTransmountain; HoustonMethodist HospitalClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
u Khalil, Sabry MDGender: MaleNPI: 1053559229
4
U4815 Alameda Ave(706) 650-0705Hospital Affiliations:University Medical CenterClinic Affiliation:Anesthesia Associates ofEl PasoBoard Certifications:Anesthesiology
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
90
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.UThis Provider Has Extended Hours.
EL PASO (continued)
ANESTHESIOLOGY(continued)
u Kim, Ho Jin MDGender: MaleNPI: 1639276363
42930 N Stanton St(915) 271-4569Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: BhsPhysicians Network IncBoard Certifications:Anesthesiology
u Lim, Douglas DOGender: MaleNPI: 1043288442
44815 Alameda Ave(915) 544-1200Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation:Anesthesia Associates ofEl PasoBoard Certifications:AnesthesiologyLin, Steven C MDGender: MaleNPI: 1720041692
4
U2930 N Stanton St(915) 271-4569
4
U125 W Castellano Dr(915) 532-8200Hospital Affiliations: ElPaso Ctr GastrointestinalEndo; HospitalsProvidence East Campus;Longview Regional MedicalCenter; Paso Del NorteSurgery Center; SurgicalCenter of El PasoClinic Affiliation: BhsPhysicians Network Inc; ElPaso Ams PLLCBoard Certifications:None
Lozano, Hector MDGender: MaleNPI: 1093811713
♿41755 Currie DriveSte A(915) 772-2617♿150 S Resler Dr(915) 595-4375♿1400 Common Dr(915) 595-4375Hospital Affiliations: ElPaso Ctr GastrointestinalEndo; El Paso SpecialtyHospital LTD; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus;Longview Regional MedicalCenter; Medical ArtsSurgery Center; Paso DelNorte Surgery Center;Surgical Center of El PasoClinic Affiliation:Southwest AnesthesiaGroup; Southwest EyeInstituteBoard Certifications:NoneLanguage: SpanishMancone, Angelica MDGender: FemaleNPI: 1285054197
4
U4815 Alameda Ave(706) 650-0705Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:Anesthesia Associates ofEl PasoBoard Certifications:None
Moreno, Joseph A MDGender: MaleNPI: 1629142864
4
U125 W Castellano Dr(915) 532-8200Hospital Affiliations: ElPaso Ctr GastrointestinalEndo; Foundation SurgicalHosp El Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Longview Regional MedicalCenter; Paso Del NorteSurgery Center; SurgicalCenter of El PasoClinic Affiliation: El PasoAms PLLCBoard Certifications:NoneMorris, Russell R MDGender: MaleNPI: 1568736114
4
U125 W Castellano Dr(915) 532-8200Hospital Affiliations: ElPaso Ctr GastrointestinalEndo; El Paso SpecialtyHospital LTD; LongviewRegional Medical Center;Paso Del Norte SurgeryCenter; Surgical Center ofEl Paso; University MedicalCenter El PasoClinic Affiliation: El PasoAms PLLCBoard Certifications:NoneMurillo, Tomas MDGender: MaleNPI: 1043218290
♿4
U
10301 Gateway West(915) 577-0111Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: El PasoAnesthesiology ServicesPABoard Certifications:NoneLanguage: Spanish
Navejas, Elizabeth MDGender: FemaleNPI: 1265761845
4
U125 W Castellano Dr(915) 532-8200Hospital Affiliations: DelSol Camp Lpdsh; El PasoCtr Gastrointestinal Endo;Las Palmas Camp Lpdsh;Longview Regional MedicalCenter; Paso Del NorteSurgery Center; SurgicalCenter of El PasoClinic Affiliation: El PasoAms PLLCBoard Certifications:None
u Negrete, Margaret DOGender: FemaleNPI: 1033107479
4
U2930 N Stanton St(915) 271-4569
4
U4815 Alameda Ave(706) 650-0705Hospital Affiliations: ElPaso Specialty HospitalLTD; Hospitals ProvidenceEast Campus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Longview Regional MedicalCenter; Surgical Center ofEl Paso; University MedicalCenterClinic Affiliation:Anesthesia Associates ofEl Paso; Bhs PhysiciansNetwork IncBoard Certifications:AnesthesiologyNelson, Jess T MDGender: MaleNPI: 1558518985
41300 Murchison DrSte 200(915) 225-7604Hospital Affiliations: ElPaso Day Surgery LLC;Hosps of Providence SierraCampusClinic Affiliation:Toucamp Foundation IncBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
91
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANESTHESIOLOGY(continued)
u Okada, Ken MDGender: MaleNPI: 1679566715
♿4
U
10301 Gateway West(915) 577-0111Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp LpdshClinic Affiliation: El PasoAnesthesiology ServicesPABoard Certifications:AnesthesiologyOrtiz, Ivan A MDGender: MaleNPI: 1720184401
42930 N Stanton St(915) 271-4569Hospital Affiliations:Hospitals Providence EastCampus; HospsProvidence MemorialCampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneOyediran, Babatunde OMDGender: MaleNPI: 1639432107
410301 Gateway Blvd WSte 120(915) 595-9000Hospital Affiliations:Christus Spohn Hos CctxShoreline; Del Sol CampLpdsh; Doctors Hospital atRenaissance; HarlingenMedical Center LPClinic Affiliation: WestStar Anesthesia ServicesPABoard Certifications:None
u Patton, Samuel H MDGender: MaleNPI: 1932160736
41755 Curie Dr(915) 540-4864Hospital Affiliations: ElPaso Ctr GastrointestinalEndo; Longview RegionalMedical Center; MedicalArts Surgery Center; PasoDel Norte Surgery Center;Surgical Center of El PasoClinic Affiliation: El PasoAms PLLCBoard Certifications:AnesthesiologyPorta, Kendra J MDGender: FemaleNPI: 1588898308
43280 Joe Battle Blvd(915) 271-4569Hospital Affiliations:Hospitals Providence EastCampus; HospsProvidence MemorialCampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NonePritchard, David G MDGender: MaleNPI: 1558339465
4
U4815 Alameda Ave(706) 650-0705Hospital Affiliations:University Medical CenterClinic Affiliation:Anesthesia Associates ofEl PasoBoard Certifications:None
u Raphael, Leonard S MDGender: MaleNPI: 1609987916
4
U4815 Alameda Ave(706) 650-0705Hospital Affiliations:Bs&w Medical CenterHillcrest; Central TexasEndoscopy Center; StJoseph Regional HealthCenter; The PhysiciansCentre; University MedicalCenter El Paso; ValleyRegional Medical CenterClinic Affiliation:Anesthesia Associates ofEl PasoBoard Certifications:AnesthesiologyReza Trujillo, Cesar MDGender: MaleNPI: 1043281744
4
U125 W Castellano Dr(915) 532-8200Hospital Affiliations: ElPaso Ctr GastrointestinalEndo; Laredo MedicalCenter; Longview RegionalMedical Center; Paso DelNorte Surgery Center;Surgical Center of El PasoClinic Affiliation: El PasoAms PLLCBoard Certifications:NoneRivera, Efrain MDGender: MaleNPI: 1780780858
4
U125 W Castellano Dr(915) 532-8200Hospital Affiliations: ElPaso Ctr GastrointestinalEndo; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; LongviewRegional Medical Center;Paso Del Norte SurgeryCenter; Surgical Center ofEl PasoClinic Affiliation: El PasoAms PLLCBoard Certifications:None
Rodriguez, David F MDGender: MaleNPI: 1093072241
42930 N Stanton St(915) 271-4569Hospital Affiliations:Hospitals Providence EastCampus; HospsProvidence MemorialCampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneRubio, Ruby N MDGender: FemaleNPI: 1689865875
4
U125 W Castellano Dr(915) 532-8200Hospital Affiliations: DelSol Camp Lpdsh; El PasoCtr Gastrointestinal Endo;Las Palmas Camp Lpdsh;Longview Regional MedicalCenter; Paso Del NorteSurgery Center; SurgicalCenter of El PasoClinic Affiliation: El PasoAms PLLCBoard Certifications:None
u Ruiz, Javier MDGender: MaleNPI: 1811094147
42930 N Stanton St(915) 271-4569Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: BhsPhysicians Network IncBoard Certifications:Anesthesiology
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
92
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANESTHESIOLOGY(continued)
u Shah, Arjav J MDGender: MaleNPI: 1063473700
42930 N Stanton St(915) 271-4569Hospital Affiliations:Bs&w Medical CenterPlano; HospitalsProvidence East Campus;Medical City PlanoClinic Affiliation: BhsPhysicians Network IncBoard Certifications:AnesthesiologyShydohub, Alexander VMDGender: MaleNPI: 1801850649
4
U4815 Alameda Ave(706) 650-0705Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:Anesthesia Associates ofEl PasoBoard Certifications:None
u Spraitzar, Sarah R MDGender: FemaleNPI: 1467694307
4
U1900 Denver Ave(915) 544-4000
4
U4815 Alameda Ave(706) 650-0705
4
U125 W Castellano Dr(915) 532-8200Hospital Affiliations: ElPaso Ctr GastrointestinalEndo; Longview RegionalMedical Center; Paso DelNorte Surgery Center;Surgical Center of El Paso;University Medical Center;University Medical CenterEl PasoClinic Affiliation:Anesthesia Associates ofEl Paso; El Paso AmsPLLC; Joel Ehler andAssociates PLLCBoard Certifications:Anesthesiology
u Teegarden, Ernest A DOGender: MaleNPI: 1033281241
4
U125 W Castellano Dr(915) 532-8200Hospital Affiliations: ElPaso Ctr GastrointestinalEndo; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; LongviewRegional Medical Center;Paso Del Norte SurgeryCenter; Surgical Center ofEl PasoClinic Affiliation: El PasoAms PLLCBoard Certifications:AnesthesiologyUrias, Jorge A MDGender: MaleNPI: 1750359865
4
U1801 N Oregon St.(915) 521-1200Hospital Affiliations: LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: WestStar Anesthesia ServicesPABoard Certifications:None
u Vadi Latiff, V H MDGender: FemaleNPI: 1699850586
♿45959 Gateway Blvd WSte 120(915) 771-7261Hospital Affiliations: ElPaso Day Surgery LLC;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: VHelena Vadi Latiff MD PABoard Certifications:AnesthesiologyLanguage: Spanish
Villa Royval, Silvia M MDGender: FemaleNPI: 1649407974
4
U4815 Alameda Ave(706) 650-0705Hospital Affiliations: LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation:Anesthesia Associates ofEl PasoBoard Certifications:None
u Villarreal, Jose L MDGender: MaleNPI: 1548231848
♿5652 N Mesa St(915) 351-1155Hospital Affiliations: EastEl Paso Surgery Center;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; SurgicalCenter of El PasoClinic Affiliation: JoseLuis Villarreal MD PABoard Certifications:Anesthesiology; PainManagementLanguage: Spanish
u Wadhwa, Mukesh N DOGender: MaleNPI: 1184819203
4
U2930 N Stanton St(915) 271-4569
4
U125 W Castellano Dr(915) 532-8200Hospital Affiliations: ElPaso Ctr GastrointestinalEndo; HospitalsProvidence East Campus;Longview Regional MedicalCenter; Paso Del NorteSurgery Center; SurgicalCenter of El Paso; WiseHealth SystemClinic Affiliation: BhsPhysicians Network Inc; ElPaso Ams PLLCBoard Certifications:Anesthesiology
Warfel, Joel W MDGender: MaleNPI: 1518371954
4
U4815 Alameda Ave(706) 650-0705
4
U2000 A Transmountain Rd(915) 215-5666
4
U125 W Castellano Dr(915) 532-8200Hospital Affiliations: ElPaso Ctr GastrointestinalEndo; Hosps of ProvidenceTransmountain; LongviewRegional Medical Center;Paso Del Norte SurgeryCenter; Surgical Center ofEl Paso; University MedicalCenterClinic Affiliation:Anesthesia Associates ofEl Paso; El Paso AmsPLLC; TX Tech Univ HlthSci Ctr El PasoBoard Certifications:None
u White, Ronald L MDGender: MaleNPI: 1487677944
4
U4815 Alameda Ave(706) 650-0705Hospital Affiliations:Covenant Health System;University Medical CenterEl PasoClinic Affiliation:Anesthesia Associates ofEl PasoBoard Certifications:Anesthesiology
u Wyant, Glen R MDGender: MaleNPI: 1821139510
4
U4815 Alameda Ave(706) 650-0705Hospital Affiliations:Cook Childrens MedicalCenter; Medical CityDallas; Medical City LasColinas; San AntonioGastroenterologyEndoscopy Center; TX HlthHarris Methodist Hosp FW;University Medical CenterClinic Affiliation:Anesthesia Associates ofEl PasoBoard Certifications:Anesthesiology
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
93
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANP/CERT/CLNPAcevedo, Maria M APNGender: FemaleNPI: 11840143913270 Joe Battle BlvdSte 312(915) 849-2700Clinic Affiliation: TexasOncology PABoard Certifications:NoneLanguage: SpanishAcosta, Astrid APNGender: FemaleNPI: 1558790287
♿5160 El Paso Dr(915) 774-2550♿2260 Trawood Dr(915) 591-4632♿1721 N Lee Trevino Dr(915) 590-9424Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneAcosta, Jessica M APNGender: FemaleNPI: 1972958676501 N Yarbrough DrBldg B(915) 595-18442260 Trawood Dr(915) 591-4632Clinic Affiliation: WellmedMedical Group PABoard Certifications:None
Aguilar-Hernandez, P APNGender: FemaleNPI: 1255994174810 E Redd Rd Ste D(915) 298-100810870 Gateway Blvd NSte B(915) 751-52454659 Cohen Ave Unit A(915) 217-1140181 Gus Rallis Dr(915) 242-03391570 Lomaland Dr Ste A(915) 590-45551512 N Zaragoza Rd Ste A1(915) 855-7700Clinic Affiliation: ClinicasMI DoctorBoard Certifications:NoneAhedor, Princess K APNGender: FemaleNPI: 12154019061600 Medical Center DrSte 400(915) 217-2163Clinic Affiliation: RaduCiubuc MD PABoard Certifications:NoneAlarcon, Maria T APNGender: FemaleNPI: 1467456913
♿5160 El Paso Dr(915) 774-2550♿501 N Yarbrough DrBldg B(915) 595-1844♿2260 Trawood Dr(915) 591-4632Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: SpanishAlbidres, Diana APNGender: FemaleNPI: 19324159571521 Joe Battle Blvd(915) 521-2200Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
Alcala, Shirlina L APNGender: FemaleNPI: 1184865107
♿10870 Gateway NorthSte B(915) 751-5245Clinic Affiliation: HelenaH Liptakova MD PLLCBoard Certifications:NoneLanguage: SpanishAlcantar, Laura E APNGender: FemaleNPI: 14173466936000 Northern Pass DrSte A100(915) 600-2905211 Bartlett DrSte 102(915) 600-29051671 N Zaragoza Rd Ste B(915) 996-5210Clinic Affiliation: TexasIntegrative Medicine andCABoard Certifications:None
u Alford, Brie B APNGender: FemaleNPI: 14475463871600 Montana Ave(915) 599-6670Clinic Affiliation:Emergence Health NetworkBoard Certifications:ANP/CERT/CLNPLanguage: SpanishAli, Ahtesham APNGender: MaleNPI: 13569881172311 N Mesa StSte A(915) 974-22007100 Westwind DrSte 300(915) 974-22002270 Joe Battle BlvdSte Q(915) 974-2200Clinic Affiliation: HerekarLLCBoard Certifications:None
Almodovar, Jesus M APNGender: MaleNPI: 16193155461721 N Lee Trevino Dr(915) 590-9424Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneAloeyi, Marie C APNGender: FemaleNPI: 17801579093215 Gateway Blvd W(915) 598-724612200 Paseo Nuevo Dr(915) 598-72467825 N Mesa St(915) 598-7246Clinic Affiliation: El PasoPain Center PABoard Certifications:NoneAlvarez, Kelly A APNGender: FemaleNPI: 1215236831
♿U6600 N Desert Blvd(915) 521-2210Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneAlvarez, Tanya L APNGender: FemaleNPI: 10538543074845 Alameda Ave(915) 215-5700Hospital Affiliations: ElPaso Childrens HospitalClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
94
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANP/CERT/CLNP(continued)Amparan, Ramon APNGender: MaleNPI: 1134412398
♿721 S Ochoa St(915) 545-7090♿815 E Yandell(915) 351-1557♿200 Lisbon St(915) 778-9200Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: SpanishAnaya, Gerardo APNGender: MaleNPI: 10132442431721 N Lee Trevino Dr(915) 590-9424Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: SpanishAndujo, Stefany APNGender: FemaleNPI: 14871224872260 Trawood Dr(915) 591-4632Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneAnzures, Juan E APNGender: MaleNPI: 1417464736725 S Mesa Hills DrBldg 1 Ste 1(915) 887-3414Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneLanguage: Spanish
Araiza Mitro, Anette APNGender: FemaleNPI: 1619474061
♿3215 Gateway Blvd W(915) 598-7246♿12200 Paseo Nuevo Dr(915) 598-7246♿7825 N Mesa St(915) 598-7246Clinic Affiliation: El PasoPain Center PABoard Certifications:NoneLanguage: SpanishArellano, Monica APNGender: FemaleNPI: 1154968733
U1900 N Oregon StSte 500(915) 544-8844
U12350 Montwood DrSte 300(915) 231-6224Clinic Affiliation: El PasoFamily and Pediatric ClinBoard Certifications:NoneArmendariz, Jennifer LAPNGender: FemaleNPI: 15383092247848 Gateway E(915) 599-1313Clinic Affiliation: TexasOncology PABoard Certifications:NoneArntson, Nels C APNGender: MaleNPI: 1558517011
410301 Gateway Blvd W(713) 960-8008Hospital Affiliations: StDavids GeorgetownHospital; St Davids MedicalCenter; St Joseph MedicalCenterClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:None
Ayala, Mary A APNGender: FemaleNPI: 19024652893612 Pera Ave(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneAyub, Gisela APNGender: FemaleNPI: 19325486331600 Montana Ave(915) 599-4700Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneLanguage: Spanish
u Baca, Bryan M APNGender: MaleNPI: 14871033701101 Rim RdSte 300(915) 594-592510640 Gateway NSte B(915) 307-463110555 Vista Del SolSte 200(915) 594-5925Clinic Affiliation: El PasoPrimary Care PLLC; EliteOrthopaedics of El Paso PllBoard Certifications:ANP/CERT/CLNPBaeza, Andres APNGender: MaleNPI: 10034541741551 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneLanguage: Spanish
u Baeza, Ramona APNGender: FemaleNPI: 16890021801000 N Mesa St(915) 533-1960Clinic Affiliation: BhsPhysicians Network IncBoard Certifications:ANP/CERT/CLNPLanguage: English;Spanish
u Bakuya Orona, Yuki APNGender: FemaleNPI: 160904165611040 Vista Del SolSte A(915) 591-4624Clinic Affiliation: LasPalamas Medical CenterBoard Certifications:ANP/CERT/CLNPLanguage: American Sign;SpanishBalderrama, HumbertoAPNGender: MaleNPI: 1215441886125 W Hague RdSte 500(915) 351-72001250 E Cliff DrSte 2b(915) 351-7200Clinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneBatista, Christopher AAPNGender: MaleNPI: 1245566108
♿4532 N Mesa StFloor 2(915) 544-0326♿1400 George DieterSte 240(915) 544-0326Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: El PasoIntegrated PhysicianBoard Certifications:NoneLanguage: Spanish
u Becker, Paloma A APNGender: FemaleNPI: 11144411777420 Remcon Circle(915) 532-8823Clinic Affiliation: RioGrande Urology PABoard Certifications:ANP/CERT/CLNP
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
95
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANP/CERT/CLNP(continued)Beltran, Erika APNGender: FemaleNPI: 1659658839181 Gus Rallis Dr(915) 242-0339Clinic Affiliation: ClinicasMI DoctorBoard Certifications:NoneBenavides, Amorette CAPNGender: FemaleNPI: 1952762916181 Gus Rallis Dr(915) 242-0339Clinic Affiliation: ClinicasMI DoctorBoard Certifications:NoneLanguage: SpanishBenedict, Linda O APNGender: FemaleNPI: 12750799312260 Trawood Dr(915) 591-4632Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneBermudez, Norma APNGender: FemaleNPI: 16991357804801 Alberta Ave(915) 215-5700Hospital Affiliations: ElPaso Childrens HospitalClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
u Birkhimer, Haydee V APNGender: FemaleNPI: 14970467911720 Murchison Dr(915) 534-12169398 Viscount BlvdBldg 4 Ste C(915) 594-1033Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: El PasoSpecialty Physicians;Family Med Assoc of ElPasoBoard Certifications:ANP/CERT/CLNPLanguage: Spanish
u Bohlmann, Vilma F APNGender: FemaleNPI: 16293402291700 N Oregon StSte 520(915) 533-5600Clinic Affiliation: UnifiedWomen's Healthcare ofTexBoard Certifications:ANP/CERT/CLNPLanguage: SpanishBravo, Elizabeth H APNGender: FemaleNPI: 17001637484659 Cohen AveSte A(915) 217-11404659 Cohen Dr Ste B(915) 217-1140Clinic Affiliation: ClinicasMI DoctorBoard Certifications:NoneLanguage: Spanish
u Briffa, Timo APNGender: MaleNPI: 14376622027420 Remcon CircleBldg A(915) 532-8823Clinic Affiliation: RioGrande Urology PABoard Certifications:ANP/CERT/CLNPLanguage: Spanish
u Burillo, Lorena A APNGender: FemaleNPI: 1548290307
U4659 Cohen AveSte A(915) 577-112511163 La Quinta PlaceSte 200(915) 595-1811
U1671 N ZaragozaSte A(915) 595-5439Clinic Affiliation: FemiDavid Iwaloye MD PA; GrDallas Hlthcare EnterprisesBoard Certifications:ANP/CERT/CLNPLanguage: SpanishBustillos, Daniel APNGender: MaleNPI: 18811821601600 Montana Ave(915) 887-34109440 Viscount Ste 100(915) 249-6639Clinic Affiliation: El PasoMental Health LLC;Emergence Health NetworkBoard Certifications:NoneButler, Jacob I APNGender: MaleNPI: 15981604911906 Denver Ave(915) 544-4000Clinic Affiliation: ButlerBehavioral Health PLLCBoard Certifications:NoneLanguage: SpanishCabrera, Yadira I APNGender: FemaleNPI: 127506832210640 Gateway Blvd NSte B(915) 307-4631Clinic Affiliation: El PasoPrimary Care PLLCBoard Certifications:None
u Campos, Cynthia APNGender: FemaleNPI: 1972792737310 S Mesa Hills DrSte B(915) 351-7546Clinic Affiliation:Epiphany Dermatology PABoard Certifications:ANP/CERT/CLNPCampos, Erica APNGender: FemaleNPI: 11142549271250 E Cliff DrSte 1c(915) 351-72001580 Lomaland Dr(915) 313-6300Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneCapouch, Juanita J APNGender: FemaleNPI: 1578745998
♿501 N Yarbrough DrBldg B(915) 595-1844Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: Spanish
u Cappelluti, Lenore APNGender: FemaleNPI: 15886699231000 N Mesa Street(915) 533-1960Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:ANP/CERT/CLNP
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
96
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANP/CERT/CLNP(continued)Caro, Miguel A APNGender: MaleNPI: 1598936718
4
U1030 N Zaragoza RdSte X(915) 881-4155
49740 Dyer StSte 111(915) 500-5030
U9740 Dyer St Ste 111 112(915) 500-5030Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Dominion Medical ServicesPLLC; Health ManagementCare PA; North East FamilyClinic PABoard Certifications:NoneLanguage: SpanishCarrillo Blanco, BeatrizAPNGender: FemaleNPI: 1538396924
U1225 E Cliff DrBldg 3 Ste 100(915) 239-29551900 Denver Ave(915) 544-40001900 Denver Ave(915) 544-40001390 Northwestern Dr(915) 541-5324725 S Mesa Hills DrBuilding 1 Suite 1(915) 887-3410Clinic Affiliation:Emergence HealthNetwork; Hatem Nour MDPA; La Familia Del PasoInc; Osvaldo Gaytan Jr MDPABoard Certifications:NoneLanguage: Spanish
u Carrillo, Carlos A APNGender: MaleNPI: 12255916621755 Curie DrSte C(915) 533-74652000 Trans Mountain RdSte 120 A and B(915) 671-38381575 N Resler DrSte D(915) 271-45697420 Remcon Cir Ste A2(915) 534-12883100 N Lee Trevino DrSte B(915) 533-74652204 E Joe Battle Blvd(915) 271-4569Hospital Affiliations:Hosps of Providence SierraCampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:ANP/CERT/CLNP
u Carrillo, Esteban APNGender: MaleNPI: 13568920204875 Maxwell Ave(915) 313-99083612 Pera Ave(915) 533-705714900b Greg Dr(915) 857-2638Clinic Affiliation: ProjectVida Health CenterBoard Certifications:ANP/CERT/CLNPLanguage: Spanish
Castaneda, Kayla E APNGender: FemaleNPI: 1174773857101 Rim RdSte 100(915) 351-1444101 Rim Rd Ste 300(915) 594-59257420 Remcon Cir Bldg CSte 150(915) 532-8823Hospital Affiliations: DelSol Camp Lpdsh; El PasoSpecialty Hospital LTD;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: LasPalamas Medical Center;Rio Grande Urology PABoard Certifications:NoneLanguage: SpanishCastaneda, Miranda JAPNGender: FemaleNPI: 18619769956065 Montana Ste A 2(915) 771-7200Clinic Affiliation: E PPremier Medical Group PABoard Certifications:NoneLanguage: SpanishCastrellon, Demetria AAPNGender: FemaleNPI: 12758824584801 Alberta Ave(915) 215-5900Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
Castro, Lizbeth V APNGender: FemaleNPI: 16092721522000b Transmountain Rd(915) 215-8400Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneCelis, Francisco APNGender: MaleNPI: 1518141233
♿8820 Gateway Blvd N(915) 759-7700Clinic Affiliation:Mountain ViewDermatology PABoard Certifications:NoneLanguage: Spanish
u Chaparro, Claudia APNGender: FemaleNPI: 1578790291
♿6044 Gateway Blvd ESte 605(915) 307-4688Clinic Affiliation: SunnySolutions PLLCBoard Certifications:ANP/CERT/CLNPLanguage: SpanishChavarria, Tanya A APNGender: FemaleNPI: 11044720341521 Joe Battle Blvd(915) 521-2200Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: SpanishChavez, Marcia APNGender: FemaleNPI: 1235408287
♿700 S Ochoa St(915) 545-4550♿823 E Yandell(915) 545-7205♿200 Lisbon St(915) 545-6140Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
97
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANP/CERT/CLNP(continued)Chavez, Sylvia APNGender: FemaleNPI: 1164679536300 S Zaragoza(915) 790-5717Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Latin; SpanishChawla, Loveleen APNGender: FemaleNPI: 19529415441900 Denver Ave(915) 544-4000Clinic Affiliation: MindCare PsychiatryConsultantsBoard Certifications:NoneChukwura, Damaris DAPNGender: FemaleNPI: 19921009031600 Montana Ave(915) 599-6670Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneLanguage: SpanishClark, Joanne B APNGender: FemaleNPI: 1407288475300 S Zaragoza Ave(915) 790-5700Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:None
Clippard, Doris A APNGender: FemaleNPI: 1669428116
♿U1208 Myrtle Ve(915) 351-8972♿1600 Montana Ave(915) 533-8398♿U8061 Alameda Ave(915) 859-7545♿10780 Pebble Hills BlvdSte G 1(915) 773-0606Clinic Affiliation: CentroSan VicenteBoard Certifications:NoneLanguage: American Sign;SpanishColker, Marcus A APNGender: MaleNPI: 1255802179
♿10470 Vista Del SolSte 216(915) 591-2000Clinic Affiliation: StsSurgeons PLLCBoard Certifications:NoneConcha, Isabel G APNGender: FemaleNPI: 12950795723100 Lee Trevino Ste G(915) 592-7400Clinic Affiliation: RioGrande Urology PABoard Certifications:NoneLanguage: SpanishContreras, Valerie APNGender: FemaleNPI: 1538670468
U1225 E Cliff DrBldg 3 Ste 100(915) 239-2955
U6090 Surety DrSte 304(915) 799-84169440 Viscount Ste 100(915) 249-6639Clinic Affiliation: El PasoMental Health LLC; LaFamilia Del Paso Inc;Mental Healthy andWellness ColleBoard Certifications:NoneLanguage: Spanish
Cosby, Eladia APNGender: FemaleNPI: 1639603657299 Shadow Mountain DrSte C(915) 581-64057812 Gateway Blvd ESte 230(915) 592-82237812 Gateway E BlvdSte 230(915) 592-8223Clinic Affiliation: EduardoM De Jesus MD PA; FamilyMedicine of West TexasPll; Xavier J Munoz DO PABoard Certifications:NoneCoulehan, Sylvia A APNGender: FemaleNPI: 12454225184824 Alberta Ave Ste 207(915) 521-77317848 Gateway East(915) 599-13133270 Joe Battle BlvdSte 312(915) 849-2700Clinic Affiliation: TexasOncology PA; UniversityMed Ctr of El PasoBoard Certifications:NoneLanguage: Spanish
u Cubela, Lynn APNGender: FemaleNPI: 10731676154305 N Mesa StSte A(915) 532-2477Clinic Affiliation: El PasoPulmonary AssocBoard Certifications:ANP/CERT/CLNP
u El Paso PulmonaryAssociationGender: FemaleNPI: 10731676159999 Kenworthy StSte B(915) 757-62801865 N Lee Trevino Dr(915) 590-1994Clinic Affiliation: El PasoPulmonary AssocBoard Certifications:ANP/CERT/CLNP
Dalimata, Timothy J APNGender: MaleNPI: 10234389262931 Montana Ave Ste A(915) 562-4246Clinic Affiliation: Sun CityMedical Practice PABoard Certifications:NoneDandam, Yachit R CNMGender: FemaleNPI: 18215647174801 Alberta Ave(915) 215-5000Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
u Dand, Patricia M APNGender: FemaleNPI: 15588220154301 N Mesa St Ste 100(915) 532-6767Clinic Affiliation: El PasoCardiology Associates PABoard Certifications:ANP/CERT/CLNPDavis, Krista R APNGender: FemaleNPI: 13165077182000 TransmountainSte 200(915) 271-4586Clinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneLanguage: SpanishDavis, Nicole E APNGender: FemaleNPI: 1477785038125 W Hague RdSte 400(915) 320-38549870 Gateway Blvd NSte A(915) 577-112511163 La Quinta(469) 893-6358Clinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
98
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANP/CERT/CLNP(continued)
u Dela Cruz De Jesus,Michael R APNGender: MaleNPI: 11346470354801 Alberta Ave(915) 215-5300Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:ANP/CERT/CLNPLanguage: SpanishDelacruz, Susan APNGender: FemaleNPI: 17600302906600 N Desert Blvd(915) 521-2210Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:None
u Denning Maldonado,Monica M APNGender: FemaleNPI: 1992001077
♿3215 Gateway Blvd W(915) 598-72464545 N Mesa St(915) 598-7246♿12200 Paseo Nuevo Dr(915) 598-7246♿7825 N Mesa St(915) 598-7246Clinic Affiliation: El PasoPain Center PA; El PasoPrimary Care AssociatesBoard Certifications:ANP/CERT/CLNPLanguage: Spanish
Denson, Suzanne APNGender: FemaleNPI: 14972334644305 N Mesa St Ste A(915) 532-24779999 Kenworthy Ste B(915) 575-62801865 N Lee Trevino(915) 590-1994Clinic Affiliation: El PasoPulmonary AssocBoard Certifications:NoneDiaz, Roger APNGender: MaleNPI: 18114851549440 Viscount Ste 100(915) 249-6639Clinic Affiliation: El PasoMental Health LLCBoard Certifications:NoneDiaz, Thelma E APNGender: FemaleNPI: 17404048623270 Joe Battle BlvdSte 160(915) 832-2831Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation:Southwest CollaborativeHealthcarBoard Certifications:NoneLanguage: Spanish
u Dibenedetto, AmandaAPNGender: FemaleNPI: 1972810976310 S Mesa Hills Dr Ste B(915) 351-7546Clinic Affiliation:Epiphany Dermatology PABoard Certifications:ANP/CERT/CLNP
Doctor, Melissa J APNGender: FemaleNPI: 1114414430
U1390 Northwestern Dr(915) 503-19592400 Trawood DrSte 301(915) 887-3410Clinic Affiliation:Emergence HealthNetwork; Mind CarePsychiatry ConsultantsBoard Certifications:NoneDominguez, Charlie APNGender: MaleNPI: 11548834864824 Alberta Ave4th Floor(915) 521-7731Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneDominguez, GuadalupeAPNGender: FemaleNPI: 15182900224801 Alberta Ave(915) 545-6560Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneDominguez, Victor I APNGender: MaleNPI: 1447688981
♿1700 E Cliff Dr Bldg ASte 200(915) 577-9009Clinic Affiliation: EdwardR Assi DO PABoard Certifications:NoneLanguage: SpanishDorman, Katherine J APNGender: FemaleNPI: 1336601210
U1671 N Zaragoza Ste B(915) 996-5210Clinic Affiliation: EastsideFamily Care Center IncBoard Certifications:NoneLanguage: English
Dungan, Brenda APNGender: FemaleNPI: 19720456801221 N Cotton Ste 3(956) 546-58913615 Rutherglen St(915) 772-5400Clinic Affiliation: NewLight Primary Care PA;Physicians Unity PABoard Certifications:ANP/CERT/CLNPDunn, Irene L APNGender: FemaleNPI: 1861874729
U1900 Denver Ave(915) 544-40007760 Alabama St(915) 757-7999♿6028 Surety Dr(915) 544-3500♿U1219 Barranca(915) 779-5600Clinic Affiliation: GenesisYour First Step PLLC;Sunwest BehavioralAssociate PABoard Certifications:NoneLanguage: American Sign;SpanishDuque, Abel APNGender: MaleNPI: 1962915223
U5080 Powder River Ln(915) 330-0794Clinic Affiliation: El PasoAdvance Practice ProviderBoard Certifications:None
u Duran, Allison L APNGender: FemaleNPI: 17306541871250 E Cliff Dr Ste 1c(915) 351-7200Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:ANP/CERT/CLNP
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
99
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANP/CERT/CLNP(continued)Eddy, Nelda L APNGender: FemaleNPI: 17301005124845 Alameda Ave(915) 298-5444Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: El PasoChildrens Physician GroupBoard Certifications:NoneElevazo, Jhoanne C APNGender: FemaleNPI: 1831641737221 N Kansas StreetSuite 700(281) 888-8999Clinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:None
u Emejulu, Izuchukwu MAPNGender: MaleNPI: 1750821104
U6028 Surety Dr(915) 544-3500Clinic Affiliation: SunwestBehavioral Associate PABoard Certifications:ANP/CERT/CLNPLanguage: SpanishEnriquez, Janice A APNGender: FemaleNPI: 195287853013001 Eastlake BlvdSte 105(915) 248-2345Clinic Affiliation:Transmountain PrimaryCare PABoard Certifications:None
u Enriquez, Julio A APNGender: MaleNPI: 16899819041600 Montana Ave(915) 351-4635Clinic Affiliation:Emergence Health NetworkBoard Certifications:ANP/CERT/CLNP
u Espinosa, Ivonne APNGender: FemaleNPI: 1194151217725 S Mesa Hills Dr Ste 1(915) 887-3414Clinic Affiliation:Emergence Health NetworkBoard Certifications:ANP/CERT/CLNPLanguage: SpanishEstrada, Cynthia H APNGender: FemaleNPI: 11547510064659 Cohen Ave Ste C(915) 777-7207Clinic Affiliation:Southwest Hcp Access PABoard Certifications:NoneLanguage: Spanish
u Farness, Judy L APNGender: FemaleNPI: 125543164911525 Vista Del Sol(915) 855-3636Board Certifications:ANP/CERT/CLNPLanguage: SpanishFierro, Alejandra APNGender: FemaleNPI: 10134759122201 N Stanton St(915) 533-0800Clinic Affiliation: RioGrande Urology PABoard Certifications:None
u Fiske, Haydee APNGender: FemaleNPI: 1265758445
♿3215 Gateway Blvd W(915) 598-7246♿12200 Paseo Nuevo Dr(915) 598-7246♿7825 N Mesa(915) 598-7246Clinic Affiliation: El PasoPain Center PABoard Certifications:ANP/CERT/CLNPLanguage: Spanish
u Flores Lopez, Claudia SAPNGender: FemaleNPI: 1154826733
U125 W Hague RdSte 180(915) 317-16604532 N Mesa StSte 2a(915) 544-0326Clinic Affiliation:American Arthritis andRheumatolo; El PasoIntegrated Physician;Texas Arthritis Center PABoard Certifications:ANP/CERT/CLNPLanguage: SpanishFlores, Daniel L APNGender: MaleNPI: 1972002764
U1485 George DieterSte 107(915) 790-5700
U1521 Joe Battle Blvd(915) 521-2200Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneFlores, Sandra APNGender: FemaleNPI: 19720359054824 Alberta Ave4th Floor(915) 521-7731Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:None
Flores, Sandra R APNGender: FemaleNPI: 16294374471600 Medical Center DrSte 101(915) 544-1350Clinic Affiliation:Southwest Ear Nose &Throat Consult PABoard Certifications:None
u Flores, Soledad APNGender: FemaleNPI: 1790085439
U3612 Pera Ave(915) 533-7057Hospital Affiliations: ElPaso Psychiatric HospitalClinic Affiliation: ProjectVida Health CenterBoard Certifications:ANP/CERT/CLNPLanguage: SpanishFoster, Teresa K APNGender: FemaleNPI: 1316038540
♿U1733 Curie DrSte 103(915) 532-2985♿U2295 Trawood RdSte C(915) 532-2985Clinic Affiliation: CanalesRoberto MDBoard Certifications:NoneLanguage: SpanishFray, Sasha M APNGender: FemaleNPI: 1992288310221 N Kansas StreetSuite 700(281) 888-8999Clinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:NoneFuentes, Carlos APNGender: MaleNPI: 17406665692311 N Mesa St Bldg F(915) 544-6400Clinic Affiliation: TexasNeurodiagnostic HeadacBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
100
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANP/CERT/CLNP(continued)
u Fuller, Crystal E APNGender: FemaleNPI: 15688243736801 N Mesa StSte B3(915) 201-03381613 N Zaragoza RdSte 108(915) 201-0338Clinic Affiliation: AspireAllergy & SinusBoard Certifications:ANP/CERT/CLNP
Gaona, Maria D APNGender: FemaleNPI: 1770083560
♿1626 Medical Center Dr(915) 533-7057♿3501 Hueco Ave(915) 533-7057♿4875 Maxwell Ave(915) 313-9908♿3607 Rivera Ave(915) 533-7057♿3612 Pera Ave(915) 533-7057♿6040 Surety DrUnit 2(915) 533-7057♿1100 Colina De Paz(915) 533-7057♿150 Nonap Rd(915) 533-7057♿901 Ascencion St(915) 533-7057♿11700 School Ln(915) 533-7057♿11710 Pebble Hills Blvd(915) 533-7057♿12000 Montwood Dr(915) 533-7057♿14400 Pebble Hills Blvd(915) 533-7058♿14900 B Greg Drive(915) 857-2638♿2200 Sun Country Dr(915) 533-7057♿3216 Tim Foster St(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: Spanish
Garcia Ledesma, BrendaJ APNGender: FemaleNPI: 15587533434301 N Mesa StSte 100(915) 532-6767Hospital Affiliations:Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Las Palmas Camp LpdshClinic Affiliation: El PasoCardiology Associates PABoard Certifications:NoneGarcia, Erik APNGender: MaleNPI: 18811505062270 Joe Battle BlvdSte M(915) 855-7000Clinic Affiliation: BorderRegional Family MedicineBoard Certifications:NoneGarcia, Erika APNGender: FemaleNPI: 1477990364
♿700 S Ochoa St(915) 545-4550♿823 E Yandell(915) 545-7205♿200 Lisbon St(915) 778-9200Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: English;Spanish
u Garcia, Lupita APNGender: FemaleNPI: 12154877151250 E Cliff DrSte 5a(915) 532-1800300 S Zaragoza Rd(915) 790-57007878 Gateway Blvd ESte 204(915) 532-18004655 Cohen Ave(915) 532-1800Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: DunamisSurgical Centers PLLC;University Med Ctr of ElPasoBoard Certifications:ANP/CERT/CLNPLanguage: SpanishGarcia, Mayela G APNGender: FemaleNPI: 1912298175101 Rim RdSte 300(915) 594-592510640 Gateway Blvd NSte B(915) 594-592510555 Vista Del SolSte 200(915) 594-5925Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: EliteOrthopaedics of El Paso PllBoard Certifications:NoneLanguage: SpanishGoehring, Rose M APNGender: FemaleNPI: 1225531569221 N Kansas StreetSuite 700(281) 888-8999Clinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
101
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
ANP/CERT/CLNP(continued)Gomez, Maria S APNGender: FemaleNPI: 1558452524
♿U1721 N Lee Trevino Dr(915) 590-9424Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: SpanishGonzales, Lori A APNGender: FemaleNPI: 1972870178
U300 S Zaragoza(915) 790-5700
U1111 Hawkins BlvdSte 2a(915) 771-83466065 Montana Ste A 2(915) 771-7200Clinic Affiliation: E PPremier Medical Group PA;Joseph B Furlong MD PA;University Med Ctr of ElPasoBoard Certifications:NoneLanguage: SpanishGonzalez, Alvaro G APNGender: MaleNPI: 18211069641725 Brown St(915) 590-2225Clinic Affiliation:Southwest Neuro SpineInstitute PBoard Certifications:NoneLanguage: Spanish
Gonzalez, Maria E APNGender: FemaleNPI: 17506143763612 Pera Ave(915) 533-70574687 N Mesa StSte 100(915) 532-3119Clinic Affiliation:Albuquerque MinimallyInvasive Ur; Project VidaHealth CenterBoard Certifications:NoneLanguage: SpanishGonzalez, Ricardo APNGender: MaleNPI: 15089396877760 Alabama St(915) 887-34107760 Albama St(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneLanguage: SpanishGonzalez, Roberta A APNGender: FemaleNPI: 1669819108
♿9398 Viscount Blvd Bldg 4Ste C(915) 594-1033Clinic Affiliation: FamilyMed Assoc of El PasoBoard Certifications:NoneLanguage: SpanishGore, Jamye P APNGender: FemaleNPI: 14072287372260 Trawood(915) 591-4632Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneGrajeda, Veronica APNGender: FemaleNPI: 14778562274532 N Mesa StSte 2a(915) 544-0326Clinic Affiliation: El PasoIntegrated PhysicianBoard Certifications:NoneLanguage: Spanish
Green, Veronica M APNGender: FemaleNPI: 17103571816065 Montana Ste A 2(915) 771-7200Clinic Affiliation: E PPremier Medical Group PABoard Certifications:NoneLanguage: English;SpanishGriego, Annette APNGender: FemaleNPI: 1902093016
U1900 N Oregon StSte 500(915) 544-8844
U12350 MontwoodSte 300(915) 231-6224Hospital Affiliations:Hospitals Providence EastCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoFamily and Pediatric ClinBoard Certifications:NoneLanguage: SpanishGuerra, Adriane K APNGender: FemaleNPI: 1871629311
♿1600 N Lee TrevinoSte A 2(915) 440-0060Clinic Affiliation: El PasoWellness AssociatesBoard Certifications:NoneLanguage: SpanishGuerra, Francisco J APNGender: MaleNPI: 1770625808
♿1600 N Lee TrevinoSte A 2(915) 440-0060Clinic Affiliation: El PasoWellness AssociatesBoard Certifications:NoneLanguage: Spanish
Guerrero Heydarian,Rosalinda APNGender: FemaleNPI: 1255661237
♿4801 Alberta Ave(915) 215-5200Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: American Sign;SpanishGuevara, Iliana APNGender: FemaleNPI: 15284258651600 Medical Center DrSte 405(915) 533-66901600 N Oregon St(915) 532-2445Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneGuevara, Karla J APNGender: FemaleNPI: 1982253183114 W Castellano Dr(915) 532-3721Clinic Affiliation: The FootInstituteBoard Certifications:NoneGutierrez, Edith A APNGender: FemaleNPI: 14770295441440 George Dieter DrSte A(915) 591-4444Clinic Affiliation: Sun CityWomens Health CareBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
102
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
EL PASO (continued)
ANP/CERT/CLNP(continued)Gutierrez, Klaudia S APNGender: FemaleNPI: 160927296211026 Vista Del Sol(915) 593-5444Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PediatricHealth Centers of El PasoPABoard Certifications:NoneLanguage: SpanishGutierrez, Mario A APNGender: MaleNPI: 1427572577
♿U6028 Surety Dr(915) 544-3500Clinic Affiliation: SunwestBehavioral Associate PABoard Certifications:NoneLanguage: SpanishGutierrez, Moises A APNGender: FemaleNPI: 10832591475539 N Mesa St(915) 213-0900Clinic Affiliation:Pulmonary Sleep andAllergyBoard Certifications:NoneGutierrez, Raul J APNGender: MaleNPI: 1609143460
U4800 Alberta Ave(915) 215-5900Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneGutierrez, Sandra J APNGender: FemaleNPI: 16699372563100 Lee TrevinoSte G(915) 592-7400Clinic Affiliation: RioGrande Urology PABoard Certifications:None
Guzman, Maritza APNGender: FemaleNPI: 19428400873612 Pera Ave(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneHelmick, Lory J APNGender: FemaleNPI: 17608206902260 Trawood Dr(915) 591-46321721 N Lee Trevino Dr(915) 590-9424Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneHenderson, Lorena C APNGender: FemaleNPI: 1013286830
U4301 N Mesa Ste 100(915) 532-6767Clinic Affiliation: El PasoCardiology Associates PABoard Certifications:NoneHendrix, Lisa M APNGender: FemaleNPI: 12255703697430 Remcon Cir Bldg A(915) 584-0051Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneHernandez Bizouarn,Bruno APNGender: MaleNPI: 12356023011521 Joe Battle(915) 521-2200Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:None
Hernandez, FranciscoAPNGender: MaleNPI: 1538622980
U810 E Redd RdSte D(915) 298-100810870 Gateway Blvd NSte B(915) 751-52454659 Cohen AveSte A(915) 217-1140181 Gus Rallis Dr(915) 242-0339Clinic Affiliation: ClinicasMI DoctorBoard Certifications:NoneHernandez, Vanessa MAPNGender: FemaleNPI: 1992176614700 S Ochoa(915) 545-4550721 S Ochoa(915) 545-7090815 E Yandell(915) 351-1557823 E Yandell(915) 545-7205200 Lisbon(915) 545-61409870 Gateway N BlvdSte A1(915) 881-3368Clinic Affiliation: CentroDe Salud Familiar La FeInc; Gr Dallas HlthcareEnterprisesBoard Certifications:NoneHerrera, Amanda R APNGender: FemaleNPI: 12255782484801 Alberta Ave(915) 215-5400Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
Hinson, Jessica APNGender: FemaleNPI: 14172292209398 Viscount Bldg 4Ste C(915) 594-1033Clinic Affiliation: FamilyMed Assoc of El PasoBoard Certifications:NoneLanguage: SpanishHunter, Stephanie L APNGender: FemaleNPI: 13063562908041 N Mesa StSte B 2(915) 703-7270Clinic Affiliation: CountryClub Medical CenterBoard Certifications:NoneLanguage: SpanishInostroza, Monica APNGender: FemaleNPI: 1396206892181 Gus Rallis(915) 242-0339Clinic Affiliation: ClinicasMI DoctorBoard Certifications:None
u Isaac, Valentina APNGender: FemaleNPI: 12355950341600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:ANP/CERT/CLNPLanguage: American SignJacobs, Michael J APNGender: MaleNPI: 161912372610640 Gateway NSte B(915) 307-4631Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: El PasoPrimary Care PLLCBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
103
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANP/CERT/CLNP(continued)Jesse, Ann M APNGender: FemaleNPI: 1073562948
♿4824 Alberta Ave Fl 4(915) 521-7866Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: SpanishJin, Kate E APNGender: FemaleNPI: 1982260048
♿U3329 Montana Ave(915) 591-2704♿U400 Shadow Mountain(915) 591-2704♿U6974 Gateway Clinic(915) 591-2704♿U8030 North Loop(915) 591-2704♿U1335 Geronimo(915) 591-2704Clinic Affiliation: Salud YVida PABoard Certifications:NoneJohnson, Cara R APNGender: FemaleNPI: 1477899128
♿U1208 Myrtle Ave(915) 351-8972♿1600 Montana Ave(915) 533-8398♿U8061 Alameda Ave(915) 859-7545♿10780 Pebble Hills BlvdSte G 1(915) 773-0606Clinic Affiliation: CentroSan VicenteBoard Certifications:NoneLanguage: Spanish
Johnson, Kenyua APNGender: MaleNPI: 16698154781485 George DieterSte 107(915) 790-5700Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
u Johnson, Sally M APNGender: FemaleNPI: 1528454550221 N Kansas StreetSuite 700(281) 888-8999Clinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:ANP/CERT/CLNP
u Johnston, Katherine LAPNGender: FemaleNPI: 1376097642
♿3215 Gateway Blvd W(915) 598-7246♿12200 Paseo Nuevo Dr(915) 598-7246♿7825 N Mesa St(915) 598-7246Clinic Affiliation: El PasoPain Center PABoard Certifications:ANP/CERT/CLNPLanguage: SpanishJones, Daphne M APNGender: FemaleNPI: 1780634006
♿1485 George Dieter DrSte 107(915) 521-2258Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish;Tagalog
Kaluzny, Chelcie D APNGender: FemaleNPI: 13568168544875 Maxwell Ave(915) 313-9908Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneKaufman, Robert M APNGender: MaleNPI: 1174574537
♿5340 El Paso Dr Ste A(915) 778-9813Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation: PaisanoMedical CenterBoard Certifications:NoneLanguage: SpanishKelly, Alma G APNGender: FemaleNPI: 11447970933215 Gateway Blvd W(936) 675-1128Clinic Affiliation: El PasoPain Center PABoard Certifications:NoneKelsey, Shannon E APNGender: FemaleNPI: 14072568941600 Medical CenterSte 400(915) 217-2163Clinic Affiliation: RaduCiubuc MD PABoard Certifications:NoneLanguage: English;SpanishKimmel, Warren E APNGender: MaleNPI: 15589281844305 N Mesa StSte A(915) 532-24779999 KenworthySte B(915) 757-62801865 Lee Trevino(915) 590-1994Clinic Affiliation: El PasoPulmonary AssocBoard Certifications:None
Kugelmann, Colin APNGender: MaleNPI: 1366003246221 N Kansas StSuite 700(281) 888-8999Clinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:NoneLabrado, Victor APNGender: MaleNPI: 16296298033615 Rutherglen St(915) 772-5400Clinic Affiliation: NewLight Primary Care PABoard Certifications:NoneLaw, Patricia Z APNGender: FemaleNPI: 1043211527
♿U1208 Myrtle Ave(915) 351-8972♿1600 Montana Ave(915) 533-8398♿U8061 Alameda Ave(915) 859-7545♿10780 Pebble Hills BlvdSte G1(915) 773-0606Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: CentroSan VicenteBoard Certifications:NoneLanguage: English;SpanishLeal, Rey APNGender: MaleNPI: 11242337969440 Viscount Ste 100(915) 249-6639Clinic Affiliation: El PasoMental Health LLCBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
104
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANP/CERT/CLNP(continued)Lightner, Laura G APNGender: FemaleNPI: 11144299745160 El Paso Dr(915) 774-2550Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLimberg, Teresa F APNGender: FemaleNPI: 11240231221000 N Mesa St(915) 533-1960Clinic Affiliation: PrestigeWomens Healthcare PABoard Certifications:NoneLanguage: SpanishLindsay, Alejandrina APNGender: FemaleNPI: 15486914474801 Alberta Ave(915) 215-5300Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
u Lopez, Edwin APNGender: MaleNPI: 12952865574801 Alberta Ave(915) 215-5900Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:ANP/CERT/CLNPLanguage: Spanish
Lopez, Lirio E APNGender: FemaleNPI: 15182487641030 N ZaragozaSte X(915) 881-4155Clinic Affiliation:Kingsway Medical CenterPLLCBoard Certifications:NoneLanguage: SpanishLopez, Maday C APNGender: FemaleNPI: 167907678010500 Vista Del SolSte C(915) 444-8571Clinic Affiliation:Alejandro Rocha Jr DO PABoard Certifications:NoneLanguage: SpanishLopez, Roxana APNGender: FemaleNPI: 15982788489398 Viscount Blvd Ste 4c(915) 594-1033Clinic Affiliation: FamilyMed Assoc of El PasoBoard Certifications:NoneLozano, Rachel M APNGender: FemaleNPI: 1114338407
U2260 Trawood Dr(915) 591-46321721 N Lee Trevino Dr(915) 590-9424Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLuna Bowen, Yvette MAPNGender: FemaleNPI: 14972066431700 Curie DrSte 4700(915) 532-1197Clinic Affiliation:Borderland Medica PABoard Certifications:NoneLanguage: Spanish
u Lunaevans, Claudia YAPNGender: FemaleNPI: 1790323533
U1111 Hawkins BlvdSte 2a(915) 771-8346Clinic Affiliation: JosephB Furlong MD PABoard Certifications:ANP/CERT/CLNPMacias, Lilliana N APNGender: FemaleNPI: 16993248713615 Rutherglen St(915) 772-5400Clinic Affiliation: NewLight Primary Care PABoard Certifications:NoneMadrid, Alfredo APNGender: MaleNPI: 16498159781521 Joe Battle Blvd(915) 521-2200Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: SpanishMagnon, Monicke APNGender: FemaleNPI: 14477687834305 N MesaSte B(915) 779-73783030 Joe Battle(915) 242-1634Clinic Affiliation: El PasoSleep Disorders CentersBoard Certifications:NoneMahatha, Hazal APNGender: FemaleNPI: 11042487981600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:None
Maldonado, Vanessa APNGender: FemaleNPI: 18617975731000 N Mesa St(915) 533-1960125 W Hague RdSte 550(915) 533-61001600 Medical Center DrSte 309(915) 532-91001810 Murchison DrSte 110(915) 533-61003270 Joe Battle BlvdSte 275(915) 271-4600Clinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneManriquez, Alynna A APNGender: FemaleNPI: 10930569476040 Surety DrUnit 2(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: SpanishMarquez, Cecilia APNGender: FemaleNPI: 1700180460
♿6604 Westwind(915) 845-4600Clinic Affiliation:Westwind MedicalAssociatesBoard Certifications:NoneLanguage: SpanishMarquez, Maria M APNGender: FemaleNPI: 1093378697
U3615 Rutherglen St(915) 772-5400Clinic Affiliation: NewLight Primary Care PABoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
105
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANP/CERT/CLNP(continued)Martel, Rocio I APNGender: FemaleNPI: 15587274201570 Lomaland Dr. Ste A(972) 957-3005Clinic Affiliation: ClinicasMI DoctorBoard Certifications:None
u Martinez, Gabriela APNGender: FemaleNPI: 18516702854646 N Mesa St(915) 313-63004646 North Mesa St(915) 313-63007878 Gateway Blvd EastSte 420(915) 313-44434659 Cohen AveSte A(915) 557-1125Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: BhsPhysicians Network Inc; GrDallas HlthcareEnterprises; West TexasPain Institute PLLCBoard Certifications:ANP/CERT/CLNPLanguage: SpanishMartinez, Iris APNGender: FemaleNPI: 1780919589
♿1521 Joe Battle Blvd(915) 521-2200Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
Martinez, Mabel R APNGender: FemaleNPI: 10231072997430 Remcon CirBldg A(915) 584-0051Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: Spanish
u Martinez, Nilda D APNGender: FemaleNPI: 15789164584801 Alberta Ave(915) 215-5400Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:ANP/CERT/CLNPLanguage: SpanishMcAnulty, Amy L APNGender: FemaleNPI: 18314286141700 Murchison Dr(915) 534-12161720 Murchison Dr(915) 534-12161755 Curie Dr(915) 534-12167420 Remcon Cir Ste A2(915) 534-12163100 Lee Trevino Dr(915) 534-1216Clinic Affiliation: El PasoSpecialty PhysiciansBoard Certifications:NoneLanguage: Spanish
McDonald, Lisa R APNGender: FemaleNPI: 14473312772001 N Oregon St(210) 704-47084845 Almeda Ave(210) 704-4708Hospital Affiliations:Childrens Hospital SanAntonioClinic Affiliation: BcmPhysicians of San AntonioBoard Certifications:NoneLanguage: American Sign;English; SpanishMcKelroy, Yostin Z APNGender: FemaleNPI: 16397325301626 Medical Center Dr(915) 533-70573501 Hueco Ave(915) 533-70574875 Maxwell Ave(915) 313-99083607 Rivera Ave(915) 533-70573612 Pera Ave(915) 533-70576040 Surety Dr Unit 2(915) 533-7057901 Ascencion St(915) 533-705714900b Greg Dr(915) 857-2638Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: Spanish
u Medina, Jorge APNGender: MaleNPI: 1205379674601 E Overland Ave(915) 887-3410♿6070 Gateway Blvd ESte 218(915) 245-5150Clinic Affiliation:Borderland Health ServicesLLC; Emergence HealthNetworkBoard Certifications:ANP/CERT/CLNPLanguage: Spanish
u Medina, Pedro S APNGender: MaleNPI: 13669156134301 N Mesa St Ste 100(915) 532-6767Clinic Affiliation: El PasoCardiology Associates PABoard Certifications:ANP/CERT/CLNPMendoza Marcial, KarinaY APNGender: FemaleNPI: 1902456452
U6373 Casper Rdg(915) 494-5983
U6974 Gateway Blvd ESte F(915) 591-2704Clinic Affiliation: PremierPrimary Care Clinic LLC;Salud Y Vida PABoard Certifications:NoneMendoza, Elizabeth APNGender: FemaleNPI: 14676047771570 Lomaland Dr. Ste A(915) 590-4718Clinic Affiliation: ClinicasMI DoctorBoard Certifications:None
u Mendoza, Gabriel APNGender: MaleNPI: 1265804454
♿4305 N Mesa StSte A(915) 532-2477♿9999 KenworthySte B(915) 757-6280♿1865 N Lee TrevinoDr(915) 590-1994Clinic Affiliation: El PasoPulmonary AssocBoard Certifications:ANP/CERT/CLNPLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
106
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANP/CERT/CLNP(continued)Mendoza, Maria A APNGender: FemaleNPI: 14171985244305 N Mesa St Ste A(915) 532-24774305 N Mesa Ste B(915) 779-73783030 Joe Battle(918) 242-1634Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp LpdshClinic Affiliation: El PasoPulmonary Assoc; El PasoSleep Disorders CentersBoard Certifications:NoneLanguage: SpanishMercer, Roberta A APNGender: FemaleNPI: 1780829259
♿4500 N Mesa(915) 532-9000Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: BorderPediatrics PABoard Certifications:NoneLanguage: SpanishMeza, Hugo A APNGender: MaleNPI: 1396002937
♿U423 Executive Center Blvd(915) 261-7688♿U1111 Hawkins BlvdSte 2a(915) 771-8346♿U2270 Joe Battle BlvdSte J(915) 996-9222Clinic Affiliation: JosephB Furlong MD PABoard Certifications:NoneLanguage: Spanish
Meza, Sonia M APNGender: FemaleNPI: 1184189185221 N Kansas StreetSuite 700(281) 888-8999Clinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:NoneMineros, Henry J APNGender: MaleNPI: 1073022026
♿300 S Zaragoza Rd(915) 790-5700Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: SpanishMoldes, Orestes E APNGender: MaleNPI: 12154895961600 N Oregon St(915) 532-2445Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneMonarez, Berenice APNGender: FemaleNPI: 16497200874305 N Mesa St Ste A(915) 532-24774801 Alberta Ave(915) 215-54009999 KenworthySte B(915) 575-62801865 Lee Trevino(915) 590-1994Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: El PasoPulmonary Assoc; TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
Mondesir, Danielle APNGender: FemaleNPI: 1255857165221 N Kansas StreetSuite 700(281) 888-8999Clinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:NoneMora, Carla L APNGender: FemaleNPI: 12053792944659 Cohen AveSte A(915) 217-11404659 Cohen Dr Ste B(915) 217-11404659 Cohen Unit B(915) 217-1140Clinic Affiliation: ClinicasMI Doctor; Pediatric Groupof Central El PasBoard Certifications:NoneLanguage: Spanish
u Mosier, Karina P APNGender: FemaleNPI: 1861737249125 W Hague RdSte 500(915) 351-72001250 E Cliff DrSte 2b(915) 351-7200Clinic Affiliation: BhsPhysicians Network IncBoard Certifications:ANP/CERT/CLNPLanguage: SpanishMurray, Colleen S APNGender: FemaleNPI: 1396086245
♿1626 Medical Center DrSte 503(915) 532-37709440 Viscount Ste 100(915) 249-6639Clinic Affiliation: El PasoMental Health LLC;Physicians and AlliedHealth ProfBoard Certifications:NoneLanguage: Spanish
u Murray, Justine M APNGender: FemaleNPI: 18417221621700 Murchison Dr(915) 533-74651720 Murchison Dr(915) 534-12163100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampusClinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty PhysiciansBoard Certifications:ANP/CERT/CLNPLanguage: SpanishNathan, Athena APNGender: FemaleNPI: 1811367220
♿700 South Ochoa(915) 545-4550♿200 Lisbon(915) 772-4524Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneNatividad, Lorena APNGender: FemaleNPI: 1679582860
♿1485 George Dietter DrSte 107(915) 790-5700Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
107
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANP/CERT/CLNP(continued)Natividad, Pedro APNGender: MaleNPI: 13260278484659 Cohen Ave Ste A1(915) 881-33689870 Gateway Blvd NSte A(915) 577-1125Clinic Affiliation: BhsPhysicians Network Inc; GrDallas Hlthcare EnterprisesBoard Certifications:NoneNead, Rebecca L APNGender: FemaleNPI: 1972831055
U9398 Viscount BlvdBldg 4c(915) 594-1033Clinic Affiliation: FamilyMed Assoc of El PasoBoard Certifications:NoneNeff, Kristy K APNGender: FemaleNPI: 1750467502
4125 W Hague RdSte 440(915) 533-5733
47910 Gateway Blvd ESte 100(915) 629-9725Clinic Affiliation: MagellaMedical Assoc Billing IncBoard Certifications:None
u Nelson, Guillermina AAPNGender: FemaleNPI: 13264171064801 Alberta Ave(915) 215-5900Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:ANP/CERT/CLNPLanguage: Spanish
Nieto, Sheri L APNGender: FemaleNPI: 16092670049999 Kenworthy Ste 1000(915) 298-3434Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneNorris, Tewiana C APNGender: FemaleNPI: 1063839686201 E Main Dr Ste 600(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneNwiloh, Mariagorety OAPNGender: FemaleNPI: 17406045602204 Joe Battle BlvdSte D203(817) 996-3226Clinic Affiliation: TrinityHeritage Clinic PLLC;Victor Nwiloh PABoard Certifications:NoneLanguage: YiddishOcaranza, Martha L APNGender: FemaleNPI: 1932446119
♿820 Redd RdBldg B(915) 581-0712♿1400 George DieterSte 100(915) 581-0712Clinic Affiliation: EricSides MD PABoard Certifications:NoneOchoa, Felipe A APNGender: MaleNPI: 14679422355539 N Mesa St(915) 213-09001512 N Zaragoza RdSte B(915) 213-0900Clinic Affiliation: FahadOmar MD PABoard Certifications:None
u Ogaz, Monica P APNGender: FemaleNPI: 1942782537615 N Zaragoza RdSte 86(915) 516-6868Clinic Affiliation: WellmedMedical Group PABoard Certifications:ANP/CERT/CLNPOkubo, Raquel APNGender: FemaleNPI: 1356607022550 S Mesa Hills DrSte C3(915) 532-1587Clinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneOlivas, Cecilia A APNGender: FemaleNPI: 19121402454801 Alberta(915) 215-59004801 Alberta Ave(915) 215-5900Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishOntiveros Loya, BiancaAPNGender: FemaleNPI: 16991601507430 Remcon CirBldg A(915) 584-0051Clinic Affiliation: WellmedMedical Group PABoard Certifications:None
u Orozco, Angela APNGender: FemaleNPI: 16294408054801 Alberta Ave(915) 215-5300Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:ANP/CERT/CLNPLanguage: American Sign
Ortiz, Carlos APNGender: MaleNPI: 19627413891400 N El Paso St Bldg E(915) 577-0455Clinic Affiliation: AbPediatric Health ClinicPLLCBoard Certifications:NoneLanguage: SpanishOrtiz, Jessica H APNGender: FemaleNPI: 1699106385
♿4824 Alberta Ave(915) 521-7731Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: SpanishOzuna, Linda APNGender: FemaleNPI: 1245235324
♿2260 Trawood Dr(915) 591-4632♿1721 N Lee Trevino Dr(915) 590-9424Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: SpanishPadilla, Maria I APNGender: FemaleNPI: 1386725810
♿1651 Joe Battle Blvd(915) 849-9010Clinic Affiliation: Sun CityMedical Clinic PABoard Certifications:NoneLanguage: SpanishPadilla, Mari C APNGender: FemaleNPI: 13761808773215 Gateway Blvd W(915) 598-724612200 Paseo Nuevo Dr(915) 598-72467825 N Mesa St(915) 598-7246Clinic Affiliation: El PasoPain Center PABoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
108
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANP/CERT/CLNP(continued)
u Paulette, Renee N APNGender: FemaleNPI: 183172429310470 Vista Del SolSte 216(915) 591-2000Clinic Affiliation: StsSurgeons PLLCBoard Certifications:ANP/CERT/CLNPPaz, Christina I APNGender: FemaleNPI: 1942536198
♿1208 Myrtle Ave(915) 351-8972♿1600 Montana Ave(915) 533-8398♿8061 Alameda Ave(915) 859-7545♿10780 Pebble HillsBlvd Ste G1(915) 773-0606Clinic Affiliation: CentroSan VicenteBoard Certifications:NoneLanguage: SpanishPedraza, Alberto APNGender: MaleNPI: 11145789374801 Alberta Ave(915) 215-5416211 Bartlett DrSte 102(575) 650-3335Clinic Affiliation: CancerBlood and MedicinneClinic; TX Tech Univ HlthSci Ctr El PasoBoard Certifications:None
u Peebles, Taron T APNGender: MaleNPI: 143742369610500 Vista Del Sol Ste E(915) 444-85715080 Powder River Ln(915) 330-0794Clinic Affiliation: El PasoAdvance Practice Provider;Lone Star Surgeons GroupPLLCBoard Certifications:ANP/CERT/CLNPLanguage: SpanishPena Human, Lynda APNGender: FemaleNPI: 19022952151400 N El Paso St Bldg E(915) 577-04558500 Boeing(915) 887-3410Clinic Affiliation: AbPediatric Health ClinicPLLC; Emergence HealthNetworkBoard Certifications:ANP/CERT/CLNPLanguage: SpanishPennington, Delia C APNGender: FemaleNPI: 15584565827430 Remcon CircleSte B 100(915) 541-1144Clinic Affiliation: BhsPhysicians Network IncBoard Certifications:NonePereira Wookee, Lisa APNGender: FemaleNPI: 1932357456
♿5160 El Paso Dr(915) 774-2550♿7430 Remcon CirBldg A(915) 584-0051Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: Spanish
Pimentel, Elizabeth A APNGender: FemaleNPI: 1699795047
♿4801 Alberta Ave(915) 215-5400Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: American Sign;SpanishPineda, Angel APNGender: MaleNPI: 19528012434801 Alberta Ave(915) 215-5900Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishPonce, Rafael APNGender: MaleNPI: 12155854844801 Alberta Ave(915) 215-5400Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NonePortillo, Ofelia L APNGender: FemaleNPI: 15689155364801 Alberta Ave(915) 215-5900Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
Portugal, Elizabeth ACNMGender: FemaleNPI: 16998799814659 Cohen AveSte A(915) 577-11259870 Gateway N BlvdSte B1(915) 751-5571Hospital Affiliations:Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation: GrDallas Hlthcare EnterprisesBoard Certifications:NoneLanguage: SpanishPriego, Vanessa J APNGender: FemaleNPI: 168907124311861 Physicians Dr(915) 521-7253Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: SpanishPrince, Monica APNGender: FemaleNPI: 16093522691701 N Lee Trevino DrSte C(915) 706-4065Clinic Affiliation:Community Medical ClinicPABoard Certifications:None
u Quinn, Kelly M APNGender: FemaleNPI: 18910482294301 N Mesa St Ste 100(915) 532-6767Hospital Affiliations:Hosps of Providence SierraCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoCardiology Associates PABoard Certifications:ANP/CERT/CLNPLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
109
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
ANP/CERT/CLNP(continued)Ramirez Resendez, NancyAPNGender: FemaleNPI: 128527755810470 Vista Del Sol SrSte 105(915) 218-6055Clinic Affiliation: SaurabhA Pande PABoard Certifications:None
u Ramirez, Eva Y APNGender: FemaleNPI: 1730538281
U1717 Brown StUnit 3(915) 261-7226Clinic Affiliation: ErjMedical PABoard Certifications:ANP/CERT/CLNPLanguage: SpanishRamirez, Magdalena APNGender: FemaleNPI: 13068409707420 Remcon CircleBldg A(915) 502-882310201 Gateway W Ste 201(915) 500-30763270 Joe Battle BlvdSuite 195(915) 206-2141Hospital Affiliations:Hosps of Providence SierraCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: DanielAronson MD PLLC; LasPalamas Medical Center;Rio Grande Urology PABoard Certifications:NoneLanguage: Spanish
Ramos, Ruben APNGender: MaleNPI: 12054921214824 Alberta4th Flr(915) 521-7731Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:None
u Reliford, Marjorie N APNGender: FemaleNPI: 1568852440
♿4305 N Mesa StSte A(915) 532-2477♿9999 KenworthySte B(915) 757-6280♿1865 N Lee Trevino(915) 590-1994Clinic Affiliation: El PasoPulmonary AssocBoard Certifications:ANP/CERT/CLNPRenteria, Jennifer A APNGender: FemaleNPI: 149731069210870 Gateway Blvd NSte B(915) 751-5255♿10870 Gateway NorthSte B(915) 751-5245Clinic Affiliation: ClinicasMI Doctor; Helena HLiptakova MD PLLCBoard Certifications:NoneReyes, Elizabeth APNGender: FemaleNPI: 1245660711
♿1485 George DieterSte 107(915) 521-2258Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
Rincones, Cheyenne CAPNGender: FemaleNPI: 1750719498
♿9849 Kenworthy(915) 215-5500Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishRivera, Itzel APNGender: FemaleNPI: 10539778922000 B Transmountain Rd(915) 215-8410Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneRobinson, Emily E APNGender: FemaleNPI: 1871033001
U1511 E Missouri Ste B(915) 626-5191Clinic Affiliation: PlannedParenthood of Greater TXBoard Certifications:NoneRobles, Celene M APNGender: FemaleNPI: 15981359314801 Alberta Avenue(915) 215-5300Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishRobles, Myra I APNGender: FemaleNPI: 1164087904
♿U8030 North Loop(915) 591-2704Clinic Affiliation: Salud YVida PABoard Certifications:None
Rocha, Ofelia A APNGender: FemaleNPI: 1992796247
♿U1521 Joe Battle Blvd(915) 521-2200Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: American Sign;SpanishRodriguez, Angela APNGender: FemaleNPI: 10830424104801 Alberta Ave(915) 215-53102000 Trans Mountain Rd SteB(915) 215-8400Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneRodriguez, Erika V APNGender: FemaleNPI: 19427015864305 N Mesa St Ste A(915) 532-2477Clinic Affiliation: El PasoPulmonary AssocBoard Certifications:NoneRodriguez, Hector L APNGender: MaleNPI: 1104130087
♿9849 Kenworthy(915) 757-2581Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: American Sign;Spanish
u Rodriguez, Miguel A APNGender: MaleNPI: 15688549664532 N Mesa StFloor 2(915) 544-03261400 George DieterSte 240(915) 544-0326Clinic Affiliation: El PasoIntegrated PhysicianBoard Certifications:ANP/CERT/CLNPLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
110
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANP/CERT/CLNP(continued)Rogers, Katrina E APNGender: FemaleNPI: 1245772797
♿12810 Edgemere Blvd(915) 504-6955Hospital Affiliations: JohnPeter Smith HospitalClinic Affiliation: Sun CitySports Medicine and FamiBoard Certifications:NoneLanguage: SpanishRojas, Maria G APNGender: FemaleNPI: 12553357091721 N Lee Trevino Dr(915) 591-4632Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: SpanishRomero, Joshua M APNGender: MaleNPI: 1568865889
U1208 Myrtle Ave(915) 351-89721600 Montana Ave(915) 533-8398
U8061 Alameda Ave(915) 859-779910780 Pebble HillsBlvd Ste G1(915) 773-0606Clinic Affiliation: CentroSan VicenteBoard Certifications:NoneLanguage: SpanishRomero, Roberta A APNGender: FemaleNPI: 18718268181250 E Cliff DrSte 2b(915) 356-39391700 Curie Dr Ste 4800(915) 356-3939Clinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneLanguage: Spanish
Rosales, Ivonne V APNGender: FemaleNPI: 16295219683615 Rutherglen St(915) 772-5400Clinic Affiliation: NewLight Primary Care PABoard Certifications:NoneRubio, Elizabeth APNGender: FemaleNPI: 1952537169
♿1208 Myrtle Ave(915) 351-8972♿1600 Montana Ave(915) 533-83985160 El Paso Dr(915) 774-2550♿10780 Pebble Hills BlvdSte G 1(915) 773-0606Clinic Affiliation: CentroSan Vicente; WellmedMedical Group PABoard Certifications:NoneLanguage: Spanish
u Salazar, Judith S APNGender: FemaleNPI: 15880475751721 N Lee Trevino Dr(915) 590-9424Clinic Affiliation: WellmedMedical Group PABoard Certifications:ANP/CERT/CLNPSalinas, Albert APNGender: MaleNPI: 16697289034801 Alberta Ave(915) 215-5200♿300 S Zaragoza Rd(915) 790-5700Clinic Affiliation: TX TechUniv Hlth Sci Ctr El Paso;University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
Samble Smith, Ruth EAPNGender: FemaleNPI: 1891115705
U1733 Curie DrSte 103(915) 532-2985
U2295 Trawood DrSte C(915) 532-2985Clinic Affiliation: CanalesRoberto MDBoard Certifications:NoneLanguage: SpanishSanchez, Adriana P APNGender: FemaleNPI: 1205127636
♿2311 N MesaBldg E(915) 533-8499Clinic Affiliation: CardioPulmonary AssociatesBoard Certifications:NoneLanguage: Spanish
u Sanchez, Gabriel M APNGender: MaleNPI: 1952600041
♿4305 N Mesa Ste A(915) 779-7378♿3030 Joe Battle(915) 242-1634Clinic Affiliation: El PasoSleep Disorders CentersBoard Certifications:ANP/CERT/CLNPLanguage: SpanishSanchez, Maria E APNGender: FemaleNPI: 1255628202125 W Hague StreetSte 270(915) 271-45962000 Trans Mountain RdSte 120 A & B(915) 671-38381580 Lomaland Dr(916) 313-6300Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: BhsPhysicians Network IncBoard Certifications:None
Sanchez, Rosalinda TAPNGender: FemaleNPI: 18212690361512 Zaragoza RdSte A 1(915) 855-7700Clinic Affiliation: ClinicasMI DoctorBoard Certifications:NoneScott, Crystal Y APNGender: FemaleNPI: 16891433984801 Alberta Ave(915) 215-5000Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
u Seagrove, Sara N APNGender: FemaleNPI: 1124537816
♿10470 Vista Del SolSte 216(915) 591-2000Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: StsSurgeons PLLCBoard Certifications:ANP/CERT/CLNPSerrano, Monique I APNGender: FemaleNPI: 1174811087
U1733 Curie Suite 103(915) 532-2985Clinic Affiliation: CanalesRoberto MDBoard Certifications:None
u Sheppard, Heather APNGender: FemaleNPI: 11042091961511 E Missouri AveSte B(817) 472-8196Clinic Affiliation: PlannedParenthood of Greater TXBoard Certifications:ANP/CERT/CLNP
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
111
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANP/CERT/CLNP(continued)Sifuentes, JacquelineAPNGender: FemaleNPI: 1699037242
U2260 Trawood Dr(915) 591-4632Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneSkory, John C APNGender: MaleNPI: 1194747261
♿U1523 N Zaragoza(915) 857-4559Hospital Affiliations:Baptist Health System;Hosps ProvidenceMemorial CampusClinic Affiliation: SummitUrgent Care CenterBoard Certifications:NoneLanguage: SpanishSlape, Rosalia APNGender: FemaleNPI: 1215228242865 N Resler Dr Ste D(915) 500-307610201 Gateway WestSte 201(915) 500-307612379 Edgemere Ste 102(915) 500-3076Clinic Affiliation: LasPalamas Medical CenterBoard Certifications:None
u Smilo, Stephanie A APNGender: FemaleNPI: 1356893606310 S Mesa Hills Dr Ste B(915) 351-7546Clinic Affiliation:Epiphany Dermatology PABoard Certifications:ANP/CERT/CLNP
Smith, Rubeena APNGender: FemaleNPI: 14972845332000 Trans Mountain RdSte 270b(915) 213-09001512 N Zaragoza Rd Ste B(915) 213-0900Clinic Affiliation: FahadOmar MD PABoard Certifications:NoneSoberanes, Rickie J APNGender: FemaleNPI: 15387031783615 Rutherglen St(915) 772-5400Clinic Affiliation: NewLight Primary Care PABoard Certifications:NoneSolis, Guillermina R APNGender: FemaleNPI: 1194781864
♿4930 Osborne DrSte A(915) 587-9455Clinic Affiliation: MichaelH Annabi MD PABoard Certifications:NoneLanguage: Spanish
u Stewart Ray, Verlaine MAPNGender: FemaleNPI: 18119022811516 Lomaland Dr(915) 593-2600Clinic Affiliation: FrontierMedical CenterBoard Certifications:ANP/CERT/CLNPLanguage: SpanishStripling, Paige M APNGender: FemaleNPI: 1457742926
♿4774 Loma Del Sur(915) 751-7773Clinic Affiliation: WellmedMedical Group PABoard Certifications:None
Suarez, Cerena H APNGender: FemaleNPI: 1356345037
♿7430 Remcon Cir Bldg A(915) 584-0051Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: SpanishTapia, Martha APNGender: FemaleNPI: 18710783374301 N Mesa StSte 100(915) 532-6767Clinic Affiliation: El PasoCardiology Associates PABoard Certifications:NoneLanguage: SpanishTaylor, Jeffrey J APNGender: MaleNPI: 15183290281721 N Lee Trevino Dr(925) 590-9424Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneTaylor, Marila APNGender: FemaleNPI: 11242258184305 N Mesa StSte A(915) 242-63969999 Kenworthy StSte B(915) 757-62801865 N Lee Trevino Dr(915) 590-1994Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: El PasoPulmonary AssocBoard Certifications:NoneLanguage: Spanish
Terrazas Ponce, BelenAPNGender: FemaleNPI: 15384030687420 Remcon CirBldg A(915) 532-8823Clinic Affiliation: RioGrande Urology PABoard Certifications:NoneThomas, Bobbi G APNGender: FemaleNPI: 1265559421
♿U1721 N Lee Trevino Dr(915) 590-9424Clinic Affiliation: JuarezEdward C MDBoard Certifications:NoneLanguage: SpanishTittle, Joe F APNGender: MaleNPI: 1881620482
U1671 N Zaragoza Ste B(915) 996-5210Clinic Affiliation: EastsideFamily Care Center IncBoard Certifications:NoneLanguage: English;SpanishTofilon, Janett APNGender: FemaleNPI: 1629449509300 S Zaragoza Rd(915) 790-5700Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneTorres, Evelyn G APNGender: FemaleNPI: 1700338670
U423 Executive Center(915) 261-7688
U1111 Hawkins BlvdSte 2a(915) 771-8346
U2270 Joe BattleSte J(915) 996-9222Clinic Affiliation: JosephB Furlong MD PABoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
112
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANP/CERT/CLNP(continued)Torres, Leigh A APNGender: FemaleNPI: 13363189714801 Alberta Ave(915) 215-5700Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: American Sign;SpanishTorres, Luz M APNGender: FemaleNPI: 18210966781721 N Lee Trevino Dr(915) 590-9424Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneLanguage: SpanishTorres, Marcelita P APNGender: FemaleNPI: 1417109513
♿1400 George DieterSte 210(915) 855-1720Clinic Affiliation: EpFamily Clinic PABoard Certifications:NoneLanguage: SpanishTrevizo, Roberto APNGender: MaleNPI: 1144680299300 S Zaragoza Ave(915) 790-57001397 George Dieter Ste D(915) 598-8120Clinic Affiliation: PhysicalMedicine and Rehabilita;University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
Udo, Inemesit G APNGender: FemaleNPI: 11142290515160 El Paso Dr(915) 774-25509999 Kenworthy Ste 1000(915) 298-3434Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneUga, Cecilia O APNGender: FemaleNPI: 1336670199
U2022 Murchison DrSte 108(915) 200-1144Clinic Affiliation: HaracecComplete Healthcare PLLCBoard Certifications:NoneValadez, Michelle M APNGender: FemaleNPI: 171054521510870 Gateway Blvd NSte B(915) 751-5245Clinic Affiliation: ClinicasMI DoctorBoard Certifications:NoneLanguage: SpanishValdivia, Jose APNGender: MaleNPI: 1194264952
♿U3329 Montana Ave(915) 591-2704♿U6974 Gateway Blvd EastSte F(915) 591-2704♿U8030 N Loop Dr Bldg C(915) 591-2704Clinic Affiliation: Salud YVida PABoard Certifications:None
Valle, Christina APNGender: FemaleNPI: 19325547221600 Medical Center DrSte 405(915) 533-66904659 Cohen Ave Ste A1(915) 881-33684659 Cohen Ave Ste A1(915) 881-3368Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra CampusClinic Affiliation: BhsPhysicians Network Inc; GrDallas Hlthcare EnterprisesBoard Certifications:NoneVallejo, Daniel C APNGender: MaleNPI: 19122291544801 Alberta Ave(915) 215-5300Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: American Sign;SpanishValverde, Caitlin D APNGender: FemaleNPI: 1316408149221 N Kansas StSuite 700(281) 888-8999Clinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:NoneVargas, Ricardo APNGender: MaleNPI: 15688893197430 Remcon CirBldg A(915) 584-0051Clinic Affiliation: WellmedMedical Group PABoard Certifications:None
u Vasquez, Bertha R APNGender: FemaleNPI: 19725953044824 Alberta AveSte 207(915) 521-7731Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:ANP/CERT/CLNPLanguage: SpanishVasquez, Monica APNGender: FemaleNPI: 12253382625160 El Paso Dr(915) 774-2550Hospital Affiliations:Hosps of Providence SierraCampusClinic Affiliation: WellmedNetworks IncBoard Certifications:NoneLanguage: Spanish
u Vega, Veronica APNGender: FemaleNPI: 13366144864801 Alberta Ave(915) 215-5205Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:ANP/CERT/CLNPVelasco, Sandra L APNGender: FemaleNPI: 10437723612000 Trans Mountain RdSte 120 A and B(915) 671-38381575 N Resler DrSte D(915) 271-45692204 Joe Battle Blvd(915) 503-1870Clinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
113
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANP/CERT/CLNP(continued)Velez, Claudia L APNGender: FemaleNPI: 1568812238
U1671 N Zaragoza Ste B C(915) 996-5210Clinic Affiliation: EastsideFamily Care Center IncBoard Certifications:NoneLanguage: English;SpanishVelez, Vanessa APNGender: FemaleNPI: 13961027784845 Alameda Ave(915) 298-5444Clinic Affiliation: El PasoChildrens Physician GroupBoard Certifications:None
u Villalobos, Oscar D APNGender: MaleNPI: 1528181492
U7760 Alabama(915) 887-3414
U9440 Viscount Ste 100(915) 249-663914900b Greg Dr(915) 857-2638Clinic Affiliation: El PasoMental Health LLC;Emergence HealthNetwork; Project VidaHealth CenterBoard Certifications:ANP/CERT/CLNPLanguage: SpanishVilla, Mindy E APNGender: FemaleNPI: 1558801308300 Zaragoza(915) 790-5700Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:None
u Villanueva, Crystal APNGender: FemaleNPI: 13668285431600 Medical Center StSte 400(915) 217-2163Clinic Affiliation: RaduCiubuc MD PABoard Certifications:ANP/CERT/CLNPLanguage: SpanishVizcaino, Adriana APNGender: FemaleNPI: 162962881310501 Gateway Blvd WSte 105(915) 533-0406Clinic Affiliation: SyedAther Yusoof MD PABoard Certifications:NoneVolkova, Olga APNGender: FemaleNPI: 192240273411861 Physician Ave(915) 521-7253Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneWard, Mariko APNGender: FemaleNPI: 11041708853615 Rutherglen St(915) 772-5400Clinic Affiliation: NewLight Primary Care PABoard Certifications:None
u Wentworth, Angela J APNGender: FemaleNPI: 12655726891600 Montana Ave(915) 599-4700Clinic Affiliation:Emergence Health NetworkBoard Certifications:ANP/CERT/CLNPLanguage: Spanish
Wooley, Angela M APNGender: FemaleNPI: 16497623941600 Medical Center StSte 400(915) 217-2163Clinic Affiliation: RaduCiubuc MD PABoard Certifications:NoneLanguage: Spanish
u Woznicki, Marie T APNGender: FemaleNPI: 18912314604301 N Mesa St Ste 100(915) 532-6767Hospital Affiliations:Hosps of Providence SierraCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoCardiology Associates PABoard Certifications:ANP/CERT/CLNP
Zamora, Juan P APNGender: MaleNPI: 13862095261626 Medical Center Dr(915) 533-70573501 Hueco Ave(915) 533-70574875 Maxwell Ave(915) 313-99083607 Rivera Ave(915) 533-70573612 Pera Ave(915) 533-70576040 Surety DrUnit 2(915) 533-70579440 Viscount Ste 100(915) 249-66391100 Colina De Paz(915) 533-7057150 Nonap Rd(915) 533-7057901 Ascencion St(915) 533-705711700 School Ln(915) 533-705711710 Pebble Hills Blvd(915) 533-705712000 Montwood Dr(915) 533-705714400 Pebble Hills Blvd(915) 533-705714900b Greg Dr(915) 857-26382200 Sun Country Dr(915) 533-70573216 Tim Foster St(915) 533-7057Clinic Affiliation: El PasoMental Health LLC; ProjectVida Health CenterBoard Certifications:NoneZamora, Rosa I APNGender: FemaleNPI: 13365013523615 Rutherglen St(915) 772-5400Clinic Affiliation: NewLight Primary Care PABoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
114
u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ANP/CERT/CLNP(continued)Zubia, Rosalia APNGender: FemaleNPI: 13262127544801 Alberta Ace(915) 215-52001721 N Lee Trevino Dr(915) 590-9424Clinic Affiliation: TX TechUniv Hlth Sci Ctr El Paso;Wellmed Medical Group PABoard Certifications:NoneLanguage: SpanishZuniga, Isabel APNGender: FemaleNPI: 13466162654824 Alberta4th Flr(915) 521-7731Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: SpanishZuniga, Julie A APNGender: FemaleNPI: 11242623811700 E Cliff Dr Bldg ASte 100(915) 351-6200Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: MuneerE Assi DopaBoard Certifications:NoneLanguage: SpanishZuniga, Marco A APNGender: MaleNPI: 14476557741201 E Schuster AveBldg 4(915) 642-94442270 Joe Battle BlvdSte E G(915) 642-9444Clinic Affiliation: HectorGranados MD PABoard Certifications:NoneLanguage: Spanish
AUDIOLOGYArp, Suezanna T AUDIOGender: FemaleNPI: 16897581877500 N Mesa StSte 218(915) 587-43278838 Viscount StSte 1(915) 590-4327Clinic Affiliation:Livingston Hearing AidCenter IncBoard Certifications:NoneBuchanan, Patrick AUDIOGender: MaleNPI: 1659789501
♿5959 Gateway W Ste 101(915) 974-2250Clinic Affiliation: Tinnitusand Hearing Expert PCBoard Certifications:NoneLanguage: SpanishFischenich, Debra DAUDIOGender: FemaleNPI: 12959611677500 N Mesa StSte 218(915) 587-4327Clinic Affiliation:Livingston Hearing AidCenter IncBoard Certifications:NoneGonzalez, Ayrel AUDIOGender: FemaleNPI: 1275887358
♿9398 Viscount Bldg 4Ste C(915) 594-1033Clinic Affiliation: FamilyMed Assoc of El PasoBoard Certifications:NoneLanguage: Spanish
Hart, Loren S AUDIOGender: MaleNPI: 1184732265
♿U1600 Medical Center DrSte 101(915) 544-1350Clinic Affiliation:Southwest Ear Nose &Throat Consult PABoard Certifications:NoneLanguage: SpanishLopez, Armando L AUDIOGender: MaleNPI: 1154355907
♿5959 Gateway West Ste 101(915) 974-2250Clinic Affiliation: Tinnitusand Hearing Expert PCBoard Certifications:NoneLanguage: SpanishLyon, Kerry H AUDIOGender: FemaleNPI: 1972602498
♿1500 N Mesa(915) 532-6935Clinic Affiliation: El PasoHearing Aid Center IncBoard Certifications:NoneLanguage: English;SpanishLyon, Matthew H AUDIOGender: MaleNPI: 1588686844
♿1500 N Mesa(915) 532-6935Clinic Affiliation: El PasoHearing Aid Center IncBoard Certifications:NoneLanguage: SpanishTaylor, Hillary E AUDIOGender: FemaleNPI: 1154634442
♿7500 N Mesa StSte 218(915) 587-4327Clinic Affiliation:Livingston Hearing AidCenter IncBoard Certifications:NoneLanguage: Spanish
CARDIACELECTROPHYSIOLOGY
u Abedin, Moeen MDGender: MaleNPI: 1841403946
♿1701 N Lee Trevino Ste C(915) 593-5999Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoBoard Certifications:Cardiac Electrophysiology;Cardiovascular DiseaseLanguage: SpanishAbedin, Zainul MDGender: MaleNPI: 1265460885
♿1701 N Lee Trevino Ste C(915) 593-5999Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Northwest TexasHealthcare System;University Medical CenterEl PasoBoard Certifications:Internal MedicineLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
115
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
CARDIACELECTROPHYSIOLOGY(continued)
u Gonzalez, Francisco J MDGender: MaleNPI: 1447475611
♿1600 Medical Center DrSte 218(915) 838-1900♿1700 N OregonSte 630(915) 838-1900♿7814 Gateway Blvd E(915) 542-2352♿10201 Gateway Blvd WestSte 200(915) 542-4889♿10525 Vista Del Sol DrSte 206(915) 838-1900Hospital Affiliations:Ascension Providence;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoElectrophysiology PA; LasPalmas Del Sol CardiologyPllBoard Certifications:Cardiac ElectrophysiologyLanguage: Spanish
u Sanchez, Javier E MDGender: MaleNPI: 15189422261600 Medical Center DrSte 218(915) 838-1900Hospital Affiliations:Ascension Providence;Ascension Seton MedCenter Austin; AscensionSeton Northwest; Bs&wMedical Center Hillcrest;Christus Spohn Hos CctxShoreline; Dell SetonMedical Center at UT;Heart Hospital of Austin;Laredo Medical Center;Shannon Medical Center;St Davids Medical CenterClinic Affiliation: LasPalmas Del Sol CardiologyPllBoard Certifications:Cardiac ElectrophysiologyLanguage: Spanish
CARDIAC THORACICSURGERYDavis, Cornelius A MDGender: MaleNPI: 1528037975
U7500 N Mesa StSte 210(915) 307-78002204 Joe Battle Ste 8104(915) 307-7800Hospital Affiliations:Memorial HermannMemorial CityClinic Affiliation: Arteriesand VeinsBoard Certifications:None
u Eisenberg, Kenneth L MDGender: MaleNPI: 1659376929
♿1600 Medical Center DrSte 212(915) 532-3977Hospital Affiliations: DelSol Camp Lpdsh; El PasoChildrens Hospital;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: El PasoSouthwesternCardiovascular AssociatesBoard Certifications:Cardiac Thoracic SurgeryLanguage: Spanish
u Flores, Hector A MDGender: MaleNPI: 1972784247
♿1600 Medical Center DrSte 212(915) 532-3977Hospital Affiliations: ElPaso Childrens Hospital;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: El PasoSouthwesternCardiovascular AssociatesBoard Certifications:Cardiac Thoracic Surgery;Thoracic SurgeryLanguage: Spanish
CARDIOVASCULARDISEASE
u Abedin, Moeen MDGender: MaleNPI: 1841403946
♿1701 N Lee Trevino Ste C(915) 593-5999Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoBoard Certifications:Cardiac Electrophysiology;Cardiovascular DiseaseLanguage: Spanish
u Agrawal, Harsh MDGender: MaleNPI: 16293976744801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Cardiovascular Disease;Internal Medicine
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
116
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
CARDIOVASCULARDISEASE (continued)
u Aguilar, Oscar M MDGender: MaleNPI: 12957325926000 Northern Pass DrSte A100(915) 600-2905211 Barlett DrSte 102(915) 600-29051671 N Zaragoza RdSte B(915) 996-5210Hospital Affiliations:Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; KindredHospital El Paso; UniversityMedical Center El PasoClinic Affiliation: TexasIntegrative Medicine andCABoard Certifications:Cardiovascular DiseaseLanguage: SpanishAkram, Yasir MDGender: MaleNPI: 1558676841221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations: HcaHouston HealthcareKingwood; Hca HoustonHealthcare Tomball;Memorial HermannCypress Hospital; St LukesHospital at The VintageClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:NoneLanguage: Hindi; Punjabi;Urdu
u Alkhateeb, Haider MDGender: MaleNPI: 18910557944801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Cardiovascular Disease
u Alvarez, Sergio R MDGender: MaleNPI: 1700843034
♿2311 N Mesa St Ste E(915) 533-8499♿1440 George Dieter Dr(915) 533-8499Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: CardioPulmonary AssociatesBoard Certifications:Cardiovascular Disease;Sleep MedicineLanguage: SpanishAmadi, Chikezie C MDGender: MaleNPI: 1487616918
♿1508 N Zaragoza(915) 298-5425♿1508 N Zaragoza Rd(915) 298-5425Hospital Affiliations:Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Las Palmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation:Southwest CardiovascularIntervenBoard Certifications:Interventional CardiologyLanguage: Spanish
Assi, Edward R DOGender: MaleNPI: 1669472544
♿1700 E Cliff DrBldg A Ste 200(915) 577-9009Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: EdwardR Assi DO PABoard Certifications:NoneLanguage: SpanishBruno, Felice L MDGender: MaleNPI: 1730182304
U1700 Murchison Ste 211(915) 533-51002400 Trawood Ste 202(915) 533-5100Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusBoard Certifications:NoneLanguage: Italian; Spanish
Canby, Robert C MDGender: MaleNPI: 15189684111700 N Oregon StSte 630(915) 838-190010525 Vista Del Sol DrSte 206(915) 838-1900Hospital Affiliations:Ascension Providence;Ascension Seton Hays;Ascension Seton MedCenter Austin; AscensionSeton Northwest;Ascension SetonSouthwest; Bs&w MedicalCenter Hillcrest; Dell SetonMedical Center at UT;Shannon Medical Center;St Davids Medical CenterClinic Affiliation: LasPalmas Del Sol CardiologyPllBoard Certifications:NoneLanguage: SpanishCao, Tu T DOGender: MaleNPI: 1316238736
♿1575 N Resler DrSte D(915) 271-4569♿3270 Joe Battle BlvdSte 215(915) 206-2999Hospital Affiliations:Hospitals Providence EastCampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneDe Benedetti Zunino,Maria E MDGender: FemaleNPI: 16596861781575 N Resler DrSte D(915) 271-4569Hospital Affiliations:Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
117
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
CARDIOVASCULARDISEASE (continued)De Luca, Michael J MDGender: MaleNPI: 10533119364301 N Mesa St Ste 100(915) 532-6767Hospital Affiliations:Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: El PasoCardiology Associates PABoard Certifications:NoneLanguage: SpanishDim, Uzodinma R MDGender: MaleNPI: 1194990424
U2200 George Dieter Dr(915) 248-2434Hospital Affiliations: DelSol Camp Lpdsh; El PasoSpecialty Hospital LTD;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Kindred HospitalEl Paso; Las Palmas CampLpdshClinic Affiliation:InternationalCardiovascularBoard Certifications:NoneLanguage: English;Spanish
u Dobrin, David J MDGender: MaleNPI: 1477557387
♿4301 N Mesa StSte 100(915) 532-6767Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoCardiology Associates PABoard Certifications:Cardiovascular DiseaseLanguage: SpanishEscobar, Juan M MDGender: MaleNPI: 15886610941700 Curie DrSte 1500(915) 532-4542Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneLanguage: SpanishGarza Arreola, Luis MDGender: MaleNPI: 13261426397814 Gateway Blvd E(915) 542-2352Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: LasPalmas Del Sol CardiologyPllBoard Certifications:NoneLanguage: Spanish
u Gonzalez, Abraham MDGender: MaleNPI: 15785608761700 Curie DrSte 1500(915) 532-4542Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: BhsPhysicians Network IncBoard Certifications:Cardiovascular DiseaseLanguage: Spanish
u Gough, David C MDGender: MaleNPI: 1528063021
♿4801 Alberta Ave(915) 215-5200Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Cardiovascular Disease;Internal MedicineLanguage: SpanishGutierrez, Michael E MDGender: MaleNPI: 1518957927
♿4301 N Mesa StSte 100(915) 532-6767Hospital Affiliations:Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: El PasoCardiology Associates PABoard Certifications:NoneLanguage: Spanish
Ibrahim, Ahmed M MDGender: MaleNPI: 16394819894801 Alberta Avenue(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
u Kar, Subrata MDGender: MaleNPI: 18212627424801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Cardiovascular Disease;Interventional CardiologyLanguage: Spanish
u Khair, Tarif H MDGender: MaleNPI: 12555241794801 Alberta Ave(915) 215-5200Hospital Affiliations:Houston MethodistBaytown Hosp; Lyndon BJohnson General Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Cardiovascular Disease;Internal MedicineLanguage: Spanish
u Khan, Muhammad U MDGender: MaleNPI: 1740445014221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations:Medical City Fort Worth; TXHlth Harris Methodist HospFWClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:Cardiovascular Disease
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
118
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
CARDIOVASCULARDISEASE (continued)
u Lange, Richard A MDGender: MaleNPI: 1104864800
♿4801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Cardiovascular DiseaseLanguage: American Sign;Spanish
u Lawal, Lookman O MDGender: MaleNPI: 17605256381250 E CliffSte 3e(915) 313-49493640 Joe Battle BlvdSte 100(915) 313-4949Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Parkland Health & HospitalSystemClinic Affiliation:Southwestern CardiacArrhythmiaBoard Certifications:Cardiovascular DiseaseLanguage: English;Spanish
Lyn, Ian T MDGender: MaleNPI: 1376529826
♿1600 Medical Center DrSte 212(915) 532-3977Hospital Affiliations: DelSol Camp Lpdsh; El PasoChildrens Hospital;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: El PasoSouthwesternCardiovascular AssociatesBoard Certifications:NoneLanguage: Spanish
u May, Evan E MDGender: FemaleNPI: 12959394864301 N Mesa St Ste 100(915) 532-6767Hospital Affiliations:Hosps of Providence SierraCampusClinic Affiliation: El PasoCardiology Associates PABoard Certifications:Cardiovascular DiseaseLanguage: SpanishMedrano, Rafael MDGender: MaleNPI: 10432107921600 Medical Center Dr(915) 542-23527814 Gateway Blvd East(915) 542-2352Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: LasPalmas Del Sol CardiologyPllBoard Certifications:NoneLanguage: Spanish
u Mendez Martinez, Jose IMDGender: MaleNPI: 19525899704301 N Mesa StSte 101(915) 442-23527814 Gateway Blvd E(915) 542-23529999 Kenworthy StSte B(915) 542-235210301 Gateway Blvd W(915) 595-9000Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: LasPalmas Del Sol CardiologyPllBoard Certifications:Cardiovascular DiseaseLanguage: SpanishMin, Aung Z MDGender: MaleNPI: 15381531501729 Weston Brent LnSte B(915) 594-7554Hospital Affiliations:Hosps of Providence SierraCampus; Las PalmasCamp LpdshClinic Affiliation: AungZaw Min MD PABoard Certifications:NoneLanguage: Burmese;Spanish
Mulukutla, VenkatachalamMDGender: MaleNPI: 12252756544301 N Mesa St Ste 100(915) 532-6767Hospital Affiliations:Christus Spohn Hos CctxShoreline; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoCardiology Associates PABoard Certifications:NoneLanguage: SpanishNagarajarao, Harsha S MDGender: MaleNPI: 15484713114801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Interventional CardiologyLanguage: SpanishNieto, Daisy C MDGender: FemaleNPI: 18818261214301 N Mesa Ste 100(915) 532-6767Hospital Affiliations:Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: El PasoCardiology Associates PABoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
119
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
CARDIOVASCULARDISEASE (continued)Ojha, Chandra P MDGender: FemaleNPI: 18313521454801 Alberta Ave(905) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Interventional CardiologyLanguage: Spanish
u Okajima, Kazue MDGender: FemaleNPI: 15687100104800 Alberta Ave(915) 215-5183Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Cardiovascular Disease
u Olusanya, Adebayo O MDGender: MaleNPI: 17304745524301 N Mesa StSte 101(915) 442-23529999 Kenworthy StSte B(915) 542-235211551 Cedar Oak Dr(915) 542-4889Hospital Affiliations: DelSol Camp LpdshClinic Affiliation: LasPalmas Del Sol CardiologyPllBoard Certifications:Cardiovascular Disease
Ortiz, Daniel MDGender: MaleNPI: 14879295844301 N MesaSte 101(915) 442-23527814 Gateway Blvd E(915) 542-235210640 Gateway Blvd NSte B(915) 307-46319999 Kenworthy StSte B(915) 542-235211551 Cedar Oak Dr(915) 592-8300Clinic Affiliation: LasPalmas Del Sol CardiologyPllBoard Certifications:None
u Otah, Kenneth E MDGender: MaleNPI: 1093704827221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations: ChiSt Lukes Hlth Baylor CollMed; Hca HoustonHealthcare West; HoustonMethodist Sugar LandHosp; Memorial HermannHospital; MemorialHermann SW Hospital;Mhhs Sugar Land HospitalClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:Cardiovascular DiseaseLanguage: Afrikaans;Spanish
Pean, Jules MDGender: MaleNPI: 1164476602
♿U3329 Montana Ave(915) 591-2704♿400 Shadow Mountain Dr(915) 591-2704♿U6974 Gateway Blvd E(915) 591-2704♿U8030 North Looop(915) 591-2704Hospital Affiliations:Hospitals Providence EastCampus; MethodistHospitalClinic Affiliation: Salud YVida PABoard Certifications:NoneQuintana, Joseph A MDGender: MaleNPI: 14775531967814 Gateway Blvd East(915) 542-2352Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: LasPalmas Del Sol CardiologyPllBoard Certifications:NoneLanguage: Spanish
u Raja, Mohammad L MDGender: MaleNPI: 1548250244
♿4301 N Mesa StSte 100(915) 532-6767Hospital Affiliations:Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial CampusClinic Affiliation: El PasoCardiology Associates PABoard Certifications:Cardiovascular Disease;Interventional CardiologyLanguage: Spanish
Siddiqui, Tariq S MDGender: MaleNPI: 1487879300
♿4801 Alberta Ave(915) 545-6627Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
u Silva, Jaime L MDGender: MaleNPI: 1689634883221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations:Valley Regional MedicalCenter; Vly Baptist Med CtrBrownsvilleClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:Cardiovascular DiseaseLanguage: SpanishSoto Cora, Ediberto MDGender: MaleNPI: 15886794431139 Caper Rd(915) 591-7495Hospital Affiliations:Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
120
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
CARDIOVASCULARDISEASE (continued)Taveras, Juan M MDGender: MaleNPI: 19321096837814 Gateway Blvd East(915) 542-235210640 Gateway Blvd NSte B(915) 307-4631Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: LasPalmas Del Sol CardiologyPllBoard Certifications:NoneLanguage: Spanish
u Turbay, David MDGender: MaleNPI: 1922082411
♿5301 Alameda Ave(915) 855-7600Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: DavidTurbay MD PLLCBoard Certifications:Cardiovascular Disease;Internal MedicineLanguage: Spanish
CERTIFIED NURSEMIDWIFECroslen, Margaret S CNMGender: FemaleNPI: 16194628684801 Alberta Ave(915) 215-5000Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneGiroux, Kristin M CNMGender: FemaleNPI: 14678238493612 Pera Ave(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: SpanishNellikappallil, Anna MCNMGender: FemaleNPI: 15083909983612 Pera Ave(915) 533-70574801 Alberta Ave(915) 215-5000Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: ProjectVida Health Center; TXTech Univ Hlth Sci Ctr ElPasoBoard Certifications:NoneLanguage: Spanish
u Portugal, Elizabeth ACNMGender: FemaleNPI: 16998799811300 Murchinson DrSte 100(915) 577-90909870 Gateway North BlvdSte B1(915) 751-5571Hospital Affiliations:Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation: BhsPhysicians Network IncBoard Certifications:Certified Nurse MidwifeLanguage: SpanishSkrinak, Nikki A CNMGender: FemaleNPI: 13567451113612 Pera Ave(915) 533-70574801 Alberta Ave(915) 215-5000Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: ProjectVida Health Center; TXTech Univ Hlth Sci Ctr ElPasoBoard Certifications:NoneLanguage: American Sign;SpanishValenzuela, Carlos E CNMGender: MaleNPI: 1962625699125 W Hague Rd Ste 340(915) 215-50004801 Alberta Ave(915) 215-5000Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: American Sign;Spanish
u White, Anna CNMGender: FemaleNPI: 14174035443612 Pera Ave(915) 533-7057Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: ProjectVida Health CenterBoard Certifications:Certified Nurse MidwifeLanguage: Dutch; Spanish
CHILD NEUROLOGYFierro Steven, RodolfoMDGender: MaleNPI: 1568469245
♿1400 N El Paso StSte B(915) 544-4911Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoBoard Certifications:NoneLanguage: Spanish
u Levine, Johanan S MDGender: MaleNPI: 1316945843
♿4801 Alberta(915) 215-5900Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Child NeurologyLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
121
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
CHIROPRACTICAguayo, Fred DCGender: MaleNPI: 1922080118
♿U1030 N Zaragoza RdSte A(915) 860-2233♿U106 Camille Dr(915) 581-9619♿U61 Camille Dr(915) 581-9619♿11240 Vista Del Sol DrSte A(915) 304-0022Clinic Affiliation:Southwest ChiropracticBoard Certifications:NoneLanguage: SpanishAmmon, Donald J DCGender: MaleNPI: 1447209911
U6300 Gateway Blvd E(915) 781-2273Clinic Affiliation: 1stChoice Treatment ClinicBoard Certifications:NoneLanguage: SpanishBarker, Jerry W DCGender: MaleNPI: 1609974856
♿U1525 Common Dr Ste A(915) 590-9355Board Certifications:NoneLanguage: SpanishBonilla, Jennifer DCGender: FemaleNPI: 10034485075742 N Mesa St(800) 404-6050Clinic Affiliation: AirrostiRehab Center LLCBoard Certifications:None
Castro, Marco A DCGender: MaleNPI: 14371541191600 Medical Center DrSte 309(915) 532-9100810 E Redd Rd Ste D(915) 581-6405Clinic Affiliation: CastroChiropractic Center PABoard Certifications:NoneLanguage: SpanishCazares, Rick DCGender: MaleNPI: 1205873494
U6955 N Mesa St Ste 112Bldg A(915) 799-8416Clinic Affiliation: RcChiropractic LLCBoard Certifications:NoneLanguage: SpanishDarling, Scott S DCGender: MaleNPI: 1114164506
♿4717 Hondo Pass DrSte 1c(915) 755-2773Clinic Affiliation: Scott SDarling DcpcBoard Certifications:NoneEiland, Mason D DCGender: MaleNPI: 1386134294
U3800 N Mesa St Ste C1(915) 838-1500
U1470 George DieterSte C(915) 838-1500Clinic Affiliation: DesertSun Chiropractic PLLCBoard Certifications:NoneFrench, Stanley E DCGender: MaleNPI: 1851463301
♿U1360 N Lee Trevino DrSte 109(915) 633-8150Clinic Affiliation: AccidentIndustrial Injury CareBoard Certifications:NoneLanguage: Spanish
Georges, Thomas J DCGender: MaleNPI: 1164592903
♿U1400 N Zaragosa Ste D(915) 592-3333
U1400 N Zaragoza RdSte D(915) 592-3333Clinic Affiliation: GeorgesChiropractic & WellnessBoard Certifications:NoneLanguage: SpanishGuido, Sara M DCGender: FemaleNPI: 1992791115
♿U11570 Pellicano Dr(915) 594-8298Clinic Affiliation: SaraMarie Guido DcpaBoard Certifications:NoneLanguage: SpanishGutierrez, Ramiro M DCGender: MaleNPI: 1215386081
U6600 N Mesa StSte 502(915) 228-4915
U1393 George DieterDr Ste E(915) 228-4915Clinic Affiliation: My LifeChiropracticBoard Certifications:NoneLanguage: SpanishGutierrez, Rocio G DCGender: MaleNPI: 1386100345
U5744 Tablerock Dr(915) 760-4700Clinic Affiliation: WardyWellness ChiropracticPLLCBoard Certifications:None
Hernandez, Javier S DCGender: MaleNPI: 1437148335
♿U1200 Golden Key CircleSte 317(915) 777-3151♿U11890 Vista Del Sol DrSte A 117(915) 777-3151Clinic Affiliation: SrHealthcareBoard Certifications:NoneLanguage: SpanishJimenez, Alexander D DCGender: MaleNPI: 1205907805
♿U6440 Gateway Blvd ESte B(915) 412-6677
U1700 N Zaragoza RdSte 117(915) 412-6677Clinic Affiliation: El PasoChiropractic Group; InjuryMedical Clinic PABoard Certifications:NoneLanguage: SpanishJones, Larry D DCGender: MaleNPI: 1346362670
♿U7236 N Mesa St(915) 581-7001Clinic Affiliation:Westside ChiropracticCenterBoard Certifications:NoneLanguage: SpanishKaram, Charles W DCGender: MaleNPI: 1326415092
U1030 N Zaragoza RdSte A(915) 860-2233Board Certifications:NoneLa Rock, Wilford C DCGender: MaleNPI: 1801199419
U915 Huckleberry St(915) 799-8416Clinic Affiliation: Del ValleChiropractic & RehabBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
122
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
EL PASO (continued)
CHIROPRACTIC(continued)Leff, William M DCGender: MaleNPI: 1265536593
♿U3130 Montana Avenue(915) 566-9671Board Certifications:NoneLanguage: SpanishLeon, Francisco J DCGender: MaleNPI: 136689425511851 Physicians Dr(800) 404-6050Clinic Affiliation: AirrostiRehab Center LLCBoard Certifications:NoneLanguage: SpanishMallerich, Walton J DCGender: MaleNPI: 1033121504
♿U10935 Ben CrenshawSte 107(915) 203-5744Board Certifications:NoneLanguage: SpanishMarrufo, Sylvia E DCGender: FemaleNPI: 1164777918
U6300 Gateway Blvd E(915) 781-2273Clinic Affiliation: 1stChoice Treatment ClinicBoard Certifications:NoneLanguage: SpanishMorgan, Robert C DCGender: MaleNPI: 1295813723
♿U4720 Tetons Dr(915) 751-2432♿U136 S Resler Dr(915) 581-6624Clinic Affiliation: VisionChiropracticBoard Certifications:NoneLanguage: American Sign;Spanish
Muniz, Jose I DCGender: MaleNPI: 1770537979
♿U11220 Rojas Dr Ste C13(915) 593-2273Board Certifications:NoneLanguage: Laotian;SpanishMunoz, Paul M DCGender: FemaleNPI: 1891771572
♿U1624 N Lee Trevino DrSte B(915) 598-2225
U1624 N Lee Trevino Ste B(915) 598-2225Clinic Affiliation: El PasoDoctors of Chiropractic Inc;El Paso Family andPediatric ClinBoard Certifications:NoneLanguage: SpanishOntiveros, Michael A DCGender: MaleNPI: 1174561351
♿U3800 N Mesa StSte C1(915) 838-1500♿U1470 George Dieter DrSte C(915) 838-1500Clinic Affiliation: DesertSun Chiropractic PLLCBoard Certifications:NoneLanguage: SpanishPonce, Michael C DCGender: MaleNPI: 17900744095001 N MesaSte 2d(915) 875-1494Clinic Affiliation: AktivIntegrative ChiropracticBoard Certifications:NoneLanguage: SpanishRodriguez, Paul C DCGender: MaleNPI: 1912000589
♿U2295 Trawood Suite E(915) 593-8013Board Certifications:NoneLanguage: Spanish
Ruja, Marius S DCGender: MaleNPI: 1225083322
♿2630 Montana Ave(915) 521-2020Clinic Affiliation: Alphaand Omega WellnessCenter IncBoard Certifications:NoneLanguage: Romanian;SpanishSifuentes, Liliana DCGender: FemaleNPI: 1033398698
♿U9005 Dyer StSte B(915) 751-9791Clinic Affiliation: LilianaSifuentes DC PABoard Certifications:NoneLanguage: SpanishSime, David A DCGender: MaleNPI: 1043326895
♿U425 S Mesa Hills DrBldg A(915) 581-5745Clinic Affiliation: SimeChiropractic Clinic PABoard Certifications:NoneLanguage: SpanishSmith, Oliver R DCGender: MaleNPI: 1194048850
U1417 Brown St(915) 533-2225Clinic Affiliation: SmithChiropractic LLCBoard Certifications:NoneLanguage: SpanishSmith, Oliver R DCGender: MaleNPI: 1871535831
♿U1417 Brown St(915) 533-2225Clinic Affiliation: SmithChiropractic LLCBoard Certifications:NoneLanguage: Spanish
Talarico, Nick A DCGender: MaleNPI: 1376631010
♿5505 Montana AveSte B(915) 772-8080Clinic Affiliation: Sun CityChiropracticBoard Certifications:NoneLanguage: SpanishWardy, David J DCGender: MaleNPI: 1710187810
♿U5744 Tablerock Dr(915) 760-4700Clinic Affiliation: WardyWellness ChiropracticPLLCBoard Certifications:NoneLanguage: SpanishWeislow, Jeffrey S DCGender: MaleNPI: 1902813207
♿U1722 N Zaragoza RdSte B(915) 921-7700Board Certifications:NoneLanguage: SpanishZaman, Naoshad DCGender: MaleNPI: 167913182511604 Pellicano DrSte A9(915) 593-2225Clinic Affiliation: DelNorte Chiropractic PLLCBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
123
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
EL PASO (continued)
CLINICAL CARDIACELECTROPHYSIOLOGYAbedin, Moeen MDGender: MaleNPI: 18414039461521 Joe Battle Blvd(915) 593-5999Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:None
CLINICAL GENETICSu Ayoubieh, Houriya S MDGender: FemaleNPI: 14172101704801 Alberta Ave(915) 215-50002000 Trans Mountain Rd SteB(915) 215-5200Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Clinical GeneticsLanguage: Spanish
COLON-RECTALSURGERYFikfak, Vid MDGender: MaleNPI: 1245592484
U4801 Alberta Ave(915) 215-5310Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
u Gomez, Jaime R MDGender: MaleNPI: 1760563381
♿900 Chelsea St(915) 857-2781Hospital Affiliations: ElPaso Day Surgery LLC;Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: El PasoColon and Rectal ClinicBoard Certifications:Colon-Rectal Surgery;SurgeryLanguage: SpanishGomez, Luis F MDGender: MaleNPI: 1881647659
♿1400 George DieterSte 260(915) 593-9600Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: El PasoSurgical Associates PABoard Certifications:SurgeryLanguage: SpanishNg, Nathaniel MDGender: MaleNPI: 11142459252000 B Transmountain Rd(915) 215-8400Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:SurgeryLanguage: Spanish
DERMATOLOGYu Almquist, Samuel F MDGender: MaleNPI: 1427257070
U8820 Gateway Blvd N(915) 759-7700Clinic Affiliation:Mountain ViewDermatology PABoard Certifications:Dermatology
u Fort, Samuel L MDGender: MaleNPI: 1841254166310 S Mesa Hills Dr Ste B(915) 304-0265Clinic Affiliation:Epiphany Dermatology PABoard Certifications:DermatologyFranco, Hector L MDGender: MaleNPI: 1376540211
♿1521 Joe Battle Blvd(915) 521-2200Hospital Affiliations:Hosps of Providence SierraCampus; UniversityMedical Center El PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
u Giandoni, Martin B MDGender: MaleNPI: 1386698603
♿8820 Gateway Blvd N(915) 759-7700♿5551 N Mesa St(915) 759-7700Clinic Affiliation:Mountain ViewDermatology PABoard Certifications:DermatologyLanguage: Spanish
u Guevara, Adrian M MDGender: MaleNPI: 1104898188310 S Mesa Hills DrSte B(915) 351-7546Clinic Affiliation:Epiphany Dermatology PABoard Certifications:DermatologyLanguage: Spanish
u Herman, Peter S MDGender: MaleNPI: 1669464285
♿U2100 N Mesa(915) 544-3800♿10960 MontwoodSte A(915) 633-9455Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: Peter SHerman MD PABoard Certifications:DermatologyLanguage: German;Spanish
u Herrmann, Jennifer L MDGender: FemaleNPI: 12455217567430 Remcon CircleBldg A Ste 140(915) 304-0265Clinic Affiliation:Epiphany Dermatology PABoard Certifications:DermatologyJeter, Jonathan P MDGender: MaleNPI: 16890562281397 George Dieter DrSte A(915) 351-7546Clinic Affiliation:Epiphany Dermatology PABoard Certifications:NoneKing, Clinton A MDGender: MaleNPI: 1639239692
♿10657 Vista Del Sol #A(915) 598-3943Hospital Affiliations: DelSol Camp LpdshBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
124
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
DERMATOLOGY(continued)
u Maddox, Craig L MDGender: MaleNPI: 1346210713
♿8820 Gateway N(915) 759-7700Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation:Mountain ViewDermatology PABoard Certifications:DermatologyLanguage: SpanishMcKissack, Sterling S MDGender: MaleNPI: 12850332901397 George Dieter Dr SteA(915) 351-7546Clinic Affiliation:Epiphany Dermatology PABoard Certifications:None
u Ozanich, Brett A DOGender: MaleNPI: 1164743928310 S Mesa Hills Dr Ste B(915) 351-7546Clinic Affiliation:Epiphany Dermatology PABoard Certifications:DermatologyPeake, Mark F MDGender: MaleNPI: 1336244581
♿8820 Gateway Blvd N(915) 759-7700Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Mountain ViewDermatology PABoard Certifications:NoneLanguage: Spanish
u Simpson, Brenda M MDGender: FemaleNPI: 17506762501700 Murchison DrSte 215(915) 544-3254Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: MichaelH Simpson MD PABoard Certifications:Dermatology; PediatricDermatologyLanguage: French;Spanish
u Simpson, Michael H MDGender: MaleNPI: 1497783849
♿U1700 Murchison DrSte 215(915) 544-3254Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: MichaelH Simpson MD PABoard Certifications:DermatologyLanguage: SpanishVinson, Richard P MDGender: MaleNPI: 1710082268
♿U8820 Gateway Blvd N(915) 759-7700♿5551 N Mesa StSte C(915) 759-7700Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation:Mountain ViewDermatology PABoard Certifications:NoneLanguage: Spanish
DIAG RADIOLOGYu Allen, Michael S MDGender: MaleNPI: 1083662654
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations:Bs&w Medical Center LakePointe; Hunt RegionalMedical Center; LasPalmas Camp Lpdsh;Woodland Heights MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications: DiagRadiology; RadiologyBailey, Lin H MDGender: FemaleNPI: 1083980163
42001 N Oregon St(915) 533-3798Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Providence ImagingConsultants PABoard Certifications:None
Banerjee, Amitabha MDGender: MaleNPI: 1588653083
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: DelSol Camp Lpdsh; HoustonMethodist Baytown Hosp;Las Palmas Camp LpdshClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:RadiologyBoykin, Mark A MDGender: MaleNPI: 1912091109
4
U1801 N Oregon St(915) 521-1200
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations:Anson General Hospital;Clay County MemorialHospital; EastlandMemorial Hospital; FisherCounty Hospital District;Hamlin Memorial Hospital;Haskell Memorial Hospital;Hendrick Medical Center;North Runnels Hospital;Refugio County MemorialHospital; Wadley RegionalMedical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
125
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
DIAG RADIOLOGY(continued)Breckwoldt, Reid D MDGender: MaleNPI: 1295737583
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(799) 258-7939
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh; TXHealth Huguley Hosp FtWorth S; Valley RegionalMedical Center; WadleyRegional Medical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneBrewer, Edward S MDGender: MaleNPI: 1831422377
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: HcaHouston Healthcre MedicalCtr; Las Palmas CampLpdshClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
Caldemeyer, Karen S MDGender: FemaleNPI: 1679511356
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;Woodland Heights MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneCarswell, Aimee P MDGender: FemaleNPI: 1619156635
4
U1801 N Oregon St(915) 521-1200
44815 Alameda Ave(915) 215-6000
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: ChiSt Lukes Health Memorial;ETMC First PhysHenderson RHC; Hosps ofProvidence Transmountain;Las Palmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation:Radadvantage AProfessional Corp; TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
Chang, John K MDGender: MaleNPI: 1720063852
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;Woodland Heights MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneCotter, Timothy MDGender: MaleNPI: 1790769511
41416 George Dieter Dr(847) 929-5460Hospital Affiliations:Foundation Surgical HospEl PasoClinic Affiliation: TriadRadiology and ImagingLTDBoard Certifications:NoneDharia, Chiraag MDGender: MaleNPI: 1083880306
41416 George Dieter Dr(847) 929-5460Hospital Affiliations:Foundation Surgical HospEl PasoClinic Affiliation: TriadRadiology and ImagingLTDBoard Certifications:None
Edwards, Oliver L MDGender: MaleNPI: 1871796508
44815 Alameda Ave(915) 215-6000Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneFisher, Ian MDGender: MaleNPI: 1902828197
41416 George Dieter Dr(847) 929-5460Hospital Affiliations:Foundation Surgical HospEl PasoClinic Affiliation: TriadRadiology and ImagingLTDBoard Certifications:NoneFlores, Rebecca A DOGender: FemaleNPI: 1215138227
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: B S& W Medical CenterUptown; Bs&w EmergencyHospital Keller; Las PalmasCamp Lpdsh; ValleyRegional Medical Center;Wadley Regional MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
126
4 This Provider May Not Be Accepting New Patients. UThis Provider Has Extended Hours.
EL PASO (continued)
DIAG RADIOLOGY(continued)
u Furlong, Joseph B MDGender: MaleNPI: 1801898622
♿U423 Executive Center Blvd(915) 261-7688♿U1111 Hawkins BlvdSte 2a(915) 771-8346♿2270 Joe Battle BlvdSte J(915) 996-9222Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps ProvidenceMemorial Campus;University Medical CenterClinic Affiliation: JosephB Furlong MD PABoard Certifications: DiagRadiologyLanguage: Spanish
u Georgelas, Timothy J MDGender: MaleNPI: 1184688970
4
U4815 Alameda Ave(915) 215-6000Hospital Affiliations:Brownwood RegionalMedical Center; MethodistRichardson Medical Ctr;Palo Pinto GeneralHospital; TX Hlth HarrisMethodist Hosp FW; TXHlth Harris Methodist HospHEB; University MedicalCenter El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications: DiagRadiologyHawk, Kristina E MDGender: FemaleNPI: 1861784860
42001 N Oregon St(713) 461-3573Hospital Affiliations:North Central SurgicalCenter; Rio GrandeRegional HospitalClinic Affiliation:Singleton Associates PABoard Certifications:Radiology
Hellinger, Deborah R MDGender: FemaleNPI: 1710954516
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh; TXHealth Huguley Hosp FtWorth S; Valley RegionalMedical Center; WadleyRegional Medical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneHovsepian, Michael M MDGender: MaleNPI: 1154420107
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh; TitusRegional Medical Center;Valley Regional MedicalCenter; Wadley RegionalMedical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
Hughes, Jason D MDGender: MaleNPI: 1376536524
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;Memorial Hermann GreaterHeightsClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneIrvine, Henry A MDGender: MaleNPI: 1780663609
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;University Medical Center;Wadley Regional MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
Jabara, Benjamin J MDGender: MaleNPI: 1750538252
4
U10301 Gateway Blvd W(915) 595-9000Hospital Affiliations: DelSol Camp LpdshClinic Affiliation:Radadvantage Texas PABoard Certifications:None
u Keegan, Catherine N MDGender: FemaleNPI: 1861656977
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: HcaHouston Healthcre MedicalCtr; Las Palmas CampLpdsh; Valley RegionalMedical Center; WadleyRegional Medical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications: DiagRadiology; Radiology
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
127
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
DIAG RADIOLOGY(continued)Keenan, Sean C MDGender: MaleNPI: 1932190436
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;Valley Regional MedicalCenter; Wadley RegionalMedical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
u Khan, Muhammad N MDGender: MaleNPI: 16593477487500 N Mesa StSte 210(915) 307-7800Hospital Affiliations: DelSol Camp LpdshClinic Affiliation: Arteriesand VeinsBoard Certifications: DiagRadiologyLanguage: Spanish
Labruzzo, Salvatore V DOGender: MaleNPI: 1659578896
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
46405 La Posta Dr(303) 933-8270
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations:Anson General Hospital;Clay County MemorialHospital; EastlandMemorial Hospital; FisherCounty Hospital District;Hamlin Memorial Hospital;Haskell Memorial Hospital;Hendrick Medical Center;North Runnels Hospital;Refugio County MemorialHospital; Rolling PlainsMemorial HospitalClinic Affiliation:Nightrays PA;Radadvantage AProfessional CorpBoard Certifications:NoneLam, Michael MDGender: MaleNPI: 11342653095508 Valley Oak Dr(915) 345-6221Clinic Affiliation:Advanced Ultrasound CareBoard Certifications:NoneLanguage: Spanish
Markham, Jeffrey C MDGender: MaleNPI: 1487858569
4
U4815 Alameda Ave(915) 215-6000Hospital Affiliations: ElPaso Specialty HospitalLTD; Grace MedicalCenter; Horizon MedicalCenter; University MedicalCenter; University MedicalCenter El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
u McCarron, Audrey P MDGender: FemaleNPI: 1235442260
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations:Doctors Hospital of Laredo;Hca Houston HealthcareClear Lake; Las PalmasCamp Lpdsh; WoodlandHeights Medical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications: DiagRadiology
Mitchell, Lex A MDGender: MaleNPI: 1780786392
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;Valley Regional MedicalCenter; Wadley RegionalMedical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:Radiology
u More, Snehal R MDGender: FemaleNPI: 1700013893
4
U1801 N Oregon St(915) 521-1200
41535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
410460 Vista Del Sol DrSte201(915) 593-5108
41951 N Zaragoza Rd(915) 242-2911Hospital Affiliations:Bellville Medical Center;Concho County Hospital;Del Sol Camp Lpdsh; LasPalmas Camp Lpdsh;Woodland Heights MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications: DiagRadiology
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
128
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.UThis Provider Has Extended Hours.
EL PASO (continued)
DIAG RADIOLOGY(continued)Moss, Roy L MDGender: MaleNPI: 1912978172
4
U1801 N Oregon St(915) 521-1200
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: HcaHouston Healthcre MedicalCtr; Las Palmas CampLpdsh; Valley RegionalMedical Center; WadleyRegional Medical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneMyers, Timothy V MDGender: MaleNPI: 1548249246
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
u Naylor, Anthony D MDGender: MaleNPI: 1891751699
♿4
U
4815 Alameda Ave(915) 545-6845Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications: DiagRadiology; RadiologyLanguage: SpanishNewman, Barbara A MDGender: FemaleNPI: 1003808908
42001 N Oregon St(713) 461-3573Hospital Affiliations: RioGrande Regional HospitalClinic Affiliation:Singleton Associates PABoard Certifications:RadiologyNicell, Donald T MDGender: MaleNPI: 1689679631
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Ed(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;Woodland Heights MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:Radiology
Puntenney, Elizabeth AMDGender: FemaleNPI: 1457589251
4
U4815 Alameda Ave(915) 215-5606Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneReiner, Bruce I MDGender: MaleNPI: 1447235783
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations:Doctors Hospital of Laredo;Las Palmas Camp LpdshClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneRuhnke, Thomas J MDGender: MaleNPI: 1831199546
4
U4815 Alameda Ave(915) 215-5625Hospital Affiliations:Prestige Care Hlth Servs;TX Hlth Presbyterian HospDallas; TX HlthPresbyterian Hosp Plano;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Radiology
Shah, Rajvee M MDGender: FemaleNPI: 1336261403
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;Valley Regional MedicalCenter; Wadley RegionalMedical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneSong, Young S MDGender: MaleNPI: 1770569105
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;Valley Regional MedicalCenter; Wadley RegionalMedical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
129
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
DIAG RADIOLOGY(continued)Sundarakumar, Dinesh KMDGender: MaleNPI: 1417235714
44815 Alameda Ave(915) 215-4755Hospital Affiliations:Laredo Medical Center;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneTerreri, Anthony A MDGender: MaleNPI: 1457332447
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;Valley Regional MedicalCenter; Wadley RegionalMedical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
u Thomas, Linda P MDGender: FemaleNPI: 1053386326
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations:Doctors Hospital of Laredo;Las Palmas Camp Lpdsh;University Health System;Woodland Heights MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications: DiagRadiology
u Thompson, Robert L MDGender: MaleNPI: 1164498226
410301 Gateway Blvd W(915) 521-1200Hospital Affiliations: LasPalmas Camp Lpdsh;Santa Rosa Medical CenterClinic Affiliation:Radadvantage Texas PABoard Certifications: DiagRadiology; Radiology
Townsend, Dwight A MDGender: MaleNPI: 1811981590
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista De SolSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;Memorial HermannMemorial City; ValleyRegional Medical Center;Wadley Regional MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneUngar, Joseph MDGender: MaleNPI: 1669645065423 Executive Center(915) 261-76881111 Hawkins BlvdSte 2a(915) 771-83462270 Joe BattleSte J(915) 996-9222Hospital Affiliations: ChiSt Lukes Health Memorial;Del Sol Camp Lpdsh; ElPaso Specialty HospitalLTD; Las Palmas CampLpdshClinic Affiliation: JosephB Furlong MD PABoard Certifications:None
Williams, Gethin MDGender: MaleNPI: 1235202482
4
U4815 Alameda Ave(915) 544-1200Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:RadiologyZafar, Abdul M MDGender: MaleNPI: 1164715520
4
U4815 Alameda Ave(915) 215-5666Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
EMERGENCY MEDICINEu Al Chalabi, Mustafa T MDGender: FemaleNPI: 1417932948
44845 Alameda Ave(915) 298-5444Hospital Affiliations: ElPaso Childrens HospitalClinic Affiliation:Longhorn EmergencyMedical AssocsBoard Certifications:Emergency Medicine
u Atkinson, Darryl A DOGender: MaleNPI: 1366431421
4
U1416 George Dieter Dr(915) 598-4240Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:Emergency Medicine
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
130
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.UThis Provider Has Extended Hours.
EL PASO (continued)
EMERGENCY MEDICINE(continued)Baca, Marshall G DOGender: MaleNPI: 1922340074
44815 Alameda Ave(915) 215-4600Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneBarron, Elaine M MDGender: MaleNPI: 1255312724
42001 N Oregon St(915) 577-6011Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneBerumen, Kenneth A MDGender: MaleNPI: 1588661243
42001 N Oregon St(915) 577-6011Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneLanguage: SpanishBeuerle, John R MDGender: MaleNPI: 1114061504
4
U4669 Cohen Ave(951) 544-1200
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:None
Blandon, Pedro A MDGender: MaleNPI: 1275531469
4
U1416 George Dieter Dr(915) 598-4240Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Methodist Spec &Transplant Hosp; PaloPinto General Hospital;University Medical CenterEl PasoClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneLanguage: SpanishBowen, Samara R MDGender: FemaleNPI: 1821141557
4
U4669 Cohen Ave(951) 544-1200
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:Hosps ProvidenceMemorial Campus; StDavids Medical Center;University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:None
Cep America LLCGender: MaleNPI: 1386961936
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:Ascension Providence;Ascension SetonNorthwest; Baptist HealthSystem; Bs&w MedicalCenter Brenham; DellSeton Medical Center atUT; Guadalupe RegionalMedical Center; HillCountry Memorial Hospital;Nacogdoches MedicalCenter; Seton Medical CtrHarker Heights; UniversityMedical Center El PasoClinic Affiliation: CepAmerica LLCBoard Certifications:NoneBrooker, Matthew G DOGender: MaleNPI: 1396060364
41416 George Dieter Dr(915) 849-5100Hospital Affiliations:Foundation Surgical HospEl PasoClinic Affiliation:Southwest MedicalAssociates IncBoard Certifications:NoneChambers, Jeffrey J MDGender: MaleNPI: 1811097132
42001 N Oregon St(214) 712-2663Hospital Affiliations:Hosps ProvidenceMemorial Campus;Memorial Hermann SWHospitalClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:None
u Chavda, Suresh N MDGender: MaleNPI: 1689627846
42001 N Oregon St(915) 577-6011Hospital Affiliations:Bs&w Medical CenterMcKinney; HospsProvidence MemorialCampus; Hunt RegionalMedical Center; John PeterSmith Hospital; ParisRegional Medical CenterClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:Emergency MedicineCheung, Michael S MDGender: MaleNPI: 1497017958
42001 N Oregon St(214) 712-2068Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneChizen, Robert P MDGender: MaleNPI: 1922014810
4
U1416 George Dieter Dr(915) 598-4240Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; W J MangoldMemorial Hospital; WilsonN Jones Regional Med CtrClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
131
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.UThis Provider Has Extended Hours.
EL PASO (continued)
EMERGENCY MEDICINE(continued)Cep America LLCGender: MaleNPI: 1821034448
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:Ascension Providence;Ascension SetonNorthwest; Baptist HealthSystem; Christus StMichael Health System;Dell Childrens MedicalCenter; Dell Seton MedicalCenter at UT; GuadalupeRegional Medical Center;Hosps ProvidenceMemorial Campus; SetonMedical Ctr Harker Heights;University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:None
u Cosban, Travis MDGender: MaleNPI: 1700225265
4
U2000 Transmountain Rd(214) 712-2068
4
U4669 Cohen Ave(951) 544-1200
410780 Pebble Hills BlvdSte G 1(915) 773-0606
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: CentroSan Vicente; Cep AmericaLLC; Patriot EmergencyPhysiciansBoard Certifications:Emergency Medicine
Crosby, Mark I DOGender: MaleNPI: 1477713154
42000 Transmountain Rd(214) 712-2663Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneDaggett, Benjamin D MDGender: MaleNPI: 1881833937
42001 N Oregon St(214) 712-2068Hospital Affiliations:Ascension Providence; DellSeton Medical Center atUT; Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneCep America LLCGender: MaleNPI: 1427345073
4
U1521 Joe Battle Blvd(951) 544-1200Hospital Affiliations:Lubbock Heart Hospital LP;Medical City Lewisville;University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:NoneDesai, Pranav J MDGender: MaleNPI: 1487896288
4
U4669 Cohen AveSte B(915) 790-5700Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:None
Cep America LLCGender: MaleNPI: 1487896288
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:NoneDonaldson, Chase MDGender: MaleNPI: 1356634315
42001 N Oregon St(214) 712-2663Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneDouglas, Derek MDGender: MaleNPI: 1154747657
4
U2000 Trans Mountain Rd(972) 204-5263Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneEdson, Darren S MDGender: MaleNPI: 1699777391
4
U1521 Joe Battle BlvdSte B(951) 544-1200
4
U4669 Cohen Ave(951) 544-1200Hospital Affiliations:Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:None
Evans, Peter S MDGender: MaleNPI: 1942227574
42001 N Oregon St(915) 577-6011Hospital Affiliations: ChiSt Lukes Hlth Baylor CollMed; Hosps ProvidenceMemorial Campus; MemHermann The WoodlandsMed Ctr; MemorialHermann Memorial CityClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneFagan, Scott R MDGender: MaleNPI: 1447495585
41416 George Dieter Dr(915) 849-5100Hospital Affiliations:Foundation Surgical HospEl PasoClinic Affiliation:Southwest MedicalAssociates IncBoard Certifications:NoneFitzgerald, Ryan MDGender: MaleNPI: 1205360476
4
U4669 Cohen Ave(951) 544-1200
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:NoneFlo, Frederick J MDGender: MaleNPI: 1184041402
4
U4845 Alameda Ave(915) 298-5444Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation:Longhorn EmergencyMedical AssocsBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
132
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.UThis Provider Has Extended Hours.
EL PASO (continued)
EMERGENCY MEDICINE(continued)Cep America LLCGender: MaleNPI: 1184041402
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:NoneFodor, Zsolt DOGender: MaleNPI: 1205858271
42001 N Oregon St(915) 577-6011Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneFranklin, William E DOGender: MaleNPI: 1497702492
4
U4669 Cohen Ave(951) 544-1200
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:None
Frazier, William J MDGender: MaleNPI: 1164407854
41416 George Dieter Dr(915) 849-5100Hospital Affiliations:Christus Santa Rosa NewBraunfels; FoundationSurgical Hosp El Paso;Golden Plains CommunityHospital; GuadalupeRegional Medical Center;Palo Pinto GeneralHospital; PetersonRegional Medical CenterClinic Affiliation:Southwest MedicalAssociates IncBoard Certifications:NoneGambarota, Marci C MDGender: FemaleNPI: 1689610248
42000 Transmountain Rd(214) 712-2068Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneGilardoni, Paul G MDGender: MaleNPI: 1891851135
42000 Transmountain Rd(214) 712-2663Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:None
Gillett, David P MDGender: MaleNPI: 1225072234
42001 N Oregon St(915) 577-6011Hospital Affiliations:Ascension SetonNorthwest; Bellville MedicalCenter; Bs&w MedicalCenter Taylor; HospsProvidence MemorialCampus; Liberty DaytonRegional Medical; MedicalArts Hospital; MetroplexHospital; Riceland MedicalCenterClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneGoldstein, Randy J MDGender: MaleNPI: 1487644498
42001 North Oregon St(915) 577-6011Hospital Affiliations:Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneGonzales, Jacob R MDGender: MaleNPI: 1851771257
42000 Transmountain Road(214) 712-6068Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneGood, Benjamin E MDGender: MaleNPI: 1730408964
42000 Transmountain Road(214) 712-2663Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:None
Good, Stacey F DOGender: FemaleNPI: 1487944336
42000 Transmountain Rd(214) 712-2663Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneHamm, Markus L MDGender: MaleNPI: 1730128430
4
U1416 George Dieter Dr(915) 598-4240Hospital Affiliations: HcaHouston Healthcare West;Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneHarper, William D MDGender: MaleNPI: 1922060425
4
U4669 Cohen AveSte B(915) 790-5700Hospital Affiliations:Hosps of Providence SierraCampus; UniversityMedical Center El PasoClinic Affiliation: CepAmerica LLCBoard Certifications:NoneCep America LLCGender: MaleNPI: 1922060425
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:Hosps of Providence SierraCampus; UniversityMedical Center El PasoClinic Affiliation: CepAmerica LLCBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
133
4 This Provider May Not Be Accepting New Patients. UThis Provider Has Extended Hours.
EL PASO (continued)
EMERGENCY MEDICINE(continued)Hernandez, Andres MDGender: MaleNPI: 1710926035
42001 North Oregon St(915) 577-6011Hospital Affiliations:Hosps ProvidenceMemorial Campus; SouthTexas Health System;Uvalde Memorial HospitalClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneHill, Lance M DOGender: MaleNPI: 1750669750
41416 George Dieter Dr(915) 849-5100Hospital Affiliations:Bellville Medical Center;Cuero Regional Hospital;Foundation Surgical HospEl Paso; Frio RegionalHospital; LimestoneMedical Center; RefugioCounty Memorial Hospital;TX Hlth Presbyterian HospPlanoClinic Affiliation:Southwest MedicalAssociates IncBoard Certifications:NoneHill, Monica R MDGender: FemaleNPI: 1891782330
41416 George Dieter Dr(915) 849-5100Hospital Affiliations:Childrens Hospital SanAntonio; Hamilton Hospital;Refugio County MemorialHospital; South TexasSpine & Surgical HospClinic Affiliation:Southwest MedicalAssociates IncBoard Certifications:NoneLanguage: Spanish
Cep America LLCGender: MaleNPI: 1245216878
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:None
u Cep America LLCGender: FemaleNPI: 1003115890
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:Ascension SetonSouthwest; Baptist HealthSystem; Cedar ParkRegional Medical Ctr;Guadalupe RegionalMedical Center; St DavidsMedical Center; UniversityMedical Center El PasoClinic Affiliation: CepAmerica LLCBoard Certifications:Emergency MedicineHoward, James R MDGender: MaleNPI: 1881654408
41416 George Dieter Dr(915) 598-4240Clinic Affiliation:Emergency Care ProvidersPABoard Certifications:None
u Howell, Greg A MDGender: MaleNPI: 1386671444
42001 N Oregon St(915) 577-6011Hospital Affiliations:Hosps ProvidenceMemorial Campus;Memorial Hermann GreaterHeightsClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:Emergency Medicine
Idada, Francis MDGender: MaleNPI: 1124425129
4
U4845 Alameda Ave(915) 298-5444Hospital Affiliations: ElPaso Childrens HospitalClinic Affiliation:Longhorn EmergencyMedical AssocsBoard Certifications:NoneJames, Brian D DOGender: MaleNPI: 1376905570
4
U4669 Cohen AveSte B(915) 790-5700Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:NoneCep America LLCGender: MaleNPI: 1376905570
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:NoneJanke, Clifford O MDGender: MaleNPI: 1275574196
42001 N Oregon St(915) 577-6011Hospital Affiliations:Hosps ProvidenceMemorial Campus; StDavids Medical CenterClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:None
Johnson, Keith MDGender: MaleNPI: 1912966615
41416 George Dieter Dr(915) 849-5100Hospital Affiliations:Foundation Surgical SanAntonio; Lillian M HudspethMemorial HospClinic Affiliation:Southwest MedicalAssociates IncBoard Certifications:NoneKapp, Ronald MDGender: MaleNPI: 1760410906
4
U1416 George Dieter Dr(915) 598-4240Hospital Affiliations:Baylor Surgical Hosp LasColinas; Bs&w SurgicalHospital Fort Worth; HospsProvidence MemorialCampus; Palo PintoGeneral HospitalClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:None
u Katan, Brian S MDGender: MaleNPI: 1104864362
4
U4669 Cohen Ave(951) 544-1200
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:Sagecrest HospitalCarrollton; UniversityMedical Center El PasoClinic Affiliation: CepAmerica LLCBoard Certifications:Emergency MedicineKennebrew, Garry J MDGender: MaleNPI: 1255605952
4
U2000 Trans Mountain Rd(214) 712-2068Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
134
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.UThis Provider Has Extended Hours.
EL PASO (continued)
EMERGENCY MEDICINE(continued)
u Kilgo, Robert W MDGender: MaleNPI: 1457340549
♿44815 Alameda Ave(915) 545-7333Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Emergency MedicineLarson, Joshua S MDGender: MaleNPI: 1285977736
44845 Alameda Ave(915) 298-5444Hospital Affiliations: ElPaso Childrens Hospital;Lubbock Heart Hospital LP;Methodist HospitalClinic Affiliation:Longhorn EmergencyMedical AssocsBoard Certifications:NoneLaw, Jennifer MDGender: FemaleNPI: 1386811438
41416 George Dieter Dr(915) 849-5100Hospital Affiliations:Foundation Surgical HospEl Paso; UTMB HealthGalvestonClinic Affiliation:Southwest MedicalAssociates IncBoard Certifications:None
Cep America LLCGender: MaleNPI: 1700827474
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:Baylor University MedicalCenter; Christus MotherFrances Winnsboro; CityHospital at White Rock;University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:NoneLievano, Kang Mei N MDGender: FemaleNPI: 1689099293
42000 Transmountain Rd(214) 712-2663Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneLindsey, Michael W MDGender: MaleNPI: 1023454238
42001 N Oregon St(214) 712-2068Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneLovett, Paris B MDGender: MaleNPI: 1467485649
42001 N Oregon St(214) 712-2663Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:None
Cep America LLCGender: FemaleNPI: 1083051569
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations: ChiSt Lukes Hlth Baylor CollMed; Lubbock HeartHospital LP; UniversityMedical Center El PasoClinic Affiliation: CepAmerica LLCBoard Certifications:NoneMackay, John M MDGender: MaleNPI: 1851380810
♿4
U
4815 Alameda Ave(915) 545-7333
4
U4669 Cohen Ave(951) 544-1200
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: CepAmerica LLC; TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneMadarang, Eric L DOGender: MaleNPI: 1336438878
41416 George Dieter Dr(915) 849-5100Hospital Affiliations:Christus Spohn Hos CctxShoreline; FoundationSurgical Hosp El Paso;Palo Pinto GeneralHospital; Refugio CountyMemorial HospitalClinic Affiliation:Southwest MedicalAssociates IncBoard Certifications:None
u Mallett, Paul W MDGender: MaleNPI: 1700809803
42001 N Oregon St(915) 577-6011Hospital Affiliations:Ascension Providence;Ascension SetonNorthwest; Chi St LukesHlth Baylor Coll Med;Christus Santa Rosa NewBraunfels; Dell SetonMedical Center at UT;Hosps ProvidenceMemorial Campus;Matagorda RegionalMedical Center; SetonMedical Ctr Harker Heights;South Texas HealthSystem; UTMB HealthGalvestonClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:Emergency MedicineMangel, Ryan S MDGender: MaleNPI: 1811139306
4
U1416 George Dieter Dr(915) 598-4240Hospital Affiliations:Ascension Providence;Ascension SetonNorthwest; Christus StMichael Health System;Dell Childrens MedicalCenter; Dell Seton MedicalCenter at UT; HospsProvidence MemorialCampus; Seton Medical CtrHarker HeightsClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
135
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
EMERGENCY MEDICINE(continued)Cep America LLCGender: FemaleNPI: 1427138114
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:Hosps ProvidenceMemorial Campus; StJoseph Medical Center;University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:NoneMarciniak, Robert A MDGender: MaleNPI: 1700889201
41416 George Dieter Dr(915) 849-5100Hospital Affiliations:Cuero Regional Hospital;Dimmit Regional Hospital;Frio Regional Hospital;University Health SystemClinic Affiliation:Southwest MedicalAssociates IncBoard Certifications:NoneLanguage: French;SpanishMarsan, Nathanael P MDGender: MaleNPI: 1619331469
4
U4669 Cohen AveSte B(915) 790-5700Hospital Affiliations:Baptist Health System;Metropolitan MethodistHospital; NortheastMethodist Hospital; SantaRosa Medical Center;University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:None
Cep America LLCGender: MaleNPI: 1619331469
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:Baptist Health System;Metropolitan MethodistHospital; NortheastMethodist Hospital; SantaRosa Medical Center;University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:NoneMartinez, Miguel A MDGender: MaleNPI: 1225324692
42001 N Oregon St(214) 712-2663Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneMaruthoor, Jim K MDGender: MaleNPI: 1437378247
41416 George Dieter Dr(915) 849-5100Hospital Affiliations:Dimmit Regional Hospital;John Peter Smith Hospital;Medical City Arlington;Methodist Charlton MedicalCenter; Midland MemorialHospital; Paris RegionalMedical Center; TX HealthHuguley Hosp Ft Worth S;United Regional Hlth CareSystemClinic Affiliation:Southwest MedicalAssociates IncBoard Certifications:None
McGann, Kevin Sean ADOGender: MaleNPI: 1225087729
42001 N Oregon St(214) 712-2663Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneMelamed, Matthew J MDGender: MaleNPI: 1124441753
4
U4669 Cohen AveSte B(915) 790-5700Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:NoneCep America LLCGender: MaleNPI: 1124441753
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:NoneMendoza, Omar MDGender: MaleNPI: 1619977261
41625 Medical CenterDr(915) 747-4000Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:None
Miller, Garett P MDGender: MaleNPI: 1427303882
42001 N Oregon St(214) 712-2068Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneCep America LLCGender: MaleNPI: 1386756807
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations: StJoseph Regional HealthCenter; University MedicalCenter El PasoClinic Affiliation: CepAmerica LLCBoard Certifications:NoneMolina, Armando MDGender: MaleNPI: 1073575577
41416 George Dieter Dr(915) 598-4240Hospital Affiliations:Hosps of Providence SierraCampus; Las PalmasCamp Lpdsh; ReevesCounty HospitalClinic Affiliation:Emergency Care ProvidersPABoard Certifications:NoneMontelongo, Juan A MDGender: MaleNPI: 1114955184
42001 N Oregon St(915) 577-6011Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
136
4 This Provider May Not Be Accepting New Patients. UThis Provider Has Extended Hours.
EL PASO (continued)
EMERGENCY MEDICINE(continued)
u Moreno, Killeen M MDGender: FemaleNPI: 1366410672
41416 George Dieter Dr(915) 849-5100Hospital Affiliations:Ballinger MemorialHospital; Chi St JosephHlth Burleson Hosp;Eastland MemorialHospital; FoundationSurgical Hosp El Paso;Jackson HealthcareCenter; Lillian M HudspethMemorial Hosp; RollingPlains Memorial Hospital;St Joseph Regional HealthCenterClinic Affiliation:Southwest MedicalAssociates IncBoard Certifications:Emergency MedicineCep America LLCGender: MaleNPI: 1801216007
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:NoneMullen, Casey K MDGender: FemaleNPI: 1104184993
42000 Transmountain Rd(214) 712-2663Hospital Affiliations:Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:None
Murphy, Sean M MDGender: MaleNPI: 1962841353
42001 N Oregon St(214) 712-2663Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:None
u Cep America LLCGender: FemaleNPI: 1821102096
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations: CityHospital at White Rock;Medical City North Hills;University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:Emergency Medicine
u Narra, Nagarjun MDGender: MaleNPI: 1154406288
42001 N Oregon St(214) 712-2663Hospital Affiliations: BSAHospital LLC; CovenantHealth System; GraceMedical Center; HospsProvidence MemorialCampus; Lubbock HeartHospital LPClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:Emergency Medicine
Nazeer, Omer MDGender: MaleNPI: 1134475270
42001 N Oregon St(214) 712-2663Hospital Affiliations:Ascension Providence;Ascension SetonNorthwest; Christus StMichael Health System;Dell Childrens MedicalCenter; Dell Seton MedicalCenter at UT; HospsProvidence MemorialCampus; Palo PintoGeneral Hospital; SetonMedical Ctr Harker Heights;Titus Regional MedicalCenterClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:None
u Newell, Cameron M MDGender: MaleNPI: 1811252869
4
U4815 Alameda Ave(915) 215-4619Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Emergency MedicineNguyen, Vinh Quang DDOGender: MaleNPI: 1639530173
41416 George Dieter Dr(915) 849-5100Hospital Affiliations:Christus Spohn Hosp CctxMemorial; Dimmit RegionalHospital; Palo PintoGeneral Hospital; RefugioCounty Memorial HospitalClinic Affiliation:Southwest MedicalAssociates IncBoard Certifications:None
Nordquist, Erik K MDGender: MaleNPI: 1043467798
44815 Alameda Ave(915) 215-4600Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneCep America LLCGender: FemaleNPI: 1326272188
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:Christus St Michael HospAtlanta; FriendswoodHealth Care Center; HcaHouston HealthcareKingwood; UniversityMedical Center El Paso;UTMB Health GalvestonClinic Affiliation: CepAmerica LLCBoard Certifications:NoneOrtiz, Carlos R MDGender: MaleNPI: 1801152525
42000 Transmountain Rd(214) 712-2663Hospital Affiliations:Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
137
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.UThis Provider Has Extended Hours.
EL PASO (continued)
EMERGENCY MEDICINE(continued)Palafox, Maria D MDGender: FemaleNPI: 1699740951
41416 George DieterDr(915) 849-5100Hospital Affiliations:Baptist Health System;Foundation Surgical SanAntonio; Hca HoustonHealthcare Southeast; PaloPinto General Hospital;Refugio County MemorialHospitalClinic Affiliation:Southwest MedicalAssociates IncBoard Certifications:NoneLanguage: SpanishPalm, Daniel B MDGender: MaleNPI: 1093768202
4
U1416 George Dieter Dr(915) 598-4240Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:None
u Partovi, Sirous N MDGender: MaleNPI: 1013960178
42001 North Oregon St(915) 577-6011Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:Emergency Medicine
Patek, Gregory C MDGender: MaleNPI: 1912023169
44815 Alameda Ave(915) 215-4600Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
u Patel, Ripal H MDGender: MaleNPI: 1114217338
42001 N Oregon St(214) 712-2663Hospital Affiliations:Ascension Seton Hays;Ascension SetonNorthwest; Ben TaubGeneral Hospital; Bs&wMedical Ctr CollegeStation; Dell Seton MedicalCenter at UT; HospsProvidence MemorialCampus; MetroplexHospitalClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:Emergency MedicinePeters, Kenneth W MDGender: MaleNPI: 1073790853
41416 George Dieter Dr(915) 849-5100Hospital Affiliations:Foundation Surgical HospEl Paso; Palo PintoGeneral Hospital; St DavidsMedical Center; TylerCounty HospitalClinic Affiliation:Southwest MedicalAssociates IncBoard Certifications:NoneLanguage: Chinese;Spanish
Pittman, Eric F MDGender: MaleNPI: 1497287171
4
U4669 Cohen Ave(951) 544-1200
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:NonePowell, Justin W DOGender: MaleNPI: 1487663191
41416 George Dieter Drive(915) 849-5100Hospital Affiliations:Cuero Regional Hospital;Foundation Surgical HospEl Paso; Frio RegionalHospital; Lavaca MedicalCenter; Palo Pinto GeneralHospital; Uvalde MemorialHospitalClinic Affiliation:Southwest MedicalAssociates IncBoard Certifications:NoneLanguage: SpanishQuarles, Stephanie R MDGender: FemaleNPI: 1295936508
42001 N Oregon St(214) 712-2663Hospital Affiliations:Baylor University MedicalCenter; Bs&w All SaintsMed Ctr Ft Worth; HospsProvidence MemorialCampus; Palo PintoGeneral HospitalClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:None
Ramos Ramirez, Manuel DMDGender: MaleNPI: 1790190296
41416 George Dieter Dr(915) 849-5100Hospital Affiliations:Corpus Christi MedicalCenter; Falls CommunityHospital & Clinic;Foundation Surgical SanAntonioClinic Affiliation:Southwest MedicalAssociates IncBoard Certifications:None
u Ritz, Reis B MDGender: MaleNPI: 1952557928
42001 N Oregon St(214) 712-2663Hospital Affiliations: ChiSt Joseph Hlth BurlesonHosp; Christus St MichaelHealth System; HospsProvidence MemorialCampus; MetropolitanMethodist Hospital;Northeast MethodistHospital; St JosephRegional Health CenterClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:Emergency MedicineRodriguez, Gilbert S MDGender: MaleNPI: 1366853210
41416 George Dieter Dr(915) 849-5100Hospital Affiliations:Ballinger MemorialHospital; Bs&w MedicalCenter Temple; DimmitRegional Hospital; PaloPinto General HospitalClinic Affiliation:Southwest MedicalAssociates IncBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
138
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.UThis Provider Has Extended Hours.
EL PASO (continued)
EMERGENCY MEDICINE(continued)Ross, Cray MDGender: MaleNPI: 1053622100
42001 N Oregon St(214) 712-2068Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:None
u Rucker, Ebony MDGender: FemaleNPI: 1851602908
4
U1521 Joe Battle BlvdSte B(951) 544-1200
4
U4669 Cohen Ave(951) 544-1200
4
U1416 George Dieter Dr(915) 598-4240Hospital Affiliations:Christus Santa Rosa NewBraunfels; GuadalupeRegional Medical Center;Hosps ProvidenceMemorial Campus;Metroplex Hospital; PaloPinto General Hospital;Seton Medical Ctr HarkerHeights; University MedicalCenter El PasoClinic Affiliation: CepAmerica LLC; PatriotEmergency PhysiciansBoard Certifications:Emergency MedicineSamsel, Kara MDGender: FemaleNPI: 1477972115
44815 Alameda Ave(915) 215-4600Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
Schwarzkopf, Heinz DieterDOGender: MaleNPI: 1386099083
41416 George Dieter Dr(915) 849-5100Hospital Affiliations:Dimmit Regional HospitalClinic Affiliation:Southwest MedicalAssociates IncBoard Certifications:NoneSehgal, Neha DOGender: FemaleNPI: 1386900967
44815 Alameda Ave(915) 215-4600Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneCep America LLCGender: FemaleNPI: 1124375761
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:Christus Santa Rosa SanMarcos; Hill CountryMemorial Hospital; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: CepAmerica LLCBoard Certifications:NoneSidhu, Gurbans MDGender: MaleNPI: 1700310554
4
U4669 Cohen Ave(951) 544-1200
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:None
Smit, Jozef L MDGender: MaleNPI: 1477537926
42000 Transmountain Rd(214) 712-2663Hospital Affiliations:Bs&w Medical CenterTaylor; Covenant HealthSystem; Hosps ProvidenceMemorial Campus;Limestone Medical CenterClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneStiles, Charles T MDGender: MaleNPI: 1851356406
42001 N Oregon St(214) 712-2663Hospital Affiliations:Ascension Providence;Ascension SetonNorthwest; Christus StMichael Health System;Dell Seton Medical Centerat UT; Hosps ProvidenceMemorial Campus;Methodist Hospital;Metropolitan MethodistHospital; NortheastMethodist Hospital;Permian Regional MedicalCenter; TX Hlth PresbyHosp Flower MoundClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneSung, Helen M MDGender: FemaleNPI: 1386795276
42001 N Oregon St(915) 577-6011Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:None
Teleb, Mohamed MDGender: MaleNPI: 19525892851700 Curie Dr Ste 1500(915) 532-45421575 N Resler DrSte D(915) 271-45693270 Joe Battle BlvdSte 215(915) 206-2999Hospital Affiliations:Hosps of ProvidenceTransmountain; John PeterSmith HospitalClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneTiffault, Gerard R MDGender: MaleNPI: 1053361675
42000 Transmountain Rd(214) 712-2068Hospital Affiliations: BenTaub General Hospital;Hosps ProvidenceMemorial Campus; JohnPeter Smith HospitalClinic Affiliation: PatriotEmergency PhysiciansBoard Certifications:NoneVillalba, Adam MDGender: MaleNPI: 1750768248
4
U4845 Alameda Ave(915) 298-5444Hospital Affiliations: ElPaso Childrens HospitalClinic Affiliation:Longhorn EmergencyMedical AssocsBoard Certifications:None
u Watkins, Sarah A MDGender: FemaleNPI: 1558788919
4
U4815 Alameda Av(915) 215-4600Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Emergency Medicine
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
139
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.UThis Provider Has Extended Hours.
EL PASO (continued)
EMERGENCY MEDICINE(continued)Weber, Nancy W DOGender: FemaleNPI: 16090527034815 Alameda Ave(915) 215-4600Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
u Cep America LLCGender: FemaleNPI: 1477538296
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:Ascension Providence;Ascension SetonNorthwest; Dell SetonMedical Center at UT;Grimes St Joseph HealthCenter; GuadalupeRegional Medical Center;Peterson Regional MedicalCenter; Seton Medical CtrHarker Heights; St JosephRegional Health Center; TXHealth Arlington MemorialHosp; University MedicalCenter El PasoClinic Affiliation: CepAmerica LLCBoard Certifications:Emergency Medicine
Woodward, Harold L MDGender: MaleNPI: 1932123254
41416 George Dieter Drive(915) 849-5100Hospital Affiliations: ChiSt Lukes Mem SanAugustine; ComancheCounty Medical Center;Foundation Surgical HospEl Paso; Frio RegionalHospital; JacksonHealthcare Center;Memorial Medical Center;Stonewall MemorialHospital; Val VerdeRegional Medical Center;W J Mangold MemorialHospitalClinic Affiliation:Southwest MedicalAssociates IncBoard Certifications:NoneYousef, Karl A MDGender: MaleNPI: 1225561384
4
U4669 Cohen Ave(951) 544-1200
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: CepAmerica LLCBoard Certifications:None
u Zakula, Mark MDGender: MaleNPI: 1932164472
4
U4669 Cohen AveSte B(915) 790-5700Hospital Affiliations:Baptist Health System;Jackson HealthcareCenter; Palo Pinto GeneralHospital; University MedicalCenter El PasoClinic Affiliation: CepAmerica LLCBoard Certifications:Emergency Medicine
u Cep America LLCGender: MaleNPI: 1932164472
4
U1521 Joe Battle BlvdSte B(951) 544-1200Hospital Affiliations:Baptist Health System;Jackson HealthcareCenter; Palo Pinto GeneralHospital; University MedicalCenter El PasoClinic Affiliation: CepAmerica LLCBoard Certifications:Emergency Medicine
ENDOCRINOLOGYu Perez Lopez, Arianna M
MDGender: FemaleNPI: 14779923114801 Alberta Ave(915) 215-5200Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Endocrinology; InternalMedicineLanguage: Spanish
ENDOCRINOLOGY,DIABETES &METABOLISM
u Bobadilla, Melissa S MDGender: FemaleNPI: 1083684609
♿1527 Brown St Bldg C(915) 533-5200Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshBoard Certifications:Endocrinology, Diabetes &MetabolismLanguage: Spanish;Tagalog
u Bright, Tamis M MDGender: FemaleNPI: 1871533372
♿4801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Endocrinology, Diabetes &MetabolismLanguage: SpanishMarranzini, Benito A MDGender: MaleNPI: 1083617328
♿1516 Lomaland Dr(915) 593-2600Hospital Affiliations:Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: FrontierMedical CenterBoard Certifications:NoneLanguage: SpanishMartinez, Hector R MDGender: MaleNPI: 16593735201810 Murchison DrSte 300(915) 533-8544Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh; LasPalmas RehabilitationHospitalClinic Affiliation: EcjInternal Medicine PABoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
140
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ENDOCRINOLOGY,DIABETES &METABOLISM(continued)Pinzon, Guillermo A MDGender: MaleNPI: 1790774321
♿1221 N Cotton St Ste 100(915) 592-7662Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshBoard Certifications:NoneLanguage: Spanish
u Rehman, Aziz U MDGender: MaleNPI: 18919265724801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Endocrinology, Diabetes &Metabolism; InternalMedicineLanguage: Panjabi;Spanish; UrduRovner, Sergio F MDGender: MaleNPI: 1437164803
♿1516 Lomaland Dr(915) 593-2600Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: FrontierMedical CenterBoard Certifications:NoneLanguage: French;Spanish
Strader, Wilbur J MDGender: MaleNPI: 1740283043
♿1201 E Schuster AveBldg 7(915) 533-54868041 N Mesa St Ste B2(915) 307-3416Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: CountryClub Medical Center; TXTech Univ Hlth Sci Ctr ElPasoBoard Certifications:NoneLanguage: Spanish
u Yates, Mariana M MDGender: FemaleNPI: 11545844494801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Endocrinology, Diabetes &Metabolism; InternalMedicineLanguage: Spanish
FACIAL PLASTICSURGERYGross, Eric M MDGender: MaleNPI: 1053386763
♿11163 La Quinta PlaceSte B200(915) 591-8400Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation: Eric MGross MD PABoard Certifications:OtolaryngologyLanguage: Spanish
FAMILY PRACTICEAdesanya, Ismail O MDGender: MaleNPI: 1740412840
410301 Gateway Blvd W(713) 960-8008Hospital Affiliations:Christus Spohn Hos CctxShoreline; Citizens MedicalCenter; Del Sol CampLpdsh; Foundation SurgicalHosp El Paso; JacksonHealthcare Center; LasPalmas Camp Lpdsh;Matagorda RegionalMedical Center; MemorialHermann Hospital;Memorial Hermann NEHospital; MemorialHermann SW HospitalClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:NoneAghababyan, Marina MDGender: FemaleNPI: 1700264611
410301 Gateway Blvd W(713) 960-8008Hospital Affiliations: StDavids N Austin MedicalCtr; St Joseph MedicalCenterClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:NoneAzoulay, Leor MDGender: MaleNPI: 1588922249
410301 Gateway Blvd W(713) 960-8008Hospital Affiliations: StDavids N Austin MedicalCtr; St Joseph MedicalCenterClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:None
u Backer, Farnel F MDGender: MaleNPI: 1033302575
410301 Gateway Blvd W(713) 960-8008Hospital Affiliations:Ascension SetonWilliamson; Chi St LukesHealth Memorial; Del SolCamp Lpdsh; Las PalmasCamp Lpdsh; PetersonRegional Medical Center;Santa Rosa MedicalCenter; St Joseph MedicalCenterClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:Family Practice
u Bailey, Omavi MDGender: MaleNPI: 19820102034305 N Mesa StSte B(915) 779-73787430 N Mesa St(915) 779-7378840 E Redd Rd Bldg 1a(915) 701-67252000 Lomaland Dr(915) 779-7378Clinic Affiliation: El PasoSleep Disorders Centers;Sleep Doctor PLLCBoard Certifications:Family PracticeEspinosa, Ivonne APNGender: FemaleNPI: 11941512171521 Joe Battle Blvd(915) 521-2200Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
141
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.
EL PASO (continued)
FAMILY PRACTICE(continued)
u Garcia, Angel J MDGender: MaleNPI: 1801058177
♿11851 Physicians Dr(915) 493-6646Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: El PasoCenter For Family and SpoBoard Certifications:Family Practice; SportsMedicineLanguage: Spanish
u Herman, Karen L MDGender: FemaleNPI: 1386645752
4
U10960 Montwood(915) 633-9456Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp LpdshClinic Affiliation: Peter SHerman MD PABoard Certifications:Family PracticeJesse, Ann M APNGender: FemaleNPI: 1073562948
♿4824 Alberta Ave Fl 4(915) 521-7866Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: SpanishJones, Daphne M APNGender: FemaleNPI: 1780634006
♿1485 George Dieter DrSte 107(915) 521-2258Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish;Tagalog
Locke, Lee Dylan M PAGender: MaleNPI: 1770710436
U1523 N Zaragoza Rd(915) 857-4559Clinic Affiliation: SummitUrgent Care CenterBoard Certifications:NoneLanguage: Spanish
u Provencio, Mauro MDGender: MaleNPI: 1952560682
♿12810 Edgemere Blvd(915) 504-6955Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: Sun CitySports Medicine and FamiBoard Certifications:Family PracticeLanguage: SpanishRubio, Elizabeth APNGender: FemaleNPI: 1952537169
♿1208 Myrtle Ave(915) 351-8972♿1600 Montana Ave(915) 533-8398♿10780 Pebble Hills BlvdSte G 1(915) 773-0606Clinic Affiliation: CentroSan VicenteBoard Certifications:NoneLanguage: SpanishWm Beaumont Arm, YMedical Ctr MDGender: FemaleNPI: 1295838787
♿45005 N Piedras St(915) 569-2327Board Certifications:None
GASTROENTEROLOGYu Beniquez Nieves, Enrique
MDGender: MaleNPI: 1710955182
♿125 W Hague RdSte 590(915) 532-1620Hospital Affiliations: DelSol Camp Lpdsh;Endoscopy Center of ElPaso; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoGastroenterology ConBoard Certifications:GastroenterologyLanguage: Spanish
u Bhatt, Bankim D MDGender: MaleNPI: 11342377464801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:GastroenterologyCarrion Monsalve, AndresF MDGender: MaleNPI: 18111584544800 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
u Chavez, Alfredo MDGender: MaleNPI: 16896459131600 N Oregon St(915) 532-2445♿1600 N Oregon StSte 1a(915) 532-2445Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: BhsPhysicians Network Inc;Gastroenterology Specialistof El PasoBoard Certifications:GastroenterologyLanguage: English;Spanish
u Cossentino, Mark J MDGender: MaleNPI: 17008413431250 E CliffSte 1c(915) 351-72001250 E Cliff DrSte 1c(915) 351-7200♿1700 Curie Dr Ste 4800(915) 351-7200♿1400 George DieterSte 225(915) 351-7200Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: BhsPhysicians Network Inc;Mark J Cossentino MD PABoard Certifications:Gastroenterology; InternalMedicineLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
142
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
GASTROENTEROLOGY(continued)
u Egbuna, Ikenna I MDGender: MaleNPI: 15988055743270 Joe Battle BlvdSte 245(915) 702-0165Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; PasoDel Norte Surgery CenterClinic Affiliation:Gastrocare of El PasoBoard Certifications:Gastroenterology
u Elhanafi, Sherif E MDGender: MaleNPI: 16192375344801 Alberta Ave(915) 215-5183Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:GastroenterologyEstrada, Paul M MDGender: MaleNPI: 17709292262000 Transmountain Rd SteB(915) 215-8400Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneGarcia, Cesar J MDGender: MaleNPI: 115455194311861 Physicians Dr(915) 521-7253Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:None
u Gorospe, Emmanuel CMDGender: MaleNPI: 12251604271250 E Cliff DrSte 1c(915) 351-7200Hospital Affiliations:Baptist Health System;Hosps ProvidenceMemorial Campus;Metropolitan MethodistHospitalClinic Affiliation: BhsPhysicians Network IncBoard Certifications:GastroenterologyGuerrero, Richard MDGender: MaleNPI: 19626704634801 Alberta Ave(915) 545-6640♿11860 Vista Del SolSte 123(915) 304-2177Hospital Affiliations: DelSol Camp Lpdsh;Endoscopy Center of ElPaso; Las Palmas CampLpdsh; University MedicalCenter El PasoClinic Affiliation: Sun CityGastroenterology and Hep;TX Tech Univ Hlth Sci CtrEl PasoBoard Certifications:NoneLanguage: English;Spanish
u Gupta, Tej P MDGender: MaleNPI: 1154386621
♿1733 Curie DrSte 200(915) 534-2500Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: Tej PGupta MD PABoard Certifications:Gastroenterology; InternalMedicineLanguage: Spanish
Halow, George M MDGender: MaleNPI: 1396713335
♿U2311 N Mesa Bldg D(915) 533-6844
U2311 N Mesa St Ste D(915) 533-6844Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: GeorgeM Halow MD PABoard Certifications:NoneLanguage: Spanish
u Hernandez, Jesus A MDGender: MaleNPI: 1568462398
♿125 W Hague RdSte 590(915) 532-1620♿4801 Alberta Ave(915) 215-5205Hospital Affiliations: ElPaso Childrens Hospital;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: El PasoGastroenterology Con; TXTech Univ Hlth Sci Ctr ElPasoBoard Certifications:Gastroenterology; InternalMedicineLanguage: Spanish
u Karp, Alan J MDGender: MaleNPI: 1982696324
♿125 W Hague RdSte 590(915) 532-1620Hospital Affiliations:Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: El PasoGastroenterology ConBoard Certifications:GastroenterologyLanguage: SpanishKolli, Venkateswara R MDGender: MaleNPI: 1780676197
♿1250 E Cliff DrSte 4a(915) 541-7000Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation:Digestive Hlth Clin of ElPaso PABoard Certifications:NoneLanguage: SpanishLongoria, Rolando R MDGender: MaleNPI: 1417967282
♿4532 N Mesa StFloor 2(915) 544-0326Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: El PasoIntegrated PhysicianBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
143
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
GASTROENTEROLOGY(continued)Mendoza Ladd, Antonio HMDGender: MaleNPI: 17909260791521 Joe Battle Blvd(915) 521-2000Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: American Sign;SpanishMoldes Rodrig, OrestesMDGender: MaleNPI: 1811972896
♿1600 N Oregon StSte 1(915) 532-2445Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation:Gastroenterology Specialistof El PasoBoard Certifications:NoneLanguage: English;SpanishMoldes Rodriguez,Orestes MDGender: MaleNPI: 18119728961600 N Oregon St(915) 532-2445Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneLanguage: Spanish
Morales, Carmela P MDGender: FemaleNPI: 1699702563
♿1521 Joe Battle Blvd(915) 521-2200Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Gujarati;SpanishOjo, Edwin J MDGender: MaleNPI: 1821062837
♿11331 James Watt DrSte 300(915) 504-6950Hospital Affiliations:Hospitals Providence EastCampus; Navarro RegionalHospitalClinic Affiliation: EdwinOjo MD PABoard Certifications:NoneLanguage: SpanishPatel, Sandeep N DOGender: MaleNPI: 1497764740125 W Hague Ste 120(888) 336-96331900 N Oregon StSte 310(888) 336-9633Hospital Affiliations:Childrens Hospital SanAntonio; Christus SantaRosa Alamo Heights; SantaRosa Medical Center;University Health System;University Medical CenterEl PasoClinic Affiliation: UTHealth PhysiciansBoard Certifications:None
u Patel, Vinaychandra M MDGender: MaleNPI: 1992797302
♿1700 Curie Dr Ste 5000(915) 545-1252Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; Kindred HospitalEl Paso; Las Palmas CampLpdsh; University MedicalCenter El PasoClinic Affiliation: VinayPatel MD PABoard Certifications:GastroenterologyLanguage: Gujarati;Spanish
u Perrillo, Robert P MDGender: MaleNPI: 13169623277848 Gateway Blvd E(915) 599-1313Hospital Affiliations:Baylor University MedicalCenterClinic Affiliation: HealthTexas Provider NetworkBoard Certifications:Gastroenterology
Ramirez, Ruben MDGender: MaleNPI: 1053521989125 W Hague RdSte 500(915) 351-72001600 N Oregon StSte 1a(915) 532-24451700 Curie DrSte 4800(915) 356-39391700 Curie Dr Ste 4800(915) 356-393911861 Physicians Dr(915) 521-7253Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: BhsPhysicians Network Inc;Gastroenterology and LiverConsul; GastroenterologySpecialist of El Paso;University Med Ctr of ElPasoBoard Certifications:None
u Salazar, Cesar O MDGender: MaleNPI: 1891873212
♿1733 Weston Brent LnSte A(915) 595-4074Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusBoard Certifications:GastroenterologyLanguage: SpanishSpeeg, K V MDGender: MaleNPI: 1932117108
♿1900 N Oregon StSte 310(888) 336-9633Hospital Affiliations:University Health SystemClinic Affiliation: UTHealth PhysiciansBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
144
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
GASTROENTEROLOGY(continued)Tulachan, Sidhartha S MDGender: MaleNPI: 18910036201250 E Cliff Dr Ste 1c(915) 351-7200Clinic Affiliation: BhsPhysicians Network IncBoard Certifications:None
u Zuckerman, Marc J MDGender: MaleNPI: 1245268168
♿44801 Alberta Ave(915) 215-5200Hospital Affiliations:Endoscopy Center of ElPaso; Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Gastroenterology; InternalMedicineLanguage: Spanish
GENERAL PRACTICESalazar, Alex MDGender: MaleNPI: 1457566069
♿1600 Montana(915) 887-34106028 Surety Dr(915) 544-3500♿9555 Diana(915) 747-3580♿7717 Lockheed Dr(915) 775-0513Clinic Affiliation:Emergence HealthNetwork; SunwestBehavioral Associate PABoard Certifications:None
GENERAL SURGERYAcosta Corrales, ManuelL MDGender: MaleNPI: 108361559510201 Gateway Blvd WSte 100(915) 250-0220♿1655 Mosswood St(915) 591-7700Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: JorgeAcosta MD Facs PA; RioGrande Surgeons PABoard Certifications:NoneLanguage: Spanish
u Acosta, Jorge MDGender: MaleNPI: 139670120710201 Gateway Blvd WSte 100(915) 250-0220♿1655 Mosswood St(915) 591-77001521 Joe Battle Blvd(915) 591-7700Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: JorgeAcosta MD Facs PA; RioGrande Surgeons PA;University Med Ctr of ElPasoBoard Certifications:General SurgeryLanguage: Spanish
Agullo, Francisco J MDGender: MaleNPI: 11848210844801 Alberta Ave(915) 545-6880Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
u Alkhalili, Eyas MDGender: MaleNPI: 12455958752000 Transmountain Rd(915) 215-8400Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:General Surgery
u Amdemichael, Eden T MDGender: FemaleNPI: 16595305092000 Transmountain RdSte B(915) 215-8408Hospital Affiliations:Hosps of ProvidenceTransmountain; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:General SurgeryLanguage: Spanish
u Andrade, Alonso MDGender: MaleNPI: 16990966854801 Alberta Ave(915) 215-5300Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:General Surgery
u Applebaum, Bruce J MDGender: MaleNPI: 190280367910470 Vista Del SolSte 216(915) 591-2000Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: StsSurgeons PLLCBoard Certifications:General SurgeryLanguage: SpanishArellano, Paul P MDGender: MaleNPI: 11341873961390 George Dieter DrSte 110(915) 271-4640♿1400 George DieterSte 260(915) 593-96001400 George Dieter DrSte 260(915) 543-9600Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: BhsPhysicians Network Inc; ElPaso Surgical AssociatesPA; Ninety Nine PhysicianServicesBoard Certifications:NoneLanguage: Spanish
u Bathla, Lokesh MDGender: MaleNPI: 105353729010525 Vista Del Sol DrSte 120(210) 575-4837Hospital Affiliations:Methodist Hospital;Methodist Spec &Transplant HospClinic Affiliation:Methodist PhysicianPractices PllBoard Certifications:General SurgeryLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
145
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.
EL PASO (continued)
GENERAL SURGERY(continued)Bayazid, Saeb MDGender: MaleNPI: 1295721751
U7500 N Mesa StSte 210(915) 307-7800Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of ProvidenceTransmountainClinic Affiliation: Arteriesand VeinsBoard Certifications:None
u Brown, Courtney G MDGender: FemaleNPI: 1578513735
♿1201 E Schuster AveSte 4b(915) 351-9200Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Paso Del NorteSurgery CenterClinic Affiliation: CourtneyG Brown MD PABoard Certifications:General SurgeryLanguage: SpanishChiba, Shintaro MDGender: MaleNPI: 19122647632000 Trans Mountain RdSte B(915) 215-8400Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
Chorens, Albert L MDGender: MaleNPI: 166941354810470 Vista Del SolSte 216(915) 591-2000Hospital Affiliations:Ascension SetonSmithville; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; St Marks MedicalCenterClinic Affiliation: StsSurgeons PLLCBoard Certifications:NoneLanguage: SpanishClapp, Benjamin L MDGender: MaleNPI: 1700804275
♿1700 N Mesa St(915) 351-6020Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation:Benjamin Clapp MD PABoard Certifications:NoneLanguage: Spanish
Cooney, Paul D MDGender: MaleNPI: 1568656189
♿299 Shadow MountainSte C(915) 219-8265♿299 Shadow Mountain DrSte C(915) 581-6405299 Shadow Mountain DrSte C(915) 774-5555♿10500 Vista Del Sol Ste E(915) 444-8571Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra CampusClinic Affiliation:Complete Care PartnersLLC; Family Medicine ofWest Texas Pll; Lone StarSurgeons Group PLLCBoard Certifications:NoneLanguage: Spanish;SundaneseCox, Derrick D MDGender: MaleNPI: 18010738381250 E Cliff DrSte 2a(915) 577-79513270 Joe Battle BlvdSte 120(915) 351-0699Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:None
u Crecca, Gerard F MDGender: MaleNPI: 1104965490
♿1700 Curie Suite 5300(915) 542-2825Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshBoard Certifications:General SurgeryLanguage: Spanish
u Davis, Brian R MDGender: MaleNPI: 1801043724
♿4801 Alberta Ave(915) 215-5300Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:General SurgeryLanguage: SpanishDel Coro Amengual,Carlos R MDGender: MaleNPI: 19422273841601 N Brown St(915) 533-1789Hospital Affiliations: LasPalmas Camp LpdshBoard Certifications:None
u Diaz Luna, Hector J MDGender: MaleNPI: 1871539189
♿1601 North Brown St(915) 533-1789Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshBoard Certifications:General SurgeryLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
146
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
GENERAL SURGERY(continued)
u Familua, Oluwamayowa FMDGender: MaleNPI: 10637149701250 E Cliff DrSte 5a(915) 532-18007878 Gateway Blvd ESte 204(915) 532-18004655 Cohen Ave(915) 532-1800Hospital Affiliations: DelSol Camp Lpdsh; FrioRegional Hospital; Hospsof Providence SierraCampus; HospsProvidence MemorialCampus; JacksonHealthcare Center; KindredHospital Houston Medical;Metropolitan MethodistHospital; Otto KaiserMemorial Hospital;Palestine Regional MedicalCenter; Paris RegionalMedical CenterClinic Affiliation: DunamisSurgical Centers PLLCBoard Certifications:General SurgeryLanguage: Spanish;YorubaFoster, Preston F MDGender: MaleNPI: 132600523210525 Vista Del Sol DrSte 120(210) 575-4837Hospital Affiliations:Methodist Hospital; PamSpecialty Hosp of SanAntonioClinic Affiliation:Methodist PhysicianPractices PllBoard Certifications:NoneLanguage: Spanish
u Fritze, Danielle M MDGender: FemaleNPI: 16797826191900 N Oregon StSte 310(888) 336-9633Hospital Affiliations:University Health SystemClinic Affiliation: UTHealth PhysiciansBoard Certifications:General Surgery
u Gomez, Luis F MDGender: MaleNPI: 18816476591390 George Dieter DrSte 110(915) 271-46401400 George Dieter DrSte 260(915) 543-9600Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: BhsPhysicians Network Inc;Ninety Nine PhysicianServicesBoard Certifications:General SurgeryLanguage: Spanish
u Grieshop, Neil A MDGender: MaleNPI: 1669487401
♿10470 Vista Del SolSte 216(915) 591-2000Hospital Affiliations:Ascension Seton Hays;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh; PasoDel Norte Surgery CenterClinic Affiliation: StsSurgeons PLLCBoard Certifications:General Surgery
u Halff, Glenn A MDGender: MaleNPI: 1437266590
♿1900 N Oregon StSte 310(888) 336-9633Hospital Affiliations:Methodist Hospital; SantaRosa Medical Center;University Health System;University Medical CenterClinic Affiliation: UTHealth PhysiciansBoard Certifications:General SurgeryLanguage: Spanish
u Kasha, Atur A DOGender: MaleNPI: 1598770356
♿1600 Medical Center DrSte 120(915) 313-9569Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: DesertWest Surgery PABoard Certifications:General SurgeryLanguage: Spanish
u Koch, Eric B MDGender: MaleNPI: 16199400202000 Transmountain RdSte 120 A B(915) 271-4586Hospital Affiliations:Hosps of ProvidenceTransmountain; ScenicMountain Medical CenterClinic Affiliation: BhsPhysicians Network IncBoard Certifications:General SurgeryLanguage: American Sign;Spanish
u Konstantinidis, IoannisMDGender: MaleNPI: 14777899722000 Transmountain RdSte B(915) 215-8400Hospital Affiliations:Hosps of ProvidenceTransmountain; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:General Surgery
u Kronfol, Ziad MDGender: MaleNPI: 18717509844801 Alberta Avenue(915) 215-5300Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:General SurgeryLanguage: American Sign;Spanish
u Landeros, Mark M MDGender: MaleNPI: 19028570061390 George Dieter DrSte 110(915) 271-4640♿1400 George DieterSte 260(915) 543-96001400 George Dieter DrSte 260(915) 543-9600Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: BhsPhysicians Network Inc; ElPaso Surgical AssociatesPA; Ninety Nine PhysicianServicesBoard Certifications:General SurgeryLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
147
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
GENERAL SURGERY(continued)Lara, Michael D MDGender: MaleNPI: 15987214901655 Mosswood St(915) 591-7700Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: MichaelDavid Lara MD PA; RioGrande Surgeons PA;University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
u Larson, Steven S MDGender: MaleNPI: 1861440653
♿1201 E Schuster AveBldg 4b(915) 351-9200Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Paso Del NorteSurgery CenterBoard Certifications:General SurgeryLanguage: SpanishLawrance, Elizabeth A MDGender: FemaleNPI: 1437157971
♿10470 Vista Del SolSte 216(915) 591-2000Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: StsSurgeons PLLCBoard Certifications:None
Longoria, Alfredo MDGender: MaleNPI: 1154429595
♿125 W Hague RdSte 320(915) 533-16034659 Cohen Ave Ste D(915) 877-7343Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; SurgicalCenter of El PasoClinic Affiliation: LalkMedica PABoard Certifications:NoneLanguage: Spanish
u McLean, Susan P MDGender: FemaleNPI: 1174620462
♿4801 Alberta Avenue(915) 215-5300Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:General SurgeryLanguage: SpanishMonsivais, Jose J MDGender: MaleNPI: 1811994502
♿10175 Gateway Blvd WSte 230(915) 590-3666Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: Handand Microsurgery of ElPasoBoard Certifications:Hand SurgeryLanguage: Spanish
Pradhan, Kumuda R MDGender: MaleNPI: 1427053669
♿1700 N Oregon StSte 620(915) 504-6940Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp LpdshClinic Affiliation: KumadaR Pradhan MD PABoard Certifications:None
u Reznichenko, AleksandrA MDGender: MaleNPI: 1750402681125 W Hague St 170(915) 271-45962000 Transmountain RoadSte 120 A and B(915) 671-38381580 Lomaland Drive(915) 313-6300Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: BhsPhysicians Network IncBoard Certifications:General SurgeryRios Tovar, Alejandro JMDGender: MaleNPI: 14778457094801 Alberta Ave(915) 215-5300Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
u Shimunov, Sergey DOGender: MaleNPI: 17809598741250 E Cliff DrSte 5a(915) 532-18007878 Gateway Blvd ESte 204(915) 532-18004655 Cohen Ave(915) 532-18002204 E Joe Battle Blvd(915) 271-4570Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampusClinic Affiliation: BhsPhysicians Network Inc;Dunamis Surgical CentersPLLCBoard Certifications:General SurgeryLanguage: Spanish
u Spurbeck, William W MDGender: MaleNPI: 15785548954801 Alberta Ave(915) 215-5300Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:General Surgery; PediatricSurgery; PediatricsLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
148
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
GENERAL SURGERY(continued)
u Tyroch, Alan H MDGender: MaleNPI: 1912007766
♿4801 Alberta Avenue(915) 215-5300Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:General SurgeryLanguage: SpanishWalk, Ryan M MDGender: MaleNPI: 13161451134845 Alameda Ave(915) 298-5444Hospital Affiliations: ElPaso Childrens Hospital;Methodist HospitalClinic Affiliation: El PasoChildrens Physician GroupBoard Certifications:None
GENERAL VASCULARSURGERY
u Aidinian, Gilbert MDGender: MaleNPI: 13464470911300 Murchison Ste 110(915) 577-0121Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation: GilbertAidinian MD PABoard Certifications:General Vascular Surgery
Gomez, Edward R MDGender: MaleNPI: 1528165289
♿U4532 N Mesa(915) 577-8346♿U4532 N Mesa St(915) 577-8346Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: El PasoVascular PABoard Certifications:NoneLanguage: SpanishGutierrez, Carlos A MDGender: MaleNPI: 14272601577500 N Mesa St Ste 210(915) 307-78002204 Joe Battle Ste B104(915) 307-7800Clinic Affiliation: Arteriesand VeinsBoard Certifications:NoneLanguage: SpanishKoussayer, Samer MDGender: MaleNPI: 1235215062
U7500 N Mesa StSte 210(915) 307-7800Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of ProvidenceTransmountainClinic Affiliation: Arteriesand VeinsBoard Certifications:NoneLangenberg, Matthew TMDGender: MaleNPI: 1407845159221 N Kansas StreetSuite 700(281) 888-8999Clinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:None
u Martinez, Jeffrey M MDGender: MaleNPI: 1295731164221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations:Baptist Health System;Childrens Hospital SanAntonio; MethodistHospital; MetropolitanMethodist Hospital; SantaRosa Medical CenterClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:General Vascular SurgeryLanguage: Greek; Spanish
u Martin, Gordon H MDGender: MaleNPI: 1356341408221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations:Houston Methodist ClearLake HospClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:General Vascular SurgeryLanguage: Spanish
u Mohammadi, Milad MDGender: MaleNPI: 1447511449221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations:Covenant Health System;Uthealth AthensClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:General Vascular Surgery
u Saqib, Naveed U MDGender: MaleNPI: 1033258041221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations:Houston Methodist ClearLake Hosp; MemorialHermann Hospital;Memorial Hermann SWHospitalClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:General Vascular SurgeryYoung, Allan G DOGender: MaleNPI: 165951432111989 Pellicano Dr Ste D(915) 855-6508Clinic Affiliation: Anwar SGerges MD PLLCBoard Certifications:None
GERIATRIC MEDICINECasares, Pablo A MDGender: MaleNPI: 10738277621516 Lomaland(915) 922-9807Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshBoard Certifications:Internal Medicine;NeurologyLanguage: Spanish
u Casner, Paul R MDGender: MaleNPI: 1225077092
♿4801 Alberta Ave(915) 545-6640Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Geriatric Medicine; InternalMedicineLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
149
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
GERIATRIC MEDICINE(continued)Ho, Hoi MDGender: MaleNPI: 1427094820
♿4801 Alberta Ave(915) 545-6640Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: Spanish;Vietnamese
GYNECOLOGICONCOLOGYBoyd, Sarah E MDGender: FemaleNPI: 14476132114801 Alberta Ave(915) 215-5000Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
u Greenberg, Harvey MDGender: MaleNPI: 1912000480
♿4801 Alberta Ave(915) 215-5000Hospital Affiliations: ElPaso Childrens Hospital;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Gynecologic Oncology;Obstetrics-GynecologyLanguage: Spanish
u Padilla, Luis A MDGender: MaleNPI: 1336252063
♿4532 N Mesa StSte 300(915) 317-5077Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation: WomensCancer and Surgical CarePBoard Certifications:Gynecologic OncologyLanguage: SpanishSaldivar, Jose S MDGender: MaleNPI: 1326299264
♿4801 Alberta Ave(915) 215-50007420 Remcon Circle(915) 532-8823Hospital Affiliations: DelSol Camp Lpdsh; El PasoChildrens Hospital; El PasoSpecialty Hospital LTD;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh; MDAnderson Cancer Center;University Medical CenterEl PasoClinic Affiliation: RioGrande Urology PA; TXTech Univ Hlth Sci Ctr ElPasoBoard Certifications:Obstetrics-GynecologyLanguage: American Sign;Spanish
HAND SURGERYChavez Holgui, Pedro SMDGender: MaleNPI: 1336145374
♿1517 N Mesa(915) 533-0269Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshBoard Certifications:Plastic SurgeryLanguage: Spanish
Farber, Gerald L MDGender: MaleNPI: 19625172841700 Murchison Dr(915) 533-74653100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations:Medical Center HospitalClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneLanguage: Spanish
u Gross, Dominic L MDGender: MaleNPI: 1275572307125 W Hague Rd Ste 310(915) 307-2112Hospital Affiliations:Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: WestTexas Hand SurgeryBoard Certifications:Hand SurgeryMitchell, Justin S DOGender: MaleNPI: 117472066812770 Edgemere BlvdBldg F(915) 249-4000Hospital Affiliations: ElPaso Specialty HospitalLTD; Las Palmas CampLpdshClinic Affiliation:Precision Hand Surgery PABoard Certifications:None
u Monsivais, Jose J MDGender: MaleNPI: 1811994502
♿10175 Gateway Blvd WSte 230(915) 590-3666Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: Handand Microsurgery of ElPasoBoard Certifications:Hand SurgeryLanguage: SpanishPirela Cruz, Miguel A MDGender: MaleNPI: 1386604767
♿44801 Alberta Ave(915) 215-5400Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishRobertson, Kathleen AMDGender: FemaleNPI: 15381065961700 Murchison Dr(915) 533-74653100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations: DelSol Camp Lpdsh; Del SolRehabilitation Unit; El PasoSpecialty Hospital LTD; LasPalmas Camp LpdshClinic Affiliation: BhsPhysicians Network IncBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
150
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.
EL PASO (continued)
HEMATOLOGYAlbino, Miguel MDGender: MaleNPI: 12050607461901 Grandview Ave(915) 544-67507848 Gateway Blvd E(915) 597-1313Hospital Affiliations: DelSol Camp Lpdsh; HcaHouston Healthcare ClearLake; Las Palmas CampLpdshClinic Affiliation: TexasOncology PABoard Certifications:OncologyHerrada, Juan MDGender: MaleNPI: 1215934674
♿1901 Grandview Ave(915) 544-6750♿7848 Gateway Blvd E(915) 599-1313♿3270 Joe Battle BlvdSte 312(915) 849-2700Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: TexasOncology PABoard Certifications:OncologyLanguage: Spanish
Philipovskiy, AlexanderMDGender: MaleNPI: 15980745444801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: Russian;Spanish; UkrainianShahinian, Haroutioun SMDGender: MaleNPI: 1639184005
♿7812 Gateway Blvd ESte 110(915) 533-2888Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation:Haroutioun S ShahinianMD PABoard Certifications:NoneLanguage: Armenian;Spanish
HEMATOLOGY-ONCOLOGYAboud, Ambrose MDGender: MaleNPI: 1407843873
♿1900 N Oregon StSte 500(915) 544-8844Hospital Affiliations: ElPaso Specialty HospitalLTD; Hospitals ProvidenceEast Campus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; KindredHospital El Paso; LasPalmas Camp LpdshClinic Affiliation:Physicians and AlliedHealth ProfBoard Certifications:Internal MedicineLanguage: Spanish
u Aloba, Maria C MDGender: FemaleNPI: 1306923180
♿1901 Grandview Ave(915) 544-6750♿7848 Gateway Blvd E(915) 599-1313♿3270 Joe Battle BlvdSte 312(915) 849-2700Hospital Affiliations: HcaHouston Healthcare ClearLake; Hospitals ProvidenceEast Campus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: TexasOncology PABoard Certifications:Hematology-OncologyLanguage: SpanishBeltran, Armando MDGender: MaleNPI: 1649267295
♿2022 Murchison DrSte 100(915) 533-5388♿10201 Gateway Blvd WSte 100(915) 590-3291Hospital Affiliations:Bellville Medical Center;Culberson Hospital Inc;Golden Plains CommunityHospital; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Stephens MemorialHospitalClinic Affiliation: El PasoOncology and InternaBoard Certifications:NoneLanguage: Spanish
u Gaur, Sumit MDGender: MaleNPI: 1609972801
♿4801 Alberta Ave(915) 215-5200Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Hematology-Oncology;Internal MedicineLanguage: Hindi; Spanish
u Portillo, Raul M MDGender: MaleNPI: 1265473391
♿1901 Grandview Ave(915) 544-6750♿7848 Gateway Blvd E(915) 599-1313♿3270 Joe Battle BlvdSte 312(915) 849-2700Hospital Affiliations: HcaHouston Healthcare ClearLake; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: TexasOncology PABoard Certifications:Hematology-Oncology;Internal Medicine;OncologyLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
151
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
HEMATOLOGY-ONCOLOGY (continued)Prieto, Roberto MDGender: MaleNPI: 19422946084801 Alberta Ave(915) 215-52002000b Transmountain Rd(915) 215-8410Hospital Affiliations: SanAngelo Community MedicalCtr; Shannon MedicalCenterClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:OncologyLanguage: SpanishSanchez Rivera, Ines JMDGender: FemaleNPI: 15088634081901 Grandview Ave(915) 747-48517848 Gateway Blvd ESte E1(915) 599-1313Hospital Affiliations: DelSol Camp Lpdsh; HcaHouston Healthcare ClearLake; Hospitals ProvidenceEast Campus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: TexasOncology PABoard Certifications:OncologyLanguage: Spanish
Tano, Sheeba V DOGender: FemaleNPI: 17900030771901 Grandview Ave(915) 544-67507848 Gateway East(915) 599-13133270 Joe Battle Ste 312(915) 599-1313Hospital Affiliations: HcaHouston Healthcare ClearLake; Hospitals ProvidenceEast Campus; Las PalmasCamp LpdshClinic Affiliation: TexasOncology PABoard Certifications:Oncology
u Valilis, Panagisti N MDGender: MaleNPI: 1033158480
♿1901 Grandview Ave(915) 544-6750♿7848 Gateway Blvd E(915) 599-1313♿3270 Joe Battle BlvdSte 312(915) 849-2700Hospital Affiliations: ElPaso Specialty HospitalLTD; Foundation SurgicalHosp El Paso; HcaHouston Healthcare ClearLake; Hospitals ProvidenceEast Campus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: TexasOncology PABoard Certifications:Hematology-Oncology;OncologyLanguage: Spanish
HOSPICE & PALLIATIVEMEDICINETorres, Nancy L MDGender: FemaleNPI: 1316903644501 N Yarbrough DrBldg A(915) 401-8999Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: WellmedNetworks IncBoard Certifications:None
INFECTIOUS DISEASESAlozie, Ogechika K MDGender: MaleNPI: 1891961884
♿1201 E Schuster Ste 1a(915) 229-64484801 Alberta Ave(915) 545-6627Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: SunsetId Care PA; TX Tech UnivHlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
Antony, Nishaal MDGender: MaleNPI: 10638240501020 Montana Ave(915) 533-49001205 N Oregon St(915) 533-4900Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: CenterFor Infectious Disease andBoard Certifications:NoneAntony, Suresh J MDGender: MaleNPI: 1831136548
♿1020 Montana Ave(915) 533-4900♿1205 N Oregon St(915) 533-49001205 N Oregon St(915) 774-5555♿4801 Alberta Ave(915) 215-5200Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: CenterFor Infectious Disease and;Complete Care PartnersLLC; TX Tech Univ Hlth SciCtr El PasoBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
152
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
INFECTIOUS DISEASES(continued)
u Calianga, Cesar R MDGender: MaleNPI: 1255301834
♿7812 Gateway Blvd ESte 200(915) 592-6868Hospital Affiliations:Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshBoard Certifications:Infectious Diseases;Internal MedicineLanguage: Spanish;Tagalog
u Chang Lopez, Aymara YMDGender: FemaleNPI: 12152573654801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Infectious Diseases
u Costa, Henry C MDGender: MaleNPI: 1134125651
♿10555 Vista Del Sol DrSte 120(915) 590-6770Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: Henry CCosta MD PABoard Certifications:Infectious DiseasesLanguage: Chinese;Mandarin; Spanish;TagalogFleming, Rhonda V MDGender: FemaleNPI: 1376590067
♿1700 Curie Dr Ste 4700(915) 533-70016600 N Desert Blvd(915) 521-2210Hospital Affiliations:Hosps of Providence SierraCampus; UniversityMedical Center El PasoClinic Affiliation: RhondaFleming MD PA; UniversityMed Ctr of El PasoBoard Certifications:NoneLanguage: SpanishGouveia, Jacquelyn A DOGender: FemaleNPI: 1669534699
♿1250 E Cliff Dr Ste 5f(915) 400-2600Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoInfectious Diseases PABoard Certifications:NoneLanguage: Spanish
Ho, Hoi MDGender: MaleNPI: 1427094820
♿4801 Alberta Ave(915) 545-6640Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: Spanish;Vietnamese
u Lam, Man T MDGender: MaleNPI: 1790784692
♿1221 N Cotton St(915) 598-1600Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshBoard Certifications:Infectious Diseases;Internal MedicineLanguage: Chinese;SpanishMeza, Armando D MDGender: MaleNPI: 1023044005
♿4801 Alberta Ave(915) 215-5200Hospital Affiliations:Hospitals Providence EastCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: American Sign;Spanish
Ortega, Antonio M MDGender: MaleNPI: 1528060969
♿1400 N El Paso Bldg D(915) 544-9969♿1400 N El Paso DrBldg D(915) 544-9969Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; KindredHospital El Paso; LasPalmas Camp LpdshClinic Affiliation: AntonioM Ortega MD PABoard Certifications:NoneLanguage: Spanish;Tagalog
u Peralta Rojas, Diego P MDGender: MaleNPI: 14070110674801 Alberta Ave(915) 215-5205Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Infectious DiseasesLanguage: Spanish
u Pieri, Richard E MDGender: MaleNPI: 1760433924
♿3270 Joe Battle BlvdSte 175(915) 504-6939Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation:Infectious Disease Centerof El PBoard Certifications:Infectious DiseasesLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
153
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
INFECTIOUS DISEASES(continued)Safdar, Amar MDGender: MaleNPI: 1982700837125 W Hague RdSte 130(915) 206-2150Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh; MDAnderson Cancer CenterClinic Affiliation: CenterFor Infectious Diseases &Board Certifications:NoneLanguage: SpanishSzeyko, Larissa A MDGender: FemaleNPI: 1497961197
♿2101 N Oregon St(915) 577-7840Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: LarissaA Szeyko MD PLLCBoard Certifications:Internal MedicineLanguage: Spanish
INTERNAL MEDICINEAbbasi, Ali MDGender: MaleNPI: 1134549801
410301 Gateway Blvd W(713) 960-8008Hospital Affiliations: ChiSt Lukes Health Memorial;Chi St Lukes Hlth MemLivingston; Del Sol CampLpdsh; Hca HoustonHealthcare Conroe; HcaHouston HealthcareKingwood; HoustonMethodist Hospital; LaredoMedical Center; LasPalmas Camp Lpdsh; RioGrande Regional Hospital;St Joseph Medical CenterClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:None
u Abedin, Zainul MDGender: MaleNPI: 1265460885
♿1701 N Lee Trevino Ste C(915) 593-5999Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Northwest TexasHealthcare System;University Medical CenterEl PasoBoard Certifications:Internal MedicineLanguage: Spanish
u Aboud, Ambrose MDGender: MaleNPI: 1407843873
♿1900 N Oregon StSte 500(915) 544-8844Hospital Affiliations: ElPaso Specialty HospitalLTD; Hospitals ProvidenceEast Campus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; KindredHospital El Paso; LasPalmas Camp LpdshClinic Affiliation:Physicians and AlliedHealth ProfBoard Certifications:Internal MedicineLanguage: Spanish
u Aboud, Dwayne M MDGender: MaleNPI: 1437158938
♿154 N Festival Dr Villa G(915) 845-4024Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampusClinic Affiliation: Lauro IOrtega MD PABoard Certifications:Internal MedicineLanguage: Arabic;Spanish
u Adams Krueger, Andrea JMDGender: FemaleNPI: 1902037021
410301 Gateway Blvd(713) 960-8008Hospital Affiliations:Heart Hospital of Austin; StDavids GeorgetownHospital; St Davids MedicalCenter; St Davids N AustinMedical Ctr; St Davids SAustin Medical Center; StJoseph Medical CenterClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:Internal Medicine
Adeniyi, Muniru O MDGender: MaleNPI: 1700078706
410301 Gateway Blvd W(713) 960-8008Hospital Affiliations:Ascension Seton MedCenter Austin; HoustonMethodist Hospital;Houston Methodist SugarLand Hosp; MemorialHermann Greater Heights;Memorial Hermann NEHospital; Oakbend MedicalCenter; St Joseph MedicalCenter; Woodland HeightsMedical CenterClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:NoneLanguage: Spanish
u Adnan, Muhammad K MDGender: MaleNPI: 1295991784
410301 Gateway Blvd W(713) 960-8008Hospital Affiliations:Christus St Michael HealthSystem; ContinuecareHospital at Hendrick;Hendrick Medical Center;Medical City Denton; StDavids N Austin MedicalCtr; St Joseph MedicalCenter; TX HlthPresbyterian Hosp DallasClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:Internal Medicine
u Aduroja, Olufemi MDGender: MaleNPI: 13667628742000 Transmountain Rd(915) 215-8408Hospital Affiliations:Hosps of ProvidenceTransmountain; MidlandMemorial HospitalClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal Medicine;Nephrology
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
154
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.
EL PASO (continued)
INTERNAL MEDICINE(continued)Adzotor, Kwasi MDGender: MaleNPI: 1063631281
♿3270 Joe Battle BlvdSte 235(915) 504-6890Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra CampusClinic Affiliation: El PasoNeurological Institute PABoard Certifications:NoneLanguage: Spanish
u Agrawal, Harsh MDGender: MaleNPI: 16293976744801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Cardiovascular Disease;Internal Medicine
Aguilar, Oscar M MDGender: MaleNPI: 1295732592
U6000 Northern Pass DrSte A100(915) 600-2905211 Barlett DrSte 102(915) 600-2905
U1671 N ZaragozaSte B and C(915) 996-52101671 N Zaragoza RdSte B(915) 996-5210Hospital Affiliations:Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; KindredHospital El Paso; UniversityMedical Center El PasoClinic Affiliation: EastsideFamily Care Center Inc;Texas Integrative Medicineand CABoard Certifications:Cardiovascular DiseaseLanguage: SpanishAgunanne, Enoch E MDGender: MaleNPI: 16795765651445 Bessemer Dr Ste E(915) 472-9282Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh; StJoseph Regional HealthCenter; United RegionalHlth Care SystemClinic Affiliation: C CareCardiovascular CenterBoard Certifications:NoneLanguage: Spanish
Ahmad, Adeel MDGender: MaleNPI: 1881886877
♿4801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl Paso; UTMB HealthGalvestonClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NephrologyLanguage: SpanishAhmad, Hameed MDGender: MaleNPI: 1144437310
410301 Gateway Blvd W(713) 960-8008Hospital Affiliations: StDavids N Austin MedicalCtr; St Joseph MedicalCenterClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:None
u Ajibade, Oluwaseun A MDGender: MaleNPI: 1316243868
410301 Gateway Blvd W(713) 960-8008Hospital Affiliations: ChiSt Lukes Health Memorial;Las Palmas Camp Lpdsh;Mem Hermann TheWoodlands Med Ctr;Memorial HermannCypress Hospital; MemorialHermann Greater Heights;Memorial HermannPearland Hosp; MemorialHermann SE Hospital;Memorial Hermann SWHospital; Santa RosaWestover Hills; St JosephMedical CenterClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:Internal Medicine
u Ajibade, Tope MDGender: MaleNPI: 1740586411
410301 Gateway Blvd W(713) 960-8008Hospital Affiliations: ChiSt Lukes Hlth MemLivingston; CitizensMedical Center; MemHermann The WoodlandsMed Ctr; MemorialHermann Cypress Hospital;Memorial Hermann GreaterHeights; MemorialHermann Pearland Hosp;Memorial Hermann SEHospital; MemorialHermann SW Hospital;Santa Rosa MedicalCenter; St Joseph MedicalCenterClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:Internal MedicineAl Abboodi, Yasir MDGender: MaleNPI: 1295095081
410301 Gateway Blvd W(713) 960-8008Hospital Affiliations:Christus Santa Rosa SanMarcos; Round RockMedical Center; St JosephMedical CenterClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:NoneAllison, Sidney H MDGender: FemaleNPI: 1275893752
410301 Gateway Blvd W(713) 960-8008Hospital Affiliations: JohnPeter Smith Hospital; StDavids N Austin MedicalCtr; St Joseph MedicalCenterClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
155
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
INTERNAL MEDICINE(continued)Alozie, Ogechika K MDGender: MaleNPI: 1891961884
♿1201 E Schuster Ste 1a(915) 229-64484801 Alberta Ave(915) 545-6627Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: SunsetId Care PA; TX Tech UnivHlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishAlvarez, Dionicio M MDGender: MaleNPI: 12755044901566 Lomaland Dr(915) 774-5555Hospital Affiliations:Foundation Surgical HospEl Paso; HighlandsRehabilitation Hospital;Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; KindredHospital El Paso; LasPalmas Camp LpdshClinic Affiliation:Complete Care PartnersLLCBoard Certifications:NoneLanguage: Hindi; Spanish;Tamil
Amadi, Chikezie C MDGender: MaleNPI: 1487616918
♿1508 N Zaragoza(915) 298-5425♿1508 N Zaragoza Rd(915) 298-5425Hospital Affiliations:Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Las Palmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation:Southwest CardiovascularIntervenBoard Certifications:Interventional CardiologyLanguage: SpanishAntony, Nishaal MDGender: MaleNPI: 10638240501205 N Oregon St(915) 774-5555Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation:Complete Care PartnersLLCBoard Certifications:NoneAntony, Suresh J MDGender: MaleNPI: 18311365481205 N Oregon St(915) 774-5555Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation:Complete Care PartnersLLCBoard Certifications:NoneLanguage: Spanish
Anyaogu, Obiageli E MDGender: FemaleNPI: 1538392758
410301 Gateway Blvd W(713) 960-8008Hospital Affiliations: StDavids N Austin MedicalCtr; St Joseph MedicalCenterClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:None
u Awobokun, Oluyemisi OMDGender: FemaleNPI: 1851348973
410301 Gateway Blvd W(713) 960-8008Hospital Affiliations:Bs&w Medical CenterHillcrest; Christus SpohnHos Cctx Shoreline; HcaHouston HealthcareConroe; Houston MethodistHospital; Mem HermannSurg Ctr Woodlands; MemHermann The WoodlandsMed Ctr; Rio GrandeRegional Hospital; SantaRosa Medical Center; StJoseph Medical CenterClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:Internal MedicineLanguage: Yoruba
u Ayeni, Christopher S MDGender: MaleNPI: 1649437716
410301 Gateway Blvd W(713) 960-8008Hospital Affiliations:Christus Spohn Hos CctxShoreline; Santa RosaMedical Center; St JosephMedical CenterClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:Internal Medicine
Ayoubieh, Houriya S MDGender: FemaleNPI: 14172101704801 Alberta Ave(915) 215-50002000 Trans Mountain Rd SteB(915) 215-5200Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Clinical GeneticsLanguage: Spanish
u Badsha, Farrukh S MDGender: MaleNPI: 1013100973
410301 Gateway Blvd W(713) 960-8008Hospital Affiliations: ChiSt Lukes Health Memorial;Chi St Lukes Hlth MemLivingston; Christus MotherFrances Tyler; LakeGranbury Medical Center;Laredo Medical Center;Palo Pinto GeneralHospital; St JosephMedical CenterClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:Internal MedicineBakleh, Mohanad MDGender: MaleNPI: 1942281415
410301 Gateway Blvd W(713) 960-8008Hospital Affiliations: HuntRegional Medical Center;Lake Granbury MedicalCenter; Navarro RegionalHospital; St JosephMedical CenterClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
156
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.
EL PASO (continued)
INTERNAL MEDICINE(continued)
u Ballapuram, Kalyani MDGender: FemaleNPI: 1962707414
410301 Gateway Blvd W(713) 960-8008Hospital Affiliations:Houston MethodistBaytown Hosp; MemHermann The WoodlandsMed Ctr; MemorialHermann Cypress Hospital;Memorial Hermann GreaterHeights; MemorialHermann NE Hospital;Memorial HermannPearland Hosp; MemorialHermann SE Hospital;Memorial Hermann SWHospital; St JosephMedical Center; UnitedRegional Hlth Care SystemClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:Internal MedicineLanguage: Hindi; TeluguBelay, Tilahun W MDGender: MaleNPI: 1902199250
410301 Gateway Blvd W(713) 960-8008Hospital Affiliations: BSAHospital LLC; ChristusMother Frances Tyler;Christus Trinity MotherFrances R; St Davids NAustin Medical Ctr; StDavids S Austin MedicalCenter; St Joseph MedicalCenter; United RegionalHlth Care SystemClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:None
Beltran, Armando MDGender: MaleNPI: 1649267295
♿2022 Murchison DrSte 100(915) 533-5388♿10201 Gateway Blvd WSte 100(915) 590-3291Hospital Affiliations:Bellville Medical Center;Culberson Hospital Inc;Golden Plains CommunityHospital; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Stephens MemorialHospitalClinic Affiliation: El PasoOncology and InternaBoard Certifications:NoneLanguage: SpanishBhatta, Mangesh MDGender: MaleNPI: 1588921597
410301 Gateway Blvd W(713) 960-8008Hospital Affiliations: StDavids Medical Center; StJoseph Medical CenterClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:NoneBhatt, Bankim D MDGender: MaleNPI: 11342377464801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Gastroenterology
u Blandon, Pedro A MDGender: MaleNPI: 1275531469
♿4801 Alberta Ave(915) 215-5200Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Methodist Spec &Transplant Hosp; PaloPinto General Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal Medicine;NephrologyLanguage: SpanishBobadilla, Melissa S MDGender: FemaleNPI: 1083684609
♿1527 Brown St Bldg C(915) 533-5200Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshBoard Certifications:Endocrinology, Diabetes &MetabolismLanguage: Spanish;Tagalog
u Calianga, Cesar R MDGender: MaleNPI: 1255301834
♿7812 Gateway Blvd ESte 200(915) 592-6868Hospital Affiliations:Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshBoard Certifications:Infectious Diseases;Internal MedicineLanguage: Spanish;Tagalog
u Casares, Pablo A MDGender: MaleNPI: 10738277621516 Lomaland(915) 922-9807Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshBoard Certifications:Internal Medicine;NeurologyLanguage: Spanish
u Casner, Paul R MDGender: MaleNPI: 1225077092
♿4801 Alberta Ave(915) 545-6640Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Geriatric Medicine; InternalMedicineLanguage: Spanish
u Chauvet, Marcelo MDGender: MaleNPI: 17202986804815 Alameda Ave(915) 544-1200Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus;Memorial Hermann SWHospitalClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:Internal MedicineLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
157
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.
EL PASO (continued)
INTERNAL MEDICINE(continued)Chavez, Alfonso MDGender: MaleNPI: 1356326987
♿1250 E Cliff Dr Ste 1a(915) 532-2693Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation:Nephrology Associate ElPasoBoard Certifications:NoneLanguage: SpanishChitti, Srinivas R MDGender: MaleNPI: 1629157607
♿10501 Vista Del Sol DrSte 210(915) 633-9317Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: ChittiSrinivas R MDBoard Certifications:NephrologyLanguage: Hindi; SpanishCortes, Erasto MDGender: MaleNPI: 1154321263
♿U1020 Montana Ave(915) 533-2500Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshBoard Certifications:Pulmonary DiseaseLanguage: Spanish
u Cossentino, Mark J MDGender: MaleNPI: 1700841343
♿1700 Curie Dr Ste 4800(915) 351-7200♿1400 George DieterSte 225(915) 351-7200Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: Mark JCossentino MD PABoard Certifications:Gastroenterology; InternalMedicineLanguage: SpanishDodson, Darrel W MDGender: MaleNPI: 11544036654305 N Mesa StSte A(915) 532-24779999 Kenworthy Ste B(915) 757-62801865 Lee Trevino(915) 590-1994Hospital Affiliations:Cuero Regional Hospital;Foundation Surgical HospEl Paso; Frio RegionalHospital; HospsProvidence MemorialCampusClinic Affiliation: El PasoPulmonary AssocBoard Certifications:NoneEsquivel, Michael R PAGender: MaleNPI: 1821079807
♿U1721 N Lee Trevino Dr(915) 590-9424Clinic Affiliation: JuarezEdward C MDBoard Certifications:NoneLanguage: Spanish
Estrada, Paul M MDGender: MaleNPI: 17709292262000 Transmountain Rd SteB(915) 215-8400Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
u Friday, Dwayne MDGender: MaleNPI: 161910155710501 Gateway Blvd WSte 105(915) 307-2371Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial CampusClinic Affiliation: El PasoUrgent Care CenterBoard Certifications:Internal Medicine
u Gaur, Sumit MDGender: MaleNPI: 1609972801
♿4801 Alberta Ave(915) 215-5200Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Hematology-Oncology;Internal MedicineLanguage: Hindi; Spanish
Gerges, Anwar S MDGender: MaleNPI: 1922074798
♿2400 Trawood DrSte 204(240) 355-3951Hospital Affiliations:Baptist Health System;Hosps of Providence SierraCampus; Medical City LasColinas; MethodistHospital; Santa RosaMedical Center; SouthwestGeneral HospitalClinic Affiliation:Universal Vascular CenterPLLCBoard Certifications:NephrologyLanguage: Arabic; FrenchGonzalez Camarena,Omar MDGender: MaleNPI: 17806822601715 Saul Kleinfield(915) 222-8275Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation:Hyberbaric ExcellenceCenter IncBoard Certifications:NoneLanguage: SpanishGonzalez, Roberto I MDGender: MaleNPI: 1891159349
♿2311 N Mesa StSte J(915) 533-4445Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Borderland Primary CarePABoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
158
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
INTERNAL MEDICINE(continued)Gopalan, Nanda K MDGender: MaleNPI: 1215975321
♿1901 Grandview Ave(915) 544-6750♿7848 Gateway Blvd E(915) 599-1313♿3270 Joe Battle BlvdSte 312(915) 849-2700Hospital Affiliations: HcaHouston Healthcare ClearLake; Hospitals ProvidenceEast Campus; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; Kindred HospitalEl Paso; Las Palmas CampLpdsh; University MedicalCenter El PasoClinic Affiliation: TexasOncology PABoard Certifications:NoneLanguage: Spanish
u Gough, David C MDGender: MaleNPI: 1528063021
♿4801 Alberta Ave(915) 215-5200Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Cardiovascular Disease;Internal MedicineLanguage: Spanish
Guerrero, Richard MDGender: MaleNPI: 19626704634801 Alberta Ave(915) 545-6640Hospital Affiliations: DelSol Camp Lpdsh;Endoscopy Center of ElPaso; Las Palmas CampLpdsh; University MedicalCenter El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishGuo, Linsheng MDGender: MaleNPI: 10533655107848 Gateway Blvd E(915) 559-1313Hospital Affiliations:Baylor University MedicalCenter; Bs&w Heart &Vascular Hosp DallasClinic Affiliation: HealthTexas Provider NetworkBoard Certifications:None
u Gupta, Tej P MDGender: MaleNPI: 1154386621
♿1733 Curie DrSte 200(915) 534-2500Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: Tej PGupta MD PABoard Certifications:Gastroenterology; InternalMedicineLanguage: Spanish
Gutarra Arana, Mell F MDGender: MaleNPI: 1316177108
♿631 N ReslerSte 101(915) 842-0676♿4659 Cohen AveSte A(915) 751-0000♿3270 Joe Battle BlvdSte 120(915) 577-1961Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: GrDallas Hlthcare EnterprisesBoard Certifications:NoneLanguage: SpanishHamilton, Steven MDGender: MaleNPI: 19728971711700 N Oregon StSte 630(915) 838-190010525 Vista Del Sol DrSte 206(915) 838-1900Clinic Affiliation: LasPalmas Del Sol CardiologyPllBoard Certifications:None
u Hechanova, Lisa A MDGender: FemaleNPI: 17505250284801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal Medicine;NephrologyLanguage: Spanish
u Hernandez, Jesus A MDGender: MaleNPI: 1568462398
♿4801 Alberta Ave(915) 215-5205Hospital Affiliations: ElPaso Childrens Hospital;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Gastroenterology; InternalMedicineLanguage: Spanish
u Ho, Hoi MDGender: MaleNPI: 1427094820
♿4801 Alberta Ave(915) 545-6640Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: Spanish;VietnameseIbrahim, Ahmed M MDGender: MaleNPI: 16394819894801 Alberta Avenue(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
159
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
INTERNAL MEDICINE(continued)Ibrahim, Parisa MDGender: FemaleNPI: 138680432611331 James Watt DrBldg 200 Ste A(915) 260-8256Hospital Affiliations:Houston MethodistWillowbrookClinic Affiliation: DonyaAnesthesiology and PainBoard Certifications:None
u Joseph, James MDGender: MaleNPI: 10334383874801 Alberta Avenue(915) 215-52004815 Alameda Ave(915) 544-1200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El Paso;University Med Ctr of ElPasoBoard Certifications:Internal MedicineLanguage: SpanishKaufman, Robert M APNGender: MaleNPI: 1174574537
♿5340 El Paso Dr Ste A(915) 778-9813Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation: PaisanoMedical CenterBoard Certifications:NoneLanguage: Spanish
u Khair, Tarif H MDGender: MaleNPI: 12555241794801 Alberta Ave(915) 215-5200Hospital Affiliations:Houston MethodistBaytown Hosp; Lyndon BJohnson General Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Cardiovascular Disease;Internal MedicineLanguage: SpanishKristofferson, Ken K PAGender: MaleNPI: 11543415841900 N Oregon StSte 500(915) 544-8844Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra CampusClinic Affiliation: St JudeInternational Cancer AssoBoard Certifications:NoneLanguage: Spanish
u Lam, Man T MDGender: MaleNPI: 1790784692
♿1221 N Cotton St(915) 598-1600Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshBoard Certifications:Infectious Diseases;Internal MedicineLanguage: Chinese;Spanish
Lopez Leyva, Manuel DMDGender: MaleNPI: 1942265533
♿10201 Gateway Blvd WSte 210(915) 591-2922Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp LpdshBoard Certifications:NoneLanguage: SpanishMarioni, Noe MDGender: MaleNPI: 11546164237500 N Mesa StSte 210(915) 307-78002204 Joe Battle Ste B105(915) 307-7800Hospital Affiliations:Foundation Surgical HospEl Paso; Las Palmas CampLpdsh; Methodist Spec &Transplant Hosp; UniversityMedical Center El PasoClinic Affiliation: Arteriesand VeinsBoard Certifications:NephrologyLanguage: SpanishMarranzini, Benito A MDGender: MaleNPI: 1083617328
♿1516 Lomaland Dr(915) 593-2600Hospital Affiliations:Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: FrontierMedical CenterBoard Certifications:NoneLanguage: Spanish
Martinez, Hector R MDGender: MaleNPI: 16593735201810 Murchison DrSte 300(915) 533-8544Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh; LasPalmas RehabilitationHospitalClinic Affiliation: EcjInternal Medicine PABoard Certifications:NoneLanguage: Spanish
u McCallum, Richard W MDGender: MaleNPI: 1902909815
♿4801 Alberta Ave(915) 545-6640Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: Spanish
u McDanald, Eugene C MDGender: MaleNPI: 1528052859
♿4532 N Mesa StFloor 2(915) 544-0326Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoIntegrated PhysicianBoard Certifications:Internal Medicine;RheumatologyLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
160
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
INTERNAL MEDICINE(continued)Moazam, Mustafa M MDGender: MaleNPI: 13069874742001 N Oregon St(915) 577-68893913 Broaddus Ave(915) 852-32257888 Gateway Blvd E2nd Floor Ste B(915) 315-2584935 Sunland Park DrSte 101 and 102(915) 852-3225Hospital Affiliations:Ascension Providence; DelSol Camp Lpdsh; El PasoChildrens Hospital;Hospitals Providence EastCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: MoazamPABoard Certifications:None
u Mukherjee, Debabrata MDGender: FemaleNPI: 12250470464801 Alberta Ave(915) 215-4600Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: Spanish
Nunez, Angelica A MDGender: FemaleNPI: 19324952564815 Alameda Ave(915) 544-1200Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp Lpdsh;Methodist Spec &Transplant Hosp; UniversityMedical Center El PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
u Ogden, Paul E MDGender: MaleNPI: 12856950564801 Alberta Ave(915) 215-52002000 Trans Mountain RdSte B(915) 215-8400Hospital Affiliations:Bs&w Medical CenterTemple; University MedicalCenter El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: SpanishOnate, Eduardo J MDGender: MaleNPI: 1699036681
♿7430 N Mesa St(915) 875-1801Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; John Peter SmithHospital; Las PalmasCamp LpdshClinic Affiliation: A To ZzSleep Group LLCBoard Certifications:NoneLanguage: Spanish
Opina, Maria Theresa DMDGender: FemaleNPI: 15080255114801 Alberta Ave(915) 215-51832000 Trans Mountain Rd SteB(915) 215-5183Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneOrtega, Antonio M MDGender: MaleNPI: 1528060969
♿1400 N El Paso Bldg D(915) 544-9969Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; KindredHospital El Paso; LasPalmas Camp LpdshBoard Certifications:NoneLanguage: Spanish;TagalogOrtiz, Daniel MDGender: MaleNPI: 14879295844301 N MesaSte 101(915) 442-23527814 Gateway Blvd E(915) 542-235210640 Gateway Blvd NSte B(915) 307-46319999 Kenworthy StSte B(915) 542-235211551 Cedar Oak Dr(915) 592-8300Clinic Affiliation: LasPalmas Del Sol CardiologyPllBoard Certifications:None
Paez Fernandez, David AMDGender: MaleNPI: 16697678934815 Alameda Ave(915) 544-1200Hospital Affiliations:Hosps of Providence SierraCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: SpanishPayne, Douglas B MDGender: MaleNPI: 1487639183
♿550 S Mesa Hills DrSte C2 E1(915) 532-6069Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: El PasoMedical Group PABoard Certifications:NoneLanguage: Spanish
u Pazmino, Patricio A MDGender: MaleNPI: 13361313251701 N Mesa StSte 101(915) 534-7755Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: PatricioA Pazmino PHD MD PABoard Certifications:Internal Medicine;NephrologyLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
161
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
INTERNAL MEDICINE(continued)
u Pema, Kanchan M MDGender: FemaleNPI: 1851328850
♿4801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal Medicine;RheumatologyLanguage: Spanish
u Perez Lopez, Arianna MMDGender: FemaleNPI: 14779923114801 Alberta Ave(915) 215-5200Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Endocrinology; InternalMedicineLanguage: Spanish
u Philipovskiy, AlexanderMDGender: MaleNPI: 15980745444801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: Russian;Spanish; Ukrainian
Pieri, Richard E MDGender: MaleNPI: 1760433924
♿3270 Joe Battle BlvdSte 175(915) 504-6939Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation:Infectious Disease Centerof El PBoard Certifications:Infectious DiseasesLanguage: SpanishPinzon, Guillermo A MDGender: MaleNPI: 1790774321
♿1221 N Cotton St Ste 100(915) 592-7662Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshBoard Certifications:NoneLanguage: Spanish
u Portillo, Raul M MDGender: MaleNPI: 1265473391
♿1901 Grandview Ave(915) 544-6750♿7848 Gateway Blvd E(915) 599-1313♿3270 Joe Battle BlvdSte 312(915) 849-2700Hospital Affiliations: HcaHouston Healthcare ClearLake; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: TexasOncology PABoard Certifications:Hematology-Oncology;Internal Medicine;OncologyLanguage: Spanish
Rajachandran, Manu SMDGender: FemaleNPI: 16391325583270 Joe Battle Blvd Ste215(915) 271-4569Hospital Affiliations:Hospitals Providence EastCampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneRao, Bhaskar MDGender: MaleNPI: 111405754410301 Gateway Blvd W(915) 581-8814Hospital Affiliations:Citizens Medical Center;Del Sol Camp Lpdsh;Hospitals Providence EastCampus; Kindred HospitalEl Paso; Las Palmas CampLpdshClinic Affiliation: BhaskarRao MD PABoard Certifications:NoneLanguage: Spanish
u Rehman, Aziz U MDGender: MaleNPI: 18919265724801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Endocrinology, Diabetes &Metabolism; InternalMedicineLanguage: Panjabi;Spanish; Urdu
u Rodriguez, Simon S MDGender: MaleNPI: 1952512246
♿1310 Murchison DrSte 100(915) 544-4500♿11989 Pellicano DrSte C(915) 857-0700Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: El PasoKidney Specialists PABoard Certifications:Internal Medicine;NephrologyRovner, Sergio F MDGender: MaleNPI: 1437164803
♿1516 Lomaland Dr(915) 593-2600Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: FrontierMedical CenterBoard Certifications:NoneLanguage: French;Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
162
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
INTERNAL MEDICINE(continued)
u Salayandia, Luis C MDGender: MaleNPI: 12253202784532 N MesaSte 2a(915) 544-03261400 George DieterSte 240(915) 544-0326Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: El PasoIntegrated PhysicianBoard Certifications:Internal MedicineLanguage: SpanishSalazar, Cesar O MDGender: MaleNPI: 1891873212
♿1733 Weston Brent LnSte A(915) 595-4074Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusBoard Certifications:GastroenterologyLanguage: Spanish
u Sharma, Rajiv K MDGender: MaleNPI: 14779813481139 Caper Rd(915) 591-74953270 Joe Battle BlvdSte 215(915) 206-2999Hospital Affiliations:Hospitals Providence EastCampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:Internal Medicine
Siddiqui, Tariq S MDGender: MaleNPI: 1487879300
♿4801 Alberta Ave(915) 545-6627Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
u Szeyko, Larissa A MDGender: FemaleNPI: 1497961197
♿2101 N Oregon St(915) 577-7840Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: LarissaA Szeyko MD PLLCBoard Certifications:Internal MedicineLanguage: SpanishTan, Jeanette S MDGender: FemaleNPI: 1518938810
♿7812 Gateway Blvd ESte 220(915) 598-6628Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: JeanetteTan MD PABoard Certifications:NoneLanguage: Chinese;Mandarin; Spanish;TagalogThomas, Bobbi G APNGender: FemaleNPI: 1265559421
♿U1721 N Lee Trevino Dr(915) 590-9424Clinic Affiliation: JuarezEdward C MDBoard Certifications:NoneLanguage: Spanish
Trien, Remi H MDGender: MaleNPI: 16394650574815 Alameda Ave(915) 544-1200Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Methodist Spec &Transplant Hosp; UniversityMedical Center El PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
u Turbay, David MDGender: MaleNPI: 1922082411
♿5301 Alameda Ave(915) 855-7600Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: DavidTurbay MD PLLCBoard Certifications:Cardiovascular Disease;Internal MedicineLanguage: Spanish
u Uga, Aghaegbulam H MDGender: MaleNPI: 10839259454801 Alberta Ave(915) 215-5200Hospital Affiliations:Hosps of Providence SierraCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: Igbo
Velasquez, Michael A DOGender: MaleNPI: 1639161698
♿9440 Viscount BlvdSte 210(915) 855-8519Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation:Southwest NephrologyInternal MedBoard Certifications:NoneLanguage: Spanish
u Vivanco, Cesar E MDGender: MaleNPI: 1992843163
♿10555 Vista Del Sol DrSte 120(915) 590-6770Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation:Southwest Cancer CenterPABoard Certifications:Internal MedicineLanguage: Spanish
u Woods, Gordon L MDGender: MaleNPI: 1588722912
♿4801 Alberta Ave(915) 215-5200Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: American Sign;Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
163
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
INTERNAL MEDICINE(continued)
u Yates, Mariana M MDGender: FemaleNPI: 11545844494801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Endocrinology, Diabetes &Metabolism; InternalMedicineLanguage: Spanish
u Zuckerman, Marc J MDGender: MaleNPI: 1245268168
♿44801 Alberta Ave(915) 215-5200Hospital Affiliations:Endoscopy Center of ElPaso; Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Gastroenterology; InternalMedicineLanguage: Spanish
INTERVENTIONALCARDIOLOGYAhmad, Anwar MDGender: MaleNPI: 1598704819221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations:Houston MethodistHospital; HoustonMethodist Sugar LandHosp; Memorial HermannSW Hospital; Mhhs SugarLand Hospital; St JosephMedical Center; TitusRegional Medical CenterClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:None
Ali, Arshad MDGender: MaleNPI: 11048988161700 Curie Dr Ste 1500(915) 532-45423270 Joe Battle Blvd(915) 206-2999Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:None
u Amadi, Chikezie C MDGender: MaleNPI: 1487616918
♿1508 N Zaragoza(915) 298-5425♿1508 N Zaragoza Rd(915) 298-5425Hospital Affiliations:Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Las Palmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation:Southwest CardiovascularIntervenBoard Certifications:Interventional CardiologyLanguage: Spanish
u Banerjee, Arindam M MDGender: MaleNPI: 1861402810221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations: ChiSt Lukes Hlth Baylor CollMed; Hca HoustonHealthcare Conroe;Huntsville MemorialHospital; Mem HermannThe Woodlands Med Ctr;Memorial Hermann SWHospital; St Lukes TheWoodlands HospitalClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:Interventional CardiologyLanguage: Spanish
u Cota, Francisco J MDGender: MaleNPI: 15989921904301 N MesaSte 101(915) 542-2352Hospital Affiliations: BenTaub General Hospital;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Memorial HermannMemorial CityClinic Affiliation: LasPalmas Del Sol CardiologyPllBoard Certifications:Interventional CardiologyLanguage: English;SpanishDim, Uzodinma R MDGender: MaleNPI: 1194990424
U2200 George Dieter Dr(915) 248-2434Hospital Affiliations: DelSol Camp Lpdsh; El PasoSpecialty Hospital LTD;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Kindred HospitalEl Paso; Las Palmas CampLpdshClinic Affiliation:InternationalCardiovascularBoard Certifications:NoneLanguage: English;Spanish
u Gruenebaum, Dane D DOGender: FemaleNPI: 1265796130221 N Kansas StreetSuite 700(281) 888-8999Clinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:Interventional Cardiology
u Kar, Subrata MDGender: MaleNPI: 18212627424801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Cardiovascular Disease;Interventional CardiologyLanguage: SpanishMahajan, Nitin MDGender: MaleNPI: 1467561902221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations: HcaHouston HealthcareConroe; Hca HoustonHealthcare Northwest;Kindred Hospital El PasoClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:NoneMangalpally, Kiran K MDGender: MaleNPI: 1558518209221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations:Christus St Michael HealthSystem; Mission RegionalMedical CenterClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:NoneMelhem, Ayyash Y MDGender: MaleNPI: 1902044993221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations:Memorial Hermann SEHospital; MemorialHermann SW Hospital;UTMB Health GalvestonClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
164
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
INTERVENTIONALCARDIOLOGY(continued)Miller, Jerry W MDGender: MaleNPI: 1811936511
♿1330 E Yandell Dr(915) 225-0410Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: Jerry WMiller MD PABoard Certifications:NoneLanguage: SpanishMunoz, Oscar C MDGender: MaleNPI: 15382748244301 N Mesa Ste 101(915) 542-23527814 Gateway East Blvd(915) 542-2352Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: LasPalmas Del Sol CardiologyPllBoard Certifications:NoneLanguage: Spanish
u Nagarajarao, Harsha S MDGender: MaleNPI: 15484713114801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Interventional CardiologyLanguage: Spanish
u Ojha, Chandra P MDGender: FemaleNPI: 18313521454801 Alberta Ave(905) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Interventional CardiologyLanguage: SpanishRajachandran, Manu SMDGender: FemaleNPI: 16391325583270 Joe Battle Blvd Ste215(915) 271-4569Hospital Affiliations:Hospitals Providence EastCampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:None
u Raja, Mohammad L MDGender: MaleNPI: 1548250244
♿4301 N Mesa StSte 100(915) 532-6767Hospital Affiliations:Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial CampusClinic Affiliation: El PasoCardiology Associates PABoard Certifications:Cardiovascular Disease;Interventional CardiologyLanguage: Spanish
Sartori, Michele P MDGender: MaleNPI: 1720078181221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations: ChiSt Lukes Hlth Baylor CollMed; Cornerstone RegionalHospital LP; Hca HoustonHealthcre Medical Ctr;Houston MethodistHospital; Kindred HospitalHouston Medical; StJoseph Medical CenterClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:NoneLanguage: French; Italian;SpanishShami, Waseem MDGender: MaleNPI: 10435231374301 N Mesa St Ste 100(915) 532-6767Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: El PasoCardiology Associates PABoard Certifications:NoneLanguage: SpanishShuaib, Samer MDGender: MaleNPI: 17202944401700 Curie Dr Ste 1500(915) 532-4542Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:None
Sonbol, Yassir A MDGender: MaleNPI: 1518039965221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations: ChiSt Lukes Hlth Baylor CollMed; Houston MethodistSugar Land Hosp; St LukesSugar Land HospitalClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:None
MATERNAL & FETALMEDICINE
u Adusumalli, Jasvant MDGender: MaleNPI: 17201388291700 N Oregon StSte 790(512) 821-25401700 N Oregon St Ste 790(512) 821-2540Hospital Affiliations: StDavids N Austin MedicalCtrClinic Affiliation: NorthAustin Maternal FetalMedicBoard Certifications:Maternal & Fetal MedicineLanguage: Spanish
u Destefano, Kimberly A MDGender: FemaleNPI: 15684878251700 N Oregon StSte 790(512) 821-2540Hospital Affiliations: StDavids N Austin MedicalCtrClinic Affiliation: NorthAustin Maternal FetalMedicBoard Certifications:Maternal & Fetal MedicineLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
165
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
MATERNAL & FETALMEDICINE (continued)Feinstein, Steven J MDGender: MaleNPI: 19422531741700 N Oregon StSte 755(915) 313-93831700 N Oregon St Ste 790(915) 313-9383Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: LasPalamas Medical CenterBoard Certifications:None
u Haeri, Sina MDGender: MaleNPI: 1730357039
♿1700 N Oregon StSte 790(512) 821-2506Hospital Affiliations: ChiSt Lukes Hlth Baylor CollMed; Lake GranburyMedical Center; MemorialHermann SW Hospital; StDavids N Austin MedicalCtrClinic Affiliation: NorthAustin Maternal FetalMedicBoard Certifications:Maternal & Fetal MedicineLanguage: SpanishHerrera, Sandra R MDGender: FemaleNPI: 19021240011700 N Oregon StSte 790(512) 821-2540Hospital Affiliations: StDavids N Austin MedicalCtr; UTMB HealthGalvestonClinic Affiliation: NorthAustin Maternal FetalMedicBoard Certifications:None
u Horton, Amanda L MDGender: FemaleNPI: 1730131509
♿1700 N OregonSte 790(512) 821-2540Hospital Affiliations: LakeGranbury Medical Center;St Davids N Austin MedicalCtrClinic Affiliation: NorthAustin Maternal FetalMedicBoard Certifications:Maternal & Fetal Medicine;Obstetrics-GynecologyLanguage: American Sign;SpanishLodeiro, Jorge G MDGender: MaleNPI: 1568409894
♿3270 Joe Battle BlvdSte 340(915) 832-2860Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; Las PalmasCamp LpdshClinic Affiliation: Jorge GLodeiro MD PABoard Certifications:NoneLanguage: Spanish
u Martinez, Carla A MDGender: FemaleNPI: 1912913658
♿125 W Hague Rd Ste 340(915) 215-5000♿4801 Alberta Ave(915) 215-5000Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Maternal & Fetal Medicine;Obstetrics-GynecologyLanguage: Spanish
McDonnold, Mollie A MDGender: FemaleNPI: 18818556411700 N Oregon St Ste 790(512) 821-2540Hospital Affiliations: StDavids N Austin MedicalCtr; UTMB HealthGalvestonClinic Affiliation: NorthAustin Maternal FetalMedicBoard Certifications:NoneLanguage: Spanish
u Singh, Jasbir MDGender: MaleNPI: 1811001209
♿1700 N Oregon StSte 790(512) 821-2540♿1700 N Oregon St Ste 790(512) 821-2540Hospital Affiliations:Baylor Medical CenterWaxahachie; St Davids NAustin Medical CtrClinic Affiliation: NorthAustin Maternal FetalMedicBoard Certifications:Maternal & Fetal MedicineLanguage: Hindi; Punjabi;Spanish
u Theard, Franz C MDGender: MaleNPI: 1770633216
♿U1201 E Schuster AveSte 2a(915) 533-5505♿U1201 E Schuster AveSte 2b(915) 533-8205Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: Franz CTheard MD PA; PerinatalHealth Care CenterBoard Certifications:Maternal & Fetal Medicine;Obstetrics-GynecologyLanguage: French;Spanish
MEDICAL ONCOLOGYu Rivera, Ragene R MDGender: FemaleNPI: 1275570004
♿1901 Grandview Ave(915) 544-6750♿7848 Gateway Blvd E(915) 599-1313♿3270 Joe Battle BlvdSte 312(915) 849-2700Hospital Affiliations:Foundation Surgical HospEl Paso; Hca HoustonHealthcare Clear Lake;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: TexasOncology PABoard Certifications:Medical OncologyLanguage: SpanishVivanco, Cesar E MDGender: MaleNPI: 1992843163
♿10555 Vista Del Sol DrSte 120(915) 590-6770Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation:Southwest Cancer CenterPABoard Certifications:Internal MedicineLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
166
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
NEONATAL-PERINATALMEDICINEAlvarez, Roman D MDGender: MaleNPI: 1528158342
♿2001 N Oregon St(915) 577-6622♿2000 Transmountain Rd(915) 500-6560Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: PediatrixMedical Group of TexasBoard Certifications:NoneAyo, Luis A MDGender: MaleNPI: 1114976636
♿2001 N Oregon St(915) 577-6983Hospital Affiliations:Driscoll Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: PediatrixMedical Group of TexasBoard Certifications:None
u Bharwani, Salim K MDGender: MaleNPI: 18918260874845 Alameda Ave(915) 298-5444Hospital Affiliations: ElPaso Childrens Hospital;Hca Houston HealthcarePearland; Medical CityLewisville; Mem HermannHosp; Memorial HermannSW Hospital; OdessaRegional Medical Center;The Womans Hospital ofTexas; Vly Baptist Med CtrBrownsville; WoodlandHeights Medical CenterClinic Affiliation: El PasoChildrens Physician GroupBoard Certifications:Neonatal-PerinatalMedicineBrooks, Catherine A DOGender: FemaleNPI: 1033347943
4
U1801 North Oregon(915) 521-1200
42001 N Oregon St(915) 577-6011
42000 Trans Mountain Rd(915) 500-6560Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation: PediatrixMedical Group of TexasBoard Certifications:None
u Caviglia, Roy J MDGender: MaleNPI: 1235158197
♿42001 N Oregon St(915) 577-6983Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: PediatrixMedical Group of TexasBoard Certifications:Neonatal-PerinatalMedicine
u Chheda, Sadhana MDGender: FemaleNPI: 1871676452
♿44801 Alberta Ave(915) 545-6810♿4815 Alameda Ave(915) 545-6810♿410301 Gateway Blvd W(915) 595-9000Hospital Affiliations: ElPaso Childrens Hospital;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: PediatrixMedical Group of Texas;TX Tech Univ Hlth Sci CtrEl PasoBoard Certifications:Neonatal-PerinatalMedicineLanguage: SpanishGupta, Dhruv MDGender: MaleNPI: 1982047726
4
U1801 N Oregon St(915) 521-1200
42001 N Oregon St(915) 577-6011
42000 Transmoutain Rd(915) 595-9000
43280 Joe Batle Blvd(915) 577-6000
4
U3280 Joe Battle Blvd(915) 595-9000Hospital Affiliations:Hospitals Providence EastCampusClinic Affiliation: PediatrixMedical Group of TexasBoard Certifications:None
u Javed, Saeed U MDGender: MaleNPI: 10038718643280 Joe Battle Blvd(915) 577-6000Hospital Affiliations:Baptist Health System;Harlingen Medical CenterLP; Knapp Medical Center;Mission Regional MedicalCenter; Odessa RegionalMedical Center; RioGrande Regional Hospital;South Texas HealthSystem; Valley BaptistMedical CenterClinic Affiliation: PediatrixMedical Group of TexasBoard Certifications:Neonatal-PerinatalMedicineMcDaniel, Dawn D MDGender: FemaleNPI: 1124466875
44845 Alameda Ave(915) 215-5700Hospital Affiliations: ElPaso Childrens HospitalClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NonePierantoni, Hector R MDGender: MaleNPI: 1043272313
♿3280 Joe Battle Blvd(915) 577-6000Hospital Affiliations: HcaHouston Healthcre MedicalCtr; Houston MethodistClear Lake Hosp; StJoseph Medical Center;The Womans Hospital ofTexasClinic Affiliation: PediatrixMedical Group of TexasBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
167
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
NEONATAL-PERINATALMEDICINE (continued)
u Porter, Alston M MDGender: MaleNPI: 13260993344845 Alameda Ave(915) 298-5444Hospital Affiliations:Bs&w All Saints Med Ctr FtWorth; Bs&w MedicalCenter Lake Pointe; ElPaso Childrens HospitalClinic Affiliation: El PasoChildrens Physician GroupBoard Certifications:Neonatal-PerinatalMedicineLanguage: SpanishRamos, Monica MDGender: FemaleNPI: 1831483429
42001 N Oregon St(915) 577-6011Hospital Affiliations:Baylor Medical CenterWaxahachie; Bs&w AllSaints Med Ctr Ft Worth;Del Sol Camp Lpdsh; HcaHouston Healthcare ClearLake; Hca HoustonHealthcare Southeast;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Shannon Medical Center;TX Hlth Harris MethodistCleburneClinic Affiliation: PediatrixMedical Group of TexasBoard Certifications:None
Singh, Ajay P MDGender: MaleNPI: 13960966994801 Alberta Ave(915) 215-57004845 Alameda Ave(915) 215-5700Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishTullius, Zoe MDGender: FemaleNPI: 1770844201
4
U1801 N Oregon St(915) 521-1200
44801 Alberta Ave(915) 215-5700
4
U4815 Alameda Ave(915) 215-5700
4
U4845 Alameda Ave(915) 215-5700Hospital Affiliations: ElPaso Childrens Hospital;Hosps ProvidenceMemorial Campus; TheWomans Hospital of Texas;University Medical CenterEl PasoClinic Affiliation: PediatrixMedical Group of Texas;TX Tech Univ Hlth Sci CtrEl PasoBoard Certifications:None
Weiss, Katherine J MDGender: FemaleNPI: 1053541862
41801 N Oregon(915) 521-1200Hospital Affiliations: HcaHouston Healthcare ClearLake; Hca HoustonHealthcare Conroe; HcaHouston HealthcareSoutheast; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; TheWomans Hospital of Texas;University Medical CenterClinic Affiliation: PediatrixMedical Group of TexasBoard Certifications:NonePediatrix Medical GroupGender: MaleNPI: 1306101415
41625 Medical Ctr St(800) 243-3839
42001 N Oregon St(800) 243-3839
42000 Transmountain Rd(800) 243-3839
410301 Gateway Blvd W(800) 243-3839
43280 Joe Battle Blvd(800) 243-3839Hospital Affiliations:University Medical CenterClinic Affiliation: PediatrixMedical Group of TexasBoard Certifications:None
NEPHROLOGYAcharya, Prakrati C MDGender: FemaleNPI: 10537500184801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
u Aduroja, Olufemi MDGender: MaleNPI: 13667628742000 Transmountain Rd(915) 215-8408Hospital Affiliations:Hosps of ProvidenceTransmountain; MidlandMemorial HospitalClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal Medicine;Nephrology
u Ahmad, Adeel MDGender: MaleNPI: 1881886877
♿4801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl Paso; UTMB HealthGalvestonClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NephrologyLanguage: SpanishAlfaro, Rodrigo J MDGender: MaleNPI: 19424641511566 Lomaland Dr(915) 544-7767Clinic Affiliation: KidneyConsultants of El PasoBoard Certifications:NoneLanguage: Italian; Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
168
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
NEPHROLOGY(continued)Alvarez, Dionicio M MDGender: MaleNPI: 1275504490
♿U125 W Hague RdSte 570(915) 544-7767♿U1566 Lomaland Dr(915) 544-77671566 Lomaland Dr(915) 774-5555Hospital Affiliations:Foundation Surgical HospEl Paso; HighlandsRehabilitation Hospital;Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; KindredHospital El Paso; LasPalmas Camp LpdshClinic Affiliation:Complete Care PartnersLLC; Kidney Consultants ofEl PasoBoard Certifications:NoneLanguage: Hindi; Spanish;Tamil
Anekwe, Emmanuel C MDGender: MaleNPI: 1205871720
U7500 N Mesa StSte 210(915) 307-2631♿U2400 Trawood DrSte 204(915) 599-9742Hospital Affiliations:Baptist Health System; DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; MethodistHospital; Santa RosaMedical Center; SouthwestGeneral HospitalClinic Affiliation: Arteriesand Veins; UniversalVascular Center PLLCBoard Certifications:NoneLanguage: Spanish
u Bhayana, Suverta MDGender: FemaleNPI: 14171510101900 N Oregon St Ste 310(888) 336-9633Hospital Affiliations:University Health SystemClinic Affiliation: UTHealth PhysiciansBoard Certifications:Nephrology
u Blandon, Pedro A MDGender: MaleNPI: 1275531469
U1250 E Cliff Dr Ste 3e(915) 244-0598♿4801 Alberta Ave(915) 215-520010640 Gateway Blvd NSte B(915) 283-3953
U10175 Gateway WSte 140(915) 283-3953Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Methodist Spec &Transplant Hosp; PaloPinto General Hospital;University Medical CenterEl PasoClinic Affiliation: LasPalmas Del Sol InternalMed; Pedro A Blandon MDPA; TX Tech Univ Hlth SciCtr El PasoBoard Certifications:Internal Medicine;NephrologyLanguage: SpanishChavez, Alfonso MDGender: MaleNPI: 1356326987
♿1250 E Cliff Dr Ste 1a(915) 532-2693Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation:Nephrology Associate ElPasoBoard Certifications:NoneLanguage: Spanish
Chikwendu, NnaemekaMDGender: MaleNPI: 18413996567500 N Mesa StSte 210(915) 307-7800Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence TransmountainClinic Affiliation: Arteriesand VeinsBoard Certifications:None
u Chitti, Srinivas R MDGender: MaleNPI: 1629157607
♿10501 Vista Del Sol DrSte 210(915) 633-9317Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: ChittiSrinivas R MDBoard Certifications:NephrologyLanguage: Hindi; Spanish
u Demick, Diane S MDGender: FemaleNPI: 1770553281
♿U125 W Hague RdSte 440(915) 544-7767♿U1566 Lomaland Dr(915) 544-7767Hospital Affiliations:Foundation Surgical HospEl Paso; HighlandsRehabilitation Hospital;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; KindredHospital El Paso; LasPalmas Camp LpdshClinic Affiliation: KidneyConsultants of El PasoBoard Certifications:NephrologyLanguage: Hindi; Spanish;Tamil
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
169
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
NEPHROLOGY(continued)
u Gerges, Anwar S MDGender: MaleNPI: 192207479811989 Pellicano Dr(915) 857-0700♿2400 Trawood DrSte 204(240) 355-3951Hospital Affiliations:Baptist Health System;Hosps of Providence SierraCampus; Medical City LasColinas; MethodistHospital; Santa RosaMedical Center; SouthwestGeneral HospitalClinic Affiliation: Anwar SGerges MD PLLC;Universal Vascular CenterPLLCBoard Certifications:NephrologyLanguage: Arabic; FrenchGonzalez, Alfredo E MDGender: MaleNPI: 1992776116
♿U125 W Hague Ste 570(915) 544-7767♿U1566 Lomaland Dr(915) 544-7767Hospital Affiliations:Foundation Surgical HospEl Paso; HighlandsRehabilitation Hospital;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: KidneyConsultants of El PasoBoard Certifications:NoneLanguage: Hindi; Spanish;Tamil
Gonzalez, Jaime MDGender: MaleNPI: 14778486951310 Murchison Dr Ste 100(915) 857-070011989 Pellicano DrSte C(915) 857-0700Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Transmountain;Las Palmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: El PasoKidney Specialists PABoard Certifications:NoneLanguage: Spanish
u Hechanova, Lisa A MDGender: FemaleNPI: 17505250284801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal Medicine;NephrologyLanguage: SpanishHernandez, German T MDGender: MaleNPI: 11543677041310 Murchison DrSte 100(915) 544-4500Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: El PasoKidney Specialists PABoard Certifications:NoneLanguage: Spanish
Joseph, James MDGender: MaleNPI: 10334383874801 Alberta Avenue(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal MedicineLanguage: SpanishKomaragiri, Ramesh MDGender: MaleNPI: 1265534010
♿1310 Murchison DrSte 100(915) 544-4500Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoKidney Specialists PABoard Certifications:NoneLanguage: SpanishEl Paso Kidney SpecialistPAGender: MaleNPI: 1265534010
♿11989 Pellicano Dr Ste C(915) 857-0700Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoKidney Specialists PABoard Certifications:NoneLanguage: Spanish
Lopez Leyva, Manuel DMDGender: MaleNPI: 1942265533
♿10201 Gateway Blvd WSte 210(915) 591-2922Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp LpdshClinic Affiliation: Paso DelNorte NephrologyBoard Certifications:NoneLanguage: Spanish
u Marioni, Noe MDGender: MaleNPI: 11546164237500 N Mesa StSte 210(915) 307-78002204 Joe Battle Ste B105(915) 307-7800Hospital Affiliations:Foundation Surgical HospEl Paso; Las Palmas CampLpdsh; Methodist Spec &Transplant Hosp; UniversityMedical Center El PasoClinic Affiliation: Arteriesand VeinsBoard Certifications:NephrologyLanguage: SpanishMartinez, Ileana MDGender: FemaleNPI: 13260329131310 Murchison DrSte 100(915) 544-450011989 Pellicano DrSte C(915) 857-0700Hospital Affiliations: DelSol Camp Lpdsh;Highlands RehabilitationHospital; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: El PasoKidney Specialists PABoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
170
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
NEPHROLOGY(continued)Nwosu, Azikiwe C MDGender: MaleNPI: 1083641179
♿4801 Alberta Avenue(915) 545-6640Hospital Affiliations:Highlands RehabilitationHospital; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; KindredHospital El Paso; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
u Opawumi, David O MDGender: MaleNPI: 1316931140
♿10201 Gateway BlvdW Ste 210(915) 591-2922Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: David OOpawumi MD PABoard Certifications:NephrologyLanguage: Spanish;YorubaPande, Saurabh A MDGender: MaleNPI: 168988830710470 Vista Del Sol DrSte 105(915) 218-6055Hospital Affiliations:Hospitals Providence EastCampus; Las PalmasCamp LpdshClinic Affiliation: SaurabhA Pande PABoard Certifications:NoneLanguage: Chinese; Hindi;Spanish; Tamil
Payan Schober, FernandaMDGender: FemaleNPI: 13767703054801 Alberta Ave(915) 215-5200Hospital Affiliations: ElPaso Childrens Hospital;Highlands RehabilitationHospital; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: American Sign;Spanish
u Pazmino, Patricio A MDGender: MaleNPI: 13361313251701 N Mesa StSte 101(915) 534-7755Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: PatricioA Pazmino PHD MD PABoard Certifications:Internal Medicine;NephrologyLanguage: Spanish
Raudales, Fernando MDGender: MaleNPI: 1801880307
♿1310 Murchison DrSte 100(915) 544-4500♿11989 Pellicano Dr Ste C(915) 857-0700Hospital Affiliations: DelSol Camp Lpdsh;Encompass HealthRehabilitation H; HighlandsRehabilitation Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Kindred HospitalEl Paso; Las Palmas CampLpdshClinic Affiliation: El PasoKidney Specialists PABoard Certifications:NoneLanguage: Spanish
u Rodriguez, Simon S MDGender: MaleNPI: 1952512246
♿1310 Murchison DrSte 100(915) 544-4500♿11989 Pellicano DrSte C(915) 857-0700Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: El PasoKidney Specialists PABoard Certifications:Internal Medicine;Nephrology
Rosario, Rey F MDGender: MaleNPI: 10331030801250 E Cliff DrSte 3e(915) 626-55483640 Joe Battle BlvdSte 100(915) 626-5548Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: Sun CityKidney PABoard Certifications:NoneLanguage: SpanishSaluja, Paramveer S MDGender: MaleNPI: 1376773663
♿U125 W HagueSte 570(915) 544-7767♿U1566 Lomaland Dr(915) 544-7767Hospital Affiliations: DelSol Camp Lpdsh;Highlands RehabilitationHospital; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Kindred HospitalEl Paso; Las Palmas CampLpdshClinic Affiliation: KidneyConsultants of El PasoBoard Certifications:NoneLanguage: Hindi; Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
171
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
NEPHROLOGY(continued)
u Serna, Jorge H MDGender: MaleNPI: 1861486532
♿1310 Murchison DrSte 100(915) 544-4500♿11989 Pellicano Dr Ste C(915) 857-0700Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: El PasoKidney Specialists PABoard Certifications:NephrologyLanguage: SpanishVelasquez, Michael A DOGender: MaleNPI: 1639161698
♿9440 Viscount BlvdSte 210(915) 855-85199440 Viscount Ste 210(915) 774-5555Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation:Complete Care PartnersLLC; SouthwestNephrology Internal MedBoard Certifications:NoneLanguage: Spanish
NEUROLOGICALSURGERY
u Gasco Tamarit, Jaime MDGender: MaleNPI: 17202744344824 Alberta Ave Ste 207(915) 521-7731Hospital Affiliations:Cornerstone RegionalHospital LP; South TexasHealth System; UTMBHealth GalvestonClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:Neurological SurgeryLanguage: SpanishGupte, Akshay A MDGender: MaleNPI: 18314160494824 Alberta Ave(915) 521-7731Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
Hanbali, Fadi MDGender: MaleNPI: 16291759141250 E Cliff DrSte 2a(915) 577-79514659 Cohen AveSte A(915) 751-00003270 Joe Battle BlvdSte 120(915) 577-1961Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation: BhsPhysicians Network Inc; GrDallas Hlthcare EnterprisesBoard Certifications:NoneLanguage: Arabic; French;Spanish
u Hawksworth, Shane A MDGender: MaleNPI: 18314849481250 E Cliff Dr Ste 2a(915) 577-79511700 N Oregon StSte 660(915) 351-1444Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: BhsPhysicians Network Inc;Neurosurgical Specialistsof El PBoard Certifications:Neurological Surgery
u Neurosurgical Specialistsof ElGender: MaleNPI: 183148494810555 Vista Del Sol DrSte 200(915) 351-1444Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Neurosurgical Specialistsof El PBoard Certifications:Neurological Surgery
u Lax, Fredric MDGender: MaleNPI: 1225096399
♿U4824 Alameda AveSte 207(915) 521-7737Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:Neurological SurgeryLanguage: SpanishMartin, George J MDGender: MaleNPI: 1841285756
♿1725 Brown St(915) 590-2225Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation:Southwest Neuro SpineInstitute PBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
172
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
NEUROLOGICALSURGERY (continued)Pacheco Serrant, HelsonMDGender: MaleNPI: 15785430961700 N Oregon StSte 660(915) 351-1444Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation:Neurosurgical Specialistsof El PBoard Certifications:NoneLanguage: American Sign;SpanishPacheco, Sergio B MDGender: MaleNPI: 1730188731
♿U1900 N Oregon StSte 410(915) 532-1922Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: Sergio BPacheco MD PABoard Certifications:NoneLanguage: Spanish
Petteys, Rory J MDGender: MaleNPI: 15585966271250 E Cliff Dr St 2a(915) 577-79511700 N Oregon StSte 660(915) 351-14444824 Alberta AveSte 207(915) 521-773110555 Vista Del Sol DrSte 200(915) 351-1444Hospital Affiliations:Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation: BhsPhysicians Network Inc;Neurosurgical Specialistsof El P; University Med Ctrof El PasoBoard Certifications:None
u Sundrani, Shanker S MDGender: MaleNPI: 1417959198
♿9955 Dyer(915) 590-1890♿3022 Trawood Dr(915) 590-1890Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; HighlandsRehabilitation Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoNeurosurgery CenterBoard Certifications:Neurological SurgeryLanguage: Hindi; Spanish
Trier, Todd T MDGender: MaleNPI: 1508813486
44824 Alberta Ave4th Floor(915) 521-7731Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
u Vasquez, Luis F MDGender: MaleNPI: 1295728855
♿4824 Alberta AveSte 207(915) 521-7731Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:Neurological SurgeryLanguage: SpanishVelimirovic, Bratislav MDGender: MaleNPI: 1477533081
♿U1700 N Oregon StSte 660(915) 351-1444
U4532 N Mesa St Ste B2(915) 247-3150Hospital Affiliations: DellSeton Medical Center atUT; Las Palmas CampLpdshClinic Affiliation:Neuroscience ResourcesPLLC; NeurosurgicalSpecialists of El PBoard Certifications:NoneLanguage: Serbian;Spanish
Wang, Chinsing MDGender: MaleNPI: 17303860871250 E Cliff DrSte 2a(915) 577-79514824 Alberta Ave Fl 4(915) 521-7731Hospital Affiliations:Hosps of Providence SierraCampusClinic Affiliation: BhsPhysicians Network Inc;University Med Ctr of ElPasoBoard Certifications:None
NEUROLOGYAcosta Corrales, Luis DMDGender: MaleNPI: 12351409971201 N Mesa StSte E(915) 541-1166Hospital Affiliations:Highlands RehabilitationHospital; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: Luis DAcosta MD PABoard Certifications:NoneLanguage: SpanishAdzotor, Kwasi MDGender: MaleNPI: 1063631281
♿3270 Joe Battle BlvdSte 235(915) 504-6890Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra CampusClinic Affiliation: El PasoNeurological Institute PABoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
173
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
NEUROLOGY(continued)
u Benson, Olajide MDGender: MaleNPI: 14171912892270 Joe Battle Ste Q(915) 317-1500Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Medical City Fort Worth;Medical City North HillsClinic Affiliation: HeritageNeurology PABoard Certifications:NeurologyLanguage: Spanish
u Brower, Richard D MDGender: MaleNPI: 1801888557
♿4615 Alameda Ave(915) 545-6830♿4801 Alberta(915) 215-5900Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NeurologyLanguage: American Sign;Spanish
u Casares, Pablo A MDGender: MaleNPI: 10738277621516 Lomaland(915) 922-9807Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshBoard Certifications:Internal Medicine;NeurologyLanguage: Spanish
Cowens, Kevin E MDGender: MaleNPI: 1881642213
♿1250 E Cliff Dr Ste 2a(915) 577-7951♿4659 Cohen Ave(915) 751-0000♿1316 N Yarbrough DrSte 1b(915) 545-8655♿3270 Joe Battle BlvdSte 120(915) 577-1961Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; TX HlthPresbyterian Hosp DallasClinic Affiliation: BhsPhysicians Network Inc;Christian Neurology Assocof Dall; Gr Dallas HlthcareEnterprisesBoard Certifications:NoneLanguage: Spanish
u Cruz Flores, Salvador MDGender: MaleNPI: 1295750008
♿44615 Alameda Ave(915) 545-6830♿44801 Alberta(915) 215-5900Hospital Affiliations:Hosps of Providence SierraCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Neurology
u Eze, Chigolum C MDGender: FemaleNPI: 13666492791250 E Cliff DrSte 2a(915) 577-79512022 Murchison DrSte 108(414) 745-0248Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampusClinic Affiliation: BhsPhysicians Network Inc;Neurology Partners PCBoard Certifications:NeurologyFierro Steven, RodolfoMDGender: MaleNPI: 1568469245
♿1400 N El Paso StSte B(915) 544-4911Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoBoard Certifications:NoneLanguage: SpanishGupta, Vikas MDGender: MaleNPI: 10030321114801 Alberta Ave(915) 215-5900Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
u Herekar, Aamr A MDGender: FemaleNPI: 13767413303612 Pera Ave(915) 533-70577100 Westwind DrSte 300(915) 974-2200Hospital Affiliations:Medical City Fort Worth; StLukes Baptist HospitalClinic Affiliation: HerekarLLC; Project Vida HealthCenterBoard Certifications:Neurology; Sleep Medicine
u Kaim, Boris MDGender: MaleNPI: 1326054164
♿2311 N Mesa StSte F(915) 544-6400Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: TexasNeurodiagnostic HeadacBoard Certifications:NeurologyLanguage: Spanish
u Kassar, Darine MDGender: FemaleNPI: 19020356864615 Alameda Ave(915) 215-59004801 Alberta(915) 215-5900Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Neurology; NeuromuscularMedicine
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
174
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.
EL PASO (continued)
NEUROLOGY(continued)
u Khatri, Rakesh MDGender: MaleNPI: 14373607324801 Alberta Ave(915) 215-5900Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Neurology; VascularNeurologyLanguage: Spanish
u Levine, Johanan S MDGender: MaleNPI: 13169458434815 Alameda Ave(915) 544-1200Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NeurologyLanguage: Spanish
u Lujan Palma, Jose A MDGender: MaleNPI: 1407880867
♿550 S Mesa HillsBldg F3(915) 351-3565Hospital Affiliations:Hosps of Providence SierraCampus; Las PalmasCamp LpdshClinic Affiliation: JoseAlfredo Lujan Palma MDPABoard Certifications:NeurologyLanguage: Spanish
Maldonado, Hector M MDGender: MaleNPI: 1457369050
♿3260 N Mesa StSte A(915) 544-6262Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: HectorMartin Maldonado MD PHDPABoard Certifications:NoneLanguage: French;SpanishMaud, Alberto MDGender: MaleNPI: 17404723314801 Alberta(915) 215-59004801 Alberta Ave(915) 215-59004815 Alameda Ave(915) 215-5900Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishMendez Vargas, KarinaMDGender: FemaleNPI: 13868795003270 Joe Battle BlvdSte 195(915) 206-2141Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation:Advanced Neurology of ElPasoBoard Certifications:None
Onuoha, Adaeze A MDGender: FemaleNPI: 1770723587
♿10657 Vista Del SolSte F(915) 303-7548Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation: SunNeuro PABoard Certifications:NoneLanguage: SpanishPiriyawat, Paisith MDGender: MaleNPI: 10230338344615 Alameda Ave(915) 215-59004801 Alberta(915) 215-5900Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: American Sign;Spanish
u Rodriguez, Gustavo J MDGender: MaleNPI: 13969350114801 Alberta(915) 215-59004815 Alameda Ave(915) 215-5900Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NeurologyLanguage: American Sign;Spanish
Vellipuram, Anantha R MDGender: MaleNPI: 12657455824801 Alberta Avenue(915) 215-5900Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
u Yerram, Sushma R MDGender: FemaleNPI: 19527376784801 Alberta Ave(915) 215-5900Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Neurology
NUCLEAR MEDICINEBermo, Mohammed S MDGender: MaleNPI: 1972902732
44815 Alberta Ave(915) 215-8408Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneStrader, Wilbur J MDGender: MaleNPI: 17402830438041 N Mesa St Ste B2(915) 307-3416Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: CountryClub Medical CenterBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
175
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.
EL PASO (continued)
NUTRITION & DIETETICSu Flores, Sara M RDGender: FemaleNPI: 1386990273
♿1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:Nutrition & DieteticsLanguage: SpanishGonzalez, Martha A RDGender: FemaleNPI: 19629567713641 Mattox St(915) 881-4213Clinic Affiliation: El PasoDiabetes Association IncBoard Certifications:NoneMata, Bethany RDGender: FemaleNPI: 17002002014801 Alberta Ave(915) 215-5700Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: American Sign;SpanishMathur, Garima RDGender: FemaleNPI: 18212804473641 Mattox St(915) 532-6280Clinic Affiliation: El PasoDiabetes Association IncBoard Certifications:NoneRuiz, Sarah RDGender: FemaleNPI: 10739714951201 E Schuster AveBldg 4(915) 642-94442270 Joe Battle BlvdSte E F G(915) 642-9444Clinic Affiliation: Sun CityDietitiansBoard Certifications:None
OBSTETRICS-GYNECOLOGYAlcala, Patricia H MDGender: FemaleNPI: 1952309643
♿125 W Hague RdSte 260(915) 533-7579Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; SurgicalCenter of El PasoClinic Affiliation: El PasoRio Grande Obgyn PABoard Certifications:NoneLanguage: Spanish
u Aranda Jaimes, Jorge FMDGender: MaleNPI: 12252634291800 N MesaSuite 200(915) 577-99001800 North Mesa StSte 200(915) 577-99009870 N Gateway BlvdSte B1(915) 751-5571Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: BhsPhysicians Network Inc; GrDallas Hlthcare EnterprisesBoard Certifications:Obstetrics-GynecologyLanguage: SpanishArms, Richard G MDGender: MaleNPI: 12253167554801 Alberta Ave(915) 215-5000Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
u Aronson, Daniel J MDGender: MaleNPI: 187160275510201 Gateway WestSte 201(915) 500-30763270 Joe Battle BlvdSuite 195(915) 206-2141Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East CampusClinic Affiliation: DanielAronson MD PLLC; LasPalamas Medical CenterBoard Certifications:Obstetrics-GynecologyLanguage: SpanishAsgharian, Robert B MDGender: MaleNPI: 1497834345
♿9398 Viscount BlvdSte 2a(915) 593-8888Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation:Asgharian PABoard Certifications:Female Pelvic Med &Reconstructive SurgeryLanguage: Spanish
u Aun, Jose MDGender: MaleNPI: 1083612758
4
U4801 Alberta Ave(915) 545-6611
4
U3280 Joe Battle Blvd(800) 967-2289Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: ObhgTexas Holdings PA; TXTech Univ Hlth Sci Ctr ElPasoBoard Certifications:Obstetrics-GynecologyLanguage: Spanish
u Baeza, Jesus MDGender: MaleNPI: 175061646210640 Gateway Blvd NSte B(915) 591-462411040 Vista Del Sol DrSte A(915) 591-4624Hospital Affiliations:Bs&w All Saints Med Ctr FtWorth; Methodist CharltonMedical Center; MethodistDallas Medical Center;Methodist MansfieldMedical CtrClinic Affiliation: LasPalamas Medical CenterBoard Certifications:Obstetrics-GynecologyBarnes, Dominique M MDGender: FemaleNPI: 13961846771201 Schuster Bldg 2 B(915) 533-8205Hospital Affiliations:Doctors Hospital of Laredo;Hereford Regional MedicalCenter; Las Palmas CampLpdshClinic Affiliation: Franz CTheard MD PABoard Certifications:NoneLanguage: SpanishBlackburn, Arthur B MDGender: MaleNPI: 16199564551733 Curie DrSte 300(915) 532-3906Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; Paso DelNorte Surgery CenterClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
176
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
OBSTETRICS-GYNECOLOGY(continued)Blackburn, Bert A MDGender: MaleNPI: 16199564551733 Curie DrSte 300(915) 532-3906Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; Paso DelNorte Surgery CenterBoard Certifications:NoneLanguage: Spanish
u Brandl, Christine MDGender: FemaleNPI: 1316945629125 W Hague RdSte 300(915) 225-2455♿1700 N Oregon StSte 570(915) 225-2455Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: BhsPhysicians Network Inc;Christine Brandl MD PABoard Certifications:Obstetrics-GynecologyLanguage: SpanishBrown, Jennifer L MDGender: FemaleNPI: 14070836454801 Alberta Ave(915) 215-5000Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
Castellanos, Luis G MDGender: MaleNPI: 1265492268
43280 Joe Battle Blvd(915) 823-2159Hospital Affiliations:Bs&w Medical CenterTemple; HospitalsProvidence East Campus;Hosps ProvidenceMemorial Campus; SetonMedical Ctr Harker HeightsClinic Affiliation: ObhgTexas Holdings PABoard Certifications:NoneClark, Gloria MDGender: FemaleNPI: 1134172513
♿10201 Gateway Blvd WSte 400(915) 598-7900Hospital Affiliations: DelSol Camp Lpdsh; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: GloriaClark MD PABoard Certifications:NoneLanguage: SpanishDabiri, Tajudeen O MDGender: MaleNPI: 13766036474801 Alberta Ave(915) 215-5000Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
Davis, Patricia M MDGender: FemaleNPI: 102301255611163 La Quinta PlSte A200(915) 595-18113270 Joe Battle BlvdSte 275(915) 595-1212Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneLanguage: SpanishDe La Rosa, Antonio MDGender: MaleNPI: 105331893110657 Vista Del SolSte F(915) 594-9600♿10657 Vista Del Sol DrSte F(915) 594-96003270 Joe Battle BlvdSte 275(915) 595-1212Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Surgical Center of El Paso;University Medical CenterEl PasoClinic Affiliation: BhsPhysicians Network Inc;East Desert OB Gyn AssocPABoard Certifications:NoneLanguage: Spanish
u Desantos, Christina MDGender: FemaleNPI: 1023016326125 W Hague Rd Ste 300(915) 225-2455♿1700 N Oregon StSte 570(915) 225-2455Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: BhsPhysicians Network Inc;Christina Desantos MD PABoard Certifications:Obstetrics-GynecologyLanguage: Spanish
u Duarte, Marco A MDGender: MaleNPI: 16391557654532 N Mesa St 3rd F1Ste 301(915) 317-5077Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation: WomensCancer and Surgical CarePBoard Certifications:Obstetrics-GynecologyDuncan, Laura M MDGender: FemaleNPI: 13969229288720 Alameda Ave Ste C(915) 307-61591671 N ZaragozaSte A(915) 595-5439Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East CampusClinic Affiliation: FemiDavid Iwaloye MD PABoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
177
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.
EL PASO (continued)
OBSTETRICS-GYNECOLOGY(continued)
u Eady, Bonnie E DOGender: FemaleNPI: 19626646641700 N Oregon StSte 755(915) 313-93831700 N Oregon StSte 790(915) 313-9383Hospital Affiliations:Hosps of Providence SierraCampus; Las PalmasCamp LpdshClinic Affiliation: LasPalamas Medical Center;Texas Health Care NetworkIncBoard Certifications:Obstetrics-Gynecology
u Ezirim, Nkechi MDGender: FemaleNPI: 1396009668
43280joebattleblvd(915) 577-6011Hospital Affiliations: BSAHospital LLC; St LukesBaptist HospitalClinic Affiliation: ObhgTexas Holdings PABoard Certifications:Obstetrics-Gynecology
u Farnam, Richard W MDGender: MaleNPI: 12058182344501 N Mesa St(915) 533-6100Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; SurgicalCenter of El PasoClinic Affiliation: BhsPhysicians Network IncBoard Certifications:Obstetrics-GynecologyLanguage: Spanish
Feinstein, Steven J MDGender: MaleNPI: 19422531741700 N Oregon StSte 755(915) 313-93831700 N Oregon St Ste 790(915) 313-9383Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: LasPalamas Medical CenterBoard Certifications:NoneFlores, Andres A MDGender: MaleNPI: 1205243912125 W Hague RdSte 550(915) 533-61001600 Medical Center DrSte 309(915) 532-9100810 Murchison DrSte 110(915) 533-6100Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: BhsPhysicians Network Inc;Rodolfo M Revilla MD PABoard Certifications:NoneLanguage: Spanish
u Galic, Vijaya J MDGender: FemaleNPI: 18010935134801 Alberta Ave(915) 215-5000Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Obstetrics-GynecologyLanguage: Spanish
Garcia, Genevieve M DOGender: FemaleNPI: 1982816880
♿1000 N Mesa Dr(915) 533-19601000 N. Mesa St(915) 533-1960Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: BhsPhysicians Network Inc;Prestige WomensHealthcare PABoard Certifications:NoneLanguage: Spanish
u Garcia, Henry F MDGender: MaleNPI: 12554449491700 N Oregon StSte 755(915) 313-9383550 Mesa HillsSte D 3(915) 313-9383♿550 S Mesa Hills Ste D3(915) 534-7600Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: LasPalamas Medical CenterBoard Certifications:Obstetrics-GynecologyLanguage: Spanish
u Garza, David E MDGender: MaleNPI: 1134276512
♿2001 North Oregon St(864) 908-3530♿3280 Joe Battle Blvd(864) 908-3530Hospital Affiliations:Christus Spohn Hosp CctxMemorial; HospsProvidence MemorialCampus; MethodistHospital; MethodistRichardson Medical Ctr;Methodist Spec &Transplant Hosp; MethodistStone Oak Hospital; NorthCentral Baptist Hospital;Santa Rosa MedicalCenter; St Lukes BaptistHospitalBoard Certifications:Obstetrics-GynecologyLanguage: Spanish
u Giles, Harlan R MDGender: MaleNPI: 134621022610201 Gateway WestSte 300(915) 599-8887Clinic Affiliation: LasPalamas Medical Center;Texas Health Care NetworkIncBoard Certifications:Obstetrics-GynecologyLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
178
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.
EL PASO (continued)
OBSTETRICS-GYNECOLOGY(continued)
u Gluck, Brion A MDGender: MaleNPI: 18816923821800 N MesaSuite 200(915) 577-99004659 Cohen AveSte A 1(915) 881-33684659 Cohen Ave Ste A-1(915) 881-3368Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: BhsPhysicians Network Inc; GrDallas Hlthcare EnterprisesBoard Certifications:Obstetrics-GynecologyLanguage: Spanish
u Greenberg, Harvey MDGender: MaleNPI: 1912000480
♿4801 Alberta Ave(915) 215-5000Hospital Affiliations: ElPaso Childrens Hospital;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Gynecologic Oncology;Obstetrics-GynecologyLanguage: Spanish
Grewal, Preetpal DOGender: FemaleNPI: 1437346822
4
U3280 Joe Battle Blvd(800) 967-2289Hospital Affiliations:Hospitals Providence EastCampus; HospsProvidence MemorialCampusClinic Affiliation: ObhgTexas Holdings PABoard Certifications:NoneLanguage: SpanishGroening Wang, Mary TDOGender: FemaleNPI: 14373459494801 Alberta Avenue(915) 545-6730Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishGutierrez, Laura C MDGender: FemaleNPI: 17002294326000 Northern Pass Bldg B(915) 629-04429398 Viscount BlvdSte 2b(915) 629-0442Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: HerHealth Obgyn FertilityClinicBoard Certifications:NoneLanguage: Spanish
u Hale, Anne V MDGender: FemaleNPI: 1063409274
♿11167 1/2 La Quinta Pl(915) 633-0585Hospital Affiliations:Hospitals Providence EastCampusClinic Affiliation: InvogueTotal Womens HealthcarePBoard Certifications:Obstetrics-GynecologyLanguage: SpanishHawkins Koch, DoroveniaN DOGender: FemaleNPI: 13867328811700 N Oregon StSte 755(915) 313-9383Hospital Affiliations:Bellville Medical Center;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: LasPalamas Medical CenterBoard Certifications:NoneLanguage: SpanishHernandez, Jose L MDGender: MaleNPI: 178068336711163 La Quinta PlSte A200(915) 595-18113270 Joe BattleSte 275(915) 595-12123270 Joe Battle BlvdSte 275(915) 595-1811Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: BhsPhysicians Network Inc; GrDallas Hlthcare EnterprisesBoard Certifications:NoneLanguage: Spanish
u Hernandez, Leticia S MDGender: FemaleNPI: 1417038555
♿1700 N Oregon StSte 640(915) 544-6622Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation:Westside Institute ForWomens HealthBoard Certifications:Obstetrics-GynecologyLanguage: SpanishHinshaw, Shirley J MDGender: FemaleNPI: 18314980962000b Transmountain Rd(915) 215-8408Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishHollingsworth, AmandaDOGender: FemaleNPI: 15381060421700 N Oregon StSte 530(915) 544-2000Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: AmandaHollingsworth DO PABoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
179
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
OBSTETRICS-GYNECOLOGY(continued)
u Horton, Amanda L MDGender: FemaleNPI: 1730131509
♿1700 N OregonSte 790(512) 821-2540Hospital Affiliations: LakeGranbury Medical Center;St Davids N Austin MedicalCtrClinic Affiliation: NorthAustin Maternal FetalMedicBoard Certifications:Maternal & Fetal Medicine;Obstetrics-GynecologyLanguage: American Sign;SpanishHoughton, Angela D MDGender: FemaleNPI: 1407840606
42001 N Oregon St(800) 967-2289
43280 Joe Battle Blvd(800) 967-2289Hospital Affiliations: HcaHouston Healthcare ClearLake; Hca HoustonHealthcare Southeast;Hospitals Providence EastCampus; HospsProvidence MemorialCampus; MethodistCharlton Medical Center; StJoseph Medical CenterClinic Affiliation: ObhgTexas Holdings PABoard Certifications:NoneLanguage: Spanish
u Iskander, George B MDGender: MaleNPI: 14576850344801 Alberta(915) 215-50002000 Trans Mountain Rd SteB(915) 215-8400Hospital Affiliations:Hosps of ProvidenceTransmountain; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Obstetrics-GynecologyIwaloye, Femi D MDGender: MaleNPI: 1801037973
♿8720 Alameda StSte C(915) 307-6159♿1671 N Zaragoza RdSte A(915) 595-5439Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: FemiDavid Iwaloye MD PABoard Certifications:NoneLanguage: Spanish
u Jacobson, Robert L MDGender: MaleNPI: 11745901521700 N Oregons StSte 790(915) 313-9383Hospital Affiliations:Heart Hospital of Austin;Las Palmas Camp LpdshClinic Affiliation: LasPalamas Medical CenterBoard Certifications:Obstetrics-Gynecology
Jezari, Anna M MDGender: FemaleNPI: 15485860841300 Murchison DrSte 100(915) 577-9090Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Las Palmas Camp LpdshClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneJohnston, Robert C MDGender: MaleNPI: 10031948531700 N Oregon St Ste 790(512) 821-2540Hospital Affiliations: StDavids N Austin MedicalCtrClinic Affiliation: NorthAustin Maternal FetalMedicBoard Certifications:NoneJones, Margaret M MDGender: FemaleNPI: 1003835042125 W Hague Rd Ste 310(915) 307-2112Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: MargaretMing Jones MD PABoard Certifications:NoneJorai Khan, Zaira DOGender: FemaleNPI: 1750525226
4
U2001 N Oregon St(800) 967-2289Hospital Affiliations:Baylor Medical CenterWaxahachie; North TexasMedical CenterClinic Affiliation: ObhgTexas Holdings PABoard Certifications:NoneLanguage: Spanish
Kareh, Jorge MDGender: MaleNPI: 16896847221000 N Mesa St(915) 533-1960Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: PrestigeWomens Healthcare PABoard Certifications:NoneLanguage: Spanish
u Khamsi, Naima MDGender: FemaleNPI: 16899307862000 Trans Mountain RdSte B(915) 215-8408Hospital Affiliations:Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Obstetrics-GynecologyLanguage: SpanishKingsley, George M DOGender: MaleNPI: 1104819556
U2001 N Oregon St(800) 967-2289
U3280 Joe Battle Blvd(800) 967-2289Clinic Affiliation: ObhgTexas Holdings PABoard Certifications:NoneKupesic Plavsic, SanjaMDGender: FemaleNPI: 1609900232
♿4801 Alberta Ave(915) 215-5000Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
180
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
OBSTETRICS-GYNECOLOGY(continued)
u Lacy, Linda S MDGender: FemaleNPI: 12755042272000 Transmountain RdSte 130(915) 541-1144♿7430 Remcon Cir Bldg BSte 100(915) 541-11447430 Remcon Cir Ste B100(915) 541-1144Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; SurgicalCenter of El PasoClinic Affiliation: BhsPhysicians Network Inc;Sun West Ob-GynAssociates PABoard Certifications:Obstetrics-GynecologyLanguage: Spanish
u Lagunas, Yolanda MDGender: FemaleNPI: 1801847587
♿1724 Weston Brent Ln(915) 591-6559Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps ProvidenceMemorial CampusBoard Certifications:Obstetrics-GynecologyLanguage: Spanish
Larrazaleta, Maria E MDGender: FemaleNPI: 16394648036000 Northern PassBldg B(915) 629-04429398 Viscount Blvd Ste 2b(915) 629-0442Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: HerHealth Obgyn FertilityClinicBoard Certifications:NoneLanguage: Spanish
u Linan, Luis E MDGender: MaleNPI: 1639266232
♿U2400 Trawood Ste 304(915) 593-2444Hospital Affiliations:Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: Luis ELinan MD PABoard Certifications:Obstetrics-GynecologyLanguage: SpanishLodeiro, Jorge G MDGender: MaleNPI: 15684098942930 N Stanton St(915) 271-4600Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; Las PalmasCamp LpdshClinic Affiliation: BhsPhysicians Network IncBoard Certifications:None
Longoria, Leonardo A MDGender: MaleNPI: 1558689554
♿4659 Cohen Ave D(915) 877-7343♿4659 Cohen Ave Ste D(915) 877-7343Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Transmountain;Las Palmas Camp LpdshClinic Affiliation: LalkMedica PABoard Certifications:NoneLanguage: Spanish
u Lopez, Sandra MDGender: FemaleNPI: 17606109761700 N Oregon St(915) 283-3966Hospital Affiliations:Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: LasPalamas Medical CenterBoard Certifications:Obstetrics-Gynecology
Loubriel Velez, Carlos HMDGender: MaleNPI: 18312035531700 N Oregon StSte 755(915) 313-93831700 N Oregon St Ste 755(915) 313-93834758 Loma Del Sur DrSte B(915) 313-9383Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; Vly BaptistMed Ctr BrownsvilleClinic Affiliation: LasPalamas Medical Center;Texas Health Care NetworkIncBoard Certifications:NoneLanguage: SpanishMaldonado, Pedro A MDGender: MaleNPI: 1407090319125 W Hague Rd Ste 340(915) 215-50004801 Alberta Ave(915) 215-5000Hospital Affiliations: ElPaso Childrens Hospital;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; ParklandHealth & Hospital System;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
181
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
OBSTETRICS-GYNECOLOGY(continued)Manuel, Sharron L MDGender: FemaleNPI: 18315344294801 Alberta Ave(915) 215-5000Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
u Martinez, Carla A MDGender: FemaleNPI: 1912913658
♿125 W Hague Rd Ste 340(915) 215-5000♿4801 Alberta Ave(915) 215-5000Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Maternal & Fetal Medicine;Obstetrics-GynecologyLanguage: SpanishMassingill, George S MDGender: MaleNPI: 19028129771511 E Missouri AveSte B(915) 626-5191Hospital Affiliations: JohnPeter Smith Hospital; TXHlth Harris Methodist HospFWClinic Affiliation: PlannedParenthood of Greater TXBoard Certifications:NoneMendez, Melissa D MDGender: FemaleNPI: 14272694891700 N. Oregon(915) 313-9383Clinic Affiliation: LasPalamas Medical CenterBoard Certifications:NoneLanguage: Spanish
u Mokonchu, Monique C MDGender: FemaleNPI: 1407941750
♿U1600 Medical Center DrSte 102(915) 351-0755Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: HarmonyWomens Clinic PABoard Certifications:Obstetrics-GynecologyLanguage: Afrikaans;SpanishMontes, Rebecca M MDGender: FemaleNPI: 1609874098125 W Hague RdSte 260(915) 533-75792400 Trawood DrSte 300(915) 533-7579Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: El PasoRio Grande Obgyn PABoard Certifications:NoneLanguage: Spanish
u Monticone, David E DOGender: MaleNPI: 1891783528
411040 Vista Del SolSte A(915) 591-4624Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: LasPalamas Medical CenterBoard Certifications:Obstetrics-GynecologyLanguage: Spanish
u Montoya, Teodoro I MDGender: MaleNPI: 1295922516125 W Hague Rd Ste 340(915) 215-50004801 Alberta Ave(915) 215-5200Hospital Affiliations: DelSol Camp Lpdsh; El PasoChildrens Hospital; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Obstetrics-GynecologyLanguage: Spanish
u Moore, Lisa E MDGender: MaleNPI: 1053328013125 W Hague Ste 340(915) 215-50004801 Alberta Ave(915) 215-5000Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Obstetrics-GynecologyLanguage: SpanishMoreno, Armida G MDGender: FemaleNPI: 1952442808125 W Hague RdSte 550(915) 533-61001810 Murchison DrSte 110(915) 533-6100Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: ArmidaMoreno MD PA; BhsPhysicians Network IncBoard Certifications:NoneLanguage: Spanish
Moser, Doreen A DOGender: FemaleNPI: 1194721944
4
U2001 Oregon St(800) 967-2289Hospital Affiliations:Bs&w Medical CenterGrapevine; Medical CityLas Colinas; TX Hlth HarrisMeth Hosp Alliance; TXHlth Presbyterian HospDentonClinic Affiliation: ObhgTexas Holdings PABoard Certifications:None
u Nair, Anjana MDGender: FemaleNPI: 15788906042000 B Transmountain Rd(915) 215-8410Hospital Affiliations:University Medical CenterClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Obstetrics-GynecologyNesbitt, Shayla MDGender: FemaleNPI: 1952600744
4
U3280 Joe Battle Blvd(800) 967-2289Hospital Affiliations:Christus Hospital StElizabeth; HospsProvidence MemorialCampusClinic Affiliation: ObhgTexas Holdings PABoard Certifications:NoneNii Moi, Ebenezer A MDGender: MaleNPI: 1396930376
4
U2001 N Oregon St(800) 967-2289Hospital Affiliations:Christus Mother FrancesTyler; South Texas HealthSystemClinic Affiliation: ObhgTexas Holdings PABoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
182
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
OBSTETRICS-GYNECOLOGY(continued)Noble, Decarlo MDGender: MaleNPI: 1073610002
4
U2001 N Oregon St(800) 967-2289Hospital Affiliations: TXHlth Presbyterian HospDentonClinic Affiliation: ObhgTexas Holdings PABoard Certifications:NoneLanguage: Spanish
u Noe, Michiel R MDGender: MaleNPI: 1306845417
♿U1440 George Dieter DrSte A(915) 591-4444Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: Sun CityWomens Health CareBoard Certifications:Obstetrics-GynecologyLanguage: Spanish
u Novoa, Julio C MDGender: MaleNPI: 116441380310781 Pebble Hill BlvdSte A(915) 595-9994Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: NovoaMedical Services PABoard Certifications:Obstetrics-GynecologyLanguage: English;Spanish
Nutis, Mario MDGender: MaleNPI: 1588714596
♿10201 Gateway Blvd WSte 330(915) 228-2491Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp LpdshClinic Affiliation: NutisMedical PLLCBoard Certifications:NoneLanguage: English;SpanishOrr, Jennifer M MDGender: FemaleNPI: 16393616031800 North Mesa StSte 200(915) 577-99002000 Transmountain RdSte 200(915) 541-11447430 Remcon CirSte B100(915) 577-9900Hospital Affiliations:Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Las Palmas Camp LpdshClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NonePerez, Jennifer A MDGender: FemaleNPI: 16395162221000 N Mesa St(915) 533-1960Hospital Affiliations: DelSol Camp Lpdsh; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneLanguage: Spanish
Pitre, Clarence A MDGender: MaleNPI: 1821174897
♿10470 Vista Del Sol DrSte 208(915) 590-7773Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: TonyPitre MD PABoard Certifications:NoneLanguage: SpanishPuentes, Audrey R MDGender: FemaleNPI: 1366678468
4
U2001 N Oregon St(800) 967-2289Hospital Affiliations: TXHlth Harris MethodistCleburne; TX HlthPresbyterian Hosp Denton;United Regional Hlth CareSystemClinic Affiliation: ObhgTexas Holdings PABoard Certifications:None
u Radtke, Steven J MDGender: MaleNPI: 17607936574801 Alberta Avenue(915) 215-5000Hospital Affiliations:Good Shepherd MedicalCenter; University MedicalCenter El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Obstetrics-GynecologyLanguage: Arabic;Spanish
Ramirez, Diego MDGender: MaleNPI: 16395131614801 Alberta Ave(915) 215-500210201 Gateway West BlvdSte 330(915) 201-2520Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp Lpdsh;University Medical Center;University Medical CenterEl PasoClinic Affiliation: DiegoRamirez Obgyn PLLC; TXTech Univ Hlth Sci Ctr ElPasoBoard Certifications:NoneLanguage: SpanishReddy, Sireesha Y MDGender: FemaleNPI: 1154365799125 W Hague Rd Ste 340(915) 215-50004801 Alberta Ave(915) 215-5000♿4845 Alameda Ave(915) 298-5444Hospital Affiliations: ElPaso Childrens Hospital;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation: El PasoChildrens Physician Group;TX Tech Univ Hlth Sci CtrEl PasoBoard Certifications:NoneLanguage: American Sign;Spanish; Telugu
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
183
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
OBSTETRICS-GYNECOLOGY(continued)
u Revilla, Rodolfo M MDGender: MaleNPI: 14776662791600 Medical Center DrSte 309(915) 532-2255Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: BhsPhysicians Network Inc;Rodolfo M Revilla MD PABoard Certifications:Obstetrics-GynecologyLanguage: SpanishRicks Cord, Anila R MDGender: FemaleNPI: 1790963338
4
U2001 N Oregon St(800) 967-2289
4
U3280 Joe Battle Blvd(800) 967-2289Hospital Affiliations:Covenant Health System;Kell West RegionalHospital LLCClinic Affiliation: ObhgTexas Holdings PABoard Certifications:NoneRios, Angel M MDGender: MaleNPI: 10635266221700 N Oregon StSte 755(915) 313-9383Hospital Affiliations:Hosps of Providence SierraCampusClinic Affiliation: LasPalamas Medical CenterBoard Certifications:NoneLanguage: Spanish
u Rivera Alsina, Manuel EMDGender: MaleNPI: 17402600821700 N Oregon StSte 790(915) 313-9383Hospital Affiliations: DelSol Camp Lpdsh; MethodistDallas Medical CenterClinic Affiliation: LasPalamas Medical CenterBoard Certifications:Obstetrics-GynecologyLanguage: SpanishRobinson, Estella MDGender: FemaleNPI: 1376593285
♿U7826 Bois D Arc Dr(915) 590-1980Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation:Robinson Estella MDBoard Certifications:NoneLanguage: SpanishRojas Mendez, Carmen PMDGender: FemaleNPI: 1427285972125 W Hague Rd Ste 340(915) 215-50004801 Alberta Ave(915) 215-50001521 Joe Battle Blvd(915) 521-2200Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El Paso;University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
Rolon, Juan Carlos E MDGender: MaleNPI: 1225036692
♿125 W Hague RdSte 260(915) 533-7579Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoRio Grande Obgyn PABoard Certifications:NoneLanguage: Spanish
u Rosen, Andrew P MDGender: MaleNPI: 1639181712
♿3800 N Mesa StSte C6 7(915) 838-7940Hospital Affiliations: ElPaso Day Surgery LLC;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: AndrewP Rosen MD PABoard Certifications:Obstetrics-GynecologyLanguage: Spanish
u Saldivar, Jose S MDGender: MaleNPI: 1326299264101 Rim RdSte 100(915) 351-1444101 Rim RdSte 300(915) 594-5925♿4801 Alberta Ave(915) 215-5000Hospital Affiliations: DelSol Camp Lpdsh; El PasoChildrens Hospital; El PasoSpecialty Hospital LTD;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh; MDAnderson Cancer Center;University Medical CenterEl PasoClinic Affiliation: LasPalamas Medical Center;TX Tech Univ Hlth Sci CtrEl PasoBoard Certifications:Obstetrics-GynecologyLanguage: American Sign;Spanish
u San Miguel, George G MDGender: MaleNPI: 1033117767125 W Hague RdSte 260(915) 533-7579Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: El PasoRio Grande Obgyn PABoard Certifications:Obstetrics-GynecologyLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
184
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
OBSTETRICS-GYNECOLOGY(continued)
u Schaffer, Michael G MDGender: MaleNPI: 1962400465
4
U125 W Hague Rd Ste 340(915) 215-50004801 Alberta Ave(915) 215-5000
4
U3280 Joe Battle Blvd(800) 967-2289Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: ObhgTexas Holdings PA; TXTech Univ Hlth Sci Ctr ElPasoBoard Certifications:Obstetrics-GynecologyLanguage: SpanishSon, Mary Ann H MDGender: FemaleNPI: 16698120794801 Alberta Ave(915) 215-5000Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
u Suarez, Claudia E MDGender: FemaleNPI: 15089690156000 Northern PassBldg B(915) 629-04429398 Viscount BlvdSte 2b(915) 629-0442Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: HerHealth Obgyn FertilityClinicBoard Certifications:Obstetrics-GynecologyLanguage: Spanish
u Theard, Franz C MDGender: MaleNPI: 1770633216
♿4
U
1201 E Schuster AveSte 2a(915) 533-5505♿U1201 E Schuster AveSte 2b(915) 533-8205
44801 Alberta Ave(915) 545-6730Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: Franz CTheard MD PA; PerinatalHealth Care Center; TXTech Univ Hlth Sci Ctr ElPasoBoard Certifications:Maternal & Fetal Medicine;Obstetrics-GynecologyLanguage: French;Spanish
Tomasino, Rodolfo MDGender: MaleNPI: 1154435808
♿1201 E Schuster AveSte 2a(915) 533-2133Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: PerinatalHealth Care CenterBoard Certifications:NoneLanguage: SpanishTorres, Jose A MDGender: MaleNPI: 1851347645125 W Hague RdSte 260(915) 533-75792400 Trawood DrSte 300(915) 533-7579Clinic Affiliation: El PasoRio Grande Obgyn PABoard Certifications:NoneLanguage: SpanishVedoy Barajas, Qurana FDOGender: FemaleNPI: 1649596198
4
U2001 N Oregon St(915) 577-6011
4
U3280 Joe Battle Blvd(800) 967-2289Hospital Affiliations:Hospitals Providence EastCampus; HospsProvidence MemorialCampusClinic Affiliation: ObhgTexas Holdings PABoard Certifications:None
u Velazquez, Maria D MDGender: FemaleNPI: 11545499542930 N Stanton St(915) 271-4600Hospital Affiliations:Hosps of Providence SierraCampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:Obstetrics-GynecologyLanguage: Spanish
u Vera, Robert W MDGender: MaleNPI: 1962505479
♿4801 Alberta Ave(915) 545-6730Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Obstetrics-GynecologyLanguage: American Sign;SpanishVillarreal Ga, Jorge J MDGender: MaleNPI: 1730187378
♿3100 N Stanton Ste A(915) 532-9477Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
185
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
OBSTETRICS-GYNECOLOGY(continued)Villarreal Garcia, Jose MDGender: MaleNPI: 17301873783100 N Stanton StSte A(915) 532-9477Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: LasPalamas Medical CenterBoard Certifications:NoneLanguage: Spanish
u Vinson, Frederick L MDGender: MaleNPI: 1043387244
4
U2001 N Oregon St(800) 967-2289Hospital Affiliations:Connally Memorial MedicalCenter; Hosps ProvidenceMemorial Campus;Metropolitan MethodistHospital; St Davids SAustin Medical CenterClinic Affiliation: ObhgTexas Holdings PABoard Certifications:Obstetrics-GynecologyLanguage: Spanish
u Obhg Texas Holdings PAGender: MaleNPI: 1043387244
4
U3280 Joe Battle Blvd(800) 967-2289Hospital Affiliations:Connally Memorial MedicalCenter; Hosps ProvidenceMemorial Campus;Metropolitan MethodistHospital; St Davids SAustin Medical CenterClinic Affiliation: ObhgTexas Holdings PABoard Certifications:Obstetrics-GynecologyLanguage: Spanish
Wang, Robert H MDGender: MaleNPI: 1588659460
4
U2001 N Oregon St(800) 967-2289Hospital Affiliations: HcaHouston Healthcare West;Hosps ProvidenceMemorial Campus;Houston Methodist SugarLand HospClinic Affiliation: ObhgTexas Holdings PABoard Certifications:None
u Webb, Joel C MDGender: MaleNPI: 13068714624532 N Mesa St3rd Fl Ste 301(915) 317-5077Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation: WomensCancer and Surgical CarePBoard Certifications:Obstetrics-GynecologyLanguage: Spanish
u Weidner, Jennifer L MDGender: FemaleNPI: 196276555210657 Vista Del Sol Ste F(915) 594-96003270 Joe Battle BlvdSte 275(915) 595-1212Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra CampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:Obstetrics-Gynecology
Williams, Nayo S MDGender: FemaleNPI: 160923784110201 Gateway Blvd WSte 300(915) 599-888710201 Gateway Blvd WSte 301(915) 313-938313001 Eastlake BlvdSte 114(915) 591-4624Clinic Affiliation: LasPalamas Medical CenterBoard Certifications:None
u Zamudio, Jose M MDGender: MaleNPI: 1407822281
♿U1201 E Schuster AveSte 5a(915) 545-12001201 E Schuster Ave Bldg5-A(915) 545-12004824 Alberta Ave4th Fl(915) 521-7866550s Mesa Hills Dr Ste E1(915) 545-12009870 Gateway Blvd NSte A(915) 881-33683270 Joe Battle BlvdSte 275(915) 271-4600Hospital Affiliations:Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: BhsPhysicians Network Inc;Desert Mountain Obstetricsand Gynecology; UniversityMed Ctr of El PasoBoard Certifications:Obstetrics-GynecologyLanguage: Spanish
OCCUPATIONALTHERAPYAguilar, Rachel M OTGender: FemaleNPI: 1942298419
♿1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLanguage: American Sign;SpanishAguirre, Diane OTGender: FemaleNPI: 1881714178
♿U1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLanguage: American Sign;SpanishAlba, Janet R OTGender: FemaleNPI: 1679597199
♿1101 E Schuster Ave(915) 544-8484612 N Resler Dr(915) 584-5683Clinic Affiliation: PalomaWellness Rehabilitation Pl;Paso Del Norte ChildrensDev CtrBoard Certifications:NoneLanguage: SpanishApplewhite, Claudia P OTGender: FemaleNPI: 1467588103
U6611 Boeing Dr(915) 780-6576
U1445 Bessemer DrSte C(915) 633-1975Clinic Affiliation: A StepForward; Play and GrowTherapyBoard Certifications:NoneLanguage: American Sign;Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
186
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
OCCUPATIONALTHERAPY (continued)Barkley Brackett,Monique A OTGender: FemaleNPI: 1891035267
U615 E Schuster AveSte 8(915) 533-1402
U1445 Bessemer DrSte C(915) 633-1975Clinic Affiliation: Play andGrow Therapy; Srn SpeechTherapy PCBoard Certifications:NoneBeaver, Gail K OTGender: FemaleNPI: 1235578147
U3800 N Mesa StSte C7(915) 533-7787Clinic Affiliation: El PasoPediatric Therapy ServiceBoard Certifications:NoneLanguage: SpanishBoren, Ulla K OTGender: FemaleNPI: 1235463910
♿U1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:None
Brown, Gloria A OTGender: FemaleNPI: 1356300693
U125 West Hague RdSte 310(915) 996-3404
U1845 NorthwesternSte B(915) 877-9356Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: PremierHand Therapy LLC;Southwest Sport Spine CtrIncBoard Certifications:NoneLanguage: English;SpanishCabrera, Ramiro OTGender: MaleNPI: 1124585708
U105 S Festival Dr(915) 842-1778
U109 S Festival Dr(915) 842-1788
U4712 Woodrow BeanSte C(915) 842-1788
U1368 N Zaragoza Bldg BSte C(915) 842-1788Clinic Affiliation: RioGrande Therapy GroupBoard Certifications:NoneCardona, Jorge OTGender: MaleNPI: 1609163393
U4601 Hondo PassSte A(915) 201-25051920 N Zaragoza Rd(915) 201-2505Clinic Affiliation: ValeoRehab PLLCBoard Certifications:None
Carrillo, Hector L OTGender: MaleNPI: 1477066066
U4601 Hondo Pass Ste A(915) 201-2505
U1920 N Zaragoza Rd(915) 201-2505Clinic Affiliation: ValeoRehab PLLCBoard Certifications:NoneCarrillo, Itzel OTGender: FemaleNPI: 11243508892030 Montana Ave(915) 533-14001445 Bessemer DrSte C(915) 633-1975Clinic Affiliation: Play andGrow TherapyBoard Certifications:NoneLanguage: SpanishCastaneda, Chantelle I OTGender: FemaleNPI: 12352607876611 Boeing Dr(915) 780-6564Clinic Affiliation: A StepForwardBoard Certifications:NoneLanguage: SpanishCervantes, Georgina OTGender: FemaleNPI: 1932302643
U6800 Gateway Blvd EBldg 4 Ab(915) 779-7827Clinic Affiliation:Healthstar Pediatric RehabBoard Certifications:NoneLanguage: Korean;SpanishCotto, Ashley OTGender: FemaleNPI: 1043562242
♿U1845 Northwestern DrSte B(915) 877-9356Clinic Affiliation:Southwest Sport Spine CtrIncBoard Certifications:NoneLanguage: Spanish
De Santiago, Vanessa OTGender: FemaleNPI: 1487913703
♿11351 James Watt DrSte A(915) 849-6602Clinic Affiliation: TherapyConsultantsBoard Certifications:NoneDulanto, Annette N OTGender: FemaleNPI: 1518292168
U105 S Festival Dr(915) 842-17881368 N ZaragosaSte C Bldg B(915) 842-1788Clinic Affiliation: RioGrande Therapy GroupBoard Certifications:NoneLanguage: SpanishEllison, Patricia E OTGender: FemaleNPI: 1528174877
♿7815 Helen of Troy DrSte B(915) 595-4500♿7230 Gateway Blvd ESte F(915) 595-4500Clinic Affiliation:Rehabilities Partners LLCBoard Certifications:NoneLanguage: SpanishEscandon, Jasmine K OTGender: FemaleNPI: 1003999012
♿1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLanguage: American Sign;Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
187
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
EL PASO (continued)
OCCUPATIONALTHERAPY (continued)Garza, Rochelle A OTGender: FemaleNPI: 1487013124
U1514 N Zaragoza Ste B4(915) 257-57822114 N Zaragoza RdSte C 1(915) 257-5782Clinic Affiliation: EarlyBird Pediatric Therapy ClinBoard Certifications:NoneLanguage: SpanishGiron, Ann M OTGender: FemaleNPI: 1225362353
U1300 Murchison DrSte 314(915) 307-6779
U820 E Redd Rd Ste A(915) 444-2589Clinic Affiliation: El PasoWork Hardening LLC;Performance PhysicalTherapy of EBoard Certifications:NoneGutierrez, Matthew R OTGender: MaleNPI: 18114218296601 Montana Ave Ste G&h(469) 364-8596Clinic Affiliation: EpicPediatric Therapy LPBoard Certifications:NoneHansen, Nancy P OTGender: FemaleNPI: 14079854686611 Boeing Dr(915) 780-6564Clinic Affiliation: A StepForwardBoard Certifications:NoneLanguage: American Sign;Spanish
Haynes, Christina N OTGender: FemaleNPI: 1013446871
U1514 N Zaragoza RdSte B4(915) 257-57822114 N Zaragoza C1(915) 271-8030Clinic Affiliation: EarlyBird Pediatric Therapy ClinBoard Certifications:NoneHernandez, Erika C OTGender: FemaleNPI: 1962743880
U1445 Bessemer DrSte C(915) 633-1975Clinic Affiliation: Play andGrow TherapyBoard Certifications:NoneInfante, Adam A OTGender: MaleNPI: 1003178310
U1250 E Cliff DrSte 5b(915) 259-8399Clinic Affiliation: InfanteHand Rehabilitation SpeciBoard Certifications:NoneLanguage: SpanishInfante, Manuel A OTGender: MaleNPI: 1174651525
U1250 E Cliff Dr Ste 5b(915) 259-8399Clinic Affiliation: InfanteHand Rehabilitation SpeciBoard Certifications:NoneLanguage: SpanishJauregui, Amber M OTGender: FemaleNPI: 1700916426
U1101 E Schuster Ave(915) 544-8484
U1445 Bessemer DrSte C(915) 633-1975Clinic Affiliation: Paso DelNorte Childrens Dev Ctr;Play and Grow TherapyBoard Certifications:NoneLanguage: American Sign;Spanish
Kangur, Violeta L OTGender: FemaleNPI: 1780750737
♿7806 Gateway Blvd ESte 100(915) 566-7584♿4994 Hondo Pass(915) 351-1600Clinic Affiliation: El PasoPulmonary Rehab InstBoard Certifications:NoneLanguage: SpanishKimble, Gretchen A OTGender: FemaleNPI: 14273064486611 Boeing Dr(915) 780-6576Clinic Affiliation: A StepForwardBoard Certifications:NoneLanguage: SpanishLara, Olivia OTGender: FemaleNPI: 1841796950
U1514 N Zaragoza RdSte B4(915) 257-57822114 N ZaragozaSte C1(915) 271-8030Clinic Affiliation: EarlyBird Pediatric Therapy ClinBoard Certifications:NoneLopez, Zuleyhm OTGender: FemaleNPI: 1699052787
U1445 Bessemer DrSte C(915) 633-1975Clinic Affiliation: Play andGrow TherapyBoard Certifications:NoneLanguage: Spanish
Love, Ashley OTGender: FemaleNPI: 1881006591
U2150 Trawood DrSte A 100(915) 333-0200
U1512 N ZaragozaSte C1(915) 855-0601Clinic Affiliation: LoveOccupational TherapyService; New BeginningsPediatric Speech TBoard Certifications:NoneMadrid, Dina M OTGender: FemaleNPI: 14174785121600 Montana Ave(915) 599-4700Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneLanguage: SpanishMarquez, Alexa Reign OTGender: FemaleNPI: 1669030573
U6800 Gateway Blvd EBldg 4ab(915) 779-7827Clinic Affiliation:Healthstar Pediatric RehabBoard Certifications:NoneMartinez, Julio C OTGender: MaleNPI: 1518589787
U406 Chelsea St(915) 307-7612Clinic Affiliation: PasitosClinic LLCBoard Certifications:NoneMiguel, Irma OTGender: FemaleNPI: 1144888363
U1445 Bessemer DrSte C(915) 633-1975Clinic Affiliation: Play andGrow TherapyBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
188
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
EL PASO (continued)
OCCUPATIONALTHERAPY (continued)Montero, Stephanie A OTGender: FemaleNPI: 1164734653
U1510 N ZaragozaSte A 12(915) 921-6881Clinic Affiliation: Ot ForTotsBoard Certifications:NoneLanguage: SpanishMunoz, Noah A OTGender: MaleNPI: 12659266531700 Murchison Dr(915) 533-74651720 Murchison Dr(915) 534-12163100 N Lee Trevino DrSte B(915) 533-7465Clinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty PhysiciansBoard Certifications:NoneOros, Areli OTGender: FemaleNPI: 1114446846
U1445 Bessemer DrSte C(915) 633-1975
U1514 N Zaragoza Ste B4(915) 275-5782
U2114 N Zaragoza C1(915) 271-8030Clinic Affiliation: EarlyBird Pediatric Therapy Clin;Play and Grow TherapyBoard Certifications:NoneLanguage: SpanishPerez, Rebeca OTGender: FemaleNPI: 1861012585
U406 Chelsea St(915) 307-7619Clinic Affiliation: PasitosClinic LLCBoard Certifications:None
Pumerantz, Christa M OTGender: FemaleNPI: 1437601846
U3800 N Mesa Ste C7(915) 533-7787Clinic Affiliation: El PasoPediatric Therapy ServiceBoard Certifications:NoneLanguage: SpanishRenteria, Michelle M OTGender: FemaleNPI: 1811329253
♿U4700 N Mesa StSte F2(915) 704-1094Clinic Affiliation: Autism &Behavioral Pediatric CliBoard Certifications:NoneLanguage: SpanishRivera, Ruben OTGender: MaleNPI: 1982616850
♿5310 El Paso Dr(915) 771-8523Clinic Affiliation: OmegaRehab ServicesBoard Certifications:NoneLanguage: SpanishRobledo, Claudia C OTGender: FemaleNPI: 1891085429
U1514 N Zaragoza RdSte B4(915) 257-57822114 N Zaragoza C1(915) 257-5782Clinic Affiliation: EarlyBird Pediatric Therapy ClinBoard Certifications:NoneLanguage: SpanishRodriguez, Diane D OTGender: FemaleNPI: 17303379739244 Gateway Blvd E(915) 213-54901920 N Zaragoza RdSte 108(800) 971-7970Clinic Affiliation:Transformations RehabServicesBoard Certifications:NoneLanguage: Spanish
Rodriguez, Marco A OTGender: MaleNPI: 1326355603
U9244 Gateway East Blvd(915) 213-5490
U1920 N Zaragoza RdSte 108(915) 213-5490Clinic Affiliation:Transformations RehabServicesBoard Certifications:NoneLanguage: American Sign;SpanishRodriguez, Paul M OTGender: MaleNPI: 18212346422630 Montana Ave(915) 521-2020Clinic Affiliation: Alphaand Omega WellnessCenter IncBoard Certifications:NoneRomero Flores, PatriciaOTGender: FemaleNPI: 178018521510950 Pellicano Dr(915) 276-42861111 Barranca DrSte 800(915) 629-76691111 Barranca St Ste 800(915) 276-4286Clinic Affiliation:Proactive Motion TherapyLLC; West TexasTherapeutic ServicesBoard Certifications:NoneRomero, Rocky J OTGender: MaleNPI: 1215012158
♿U11395 James Watt DrSte A7(915) 598-1920Clinic Affiliation: El PasoHand Rehabilitation CenterIncBoard Certifications:NoneLanguage: Spanish
Ross, Ashlee R OTGender: FemaleNPI: 1871065789
U6800 Gateway Blvd EBldg 4ab(915) 779-7827Clinic Affiliation:Healthstar Pediatric RehabBoard Certifications:NoneRuiz, Cristina OTGender: FemaleNPI: 12557240016611 Boeing Dr(915) 780-6576Clinic Affiliation: A StepForwardBoard Certifications:NoneLanguage: SpanishScott Martinez, Theresa AOTGender: FemaleNPI: 1720429574
♿1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLanguage: American Sign;SpanishSolis, Maria OTGender: FemaleNPI: 1649435918
U10450 Brian Mooney AveSte A(915) 598-6616Clinic Affiliation: ActionCare Rehab Center LLCBoard Certifications:NoneLanguage: SpanishStendel, Marissa R OTGender: FemaleNPI: 1649728239
U1445 Bessemer DrSte C(915) 633-1975Clinic Affiliation: Play andGrow TherapyBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
189
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
EL PASO (continued)
OCCUPATIONALTHERAPY (continued)
u Vasquez, Valerie OTGender: FemaleNPI: 1144783515
U1445 Bessemer DrSte C(915) 633-1975Clinic Affiliation: Play andGrow TherapyBoard Certifications:Occupational TherapyWilliams, Michael OTGender: MaleNPI: 1568875557
U1514 N Zaragoza RdSte B4(915) 257-57822114 N Zaragoza Rd Ste C1(915) 257-5782Clinic Affiliation: EarlyBird Pediatric Therapy ClinBoard Certifications:NoneYagel, Claudia M OTGender: FemaleNPI: 1992062335
♿2416 Montana Ave(915) 342-0232Clinic Affiliation: YagelTherapy Services PLLCBoard Certifications:NoneLanguage: Spanish
OCULOFACIAL PLASTIC& RECONSTRUCTIVESURGERYReiter, Dennis J DOGender: MaleNPI: 1669475109
♿400 Executive Center Blvd(915) 532-3937Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Surgical Center of El PasoClinic Affiliation: Visione360 PABoard Certifications:OphthalmologyLanguage: Hebrew;Spanish
ONCOLOGYu Albino, Miguel MDGender: MaleNPI: 12050607461901 Grandview Ave(915) 544-67507848 Gateway Blvd E(915) 597-1313Hospital Affiliations: DelSol Camp Lpdsh; HcaHouston Healthcare ClearLake; Las Palmas CampLpdshClinic Affiliation: TexasOncology PABoard Certifications:OncologyChambers, Karinn M MDGender: FemaleNPI: 14979157714801 Alberta Ave(915) 215-5300Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
u Corral, Javier C MDGender: MaleNPI: 1558301002
♿4801 Alberta Ave(915) 215-5200Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:OncologyLanguage: Spanish
Cox, Derrick D MDGender: MaleNPI: 1801073838
♿1250 E Cliff DrSte 2a(915) 577-7951♿4659 CohenSte A(915) 751-0000♿3270 Joe BattleSte 120(915) 577-1961Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: GrDallas Hlthcare EnterprisesBoard Certifications:NoneLanguage: American Sign;Spanish
u Diaz, Monica A MDGender: FemaleNPI: 13162062043270 Joe Battle BlvdSte 312(915) 849-2700Clinic Affiliation: TexasOncology PABoard Certifications:Oncology
u Gomez, Jesus A MDGender: MaleNPI: 16098735041901 Grandview Ave(915) 544-67507848 Gateway Blvd ESte E1(915) 599-13133270 Joe Battle BlvdSte 312(915) 849-2700Hospital Affiliations:Foundation Surgical HospEl Paso; Hca HoustonHealthcare Clear Lake;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: TexasOncology PABoard Certifications:OncologyLanguage: SpanishGopalan, Nanda K MDGender: MaleNPI: 1215975321
♿1901 Grandview Ave(915) 544-6750♿7848 Gateway Blvd E(915) 599-1313♿3270 Joe Battle BlvdSte 312(915) 849-2700Hospital Affiliations: HcaHouston Healthcare ClearLake; Hospitals ProvidenceEast Campus; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; Kindred HospitalEl Paso; Las Palmas CampLpdsh; University MedicalCenter El PasoClinic Affiliation: TexasOncology PABoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
190
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ONCOLOGY (continued)u Herrada, Juan MDGender: MaleNPI: 1215934674
♿1901 Grandview Ave(915) 544-6750♿7848 Gateway Blvd E(915) 599-1313♿3270 Joe Battle BlvdSte 312(915) 849-2700Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: TexasOncology PABoard Certifications:OncologyLanguage: SpanishHe, Zening MDGender: MaleNPI: 1477504611
♿1900 N Oregon St Ste 305(915) 225-2027♿3100 Lee Trevino DrSte G(915) 225-2027Hospital Affiliations: ElPaso LTAC Hospital; ElPaso Specialty HospitalLTD; HighlandsRehabilitation Hospital;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; KindredHospital El PasoClinic Affiliation: El PasoRegional Cancer Center PlBoard Certifications:NoneLanguage: Spanish
u Khalaf, Rossa MDGender: FemaleNPI: 11546761467812 Gateway Blvd ESte 110(915) 533-2888Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Transmountain;Las Palmas Camp LpdshClinic Affiliation:Haroutioun S ShahinianMD PABoard Certifications:Oncology
u Lopez, Arsenio G MDGender: MaleNPI: 1477591493
♿1901 Grandview Ave(915) 544-6750♿7848 Gateway Blvd E(915) 599-1313♿3270 Joe Battle BlvdSte 312(915) 849-2700Hospital Affiliations: ElPaso Specialty HospitalLTD; Foundation SurgicalHosp El Paso; HcaHouston Healthcare ClearLake; Hospitals ProvidenceEast Campus; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; Kindred HospitalEl Paso; Las Palmas CampLpdsh; University MedicalCenter El PasoClinic Affiliation: TexasOncology PABoard Certifications:OncologyLanguage: Spanish
Nelson, Daniel W DOGender: MaleNPI: 1700020955125 W Hague RdSte 170(915) 271-45962000 Transmountain RdSte 120 A & B(915) 671-3838Hospital Affiliations:Hosps of Providence SierraCampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:None
u Portillo, Raul M MDGender: MaleNPI: 1265473391
♿1901 Grandview Ave(915) 544-6750♿7848 Gateway Blvd E(915) 599-1313♿3270 Joe Battle BlvdSte 312(915) 849-2700Hospital Affiliations: HcaHouston Healthcare ClearLake; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: TexasOncology PABoard Certifications:Hematology-Oncology;Internal Medicine;OncologyLanguage: Spanish
u Prieto, Roberto MDGender: MaleNPI: 19422946084801 Alberta Ave(915) 215-52002000b Transmountain Rd(915) 215-8410Hospital Affiliations: SanAngelo Community MedicalCtr; Shannon MedicalCenterClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:OncologyLanguage: Spanish
Rivera, Ragene R MDGender: FemaleNPI: 1275570004
♿1901 Grandview Ave(915) 544-6750♿7848 Gateway Blvd E(915) 599-1313♿3270 Joe Battle BlvdSte 312(915) 849-2700Hospital Affiliations:Foundation Surgical HospEl Paso; Hca HoustonHealthcare Clear Lake;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: TexasOncology PABoard Certifications:Medical OncologyLanguage: Spanish
u Sanchez Rivera, Ines JMDGender: FemaleNPI: 15088634081901 Grandview Ave(915) 747-48517848 Gateway Blvd ESte E1(915) 599-1313Hospital Affiliations: DelSol Camp Lpdsh; HcaHouston Healthcare ClearLake; Hospitals ProvidenceEast Campus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: TexasOncology PABoard Certifications:OncologyLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
191
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
ONCOLOGY (continued)Shahinian, Haroutioun SMDGender: MaleNPI: 1639184005
♿7812 Gateway Blvd ESte 110(915) 533-2888Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation:Haroutioun S ShahinianMD PABoard Certifications:NoneLanguage: Armenian;Spanish
u Tano, Sheeba V DOGender: FemaleNPI: 17900030771901 Grandview Ave(915) 544-67507848 Gateway East(915) 599-13133270 Joe Battle Ste 312(915) 599-1313Hospital Affiliations: HcaHouston Healthcare ClearLake; Hospitals ProvidenceEast Campus; Las PalmasCamp LpdshClinic Affiliation: TexasOncology PABoard Certifications:Oncology
u Valilis, Panagisti N MDGender: MaleNPI: 1033158480
♿1901 Grandview Ave(915) 544-6750♿7848 Gateway Blvd E(915) 599-1313♿3270 Joe Battle BlvdSte 312(915) 849-2700Hospital Affiliations: ElPaso Specialty HospitalLTD; Foundation SurgicalHosp El Paso; HcaHouston Healthcare ClearLake; Hospitals ProvidenceEast Campus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: TexasOncology PABoard Certifications:Hematology-Oncology;OncologyLanguage: SpanishVivanco, Cesar E MDGender: MaleNPI: 1992843163
♿10555 Vista Del Sol DrSte 120(915) 590-6770Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation:Southwest Cancer CenterPABoard Certifications:Internal MedicineLanguage: Spanish
OPHTHALMOLOGYu Alpern, Louis M MDGender: MaleNPI: 1295798304
♿4171 N Mesa StBldg D Ste 100(915) 545-2333♿1030 N Zaragoza RdSte Y(915) 545-2333Hospital Affiliations:Surgical Center of El PasoClinic Affiliation: TheCataract GlaucomaRefractive Surgery CenterBoard Certifications:OphthalmologyLanguage: English;SpanishAlvarez, Erica R MDGender: FemaleNPI: 12557733132000 B Transmountain Rd(915) 215-8408Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneAmato, Malena M MDGender: FemaleNPI: 1275611352150 S Resler Dr(915) 595-43751400 Common Dr(915) 595-4375Hospital Affiliations:Ascension Seton MedCenter Austin; AscensionSeton Northwest;Ascension SetonSouthwest; Dell ChildrensMedical Center; Dell SetonMedical Center at UT; StDavids Medical Center; StDavids S Austin MedicalCenterClinic Affiliation: Eyelidand Facial Plastic SurgeryBoard Certifications:NoneLanguage: Spanish
u Bahl, Dinesh MDGender: MaleNPI: 1295837466
♿1700 Curie DrSte 3800(915) 532-3912♿11331 James Watt DrSte 400(915) 592-3397Hospital Affiliations:Childrens Medical CenterDallas; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; JohnPeter Smith Hospital;Parkland Health & HospitalSystem; UT SouthwesternUniversity HospClinic Affiliation:Southwest RetinaConsultantsBoard Certifications:OphthalmologyLanguage: Spanish
u Blumenfeld, Daniel G MDGender: MaleNPI: 1295733996
♿1220 N Oregon St(915) 545-1484♿4801 Alberta Ave(915) 545-6858♿1200 Golden Key CirSte 163(915) 593-1226Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: Scheterand Blumenfeld PA; TXTech Univ Hlth Sci Ctr ElPasoBoard Certifications:OphthalmologyLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
192
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
OPHTHALMOLOGY(continued)
u Brown, Shanna J MDGender: FemaleNPI: 1467613513400 Executive Center(915) 532-3937Hospital Affiliations:Bs&w All Saints Med Ctr FtWorthClinic Affiliation: Visione360 PABoard Certifications:Ophthalmology
u Cole, James D MDGender: MaleNPI: 1033108931
♿150 S Resler Dr(915) 595-4375♿1400 Common Dr(915) 595-4375Clinic Affiliation:Southwest Eye InstituteBoard Certifications:OphthalmologyLanguage: Arabic;Spanish
u Cuthbertson, Jeremy RMDGender: MaleNPI: 1902809247
♿1700 Curie DrSte 3800(915) 532-3912♿11331 James Watt DrSte 400(915) 592-3339Hospital Affiliations:Childrens Medical CenterDallas; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus;Parkland Health & HospitalSystem; UT SouthwesternUniversity HospClinic Affiliation:Southwest RetinaConsultantsBoard Certifications:OphthalmologyLanguage: Spanish
u Davitt, William F MDGender: MaleNPI: 1013935188
♿U8815 Dyer Ste 130(915) 757-3937Hospital Affiliations:Hosps of Providence SierraCampusBoard Certifications:OphthalmologyLanguage: Spanish
u De La Torre, Javier E MDGender: MaleNPI: 1821147778
U150 S Resler Dr(915) 595-4375
U10952 Ben Crenshaw(915) 592-80901400 Common Dr(915) 595-4375Hospital Affiliations: DelSol Camp Lpdsh; El PasoChildrens Hospital; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: EastsideEye Associates PA;Southwest Eye InstituteBoard Certifications:OphthalmologyLanguage: Spanish
u Di Pascuale, Mario A MDGender: MaleNPI: 10030750942900 Pershing DrSte A(915) 261-70113235 Trawood(915) 261-7011Hospital Affiliations:Hospitals Providence EastCampus; Nocona GeneralHospital; University MedicalCenter El PasoClinic Affiliation: Cornea& Cataract Specialty CenteBoard Certifications:Ophthalmology
Ellman, Marc MDGender: MaleNPI: 1780635268
♿U150 S Resler Dr(915) 595-4375♿U1400 Common Dr(915) 595-4375Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation:Southwest Eye InstituteBoard Certifications:NoneLanguage: SpanishFaith, Samuel C MDGender: MaleNPI: 10032519841240 Lomaland Dr(915) 591-4441Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation: WestTexas Eye AssociatesBoard Certifications:NoneFoote, Michael W MDGender: MaleNPI: 1275678492
♿5920 Cromo Dr(915) 532-3697Hospital Affiliations:Hosps of Providence SierraCampus; Surgical Center ofEl Paso; University MedicalCenter El PasoClinic Affiliation: Sun EyeCare PABoard Certifications:NoneLanguage: Spanish
u Gallardo, Mark J MDGender: MaleNPI: 1659302099
♿U1201 N Mesa StSte G(915) 542-0279♿1200 Golden Key CirSte 163(915) 593-1226Hospital Affiliations:Hosps ProvidenceMemorial Campus; UTSouthwestern UniversityHospClinic Affiliation: El PasoEye Surgeons PABoard Certifications:OphthalmologyLanguage: SpanishGuenena, Mohamed A MDGender: MaleNPI: 1730471459
U2900 Pershing Dr Ste A(915) 261-7011Hospital Affiliations:Hosps of Providence SierraCampus; UniversityMedical Center El PasoClinic Affiliation: Cornea& Cataract Specialty CenteBoard Certifications:NoneLanguage: Arabic;Spanish
u Hatchett, John G MDGender: MaleNPI: 1235125824
♿6955 N Mesa St Ste 112(915) 581-1050Hospital Affiliations:Hosps of Providence SierraCampus; Las PalmasCamp LpdshBoard Certifications:OphthalmologyLanguage: Spanish
u Hwang, Richard Y MDGender: MaleNPI: 15485877691700 Curie DrSte 3800(915) 532-3912Clinic Affiliation:Southwest RetinaConsultantsBoard Certifications:Ophthalmology
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
193
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
OPHTHALMOLOGY(continued)
u Kasuga, Daniel T MDGender: MaleNPI: 15687861761700 Curie DrSte 3800(915) 532-391211331 James Watt DrBldg 400(915) 592-3397Clinic Affiliation:Southwest RetinaConsultantsBoard Certifications:OphthalmologyKhauv, Keak C MDGender: MaleNPI: 1265444681
♿11212 Montwood Dr(915) 595-4300Hospital Affiliations:Hosps of Providence SierraCampus; Las PalmasCamp Lpdsh; SurgicalCenter of El Paso;University Medical CenterEl PasoClinic Affiliation:Provident Eye SpecialistsPABoard Certifications:NoneLanguage: Chinese;SpanishKircher, John MDGender: MaleNPI: 14273128835920 Cromo Dr(915) 532-3697Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: Sun EyeCare PABoard Certifications:NoneLanguage: Spanish
Mehta, Aditya MDGender: MaleNPI: 16799643245920 Cromo Dr(915) 532-3697Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: Sun EyeCare PABoard Certifications:None
u Metrikin, David C MDGender: MaleNPI: 1902809262
♿1700 Curie DrSte 3800(915) 532-3912♿11331 James Watt DrSte 400(915) 532-3912Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation:Southwest RetinaConsultantsBoard Certifications:OphthalmologyLanguage: Spanish
u Nelson, Patricia C MDGender: FemaleNPI: 10939442252000b Transmountain Rd(915) 215-8408Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:OphthalmologyLanguage: SpanishPorter, Matthew S MDGender: MaleNPI: 16496586181201 N Mesa St Ste G(915) 542-0279Clinic Affiliation: El PasoEye Surgeons PABoard Certifications:None
Prospero Ponce, ClaudiaM MDGender: FemaleNPI: 16890136664800 Alberta Ave(915) 215-5311Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneRamirez, Ruben E MDGender: MaleNPI: 1548464126
♿1300 Murchison DrSte 140(915) 630-6463Hospital Affiliations:Hosps of Providence SierraCampus; UniversityMedical Center El PasoClinic Affiliation: BuenaVista Eyecare PLLCBoard Certifications:NoneLanguage: Spanish
u Reiter, Dennis J DOGender: MaleNPI: 1669475109
♿400 Executive Center Blvd(915) 532-3937Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Surgical Center of El PasoClinic Affiliation: Visione360 PABoard Certifications:OphthalmologyLanguage: Hebrew;SpanishSoliman, Ahmed MDGender: MaleNPI: 1669795316
♿150 S Resler Dr(915) 595-4375♿1400 Common Dr(915) 595-4375Clinic Affiliation:Southwest Eye InstituteBoard Certifications:NoneLanguage: Spanish
Tafoya, Lawrence C MDGender: MaleNPI: 1710278999
♿4171 N Mesa St Ste D100(915) 545-2333♿1030 N ZaragosaSte Y(915) 545-2333Clinic Affiliation: TheCataract GlaucomaRefractive Surgery CenterBoard Certifications:NoneLanguage: English;SpanishTibrewal, Sapna MDGender: FemaleNPI: 14678479477888 Gateway BlvdSte B(915) 315-25847888 Gateway Blvd EFl 2nd(915) 315-25847888 Gateway Blvd E Fl 2(915) 315-2584Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: MaxHealthcare ConsultantPLLC; Moazam PA; TotalCare PLLCBoard Certifications:NoneLanguage: Hindi; Spanish
u Trubowitsch, Gregory MDGender: MaleNPI: 1821091182
♿1700 Curie DrSte 3800(915) 532-3912♿11331 James Watt DrSte 400(915) 592-3397Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation:Southwest RetinaConsultantsBoard Certifications:OphthalmologyLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
194
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
OPHTHALMOLOGY(continued)
u Vazquez, Carlos W MDGender: MaleNPI: 1750486502
♿1240 Lomaland Dr(915) 591-4441Hospital Affiliations: DelSol Camp Lpdsh; El PasoChildrens Hospital; Hospsof Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: WestTexas Eye AssociatesBoard Certifications:OphthalmologyLanguage: SpanishWashburn, Daniel S MDGender: MaleNPI: 1003965096
♿8815 Dyers StSte 130(915) 757-3937Hospital Affiliations:University Medical CenterEl PasoBoard Certifications:NoneLanguage: Spanish
u Weber, Eric D MDGender: MaleNPI: 1548324288
♿5920 Cromo Dr(915) 532-3697Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: Sun EyeCare PABoard Certifications:OphthalmologyLanguage: Spanish
OPTOMETRYAcosta, Dorian D ODGender: MaleNPI: 19922742781300 Murchison DrSte 140(915) 630-6463Clinic Affiliation: BuenaVista Eyecare PLLCBoard Certifications:NoneAlomia, Yvonne T ODGender: FemaleNPI: 1336155720
U750 Sunland Park DrSte G1(915) 585-1928
U7831 Paseo Del Norte BlvdSte A(915) 600-5553Clinic Affiliation: El PasoEyes LLCBoard Certifications:NoneLanguage: SpanishAlvarez, Lilia B ODGender: FemaleNPI: 1568564888
♿1346 N Lee Trevino DrSte 114(915) 772-0777Board Certifications:NoneLanguage: SpanishAnderson, Heath L ODGender: MaleNPI: 1659420289
♿1240 Lomaland Dr(915) 591-4441Clinic Affiliation: WestTexas Eye AssociatesBoard Certifications:NoneLanguage: SpanishAnspaugh, Melanie K ODGender: FemaleNPI: 1770871618
♿150 S Resler Dr(915) 595-4375♿1400 Common Dr(915) 595-4375Clinic Affiliation:Southwest Eye InstituteBoard Certifications:NoneLanguage: Spanish
Applebaum, Stephen AODGender: MaleNPI: 1184631343
♿865 N Resler DrSte F(915) 833-0633Board Certifications:NoneLanguage: SpanishBaptiste, David J ODGender: MaleNPI: 1184801268
♿4724 Montana Ave(915) 566-8693Clinic Affiliation: El PasoOptical PCBoard Certifications:NoneLanguage: Spanish;VietnameseBarentine, Sharon G ODGender: FemaleNPI: 14674421945920 Cromo Dr(915) 532-3697Clinic Affiliation: Sun EyeCare PABoard Certifications:NoneLanguage: SpanishBlair, Terry B ODGender: MaleNPI: 1063402063
♿U3800 N Mesa StSte B1(915) 533-1811Clinic Affiliation:University Vision CentreBoard Certifications:NoneLanguage: Spanish
Caballero, Mario A ODGender: MaleNPI: 1760444293
U1616 Pike RdSte Bliss(915) 592-8090♿U10952 Ben Crenshaw Dr(915) 592-8090♿U10952 Ben Crenshaw DrSte A(915) 592-8090Clinic Affiliation: EastsideEye Associates PA;Eastside Vision Center;Freedom OptometryBoard Certifications:NoneLanguage: Japanese;Spanish; TagalogCaceres, David I ODGender: MaleNPI: 1497277792
U6101 Gateway Blvd W(915) 263-4719Clinic Affiliation: LensTheory Eyecare GroupPLLCBoard Certifications:NoneCantres Carmona, HiginioODGender: MaleNPI: 1104882745
U11360 Pellicano Dr(915) 775-2020♿2260 N Zaragoza RdSte A 114(915) 775-2020Clinic Affiliation: SkyView Optometry PLLCBoard Certifications:NoneLanguage: English;SpanishCrawford, Daniel C ODGender: MaleNPI: 1609903418
♿1240 Lomaland Dr(915) 591-4441Clinic Affiliation: WestTexas Eye AssociatesBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
195
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
OPTOMETRY(continued)Demarco, James J ODGender: MaleNPI: 1043739568
U7555 N Mesa(915) 833-1616Board Certifications:NoneDzubey, Kenneth C ODGender: MaleNPI: 1730172206
♿U5959 Gateway Blvd WSte 244(915) 779-0676Clinic Affiliation: DzubeyKenneth C ODBoard Certifications:NoneLanguage: SpanishEkery, Jeffrey M ODGender: MaleNPI: 1245223775
♿4724 Montana Ave(915) 566-8693Clinic Affiliation: El PasoOptical PCBoard Certifications:NoneLanguage: SpanishEley, Douglas R ODGender: MaleNPI: 1316989031
U8894 Gateway Blvd N(915) 751-7760Clinic Affiliation: El PasoEyecare PLLCBoard Certifications:NoneLanguage: SpanishEllis, John L ODGender: MaleNPI: 1417947417
♿U3800 N Mesa StSte B1(915) 533-1811Clinic Affiliation:University Vision CentreBoard Certifications:NoneLanguage: Spanish
Falknor, Kenneth R ODGender: MaleNPI: 1073516910
♿U2222 Montana Ave(915) 544-6700♿U7410 Remcon CirSte K(915) 587-9400♿U1325 George Dieter DrSte I2(915) 591-8800Clinic Affiliation: EnvisionEyecare Envision OpticsBoard Certifications:NoneLanguage: SpanishFalknor, Larry W ODGender: MaleNPI: 1891798534
♿U7401 N Mesa St Ste K(915) 587-9400♿U7410 Remcon CirSte K(915) 544-6700♿U1325 George Dieter DrSte I2(915) 591-8800Clinic Affiliation: EnvisionEyecare Envision OpticsBoard Certifications:NoneLanguage: SpanishFavela, Samuel ODGender: MaleNPI: 1245391754
♿4532 N Mesa St Fl 2(915) 544-03261387 George DieterSte D-102(915) 532-3937Clinic Affiliation: El PasoIntegrated Physician;Visione 360 PABoard Certifications:NoneLanguage: Spanish
Garner, Ammon D ODGender: MaleNPI: 1881958619
♿U3800 N Mesa StSte B1(915) 533-1811Clinic Affiliation:University Vision CentreBoard Certifications:NoneLanguage: Spanish;TagalogGoff, Kathleen E ODGender: FemaleNPI: 1144223058
♿U2222 Montana Ave(915) 544-6700♿U7410 Remcon CirSte K(915) 587-9400♿U1325 George Dieter DrSte I2(915) 591-8800Clinic Affiliation: EnvisionEyecare Envision OpticsBoard Certifications:NoneLanguage: SpanishGrifka, Cory A ODGender: MaleNPI: 1275938557
♿1240 Lomaland Dr(915) 591-4441Clinic Affiliation: WestTexas Eye AssociatesBoard Certifications:NoneLanguage: SpanishHaisman, David R ODGender: MaleNPI: 1104902923
U8890 Gateway W BlvdSte 1010(915) 206-2766Clinic Affiliation: TexasPhysicians Eyecare GroupPCBoard Certifications:None
Holt, Kerry ODGender: MaleNPI: 1699835637
♿U4775 Loma Del Sur(915) 821-6800Clinic Affiliation: PNguyen and K Holt ODBoard Certifications:NoneLanguage: Spanish;Vietnamese
u Jevne, Tyler R ODGender: MaleNPI: 1689142770150 S Resler Drive(915) 595-43751400 Common Dr(915) 595-4375Clinic Affiliation:Southwest Eye InstituteBoard Certifications:Optometry; TherapeuticOptometryJohnston, Kirby ODGender: FemaleNPI: 15083944204801 Alberta Ave(915) 215-53002000 Trans Mountain Rd SteB(915) 215-8400Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneKennedy, Lindsey M ODGender: FemaleNPI: 1972057677
U3800 N Mesa StSte B1(915) 533-1811Clinic Affiliation:University Vision CentreBoard Certifications:NoneKim, Hannah ODGender: FemaleNPI: 11243862224775 Loma Del Sur(915) 821-6800Clinic Affiliation: PNguyen and K Holt ODBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
196
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
OPTOMETRY(continued)Krinkey, Priscilla J ODGender: FemaleNPI: 1700438959
♿5920 Cromo Dr(915) 532-3697Clinic Affiliation: Sun EyeCare PABoard Certifications:NoneLanguage: SpanishLambson, Jared R ODGender: MaleNPI: 1144292269
♿4724 Montana Ave(915) 566-8693Clinic Affiliation: El PasoOptical PCBoard Certifications:NoneLanguage: SpanishMaldonado, Michael F ODGender: MaleNPI: 1437333929
♿4801 Alberta Ave(915) 545-6999Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishMartinez, Gabriel ODGender: MaleNPI: 1891984076
U10415 Gateway W Blvd(915) 857-3937Clinic Affiliation: El PasoEyeworks PCBoard Certifications:NoneLanguage: SpanishMcMahon, Louis M ODGender: MaleNPI: 1114919701
♿U9513 Viscount BlvdSte B(915) 590-9977Clinic Affiliation:EyeworldBoard Certifications:NoneLanguage: Spanish
Nance, Vinson E ODGender: MaleNPI: 1043228380
♿U11365 Montwood DrSte D(915) 857-3997Board Certifications:NoneLanguage: SpanishNguyen, Linda ODGender: FemaleNPI: 1992235048400 Executive Center Blvd(915) 532-3937Clinic Affiliation: Visione360 PABoard Certifications:NoneLanguage: SpanishNguyen, Phuong ODGender: MaleNPI: 1689703878
♿U4775 Loma Del Sur(915) 821-6800Clinic Affiliation: PNguyen and K Holt ODBoard Certifications:NoneLanguage: Spanish;VietnameseNguyen, Quyen C ODGender: MaleNPI: 1700842739
♿U7101 Gateway Blvd W(915) 408-9494Board Certifications:NoneLanguage: Spanish;VietnamesePatel, Dipak T ODGender: MaleNPI: 1841298973
♿U8894 Gateway Blvd N(915) 751-7760Clinic Affiliation: El PasoEyecare PLLCBoard Certifications:NoneLanguage: Gujarati; Hindi;Spanish
Phillips, Jack E ODGender: MaleNPI: 1649273020
♿U655 Sunland Park DrSte E1b(915) 242-0682Clinic Affiliation: El PasoWest Eyecare & Contact LeBoard Certifications:NonePholvichitr, Paul P ODGender: MaleNPI: 1700835782
♿U1509 N Zaragoza Rd(915) 779-7355Board Certifications:NoneLanguage: Laotian;Spanish; ThaiPurdy, Stephen ODGender: MaleNPI: 1588951669
♿U150 S Resler Dr(915) 595-4375♿U1400 Common Dr(915) 595-4375Clinic Affiliation:Southwest Eye InstituteBoard Certifications:NoneLanguage: SpanishRamirez, Monica V ODGender: FemaleNPI: 14171143561300 Murchison DrSte 140(915) 630-6463Clinic Affiliation: BuenaVista Eyecare PLLCBoard Certifications:NoneLanguage: SpanishReffell, Massala P ODGender: MaleNPI: 14676488814724 Montana Ave(915) 566-86931387 George DieterSte D 102(915) 532-3937Clinic Affiliation: El PasoOptical PC; Visione 360 PABoard Certifications:NoneLanguage: Spanish
Reiter, Morris D ODGender: MaleNPI: 1437261690
U750 Sunland Park DrSte D6(915) 581-8763Clinic Affiliation: Morris DReiter ODBoard Certifications:NoneReiter, Todd A ODGender: MaleNPI: 1508978776
U8889 Gateway Blvd WestSte 205(915) 779-7136Clinic Affiliation: Morris DReiter ODBoard Certifications:NoneLanguage: SpanishSerrano, Michelle N ODGender: FemaleNPI: 1558815027
U1400 Common Dr(915) 267-2020Clinic Affiliation:Southwest Eye InstituteBoard Certifications:NoneTrinh, Michelle T ODGender: FemaleNPI: 1841711009
♿150 S Resler Dr(915) 595-4375♿1400 Common Dr(915) 595-4375Clinic Affiliation:Southwest Eye InstituteBoard Certifications:NoneLanguage: Arabic;Spanish; VietnameseWang, You A ODGender: FemaleNPI: 13164604054801 Alberta Ave(915) 215-6050Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
197
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
EL PASO (continued)
OPTOMETRY(continued)Wittmann, Amy L ODGender: FemaleNPI: 1114460193
U725 Sunland Park DrSte 225(915) 444-2552
U8889 Gateway Blvd WSte 1010(915) 206-2766Clinic Affiliation: TexasPhysicians Eyecare GroupPCBoard Certifications:NoneWong, Joyce L ODGender: FemaleNPI: 1962453423
♿U7181 Westwind DrSte D(915) 833-1928♿U9861 Dyer St Ste 2(915) 751-9600Board Certifications:NoneLanguage: Chinese;Spanish
ORAL SURGERYFallah, David M DDSGender: MaleNPI: 15987352924801 Alberta Ave(915) 215-5300Hospital Affiliations:Hosps of ProvidenceTransmountain; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneGomez Perez, Jesus ADDSGender: MaleNPI: 13967015617878 Gateway Blvd ESte 301(915) 629-2000Clinic Affiliation: El PasoOral Surgery CenterBoard Certifications:None
Gulley, Robert B DDSGender: MaleNPI: 17009736587878 Gateway Blvd ESte 301(915) 629-2000Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; DriscollChildrens HospitalClinic Affiliation: El PasoOral Surgery CenterBoard Certifications:None
ORTHOPEDIC SURGERYAlost, Thomas E MDGender: MaleNPI: 15088641824646 N Mesa St(915) 313-63001732 Weston BrentSte F(915) 313-6300Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: BhsPhysicians Network Inc; GrDallas Hlthcare EnterprisesBoard Certifications:NoneLanguage: Spanish
u Bean, James W MDGender: MaleNPI: 1124008446
♿1810 Murchison Dr Ste 140(915) 581-07122000 Trans Mountain RdSte 120 A and B(915) 671-38381575 N Resler DrSte D(915) 271-4569♿1400 George DieterSte 100(915) 581-0712Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: BhsPhysicians Network Inc;Msk Consultants PLLCBoard Certifications:Orthopedic SurgeryLanguage: American Sign;English; Spanish
Bevevino, Adam J MDGender: MaleNPI: 19222605381700 Murchison Dr(915) 533-7465♿1720 Murchison Dr(915) 534-12161810 Murchison Ste 140(915) 581-0712820 Redd RdBldg B(915) 581-07121400 George DieterSte 100(915) 581-07123100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations: DelSol Camp Lpdsh; El PasoSpecialty Hospital LTD;Hosps of Providence SierraCampus; Las PalmasCamp LpdshClinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty Physicians;Eric Sides MD PABoard Certifications:NoneLanguage: Spanish
u Blair, James A MDGender: MaleNPI: 18818561101720 Murchison Dr(915) 534-12164801 Alberta Ave(915) 215-5400Hospital Affiliations:Christus Mother FrancesTyler; El Paso ChildrensHospital; University MedicalCenter El Paso; ValleyBaptist Medical CenterClinic Affiliation: El PasoSpecialty Physicians; TXTech Univ Hlth Sci Ctr ElPasoBoard Certifications:Orthopedic SurgeryLanguage: American Sign;Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
198
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ORTHOPEDIC SURGERY(continued)
u Broome, Charles B MDGender: MaleNPI: 17201299921720 Murchison Dr(915) 544-3636Hospital Affiliations: DelSol Camp Lpdsh; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; LegentOrthopedic Plus Spine;Methodist Stone OakHospital; South TexasSpine & Surgical HospClinic Affiliation: El PasoSpecialty PhysiciansBoard Certifications:Orthopedic SurgeryLanguage: Spanish
u Campbell, Everett L MDGender: MaleNPI: 1861505679
♿8700 Montana AveSte C(915) 856-3900Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Paso Del NorteSurgery CenterClinic Affiliation: EverettLee Campbell MD PABoard Certifications:Orthopedic SurgeryLanguage: Spanish
u Chubb, Paul J DOGender: MaleNPI: 1114121613
♿1810 MurchisonSte 140(915) 581-0712♿820 Redd RdBldg B(915) 581-0712♿1400 George DieterSte 100(915) 581-0712Hospital Affiliations: DelSol Camp Lpdsh; El PasoSpecialty Hospital LTD;Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: EricSides MD PABoard Certifications:Orthopedic SurgeryLanguage: Spanish
u Cromer, Barry L MDGender: MaleNPI: 18018761151700 Murchison Dr.(915) 533-7465♿1720 Murchison Ave(915) 534-12161810 Murchison Ste 140(915) 581-07122000 Trans Mountain RdSte 120 A and B(915) 671-38381575 N Resler DrSte D(915) 271-4569820 Redd RdBldg B(915) 581-07121400 George DieterSte 100(915) 581-07122204 E Joe Battle Blvd(915) 503-1870Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty Physicians;Eric Sides MD PABoard Certifications:Orthopedic SurgeryLanguage: Spanish
u Diaz Pagan, Jose L MDGender: MaleNPI: 1275596850
♿8230 Gateway Blvd E(915) 593-6700Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: Jose LDiaz Pagan MD PABoard Certifications:Orthopedic SurgeryLanguage: Spanish
u Dickason, John M MDGender: MaleNPI: 17604629981720 Murchison Dr(915) 534-1216Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoSpecialty PhysiciansBoard Certifications:Orthopedic SurgeryLanguage: Spanish
u Dunn, John C MDGender: FemaleNPI: 16899383594801 Alberta Ave(915) 215-5400820 Redd RdBldg B(915) 581-07121400 George Dieter(915) 581-0712Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: EricSides MD PA; TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Orthopedic Surgery
u Fallon, Michael A MDGender: MaleNPI: 14573418101700 Murchison Dr(915) 533-7465♿1720 Murchison Dr(915) 534-12163100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty PhysiciansBoard Certifications:Orthopedic SurgeryLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
199
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
ORTHOPEDIC SURGERY(continued)Farber, Gerald L MDGender: MaleNPI: 19625172841700 Murchison Dr(915) 533-74653100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations:Medical Center HospitalClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneLanguage: SpanishFernandez, Edgar E MDGender: MaleNPI: 14070847341512 Zaragoza RdBldg C Ste 3 4(915) 206-21201512 Zaragoza Ste C3 & C4(915) 206-2120Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Las Palmas Camp LpdshClinic Affiliation: BorderCity OrthopedicsBoard Certifications:None
u Fitzpatrick, Kelly V DOGender: FemaleNPI: 1467612333125 E Hague RdSte 310(915) 307-21124801 Alberta Ave(915) 215-5416Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El Paso;West Texas Hand SurgeryBoard Certifications:Orthopedic Surgery
u Garcia, Estephan J MDGender: MaleNPI: 17707463801810 MurchisonSte 140(915) 581-07124801 Alberta Ave(915) 215-5400820 Redd RdBldg B(915) 581-07121400 George DieterSte 100(915) 581-0712Hospital Affiliations: ElPaso Childrens Hospital;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation: EricSides MD PA; TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Orthopedic SurgeryLanguage: Spanish
u Ghiselli, Antonio A MDGender: MaleNPI: 12654124981700 Murchison Dr(915) 533-7465♿1720 Murchison Dr(915) 534-12163100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps ProvidenceMemorial CampusClinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty PhysiciansBoard Certifications:Orthopedic SurgeryLanguage: American Sign;Spanish
Gonzalez Trevizo,Gilberto A MDGender: MaleNPI: 10839762524801 Alberta Ave(915) 215-5400Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishGonzalez, Carlos MDGender: MaleNPI: 133630566310410 Vista Del Sol Dr(915) 592-3323Hospital Affiliations:Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation:Southwest OrthopaedicClinic PABoard Certifications:NoneLanguage: Spanish
Goodman, Gens P DOGender: MaleNPI: 18314969831700 Murchison Dr(915) 533-74651720 Murchison Dr(915) 534-12164801 Alberta Ave(915) 215-54003100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations: ElPaso Childrens Hospital; ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty Physicians;TX Tech Univ Hlth Sci CtrEl PasoBoard Certifications:NoneLanguage: SpanishGross, Dominic L MDGender: MaleNPI: 1275572307125 W Hague Rd Ste 310(915) 307-2112Hospital Affiliations:Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: WestTexas Hand SurgeryBoard Certifications:Hand SurgeryHeida, Kenneth A MDGender: MaleNPI: 1386910537
♿4801 Alberta Ave(915) 215-5400Hospital Affiliations: ElPaso Childrens HospitalClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
200
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
ORTHOPEDIC SURGERY(continued)
u Hernandez, Alvaro A MDGender: MaleNPI: 10139155034646 N Mesa St(915) 313-63004646 North Mesa St(915) 313-63001732 Weston Brent LnSte F(915) 313-6300Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: BhsPhysicians Network Inc; GrDallas Hlthcare EnterprisesBoard Certifications:Orthopedic SurgeryLanguage: Spanish
u Heydemann, Jacob S MDGender: MaleNPI: 1548263635
♿1300 Murchison DrSte 310(915) 838-3888Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: Jacob SHeydemann MD PABoard Certifications:Orthopedic SurgeryLanguage: Spanish
u Ingram, James R DOGender: MaleNPI: 18917560111700 Murchison Dr(915) 533-74651720 Murchison Dr(915) 534-12163100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; Medical CenterHospitalClinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty PhysiciansBoard Certifications:Orthopedic SurgeryLanguage: SpanishJackson, John S DOGender: MaleNPI: 1689654600101 Rim RdSte 300(915) 594-592510640 Gateway Blvd NSte B(915) 594-592510555 Vista Del Sol DrSte 200(915) 594-5925Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: EliteOrthopaedics of El Paso PllBoard Certifications:NoneLanguage: Spanish
u Johnson, Keith R MDGender: MaleNPI: 1558369058
♿1300 Murchison DrSte 312(915) 217-1107Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: Keith RJohnson MD PABoard Certifications:Orthopedic SurgeryLanguage: Spanish
u Klein, Terren D MDGender: MaleNPI: 18018761231300 Murchison DrSte 310 B(915) 706-2500Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: Terren DKlein MD PABoard Certifications:Orthopedic SurgeryLanguage: Spanish
u Lanzi, Joseph T MDGender: MaleNPI: 11747222431700 Murchison Dr(915) 533-74651720 Murchison Dr(915) 534-12164801 Alberta Ave(915) 215-54003100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations: ElPaso Specialty HospitalLTD; University MedicalCenter El PasoClinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty Physicians;TX Tech Univ Hlth Sci CtrEl PasoBoard Certifications:Orthopedic SurgeryLanguage: American Sign;Spanish
u Ledford, Cheryl L MDGender: FemaleNPI: 15482032924646 N Mesa St(915) 313-63001732 Weston Brent LnSte F(915) 313-6300Hospital Affiliations: ElPaso Specialty HospitalLTD; Hospitals ProvidenceEast Campus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: BhsPhysicians Network IncBoard Certifications:Orthopedic SurgeryLovato, Zachary R DOGender: MaleNPI: 19920794793100 N Lee Trevino DrSte B(915) 533-7465Clinic Affiliation: BhsPhysicians Network IncBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
201
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
ORTHOPEDIC SURGERY(continued)
u Mansfield, David J MDGender: MaleNPI: 15088467341700 Murchison Dr.(915) 533-74651720 Murchison Dr(915) 544-36363100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampusClinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty PhysiciansBoard Certifications:Orthopedic SurgeryLanguage: Spanish
u Misenhimer, Gregory RMDGender: MaleNPI: 1114925229
♿4801 Alberta Ave(915) 545-88884646 North Mesa St(915) 313-63004646 North Mesa St(915) 313-63001732 Weston Brent LnSte F(915) 313-6300Hospital Affiliations: DelSol Camp Lpdsh; El PasoChildrens Hospital; Hospsof Providence SierraCampus; HospsProvidence MemorialCampus; Kindred HospitalEl Paso; Las Palmas CampLpdsh; University MedicalCenter El PasoClinic Affiliation: BhsPhysicians Network Inc; GrDallas HlthcareEnterprises; TX Tech UnivHlth Sci Ctr El PasoBoard Certifications:Orthopedic SurgeryLanguage: SignLanguage; SpanishMitchell, Justin S DOGender: MaleNPI: 117472066812770 Edgemere BlvdBldg F(915) 249-4000Hospital Affiliations: ElPaso Specialty HospitalLTD; Las Palmas CampLpdshClinic Affiliation:Precision Hand Surgery PABoard Certifications:NoneMuron, David J MDGender: MaleNPI: 1922078005
U2000 B Transmountain(915) 215-8400Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
Natividad, Toribio T MDGender: MaleNPI: 1942404520101 Rim Rd Ste 300(915) 594-592510555 Vista Del SolSte 200(915) 594-5925Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: EliteOrthopaedics of El Paso PllBoard Certifications:NoneLanguage: Spanish
u Nelson, James H MDGender: MaleNPI: 11647478612000 Trans MountainRd Ste B(915) 215-5626Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Orthopedic SurgeryLanguage: Spanish
u Orr, Justin D MDGender: MaleNPI: 1649241696
♿1810 MurchisonSte 140(915) 581-07124915 Alameda Ave(915) 215-5400♿820 Redd RdBldg B(915) 581-0712♿1400 George DieterSte 100(915) 581-0712Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: EricSides MD PA; TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Orthopedic SurgeryLanguage: Spanish
u Pacheco, Hector O MDGender: MaleNPI: 18119573271501 N Mesa StSte 300(915) 261-7226Hospital Affiliations: DelSol Camp Lpdsh; El PasoSpecialty Hospital LTD;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: Hector OPacheco MD PABoard Certifications:Orthopedic SurgeryLanguage: SpanishPalafox, Andrew J MDGender: MaleNPI: 17008664071700 Murchison Dr.(915) 533-7465♿1720 Murchison Dr(915) 534-12163100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty PhysiciansBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
202
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ORTHOPEDIC SURGERY(continued)
u Pallis, Mark P DOGender: MaleNPI: 1538219712
U1700 Murchison Dr(915) 533-7465
U1720 Murchison Ave(915) 534-12163100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty PhysiciansBoard Certifications:Orthopedic Surgery
u Penninck, Johan J MDGender: MaleNPI: 12058064521700 Murchison Dr(915) 533-74651720 Murchison Dr(915) 534-12163100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty PhysiciansBoard Certifications:Orthopedic SurgeryLanguage: American Sign;Spanish
Pirela Cruz, Miguel A MDGender: MaleNPI: 1386604767
♿44801 Alberta Ave(915) 215-5400Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
u Protzman, Scott A MDGender: MaleNPI: 16199051971720 Murchison Dr(915) 534-1216Hospital Affiliations:Bs&w Medical CenterGrapevine; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El Paso;UT SouthwesternUniversity HospClinic Affiliation: El PasoSpecialty PhysiciansBoard Certifications:Orthopedic SurgeryLanguage: SpanishPurcell, Richard L MDGender: MaleNPI: 18213518424801 Alberta Ave(915) 215-54161400 George Dieter DrSte 100(915) 581-0712Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: EricSides MD PA; TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
Robertson, Kathleen AMDGender: FemaleNPI: 15381065961700 Murchison Dr(915) 533-74651720 Murchison Dr(915) 534-12163100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations: DelSol Camp Lpdsh; Del SolRehabilitation Unit; El PasoSpecialty Hospital LTD; LasPalmas Camp LpdshClinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty PhysiciansBoard Certifications:None
u Sides, Eric MDGender: MaleNPI: 1922088822
♿1810 Murchison DrSte 140(915) 581-0712♿820 Redd RdBldg B(915) 581-0712♿1400 George DieterSte 100(915) 581-0712Hospital Affiliations: ElPaso Specialty HospitalLTD; Foundation SurgicalHosp El Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: EricSides MD PABoard Certifications:Orthopedic SurgeryLanguage: American Sign;Spanish
u Smith, Dean E MDGender: MaleNPI: 1710939756
♿10400 Vista Del SolDr 204(915) 857-6699Hospital Affiliations: DelSol Camp Lpdsh; El PasoSpecialty Hospital LTD;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; ThePhysicians CentreClinic Affiliation: SpineMedical Group CorpBoard Certifications:Orthopedic SurgeryLanguage: SpanishThabet-Hagag, Ahmed MMDGender: MaleNPI: 10234585364801 Alberta Ave(915) 215-5400Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishTorres, Erick G MDGender: MaleNPI: 19324626782000 Transmountain RdSte 120 A B(915) 271-45864646 N Mesa St(915) 313-63001732 Weston Brent LnSte F(915) 313-63003100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: BhsPhysicians Network IncBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
203
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
ORTHOPEDIC SURGERY(continued)Urrea, Luis H MDGender: MaleNPI: 18513713551700 Murchison Dr(915) 533-7465♿1720 Murchison Dr(915) 544-36366211 Edgemere #1(915) 881-82643100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations: ElPaso Specialty HospitalLTD; Foundation SurgicalHosp El Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty Physicians;Robert E Urrea MD PABoard Certifications:NoneLanguage: Spanish
u Urrea, Robert E MDGender: MaleNPI: 1356303150
♿6211 Edgemere BlvdSte 1(915) 881-8264Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: Robert EUrrea MD PABoard Certifications:Orthopedic SurgeryLanguage: Spanish
Vande Lune, Daniel W MDGender: MaleNPI: 1932160322
♿1810 MurchisonSte 140(915) 581-0712♿820 Redd RdBldg B(915) 581-0712♿1400 George DieterSte 100(915) 581-0712Hospital Affiliations: ElPaso Specialty HospitalLTD; Foundation SurgicalHosp El Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: EricSides MD PABoard Certifications:NoneLanguage: Spanish
u Vourazeris, Jason D MDGender: MaleNPI: 1609028729
♿12770 Edgemere BlvdBldg F(915) 249-4000Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: Ortho ElPasoBoard Certifications:Orthopedic SurgeryLanguage: SpanishVu, Hung Q MDGender: MaleNPI: 1508977893
♿3022 Trawood(915) 691-6705♿3022 Trawood Dr(915) 857-2200Hospital Affiliations: DelSol Camp Lpdsh; El PasoDay Surgery LLC; Hosps ofProvidence Sierra Campus;Las Palmas Camp LpdshClinic Affiliation: Hung VuMD PABoard Certifications:NoneLanguage: Spanish
Weiss, William M MDGender: MaleNPI: 10537554544801 Alberta Ave(915) 215-5400Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl Paso; UTMB HealthGalvestonClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
u Westbrook, Richard S MDGender: MaleNPI: 18311653564646 N Mesa St(915) 313-63004646 North Mesa St(915) 313-63001732 Weston Brent LnSte F(915) 313-6300Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: BhsPhysicians Network Inc; GrDallas Hlthcare EnterprisesBoard Certifications:Orthopedic SurgeryLanguage: Spanish
OTOLARYNGOLOGYu Arango, Jorge J MDGender: MaleNPI: 13260817955959 Gateway Blvd WSte 104(915) 351-5023Clinic Affiliation: Jorge JArango MD PLLCBoard Certifications:OtolaryngologyLanguage: Spanish
u Blumenfeld, Ronald J MDGender: MaleNPI: 1477550861
♿4305 N MesaSte B(915) 779-7378♿3030 Joe Battle(915) 242-1634Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: El PasoSleep Disorders CentersBoard Certifications:OtolaryngologyLanguage: Spanish
u Bright, Kevin E MDGender: MaleNPI: 1174524441
♿U1600 Medical Center DrSte 101(915) 544-1350Hospital Affiliations: DelSol Camp Lpdsh; El PasoChildrens Hospital; Hospsof Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation:Southwest Ear Nose &Throat Consult PABoard Certifications:OtolaryngologyLanguage: SpanishByerly, Tracy A MDGender: MaleNPI: 14273542086801 N Mesa StSte B3(915) 257-59691613 N Zaragoza RdSte 108(915) 257-5969Clinic Affiliation: AspireAllergy & SinusBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
204
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
OTOLARYNGOLOGY(continued)
u Cesar, Carlos R MDGender: MaleNPI: 1841265279
♿U2295 Trawood Suite B(915) 595-0067Hospital Affiliations:Christus Spohn HospitalAlice; Del Sol Camp Lpdsh;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshBoard Certifications:OtolaryngologyLanguage: SpanishChen, Brian S MDGender: MaleNPI: 17303154251600 Medical Ctr Dr Ste101(915) 544-1350Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Medical Center HospitalClinic Affiliation:Southwest Ear Nose &Throat Consult PABoard Certifications:NoneLanguage: Spanish
u Contreras, Jorge I MDGender: MaleNPI: 1033315411
♿201 Bartlett Ste A(915) 779-5866♿5959 Gateway Blvd WSte 160(915) 779-5866♿1393 George Dieter Ste A(915) 779-5866Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; Paso DelNorte Surgery Center;University Medical CenterEl PasoClinic Affiliation: El PasoEnt AssociatesBoard Certifications:OtolaryngologyLanguage: Spanish
u Fulmer, Robert P MDGender: MaleNPI: 14472230036955 N Mesa StSte 304(915) 257-59691613 N Zaragoza RdSte 108(817) 769-6543Hospital Affiliations:Ascension Seton MedCenter Austin; ChristusMother Frances Tyler; EastTexas Medical Center; TheHospital at WestlakeMedicalClinic Affiliation: AspireAllergy & SinusBoard Certifications:Otolaryngology
u Gomez, Patrick J MDGender: MaleNPI: 1184664492
♿201 Bartlett Dr Ste A(915) 779-5866♿5959 Gateway BlvdSte 160(915) 779-5866♿1393 George Dieter Ste A(915) 779-5866Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: El PasoEnt AssociatesBoard Certifications:OtolaryngologyLanguage: Spanish
u Gross, Eric M MDGender: MaleNPI: 1053386763
♿11163 La Quinta PlaceSte B200(915) 591-8400Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation: Eric MGross MD PABoard Certifications:OtolaryngologyLanguage: Spanish
u Jamison, Rodney K MDGender: MaleNPI: 1730180019
♿U1600 Medical Center DrSte 101(915) 544-1350Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation:Southwest Ear Nose &Throat Consult PABoard Certifications:OtolaryngologyLanguage: Spanish
u Korzec, Kenneth R MDGender: MaleNPI: 1548200850
♿201 Bartlett DrSte A(915) 779-5866♿201 Bartlett Ste A(915) 779-5866♿5959 Gateway BlvdSte 160(915) 779-5866Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: El PasoEnt AssociatesBoard Certifications:OtolaryngologyLanguage: Spanish
u Nanez, Gary MDGender: MaleNPI: 1669479127
♿201 Bartlett DrSte A(915) 779-5866♿5959 Gateway Blvd WSte 160(915) 779-5866♿1393 George Dieter DrSte A(915) 300-0460Hospital Affiliations: ElPaso Day Surgery LLC;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: El PasoEnt AssociatesBoard Certifications:OtolaryngologyLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
205
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
OTOLARYNGOLOGY(continued)
u Reiersen, David A MDGender: MaleNPI: 1336466135
U1600 Medical Center DrSuite 101(915) 544-1350Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Southwest Ear Nose &Throat Consult PABoard Certifications:OtolaryngologyLanguage: Spanish
u Rhodes, Miller F MDGender: MaleNPI: 1144320995
♿4801 Alberta Avenue(915) 215-5300Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:OtolaryngologyLanguage: Spanish
u Thompson, Christopher PMDGender: MaleNPI: 15482348426955 N Mesa StSte 304(915) 257-59691613 N Zaragoza RdSte 108(915) 257-5969Hospital Affiliations: LasPalmas Camp Lpdsh; StDavids N Austin MedicalCtr; The Hospital atWestlake MedicalClinic Affiliation: AspireAllergy & SinusBoard Certifications:OtolaryngologyLanguage: Spanish
u Westbrook, Benjamin JMDGender: MaleNPI: 10131702991500 N Mesa St(915) 532-69351600 Medical Ctr Dr Ste101(915) 544-1350Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp Lpdsh;Medical Center HospitalClinic Affiliation: BenWestbrook Ent; SouthwestEar Nose & Throat ConsultPABoard Certifications:OtolaryngologyLanguage: Spanish
PAIN MANAGEMENTAnnabi, Jeffrey H MDGender: MaleNPI: 1669498416
♿615 E Schuster AveSte 7(915) 584-98007411 Remcon CirSte B1(915) 584-9800♿7411 Remcon CirSte B1(915) 584-9800♿4930 Osborne DrSte A(915) 584-98001390 George Dieter DrSte 110(915) 271-4640♿1400 George DieterSte 240(915) 584-9800Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: BhsPhysicians Network Inc;Jeffrey H Annabi MD PABoard Certifications: PainManagementLanguage: Spanish
u Durussel, David A MDGender: MaleNPI: 1700896982
♿3215 Gateway Blvd W(915) 598-7246♿12200 Paseo Nuevo Dr(915) 598-7246♿7825 N Mesa St(915) 598-7246Clinic Affiliation: El PasoPain Center PABoard Certifications: PainManagementLanguage: SpanishGan, Mark F DOGender: MaleNPI: 121503393111331 James Watt DrBldg 200 Ste A(915) 260-8256Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Longview Regional MedicalCenter; Medical ArtsSurgery Center; Paso DelNorte Surgery Center;Surgical Center of El PasoClinic Affiliation: DonyaAnesthesiology and PainBoard Certifications:None
Ibrahim, Ali D MDGender: MaleNPI: 1780818427
U11331 James WattBldg 200(915) 260-825611331 James WattBldg 200 Ste A(915) 260-8256Hospital Affiliations: ElPaso Ctr GastrointestinalEndo; Foundation SurgicalHosp El Paso; Hosps ofProvidence Transmountain;Longview Regional MedicalCenter; Medical ArtsSurgery Center; Paso DelNorte Surgery Center;Surgical Center of El Paso;University Medical CenterClinic Affiliation: DonyaAnesthesiology and PainBoard Certifications:Anesthesiology
u Jenkins, Keyonna M MDGender: FemaleNPI: 19527491033215 Gateway Blvd W(915) 598-7246Clinic Affiliation: El PasoPain Center PABoard Certifications: PainManagementLee, Janet J MDGender: FemaleNPI: 13860636341700 Murchison Dr(915) 533-74651720 Murchison Dr(915) 534-12167411 Remcon Cir Ste B 1(915) 249-22203100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations: DelSol Camp Lpdsh; El PasoSpecialty Hospital LTDClinic Affiliation: BhsPhysicians Network Inc;Border Pain Institute PA; ElPaso Specialty PhysiciansBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
206
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
PAIN MANAGEMENT(continued)
u Lopez, Raul J MDGender: MaleNPI: 18718595877878 Gateway Blvd EastSte 402(915) 313-4443Hospital Affiliations: DelSol Camp Lpdsh; El PasoSpecialty Hospital LTD;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: WestTexas Pain Institute PLLCBoard Certifications: PainManagementLanguage: SpanishMimbella, Paolo C MDGender: MaleNPI: 18315997943215 Gateway Blvd W(915) 598-724612200 Paseo Nuevo Dr(915) 598-72467825 N Mesa St(915) 598-7246Hospital Affiliations:University Medical Center;University Medical CenterEl PasoClinic Affiliation: El PasoPain Center PABoard Certifications:NoneRay, Harold W MDGender: MaleNPI: 18113141493215 Gateway Blvd W(936) 675-112812200 Paseo Nuevo Dr(915) 598-72467825 N Mesa St(915) 598-7246Hospital Affiliations:University Medical CenterClinic Affiliation: El PasoPain Center PABoard Certifications:None
u Vazquez, Eduardo G MDGender: MaleNPI: 1225283211
♿3215 Gateway Blvd W(915) 598-7246♿12200 Paseo Nuevo Dr E(915) 598-7246♿7825 N Mesa St(915) 598-7246Hospital Affiliations:Highlands RehabilitationHospital; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; MDAnderson Cancer CenterClinic Affiliation: El PasoPain Center PABoard Certifications: PainManagementLanguage: Spanish
u Viesca, Carlos O MDGender: MaleNPI: 16098561941700 Murchison Dr(915) 533-74651720 Murchison Ave(915) 534-12161755 Curie DrSte C(915) 533-74657411 Remcon Circle(915) 249-22207420 Remcon CirSte A2(915) 533-74653100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: BhsPhysicians Network Inc;Border Pain Institute PA; ElPaso Specialty PhysiciansBoard Certifications: PainManagementLanguage: Spanish
u Villarreal, Jose L MDGender: MaleNPI: 1548231848
♿5652 N Mesa St(915) 351-1155Hospital Affiliations: EastEl Paso Surgery Center;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; SurgicalCenter of El PasoClinic Affiliation: JoseLuis Villarreal MD PABoard Certifications:Anesthesiology; PainManagementLanguage: Spanish
PATHOLOGYAllen, Mariano MDGender: MaleNPI: 1902867088
♿410175 Gateway Blvd WSte 116(915) 595-4700Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation: RioGrande Pathology ServicesPABoard Certifications:None
u Ayoub, Hanan H MDGender: FemaleNPI: 1073569778
42001 N Oregon StDept of Pathology(843) 569-6542Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Surgery Center ofBoerneClinic Affiliation:Pathology Associates of ElPasoBoard Certifications:Pathology
u Bilbao, Jorge E MDGender: MaleNPI: 1881626877
♿4
U
1301 E River(915) 533-3000Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation:Pathology ProfessionalServicesBoard Certifications:PathologyLanguage: SpanishBustamante, Daniel MDGender: MaleNPI: 1134411333
4
U4815 Alameda Ave(915) 521-2290Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El Paso;University Med Ctr of ElPasoBoard Certifications:None
u Diaz, Jaime A MDGender: MaleNPI: 1699719575
♿41301 E River Ave(915) 533-3000Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation:Pathology ProfessionalServicesBoard Certifications:Pathology
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
207
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
PATHOLOGY(continued)
u Dudrey, Ellen F MDGender: FemaleNPI: 1578524567
41801 N Oregon St(915) 521-1341
42000 A Transmountain(915) 877-8238Hospital Affiliations: LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: DesertPathology Services PA; TXTech Univ Hlth Sci Ctr ElPasoBoard Certifications:Pathology
u Elkins, Gregory C MDGender: MaleNPI: 1932197381
♿41625 Medical Center Dr(915) 747-4038
41625 Medical Center DrDept of Pathology(915) 747-4000Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation:Pathology Associates of ElPaso; Sierra LaboratoryAssocBoard Certifications:PathologyLanguage: Spanish
u Friedman, Glen C MDGender: MaleNPI: 1790733228
♿4
U
1801 N Oregon St(915) 595-9253Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation: DesertPathology Services PABoard Certifications:PathologyLanguage: Spanish
Gamez, Roberto G MDGender: MaleNPI: 1700078656
44815 Alameda Ave(915) 215-4956
42000 A Trans Mountain Rd(915) 877-8238Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El Paso;University Med Ctr of ElPasoBoard Certifications:NoneGilani, Syed M MDGender: MaleNPI: 1023435328
4
U4815 Alameda Ave(915) 544-1200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:None
u Hakim, Mohamad N MDGender: MaleNPI: 1538140439
44815 Alameda Ave(915) 521-2290
42000 A Trans Mountain Rd(915) 877-8238Hospital Affiliations:Hosps of Providence SierraCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El Paso;University Med Ctr of ElPasoBoard Certifications:Pathology
u Kime, Lynn R MDGender: MaleNPI: 1316908270
♿4
U
2001 North Oregon Street(800) 308-1708Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Pathology Associates of ElPasoBoard Certifications:PathologyLanguage: SpanishLavezo, Jonathan L MDGender: MaleNPI: 1518352640
4
U4815 Alameda Ave(915) 215-4956
44845 Alameda Ave(915) 215-4956
42000 A Trans Mountain Rd(915) 215-4956Hospital Affiliations: ElPaso Childrens Hospital;Hosps of ProvidenceTransmountain; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
u Llamas, Luis MDGender: MaleNPI: 1215998307
42001 North Oregon St(915) 577-7316Hospital Affiliations:Covenant Health System;Hosps ProvidenceMemorial CampusClinic Affiliation:Pathology Associates of ElPasoBoard Certifications:PathologyManglik, Niti MDGender: FemaleNPI: 1487944229
44815 Alameda Ave(915) 521-2290Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
Orazio, Attilio MDGender: MaleNPI: 1689631301
44815 Alameda Ave(915) 215-4956
42000 Trans Mountain Rd(915) 215-4956Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El Paso;University Med Ctr of ElPasoBoard Certifications:NonePadilla, Angelica MDGender: FemaleNPI: 1619232873
4
U4815 Alameda Ave(915) 521-2290
U2000 Transmountain Rd(915) 521-2290Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El Paso;University Med Ctr of ElPasoBoard Certifications:None
u Padilla, Osvaldo MDGender: MaleNPI: 1033221189
44815 Alameda Ave(915) 215-4956
42000 A Transmountain Rd(915) 877-8238Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Pathology
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
208
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
PATHOLOGY(continued)Pester, Judith A MDGender: FemaleNPI: 1689662033
♿4
U
1625 Medical Center Dr(915) 747-4038Hospital Affiliations:Hosps of Providence SierraCampusClinic Affiliation: SierraLaboratory AssocBoard Certifications:NoneLanguage: Spanish
u Qiao, Jesse C MDGender: MaleNPI: 1225340722
44815 Alameda Ave(915) 215-4956
42000 A Transmountain(915) 877-8238Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:PathologyRosario, Domingo J MDGender: MaleNPI: 1558336537
43100 Lee TrevinoSte G(915) 592-7400Clinic Affiliation: RioGrande Urology PABoard Certifications:NoneSotelo Rafiq, Elsa P MDGender: FemaleNPI: 1740424142
41301 E River(915) 533-3000Hospital Affiliations:Hosps of Providence SierraCampusClinic Affiliation:Pathology ProfessionalServicesBoard Certifications:None
Trejo, Octavio MDGender: MaleNPI: 1629039623
♿42001 North Oregon Street(800) 308-1708Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Pathology Associates of ElPasoBoard Certifications:None
u Vargas, Arturo L MDGender: MaleNPI: 1760443626
♿4
U
2001 North Oregon Street(800) 308-1708Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Pathology Associates of ElPasoBoard Certifications:PathologyLanguage: Spanish
u Wilson, Harry L MDGender: MaleNPI: 1134180094
♿42001 N Oregon(915) 838-1914
44815 Alameda Ave(915) 521-2290Hospital Affiliations: ElPaso Childrens Hospital;Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoClinic Affiliation:Pathology Associates of ElPaso; TX Tech Univ HlthSci Ctr El PasoBoard Certifications:PathologyLanguage: Spanish
u Zepeda, Hector MDGender: MaleNPI: 1245291103
♿410175 Gateway Blvd WSte 116(915) 595-4700Hospital Affiliations:Highlands RehabilitationHospital; Las PalmasCamp LpdshClinic Affiliation: RioGrande Pathology ServicesPABoard Certifications:Pathology
PEDIATRIC -DEVELOPMENTALBEHAVIORSuchoff, Monica L MDGender: FemaleNPI: 1770516106
♿840 E Redd Rd Bldg 3(915) 581-5557Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoBoard Certifications:NoneLanguage: Spanish
PEDIATRICCARDIOLOGY
u Badugu, Srinivasa R MDGender: MaleNPI: 15787017101201 SchusterBldg 7(915) 215-57004801 Alberta Ave(915) 215-5700Hospital Affiliations: ElPaso Childrens Hospital;Methodist Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Pediatric CardiologyLanguage: Spanish
Castleberry, Chesney DMDGender: FemaleNPI: 18010558437910 Gateway Blvd ESte 100(915) 629-9725Clinic Affiliation: MagellaMedical Assoc Billing IncBoard Certifications:None
u Chanana, Nitin MDGender: MaleNPI: 1962634188
U125 W Hague Ste 440(951) 533-57331401 Montana Ave Ste L(915) 585-23223913 Broaddus Ave(915) 852-32257888 Gateway Blvd E2nd Floor Ste B(915) 315-25847888 Gateway Blvd E Fl 2(915) 315-2584935 Sunland Park DrSte 101 102(915) 852-3225
U14470 Horizon BlvdSte J(915) 852-3225Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: MaxHealthcare ConsultantPLLC; Moazam PA; TexasNewborn Services IncBoard Certifications:Pediatric CardiologyLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
209
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
PEDIATRICCARDIOLOGY(continued)
u Fenrich, Arnold L MDGender: MaleNPI: 1790736494
♿125 W Hague Rd Ste 440(915) 533-5733♿7910 E Gateway BlvdSte 100(915) 627-9725Hospital Affiliations:Ascension Seton Hays;Ascension Seton MedCenter Austin; AscensionSeton Northwest;Ascension SetonSouthwest; Dell SetonMedical Center at UT;Methodist Hospital;Methodist Spec &Transplant Hosp; MethodistTexsan Hospital; St DavidsGeorgetown Hospital; StDavids Medical CenterClinic Affiliation: MagellaMedical Assoc Billing IncBoard Certifications:Pediatric CardiologyLanguage: Spanish
u Gorla, Sudheer R MDGender: MaleNPI: 15384572391201 E Schuster Ave Bldg7(915) 215-57004801 Alberta Ave(915) 215-57005340 El Paso DrSte M(915) 242-8402Hospital Affiliations: ElPaso Childrens Hospital;Hosps of ProvidenceTransmountain; LasPalmas Camp LpdshClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Pediatric Cardiology;Pediatrics
Kumar, Vibhash MDGender: MaleNPI: 17708169511401 Montana Ste L(915) 852-32253913 Broaddus Ave(915) 852-32257888 E Gateway Ste B2nd Floor(915) 315-25847888 Gateway Blvd EFl 2nd(915) 315-25847888 Gateway Blvd E Fl 2(915) 315-2584935 Sunland Park DrSte 101 and 102(915) 852-3225Hospital Affiliations: DelSol Camp Lpdsh; El PasoChildrens Hospital;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: MaxHealthcare ConsultantPLLC; Moazam PA; TotalCare PLLCBoard Certifications:NoneLanguage: SpanishPlowden, John S MDGender: MaleNPI: 1003814856
♿7910 Gateway Blvd ESte 100(915) 629-9725Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; MethodistHospital; University MedicalCenter El PasoClinic Affiliation: TexasNewborn Services IncBoard Certifications:NoneLanguage: Spanish
Sahewalla, Rini MDGender: FemaleNPI: 1790031698
47910 Gateway East Ste 100(915) 629-9725Hospital Affiliations:Hosps of Providence SierraCampus; UniversityMedical Center El PasoClinic Affiliation: TexasNewborn Services IncBoard Certifications:NoneSchuster, Jeffrey D MDGender: MaleNPI: 1326155813
♿7910 Gateway Blvd ESte 100(915) 629-9725Hospital Affiliations: DelSol Camp Lpdsh; El PasoChildrens Hospital; Hospsof Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; TX HlthPresbyterian Hosp Dallas;University Medical Center;University Medical CenterEl PasoClinic Affiliation: TexasNewborn Services IncBoard Certifications:NoneLanguage: Spanish
Shmorhun, Daniel P MDGender: MaleNPI: 1841251246
♿125 W Hague Rd Ste 440(915) 533-5733♿7910 E Gateway BlvdSte 100(915) 629-9725Hospital Affiliations:Ascension Seton Hays;Ascension Seton MedCenter Austin; AscensionSeton Northwest;Ascension SetonSouthwest; Dell SetonMedical Center at UT;Methodist Hospital; StDavids GeorgetownHospital; St Davids MedicalCenter; St Joseph RegionalHealth CenterClinic Affiliation: MagellaMedical Assoc Billing IncBoard Certifications:NoneLanguage: Spanish
PEDIATRICDERMATOLOGY
u Simpson, Brenda M MDGender: FemaleNPI: 17506762501700 Murchison DrSte 215(915) 544-3254Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: MichaelH Simpson MD PABoard Certifications:Dermatology; PediatricDermatologyLanguage: French;Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
210
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.
EL PASO (continued)
PEDIATRICENDOCRINOLOGYGranados, Hector M MDGender: MaleNPI: 11546160681201 E Schuster Bldg 4(915) 642-94442270 Joe Battle BlvdSte E -G(915) 642-9444Clinic Affiliation: HectorGranados MD PABoard Certifications:NoneLanguage: Spanish
u Rao, Krishnaswamy J MDGender: FemaleNPI: 11647438601201 E Schuster AveBldg 7(915) 215-57004801 Alberta Ave(915) 215-5706Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Pediatric EndocrinologyLanguage: SpanishZerah, Michele M MDGender: FemaleNPI: 1386660850125 W Hague Rd Ste 550(915) 577-1596Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:None
PEDIATRICGASTROENTEROLOGY
u Co, Maridine L MDGender: FemaleNPI: 15181489154801 Alberta Ave(915) 215-5700Hospital Affiliations: ElPaso Childrens HospitalClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Pediatric GastroenterologyFrancis, Denease MDGender: FemaleNPI: 10435036914801 Alberta Avenue(915) 215-5700Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishMaspons, Aldo MDGender: MaleNPI: 14776924651101 E Schuster Ave(915) 544-8484Hospital Affiliations: DelSol Camp Lpdsh; El PasoChildrens Hospital;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Las Palmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLanguage: Spanish
u Rosas Blum, Eduardo DMDGender: MaleNPI: 1316133218
♿1201 E Schuster AveBldg 7(915) 215-5700♿4801 Alberta Ave(915) 215-5700Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Pediatric Gastroenterology;PediatricsLanguage: SpanishSantos, Luis A MDGender: MaleNPI: 1275532863
♿125 W Hague Rd Ste 360(915) 533-2600Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoBoard Certifications:NoneLanguage: Spanish
PEDIATRICHEMATOLOGY-ONCOLOGYCanales, Roberto MDGender: MaleNPI: 1093827255
♿U1733 Curie Dr Suite 103(915) 532-2985♿U2295 Trawood Suite C(915) 532-2985Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: CanalesRoberto MDBoard Certifications:PediatricsLanguage: Arabic;Spanish
Carcamo, Benjamin MDGender: MaleNPI: 14373620924801 Alberta Ave(915) 215-5700Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
u Hartman, Lisa L MDGender: FemaleNPI: 1043468945
♿4801 Alberta Ave(915) 215-5700Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Pediatric Hematology-OncologyLanguage: SpanishJude, Veronica H MDGender: FemaleNPI: 12757158562001 N Oregon St(210) 704-47084545 Almeda Ave(210) 704-4708Hospital Affiliations:Childrens Hospital SanAntonio; Hosps ProvidenceMemorial Campus;Methodist HospitalClinic Affiliation: BcmPhysicians of San AntonioBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
211
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
PEDIATRICHEMATOLOGY-ONCOLOGY (continued)Moazam, Mustafa M MDGender: MaleNPI: 13069874742001 N Oregon St(915) 577-68893913 Broaddus Ave(915) 852-32257888 Gateway Blvd E2nd Floor Ste B(915) 315-2584935 Sunland Park DrSte 101 and 102(915) 852-3225Hospital Affiliations:Ascension Providence; DelSol Camp Lpdsh; El PasoChildrens Hospital;Hospitals Providence EastCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: MoazamPABoard Certifications:None
PEDIATRIC INFECTIOUSDISEASE
u Handal, Gilberto A MDGender: MaleNPI: 1629081948
♿1201 E Schuster AveBldg 7(915) 215-5700♿4801 Alberta Ave(915) 215-5700♿5340 El Paso DrSte M(915) 242-8402Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Pediatric InfectiousDisease; PediatricsLanguage: SpanishIsaac, David W MDGender: MaleNPI: 1497756613
♿3901 N Mesa St(915) 838-0100Hospital Affiliations: ElPaso Childrens Hospital;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: David WIsaacBoard Certifications:NoneLanguage: Spanish
PEDIATRICNEPHROLOGY
u Khin, Ei E MDGender: FemaleNPI: 10234563324801 Alberta Ave(915) 215-5700Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Pediatric NephrologyLanguage: SpanishLozano Guzman, GermanA MDGender: MaleNPI: 1558660423
♿1201e. Schuster AveBldg 7(915) 215-5700♿4801 Alberta Ave(915) 215-5700Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: American Sign;Spanish
u Ranch, Daniel MDGender: MaleNPI: 1457477101125 W Hague Rd Ste 210(888) 336-9633Hospital Affiliations:University Health SystemClinic Affiliation: UTHealth PhysiciansBoard Certifications:Pediatric Nephrology
PEDIATRICNEUROSURGERYTerry, Kimberly D MDGender: FemaleNPI: 14977046052001 N Oregon St(210) 704-4708Hospital Affiliations:Baptist Health System;Methodist Hospital; SantaRosa Medical CenterClinic Affiliation: BcmPhysicians of San AntonioBoard Certifications:NoneLanguage: Italian; Spanish
PEDIATRICOPHTHALMOLOGYRadenovich, Violeta MDGender: FemaleNPI: 1467463562
♿1250 E Cliff Drive Ste 4d(915) 577-9339Hospital Affiliations: ElPaso Childrens Hospital;Hosps ProvidenceMemorial Campus;University Medical CenterEl PasoBoard Certifications:NoneLanguage: SpanishTibrewal, Sapna MDGender: FemaleNPI: 14678479477888 Gateway Blvd E Fl 2(915) 315-2584Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: MaxHealthcare ConsultantPLLCBoard Certifications:NoneLanguage: Hindi
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
212
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
PEDIATRICOPHTHALMOLOGY(continued)Vazquez, Carlos W MDGender: MaleNPI: 1750486502
♿1240 Lomaland Dr(915) 591-4441Hospital Affiliations: DelSol Camp Lpdsh; El PasoChildrens Hospital; Hospsof Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: WestTexas Eye AssociatesBoard Certifications:OphthalmologyLanguage: Spanish
PEDIATRICORTHOPEDICSHeydemann, Jacob S MDGender: MaleNPI: 1548263635
♿1300 Murchison DrSte 310(915) 838-3888Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: Jacob SHeydemann MD PABoard Certifications:Orthopedic SurgeryLanguage: Spanish
Onyedika, Ikechukwu IMDGender: MaleNPI: 13060081804646 N Mesa St(915) 313-63004646 North Mesa Street(915) 313-63001732 Weston Brent LnSte F(915) 313-6300Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra CampusClinic Affiliation: BhsPhysicians Network Inc; GrDallas Hlthcare EnterprisesBoard Certifications:None
PEDIATRICPULMONOLOGYDominguez Silveyra, EndyA MDGender: MaleNPI: 16092736631201 Schuster Bldg 7(915) 215-57004801 Alberta Ave(915) 215-5700Hospital Affiliations: ElPaso Childrens HospitalClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneTremper, Larry J DOGender: MaleNPI: 1003814211
♿1201 E Schuster AveSte 5b(915) 544-3229125 W Hague Rd Ste 400(915) 544-3229Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneLanguage: Spanish
PEDIATRIC SURGERYu Cigarroa, Francisco G MDGender: MaleNPI: 1962481945
♿1900 N Oregon StSte 310(888) 336-9633Hospital Affiliations:Baptist Health System;Childrens Hospital SanAntonio; University HealthSystemClinic Affiliation: UTHealth PhysiciansBoard Certifications:Pediatric SurgeryLanguage: Spanish
u Cofer, Barry R MDGender: MaleNPI: 13866178762001 N Oregon St(210) 615-8757Hospital Affiliations:Baptist Health System;Childrens Hospital SanAntonio; MethodistAmbulatory Surg Ctr;Methodist Hospital; NorthCentral Baptist Hospital; StLukes Baptist Hospital;University Health SystemClinic Affiliation: MagellaMedical AssociatesBoard Certifications:Pediatric SurgeryLanguage: Spanish
u Doski, John J MDGender: MaleNPI: 15189306682001 N Oregon St(210) 615-8757Hospital Affiliations:Baptist Health System;Childrens Hospital SanAntonio; MethodistAmbulatory Surg Ctr;Methodist Hospital; NorthCentral Baptist Hospital; StLukes Baptist Hospital;University Health SystemClinic Affiliation: MagellaMedical AssociatesBoard Certifications:Pediatric SurgeryLanguage: Spanish
u Fitzgerald, Tamara N MDGender: FemaleNPI: 14575345964801 Alberta Ave(915) 215-5300Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Pediatric SurgeryLanguage: American Sign;Spanish
u Howe, Jarett K MDGender: MaleNPI: 19727900534801 Alberta Ave(915) 215-53105340 El Paso Dr Ste M(915) 242-8402Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Pediatric SurgeryLanguage: American Sign;Spanish
u Kidd, Joseph N MDGender: MaleNPI: 1184697674
♿2001 N Oregon St(210) 615-8757Hospital Affiliations:Childrens Hospital SanAntonio; MethodistAmbulatory Surg Ctr;Methodist Hospital; NorthCentral Baptist Hospital; StLukes Baptist Hospital;University Health SystemClinic Affiliation: MagellaMedical AssociatesBoard Certifications:Pediatric SurgeryLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
213
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
PEDIATRIC SURGERY(continued)
u Patel, Haroon I MDGender: MaleNPI: 19826439794845 Alameda Ave(915) 298-5444Hospital Affiliations:Christus Spohn Hosp CctxSouth; Driscoll ChildrensHospital; El Paso ChildrensHospitalClinic Affiliation: El PasoChildrens Physician GroupBoard Certifications:Pediatric SurgeryLanguage: Afrikaans;SpanishRobertson, Frank M MDGender: MaleNPI: 10432835342001 N Oregon St(210) 615-8757Hospital Affiliations:Baptist Health System;Methodist Ambulatory SurgCtr; Methodist Hospital;Mission Trails Baptist;North Central BaptistHospital; Northeast BaptistHospital; Santa RosaMedical Center; SantaRosa Westover Hills; StLukes Baptist Hospital;University Health SystemClinic Affiliation: MagellaMedical AssociatesBoard Certifications:NoneLanguage: Sloverian;Spanish
u Spurbeck, William W MDGender: MaleNPI: 15785548954801 Alberta Ave(915) 215-5300Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:General Surgery; PediatricSurgery; PediatricsLanguage: SpanishThomas, Robert P MDGender: MaleNPI: 10130251882001 N Oregon St(210) 615-8757Hospital Affiliations:Baptist Health System;Methodist Ambulatory SurgCtr; Methodist Hospital;Mission Trails Baptist;North Central BaptistHospital; Northeast BaptistHospital; Santa RosaMedical Center; SantaRosa Westover Hills; StLukes Baptist Hospital;University Health SystemClinic Affiliation: MagellaMedical AssociatesBoard Certifications:NoneLanguage: Spanish
u Vegunta, Ravindra K MDGender: MaleNPI: 13462802034845 Alameda Ave(915) 298-5444Hospital Affiliations: ElPaso Childrens HospitalClinic Affiliation: El PasoChildrens Physician GroupBoard Certifications:Pediatric Surgery
Walker, Sarah K MDGender: FemaleNPI: 12050771044801 Alberta Ave(915) 215-5300Hospital Affiliations: ElPaso Childrens Hospital;Hosps of ProvidenceTransmountain; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
PEDIATRIC UROLOGYu Latiff, Guillermo A MDGender: MaleNPI: 1780656843
♿7420 Remcon CirSte A(915) 532-8823Hospital Affiliations: ElPaso Day Surgery LLC;Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: RioGrande Urology PABoard Certifications:Pediatric Urology; UrologyLanguage: SpanishMcAleer, Irene M MDGender: FemaleNPI: 10533132132204 Joe Battle Blvd(915) 503-1870Hospital Affiliations:Ascension Seton MedCenter AustinClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneLanguage: French; Greek;Spanish
PEDIATRICSBadugu, Srinivasa R MDGender: MaleNPI: 15787017101201 SchusterBldg 7(915) 215-57003901 N Mesa(915) 838-01004801 Alberta Ave(915) 215-5700Hospital Affiliations: ElPaso Childrens Hospital;Methodist Hospital;University Medical CenterEl PasoClinic Affiliation: David WIsaac; TX Tech Univ HlthSci Ctr El PasoBoard Certifications:Pediatric CardiologyLanguage: Spanish
u Canales, Roberto MDGender: MaleNPI: 1093827255
♿U1733 Curie Dr Suite 103(915) 532-2985♿U2295 Trawood Suite C(915) 532-2985Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: CanalesRoberto MDBoard Certifications:PediatricsLanguage: Arabic;SpanishCapps, Kimberly R APNGender: FemaleNPI: 13668642332270 Joe Battle BlvdSte E G(915) 642-9444Clinic Affiliation: HectorGranados MD PABoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
214
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
PEDIATRICS (continued)u Co, Maridine L MDGender: FemaleNPI: 1518148915100 E Schuster(915) 249-2055Hospital Affiliations: ElPaso Childrens HospitalClinic Affiliation: El PasoCenter For Pediatric GastBoard Certifications:PediatricsDaniels, Felicia C MDGender: FemaleNPI: 10931347774801 Alberta Ave(915) 215-5700Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampusClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishDhar, Abhishek MDGender: MaleNPI: 1386031391
44815 Alameda Ave(915) 215-5200Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneEddy, Nelda L APNGender: FemaleNPI: 17301005124801 Alberta Ave(915) 545-6920Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
Fierro Steven, RodolfoMDGender: MaleNPI: 1568469245
♿1400 N El Paso StSte B(915) 544-4911Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoBoard Certifications:NoneLanguage: Spanish
u Fuhrman, Bradley P MDGender: MaleNPI: 1700971967
♿4801 Alberta Ave(915) 215-5700Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:PediatricsLanguage: French;Spanish
u Gorla, Sudheer R MDGender: MaleNPI: 15384572391201 E Schuster Ave Bldg7(915) 215-57004801 Alberta Ave(915) 215-57005340 El Paso DrSte M(915) 242-8402Hospital Affiliations: ElPaso Childrens Hospital;Hosps of ProvidenceTransmountain; LasPalmas Camp LpdshClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Pediatric Cardiology;Pediatrics
u Handal, Gilberto A MDGender: MaleNPI: 1629081948
♿1201 E Schuster AveBldg 7(915) 215-5700♿4801 Alberta Ave(915) 215-5700♿5340 El Paso DrSte M(915) 242-8402Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Pediatric InfectiousDisease; PediatricsLanguage: SpanishIsaac, David W MDGender: MaleNPI: 1497756613
♿3901 N Mesa St(915) 838-0100Hospital Affiliations: ElPaso Childrens Hospital;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: David WIsaacBoard Certifications:NoneLanguage: Spanish
Jasso, Juan A MDGender: MaleNPI: 1457319410
♿2000 Transmountain Rd(915) 500-6560Hospital Affiliations:Driscoll Childrens Hospital;Harlingen Medical CenterLP; Hca HoustonHealthcare Conroe; Hospsof Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; OakbendMedical Center; SagecrestHospital Carrollton;University Medical CenterClinic Affiliation: PediatrixMedical Group of TexasBoard Certifications:NoneJoshi, Prashant MDGender: MaleNPI: 19523750244801 Alberta Avenue(915) 215-5700Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishLacaze, Mary E MDGender: FemaleNPI: 19827048214845 Alameda Ave(915) 298-5444Hospital Affiliations: ElPaso Childrens HospitalClinic Affiliation: El PasoChildrens Physician GroupBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
215
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.
EL PASO (continued)
PEDIATRICS (continued)Leyva, Rodolfo MDGender: MaleNPI: 198262453212135 Montwood DrSte 114 To 115(915) 225-0600Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: EastsidePediatric Night Clinic PBoard Certifications:NoneLanguage: SpanishLodhi, Huma Y MDGender: FemaleNPI: 127553784711351 James Watt DrBldg F(915) 225-3807Hospital Affiliations: DelSol Camp Lpdsh; El PasoChildrens Hospital; Hospsof Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: El PasoKids KlinicBoard Certifications:NoneLanguage: SpanishMahmood, Brian K MDGender: MaleNPI: 11748656461201 E Schuster AveSte 5b(915) 225-2455125 W Hague St Ste 400(915) 225-24552204 Joe Battle Blvd(915) 503-1870Hospital Affiliations:Hosps of Providence SierraCampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:None
Meagher, David P MDGender: MaleNPI: 17402926634845 Alameda Ave(915) 298-5444Hospital Affiliations: ElPaso Childrens HospitalClinic Affiliation: El PasoChildrens Physician GroupBoard Certifications:NoneMendoza Castillo, RodinR MDGender: MaleNPI: 105345883612135 Montwood DrSte 114 To 115(915) 225-0600Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: EastsidePediatric Night Clinic PBoard Certifications:NoneLanguage: SpanishMoazam, Mustafa M MDGender: MaleNPI: 13069874742001 N Oregon St(915) 577-68893913 Broaddus Ave(915) 852-32257888 Gateway Blvd E2nd Floor Ste B(915) 315-2584935 Sunland Park DrSte 101 and 102(915) 852-3225Hospital Affiliations:Ascension Providence; DelSol Camp Lpdsh; El PasoChildrens Hospital;Hospitals Providence EastCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: MoazamPABoard Certifications:None
u Naga, Osama I MDGender: MaleNPI: 19121699216901 Helen of TroySte E1(915) 351-0302Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: WestPediatrics Night Clinic PABoard Certifications:PediatricsLanguage: Arabic;SpanishPanda, Sanjeet MDGender: MaleNPI: 19728597834801 Alberta Ave(915) 215-57004845 Alberta Ave(915) 215-5700Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
u Rosas Blum, Eduardo DMDGender: MaleNPI: 1316133218
♿1201 E Schuster AveBldg 7(915) 215-5700♿4801 Alberta Ave(915) 215-5700Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Pediatric Gastroenterology;PediatricsLanguage: Spanish
Samonte, Miguel B MDGender: MaleNPI: 116445652112135 Montwood DrSte 114 To 115(915) 225-0600Hospital Affiliations: EastEl Paso Surgery Center;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; Paso DelNorte Surgery Center;Surgical Center of El Paso;University Medical CenterEl PasoClinic Affiliation: EastsidePediatric Night Clinic PBoard Certifications:NoneLanguage: Spanish;TagalogSantos, Luis A MDGender: MaleNPI: 1275532863125 W Hague RdSte 360(915) 533-26001580 Lomaland Dr(972) 533-26002204 Joe Battle Blvd(915) 503-1870Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
216
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
PEDIATRICS (continued)u Spurbeck, William W MDGender: MaleNPI: 15785548954801 Alberta Ave(915) 215-5300Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:General Surgery; PediatricSurgery; PediatricsLanguage: SpanishWelch, Gregory MDGender: MaleNPI: 1548232028
4
U1625 Medical Ctr St(915) 747-4000
4
U1901 N Oregon StSte 1601(915) 577-8457
4
U2001 N Oregon St(915) 577-6011
4
U2000 Transmountain Rd(915) 500-6560
4
U10307 Gateway Blvd W(915) 595-9000
4
U3280 Joe Battle Blvd(915) 577-6000Hospital Affiliations: HcaHouston HealthcareSoutheast; John PeterSmith Hospital; KnappMedical Center; LasPalmas Camp Lpdsh;Medical City Arlington;Mission Regional MedicalCenter; Rio GrandeRegional Hospital; SouthTexas Health SystemClinic Affiliation: PediatrixMedical Group of TexasBoard Certifications:None
Zate, Sarah M MDGender: FemaleNPI: 15180069642000 E Transmountain Rd(915) 215-8408Hospital Affiliations:Hosps of ProvidenceTransmountain; TheHospitals of ProvidenceHorizClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
PHYSICAL MEDICINE &REHABILITATIONAugust, Brian J MDGender: MaleNPI: 1184618597
♿4532 N Mesa StFloor 2(915) 544-0326♿1400 George DieterSte 240(915) 544-0326Hospital Affiliations: ElPaso Specialty HospitalLTD; Foundation SurgicalHosp El Paso; HighlandsRehabilitation Hospital;Hosps of Providence SierraCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoIntegrated PhysicianBoard Certifications:NoneLanguage: Spanish
u Barrett, Lisa S MDGender: FemaleNPI: 12857786707100 Westwind DrSte 155(915) 222-8255Hospital Affiliations:Highlands RehabilitationHospital; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation:Maranatha PhysicalMedicine & RehBoard Certifications:Physical Medicine &Rehabilitation
u Boone, Michael K MDGender: MaleNPI: 11543011171700 Murchison Dr(915) 533-74651720 Murchison Dr(915) 534-12163100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty PhysiciansBoard Certifications:Physical Medicine &RehabilitationLanguage: SpanishClarke, Darius N MDGender: MaleNPI: 10735744971395 George Dieter Dr(512) 937-9168Hospital Affiliations:Encompass HealthRehabilitation H; RoundRock Medical Center; StDavids GeorgetownHospital; St Davids NAustin Medical CtrClinic Affiliation:Restorative Health andWellness PBoard Certifications:None
u Hacker, Callenda A MDGender: FemaleNPI: 12353938443800 N MesaSte A2 343(915) 772-2122Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: ParaPediatric and Adult RehabiliBoard Certifications:Physical Medicine &Rehabilitation
u Harden, Jeannie K MDGender: FemaleNPI: 1407086275
U1395 George Dieter(915) 298-7222Hospital Affiliations:Highlands RehabilitationHospital; Weslaco RegionalRehabilitationClinic Affiliation: VibraPhysicians LLCBoard Certifications:Physical Medicine &Rehabilitation
u Lopez, Edrick MDGender: MaleNPI: 13465567843215 Gateway Blvd W(915) 598-724612200 Paseo Nuevo Dr(915) 598-72467825 N Mesa St(915) 598-7246Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Las Palmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: El PasoPain Center PABoard Certifications:Physical Medicine &RehabilitationLanguage: Korean;Spanish
u Mrochek, Michael J MDGender: MaleNPI: 1447230909
♿1810 Murchison Dr Ste 140(915) 581-0712♿820 Redd RdBldg B(915) 581-0712♿1400 George Dieter DrSte 100(915) 581-0712Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation: EricSides MD PABoard Certifications:Physical Medicine &RehabilitationLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
217
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
PHYSICAL MEDICINE &REHABILITATION(continued)
u Parrilla, Zoraya M MDGender: FemaleNPI: 1245266543
U1801 N Oregon St(915) 577-2646Hospital Affiliations:Highlands RehabilitationHospital; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; KindredHospital El Paso; LasPalmas Camp LpdshBoard Certifications:Physical Medicine &RehabilitationLanguage: Spanish
u Zoraya Parrilla MD PLLCGender: FemaleNPI: 1245266543
U10301 Gateway Blvd W(915) 263-5590Hospital Affiliations:Highlands RehabilitationHospital; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; KindredHospital El Paso; LasPalmas Camp LpdshBoard Certifications:Physical Medicine &RehabilitationLanguage: Spanish
u Patel, Vijita MDGender: FemaleNPI: 1275950222
U1395 George Dieter Dr(915) 298-7222Clinic Affiliation: ReturnTo Function PLLCBoard Certifications:Physical Medicine &Rehabilitation
u Pollock Wakeham,Catherine D MDGender: FemaleNPI: 14676864441395 George Dieter Rd(254) 727-9193Hospital Affiliations:Highlands RehabilitationHospitalClinic Affiliation: GeriatricPm and R LLCBoard Certifications:Physical Medicine &RehabilitationRefaeian, Manouchen MDGender: MaleNPI: 1689632945
♿10412 Vista Del Sol DrSte 1b(915) 593-9300Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: EastsideRehabilitation Medicine ofPain ClinicBoard Certifications:NoneLanguage: Spanish
u Sandberg, Kevin J MDGender: MaleNPI: 1831196708
♿1397 George Dieter Ste D(915) 598-8120Hospital Affiliations: DelSol Camp Lpdsh;Highlands RehabilitationHospital; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; KindredHospital El Paso; LasPalmas Camp Lpdsh; LasPalmas RehabilitationHospitalClinic Affiliation: PhysicalMedicine and RehabilitaBoard Certifications:Physical Medicine &RehabilitationLanguage: German;Spanish
Shahabi Azad, BenjaminMDGender: MaleNPI: 1821483660
U1395 George Dieter Dr(915) 298-7222Hospital Affiliations:Highlands RehabilitationHospitalClinic Affiliation: Sun CityNeuromuscular RehabilitaBoard Certifications:None
PHYSICAL THERAPYAcosta, Juan D LPTGender: MaleNPI: 15881554511700 E Cliff DrSte 101(915) 500-66017430 Remcon CirBldg A(915) 231-22859870 Gateway Blvd NSte B(915) 313-451011331 James Watt DrBldg 200 Ste B(915) 500-6607Clinic Affiliation:Spectrum TherapyConsultants IncBoard Certifications:NoneLanguage: SpanishAcosta, Juan G LPTGender: MaleNPI: 11948946831111 Barranca DrSte 800(915) 629-7669Clinic Affiliation: WestTexas TherapeuticServicesBoard Certifications:None
Acosta, Patricia R LPTGender: FemaleNPI: 1306953062
♿U615 E Schuster AveSte 8(915) 533-17991111 Barranca DrSte 800(915) 629-7669♿U11170 La Quinta PlSte B(915) 629-7663♿11500 Pellicano DrSte C5(915) 629-7663Clinic Affiliation: TheCenter For TherapeuticServic; West TexasTherapeutic ServicesBoard Certifications:NoneLanguage: SpanishAdame, Lizette LPTGender: FemaleNPI: 1740513407
♿1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLanguage: American Sign;SpanishAkomolafe, Babatunde ALPTGender: MaleNPI: 13160326751600 Medical Center DrSte 101(915) 544-1350♿11351 James Watt Dr Ste A(915) 849-6602Clinic Affiliation:Southwest Ear Nose &Throat Consult PA;Therapy ConsultantsBoard Certifications:NoneLanguage: Spanish;Yoruba
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
218
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
PHYSICAL THERAPY(continued)Alcala, Jennifer L LPTGender: FemaleNPI: 1003161423
♿4646 North Mesa(915) 313-6331Clinic Affiliation: FyzicalEl PasoBoard Certifications:NoneLanguage: SpanishAmaro, Alden LPTGender: MaleNPI: 17903097144801 Alberta Ave(915) 215-5900Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneAnderson, Sarah F LPTGender: FemaleNPI: 1750668869
♿U6320 Gateway BlvdSte E(888) 997-2669♿U6320 Gateway Blvd E(888) 997-2669Clinic Affiliation:Concentra Medical CentersBoard Certifications:NoneLanguage: English;SpanishArmendariz, Soledad LPTGender: FemaleNPI: 11241764586151 Dew DrSte 300(915) 581-96061891 N Lee Trevino DrSte 700(915) 593-3787Clinic Affiliation: El PasoTherapy Services EastBoard Certifications:NoneLanguage: Spanish
Arreglo, Lea A LPTGender: FemaleNPI: 1245627538
U1845 Northwestern DrSte B(915) 877-9356Clinic Affiliation:Southwest Sport Spine CtrIncBoard Certifications:NoneAtchley, Mikaelah L LPTGender: FemaleNPI: 1467009860
U6800 Gateway Blvd EBldg 4ab(915) 779-7829Clinic Affiliation:Healthstar Pediatric RehabBoard Certifications:NoneBautista, Marisa C LPTGender: FemaleNPI: 14972574971300 Murchison DrSte 314(915) 317-12943215 Gateway Blvd WSte 201(915) 493-67994242 Hondo PassSte 110(915) 751-059911380 Gateway Blvd NSte 101(915) 317-1131Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneBenson, Robert W LPTGender: MaleNPI: 1689919342
U406 Chelsea St(915) 307-7612♿7500 N Mesa StSte 212(915) 585-1888♿U8855 Viscount BlvdSte E(915) 593-8555Clinic Affiliation: PasitosClinic LLC; Tier 1 PhysicalTherapy and SportBoard Certifications:NoneLanguage: Spanish
Bitton, Kennen J LPTGender: MaleNPI: 1558809400
♿1845 Northwestern DrSte B(915) 877-9356Clinic Affiliation:Southwest Sport Spine CtrIncBoard Certifications:NoneLanguage: SpanishBlancas, Moses I LPTGender: MaleNPI: 13664522371721 N Lee TrevinoSte B(915) 590-1910♿1721 N Lee Trevino Dr(915) 590-1910Clinic Affiliation: JuarezEdward C MD; WellmedMedical Group PABoard Certifications:NoneLanguage: SpanishBoncser, Mark E LPTGender: MaleNPI: 1760426332
♿U1300 Murchison DrSte 314(915) 317-1294♿3215 Gateway Blvd WSte 201(915) 493-6799♿U4242 Hondo Pass DrSte 110(915) 751-0599♿U836 E Redd RdSte B(915) 751-0599♿11380 Gateway Blvd NSte 101(915) 317-1131♿2280 Trawood Dr(915) 595-3535♿12801 Edgemere BlvdSte 102b(915) 493-6795Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneLanguage: Spanish
Bonet, Evalyne LPTGender: FemaleNPI: 1740619352
U6800 Gateway Blvd EBldg 4ab(915) 779-7827Clinic Affiliation:Healthstar Pediatric RehabBoard Certifications:NoneLanguage: SpanishBrandon, Patrick K LPTGender: MaleNPI: 1720148901
U1300 Murchison DrSte 314(915) 317-1294
U3215 Gateway Blvd WSuite 201(915) 493-6799Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneLanguage: SpanishBringas, Christa A LPTGender: FemaleNPI: 1770612202
♿U1300 Murchison DrSte 314(915) 317-1294♿3215 Gateway Blvd WSte 201(915) 493-6799♿U4242 Hondo Pass DrSte 110(915) 751-0599♿7411 RemconSte A(915) 317-1131♿U836 E Redd RdSte B(915) 845-4060♿11380 Gateway Blvd NSte 101(915) 317-1131♿U2280 Trawood Dr(915) 595-3535♿12801 Edgemere BlvdSte 102b(915) 493-6795Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
219
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
EL PASO (continued)
PHYSICAL THERAPY(continued)Brooks, Allen Z LPTGender: MaleNPI: 1730629734
U6320 Gateway Blvd East(888) 997-2669
U10950 Pellicano DrSte B2(915) 307-32831610 N Zaragosa RdSte D1(888) 997-2669Clinic Affiliation:Concentra MedicalCenters; Move TherapyServices LLCBoard Certifications:NoneLanguage: SpanishBustamante, Pamela ALPTGender: FemaleNPI: 1972681013
♿6611 Boeing Dr(915) 780-6576Clinic Affiliation: A StepForwardBoard Certifications:NoneLanguage: American Sign;SpanishBybee, Ryan A LPTGender: MaleNPI: 1205806031
♿U1845 Northwestern Ste B(915) 877-9356Clinic Affiliation:Southwest Sport Spine CtrIncBoard Certifications:NoneLanguage: SpanishCampbell, Laurie D LPTGender: FemaleNPI: 1922057330
♿U1845 North Western St B(915) 877-9356Clinic Affiliation:Southwest Sport Spine CtrIncBoard Certifications:NoneLanguage: Spanish
Canak, Ryan A LPTGender: MaleNPI: 17407465851300 Murchison DrSte 314(915) 317-12942280 Trawood Dr(915) 595-3535Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneCarino, Marivic P LPTGender: FemaleNPI: 1891033775
♿7806 Gateway Blvd ESte 100(915) 566-7584♿4994 Hondo Pass Dr(915) 351-1600Clinic Affiliation: El PasoPulmonary Rehab InstBoard Certifications:NoneLanguage: Latin; SpanishCarrillo, Patti A LPTGender: FemaleNPI: 1669476222
U820 E Redd RdSte A(915) 444-2589Clinic Affiliation:Performance PhysicalTherapy of EBoard Certifications:NoneLanguage: SpanishCeniceros, Enrique LPTGender: MaleNPI: 18514408462270 Joe Battle(915) 855-7780Clinic Affiliation: FyzicalEl PasoBoard Certifications:NoneLanguage: SpanishChacon, Lysandra LPTGender: FemaleNPI: 1386871952
♿1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLanguage: American Sign;Spanish
Chavira, Linda LPTGender: FemaleNPI: 1679929301
♿1300 Murchison DrSte 314(915) 317-1294♿3215 Gateway Blvd WSte 201(915) 493-6799♿4242 Hondo PassSte 110(915) 751-0599♿11380 Gateway Blvd NSte 101(915) 317-1131♿2280 Trawood Dr(915) 595-3535♿12801 Edgemere BlvdSte 102b(915) 493-6795Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneCole, Jeremy A LPTGender: MaleNPI: 16093149888111 North Loop(915) 755-07384758 Loma Del Sur(915) 755-0738Clinic Affiliation: FyzicalEl PasoBoard Certifications:NoneLanguage: SpanishCole, Joe A LPTGender: MaleNPI: 13264305628111 N Loop DrSte B(915) 593-49854758 Loma Del SurDr Ste A(915) 755-0738Clinic Affiliation: FyzicalEl PasoBoard Certifications:None
Cordova, Isaac LPTGender: MaleNPI: 17205941126151 Dew DrSte 300(915) 581-96061610 N Zaragosa RdSte D1(915) 593-18621891 Lee TrevinoSte 700(915) 593-3787Clinic Affiliation:Concentra MedicalCenters; El Paso TherapyServices EastBoard Certifications:NoneLanguage: SpanishDabbagh, Noor LPTGender: FemaleNPI: 1033672829
U1300 Murchison DrSte 314(915) 317-1294
U836 E Redd Rd Ste B(915) 845-4060
U6358 Edgemere Blvd(915) 562-8525Clinic Affiliation: BorderTherapy Services; Spine &Rehab SpecialistsBoard Certifications:NoneDiaz, Abraham Q LPTGender: MaleNPI: 13668332951700 Murchison Dr(915) 533-74651720 Murchison Dr(915) 534-12163100 N Lee Trevino DrSte B(912) 533-7465Clinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty PhysiciansBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
220
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
EL PASO (continued)
PHYSICAL THERAPY(continued)Durant, Antonio J LPTGender: MaleNPI: 1235597055
U6358 Edgemere Blvd(915) 562-8525Clinic Affiliation: Spine &Rehab SpecialistsBoard Certifications:NoneLanguage: SpanishEdman, Margaret J LPTGender: FemaleNPI: 10939904676611 Boeing Dr(915) 780-6576Clinic Affiliation: A StepForwardBoard Certifications:NoneLanguage: American Sign;SpanishEdupuganti, Pradeep LPTGender: MaleNPI: 16596926066420 Escondido Drive(915) 300-1330Clinic Affiliation: TenderCare Rehabilitation & WellBoard Certifications:NoneEscobar, Kimberly LPTGender: FemaleNPI: 1023657111
U6800 Gateway Blvd EBldg 4ab(915) 779-78271610 N Zaragoza RdSte D1(888) 997-2669Clinic Affiliation:Concentra MedicalCenters; HealthstarPediatric RehabBoard Certifications:None
Esparza, Lucia A LPTGender: FemaleNPI: 17405849782416 Montana Ave(915) 703-6380Clinic Affiliation: YagelTherapy Services PLLCBoard Certifications:NoneFerrer, Nicole C LPTGender: FemaleNPI: 14577576846611 Boeing Dr(915) 780-6564Clinic Affiliation: A StepForwardBoard Certifications:NoneFlores, Roberto LPTGender: FemaleNPI: 1952932683
U7411 Remcon CirSte A(915) 317-1131Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneFoust, William S LPTGender: MaleNPI: 12859680161300 Murchison DrSte 314(915) 307-67791700 Murchison Dr(915) 533-74656320 Gateway BoulevardEast(888) 997-26691610 N Zaragosa RdSte D1(888) 448-89163100 N Lee Trevino DrSte B(915) 533-7465Clinic Affiliation: BhsPhysicians Network Inc;Concentra MedicalCenters; El Paso WorkHardening LLCBoard Certifications:None
Gamboa, Rose Jennifer LLPTGender: FemaleNPI: 12052545212204 Joe Battle BlvdSte 106(915) 751-8237Clinic Affiliation: TherapyCenter of El PasoBoard Certifications:NoneGangupalli, Saranya LPTGender: FemaleNPI: 1205468485
U1891 N Lee Trevino DrSte 700(915) 593-3787Clinic Affiliation: El PasoTherapy Services EastBoard Certifications:NoneGarrido, Paul J LPTGender: MaleNPI: 1245309848
♿U1300 Murchison DrSte 314(915) 317-1294♿3215 Gateway Blvd WSte 201(915) 493-6799♿4242 Hondo Pass DrSte 110(915) 751-0599♿U836 E Redd RdSte B(915) 845-4060♿11380 Gateway Blvd NSte 101(915) 317-1131♿U2280 Trawood Dr(915) 595-3535♿12801 Edgemere BlvdSte 102b(915) 493-6795Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneLanguage: Spanish
Garza, Tara L LPTGender: FemaleNPI: 1154692465
U4601 Hondo PassSte A(915) 201-2505
U10450 Brian Mooney AveSte A(915) 598-6616
U1920 N Zaragoza Rd(915) 201-2505Clinic Affiliation: ActionCare Rehab Center LLC;Valeo Rehab PLLCBoard Certifications:NoneLanguage: SpanishGillespie, Michael C LPTGender: MaleNPI: 18617462736151 Dew Dr Ste 300(915) 581-96061891 N Lee Trevino DrSte 900(915) 593-3787Clinic Affiliation: El PasoTherapy Services EastBoard Certifications:NoneLanguage: SpanishGivens, Leslie P LPTGender: FemaleNPI: 10133860771300 Murchison DrSte 314(915) 317-12947411 Remcon Ste A(915) 317-1131Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneGoche, Andrea LPTGender: FemaleNPI: 1447687447
U6358 Edgemere Blvd(915) 562-8525
U1779 N ZaragozaSte A(915) 562-8525Clinic Affiliation: Spine &Rehab SpecialistsBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
221
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
EL PASO (continued)
PHYSICAL THERAPY(continued)Gonzales, Mark J LPTGender: MaleNPI: 1710282041
♿2871 Pershing DrSte A(915) 408-0699Clinic Affiliation: DynamicCare RehabBoard Certifications:NoneLanguage: American Sign;Chinese; Spanish; TagalogGonzalez, Lydia Y LPTGender: FemaleNPI: 12050906516601 Montana AveSte Gh(915) 838-7604Clinic Affiliation: EpicPediatric Therapy LPBoard Certifications:NoneGoss, Gary K LPTGender: MaleNPI: 16790927871300 Murchison DrSte 314(915) 317-12944242 Hondo PassSte 110(915) 751-059911380 Gateway Blvd NSte 101(915) 317-11312280 Trawood(915) 595-3535Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneGutierrez, Jose LPTGender: MaleNPI: 1568810497
U6358 Edgemere Blvd(915) 562-8525Clinic Affiliation: Spine &Rehab SpecialistsBoard Certifications:NoneLanguage: Spanish
Haribhai, Parul LPTGender: FemaleNPI: 1992709554
U615 E Schuster AveSte 9a(915) 444-5200Clinic Affiliation: P3Physical Therapy IncBoard Certifications:NoneLanguage: SpanishHayden, Emerald E LPTGender: MaleNPI: 15082321821700 Murchison Dr(915) 533-74651720 Murchison Dr(915) 534-12163100 N Lee Trevino DrSte B(915) 533-7465Clinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty PhysiciansBoard Certifications:NoneLanguage: SpanishHernandez, Joseph LPTGender: MaleNPI: 1154978864
U6358 Edgemere Blvd(915) 562-8525Clinic Affiliation: Spine &Rehab SpecialistsBoard Certifications:None
Hernandez, Manuel J LPTGender: MaleNPI: 1750510806
♿U1300 Murchison DrSte 314(915) 317-1294♿3215 Gateway Blvd WSte 201(915) 493-6799♿U4242 Hondo Pass Dr(915) 751-0599♿U836 E Redd RdSte B(915) 845-4060♿11380 Gateway Blvd NSte 101(915) 317-1131♿U2280 Trawood Dr(915) 595-3535♿12801 Edgemere BlvdSte 102b(915) 493-6795Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneLanguage: SpanishHerrera, Efren LPTGender: MaleNPI: 1124258744
U1300 Murchison DrSte 314(915) 317-12943215 Gateway Blvd WSte 201(915) 493-6799
U4242 Hondo Pass DrSte 110(915) 751-0599836 E Redd RdSte B(915) 595-353511380 Gateway Blvd NSte 101(915) 317-1131
U2280 Trawood Dr(915) 595-353512801 Edgemere BlvdSte 102b(915) 493-6795Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneLanguage: Spanish
Herrera, Sylvia LPTGender: FemaleNPI: 1093727935
♿U5310 El Paso Dr(915) 771-8523Clinic Affiliation: OmegaRehab ServicesBoard Certifications:NoneLanguage: American Sign;SpanishHilburn, Shaun LPTGender: MaleNPI: 16890660784646 North Mesa(915) 313-6331Clinic Affiliation: FyzicalEl PasoBoard Certifications:NoneHinnant, Samantha C LPTGender: FemaleNPI: 1679997258
U1700 E Cliff DrSte 101(915) 500-6601
U7430 Remcon CirBldg A(915) 231-2285
U9870 Gateway Blvd NSte B(915) 313-4510
U11331 James Watt DrBldg 200 Ste B(915) 500-6607Clinic Affiliation:Spectrum TherapyConsultants IncBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
222
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
EL PASO (continued)
PHYSICAL THERAPY(continued)Johnson, Levi A LPTGender: MaleNPI: 12255372281300 Murchison DrSte 314(915) 317-12944242 Hondo PassSte 110(915) 751-0599836 E Redd RdSte B(915) 845-406011380 Gateway Blvd NSte 101(915) 317-1131Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneJones, Robert D LPTGender: MaleNPI: 1255440038
♿7500 N Mesa StSte 212(915) 585-1888♿8855 Viscount BlvdSte E(915) 593-8555Clinic Affiliation: Tier 1Physical Therapy and SportBoard Certifications:NoneLanguage: SpanishKillings, Jamie T LPTGender: MaleNPI: 1669711586
U1779 N ZaragozaSte A(915) 855-6466Clinic Affiliation: Spine &Rehab SpecialistsBoard Certifications:NoneLanguage: Spanish
Knoll, Kaylee M LPTGender: FemaleNPI: 1780165761
U1421 Lee Trevino DrSte B2a(915) 591-0243Clinic Affiliation: ManualPhysical Therapy SpecialisBoard Certifications:NoneKohn, Roy E LPTGender: MaleNPI: 1073816930
♿U8111 N Loop DrSte B(915) 593-4985♿4758 Loma Del Sur DrSte A(915) 755-0738Clinic Affiliation: FyzicalEl PasoBoard Certifications:NoneLanguage: SpanishKoster, Herman A LPTGender: MaleNPI: 1831135318
♿U6358 Edgemere Blvd(915) 562-8525♿U1779 N Zaragoza Rd Ste A(915) 855-6466Clinic Affiliation: Spine &Rehab SpecialistsBoard Certifications:NoneLanguage: Dutch;German; Spanish
Lares, Matthew J LPTGender: MaleNPI: 17003857621300 Murchison DrSte 314(915) 317-12944242 Hondo PassSte 110(915) 751-05997411 Remcon Ste A(915) 317-113111380 Gateway Blvd NSte 101(915) 317-11314758 Loma Del Sur(915) 755-0738Clinic Affiliation: BorderTherapy Services; FyzicalEl PasoBoard Certifications:NoneLeeser, Jessica A LPTGender: FemaleNPI: 16799724341514 N Zaragoza RdSte B4(915) 257-57822114 N Zaragoza C1(915) 257-5782Clinic Affiliation: EarlyBird Pediatric Therapy ClinBoard Certifications:NoneLee, Shawna T LPTGender: FemaleNPI: 1083170393
U6800 Gateway Blvd EBldg 4ab(915) 779-7827Clinic Affiliation:Healthstar Pediatric RehabBoard Certifications:NoneLiano, Ruben LPTGender: MaleNPI: 18515183103945 Doniphan Park CirSte A(915) 760-8808Clinic Affiliation: ExcelPhysical TherapyBoard Certifications:NoneLanguage: Spanish
Lomarquez, Lynnette SLPTGender: FemaleNPI: 1477893303
♿612 N Resler Dr(915) 584-5683♿1505 George Dieter DrSte 112(915) 704-4065Clinic Affiliation: PalomaWellness Rehabilitation Pl;Piedras RehabilitationClinic LLCBoard Certifications:NoneLanguage: Spanish;TagalogMagden, Travis J LPTGender: MaleNPI: 1225267115
U1300 Murchison DrSte 314(915) 317-12943215 Gateway Blvd WSte 201(915) 493-6799
U4242 Hondo Pass DrSte 110(915) 751-0599
U836 E Redd RdSte B(915) 845-406011380 Gateway Blvd NSte 101(915) 317-1131
U2280 Trawood Dr(915) 595-353512801 Edgemere BlvdSte 102b(915) 493-6795Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
223
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
EL PASO (continued)
PHYSICAL THERAPY(continued)Marcee, Thomas T LPTGender: MaleNPI: 19423305191700 Murchison Dr(915) 533-74651720 Murchison Dr(915) 534-12163100 N Lee Trevino DrSte B(915) 533-7465Clinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty PhysiciansBoard Certifications:NoneLanguage: SpanishMarin, Rodolfo LPTGender: MaleNPI: 12059852316151 Dew DrSte 300(915) 581-96061891 N Lee Trevino DrSte 700(915) 593-3787Clinic Affiliation: El PasoTherapy Services EastBoard Certifications:NoneLanguage: SpanishMark, Kevin B LPTGender: MaleNPI: 16190967161700 Murchison Dr(915) 533-74651720 Murchison Dr(915) 534-12163100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty PhysiciansBoard Certifications:NoneLanguage: Spanish
Martinez, Andrew LPTGender: MaleNPI: 1659762532
U1300 Murchison DrSte 314(915) 317-12943215 Gateway Blvd WSte 201(915) 493-67994242 Hondo PassSte 110(915) 751-0599
U109 S Festival Dr(915) 842-178811380 Gateway Blvd NSte 101(915) 317-11312280 Trawood(915) 595-3535Clinic Affiliation: BorderTherapy Services; RioGrande Therapy GroupBoard Certifications:NoneLanguage: SpanishMartinez, Joel LPTGender: MaleNPI: 1972812170
♿U1300 Murchison DrSte 314(915) 317-1294♿3215 Gateway Blvd WSte 201(915) 493-6799♿U4242 Hondo Pass DrSte 110(915) 751-0599♿U836 E Redd RdSte B(915) 845-4060♿11380 Gateway Blvd NSte 101(915) 317-1131♿U2280 Trawood Dr(915) 595-3535♿12801 Edgemere BlvdSte 102b(915) 493-6795Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneLanguage: Spanish
Matthias, Melissa LPTGender: FemaleNPI: 1750873584
U6800 Gateway Blvd EBldg 4ab(915) 779-7827Clinic Affiliation:Healthstar Pediatric RehabBoard Certifications:NoneMcDonald, Duncan LPTGender: MaleNPI: 1609840784
♿U11450 Rojas DrSte D1(915) 633-8600Clinic Affiliation: TexasOrthopaedic TherapySpecialistsBoard Certifications:NoneLanguage: SpanishMeagher, Melissa S LPTGender: FemaleNPI: 1255563540
U820 E Redd Rd Ste A(915) 444-2589Clinic Affiliation:Performance PhysicalTherapy of EBoard Certifications:NoneMiddaugh, David LPTGender: MaleNPI: 12455183725310 El Paso Dr(915) 771-85236320 Gateway Blvd E(888) 997-2669Clinic Affiliation:Concentra MedicalCenters; Omega RehabServicesBoard Certifications:NoneLanguage: SpanishMiller, Don C LPTGender: MaleNPI: 13564701576320 Gateway Blvd E(888) 997-2669Clinic Affiliation:Concentra Medical CentersBoard Certifications:NoneLanguage: American Sign;English; Spanish
Miller, Orson A LPTGender: MaleNPI: 1871513812
♿6320 Gateway BlvdSte E(281) 873-0111♿1610 N Zaragosa RdSte D1(281) 873-0111Clinic Affiliation:Concentra Medical CentersBoard Certifications:NoneLanguage: SpanishMoeller, Amanda P LPTGender: FemaleNPI: 11342781466151 Dew Dr Ste 300(915) 581-96061891 N Lee Trevino DrSte 700(915) 593-3787Clinic Affiliation: El PasoTherapy Services EastBoard Certifications:NoneLanguage: SpanishMolina, Dolly J LPTGender: FemaleNPI: 1588747513
♿6611 Boeing Dr(915) 780-65769611 Acer AveBldg B #114(915) 300-0005Clinic Affiliation: A StepForward; Practical TherapyLLCBoard Certifications:NoneLanguage: American Sign;SpanishMonroy, Patricia LPTGender: FemaleNPI: 1134258189
♿1101 E Schuster Ave(915) 544-84846611 Boeing Dr(915) 780-6564Clinic Affiliation: A StepForward; Paso Del NorteChildrens Dev CtrBoard Certifications:NoneLanguage: American Sign;Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
224
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
EL PASO (continued)
PHYSICAL THERAPY(continued)Monsivaiz, Maricela LPTGender: FemaleNPI: 1245392737
♿U1845 NorthwesternSte B(915) 877-9356Clinic Affiliation:Southwest Sport Spine CtrIncBoard Certifications:NoneLanguage: SpanishMoreno, John C LPTGender: MaleNPI: 1023559424
U1779 N Zaragoza Ste A(915) 855-6466Clinic Affiliation: Spine &Rehab SpecialistsBoard Certifications:NoneLanguage: SpanishMurga, Stephen A LPTGender: MaleNPI: 16497798691300 Murchison DrSte 314(915) 317-12944242 Hondo PassSte 110(915) 751-059911380 Gateway Blvd NSte 101(915) 317-1131Clinic Affiliation: BorderTherapy ServicesBoard Certifications:None
Navarrete, Mayra C LPTGender: FemaleNPI: 1659640993
U1700 E Cliff DrSte 101(915) 500-6601
U7430 Remcon CirBldg A(915) 231-2285
U9870 Gateway Blvd NSte B(915) 313-4510
U11331 James Watt DrBldg 200 Ste B(915) 500-6607Clinic Affiliation:Spectrum TherapyConsultants IncBoard Certifications:NoneNemenzo, Cristina C LPTGender: FemaleNPI: 1013044122612 N Resler Dr(915) 584-5683Clinic Affiliation: PalomaWellness Rehabilitation PlBoard Certifications:NoneLanguage: English; SignLanguage; Spanish;TagalogNemenzo, Ronald R LPTGender: MaleNPI: 1588053839612 N Resler Dr(915) 584-5683Clinic Affiliation: PalomaWellness Rehabilitation PlBoard Certifications:NoneNevarez, Luis R LPTGender: MaleNPI: 14679183591300 Murchison DrSte 314(915) 317-1294Clinic Affiliation: BorderTherapy ServicesBoard Certifications:None
Nunez, George LPTGender: MaleNPI: 13467495951300 Murchison DrSte 314(915) 317-12944242 Hondo PassSte 110(915) 751-059911380 Gateway Blvd NSte 101(915) 317-11312280 Trawood(915) 493-6799Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneOlivas, Teresa M LPTGender: FemaleNPI: 1881707347
U1845 Northwestern DrSte B(915) 877-9356Clinic Affiliation:Southwest Sport Spine CtrIncBoard Certifications:NoneLanguage: SpanishOlowe, Olalekan J LPTGender: MaleNPI: 1841202702
♿5310 El Paso Drive(915) 771-8523Clinic Affiliation: OmegaRehab ServicesBoard Certifications:NoneLanguage: Spanish;TagalogPalisoc, Imelda D LPTGender: FemaleNPI: 1184964017612 N Resler Dr(915) 584-5683Clinic Affiliation: PalomaWellness Rehabilitation PlBoard Certifications:NoneLanguage: Spanish;Tagalog
Palisoc, Vitus D LPTGender: MaleNPI: 1902146830
♿U612 N Resler Dr(915) 584-5633Clinic Affiliation: PalomaWellness Rehabilitation PlBoard Certifications:NoneLanguage: Spanish;TagalogParga, Marcos A LPTGender: MaleNPI: 1396916326
♿U1421 Lee Trevino DrSte B2a(915) 591-0243Clinic Affiliation: ManualPhysical Therapy SpecialisBoard Certifications:NoneLanguage: SpanishPitchkolan, Larisa I LPTGender: FemaleNPI: 1548814130
U615 E Schuster AveSte 8(915) 532-325111500 Pellicano DrSte C5(915) 532-3251Clinic Affiliation: SrnSpeech Therapy PCBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
225
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
EL PASO (continued)
PHYSICAL THERAPY(continued)Portillo, Ricardo J LPTGender: MaleNPI: 12254539701300 Murchison DrSte 314(915) 317-12943215 Gateway Blvd WSte 201(915) 493-67994242 Hondo Pass DrSte 110(915) 751-0599836 E Redd RdSte B(915) 845-406011380 Gateway Blvd NSte 101(915) 317-113112801 Edgemere BlvdSte 102b(915) 493-6795Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NonePrieto, Lester O LPTGender: MaleNPI: 1669547725
♿1717 Brown StSte 2a(915) 544-2981Clinic Affiliation: PrietoPhysical Therapy IncBoard Certifications:NoneLanguage: Spanish
Rachel, David F LPTGender: MaleNPI: 1306885389
♿U1300 Murchison DrSte 314(915) 317-1294♿3215 Gateway Blvd WSte 201(915) 493-6799♿U4242 Hondo Pass DrSte 110(915) 751-0599♿U836 E Redd RdSte B(915) 845-4060♿11380 Gateway Blvd NSte 101(915) 317-1131♿U2280 Trawood Dr(915) 595-3535♿12801 Edgemere BlvdSte 102b(915) 493-6795Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneLanguage: SpanishRamirez, Alan E LPTGender: MaleNPI: 1154540201
♿U8111 N Loop Dr Ste B(915) 755-0738♿4758 Loma Del Sur(915) 755-0738Clinic Affiliation: FyzicalEl PasoBoard Certifications:NoneLanguage: SpanishReyes Brooks, KatherineM LPTGender: FemaleNPI: 1528275245
♿U2800 North Stanton(915) 307-3283♿U10950 Pellicano DrSte B2(915) 307-3283Clinic Affiliation: MoveTherapy Services LLCBoard Certifications:NoneLanguage: Spanish
Reyes, Ariel LPTGender: MaleNPI: 185141104510060 McCombs St Ste H(915) 751-82372204 Joe Battle BlvdSte C108(915) 855-8237Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: TherapyCenter of El PasoBoard Certifications:NoneLanguage: American Sign;SpanishRios, Viviana A LPTGender: FemaleNPI: 1184071664
U1300 Murchison DrSte 314(915) 317-12943215 Gateway Blvd WSte 201(915) 493-67994242 Hondo PassSte 110(915) 751-059911380 Gateway Blvd NSte 101(915) 317-1131
U2280 Trawood Dr(915) 595-3535Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneRoby, Kate A LPTGender: FemaleNPI: 12053351554758 Loma Del Sur(915) 755-0738Clinic Affiliation: FyzicalEl PasoBoard Certifications:NoneLanguage: Spanish
Rodela, Evelyn LPTGender: FemaleNPI: 17204796941700 E Cliff Dr Ste 101(915) 500-66017430 Remcon CirBldg A(915) 231-22859870 Gateway Blvd NSte B(915) 313-451011331 James Watt DrBlcg 200 Ste B(915) 500-6607Clinic Affiliation:Spectrum TherapyConsultants IncBoard Certifications:NoneLanguage: SpanishRodriguez, Hector E LPTGender: MaleNPI: 1679978225
U6420 Escondido Dr.(915) 300-1330♿U1421 Lee Trevino DrSte B2a(915) 591-0243Clinic Affiliation: ManualPhysical Therapy Specialis;Tender Care Rehabilitation& WellBoard Certifications:NoneLanguage: SpanishRodriguez, Kevin LPTGender: MaleNPI: 18316387091700 E Cliff Dr Ste 101(915) 500-66017430 Remcon CirBldg A(915) 231-22859870 N Gateway BlvdStre B(915) 313-451011331 James Watt DeBldg 200 Ste B(915) 500-6607Clinic Affiliation:Spectrum TherapyConsultants IncBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
226
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
EL PASO (continued)
PHYSICAL THERAPY(continued)Rodriguez, Ricardo M LPTGender: MaleNPI: 11841233741700 E Cliff Dr Ste 101(915) 500-66017430 Remcon CirBldg A(915) 231-22859870 Gateway Blvd N Ste B(915) 313-451011331 James Watt DrBldg 200 Stet B(915) 500-6607Clinic Affiliation:Spectrum TherapyConsultants IncBoard Certifications:NoneLanguage: SpanishRoth, Kathleen A LPTGender: FemaleNPI: 1245345032
♿7500 N Mesa StSte 212(915) 585-1888♿8855 Viscount BlvdSte E(915) 593-8555Clinic Affiliation: Tier 1Physical Therapy and SportBoard Certifications:NoneLanguage: SpanishSalas, Jessica V LPTGender: FemaleNPI: 15386748746611 Boeing Dr(915) 780-6542Clinic Affiliation: A StepForwardBoard Certifications:NoneLanguage: SpanishSantos, Ryan F LPTGender: MaleNPI: 1730455619
U109 S Festival Dr(915) 842-1788Clinic Affiliation: RioGrande Therapy GroupBoard Certifications:None
Scheller, Mark D LPTGender: MaleNPI: 1831751007
U1514 N Zaragoza RdSte B4(915) 257-5782
U2114 N Zaragoza RdSte C1(915) 271-8030Clinic Affiliation: EarlyBird Pediatric Therapy ClinBoard Certifications:NoneSchiller, Sander LPTGender: MaleNPI: 1043671472
♿U5360 N Mesa StSte 1a(915) 613-2000Clinic Affiliation:Mountain Man PhysicalTherapy LLCBoard Certifications:NoneSegapeli, Nancy S LPTGender: FemaleNPI: 1578641619
♿6611 Boeing Dr(915) 780-6576Clinic Affiliation: A StepForwardBoard Certifications:NoneLanguage: American Sign;French; SpanishSepulveda, BernadetteLPTGender: FemaleNPI: 182150204811351 James Watt DrSte A(915) 849-6602Clinic Affiliation: TherapyConsultantsBoard Certifications:NoneSkelton, Sabrina L LPTGender: FemaleNPI: 1205913670
♿U1845 NorthwesternSte B(915) 877-9356Clinic Affiliation:Southwest Sport Spine CtrIncBoard Certifications:NoneLanguage: Spanish
Smith, Darci L LPTGender: FemaleNPI: 10434028861514 N Zaragoza Rd Ste B4(915) 257-57822114 N Zaragoza RdSte C 1(915) 257-5782Clinic Affiliation: EarlyBird Pediatric Therapy ClinBoard Certifications:NoneLanguage: SpanishSolis, Mirian LPTGender: FemaleNPI: 1578515177
♿1700 E Cliff Dr Ste 101(915) 500-6601♿7430 Remcon Cir Bldg A(915) 231-2285♿9870 N Gateway BlvdSte B(915) 313-4510♿11331 James Watt DrBlcg 200 Ste B(915) 500-6607Clinic Affiliation:Spectrum TherapyConsultants IncBoard Certifications:NoneLanguage: SpanishTano, Sara E LPTGender: FemaleNPI: 1861852550
U2800 North Stanton(915) 307-3283
U615 E Schuster AveSte 9a(915) 444-5200
U10950 Pellicano DrSte B2(915) 307-3283Clinic Affiliation: MoveTherapy Services LLC; P3Physical Therapy IncBoard Certifications:NoneLanguage: Spanish
Telly, Alexandra C LPTGender: FemaleNPI: 11840842386320 Gateway Blvd East(888) 997-26691610 N Zaragosa RdSte D1(888) 997-26691610 N. Zaragosa RdAte D1(888) 997-2669Clinic Affiliation:Concentra Medical CentersBoard Certifications:NoneTerrazas, Sandra G LPTGender: FemaleNPI: 17200394721700 E Cliff DrSte 101(915) 500-66017430 Remcon CirBldg A(915) 231-22859870 N Gateway BlvdSte B(915) 313-451011331 James Watt DrBlcg 200 Ste B(915) 500-6607Clinic Affiliation:Spectrum TherapyConsultants IncBoard Certifications:NoneLanguage: SpanishTiscareno, Tessa S LPTGender: FemaleNPI: 13365402511300 Murchison DrSte 314(915) 307-677911351 James Watt DrSte A(915) 849-6602Clinic Affiliation: El PasoWork Hardening LLC;Therapy ConsultantsBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
227
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
EL PASO (continued)
PHYSICAL THERAPY(continued)Torres, Miguel A LPTGender: MaleNPI: 194249469510412 Vista Del Sol DrSte 2b(915) 591-3609Clinic Affiliation: EastsideRehabilitation Medicine ofPain ClinicBoard Certifications:NoneLanguage: SpanishTrueba, Deborah A LPTGender: FemaleNPI: 1912482159
U4242 Hondo Pass DrSte 110(915) 751-0599Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneTrujillo, Eric M LPTGender: MaleNPI: 1033469101
U1300 Murchison DrSte 314(915) 317-12943215 Gateway Blvd WSte 201(915) 493-67994242 Hondo PassSte 110(915) 751-0599
U836 E Redd RdSte B(915) 845-406011380 Gateway Blvd NSte 101(915) 317-1131Clinic Affiliation: BorderTherapy ServicesBoard Certifications:None
Trujillo, Sasha D LPTGender: FemaleNPI: 1316303894
U1300 Murchison DrSte 314(915) 317-12943215 Gateway Blvd WSte 201(915) 493-6799
U3215 Gateway Blvd WestSte 201(915) 493-67994242 Hondo PassSte 110(915) 751-0599Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneTucker, Anna M LPTGender: FemaleNPI: 14971684471300 Murchison DrSte 314(915) 317-1294836 E Redd Rd Ste B(915) 845-406011380 Gateway Blvd NSte 101(915) 317-1131Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneLanguage: SpanishTurner, Candice B LPTGender: FemaleNPI: 1427350321
U820 E Redd RdSte A(915) 444-2589Clinic Affiliation:Performance PhysicalTherapy of EBoard Certifications:None
Valdez, Alyssa M LPTGender: FemaleNPI: 1972914455
U1300 Murchison DrSte 314(915) 317-12943215 Gateway Blvd WSte 201(915) 493-67994242 Hondo Pass DrSte 110(915) 751-0599836 E Redd RdSte B(915) 845-406011380 Gateway Blvd NSte 101(915) 317-11312280 Trawood Dr(915) 493-6795
U12801 Edgemere BlvdSte 102b(915) 493-6795Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneLanguage: SpanishValdez, Justin B LPTGender: MaleNPI: 17306276054758 Loma Del Sur(915) 755-0738Clinic Affiliation: FyzicalEl PasoBoard Certifications:NoneLanguage: SpanishVargas, Adam J LPTGender: MaleNPI: 14174958884758 Loma Del Sur(915) 755-0738Clinic Affiliation: FyzicalEl PasoBoard Certifications:NoneLanguage: Spanish
Vazquez, Lilia A LPTGender: FemaleNPI: 11546901396320 Gateway Blvd E(888) 997-2669♿6151 Dew Dr Ste 300(915) 581-96061610 N Zaragosa AveSte D1(888) 997-2669♿1891 N Lee Trevino DrSte 700(915) 593-3787Clinic Affiliation:Concentra MedicalCenters; El Paso TherapyServices EastBoard Certifications:NoneLanguage: SpanishVilla, Chelsea R LPTGender: FemaleNPI: 14073562316151 Dew Dr(915) 581-96061891 Lee TrevinoSte 700(915) 593-3787Clinic Affiliation: El PasoTherapy Services EastBoard Certifications:NoneLanguage: SpanishVos, Tammie L LPTGender: FemaleNPI: 1225460793
U1845 Northwestern DrSte B(915) 877-9356Clinic Affiliation:Southwest Sport Spine CtrIncBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
228
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
EL PASO (continued)
PHYSICAL THERAPY(continued)Wadja, Allen LPTGender: MaleNPI: 1164838074
♿10060 McCombs StSte H(915) 751-8237♿2204 Joe Battle BlvdSte C108(915) 855-8237Clinic Affiliation: TherapyCenter of El PasoBoard Certifications:NoneLanguage: Spanish;TagalogWalker, Sandra L LPTGender: FemaleNPI: 11740892961300 Murchison DrSte 314(915) 317-12943215 Gateway Blvd WestSte 201(915) 793-67994242 Hondo Pass Ste 110(915) 751-0599Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneWilkerson, Jermaine LPTGender: MaleNPI: 1912398165
♿U1845 NorthwesternSte B(915) 877-9356Clinic Affiliation:Southwest Sport Spine CtrIncBoard Certifications:NoneLanguage: SpanishWillison, Elizabeth LPTGender: FemaleNPI: 166994384111500 Pellicano DrSte A 9(915) 209-7124Clinic Affiliation: El PasoPelvic Health PLLCBoard Certifications:None
Woo, Thomas LPTGender: MaleNPI: 1528698255
U1700 E Cliff DrSte 101(915) 500-6601
U7430 Remcon CirBldg A(915) 231-22859870 Gateway Blvd NSte B(915) 313-4510
U11331 James Watt DrBldg 200 Ste B(915) 500-6607Clinic Affiliation:Spectrum TherapyConsultants IncBoard Certifications:NoneZuniga, Louis E LPTGender: MaleNPI: 14878567618111 N Loop DrSte B(915) 593-49854758 Loma Del Sur DrSte A(915) 755-0738Clinic Affiliation: FyzicalEl PasoBoard Certifications:NoneLanguage: Spanish
PHYSICIAN ASSISTANTAdams, Jessica R PAGender: FemaleNPI: 16194198764774 Loma Del Sur Dr(915) 751-7773Clinic Affiliation: WellmedMedical Group PABoard Certifications:None
Aguilar, Jessica L PAGender: FemaleNPI: 1134472376
♿3215 Gateway Blvd W(915) 598-7246♿12200 Paseo Nuevo Dr(915) 598-7246♿7825 N Mesa St(915) 598-7246Clinic Affiliation: El PasoPain Center PABoard Certifications:NoneLanguage: SpanishAnaya, Richard J PAGender: MaleNPI: 1639338270299 Shadow Mountain DrSte C(915) 581-6405Clinic Affiliation: FamilyMedicine of West Texas PllBoard Certifications:NoneAtten, Angelica V PAGender: FemaleNPI: 1215352984
U1523 N Zaragoza(915) 857-4559Clinic Affiliation: SummitUrgent Care CenterBoard Certifications:NoneAvila, Ivan J PAGender: MaleNPI: 1538684055
U7430 N Mesa St(915) 875-1801
U2000 Lomaland DrSte 106-109(915) 875-1801Clinic Affiliation: A To ZzSleep Group LLCBoard Certifications:NoneBeltran, Jodie R PAGender: FemaleNPI: 1679958383
U9398 Viscount BlvdSte 4c(915) 594-1033Clinic Affiliation: FamilyMed Assoc of El PasoBoard Certifications:None
Berntson, Phillip A PAGender: MaleNPI: 1073830782
♿1600 Medical Center DrSte 212(915) 532-3977Clinic Affiliation: El PasoSouthwesternCardiovascular AssociatesBoard Certifications:NoneLanguage: SpanishCalderon, Jose L PAGender: MaleNPI: 1568427680
♿6211 Edgemere BlvdSte 1(915) 881-8264Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: Robert EUrrea MD PABoard Certifications:NoneLanguage: SpanishCallender, Yessenia I PAGender: FemaleNPI: 17103165188820 Gateway Blvd N(915) 759-7700Clinic Affiliation:Mountain ViewDermatology PABoard Certifications:NoneCardona, Glenda M PAGender: FemaleNPI: 1639478274211 Bartlett Dr(915) 303-55224659 Cohen Ave Unit C(915) 777-7207Clinic Affiliation:Southwest Hcp Access PABoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
229
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
EL PASO (continued)
PHYSICIAN ASSISTANT(continued)Chavez, Santiago A PAGender: MaleNPI: 12958116771700 Murchison Dr(915) 533-74651720 Murchison Dr(915) 534-12163100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty PhysiciansBoard Certifications:NoneLanguage: SpanishDahill, Valerie J PAGender: FemaleNPI: 1730363425
♿1800 N Mesa St Ste 200(915) 577-99004501 N Mesa St(915) 533-6100♿4659 Cohen AveSte A(915) 577-11254659 Cohen AveSte A 1(915) 881-3368Clinic Affiliation: BhsPhysicians Network Inc; GrDallas Hlthcare EnterprisesBoard Certifications:NoneLanguage: SpanishDedmon, Mark K PAGender: MaleNPI: 1942317938
4125 W Hague Ste 120(888) 336-9633Hospital Affiliations:University Health SystemClinic Affiliation: UTHealth PhysiciansBoard Certifications:NoneLanguage: Spanish
Del Cid, Jiselle PAGender: FemaleNPI: 1952865115
U6028 Surety Dr(915) 544-3500Clinic Affiliation: SunwestBehavioral Associate PABoard Certifications:NoneDubravsky, Ethan E PAGender: MaleNPI: 14871865087812 Gateway Blvd ESte 110(915) 533-2888Clinic Affiliation:Haroutioun S ShahinianMD PABoard Certifications:NoneLanguage: SpanishEsquivel, Michael R PAGender: MaleNPI: 1821079807
U2260 Trawood Dr(915) 591-46321721 N Lee Trevino Dr(915) 590-9424♿U1721 N Lee Trevino Dr(915) 590-9424Clinic Affiliation: JuarezEdward C MD; WellmedMedical Group PABoard Certifications:NoneLanguage: SpanishGarza, Angela PAGender: FemaleNPI: 1528537420
U6028 Surety Dr(915) 544-3500Clinic Affiliation: SunwestBehavioral Associate PABoard Certifications:None
Gutierrez, Arturo PAGender: MaleNPI: 1952380776
♿1810 MurchisonSte 140(915) 581-0712♿820 Redd RdBldg B(915) 581-0712♿1400 George DieterSte 100(915) 581-0712Hospital Affiliations: DelSol Camp Lpdsh; El PasoSpecialty Hospital LTD;Hospitals Providence EastCampus; Las PalmasCamp LpdshClinic Affiliation: EricSides MD PABoard Certifications:NoneLanguage: SpanishHeins, Todd A PAGender: MaleNPI: 1659603835
♿1600 Medical Center DrSte 212(915) 532-3977Clinic Affiliation: El PasoSouthwesternCardiovascular AssociatesBoard Certifications:NoneLanguage: SpanishHernandez, Maria E PAGender: FemaleNPI: 19626861391601 E Yandell Dr(915) 747-3510Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneLanguage: SpanishHerrera, Andrea L PAGender: FemaleNPI: 17000175304532 N Mesa Floor 2(915) 544-0326Clinic Affiliation: El PasoIntegrated PhysicianBoard Certifications:NoneLanguage: Spanish
Holguin, Melissa R PAGender: FemaleNPI: 1851343461
U11351 James Watt DrBldg F(915) 225-3807Clinic Affiliation: El PasoKids KlinicBoard Certifications:NoneLanguage: SpanishHollingsed, Michael J PAGender: MaleNPI: 1043217326
♿1600 Medical Center DrSte 212(915) 532-3977Clinic Affiliation: El PasoSouthwesternCardiovascular AssociatesBoard Certifications:NoneLanguage: SpanishHurdt, Lauren L PAGender: FemaleNPI: 19729739724801 Alberta Ave(915) 215-5400Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishJacobs, Michael J APNGender: MaleNPI: 1619123726
♿U1523 N Zaragoza Rd(915) 857-4559Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: SummitUrgent Care CenterBoard Certifications:NoneLanguage: SpanishJacome, Elvis G PAGender: MaleNPI: 1720138365310 S Mesa Hills DrSte B(915) 351-7546Clinic Affiliation:Epiphany Dermatology PABoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
230
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.UThis Provider Has Extended Hours.
EL PASO (continued)
PHYSICIAN ASSISTANT(continued)Kristofferson, Ken K PAGender: MaleNPI: 11543415847420 Remcon CircleBldg A(915) 532-8823Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra CampusClinic Affiliation: RioGrande Urology PABoard Certifications:NoneLanguage: SpanishLawhon, Price H PAGender: MaleNPI: 10331106141201 E Schuster AveSte 5b(915) 544-3229125 W Hague Rd Ste 400(915) 544-3229Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:None
u Lopez, Nidia PAGender: FemaleNPI: 17705497501901 Grandview Ave(915) 544-6750Clinic Affiliation: TexasOncology PABoard Certifications:Physician AssistantLanguage: SpanishLuna, Silas S PAGender: MaleNPI: 10033958722201 N Stanton St(915) 533-0800Clinic Affiliation: RioGrande Urology PABoard Certifications:None
Mack, Kimberlee N PAGender: FemaleNPI: 13962845926974 Gateway Blvd E Ste F(915) 591-2704Clinic Affiliation: Salud YVida PABoard Certifications:NoneManzo Micoletti, ZacharyD PAGender: MaleNPI: 1275960825
♿U1523 N Zaragoza(915) 857-4559Clinic Affiliation: SummitUrgent Care CenterBoard Certifications:NoneMartinez, Jennifer M PAGender: FemaleNPI: 18314432331700 Murchison Dr(915) 533-74651720 Murchison Dr(915) 534-12163100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty PhysiciansBoard Certifications:NoneLanguage: American Sign;SpanishMedina, Ruben A PAGender: MaleNPI: 1609437946
U6974 Gateway Blvd ESte F(915) 591-2704Clinic Affiliation: Salud YVida PABoard Certifications:None
Meraz, Victoria A PAGender: FemaleNPI: 1003270752310 S Mesa Hill DrSte B(915) 351-75461397 George Dieter DrSte A(915) 351-7546Clinic Affiliation:Epiphany Dermatology PABoard Certifications:NoneMercado, Lisa M PAGender: FemaleNPI: 15989442741600 Medical Center DrSte 214(915) 600-2220Clinic Affiliation:Caperton Fertility InstitutePLLCBoard Certifications:NoneMiramontez, Jaclyn A PAGender: FemaleNPI: 1417465139
U125 W Hague RdSte 180(915) 317-1660Clinic Affiliation:American Arthritis andRheumatolo; TexasArthritis Center PABoard Certifications:NoneMorales, Cesar G PAGender: MaleNPI: 1205368586815 E Yandell(915) 351-1557200 Lisbon(915) 545-6140Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneMorron, Clyde R PAGender: MaleNPI: 13563522981397 George Dieter DrSte A(915) 351-7546Clinic Affiliation:Epiphany Dermatology PABoard Certifications:None
Nichols, Jessica S PAGender: FemaleNPI: 1841732781
4
U2000 Trans Mountain Rd SteA(915) 215-8410Hospital Affiliations:Hosps of ProvidenceTransmountain; John PeterSmith HospitalClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NonePatrice, Carty Anna PAGender: FemaleNPI: 18513093716065 Montana AveSte A2(915) 771-7200Clinic Affiliation: E PPremier Medical Group PABoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
231
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
PHYSICIAN ASSISTANT(continued)Peralta, Jasmine PAGender: FemaleNPI: 14972624711626 Medical Center Dr(915) 533-70573501 Hueco Ave(915) 533-70574875 Maxwell Ave(915) 313-99083607 Rivera Ave(915) 533-70573612 Pera Ave(915) 533-70576040 Surety DrUnit 2(915) 533-70571100 Colina De Paz(915) 533-7057150 Nonap Rd(915) 533-7057901 Ascencion St(915) 533-705711700 School Ln(915) 533-705711710 Pebble Hills Blvd(915) 533-705712000 Montwood Dr(915) 533-705714400 Pebble Hills Blvd(915) 533-705714900b Greg Dr(915) 857-26382200 Sun Country Dr(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: Spanish
Petrus, Philippe W PAGender: MaleNPI: 1639398035
U221 N KansasSte 1501(915) 779-1716725 S Mesa Dr Bldg 1Ste 1(915) 887-3414
U1225 E Cliff DrBldg 3 Ste 100(915) 239-29551900 Denver Ave(915) 544-40001900 Denver Ave(915) 544-4000Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Emergence HealthNetwork; Hatem Nour MDPA; La Familia Del PasoInc; Osvaldo Gaytan Jr MDPABoard Certifications:NoneLanguage: SpanishPugao, Irish F PAGender: FemaleNPI: 1548355548
♿U1521 Joe Battle(915) 790-5700♿U1521 Joe Battle Blvd(915) 790-5700Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: SpanishRamirez, Jessica A PAGender: FemaleNPI: 1548660632
U3501 Hueco Ave(915) 533-7057
U3612 Pera Ave(915) 533-7057901 Ascencion St(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: American Sign;Spanish
Rasmussen, Sydney E PAGender: FemaleNPI: 1740772235
U3329 Montana Ave(915) 591-2704
U400 Shadow Mountain(915) 591-2704
U6974 Gateway Clinic(915) 591-2704
U8030 North Loop(915) 591-2704
U1335 Geronimo(915) 591-2704Clinic Affiliation: Salud YVida PABoard Certifications:NoneRetana Brown, Perla A PAGender: FemaleNPI: 15184391571250 E Cliff Dr Ste 3e(915) 626-5548Clinic Affiliation: Sun CityKidney PABoard Certifications:NoneRincon, Jose L PAGender: MaleNPI: 1588951800
♿10412 Vista Del Sol DrSte 1b(915) 593-9300Hospital Affiliations: ElPaso Childrens Hospital;Hosps ProvidenceMemorial CampusClinic Affiliation: EastsideRehabilitation Medicine ofPain ClinicBoard Certifications:NoneLanguage: SpanishRosado, Damaris C PAGender: FemaleNPI: 14173488224801 Alberta Ave(915) 215-5383Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
Ruiz, Beth M PAGender: FemaleNPI: 19627783991810 Murchison DrSte 300(915) 533-8544Clinic Affiliation: WellmedMedical Group PABoard Certifications:NoneSaucedo, Ana M PAGender: FemaleNPI: 16091376374532 N Mesa St Sta 2a(915) 544-0326Clinic Affiliation: El PasoIntegrated PhysicianBoard Certifications:NoneLanguage: SpanishSerna, Ana K PAGender: FemaleNPI: 107316279811040 Vista Del Sol DrSte C(915) 444-8394Clinic Affiliation:Southwest Hcp Access PABoard Certifications:NoneLanguage: SpanishSouthwest Hcp AccessPAGender: FemaleNPI: 1073162798211 Bartlett DrBldg B(915) 444-83944659 Cohen AveSte C(915) 444-8394Clinic Affiliation:Southwest Hcp Access PABoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
232
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
EL PASO (continued)
PHYSICIAN ASSISTANT(continued)Short, Tracy A PAGender: FemaleNPI: 13169571788041 N Mesa StSte B(915) 307-3416Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: CountryClub Medical CenterBoard Certifications:NoneLanguage: SpanishTelles, Elizabeth A PAGender: FemaleNPI: 1275807927
4125 W HagueSte 440(951) 533-5733Clinic Affiliation: TexasNewborn Services IncBoard Certifications:NoneVogt, William PAGender: MaleNPI: 10139177231721 N Lee Trevino Dr(915) 590-9424Hospital Affiliations:Hosps of Providence SierraCampusClinic Affiliation: WellmedMedical Group PABoard Certifications:NoneWerge, Danielle M PAGender: FemaleNPI: 14376077934659 Cohen Ave Ste C(915) 777-7207Clinic Affiliation:Southwest Hcp Access PABoard Certifications:NoneLanguage: Spanish
Yocum, Denise N PAGender: FemaleNPI: 17404542971250 E Cliff DrSte 2a(915) 577-7951Hospital Affiliations:Hosps of Providence SierraCampus; UniversityMedical Center El PasoClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneLanguage: French
PLASTIC SURGERYAgullo, Francisco J MDGender: MaleNPI: 11848210844801 Alberta Ave(915) 545-688010175 Gateway Blvd WSte 210(915) 590-790010175 Gateway Blvd WSte 210(915) 590-7900Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation:Francisco J Agullo MD PA;Southwest Plastic SurgeryPA; TX Tech Univ Hlth SciCtr El PasoBoard Certifications:Plastic SurgeryLanguage: Spanish
Castro Garcia, Jose A MDGender: MaleNPI: 19121936244801 Alberta Avenue(915) 215-5300Hospital Affiliations: ElPaso Childrens Hospital;Hospitals Providence EastCampus; Las PalmasCamp Lpdsh; Medical CityDallas; University MedicalCenter El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
u Chavez Holgui, Pedro SMDGender: MaleNPI: 1336145374
♿1517 N Mesa(915) 533-0269Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshBoard Certifications:Plastic SurgeryLanguage: Spanish
u Chavez, Eva P MDGender: FemaleNPI: 1700942919
♿1517 N Mesa St(915) 533-0269Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: EvaPatricia Chavez MD PABoard Certifications:Plastic SurgeryLanguage: SpanishDiamond, Shawn MDGender: MaleNPI: 10435098134800 Alberta Avenue(915) 215-5300Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
Texas Tech UniversityGender: MaleNPI: 10435098132000 Trans Mountain RdSte B(915) 215-8400Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
u Garcia De Mitchell, CeciliaA MDGender: FemaleNPI: 1073717237
♿2001 N Oregon St(915) 577-6011Hospital Affiliations:Baptist Health System;Childrens Hospital SanAntonio; Hosps ProvidenceMemorial Campus;Methodist AmbulatorySurgery Center NorthCentral; Methodist Hospital;Methodist Stone OakHospital; North CentralBaptist Hospital; SantaRosa Medical Center; StLukes Baptist Hospital;University Health SystemClinic Affiliation: MagellaMedical AssociatesBoard Certifications:Plastic SurgeryLanguage: Spanish
u Jabor, Mark A MDGender: MaleNPI: 1659333573
♿5664 N Mesa St(915) 541-1225♿1512 N Zaragoza RdSte A 3(915) 855-7800Hospital Affiliations:Hosps of Providence SierraCampus; Las PalmasCamp Lpdsh; SurgicalCenter of El PasoClinic Affiliation: WestTexas Cosmetic SurgicalAssociBoard Certifications:Plastic SurgeryLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
233
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.
EL PASO (continued)
PLASTIC SURGERY(continued)
u Lee, Anhtuyet T MDGender: FemaleNPI: 1235328378
♿3270 Joe Battle BlvdSte 360(915) 351-9000Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: Anh LeeMD PABoard Certifications:Plastic SurgeryLanguage: Spanish;VietnameseNemir, Stephanie MDGender: FemaleNPI: 16596278184801 Alberta Ave(915) 215-5310Hospital Affiliations: ElPaso Childrens Hospital;MD Anderson CancerCenter; University MedicalCenter El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
u Palladino, Humberto MDGender: MaleNPI: 191216905310175 Gateway Blvd WSte 210(915) 590-7900Hospital Affiliations:Hosps of Providence SierraCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation:Southwest Plastic SurgeryPABoard Certifications:Plastic SurgeryLanguage: Spanish
u Phillips, Paul M MDGender: MaleNPI: 1134381965651 S Mesa Hills(915) 351-1116Hospital Affiliations:Hosps ProvidenceMemorial CampusBoard Certifications:Plastic SurgeryLanguage: SpanishReynolds, Richard D MDGender: MaleNPI: 1992772768
U5664 N Mesa St(915) 532-66621512 N Zaragoza RdSte A 3(915) 855-7800Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: WestTexas Cosmetic SurgicalAssociBoard Certifications:NoneLanguage: SpanishSeelig, Deborah MDGender: FemaleNPI: 1992793541
♿1700 Murchison DrSte 200(915) 541-8825Hospital Affiliations: ElPaso Specialty HospitalLTD; Hospitals ProvidenceEast Campus; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; Kindred HospitalEl Paso; Las Palmas CampLpdsh; Surgical Center ofEl Paso; University MedicalCenter El PasoBoard Certifications:NoneLanguage: English;Spanish
Wang, Peter T MDGender: MaleNPI: 19826569302001 N Oregon St(210) 615-8757Hospital Affiliations:Baptist Health System;Methodist Ambulatory SurgCtr; Methodist Hospital;Methodist Spec &Transplant Hosp;Metropolitan MethodistHospital; Mission TrailsBaptist; NortheastMethodist Hospital; SantaRosa Medical Center;University Health SystemClinic Affiliation: MagellaMedical AssociatesBoard Certifications:NoneLanguage: Spanish
PODIATRYBodart, Amy DPMGender: FemaleNPI: 14475924641225 E Cliff DrSte 2a(915) 598-333810500 Vista Del SolSte A(915) 598-3338Clinic Affiliation: DrCharles Pittle DPM PLLCBoard Certifications:NoneLanguage: Spanish
u De La Rosa, Efren DPMGender: MaleNPI: 1295846731815 Dyer St Ste 348(915) 626-5143♿8815 Dyer StSte 348(915) 626-5143♿114 W Castellano(915) 532-3721114 W Castellano Dr(915) 532-37214532 N Mesa StFloor 2(915) 544-0326Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; Paso DelNorte Surgery CenterClinic Affiliation: El PasoIntegrated Physician; TheFoot InstituteBoard Certifications:PodiatryLanguage: SpanishDo, Hao Q DPMGender: MaleNPI: 1275581068
♿1850 Hunter DrSte 107(915) 591-9070Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshBoard Certifications:NoneLanguage: Spanish;VietnameseGalindo, Duane D DPMGender: MaleNPI: 1366861585815 Dyer St Ste 348(915) 626-5143114 W Castellano Dr(915) 532-3721Clinic Affiliation: The FootInstituteBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
234
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
PODIATRY (continued)u Gonzalez, Juan A DPMGender: MaleNPI: 1245266170
♿6559 N Mesa St(915) 577-0744Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: FootSpecialists of El PasoBoard Certifications:PodiatryLanguage: Spanish
u Grindstaff, Gary S DPMGender: MaleNPI: 1912995895
♿1721a Lee Trevino Ste 103(915) 594-8877♿1721a N Lee Trevino DrSte 103(915) 594-8877Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; Paso DelNorte Surgery CenterClinic Affiliation: Gary SGrindstaff DPM PABoard Certifications:PodiatryLanguage: SpanishLazar, Gabriel DPMGender: MaleNPI: 1629117080
♿U1635 N Lee Trevino DrSte C(915) 593-3668Clinic Affiliation: GlazarMedical PABoard Certifications:NoneLanguage: Spanish
McCool, Gerald B DPMGender: MaleNPI: 1295767788
♿6955 N Mesa StSte 301(915) 581-1133Hospital Affiliations:Hosps of Providence SierraCampus; Las PalmasCamp Lpdsh; Paso DelNorte Surgery CenterBoard Certifications:NoneLanguage: American Sign;SpanishMendivil, Jason M DPMGender: MaleNPI: 17901178934646 North Mesa St(915) 313-63001580 Lomaland Dr(915) 313-63002204 Joe Battle Blvd(915) 313-63002204e Joe Battle Blvd(915) 503-1870Hospital Affiliations:Hospitals Providence EastCampusClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneMoreu, Gil M DPMGender: MaleNPI: 1407816960
♿4801 Alberta Ave(915) 545-6760Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: German;Spanish
Omeara, Sean M DPMGender: MaleNPI: 1336326255
♿7430 Remcon CirBldg A Ste 140(915) 503-2020♿10870 Gateway NSte A(915) 503-2020♿1397 George Dieter DrSte A(915) 503-2020Clinic Affiliation: OmearaRosado DPM PLLCBoard Certifications:NoneLanguage: American Sign;SpanishPittle, Charles I DPMGender: MaleNPI: 17503524491225 E Cliff DrSte 2a(915) 598-333810500 Vista Del SolSte A(915) 598-3338Hospital Affiliations:Hosps of Providence SierraCampus; Paso Del NorteSurgery CenterClinic Affiliation: DrCharles Pittle DPM PLLCBoard Certifications:NoneLanguage: SpanishResignato, Paul J DPMGender: MaleNPI: 1093799249
♿1201 E Schuster AveSte 3a(915) 855-3338♿1722 N Zaragosa Rd Ste C(915) 855-3338Board Certifications:NoneLanguage: Spanish
Rosado, Rebecca J DPMGender: FemaleNPI: 1063609873
♿7430 Remcon CirBldg A Ste 140(915) 503-2020♿10870 Gateway NSte A(915) 503-2020♿1397 George Dieter DrSte A(915) 503-2020Clinic Affiliation: OmearaRosado DPM PLLCBoard Certifications:NoneLanguage: SpanishSapien, Mariano DPMGender: MaleNPI: 12255819861397 George Dieter DrSte A(915) 503-2020Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp LpdshClinic Affiliation: OmearaRosado DPM PLLCBoard Certifications:None
u Scudday, Bruce A DPMGender: MaleNPI: 1073574943
♿1700 Curie Dr Ste 4000(915) 533-5151♿1400 George Dieter DrSte 230(915) 856-3331Hospital Affiliations: ElPaso LTAC Hospital;Foundation Surgical HospEl Paso; Las Palmas CampLpdsh; Las PalmasRehabilitation HospitalBoard Certifications:PodiatryLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
235
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
PODIATRY (continued)u Taylor, John DPMGender: MaleNPI: 10937713881700 MurchisonDr(915) 534-12161700 Murchison Dr(915) 533-74651720 Murchison Dr(915) 534-12163100 N Lee Trevino Dr(915) 533-74653100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampusClinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty PhysiciansBoard Certifications:PodiatryLanguage: SpanishVazquez, Jefferey R DPMGender: MaleNPI: 1801830997
♿10470 Vista Del Sol DrSte 211(915) 592-4173Hospital Affiliations:Foundation Surgical HospEl Paso; Las Palmas CampLpdshClinic Affiliation: FootHealthcare Ctr of El PasoPABoard Certifications:NoneLanguage: Spanish
Velasquez, Arma R DPMGender: FemaleNPI: 12856325621700 Murchison Dr(915) 533-74651720 Murchison Dr(915) 534-12163100 N Lee Trevino DrSte B(915) 533-7465Hospital Affiliations: ElPaso Specialty HospitalLTDClinic Affiliation: BhsPhysicians Network Inc; ElPaso Specialty PhysiciansBoard Certifications:NoneLanguage: SpanishWilliams, David B DPMGender: MaleNPI: 1821029505
♿1533 N Lee TrevinoSte C1(915) 239-0003Hospital Affiliations:Hosps of Providence SierraCampusClinic Affiliation:Southwest Laser CareBoard Certifications:NoneLanguage: English;Spanish
u Zuniga, Caesar A DPMGender: MaleNPI: 10634732544646 N Mesa St(915) 313-63009870 Gateway North BlvdSte B1(915) 313-63001732 Weston Brent LnSte F(915) 313-6300Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: BhsPhysicians Network IncBoard Certifications:PodiatryLanguage: Spanish
PULMONARY DISEASEAnchondo, Adolfo N MDGender: MaleNPI: 1063410777
♿9999 Kenworthy StSte B(915) 757-6280♿1865 Lee Trevino Dr(915) 590-1994Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: El PasoPulmonary AssocBoard Certifications:NoneLanguage: SpanishBharat Ved Prakash, FnuMDGender: MaleNPI: 19121471252000b Transmountain Rd(915) 215-8400Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
u Cortes, Erasto MDGender: MaleNPI: 1154321263
♿U1020 Montana Ave(915) 533-2500
U1700 N Mesa(915) 533-25009999 Kenworthy StSte C(915) 533-2500Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoRespiratory Sleep Cons InBoard Certifications:Pulmonary Disease; SleepMedicineLanguage: Spanish
u Diaz, Gonzalo A MDGender: MaleNPI: 1134129240
♿4305 N Mesa St Ste A(915) 532-2477♿9999 KenworthySte B(915) 757-6280♿1865 N Lee Trevino Dr(915) 590-1994Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: El PasoPulmonary AssocBoard Certifications:Pulmonary DiseaseLanguage: Spanish
u Fernandez, Juan F MDGender: MaleNPI: 1306027669
♿9999 KenworthySte B(915) 757-6280♿1865 N Lee Trevino(915) 590-1994Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; KindredHospital El PasoClinic Affiliation: El PasoPulmonary AssocBoard Certifications:Pulmonary DiseaseLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
236
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
PULMONARY DISEASE(continued)
u Figueroa Casas, Juan BMDGender: MaleNPI: 1699710889
♿4801 Alberta Ave(915) 215-5200Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Lyndon B Johnson GeneralHospital; University MedicalCenter El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Pulmonary DiseaseLanguage: Spanish
u Garcia, Hernando MDGender: MaleNPI: 1922000314
♿9999 Kenworthy StSte C(915) 533-2500♿10460 Vista Del Sol DrSte 202(915) 594-5882Hospital Affiliations:Hosps of Providence SierraCampus; UniversityMedical Center El PasoClinic Affiliation: El PasoRespiratory Sleep Cons InBoard Certifications:Pulmonary DiseaseLanguage: Spanish
Gonzalez Ayal, Emilio MDGender: MaleNPI: 1366441701
♿4305 N Mesa St Ste A(915) 532-2477♿9999 Kenworthy StSte B(915) 757-6280♿1865 N Lee Trevino Dr(915) 590-1994Hospital Affiliations: DelSol Camp Lpdsh;Highlands RehabilitationHospital; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Kindred HospitalEl PasoClinic Affiliation: El PasoPulmonary AssocBoard Certifications:NoneLanguage: Spanish
u Hatem, Carlo M MDGender: MaleNPI: 1295814705
♿4305 N Mesa St Ste B(915) 779-7378♿9999 Kenworthy StSte B(915) 757-6280♿1865 N Lee Trevino Dr(915) 590-1994Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: El PasoPulmonary Assoc; El PasoSleep Disorders CentersBoard Certifications:Pulmonary DiseaseLanguage: Spanish
u Omar, Asad MDGender: MaleNPI: 1376850651
U2000 B Transmountain RdBldg B(915) 213-09002000 Trans Mountain RdBldg B Ste 270(915) 213-09005539 N Mesa St(915) 213-09005539 N Mesa St(915) 213-0900
U1512 N Zaragoza RdSte B(915) 213-0900Hospital Affiliations: DelSol Camp Lpdsh; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: FahadOmar MD PA; PulmonarySleep and AllergyBoard Certifications:Pulmonary DiseaseLanguage: Hindi; Spanish;UrduOmar, Fahad MDGender: MaleNPI: 18212274715539 N Mesa St(915) 213-00901512 N Zaragoza Rd Ste B(915) 213-0900Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampusClinic Affiliation: FahadOmar MD PABoard Certifications:NoneLanguage: Spanish
Opina, Maria Theresa DMDGender: FemaleNPI: 15080255114801 Alberta Ave(915) 215-51832000 Trans Mountain Rd SteB(915) 215-5183Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
u Payan, Hector A MDGender: MaleNPI: 1093911091
♿4305 N Mesa StSte A(915) 532-2477♿9999 Kenworthy Ste B(915) 757-6280♿1865 N Lee Trevino(915) 590-1994Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; KindredHospital El PasoClinic Affiliation: El PasoPulmonary AssocBoard Certifications:Pulmonary DiseaseLanguage: English;Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
237
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
PULMONARY DISEASE(continued)Quesada, Jaime A MDGender: MaleNPI: 1578563862
♿4305 N Mesa St Ste A(915) 532-2477♿9999 Kenworthy St Ste B(915) 757-6280♿1865 N Lee Trevino Dr(915) 590-1994Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: El PasoPulmonary AssocBoard Certifications:NoneLanguage: SpanishRowley, Kevin D DOGender: MaleNPI: 19424567104305 N Mesa Ste A(915) 532-24779999 Kenworthy StSte B(915) 515-62801865 N Lee Trevino Dr(915) 590-1954Clinic Affiliation: El PasoPulmonary AssocBoard Certifications:NoneSchuller, Dan MDGender: MaleNPI: 14675660422000b Transmountain Rd(915) 215-8408Hospital Affiliations:Baylor University MedicalCenter; Bs&w Heart &Vascular Hosp Dallas;Hosps of ProvidenceTransmountain; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Hebrew;Spanish
Tan, Jeanette S MDGender: FemaleNPI: 1518938810
♿7812 Gateway Blvd ESte 220(915) 598-6628Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: JeanetteTan MD PABoard Certifications:NoneLanguage: Chinese;Mandarin; Spanish;Tagalog
RADIATION ONCOLOGYCastro Sandoval, Jesus AMDGender: MaleNPI: 1538198155
♿4532 N Mesa StFloor 2(915) 544-0326♿10460 Vista De SolSte 100(915) 629-3440Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: El PasoIntegrated PhysicianBoard Certifications:NoneLanguage: Spanish
u Gupta, Anuradha MDGender: FemaleNPI: 1811939721
♿1901 Grandview Ave(915) 544-6750♿7848 Gateway Blvd E(915) 599-1313♿3270 Joe Battle BlvdSte 312(915) 849-2700Hospital Affiliations: ElPaso Specialty HospitalLTD; Foundation SurgicalHosp El Paso; HcaHouston Healthcare ClearLake; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: TexasOncology PABoard Certifications:Radiation Oncology
u Han, Nyun C MDGender: MaleNPI: 1134127293
♿7420 Remcon CirSte A(915) 581-6702♿1400 George Dieter DrSte 170(915) 581-6702Clinic Affiliation: RioGrande Urology PABoard Certifications:Radiation OncologyLanguage: Spanish
u Han, Stephanie C MDGender: FemaleNPI: 15381693881901 Grandview Ave(915) 544-67507848 Gateway Blvd E(915) 599-1313Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: TexasOncology PABoard Certifications:Radiation OncologyLanguage: Chinese;Spanish
Mendel, Jameson T MDGender: MaleNPI: 16799529157420 Remcon CircleBldg A(915) 532-8823Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountainClinic Affiliation: RioGrande Urology PABoard Certifications:NoneLanguage: SpanishOas, Lute G MDGender: MaleNPI: 10139774207420 Remcon CircleBldg A(915) 532-8823Hospital Affiliations:Bs&w Medical CenterTemple; Las Palmas CampLpdshClinic Affiliation: RioGrande Urology PABoard Certifications:None
RADIOLOGYAguila, Jorge MDGender: MaleNPI: 1114226669
410301 Gateway Blvd W(915) 521-1200Hospital Affiliations: DelSol Camp Lpdsh; TitusRegional Medical CenterClinic Affiliation:Radadvantage Texas PABoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
238
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.
EL PASO (continued)
RADIOLOGY (continued)u Ali, Zulfiqar MDGender: MaleNPI: 1811169113
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(912) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del SolSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;Refugio County MemorialHospital; Titus RegionalMedical Center; ValleyRegional Medical Center;Wadley Regional MedicalCenter; Wilbarger GeneralHospitalClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:Radiology
u Allen, Michael S MDGender: MaleNPI: 1083662654
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations:Bs&w Medical Center LakePointe; Hunt RegionalMedical Center; LasPalmas Camp Lpdsh;Woodland Heights MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications: DiagRadiology; RadiologyAllison, Matthew C MDGender: MaleNPI: 1316958580
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: ChiSt Lukes Health Memorial;Las Palmas Camp LpdshClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
u Almestady, Rajaa M MDGender: FemaleNPI: 1649421447
4
U10301 Gateway Blvd W(915) 595-9000Hospital Affiliations: TitusRegional Medical CenterClinic Affiliation:Radadvantage Texas PABoard Certifications:RadiologyAnnamalai, Palam MDGender: MaleNPI: 1972529584
4
U221 N Kansas StreetSuite 700(281) 888-8999
4
U10301 Gateway Blvd West(915) 595-9000Hospital Affiliations:Ballinger MemorialHospital; Del Sol CampLpdsh; Memorial HermannHospital; Midland MemorialHospital; UTMB HealthGalvestonClinic Affiliation: NirpSouth Central Texas PLLC;Radadvantage Texas PABoard Certifications:NoneAppleton, Nicolas C MDGender: MaleNPI: 1992078695
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
Aquino, Suzanne L MDGender: FemaleNPI: 1154311694
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneArmstrong, Linda K DOGender: FemaleNPI: 1285841916
4
U1801 N Oregon St(915) 521-1200
42001 N Oregon St(713) 461-3573
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations:Christus Hospital StElizabeth; Las PalmasCamp Lpdsh; Rio GrandeRegional HospitalClinic Affiliation:Radadvantage AProfessional Corp;Singleton Associates PABoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
239
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.UThis Provider Has Extended Hours.
EL PASO (continued)
RADIOLOGY (continued)Awwad, Reem S MDGender: FemaleNPI: 1811158967
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneBagga, Harprabhjot MDGender: MaleNPI: 1700822913
42001 N Oregon St(713) 461-3573Hospital Affiliations:Hosps ProvidenceMemorial Campus; UTMBHealth GalvestonClinic Affiliation:Singleton Associates PABoard Certifications:NoneBailey, Lin H MDGender: FemaleNPI: 1083980163
42001 N Oregon St(915) 533-3798Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Providence ImagingConsultants PABoard Certifications:None
u Banerjee, Amitabha MDGender: MaleNPI: 1588653083
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10301 Gateway Blvd West(915) 595-9000
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: DelSol Camp Lpdsh; HoustonMethodist Baytown Hosp;Las Palmas Camp LpdshClinic Affiliation:Radadvantage AProfessional Corp;Radadvantage Texas PABoard Certifications:RadiologyBarchie, Matthew F MDGender: MaleNPI: 1952518235
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;Valley Regional MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneBermo, Mohammed S MDGender: MaleNPI: 1972902732
44815 Alberta Ave(915) 215-8408Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
Betterman, Mary J MDGender: FemaleNPI: 1710962386
4
U2001 N Oregon St(713) 461-3573Hospital Affiliations:North Central SurgicalCenter; Rio GrandeRegional HospitalClinic Affiliation:Singleton Associates PABoard Certifications:None
u Beville, Lee W MDGender: MaleNPI: 1497733703
42001 N Oregon St(713) 461-3573Hospital Affiliations:Christus Mother FrancesJacksonvi; Del Sol CampLpdsh; Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterClinic Affiliation:Singleton Associates PABoard Certifications:RadiologyBhatti, Zagum A MDGender: MaleNPI: 1053577890221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations: HcaHouston HealthcareConroe; HuntsvilleMemorial Hospital;Memorial HermannHospitalClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:NoneBhavsar, Anil S MDGender: MaleNPI: 1508012634
42001 N Oregon St(713) 461-3573Hospital Affiliations:Ascension Seton MedCenter Austin; NorthCentral Surgical CenterClinic Affiliation:Singleton Associates PABoard Certifications:None
Boiteau, Guillaume MDGender: MaleNPI: 1699090654
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(912) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh; RioGrande Regional Hospital;Valley Regional MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneBold, Jonathan W MDGender: MaleNPI: 1053390021
4
U1801 N Oregon St(915) 521-1200
41535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
410460 Vista Del Sol 201(915) 593-5108
41951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: ChiSt Lukes Hlth Baylor CollMed; Del Sol Camp Lpdsh;Las Palmas Camp Lpdsh;Woodland Heights MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
240
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.UThis Provider Has Extended Hours.
EL PASO (continued)
RADIOLOGY (continued)Boykin, Mark A MDGender: MaleNPI: 1912091109
4
U1801 N Oregon St(915) 521-1200
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations:Anson General Hospital;Clay County MemorialHospital; EastlandMemorial Hospital; FisherCounty Hospital District;Hamlin Memorial Hospital;Haskell Memorial Hospital;Hendrick Medical Center;North Runnels Hospital;Refugio County MemorialHospital; Wadley RegionalMedical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
u Bradford, Ric A DOGender: MaleNPI: 1396754719
42001 N Oregon St(713) 461-3573Hospital Affiliations:Hosps ProvidenceMemorial Campus; LaredoMedical Center; MemHermann The WoodlandsMed Ctr; Valley RegionalMedical CenterClinic Affiliation:Singleton Associates PABoard Certifications:Radiology
Breckwoldt, Reid D MDGender: MaleNPI: 1295737583
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(799) 258-7939
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh; TXHealth Huguley Hosp FtWorth S; Valley RegionalMedical Center; WadleyRegional Medical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneBrewer, Edward S MDGender: MaleNPI: 1831422377
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: HcaHouston Healthcre MedicalCtr; Las Palmas CampLpdshClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
Butler, Gordon M MDGender: MaleNPI: 1477752681
42001 N Oregon St(713) 461-3573Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Singleton Associates PABoard Certifications:NoneCaldemeyer, Karen S MDGender: FemaleNPI: 1679511356
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;Woodland Heights MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneCalleros Macias, Jesus EMDGender: MaleNPI: 1508821430
44815 Alameda Ave(915) 545-6845Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
Cammarata, Curtis A MDGender: MaleNPI: 1477521201
42001 N Oregon St(713) 461-3573Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Singleton Associates PABoard Certifications:NoneCampbell, John C MDGender: MaleNPI: 1689631285
4
U10301 Gateway Blvd WestRadiology(915) 595-9000Hospital Affiliations:Christus Good ShepherdMed Ctr; Del Sol CampLpdsh; Good ShepherdMedical Center; TitusRegional Medical CenterClinic Affiliation:Radadvantage Texas PABoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
241
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.UThis Provider Has Extended Hours.
EL PASO (continued)
RADIOLOGY (continued)Carswell, Aimee P MDGender: FemaleNPI: 1619156635
4
U1801 N Oregon St(915) 521-1200
44815 Alameda Ave(915) 215-6000
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: ChiSt Lukes Health Memorial;ETMC First PhysHenderson RHC; Hosps ofProvidence Transmountain;Las Palmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation:Radadvantage AProfessional Corp;Radadvantage Texas PA;TX Tech Univ Hlth Sci CtrEl PasoBoard Certifications:NoneChamarthy, Murthy R MDGender: MaleNPI: 1376854752
4
U10301 Gateway Blvd West(915) 595-9000Hospital Affiliations: DelSol Camp Lpdsh; DoctorsHospital at Renaissance;Legent Hospital For SpecialSx; Memorial HermannHospitalClinic Affiliation:Radadvantage Texas PABoard Certifications:None
Chang, John K MDGender: MaleNPI: 1720063852
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;Woodland Heights MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneChauvin, Dean P MDGender: MaleNPI: 1790707214221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations:Memorial HermannMemorial CityClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:Vascular & IntervenRadiologyChiao, David S MDGender: MaleNPI: 1336431352
42001 N Oregon St(713) 461-3573Hospital Affiliations:Liberty Dayton RegionalMedical; MemorialHermann Greater HeightsClinic Affiliation:Singleton Associates PABoard Certifications:None
u Choudhri, Ajay MDGender: MaleNPI: 1205871431221 N Kansas StreetSuite 700(281) 888-8999Clinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:RadiologyCotter, Timothy MDGender: MaleNPI: 1790769511
41416 George Dieter Dr(847) 929-5460Hospital Affiliations:Foundation Surgical HospEl PasoClinic Affiliation: TriadRadiology and ImagingLTDBoard Certifications:NoneCraig, Steven H MDGender: MaleNPI: 1417117268
42001 N Oregon St(713) 461-3573Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Singleton Associates PABoard Certifications:NoneCunningham, James CDOGender: MaleNPI: 1154522738
42001 N Oregon St(713) 461-3573Hospital Affiliations:North Central SurgicalCenter; Rio GrandeRegional HospitalClinic Affiliation:Singleton Associates PABoard Certifications:None
Dar, Nabeel S MDGender: MaleNPI: 1851424899
4
U10301 Gateway Blvd West(915) 595-9000Hospital Affiliations: DelSol Camp Lpdsh; DoctorsHospital at Renaissance;TX Health Huguley Hosp FtWorth S; University MedicalCenterClinic Affiliation:Radadvantage Texas PABoard Certifications:NoneDavis, Steven W MDGender: MaleNPI: 1124002217
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
u Davis, Thomas N MDGender: MaleNPI: 1659365765
4
U10301 Gateway Blvd W(915) 595-9000Hospital Affiliations:Baptist Health System; DelSol Camp Lpdsh; ScenicMountain Medical CenterClinic Affiliation:Radadvantage Texas PABoard Certifications:Radiology
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
242
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.UThis Provider Has Extended Hours.
EL PASO (continued)
RADIOLOGY (continued)Dharia, Chiraag MDGender: MaleNPI: 1083880306
41416 George Dieter Dr(847) 929-5460Hospital Affiliations:Foundation Surgical HospEl PasoClinic Affiliation: TriadRadiology and ImagingLTDBoard Certifications:None
u Dossett, Lucy M MDGender: FemaleNPI: 1730175126
42001 N Oregon St(713) 461-3573Hospital Affiliations: B S& W Orthopedic & SpineHos; Baylor UniversityMedical Center; Bs&wMedical Center LakePointe; Hosps ProvidenceMemorial Campus;Houston MethodistHospital; Medical CityDallas; Medical City Plano;Navarro Regional Hospital;Santa Rosa Medical CenterClinic Affiliation:Singleton Associates PABoard Certifications:Radiology
u Dykes, Thomas M MDGender: MaleNPI: 1851359822
4
U4815 Alameda Ave(915) 215-6000Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Radiology
Edwards, Oliver L MDGender: MaleNPI: 1871796508
44815 Alameda Ave(915) 215-6000Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneEsser, James M MDGender: MaleNPI: 1508956517
42001 N Oregon St(713) 461-3573Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Singleton Associates PABoard Certifications:NoneEstrada, Nelly M MDGender: FemaleNPI: 1932544863
42001 N Oregon St(713) 461-3573Hospital Affiliations: RioGrande Regional HospitalClinic Affiliation:Singleton Associates PABoard Certifications:NoneEzhapilli Chennan, SajeevR MDGender: MaleNPI: 1790051597
44815 Alameda Ave(915) 215-6000Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
Fisher, Ian MDGender: MaleNPI: 1902828197
41416 George Dieter Dr(847) 929-5460Hospital Affiliations:Foundation Surgical HospEl PasoClinic Affiliation: TriadRadiology and ImagingLTDBoard Certifications:NoneFlores, Rebecca A DOGender: FemaleNPI: 1215138227
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: B S& W Medical CenterUptown; Bs&w EmergencyHospital Keller; Las PalmasCamp Lpdsh; ValleyRegional Medical Center;Wadley Regional MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneFox, Stephen G MDGender: MaleNPI: 1023094737
410301 Gateway Blvd W(915) 595-9000Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp Lpdsh;Woodland Heights MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
Furlong, Joseph B MDGender: MaleNPI: 1801898622
♿U423 Executive Center Blvd(915) 261-7688♿U1111 Hawkins BlvdSte 2a(915) 771-8346♿2270 Joe Battle BlvdSte J(915) 996-9222Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps ProvidenceMemorial Campus;University Medical CenterClinic Affiliation: JosephB Furlong MD PABoard Certifications: DiagRadiologyLanguage: SpanishGeorgelas, Timothy J MDGender: MaleNPI: 1184688970
4
U4815 Alameda Ave(915) 215-6000Hospital Affiliations:Brownwood RegionalMedical Center; MethodistRichardson Medical Ctr;Palo Pinto GeneralHospital; TX Hlth HarrisMethodist Hosp FW; TXHlth Harris Methodist HospHEB; University MedicalCenter El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications: DiagRadiology
u Ghaleb, Melhem R MDGender: MaleNPI: 1043201627
♿1300 Murchison DrSte 110(915) 577-0121Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: El PasoVaricose Vein Laser LLCBoard Certifications:RadiologyLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
243
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
RADIOLOGY (continued)u Giyanani, Vishan L MDGender: MaleNPI: 1154313898
♿5005 N Piedras St(915) 742-2121Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical SanAntonio; Las Palmas CampLpdsh; University MedicalCenterBoard Certifications:RadiologyGomes, Andrew MDGender: MaleNPI: 1215068796221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations:Memorial Hermann SWHospital; Mhhs Sugar LandHospitalClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:None
u Greenberg, Harvey M MDGender: MaleNPI: 1841282423
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del SolSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations:Corpus Christi MedicalCenter; Las Palmas CampLpdshClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:Radiology
u Hanahan, Laura MDGender: FemaleNPI: 1578566972
42001 N Oregon St(713) 461-3573Hospital Affiliations:Medical City Dallas; RioGrande Regional HospitalClinic Affiliation:Singleton Associates PABoard Certifications:RadiologyHaug, James C DOGender: MaleNPI: 1275875973
42001 N Oregon St(713) 461-3573Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Singleton Associates PABoard Certifications:None
u Hawk, Kristina E MDGender: FemaleNPI: 1861784860
42001 N Oregon St(713) 461-3573Hospital Affiliations:North Central SurgicalCenter; Rio GrandeRegional HospitalClinic Affiliation:Singleton Associates PABoard Certifications:Radiology
Hellinger, Deborah R MDGender: FemaleNPI: 1710954516
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh; TXHealth Huguley Hosp FtWorth S; Valley RegionalMedical Center; WadleyRegional Medical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneHicks, Brandi N MDGender: FemaleNPI: 1942497797
41801 N Oregon St(915) 521-1200
41535 Resler Dr(915) 231-1600
410301 Gateway Blvd W(915) 595-9000
410460 Vista Del SolSte 201(915) 593-5108
41951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Las Palmas Camp LpdshClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
Higgins, Stanley M MDGender: MaleNPI: 1649271131
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: HcaHouston Healthcre MedicalCtr; Las Palmas CampLpdsh; Valley RegionalMedical Center; WadleyRegional Medical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneHindi, Ammar M MDGender: MaleNPI: 1437306032
4
U10301 Gateway Blvd West(915) 595-9000Hospital Affiliations: DelSol Camp LpdshClinic Affiliation:Radadvantage Texas PABoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
244
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
RADIOLOGY (continued)Hovsepian, Michael M MDGender: MaleNPI: 1154420107
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh; TitusRegional Medical Center;Valley Regional MedicalCenter; Wadley RegionalMedical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneHudkins, Matthew G MDGender: MaleNPI: 1356331136
44815 Alameda Ave(915) 215-6000Hospital Affiliations:Doctors Hospital ParkwayTidwell; Grace MedicalCenter; Horizon MedicalCenter; Las Palmas CampLpdsh; University MedicalCenter; University MedicalCenter El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
Hughes, Jason D MDGender: MaleNPI: 1376536524
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;Memorial Hermann GreaterHeightsClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
u Hussain, Faheem MDGender: MaleNPI: 1881608594
42001 N Oregon St(713) 461-3573Hospital Affiliations:North Central SurgicalCenter; Rio GrandeRegional HospitalClinic Affiliation:Singleton Associates PABoard Certifications:Radiology
u Iqbal, Maaz MDGender: MaleNPI: 1265795967221 N Kansas StreetSuite 700(281) 888-8999Clinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:Radiology
Irvine, Henry A MDGender: MaleNPI: 1780663609
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;University Medical Center;Wadley Regional MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
u Isuani, Hugo E MDGender: MaleNPI: 1740256635
♿42600 N Oregon StSte 200(915) 544-5550Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: IsuaniRadiology PABoard Certifications:RadiologyJabara, Benjamin J MDGender: MaleNPI: 1750538252
4
U10301 Gateway Blvd W(915) 595-9000Hospital Affiliations: DelSol Camp LpdshClinic Affiliation:Radadvantage Texas PABoard Certifications:None
u Jacobson, Brent R DOGender: MaleNPI: 1962623447
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: HcaHouston Healthcre MedicalCtr; Las Palmas CampLpdsh; Valley RegionalMedical Center; WadleyRegional Medical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:RadiologyJalalzai, Waheed MDGender: MaleNPI: 1669444246
410301 Gateway Blvd W(954) 838-2786Hospital Affiliations:Bs&w Medical Center LakePointe; Del Sol CampLpdsh; Las Palmas CampLpdshClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneKain, Conor M MDGender: MaleNPI: 1760625685
410301 Gateway Blvd West(915) 595-9000Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation:Radadvantage Texas PABoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
245
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
RADIOLOGY (continued)u Keegan, Catherine N MDGender: FemaleNPI: 1861656977
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: HcaHouston Healthcre MedicalCtr; Las Palmas CampLpdsh; Valley RegionalMedical Center; WadleyRegional Medical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications: DiagRadiology; RadiologyKeenan, Sean C MDGender: MaleNPI: 1932190436
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;Valley Regional MedicalCenter; Wadley RegionalMedical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
Kelminson, Stephen B MDGender: MaleNPI: 1538167804
42000 Trans Mountain Rd(915) 877-8623Hospital Affiliations: RioGrande Regional HospitalClinic Affiliation:Singleton Associates PABoard Certifications:NoneKerns, Scott R MDGender: MaleNPI: 1336137165
4
U10301 Gateway Blvd W(915) 595-9000Hospital Affiliations: DelSol Camp Lpdsh; DoctorsHospital of Laredo; LasPalmas Camp Lpdsh;Woodland Heights MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneKhan, Muhammad N MDGender: MaleNPI: 16593477487500 N Mesa StSte 210(915) 307-7800Hospital Affiliations: DelSol Camp LpdshClinic Affiliation: Arteriesand VeinsBoard Certifications: DiagRadiologyLanguage: Spanish
Kholeif, Clark T MDGender: MaleNPI: 1831484112
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp Lpdsh; RioGrande Regional HospitalClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneKim, Hong J MDGender: MaleNPI: 1356328256
4
U1416 George Dieter Dr(847) 929-5460Hospital Affiliations:Foundation Surgical HospEl PasoClinic Affiliation: TriadRadiology and ImagingLTDBoard Certifications:NoneKnecht, Lance H MDGender: MaleNPI: 1417937418
4
U10301 Gateway Blvd W(915) 595-9000Hospital Affiliations: DelSol Camp Lpdsh; DoctorsHospital of Laredo; LasPalmas Camp LpdshClinic Affiliation:Radadvantage Texas PABoard Certifications:None
Kunam, Vamsi K MDGender: MaleNPI: 1942516521
44815 Alameda Ave(915) 215-6000Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLabruzzo, Salvatore V DOGender: MaleNPI: 1659578896
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
46405 La Posta Dr(303) 933-8270
4
U10301 Gateway Blvd W(915) 595-9000
410301 Gateway Blvd West(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations:Anson General Hospital;Clay County MemorialHospital; EastlandMemorial Hospital; FisherCounty Hospital District;Hamlin Memorial Hospital;Haskell Memorial Hospital;Hendrick Medical Center;North Runnels Hospital;Refugio County MemorialHospital; Rolling PlainsMemorial HospitalClinic Affiliation:Nightrays PA;Radadvantage AProfessional Corp;Radadvantage Texas PABoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
246
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.UThis Provider Has Extended Hours.
EL PASO (continued)
RADIOLOGY (continued)u Lackamp, Robert J MDGender: MaleNPI: 1356347892
42001 N Oregon St(713) 461-3573Hospital Affiliations:Doctors Hospital atRenaissance; HospsProvidence MemorialCampus; Valley RegionalMedical CenterClinic Affiliation:Singleton Associates PABoard Certifications:RadiologyLam, Michael MDGender: MaleNPI: 11342653095508 Valley Oak Dr(915) 345-6221Clinic Affiliation:Advanced Ultrasound CareBoard Certifications:NoneLanguage: SpanishLee, Andrew Y MDGender: MaleNPI: 1942260948
42001 N Oregon St(713) 461-3573Hospital Affiliations:Hosps ProvidenceMemorial Campus;Parkland Health & HospitalSystem; UT SouthwesternUniversity HospClinic Affiliation:Singleton Associates PABoard Certifications:None
u Loizeaux Witte, John NMDGender: MaleNPI: 1992850556
42001 N Oregon St(915) 533-3798Hospital Affiliations:Foundation Surgical HospEl Paso; FoundationSurgical San Antonio;Hosps ProvidenceMemorial CampusClinic Affiliation:Providence ImagingConsultants PABoard Certifications:RadiologyLoree, Robert T MDGender: MaleNPI: 1720220783
42001 N Oregon Street(713) 461-3573Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Singleton Associates PABoard Certifications:NoneLowe, Richard E MDGender: MaleNPI: 1700999216
4
U4815 Alameda Ave(915) 215-6000Hospital Affiliations:Baylor University MedicalCenter; Christus SantaRosa New Braunfels;Hosps of ProvidenceTransmountain; MethodistHospital; Santa RosaMedical Center; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
Mansfield, William P MDGender: MaleNPI: 1467421917
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 593-5108Hospital Affiliations: LasPalmas Camp Lpdsh;Memorial HermannMemorial City; WadleyRegional Medical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneMarkham, Jeffrey C MDGender: MaleNPI: 1487858569
4
U4815 Alameda Ave(915) 215-6000Hospital Affiliations: ElPaso Specialty HospitalLTD; Grace MedicalCenter; Horizon MedicalCenter; University MedicalCenter; University MedicalCenter El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneMaster, Kiron S MDGender: MaleNPI: 1376535005
4
U2001 N Oregon St(713) 461-3573Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampusClinic Affiliation:Providence ImagingConsultants PA; SingletonAssociates PABoard Certifications:NoneLanguage: Italian; Spanish
McCarron, Audrey P MDGender: FemaleNPI: 1235442260
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations:Doctors Hospital of Laredo;Hca Houston HealthcareClear Lake; Las PalmasCamp Lpdsh; WoodlandHeights Medical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications: DiagRadiology
u Mitchell, Lex A MDGender: MaleNPI: 1780786392
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;Valley Regional MedicalCenter; Wadley RegionalMedical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:Radiology
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
247
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.UThis Provider Has Extended Hours.
EL PASO (continued)
RADIOLOGY (continued)Molchanova Cook, Olga PMDGender: FemaleNPI: 1962637702
42000 Trans Mountain Rd(915) 877-8623Hospital Affiliations: RioGrande Regional HospitalClinic Affiliation:Singleton Associates PABoard Certifications:NoneMore, Snehal R MDGender: FemaleNPI: 1700013893
4
U1801 N Oregon St(915) 521-1200
41535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
410460 Vista Del Sol DrSte201(915) 593-5108
41951 N Zaragoza Rd(915) 242-2911Hospital Affiliations:Bellville Medical Center;Concho County Hospital;Del Sol Camp Lpdsh; LasPalmas Camp Lpdsh;Woodland Heights MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications: DiagRadiology
Moss, Roy L MDGender: MaleNPI: 1912978172
4
U1801 N Oregon St(915) 521-1200
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: HcaHouston Healthcre MedicalCtr; Las Palmas CampLpdsh; Valley RegionalMedical Center; WadleyRegional Medical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneMyers, Timothy V MDGender: MaleNPI: 1548249246
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
u Naylor, Anthony D MDGender: MaleNPI: 1891751699
♿4
U
4815 Alameda Ave(915) 545-6845Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications: DiagRadiology; RadiologyLanguage: Spanish
u Neiman, Parviz MDGender: MaleNPI: 1205828928
42001 N Oregon St(713) 461-3573Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation:Providence ImagingConsultants PA; SingletonAssociates PABoard Certifications:Radiology
u Newman, Barbara A MDGender: FemaleNPI: 1003808908
42001 N Oregon St(713) 461-3573Hospital Affiliations: RioGrande Regional HospitalClinic Affiliation:Singleton Associates PABoard Certifications:RadiologyNguyen, Khanh D MDGender: MaleNPI: 1093770869
42001 N Oregon St(915) 833-6631
42001 N Oregon Street(713) 461-3573Hospital Affiliations:Ascension SetonSmithville; HospsProvidence MemorialCampus; St Davids MedicalCenterClinic Affiliation:Providence ImagingConsultants PA; SingletonAssociates PABoard Certifications:None
u Nicell, Donald T MDGender: MaleNPI: 1689679631
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Ed(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;Woodland Heights MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:RadiologyNwanze, ChukwusomnazuMDGender: MaleNPI: 1043506066
4
U10301 Gateway Blvd West(915) 595-9000Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation:Radadvantage Texas PABoard Certifications:NoneOtto, Tara MDGender: FemaleNPI: 1356509038
42001 N Oregon St(713) 461-3573Hospital Affiliations:Doctors Hospital of Laredo;Rio Grande RegionalHospitalClinic Affiliation:Singleton Associates PABoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
248
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
RADIOLOGY (continued)u Pallares, Juan C MDGender: MaleNPI: 1578544987
42001 N Oregon St(713) 461-3573Hospital Affiliations:Hosps ProvidenceMemorial Campus; MemHermann The WoodlandsMed Ctr; Valley RegionalMedical CenterClinic Affiliation:Singleton Associates PABoard Certifications:RadiologyPanapitiya, Narendra CMDGender: MaleNPI: 1720399785
42001 N Oregon St(713) 461-3573Hospital Affiliations:Driscoll Childrens Hospital;Hosps ProvidenceMemorial Campus;University Medical CenterClinic Affiliation:Singleton Associates PABoard Certifications:None
u Parisi, Sandro B MDGender: MaleNPI: 1750373288
♿4
U
2001 N Oregon St(915) 833-6631Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Providence ImagingConsultants PABoard Certifications:RadiologyLanguage: Italian; Spanish
u Patterson, David S MDGender: MaleNPI: 1144285313
42001 N Oregon St(713) 461-3573Hospital Affiliations:Hosps ProvidenceMemorial Campus; StDavids Medical CenterClinic Affiliation:Providence ImagingConsultants PA; SingletonAssociates PABoard Certifications:RadiologyPrasad, Shashank S MDGender: MaleNPI: 1992955587
42001 N Oregon St(713) 461-3573Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Singleton Associates PABoard Certifications:NonePuntenney, Elizabeth AMDGender: FemaleNPI: 1457589251
4
U4815 Alameda Ave(915) 215-5606Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
Rai, Surinder K DOGender: FemaleNPI: 1275950925
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneRangashamanna, Vital MDGender: MaleNPI: 1750805917
44815 Alameda Ave(915) 215-6000Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneTexas Tech UnivHealthscience CtrGender: MaleNPI: 1750805917
42000 Transmountain Rd(915) 215-6000Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
Rao, Sandeep MDGender: MaleNPI: 1992905095
4221 N Kansas StreetSuite 700(281) 888-8999518 W San Antonio AveSte 8(915) 308-3621
42001 N Oregon St(713) 461-3573Hospital Affiliations:Ascension Seton MedCenter Austin; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: NewMexico Center ForMinimally; Nirp SouthCentral Texas PLLC;Singleton Associates PABoard Certifications:Vascular & IntervenRadiologyLanguage: SpanishReiner, Bruce I MDGender: MaleNPI: 1447235783
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations:Doctors Hospital of Laredo;Las Palmas Camp LpdshClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
249
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
RADIOLOGY (continued)Rickman, Christopher EMDGender: MaleNPI: 1497759898
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations:Concho County Hospital;Doctors Hospital of Laredo;Las Palmas Camp LpdshClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneRobinette, Alison MDGender: FemaleNPI: 1649444761
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
u Ruhnke, Thomas J MDGender: MaleNPI: 1831199546
4
U4815 Alameda Ave(915) 215-5625Hospital Affiliations:Prestige Care Hlth Servs;TX Hlth Presbyterian HospDallas; TX HlthPresbyterian Hosp Plano;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Radiology
u Ruiz, Mario E MDGender: MaleNPI: 1174569842
4
U2001 N Oregon St(713) 461-3573Hospital Affiliations:Childrens Hospital SanAntonio; Rio GrandeRegional Hospital; SantaRosa Medical Center;South Texas HealthSystemClinic Affiliation:Singleton Associates PABoard Certifications:RadiologySaeed, Mohammad A MDGender: MaleNPI: 1831116383221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations: HcaHouston Healthcare West;Oakbend Medical CenterClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:NoneLanguage: Hindi; Spanish;UrduSaha, Arnold MDGender: MaleNPI: 1770726796
42001 N Oregon St(713) 461-3573Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Singleton Associates PABoard Certifications:None
Sepahdari, Amir K MDGender: FemaleNPI: 1013096866
4
U1416 George Dieter Dr(847) 929-5460Hospital Affiliations:Foundation Surgical HospEl PasoClinic Affiliation: TriadRadiology and ImagingLTDBoard Certifications:NoneShah, Rajvee M MDGender: FemaleNPI: 1336261403
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;Valley Regional MedicalCenter; Wadley RegionalMedical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneSharma, Amit K MDGender: MaleNPI: 1508153685
42001 N Oregon St(915) 533-3798Hospital Affiliations:Ascension Seton MedCenter Austin; HospsProvidence MemorialCampus; MetroplexHospitalClinic Affiliation:Providence ImagingConsultants PABoard Certifications:None
u Shestopalov, AlexanderMDGender: MaleNPI: 1053756098221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations:UTMB Health GalvestonClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:RadiologySilva, Katrina S DOGender: FemaleNPI: 1760658611
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneSilva, Naomi N MDGender: MaleNPI: 1205073459
4
U4845 Alameda Ave(575) 532-7000Hospital Affiliations: ElPaso Childrens HospitalClinic Affiliation: El PasoImaging Consultants PLLCBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
250
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.UThis Provider Has Extended Hours.
EL PASO (continued)
RADIOLOGY (continued)Song, Young S MDGender: MaleNPI: 1770569105
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;Valley Regional MedicalCenter; Wadley RegionalMedical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneSundarakumar, Dinesh KMDGender: MaleNPI: 1417235714
4221 N Kansas StreetSuite 700(281) 888-8999
44815 Alameda Ave(915) 215-4755Hospital Affiliations:Laredo Medical Center;University Medical CenterEl PasoClinic Affiliation: NirpSouth Central Texas PLLC;TX Tech Univ Hlth Sci CtrEl PasoBoard Certifications:None
Suwan, Tariq Z MDGender: MaleNPI: 1679718209221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations: HcaHouston Healthcare ClearLake; Hca HoustonHealthcare Conroe; HcaHouston HealthcareKingwood; Hca HoustonHealthcare Pearland; HcaHouston Healthcre MedicalCtr; Rio Grande RegionalHospital; Valley RegionalMedical CenterClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:NoneTakeuchi, Sean MDGender: MaleNPI: 1114956695
4
U10301 Gateway Blvd WRadiology(915) 595-9000Hospital Affiliations: DelSol Camp LpdshClinic Affiliation:Radadvantage Texas PABoard Certifications:NoneTedesco, Kurtis L MDGender: MaleNPI: 1396969945
4
U1801 N Oregon St(915) 521-1200
41535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
410460 Vista Del SolSte 201(915) 593-5108
41951 N Zaragoza Rd(915) 242-2911Hospital Affiliations:Concho County Hospital;Del Sol Camp Lpdsh; LasPalmas Camp Lpdsh;Woodland Heights MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
Terreri, Anthony A MDGender: MaleNPI: 1457332447
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;Valley Regional MedicalCenter; Wadley RegionalMedical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneThomas, Linda P MDGender: FemaleNPI: 1053386326
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations:Doctors Hospital of Laredo;Las Palmas Camp Lpdsh;University Health System;Woodland Heights MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications: DiagRadiology
u Thompson, Robert L MDGender: MaleNPI: 1164498226
410301 Gateway Blvd W(915) 521-1200Hospital Affiliations: LasPalmas Camp Lpdsh;Santa Rosa Medical CenterClinic Affiliation:Radadvantage Texas PABoard Certifications: DiagRadiology; Radiology
Todora, Michael A MDGender: MaleNPI: 1063465920
4
U10301 Gateway Blvd West(915) 595-9000Hospital Affiliations: DelSol Camp Lpdsh; TXHealth Arlington MemorialHosp; USMD Hospital atArlington LPClinic Affiliation:Radadvantage Texas PABoard Certifications:NoneTownsend, Dwight A MDGender: MaleNPI: 1811981590
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista De SolSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp Lpdsh;Memorial HermannMemorial City; ValleyRegional Medical Center;Wadley Regional MedicalCenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneTullius, Thomas G MDGender: MaleNPI: 1467794818
4
U4815 Alameda Ave(915) 544-1200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
251
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.UThis Provider Has Extended Hours.
EL PASO (continued)
RADIOLOGY (continued)Ungar, Joseph MDGender: MaleNPI: 1669645065423 Executive Center(915) 261-76881111 Hawkins BlvdSte 2a(915) 771-83462270 Joe BattleSte J(915) 996-9222Hospital Affiliations: ChiSt Lukes Health Memorial;Del Sol Camp Lpdsh; ElPaso Specialty HospitalLTD; Las Palmas CampLpdshClinic Affiliation: JosephB Furlong MD PABoard Certifications:None
u Vaughn, David D MDGender: MaleNPI: 1386664373
42001 N Oregon St(713) 461-3573
45400 Suncrest DrSte B3(317) 614-9864Hospital Affiliations:Hosps ProvidenceMemorial Campus; SantaRosa Medical CenterClinic Affiliation:Providence ImagingConsultants PA; SingletonAssociates PABoard Certifications:Radiology
u Wang, Benjamin Y MDGender: MaleNPI: 1932191590
42001 N Oregon St(713) 461-3573Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Providence ImagingConsultants PA; SingletonAssociates PABoard Certifications:Radiology
u Ward, David L MDGender: MaleNPI: 1780745216
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations:Laredo Medical Center;Las Palmas Camp Lpdsh;University Medical Center;University Medical CenterEl PasoClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:RadiologyWard, Matthew J MDGender: MaleNPI: 1740289644
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:None
Warpinski, Amy L DOGender: FemaleNPI: 1801918396
42001 N Oregon St(713) 461-3573Hospital Affiliations:Hosps of ProvidenceTransmountain; NorthCentral Surgical CenterClinic Affiliation:Singleton Associates PABoard Certifications:NoneWelte, Frank J MDGender: MaleNPI: 1568676948
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del SolSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp Lpdsh;Memorial Hermann GreaterHeights; Woodland HeightsMedical CenterClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneWendt, Frederick C MDGender: MaleNPI: 1972548139
42001 N Oregon St(713) 461-3573Hospital Affiliations:Baptist Health System;Hosps ProvidenceMemorial Campus; LaredoMedical Center; LasPalmas Camp Lpdsh;Valley Regional MedicalCenterClinic Affiliation:Singleton Associates PABoard Certifications:None
Wickley, Aaron B MDGender: MaleNPI: 1568625275
42001 N Oregon St(713) 461-3573Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation:Singleton Associates PABoard Certifications:None
u Wilcox, John R MDGender: MaleNPI: 1114920444
4
U10301 Gateway Blvd West(915) 595-9000Hospital Affiliations:Brownwood RegionalMedical Center; Del SolCamp Lpdsh; DoctorsHospital of Laredo; EastTexas Medical Center;North Central SurgicalCenter; UT Health ScienceCenter at TylerClinic Affiliation:Radadvantage Texas PABoard Certifications:Radiology
u Williams, Gethin MDGender: MaleNPI: 1235202482
4
U4815 Alameda Ave(915) 544-12004532 N Mesa St Ste B2(915) 303-8977Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: Imagingand Interventional Specia;University Med Ctr of ElPasoBoard Certifications:Radiology
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
252
4 This Provider May Not Be Accepting New Patients. u Board Certified in Listed Specialty.UThis Provider Has Extended Hours.
EL PASO (continued)
RADIOLOGY (continued)Wright, William H MDGender: MaleNPI: 1194702266
4
U1801 N Oregon St(915) 521-1200
4
U1535 N Resler Dr(915) 231-1600
4
U10301 Gateway Blvd W(915) 595-9000
4
U10460 Vista Del Sol DrSte 201(915) 593-5108
4
U1951 N Zaragoza Rd(915) 242-2911Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation:Radadvantage AProfessional CorpBoard Certifications:NoneZafar, Abdul M MDGender: MaleNPI: 1164715520
4
U4815 Alameda Ave(915) 215-5666Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneZaidi, Syed MDGender: MaleNPI: 1568678225
42001 N Oregon St(713) 461-3573Hospital Affiliations:Memorial Hermann SWHospitalClinic Affiliation:Singleton Associates PABoard Certifications:None
Zarghouni, Mehrzad MDGender: MaleNPI: 1780900993221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations: ChiSt Lukes Health Memorial;Memorial HermannHospital; North CentralSurgical CenterClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:NoneLanguage: FarsiZvavanjanja, Rodrick CMDGender: MaleNPI: 1801151659221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations:Lyndon B Johnson GeneralHospital; Med Ctr of SE TXVictory Campus; MemorialHermann HospitalClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:None
REPRODUCTIVEENDOCRINOLOGY &INFERTILITYCaperton, Charles L MDGender: MaleNPI: 16099849057430 Remcon Cir Bldg BSte 120(915) 600-2220Hospital Affiliations:Hospitals Providence EastCampus; University HealthSystemClinic Affiliation:Caperton Fertility InstitutePLLCBoard Certifications:None
u Noble, Luis S MDGender: MaleNPI: 1649367285
♿700 S Mesa Hills Dr(915) 842-9998Hospital Affiliations: ElPaso Day Surgery LLC;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation:Southwest Center ForReproductive Health, PABoard Certifications:ReproductiveEndocrinology & InfertilityLanguage: Spanish
RHEUMATOLOGYAwobokun, Oluyemisi OMDGender: FemaleNPI: 1851348973
410301 Gateway Blvd W(713) 960-8008Hospital Affiliations:Bs&w Medical CenterHillcrest; Christus SpohnHos Cctx Shoreline; HcaHouston HealthcareConroe; Houston MethodistHospital; Mem HermannSurg Ctr Woodlands; MemHermann The WoodlandsMed Ctr; Rio GrandeRegional Hospital; SantaRosa Medical Center; StJoseph Medical CenterClinic Affiliation: IPCHealthcare Services ofTexasBoard Certifications:Internal MedicineLanguage: Yoruba
u Chabra, Sanjay DOGender: MaleNPI: 1316916125125 W HagueSte 180(915) 317-1660125 W Hague Rd(915) 317-16602270 Joe Battle BlvdSte P(915) 317-1660Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation:American Arthritis andRheumatolo; TexasArthritis Center PABoard Certifications:Rheumatology
u Cruz Perez, Franchesca DMDGender: FemaleNPI: 1104258391
♿4532 N Mesa Ste 2a(915) 544-0326Clinic Affiliation: El PasoIntegrated PhysicianBoard Certifications:RheumatologyLanguage: Spanish
u Marwah, Rajendra K MDGender: MaleNPI: 1497942734
♿U1700 Curie DrSte 5500(915) 545-1158Hospital Affiliations:Hosps of Providence SierraCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoBoard Certifications:RheumatologyLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
253
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
RHEUMATOLOGY(continued)
u McDanald, Eugene C MDGender: MaleNPI: 1528052859
♿4532 N Mesa StFloor 2(915) 544-0326Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoIntegrated PhysicianBoard Certifications:Internal Medicine;RheumatologyLanguage: Spanish
u Pema, Kanchan M MDGender: FemaleNPI: 1851328850
♿4801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Internal Medicine;RheumatologyLanguage: Spanish
u Sairam, Shrilekha MDGender: FemaleNPI: 16194633614801 Alberta Ave(915) 215-5200Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Rheumatology
Salayandia, Luis C MDGender: MaleNPI: 12253202784532 N MesaSte 2a(915) 544-03261400 George DieterSte 240(915) 544-0326Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: El PasoIntegrated PhysicianBoard Certifications:Internal MedicineLanguage: Spanish
u Smith, Karen D MDGender: FemaleNPI: 1154317378
♿3270 Joe Battle BlvdSte 185(915) 313-7373Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra CampusClinic Affiliation: EastsideRheumatology PLLCBoard Certifications:RheumatologyLanguage: Spanish
SLEEP MEDICINEu Alvarez, Sergio R MDGender: MaleNPI: 1700843034
♿2311 N Mesa St Ste E(915) 533-8499♿1440 George Dieter Dr(915) 533-8499Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: CardioPulmonary AssociatesBoard Certifications:Cardiovascular Disease;Sleep MedicineLanguage: Spanish
Bailey, Omavi MDGender: MaleNPI: 19820102034305 N Mesa StSte B(915) 779-73787430 N Mesa St(915) 779-73782000 Lomaland Dr(915) 779-7378Clinic Affiliation: El PasoSleep Disorders CentersBoard Certifications:Family PracticeBelgrave, Genevieve MMDGender: FemaleNPI: 1649200668
♿550 S Mesa Hills DrSte Ay(915) 590-7378♿1316 N Yarbrough DrSte 1b(915) 590-7378Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; KindredHospital El Paso; LasPalmas Camp LpdshClinic Affiliation:Genevieve M Belgrave MDPABoard Certifications:NoneLanguage: Spanish
u Cortes, Erasto MDGender: MaleNPI: 1154321263
U1700 N Mesa(915) 533-25009999 Kenworthy StSte C(915) 533-2500Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoRespiratory Sleep Cons InBoard Certifications:Pulmonary Disease; SleepMedicineLanguage: Spanish
u Diaz, Gonzalo A MDGender: MaleNPI: 1134129240
♿3030 Joe Battle Blvd(915) 242-1634Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: El PasoSleep Disorders CentersBoard Certifications:Sleep MedicineLanguage: Spanish
u Herekar, Aamr A MDGender: FemaleNPI: 13767413307100 Westwind DrSte 300(915) 974-2200Hospital Affiliations:Medical City Fort Worth; StLukes Baptist HospitalClinic Affiliation: HerekarLLCBoard Certifications:Neurology; Sleep MedicineLeyva, Edward S MDGender: MaleNPI: 19223317762022 Murchison DrSte 103(915) 760-5870Hospital Affiliations: DelSol Camp Lpdsh; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: SleepStudies InternationalBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
254
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
SLEEP MEDICINE(continued)Moreno, Robert A MDGender: MaleNPI: 11745188232022 Murchison DrSte 103(915) 760-5870Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; Las PalmasRehabilitation HospitalClinic Affiliation: SleepStudies InternationalBoard Certifications:NoneLanguage: SpanishTan, Jeanette S MDGender: FemaleNPI: 1518938810
♿7812 Gateway Blvd ESte 220(915) 598-6628Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: JeanetteTan MD PABoard Certifications:NoneLanguage: Chinese;Mandarin; Spanish;Tagalog
SPEECH PATHOLOGYAcosta, Alma R SLPGender: FemaleNPI: 17700953091514 N Zaragoza RdSte B4(915) 257-5782Clinic Affiliation: EarlyBird Pediatric Therapy ClinBoard Certifications:None
Acquaviva, Annalisa GSLPGender: FemaleNPI: 1619422318
U6800 Gateway Blvd EBldg 4ab(915) 779-7827Clinic Affiliation:Healthstar Pediatric RehabBoard Certifications:NoneLanguage: SpanishAdame, Christine R SLPGender: FemaleNPI: 1578947958
U1512 N ZaragozaSte C1(915) 855-06013551 Rich Beem BlvdSte B(915) 303-5177Clinic Affiliation: NewBeginnings PediatricSpeech TBoard Certifications:NoneAdame, Hector M SLPGender: MaleNPI: 1639496326
U4700 N MesaSte F-4(915) 704-1094Clinic Affiliation: Autism &Behavioral Pediatric CliBoard Certifications:NoneLanguage: SpanishAguilar, Sylvia S SLPGender: FemaleNPI: 1184981672
U5310 El Paso Dr(915) 771-8523
U1512 N ZaragozaSte C1(915) 855-06013551 Rich BeemSte B(915) 303-5517Clinic Affiliation: NewBeginnings PediatricSpeech T; Omega RehabServicesBoard Certifications:None
Alba, Audrey R SLPGender: FemaleNPI: 1306101258
♿U1527 Brown St Ste A1(915) 600-2069Clinic Affiliation: El PasoSpeech Language SvExcellBoard Certifications:NoneLanguage: SpanishAlexander, Victoria SLPGender: FemaleNPI: 1528434578
♿1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLanguage: SpanishAllard, Monica SLPGender: FemaleNPI: 11749507866611 Boeing Dr(915) 780-6564Clinic Affiliation: A StepForwardBoard Certifications:NoneAlmodovar, Alexi L SLPGender: FemaleNPI: 10931930546800 Gateway Blvd EBldg 4 Ab(915) 779-7827Clinic Affiliation:Healthstar Pediatric RehabBoard Certifications:NoneAlvarado, Julia E SLPGender: FemaleNPI: 12353370986611 Boeing Dr(915) 780-6576Clinic Affiliation: A StepForwardBoard Certifications:NoneAmaya, Cecilia A SLPGender: FemaleNPI: 14870660564800 Alberta Ave(915) 215-5900Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
Anderson, Bertha U SLPGender: FemaleNPI: 1659651495
U1512 N ZaragozaSte C1(915) 855-06013551 Rich Bem BlvdSte B(915) 303-5177Clinic Affiliation: NewBeginnings PediatricSpeech TBoard Certifications:NoneAragon, Priscilla SLPGender: FemaleNPI: 1518292689
♿1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLanguage: American Sign;SpanishArellano, Sylvia M SLPGender: FemaleNPI: 13961828956611 Boeing Dr(915) 780-6576Clinic Affiliation: A StepForwardBoard Certifications:NoneLanguage: SpanishBauer, Bonnie C SLPGender: FemaleNPI: 1316314750
U105 S Festival Dr(915) 842-1788
U109 S Festival Dr(915) 842-17881368 N ZaragosaSte C Bldg B(915) 842-1788Clinic Affiliation: RioGrande Therapy GroupBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
255
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
EL PASO (continued)
SPEECH PATHOLOGY(continued)Berry, Tiffany N SLPGender: FemaleNPI: 1144602756
U1368 N ZaragozaBldg B Ste C(915) 842-1788Clinic Affiliation: RioGrande Therapy GroupBoard Certifications:NoneLanguage: SpanishBurgess, Laura F SPGender: FemaleNPI: 1205919297
♿6611 Boeing Dr(915) 780-6564Clinic Affiliation: A StepForwardBoard Certifications:NoneLanguage: American Sign;SpanishCarlson, Staci L SLPGender: FemaleNPI: 1679607667
U6800 Gateway Blvd EBldg 4 Ab(915) 779-7827Clinic Affiliation:Healthstar Pediatric RehabBoard Certifications:NoneLanguage: SpanishCeglio, Mary S SLPGender: FemaleNPI: 1952776577
♿1101 E Schuster Ave(915) 544-84841600 Medical Center DrSuite 101(915) 544-1350Clinic Affiliation: Paso DelNorte Childrens Dev Ctr;Southwest Ear Nose &Throat Consult PABoard Certifications:NoneLanguage: American Sign;Spanish
Celis, Vanessa S SLPGender: FemaleNPI: 1053592998
U2150 Trawood DrSte A270(915) 595-5959Clinic Affiliation: RenovoSpeech and LanguageServicBoard Certifications:NoneLanguage: SpanishChapman, Cathlene L SLPGender: FemaleNPI: 1821388018
U1512 N ZaragozaSte C1(915) 855-06013551 Rich BeemSte B(915) 303-5177Clinic Affiliation: NewBeginnings PediatricSpeech TBoard Certifications:NoneChavarria, Veronica J SLPGender: FemaleNPI: 1619098241
U6601 Montana AveSte G and H(817) 433-07709440 ViscountSte 104(469) 364-8596Clinic Affiliation: EpicPediatric Therapy LPBoard Certifications:NoneChavez, Margie P SLPGender: FemaleNPI: 194233631810950 Pellicano(915) 355-6824Board Certifications:NoneChavez, Veronica SLPGender: FemaleNPI: 12455507896611 Boeing Dr(915) 780-6576Clinic Affiliation: A StepForwardBoard Certifications:None
Compean, Brenda SLPGender: MaleNPI: 14678232111101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneContreras Tullius, MonicaSLPGender: FemaleNPI: 1760649537
U2150 Trawood DrSte A 100(915) 333-0200♿U1512 N ZaragozaSte C1(915) 855-0601♿3551 Rich Beem BlvdSte B(915) 303-5177Clinic Affiliation: LoveOccupational TherapyService; New BeginningsPediatric Speech TBoard Certifications:NoneCormack Aboud, Ailbhe TSLPGender: FemaleNPI: 1750676094
♿U1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLanguage: American Sign;SpanishCrow, Suzanne M SLPGender: FemaleNPI: 1326405176
U109 S Festival Dr(915) 842-1788Clinic Affiliation: RioGrande Therapy GroupBoard Certifications:NoneDavila, Selene L SLPGender: FemaleNPI: 14770009176611 Boeing Dr(915) 780-6576Clinic Affiliation: A StepForwardBoard Certifications:None
De La Fuente, Karin HSLPGender: FemaleNPI: 1205037744
♿U1527 Brown StBldg A 1(915) 600-2069Clinic Affiliation: El PasoSpeech Language SvExcellBoard Certifications:NoneLanguage: German;SpanishDiaz Reyes, Stephanie ESLPGender: FemaleNPI: 1457692253105 S Festival Dr(915) 842-1788109 S Festival Dr(915) 842-17881368 N ZaragosaSte C Bldg B(915) 842-1788Clinic Affiliation: RioGrande Therapy GroupBoard Certifications:NoneLanguage: Spanish
u Diaz-Chavez, Susana SLPGender: FemaleNPI: 1013279561
♿1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:Speech PathologyDuarte, Sandra SLPGender: FemaleNPI: 14777800706611 Boeing Dr(915) 780-6564Clinic Affiliation: A StepForwardBoard Certifications:NoneLanguage: American Sign;Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
256
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
SPEECH PATHOLOGY(continued)Esparza Granillo, CarolineSLPGender: FemaleNPI: 1467934885
U11351 James Watt DrSte A(915) 849-6602
U1445 Bessemer Dr Ste C(915) 633-1975Clinic Affiliation: Play andGrow Therapy; TherapyConsultantsBoard Certifications:NoneLanguage: SpanishFlavian, Melissa Y SLPGender: FemaleNPI: 1598971103
♿U105 S Festival Dr(915) 842-1788♿U109 S Festival Dr(915) 842-1788♿1368 N ZaragosaSte C Bldg B(915) 842-1788Clinic Affiliation: RioGrande Therapy GroupBoard Certifications:NoneLanguage: SpanishFuentes, Isabella M SLPGender: FemaleNPI: 1942850797
U109 S Festival Dr(915) 842-1788Clinic Affiliation: RioGrande Therapy GroupBoard Certifications:NoneGarcia, Angelina M SLPGender: FemaleNPI: 1790193753
U6800 Gateway Blvd EBldg 4ab(915) 779-7827Clinic Affiliation:Healthstar Pediatric RehabBoard Certifications:None
Garcia, Anna L SLPGender: FemaleNPI: 1922414853105 S Festival Dr(915) 842-1788109 S Festival Dr(915) 842-17881368 N ZaragosaSte C Bldg B(915) 842-1788Clinic Affiliation: RioGrande Therapy GroupBoard Certifications:NoneLanguage: SpanishGarcia, Patricia A SLPGender: FemaleNPI: 10737414926611 Boeing Dr(915) 780-6576Clinic Affiliation: A StepForwardBoard Certifications:NoneLanguage: SpanishGodson, Bridget SLPGender: FemaleNPI: 1922406586
♿1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLanguage: SpanishGomez, Teresa C SLPGender: FemaleNPI: 10534940701101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLanguage: Spanish
Gonzalez, Erika SLPGender: FemaleNPI: 11749359853800 N Mesa StSte C7(915) 533-77871514 N Zaragoza RdSte B4(915) 257-57822114 N Zaragoza RdSte C1(915) 257-5782Clinic Affiliation: EarlyBird Pediatric Therapy Clin;El Paso Pediatric TherapyServiceBoard Certifications:NoneGuillen Herrera, RosaliaSLPGender: FemaleNPI: 15787240436611 Boeing Dr(915) 780-6542Clinic Affiliation: A StepForwardBoard Certifications:NoneLanguage: SpanishHart, Jehna A SLPGender: FemaleNPI: 16091205181101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneHazelton, Laura SLPGender: FemaleNPI: 1841310034
♿U1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLanguage: American Sign;Spanish
Hernandez, Alejandra LSLPGender: FemaleNPI: 1316174451
♿U105 S Festival Dr(915) 842-1788♿U109 S Festival Dr(915) 842-1788♿U1368 N ZaragosaSte C Bldg B(915) 842-1788Clinic Affiliation: RioGrande Therapy GroupBoard Certifications:NoneLanguage: SpanishHernandez, Yolanda R SPGender: FemaleNPI: 1861713158
♿U831 Pendale Rd(915) 598-6816Clinic Affiliation: SpeechCommunication TherapiesInBoard Certifications:NoneLanguage: SpanishKahn, Elisa SPGender: FemaleNPI: 1437279783
♿1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLanguage: American Sign;SpanishKoch, Thadine C SLPGender: FemaleNPI: 1932580396
♿1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLanguage: American Sign;Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
257
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
EL PASO (continued)
SPEECH PATHOLOGY(continued)
u La Puma, MarcantonioSLPGender: MaleNPI: 1770026536
U4601 Hondo PassSte A(915) 201-2505
U1920 N Zaragoza Rd(915) 201-2505Clinic Affiliation: ValeoRehab PLLCBoard Certifications:Speech PathologyLanguage: SpanishLambeth, Kelly M SLPGender: FemaleNPI: 1114492675
U1512 N ZaragozaSte C1(915) 855-0601Clinic Affiliation: NewBeginnings PediatricSpeech TBoard Certifications:NoneLara, Crystal SLPGender: FemaleNPI: 1942719208
U1101 E Schuster Ave(915) 544-8484
U1514 N Zaragoza RdSte B4(915) 257-57822114 N Zaragoza Ste C1(915) 257-5782Clinic Affiliation: EarlyBird Pediatric Therapy Clin;Paso Del Norte ChildrensDev CtrBoard Certifications:NoneLanguage: SpanishLazcano, Amanda M SPGender: FemaleNPI: 18211738166611 Boeing Dr(915) 780-6576Clinic Affiliation: A StepForwardBoard Certifications:None
Levine, Ali W SLPGender: FemaleNPI: 1356735492
♿1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLicon, Marco A SLPGender: MaleNPI: 1598088213
♿5310 El Paso Dr(915) 771-8523Clinic Affiliation: OmegaRehab ServicesBoard Certifications:NoneLanguage: SpanishLopez, Jennifer D SPGender: FemaleNPI: 14373316756800 Gateway Blvd EBldg 4ab(915) 779-7827Clinic Affiliation:Healthstar Pediatric RehabBoard Certifications:NoneLanguage: SpanishLopez, Michelle A SLPGender: FemaleNPI: 1962870378
♿1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLopez, Sandra L SLPGender: FemaleNPI: 10333085726611 Boeing Dr(915) 780-6576Clinic Affiliation: A StepForwardBoard Certifications:None
Lopez, Stephany SLPGender: FemaleNPI: 1184135014
U1527 Brown St Ste A(915) 600-2069Clinic Affiliation: El PasoSpeech Language SvExcellBoard Certifications:NoneLanguage: SpanishLoya, Linda M SLPGender: FemaleNPI: 17609970016611 Boeng Dr(915) 780-6542Clinic Affiliation: A StepForwardBoard Certifications:NoneLanguage: SpanishLuevano, Arlene SLPGender: FemaleNPI: 11344285846800 Gateway Blvd EBldg 4ab(915) 779-7827Clinic Affiliation:Healthstar Pediatric RehabBoard Certifications:NoneLujan Hernandez, NancySLPGender: FemaleNPI: 19427434146611 Boeing Dr(915) 780-6576Clinic Affiliation: A StepForwardBoard Certifications:NoneLanguage: SpanishMacias Defran, Gloria PSPGender: FemaleNPI: 12150575671101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLanguage: American Sign;Spanish
Majewski, Karen R SLPGender: FemaleNPI: 1275760845
♿1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLanguage: American Sign;SpanishMarquis Colvard, ClarissaA SLPGender: FemaleNPI: 1558365338
♿U1900 N Oregon StSte 100(915) 533-1388Board Certifications:NoneLanguage: German; SignLanguage; SpanishMartinez, Ana L SLPGender: FemaleNPI: 1558655092
U7144 Alameda Ave(915) 990-8683Clinic Affiliation: AbrazosPediatric Therapy PLLCBoard Certifications:NoneMartinez, Armida SLPGender: FemaleNPI: 1982940656
♿U5310 El Paso Dr(915) 771-8523Clinic Affiliation: OmegaRehab ServicesBoard Certifications:NoneLanguage: American Sign;Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
258
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
SPEECH PATHOLOGY(continued)Maynard, Margaret E SPGender: FemaleNPI: 1770501504
U406 Chelsea St(915) 307-7612♿5310 El Paso Dr(915) 771-8523
U9244 Gateway Blvd E Ste A(915) 213-54909244 Gateway East Blvd(915) 213-5490Clinic Affiliation: OmegaRehab Services; PasitosClinic LLC;Transformations RehabServicesBoard Certifications:NoneLanguage: American Sign;SpanishMelendez, Veronica M SPGender: FemaleNPI: 1710497789
U1445 Bessemer Dr Ste C(915) 633-1975Clinic Affiliation: Play andGrow TherapyBoard Certifications:NoneMendez, Veronica M SLPGender: FemaleNPI: 19922255101514 N Zaragoza RdSte B4(915) 257-57822114 N Zaragoza C1(915) 257-5782Clinic Affiliation: EarlyBird Pediatric Therapy ClinBoard Certifications:NoneLanguage: Spanish
Monroy, Kristy R SLPGender: FemaleNPI: 1942483821
U6800 E Gateway BlvdBldg 4ab(915) 779-7827Clinic Affiliation:Healthstar Pediatric RehabBoard Certifications:NoneLanguage: SpanishMoreno, Stella C SPGender: FemaleNPI: 1942388095
♿6611 Boeing Dr(915) 780-6573Clinic Affiliation: A StepForwardBoard Certifications:NoneLanguage: American Sign;SpanishNavarrete, Sergio R SLPGender: MaleNPI: 1306953070
U615 E Schuster AveSte 8(915) 532-3251♿11500 PellicanoSte C5(915) 629-766311500 Pellicano DrSte C5(915) 532-3251
U1445 Bessemer Dr Ste E(915) 533-1799♿U1445 Bessemer Ste E(915) 629-7663Clinic Affiliation: SrnSpeech Therapy PC; TheCenter For TherapeuticServicBoard Certifications:NoneLanguage: SpanishNavarro, Veronica SLPGender: FemaleNPI: 16596878536611 Boeing Dr(915) 780-6564Clinic Affiliation: A StepForwardBoard Certifications:NoneLanguage: Spanish
Navedo Sanchez, ViankaSLPGender: FemaleNPI: 1205999216
♿U4601 Hondo PassSte A(915) 201-2505♿U1920 N Zaragoza Rd(915) 201-2505Clinic Affiliation: ValeoRehab PLLCBoard Certifications:NoneLanguage: SpanishNavedo, Clarissa M SLPGender: FemaleNPI: 1306293535
U4601 Hondo PassSte A(915) 201-2505
U1514 N Zaragoza RdSte B4(915) 257-5782
U1920 N Zaragoza Rd(915) 201-25052114 N Zaragoza C1(915) 257-5782Clinic Affiliation: EarlyBird Pediatric Therapy Clin;Valeo Rehab PLLCBoard Certifications:NoneLanguage: SpanishNeria, Alfonso W SPGender: MaleNPI: 1851474928
♿U105 S Festival Dr(915) 842-1788♿U109 S Festival Dr(915) 842-1788♿1368 N ZaragosaSte C Bldg B(915) 842-1788Clinic Affiliation: RioGrande Therapy GroupBoard Certifications:NoneLanguage: Spanish
u Nielsen, Dana M SLPGender: FemaleNPI: 1407318306
U1510 N ZaragozaSte A 12(915) 921-6881Clinic Affiliation: Ot ForTotsBoard Certifications:Speech PathologyNoel, Kriste A SLPGender: FemaleNPI: 15080007612416 Montana Ave(915) 703-6380Clinic Affiliation: YagelTherapy Services PLLCBoard Certifications:None
u Ortiz, Michelle C SLPGender: FemaleNPI: 1144488289
U7144 Alameda Ave(915) 990-8683Clinic Affiliation: AbrazosPediatric Therapy PLLCBoard Certifications:Speech PathologyOsuna, Veronica SLPGender: FemaleNPI: 1417188616
U11351 James Watt DrSte A(915) 849-6602Clinic Affiliation: TherapyConsultantsBoard Certifications:None
u Ponce Lawler, Monica YSLPGender: FemaleNPI: 1841701935
♿U1527 Brown St Ste A(915) 600-2069Clinic Affiliation: El PasoSpeech Language SvExcellBoard Certifications:Speech PathologyLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
259
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
SPEECH PATHOLOGY(continued)Portillo, Patricia J SLPGender: FemaleNPI: 1053683029
U1445 Bessemer DrSte C(915) 633-1975Clinic Affiliation: Play andGrow TherapyBoard Certifications:NoneRamirez, Loretta P SLPGender: FemaleNPI: 1821231465
♿U105 S Festival Dr(915) 842-1788♿U109 S Festival(915) 842-1788♿1368 N ZaragosaSte C Bldg B(915) 842-1788Clinic Affiliation: RioGrande Therapy GroupBoard Certifications:NoneLanguage: SpanishRich, Natalya D SLPGender: FemaleNPI: 10033430051101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneRincon, Cristina G SLPGender: FemaleNPI: 13665780151101 E Schuster Ave(915) 544-84846611 Boeing Dr(915) 780-6576Clinic Affiliation: A StepForward; Paso Del NorteChildrens Dev CtrBoard Certifications:NoneLanguage: American Sign;Spanish
Rivera, Audrey F SLPGender: FemaleNPI: 1578697561
♿U6800 Gateway Blvd EBldg 4ab(915) 779-7827Clinic Affiliation:Healthstar Pediatric RehabBoard Certifications:NoneLanguage: SpanishRodriguez, Gabriela I SLPGender: FemaleNPI: 1285149146
U109 S Festival Dr(915) 842-1788Clinic Affiliation: RioGrande Therapy GroupBoard Certifications:NoneLanguage: SpanishRodriguez, Grisel J SLPGender: FemaleNPI: 1407228000
♿1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneRodriguez, Jose A SLPGender: MaleNPI: 1356470165
♿U5310 El Paso Dr(915) 771-8523Clinic Affiliation: OmegaRehab ServicesBoard Certifications:NoneLanguage: SpanishRodriguez, Rosa I SLPGender: FemaleNPI: 1073677449
U11351 James Watt DrSte A(915) 849-6602Clinic Affiliation: TherapyConsultantsBoard Certifications:NoneLanguage: Spanish
Romero, Yvonne L SLPGender: FemaleNPI: 1316061633
♿6611 Boeing Dr(915) 780-6576Clinic Affiliation: A StepForwardBoard Certifications:NoneLanguage: American Sign;SpanishRosales, Kendra SLPGender: FemaleNPI: 1306498589
U1512 N ZaragozaSte C1(915) 855-0601Clinic Affiliation: NewBeginnings PediatricSpeech TBoard Certifications:NoneRueda, Destyni SLPGender: FemaleNPI: 1942723598
U6800 Gateway Blvd EBldg 4ab(915) 779-7827Clinic Affiliation:Healthstar Pediatric RehabBoard Certifications:None
u Salas, Nancy L SLPGender: FemaleNPI: 1710055686
U406 Chelsea St(915) 307-7619Clinic Affiliation: PasitosClinic LLCBoard Certifications:Speech PathologyLanguage: SpanishSepulveda, Amanda SLPGender: FemaleNPI: 1598149809
♿1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:None
Smith, Vanesa P SLPGender: FemaleNPI: 10131163676611 Boeing Dr(915) 780-6576Clinic Affiliation: A StepForwardBoard Certifications:NoneLanguage: American Sign;SpanishSykes, Andrea B SLPGender: FemaleNPI: 1902242266
♿1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLanguage: SpanishTejeda, Veronica SLPGender: FemaleNPI: 1285932384
U406 Chelsea St(915) 307-7612
U109 S Festival Dr(915) 842-1788
U1445 Bessemer DrSte C(915) 633-1975Clinic Affiliation: PasitosClinic LLC; Play and GrowTherapy; Rio GrandeTherapy GroupBoard Certifications:NoneLanguage: SpanishVazquez, Marylu SLPGender: FemaleNPI: 1245890011
U109 S Festival Dr(915) 842-1788Clinic Affiliation: RioGrande Therapy GroupBoard Certifications:NoneVelasco, Joanna SLPGender: FemaleNPI: 1649839275
U1512 N ZaragozaSte C1(915) 855-0601Clinic Affiliation: NewBeginnings PediatricSpeech TBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
260
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
SPEECH PATHOLOGY(continued)Villaneda, Gabriela SLPGender: FemaleNPI: 1972837250
♿1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLanguage: SpanishWinter, Marta P SLPGender: FemaleNPI: 15181499391101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLanguage: SpanishZaborowski, Elizabeth FSLPGender: FemaleNPI: 12356954386611 Boeing Dr(915) 780-6576Clinic Affiliation: A StepForwardBoard Certifications:None
SPORTS MEDICINEu Garcia, Angel J MDGender: MaleNPI: 1801058177
♿11851 Physicians Dr(915) 493-6646Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: El PasoCenter For Family and SpoBoard Certifications:Family Practice; SportsMedicineLanguage: Spanish
u Lou, Wynee DOGender: FemaleNPI: 17800227494801 Alberta Ave(915) 215-5400Hospital Affiliations:Christus Mother FrancesTyler; John Peter SmithHospital; University MedicalCenter El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Sports MedicineLanguage: SpanishProvencio, Mauro MDGender: MaleNPI: 1952560682
♿12810 Edgemere Blvd(915) 504-6955Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial CampusClinic Affiliation: Sun CitySports Medicine and FamiBoard Certifications:Family PracticeLanguage: Spanish
SURG ASSISTDelolmo, Lorenzo LSAGender: MaleNPI: 1326167172
♿421 Stotts Ave(915) 240-8234Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation: El PasoSurgical Asst PCBoard Certifications:NoneLanguage: Spanish
SURGERYChavez Holgui, Pedro SMDGender: MaleNPI: 1336145374
♿1517 N Mesa(915) 533-0269Hospital Affiliations:Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshBoard Certifications:Plastic SurgeryLanguage: SpanishCook, Patrick R DOGender: MaleNPI: 1215185244
♿U423 Executive Center Blvd(915) 261-7688♿U1111 Hawkins BlvdSte 2a(915) 771-8346♿U2270 Joe Battle BlvdSte J(915) 996-9222Clinic Affiliation: JosephB Furlong MD PABoard Certifications:NoneLanguage: Spanish
u Gomez, Jaime R MDGender: MaleNPI: 1760563381
♿900 Chelsea St(915) 857-2781Hospital Affiliations: ElPaso Day Surgery LLC;Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; Hosps ofProvidence Transmountain;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: El PasoColon and Rectal ClinicBoard Certifications:Colon-Rectal Surgery;SurgeryLanguage: Spanish
u Gomez, Luis F MDGender: MaleNPI: 1881647659
♿1400 George DieterSte 260(915) 593-9600Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: El PasoSurgical Associates PABoard Certifications:SurgeryLanguage: Spanish
u Ng, Nathaniel MDGender: MaleNPI: 11142459252000 B Transmountain Rd(915) 215-8400Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:SurgeryLanguage: SpanishRodriguez, Francisco BMDGender: MaleNPI: 106343450411989 Pellicano DrSte D(915) 855-6508Hospital Affiliations:Baptist Health System;Childrens Hospital SanAntonio; Christus SantaRosa Health System;Doctors Hospital of Laredo;Good Shepherd MedicalCenter; Laredo MedicalCenter; MetropolitanMethodist Hospital; SantaRosa Medical CenterClinic Affiliation: Anwar SGerges MD PLLCBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
261
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
THERAPEUTICOPTOMETRYAcosta, Dorian D ODGender: MaleNPI: 19922742781300 Murchison DrSte 140(915) 630-6463Clinic Affiliation: BuenaVista Eyecare PLLCBoard Certifications:NoneAlomia, Yvonne T ODGender: FemaleNPI: 1336155720
U750 Sunland Park DrSte G1(915) 585-1928
U7831 Paseo Del Norte BlvdSte A(915) 600-5553Clinic Affiliation: El PasoEyes LLCBoard Certifications:NoneLanguage: SpanishAlvarez, Lilia B ODGender: FemaleNPI: 1568564888
♿1346 N Lee Trevino DrSte 114(915) 772-0777Board Certifications:NoneLanguage: SpanishAnderson, Heath L ODGender: MaleNPI: 1659420289
♿1240 Lomaland Dr(915) 591-4441Clinic Affiliation: WestTexas Eye AssociatesBoard Certifications:NoneLanguage: Spanish
Anspaugh, Melanie K ODGender: FemaleNPI: 1770871618
♿150 S Resler Dr(915) 595-4375♿1400 Common Dr(915) 595-4375Clinic Affiliation:Southwest Eye InstituteBoard Certifications:NoneLanguage: SpanishApplebaum, Stephen AODGender: MaleNPI: 1184631343
♿865 N Resler DrSte F(915) 833-0633Board Certifications:NoneLanguage: SpanishBaptiste, David J ODGender: MaleNPI: 1184801268
♿4724 Montana Ave(915) 566-8693Clinic Affiliation: El PasoOptical PCBoard Certifications:NoneLanguage: Spanish;VietnameseBarentine, Sharon G ODGender: FemaleNPI: 14674421945920 Cromo Dr(915) 532-3697Clinic Affiliation: Sun EyeCare PABoard Certifications:NoneLanguage: SpanishBlair, Terry B ODGender: MaleNPI: 1063402063
♿U3800 N Mesa StSte B1(915) 533-1811Clinic Affiliation:University Vision CentreBoard Certifications:NoneLanguage: Spanish
Caballero, Mario A ODGender: MaleNPI: 1760444293
U1616 Pike RdSte Bliss(915) 592-8090♿U10952 Ben Crenshaw Dr(915) 592-8090♿U10952 Ben Crenshaw DrSte A(915) 592-8090Clinic Affiliation: EastsideEye Associates PA;Eastside Vision Center;Freedom OptometryBoard Certifications:NoneLanguage: Japanese;Spanish; TagalogCaceres, David I ODGender: MaleNPI: 1497277792
U6101 Gateway Blvd W(915) 263-4719Clinic Affiliation: LensTheory Eyecare GroupPLLCBoard Certifications:NoneCantres Carmona, HiginioODGender: MaleNPI: 1104882745
U11360 Pellicano Dr(915) 775-2020♿2260 N Zaragoza RdSte A 114(915) 775-2020Clinic Affiliation: SkyView Optometry PLLCBoard Certifications:NoneLanguage: English;SpanishCrawford, Daniel C ODGender: MaleNPI: 1609903418
♿1240 Lomaland Dr(915) 591-4441Clinic Affiliation: WestTexas Eye AssociatesBoard Certifications:NoneLanguage: Spanish
Demarco, James J ODGender: MaleNPI: 1043739568
U7555 N Mesa(915) 833-1616Board Certifications:NoneDzubey, Kenneth C ODGender: MaleNPI: 1730172206
♿U5959 Gateway Blvd WSte 244(915) 779-0676Clinic Affiliation: DzubeyKenneth C ODBoard Certifications:NoneLanguage: SpanishEkery, Jeffrey M ODGender: MaleNPI: 1245223775
♿4724 Montana Ave(915) 566-8693Clinic Affiliation: El PasoOptical PCBoard Certifications:NoneLanguage: SpanishEllis, John L ODGender: MaleNPI: 1417947417
♿U3800 N Mesa StSte B1(915) 533-1811Clinic Affiliation:University Vision CentreBoard Certifications:NoneLanguage: SpanishFalknor, Kenneth R ODGender: MaleNPI: 1073516910
♿U2222 Montana Ave(915) 544-6700♿U7410 Remcon CirSte K(915) 587-9400♿U1325 George Dieter DrSte I2(915) 591-8800Clinic Affiliation: EnvisionEyecare Envision OpticsBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
262
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
EL PASO (continued)
THERAPEUTICOPTOMETRY(continued)Falknor, Larry W ODGender: MaleNPI: 1891798534
♿U7401 N Mesa St Ste K(915) 587-9400♿U7410 Remcon CirSte K(915) 544-6700♿U1325 George Dieter DrSte I2(915) 591-8800Clinic Affiliation: EnvisionEyecare Envision OpticsBoard Certifications:NoneLanguage: SpanishFavela, Samuel ODGender: MaleNPI: 1245391754
♿700 S Ochoa St(915) 545-4550♿4532 N Mesa St Fl 2(915) 544-03261387 George DieterSte D-102(915) 532-3937Clinic Affiliation: CentroDe Salud Familiar La FeInc; El Paso IntegratedPhysician; Visione 360 PABoard Certifications:NoneLanguage: American Sign;SpanishGarner, Ammon D ODGender: MaleNPI: 1881958619
♿U3800 N Mesa StSte B1(915) 533-1811Clinic Affiliation:University Vision CentreBoard Certifications:NoneLanguage: Spanish;Tagalog
Goff, Kathleen E ODGender: FemaleNPI: 1144223058
♿U2222 Montana Ave(915) 544-6700♿U7410 Remcon CirSte K(915) 587-9400♿U1325 George Dieter DrSte I2(915) 591-8800Clinic Affiliation: EnvisionEyecare Envision OpticsBoard Certifications:NoneLanguage: SpanishGrifka, Cory A ODGender: MaleNPI: 1275938557
♿1240 Lomaland Dr(915) 591-4441Clinic Affiliation: WestTexas Eye AssociatesBoard Certifications:NoneLanguage: SpanishHaisman, David R ODGender: MaleNPI: 1104902923
U8890 Gateway W BlvdSte 1010(915) 206-2766Clinic Affiliation: TexasPhysicians Eyecare GroupPCBoard Certifications:NoneHolt, Kerry ODGender: MaleNPI: 1699835637
♿U4775 Loma Del Sur(915) 821-6800Clinic Affiliation: PNguyen and K Holt ODBoard Certifications:NoneLanguage: Spanish;Vietnamese
u Jevne, Tyler R ODGender: MaleNPI: 1689142770150 S Resler Drive(915) 595-43751400 Common Dr(915) 595-4375Clinic Affiliation:Southwest Eye InstituteBoard Certifications:Optometry; TherapeuticOptometryKennedy, Lindsey M ODGender: FemaleNPI: 1972057677
U3800 N Mesa StSte B1(915) 533-1811Clinic Affiliation:University Vision CentreBoard Certifications:NoneKim, Hannah ODGender: FemaleNPI: 11243862224775 Loma Del Sur(915) 821-6800Clinic Affiliation: PNguyen and K Holt ODBoard Certifications:NoneKrinkey, Priscilla J ODGender: FemaleNPI: 1700438959
♿5920 Cromo Dr(915) 532-3697Clinic Affiliation: Sun EyeCare PABoard Certifications:NoneLanguage: SpanishLambson, Jared R ODGender: MaleNPI: 1144292269
♿4724 Montana Ave(915) 566-8693Clinic Affiliation: El PasoOptical PCBoard Certifications:NoneLanguage: Spanish
Maldonado, Michael F ODGender: MaleNPI: 1437333929
♿4801 Alberta Ave(915) 545-6999Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishMartinez, Gabriel ODGender: MaleNPI: 1891984076
U10415 Gateway W Blvd(915) 857-3937Clinic Affiliation: El PasoEyeworks PCBoard Certifications:NoneLanguage: SpanishMcMahon, Louis M ODGender: MaleNPI: 1114919701
♿U9513 Viscount BlvdSte B(915) 590-9977Clinic Affiliation:EyeworldBoard Certifications:NoneLanguage: SpanishNance, Vinson E ODGender: MaleNPI: 1043228380
♿U11365 Montwood DrSte D(915) 857-3997Board Certifications:NoneLanguage: SpanishNguyen, Linda ODGender: FemaleNPI: 1992235048400 Executive Center Blvd(915) 532-3937Clinic Affiliation: Visione360 PABoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
263
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
THERAPEUTICOPTOMETRY(continued)Nguyen, Phuong ODGender: MaleNPI: 1689703878
♿U4775 Loma Del Sur(915) 821-6800Clinic Affiliation: PNguyen and K Holt ODBoard Certifications:NoneLanguage: Spanish;VietnameseNguyen, Quyen C ODGender: MaleNPI: 1700842739
♿U7101 Gateway Blvd W(915) 408-9494Board Certifications:NoneLanguage: Spanish;VietnamesePatel, Dipak T ODGender: MaleNPI: 1841298973
♿U8894 Gateway Blvd N(915) 751-7760Clinic Affiliation: El PasoEyecare PLLCBoard Certifications:NoneLanguage: Gujarati; Hindi;SpanishPhillips, Jack E ODGender: MaleNPI: 1649273020
♿U655 Sunland Park DrSte E1b(915) 242-0682Clinic Affiliation: El PasoWest Eyecare & Contact LeBoard Certifications:NonePholvichitr, Paul P ODGender: MaleNPI: 1700835782
♿U1509 N Zaragoza Rd(915) 779-7355Board Certifications:NoneLanguage: Laotian;Spanish; Thai
Purdy, Stephen ODGender: MaleNPI: 1588951669
♿U150 S Resler Dr(915) 595-4375♿U1400 Common Dr(915) 595-4375Clinic Affiliation:Southwest Eye InstituteBoard Certifications:NoneLanguage: SpanishRamirez, Monica V ODGender: FemaleNPI: 14171143561300 Murchison DrSte 140(915) 630-6463Clinic Affiliation: BuenaVista Eyecare PLLCBoard Certifications:NoneLanguage: SpanishReffell, Massala P ODGender: MaleNPI: 14676488814724 Montana Ave(915) 566-86931387 George DieterSte D 102(915) 532-3937Clinic Affiliation: El PasoOptical PC; Visione 360 PABoard Certifications:NoneLanguage: SpanishSerrano, Michelle N ODGender: FemaleNPI: 1558815027
U1400 Common Dr(915) 267-2020Clinic Affiliation:Southwest Eye InstituteBoard Certifications:None
Trinh, Michelle T ODGender: FemaleNPI: 1841711009
♿150 S Resler Dr(915) 595-4375♿1400 Common Dr(915) 595-4375Clinic Affiliation:Southwest Eye InstituteBoard Certifications:NoneLanguage: Arabic;Spanish; VietnameseWang, You A ODGender: FemaleNPI: 13164604054801 Alberta Ave(915) 215-6050Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneWong, Joyce L ODGender: FemaleNPI: 1962453423
♿U7181 Westwind DrSte D(915) 833-1928♿U9861 Dyer St Ste 2(915) 751-9600Board Certifications:NoneLanguage: Chinese;Spanish
THORACICCARDIOVASCULARSURGERY
u Moinuddeen, Khaja MDGender: MaleNPI: 1154300903221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations: HcaHouston Healthcare ClearLake; Hca HoustonHealthcare Southeast; HcaHouston Healthcare West;Houston Methodist SugarLand Hosp; HoustonMethodist West Hospital;Methodist Hospital;Oakbend Medical CenterClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:Thoracic CardiovascularSurgery
THORACIC SURGERYDavis, Cornelius A MDGender: MaleNPI: 1528037975
U221 N Kansas StreetSuite 700(281) 888-8999
U7500 N Mesa StSte 210(915) 307-78002204 Joe Battle Ste 8104(915) 307-7800Hospital Affiliations:Memorial HermannMemorial CityClinic Affiliation: Arteriesand Veins; Nirp SouthCentral Texas PLLCBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
264
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
THORACIC SURGERY(continued)
u Flores, Hector A MDGender: MaleNPI: 1972784247
♿1600 Medical Center DrSte 212(915) 532-3977Hospital Affiliations: ElPaso Childrens Hospital;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps of ProvidenceTransmountain; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: El PasoSouthwesternCardiovascular AssociatesBoard Certifications:Cardiac Thoracic Surgery;Thoracic SurgeryLanguage: SpanishGurmendi, Alfredo F MDGender: MaleNPI: 1346241361
U1400 George Dieter Dr(915) 857-4122
U1416 George Dieter Dr(915) 849-5127Hospital Affiliations:Bs&w Medical CenterTemple; Chi St LukesHealth Memorial;Foundation Surgical HospEl Paso; Hunt RegionalMedical Center;Nacogdoches MedicalCenter; Woodland HeightsMedical CenterClinic Affiliation: East ElPaso Physicians Group IncBoard Certifications:NoneLanguage: Spanish
Katsigiannis, Christos AMDGender: MaleNPI: 1194725234221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations: HcaHouston Healthcare ClearLake; Hca HoustonHealthcare Southeast;Houston Methodist ClearLake Hosp; HoustonMethodist Hospital;Memorial Hermann SEHospital; St JosephMedical CenterClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:NoneLanguage: Greek
u Misick, Lofton N MDGender: MaleNPI: 1942257746221 N Kansas StSte 700(281) 888-8999Hospital Affiliations:Christus Spohn Hos CctxShoreline; Corpus ChristiMedical Center; GoodShepherd Medical Center;Rio Grande RegionalHospital; Valley RegionalMedical CenterClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:Thoracic Surgery
Rodriguez, Francisco BMDGender: MaleNPI: 106343450411989 Pellicano DrSte D(915) 855-6508Hospital Affiliations:Baptist Health System;Childrens Hospital SanAntonio; Christus SantaRosa Health System;Doctors Hospital of Laredo;Good Shepherd MedicalCenter; Laredo MedicalCenter; MetropolitanMethodist Hospital; SantaRosa Medical CenterClinic Affiliation: Anwar SGerges MD PLLCBoard Certifications:NoneLanguage: Spanish
u Santoscoy, Robert MDGender: MaleNPI: 1467455022
♿1600 Medical Center DrSte 212(915) 532-3977Hospital Affiliations:Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: El PasoSouthwesternCardiovascular AssociatesBoard Certifications:Thoracic SurgeryLanguage: Spanish
u Tripathy, Uttam MDGender: MaleNPI: 1144285966221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations: HcaHouston Healthcare West;Houston MethodistHospital; HoustonMethodist Sugar LandHosp; Memorial HermannSW Hospital; Mhhs SugarLand Hospital; OakbendMedical Center; St LukesSugar Land HospitalClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:Thoracic SurgeryLanguage: Hindi; Indian
TRANSPLANTHEPATOLOGY
u Guerrero, Juan A MDGender: MaleNPI: 1356458418
♿125 W Hague Ste 120(888) 336-9633♿1900 N Oregon StSte 310(888) 336-9633Hospital Affiliations:University Health SystemClinic Affiliation: UTHealth PhysiciansBoard Certifications:Transplant Hepatology
UROLOGYu Annabi, Hani M MDGender: MaleNPI: 1700819927
♿615 E Schuster AveSte 7(915) 544-6657Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoBoard Certifications:UrologyLanguage: Arabic;Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
265
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
EL PASO (continued)
UROLOGY (continued)Arenas, Javier L MDGender: MaleNPI: 15080833872000 Trans Mountain Rd SteBSte 200(915) 271-45863270 Joe Battle BlvdSte 120(915) 351-0699Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Las Palmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: BhsPhysicians Network IncBoard Certifications:None
u Bagg, Michael D MDGender: MaleNPI: 1881641967
♿2201 N Stanton St(915) 533-0800♿1400 George Dieter DrSte 130(915) 592-7400Hospital Affiliations: ElPaso Specialty HospitalLTD; Hospitals ProvidenceEast Campus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: RioGrande Urology PABoard Certifications:UrologyLanguage: Spanish
u Davalos, Mauricio MDGender: MaleNPI: 11141796783100 Lee TrevinoSuite G(915) 225-2451♿3100 N Lee Trevino DrSte G(915) 592-7400Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation:Advanced Urology of ElPaso PA; Rio GrandeUrology PABoard Certifications:UrologyLanguage: Spanish
u Eisenberg, Lauren N DOGender: FemaleNPI: 1053511279
♿7420 Remcon CirSte A(915) 532-8823Hospital Affiliations: DelSol Camp Lpdsh; El PasoSpecialty Hospital LTD;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp Lpdsh; UniversityMedical Center El PasoClinic Affiliation: RioGrande Urology PABoard Certifications:UrologyLanguage: Spanish;Swedish
u Latiff, Guillermo A MDGender: MaleNPI: 1780656843
♿7420 Remcon CirSte A(915) 532-8823Hospital Affiliations: ElPaso Day Surgery LLC;Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: RioGrande Urology PABoard Certifications:Pediatric Urology; UrologyLanguage: SpanishLozano, Javier E MDGender: MaleNPI: 1619949757
♿7420 Remcon CirSte A(915) 532-8823Hospital Affiliations:Foundation Surgical HospEl Paso; HospitalsProvidence East Campus;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: RioGrande Urology PABoard Certifications:NoneLanguage: SpanishMcAleer, Irene M MDGender: FemaleNPI: 10533132132204 Joe Battle Blvd(915) 503-1870Hospital Affiliations:Ascension Seton MedCenter AustinClinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneLanguage: French; Greek;Spanish
u Morilla, Daniel B MDGender: MaleNPI: 19323413777420 Remcon CircleBldg A(915) 532-8823Hospital Affiliations: DelSol Camp Lpdsh; El PasoSpecialty Hospital LTD;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;University Medical CenterEl PasoClinic Affiliation: RioGrande Urology PABoard Certifications:UrologyLanguage: SpanishOlivares, Christopher HDOGender: MaleNPI: 17103675117420 Remcon CircleBldg A(915) 523-8823Hospital Affiliations:Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: RioGrande Urology PABoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
266
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.
EL PASO (continued)
UROLOGY (continued)u Sebesta, Michael J MDGender: MaleNPI: 14472184092000 Transmountain RdSte 120(915) 671-38382000b Transmountain RdSte 200(915) 271-45861390 George Dieter DrSte 110(915) 271-46403270 Joe Battle BlvdSte 120(915) 351-0699Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: BhsPhysicians Network IncBoard Certifications:Urology
u Spier, Jeffrey M MDGender: MaleNPI: 1033222906
♿7420 Remcon CirSte A(915) 532-8823Hospital Affiliations: ElPaso Day Surgery LLC; ElPaso Specialty HospitalLTD; Hospitals ProvidenceEast Campus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: RioGrande Urology PABoard Certifications:UrologyLanguage: Spanish
Taber, Jeffrey E MDGender: MaleNPI: 1861448987
♿2201 N Stanton St(915) 533-0800♿3100 Lee TrevinoSte G(915) 592-7400Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: RioGrande Urology PABoard Certifications:NoneLanguage: Spanish
u Thomas, Mark D MDGender: MaleNPI: 13068776674687 N Mesa Ste 100(915) 532-3119Hospital Affiliations: DelSol Camp Lpdsh; LasPalmas Camp LpdshClinic Affiliation:Albuquerque MinimallyInvasive UrBoard Certifications:UrologyLanguage: Spanish
u Voglewede, Daniel C MDGender: MaleNPI: 1588636633
♿7420 Remcon CirSte A(915) 532-8823♿1400 George Dieter DrSte 130(915) 592-7400Hospital Affiliations:Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: RioGrande Urology PABoard Certifications:UrologyLanguage: Spanish
VASCULAR & INTERVENRADIOLOGYAnnamalai, Palam MDGender: MaleNPI: 1972529584221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations:Ballinger MemorialHospital; Del Sol CampLpdsh; Memorial HermannHospital; Midland MemorialHospital; UTMB HealthGalvestonClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:NoneBhatti, Zagum A MDGender: MaleNPI: 1053577890221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations: HcaHouston HealthcareConroe; HuntsvilleMemorial Hospital;Memorial HermannHospitalClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:None
u Chauvin, Dean P MDGender: MaleNPI: 1790707214221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations:Memorial HermannMemorial CityClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:Vascular & IntervenRadiology
Choudhri, Ajay MDGender: MaleNPI: 1205871431221 N Kansas StreetSuite 700(281) 888-8999Clinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:RadiologyGomes, Andrew MDGender: MaleNPI: 1215068796221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations:Memorial Hermann SWHospital; Mhhs Sugar LandHospitalClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:NoneIqbal, Maaz MDGender: MaleNPI: 1265795967221 N Kansas StreetSuite 700(281) 888-8999Clinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:RadiologyKunam, Vamsi K MDGender: MaleNPI: 1942516521
44815 Alameda Ave(915) 215-6000Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
267
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty.
EL PASO (continued)
VASCULAR & INTERVENRADIOLOGY (continued)
u Rao, Sandeep MDGender: MaleNPI: 1992905095221 N Kansas StreetSuite 700(281) 888-8999518 W San Antonio AveSte 8(915) 308-3621Hospital Affiliations:Ascension Seton MedCenter Austin; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: NewMexico Center ForMinimally; Nirp SouthCentral Texas PLLCBoard Certifications:Vascular & IntervenRadiologyLanguage: SpanishSaeed, Mohammad A MDGender: MaleNPI: 1831116383221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations: HcaHouston Healthcare West;Oakbend Medical CenterClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:NoneLanguage: Hindi; Spanish;UrduShestopalov, AlexanderMDGender: MaleNPI: 1053756098221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations:UTMB Health GalvestonClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:Radiology
Sundarakumar, Dinesh KMDGender: MaleNPI: 1417235714221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations:Laredo Medical Center;University Medical CenterEl PasoClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:NoneSuwan, Tariq Z MDGender: MaleNPI: 1679718209221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations: HcaHouston Healthcare ClearLake; Hca HoustonHealthcare Conroe; HcaHouston HealthcareKingwood; Hca HoustonHealthcare Pearland; HcaHouston Healthcre MedicalCtr; Rio Grande RegionalHospital; Valley RegionalMedical CenterClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:NoneZarghouni, Mehrzad MDGender: MaleNPI: 1780900993221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations: ChiSt Lukes Health Memorial;Memorial HermannHospital; North CentralSurgical CenterClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:NoneLanguage: Farsi
Zvavanjanja, Rodrick CMDGender: MaleNPI: 1801151659221 N Kansas StreetSuite 700(281) 888-8999Hospital Affiliations:Lyndon B Johnson GeneralHospital; Med Ctr of SE TXVictory Campus; MemorialHermann HospitalClinic Affiliation: NirpSouth Central Texas PLLCBoard Certifications:None
VASCULARNEUROLOGY
u Khatri, Rakesh MDGender: MaleNPI: 14373607324801 Alberta Ave(915) 215-5900Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Neurology; VascularNeurologyLanguage: SpanishMaud, Alberto MDGender: MaleNPI: 17404723314801 Alberta(915) 215-59004801 Alberta Ave(915) 215-59004815 Alameda Ave(915) 215-5900Hospital Affiliations: ElPaso Childrens Hospital;University Medical CenterEl PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
Piriyawat, Paisith MDGender: MaleNPI: 10230338344615 Alameda Ave(915) 215-59004801 Alberta(915) 215-5900Hospital Affiliations: ElPaso Childrens Hospital;Hosps of Providence SierraCampus; UniversityMedical Center El PasoClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: American Sign;Spanish
FABENS
ANP/CERT/CLNPKviatkovskaya, Julia APNGender: FemaleNPI: 1013272772101 Potasio St(915) 521-2270Clinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: SpanishWatts, Wallace M APNGender: MaleNPI: 1245772128
♿U101 Potasio Rd(915) 521-2270Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation:University Med Ctr of ElPasoBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
268
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
FORT HANCOCK
ANP/CERT/CLNPGaona, Maria D APNGender: FemaleNPI: 1770083560
♿561 Knox Ave(915) 769-1079Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: Spanish
HORIZON CITY
ANP/CERT/CLNPCabrera, Yadira I APNGender: FemaleNPI: 127506832213650 Eastlake BlvdSte 104 Bldg A(915) 852-508613650 Eastlake Blvd SteSte 102(915) 217-2117Clinic Affiliation: El PasoPrimary Care PLLCBoard Certifications:NoneDenning Maldonado,Monica M APNGender: FemaleNPI: 1992001077
♿U13650 Eastlake DrBldga Ste 102(915) 852-5086♿U13650 Eastlake DrSte 104 Bldg A(915) 852-5086Clinic Affiliation: El PasoPrimary Care PLLCBoard Certifications:NoneGaona, Maria D APNGender: FemaleNPI: 1770083560
♿13000 Emerald Pass Ave(915) 533-7057♿13600 Ryderwood Dr(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: Spanish
Hernandez, Irma APNGender: FemaleNPI: 102352634013800 Eastlake DrSte 400(915) 577-1134Clinic Affiliation: BhsPhysicians Network IncBoard Certifications:NoneLanguage: SpanishMendoza, Celia A APNGender: FemaleNPI: 101328542813650 Eastlake BlvdSte 102 104(915) 703-6299Clinic Affiliation: R MartzEl Paso PLLCBoard Certifications:NoneRodriguez, Hector L APNGender: MaleNPI: 110413008713650 Eastlake DrSte 102(915) 217-211713650 Eastlake Dr BldgA Ste 104(915) 852-5086Clinic Affiliation: El PasoPrimary Care PLLCBoard Certifications:NoneLanguage: SpanishZamora, Juan P APNGender: MaleNPI: 138620952613000 Emerald Pass Ave(915) 533-705713600 Ryderwood Dr(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:None
INTERNAL MEDICINEu Blandon, Pedro A MDGender: MaleNPI: 127553146913650 Eastlake DrBldg A Ste 104(915) 217-2117Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Methodist Spec &Transplant Hosp; PaloPinto General Hospital;University Medical CenterEl PasoClinic Affiliation: El PasoPrimary Care PLLCBoard Certifications:Internal Medicine;NephrologyLanguage: SpanishMoazam, Mustafa M MDGender: MaleNPI: 1306987474
U14470 Horizon BlvdSte J(915) 852-3225Hospital Affiliations:Ascension Providence; DelSol Camp Lpdsh; El PasoChildrens Hospital;Hospitals Providence EastCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: MoazamPABoard Certifications:None
NEPHROLOGYu Blandon, Pedro A MDGender: MaleNPI: 127553146913650 Eastlake DrBldg A Ste 104(915) 217-2117Hospital Affiliations: DelSol Camp Lpdsh; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp Lpdsh;Methodist Spec &Transplant Hosp; PaloPinto General Hospital;University Medical CenterEl PasoClinic Affiliation: El PasoPrimary Care PLLCBoard Certifications:Internal Medicine;NephrologyLanguage: Spanish
OBSTETRICS-GYNECOLOGY
u Baeza, Jesus MDGender: MaleNPI: 175061646213001 Eastlake BlvdSte 114(915) 591-4624Hospital Affiliations:Bs&w All Saints Med Ctr FtWorth; Methodist CharltonMedical Center; MethodistDallas Medical Center;Methodist MansfieldMedical CtrClinic Affiliation: LasPalamas Medical CenterBoard Certifications:Obstetrics-Gynecology
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 FORT HANCOCK
269
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
HORIZON CITY(continued)
OBSTETRICS-GYNECOLOGY(continued)Pitre, Clarence A MDGender: MaleNPI: 1821174897
♿14505 Horizon BlvdSte C(915) 852-7142Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: TonyPitre MD PABoard Certifications:NoneLanguage: Spanish
ORTHOPEDIC SURGERYNatividad, Toribio T MDGender: MaleNPI: 194240452013650 Eastlake BlvdSte 102(915) 217-2117Hospital Affiliations: ElPaso Specialty HospitalLTD; Hosps of ProvidenceSierra Campus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: EliteOrthopaedics of El Paso PllBoard Certifications:NoneLanguage: Spanish
PEDIATRICCARDIOLOGYKumar, Vibhash MDGender: MaleNPI: 1770816951
U14470 Horizon BlvdSte A & J(915) 852-3225Hospital Affiliations: DelSol Camp Lpdsh; El PasoChildrens Hospital;Hospitals Providence EastCampus; Hosps ofProvidence Sierra Campus;Hosps ProvidenceMemorial Campus; LasPalmas Camp LpdshClinic Affiliation: MoazamPABoard Certifications:NoneLanguage: Spanish
PEDIATRICHEMATOLOGY-ONCOLOGYMoazam, Mustafa M MDGender: MaleNPI: 1306987474
U14470 Horizon BlvdSte J(915) 852-3225Hospital Affiliations:Ascension Providence; DelSol Camp Lpdsh; El PasoChildrens Hospital;Hospitals Providence EastCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: MoazamPABoard Certifications:None
PEDIATRICSMoazam, Mustafa M MDGender: MaleNPI: 1306987474
U14470 Horizon BlvdSte J(915) 852-3225Hospital Affiliations:Ascension Providence; DelSol Camp Lpdsh; El PasoChildrens Hospital;Hospitals Providence EastCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: MoazamPABoard Certifications:None
PHYSICAL THERAPYArmendariz, Soledad LPTGender: FemaleNPI: 112417645813791 Horizon Blvd Ste A 1(915) 872-9333Clinic Affiliation: El PasoTherapy Services EastBoard Certifications:NoneLanguage: SpanishBoncser, Mark E LPTGender: MaleNPI: 1760426332
♿13650 Eastlake DrSte 505(915) 493-6798Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneLanguage: SpanishBringas, Christa A LPTGender: FemaleNPI: 1770612202
♿13650 Eastlake DrSte 505(915) 493-6798Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneLanguage: Spanish
Chavira, Linda LPTGender: FemaleNPI: 1679929301
♿U13650 EastlakeSte 505(915) 493-6798Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneCordova, Isaac LPTGender: MaleNPI: 172059411213791 Horizon BlvdSte A-1(915) 872-9333Clinic Affiliation: El PasoTherapy Services EastBoard Certifications:NoneLanguage: SpanishGarrido, Paul J LPTGender: MaleNPI: 1245309848
♿13650 Eastlake DrSte 505(915) 493-6798Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneLanguage: SpanishGillespie, Michael C LPTGender: MaleNPI: 186174627313791 Horizon BlvdSte A 1(915) 872-9333Clinic Affiliation: El PasoTherapy Services EastBoard Certifications:NoneLanguage: SpanishHernandez, Manuel J LPTGender: MaleNPI: 1750510806
♿13650 Eastlake DrSte 505(915) 493-6798Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
HORIZON CITY 08/07/2020
270
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
HORIZON CITY(continued)
PHYSICAL THERAPY(continued)Magden, Travis J LPTGender: MaleNPI: 122526711513650 Eastlake DrSte 505(915) 493-6798Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneLanguage: SpanishMartinez, Joel LPTGender: MaleNPI: 1972812170
♿13650 Eastlake DrSte 505(915) 852-5308Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneLanguage: SpanishMoeller, Amanda P LPTGender: FemaleNPI: 113427814613791 Horizon BlvdSte A-1(915) 872-9333Clinic Affiliation: El PasoTherapy Services EastBoard Certifications:NoneLanguage: SpanishNevarez, Luis R LPTGender: MaleNPI: 146791835913650 Eastlake Ste 505(915) 498-6798Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NonePortillo, Ricardo J LPTGender: MaleNPI: 122545397013650 Eastlake DrSte 505(915) 493-6798Clinic Affiliation: BorderTherapy ServicesBoard Certifications:None
Rachel, David F LPTGender: MaleNPI: 1306885389
♿13650 Eastlake DrSte 505(915) 493-6798Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneLanguage: SpanishValdez, Alyssa M LPTGender: FemaleNPI: 197291445513650 Eastlake DrSte 505(915) 493-6798Clinic Affiliation: BorderTherapy ServicesBoard Certifications:NoneLanguage: SpanishVazquez, Lilia A LPTGender: FemaleNPI: 1154690139
♿U13791 Horizon BlvdSte A-1(915) 872-9333Clinic Affiliation: El PasoTherapy Services EastBoard Certifications:NoneLanguage: SpanishVilla, Chelsea R LPTGender: FemaleNPI: 140735623113791 Horizon BlvdSte A 1(915) 872-9333Clinic Affiliation: El PasoTherapy Services EastBoard Certifications:NoneLanguage: Spanish
PHYSICIAN ASSISTANTPeralta, Jasmine PAGender: FemaleNPI: 149726247113000 Emerald Pass Ave(915) 533-705713600 Ryderwood Dr(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: Spanish
SAN ELIZARIO
ANP/CERT/CLNPAmparan, Ramon APNGender: MaleNPI: 1134412398
♿12101 Socorro Rd(915) 545-6156Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: SpanishChavez, Marcia APNGender: FemaleNPI: 1235408287
♿12101 Socorro Rd(915) 851-5519Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: SpanishClippard, Doris A APNGender: FemaleNPI: 1669428116
♿13017 Perico Dr(915) 851-0999Clinic Affiliation: CentroSan VicenteBoard Certifications:NoneLanguage: American Sign;SpanishGarcia, Erika APNGender: FemaleNPI: 1477990364
♿12101 Socorro Rd(915) 851-5519Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: English;Spanish
Hernandez, Vanessa MAPNGender: FemaleNPI: 199217661412101 Socorro Rd(915) 545-6156Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneJohnson, Cara R APNGender: FemaleNPI: 1477899128
♿13017 Perico Dr(915) 851-0999Clinic Affiliation: CentroSan VicenteBoard Certifications:NoneLanguage: SpanishLaw, Patricia Z APNGender: FemaleNPI: 1043211527
♿13017 Perico Dr(915) 851-0919Hospital Affiliations:University Medical CenterEl PasoClinic Affiliation: CentroSan VicenteBoard Certifications:NoneLanguage: English;SpanishNathan, Athena APNGender: FemaleNPI: 1811367220
♿12101 Socorro Rd(915) 545-6156Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NonePaz, Christina I APNGender: FemaleNPI: 1942536198
♿13017 Perico Dr(915) 851-0999Clinic Affiliation: CentroSan VicenteBoard Certifications:NoneLanguage: Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 HORIZON CITY
271
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.
SAN ELIZARIO(continued)
ANP/CERT/CLNP(continued)Rodriguez, Hector L APNGender: MaleNPI: 110413008712101 Socorro Rd(915) 545-6156Clinic Affiliation: CentroDe Salud Familiar La FeIncBoard Certifications:NoneLanguage: SpanishRomero, Joshua M APNGender: MaleNPI: 156886588913017 Perico Dr(915) 851-0999Clinic Affiliation: CentroSan VicenteBoard Certifications:NoneLanguage: SpanishRubio, Elizabeth APNGender: FemaleNPI: 1952537169
♿13017 Perico(915) 851-0999Clinic Affiliation: CentroSan VicenteBoard Certifications:NoneLanguage: Spanish
FAMILY PRACTICERubio, Elizabeth APNGender: FemaleNPI: 1952537169
♿13017 Perico(915) 851-0999Clinic Affiliation: CentroSan VicenteBoard Certifications:NoneLanguage: Spanish
SIERRA BLANCO
ANP/CERT/CLNPGaona, Maria D APNGender: FemaleNPI: 1770083560
♿500 E Walling St(915) 369-0038Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: Spanish
SOCORRO
ANP/CERT/CLNPGaona, Maria D APNGender: FemaleNPI: 1770083560
♿10150 Alameda Ave(915) 533-7057♿11471 Alameda Ave(915) 533-7057♿301 Bovee Rd(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: SpanishKraft, Nidia APNGender: FemaleNPI: 18314397369895 Alameda Ave Ste 118(915) 440-0099Clinic Affiliation: IglesiasFamily Medicine PABoard Certifications:NoneMercer, Roberta A APNGender: FemaleNPI: 1780829259
U10211 Alameda Ave(915) 440-4266Hospital Affiliations:Hosps ProvidenceMemorial CampusClinic Affiliation: TheLower Valley PediatricNightBoard Certifications:NoneLanguage: Spanish
Zamora, Juan P APNGender: MaleNPI: 138620952610150 Alameda Ave(915) 533-705711471 Alameda Ave(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:None
OPTOMETRYJackson, Richard P ODGender: MaleNPI: 1972616134
♿U10377 Socorro Rd(915) 860-9806Board Certifications:NoneLanguage: German;Spanish
PHYSICAL THERAPYSolis, Mirian LPTGender: FemaleNPI: 1578515177
♿11200 Santos Sanchez St(915) 500-6606Clinic Affiliation:Spectrum TherapyConsultants IncBoard Certifications:NoneLanguage: Spanish
PHYSICIAN ASSISTANTPeralta, Jasmine PAGender: FemaleNPI: 149726247110150 Alameda Ave(915) 533-705711471 Alameda Ave(915) 533-7057301 Bovee Rd(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: Spanish
THERAPEUTICOPTOMETRYJackson, Richard P ODGender: MaleNPI: 1972616134
♿U10377 Socorro Rd(915) 860-9806Board Certifications:NoneLanguage: German;Spanish
VINTON
ANP/CERT/CLNPMartinez, Jesus APNGender: MaleNPI: 1265427280
♿U141 Vinton Rd Ste E5(915) 886-3088Board Certifications:NoneLanguage: Spanish
NEUROLOGICALSURGERY
u Sundrani, Shanker S MDGender: MaleNPI: 1417959198
♿7920 Doniphan Dr(915) 590-1890Hospital Affiliations: DelSol Camp Lpdsh;Foundation Surgical HospEl Paso; HighlandsRehabilitation Hospital;Hosps of Providence SierraCampus; HospsProvidence MemorialCampus; Las PalmasCamp LpdshClinic Affiliation: El PasoNeurosurgery CenterBoard Certifications:Neurological SurgeryLanguage: Hindi; Spanish
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SAN ELIZARIO 08/07/2020
272
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.
VINTON (continued)
RADIOLOGYSingh, Heramb K MDGender: MaleNPI: 1023074127
♿47930 Doniphan Rd(915) 886-4488Hospital Affiliations:University Medical CenterClinic Affiliation: El PasoVinton Diagnostic PABoard Certifications:NoneLanguage: Hindi; Spanish
VASCULAR & INTERVENRADIOLOGYSingh, Heramb K MDGender: MaleNPI: 1023074127
♿47930 Doniphan Rd(915) 886-4488Hospital Affiliations:University Medical CenterClinic Affiliation: El PasoVinton Diagnostic PABoard Certifications:NoneLanguage: Hindi; Spanish
YSLETA DEL SURPUEBLO
PHYSICAL THERAPYAcosta, Juan D LPTGender: MaleNPI: 158815545111200 Santos Sanchez St(915) 500-6606Clinic Affiliation:Spectrum TherapyConsultants IncBoard Certifications:NoneLanguage: SpanishHinnant, Samantha C LPTGender: FemaleNPI: 1679997258
U11200 Santos Sanchez St(915) 500-6606Clinic Affiliation:Spectrum TherapyConsultants IncBoard Certifications:None
Navarrete, Mayra C LPTGender: FemaleNPI: 1659640993
U11200 Santos Sanchez St(915) 500-6606Clinic Affiliation:Spectrum TherapyConsultants IncBoard Certifications:NoneRodela, Evelyn LPTGender: FemaleNPI: 172047969411200 Santos Sanchez St(915) 500-6606Clinic Affiliation:Spectrum TherapyConsultants IncBoard Certifications:NoneLanguage: SpanishRodriguez, Kevin LPTGender: MaleNPI: 183163870911200 Santos Sanchez St(915) 500-6606Clinic Affiliation:Spectrum TherapyConsultants IncBoard Certifications:NoneLanguage: SpanishRodriguez, Ricardo M LPTGender: MaleNPI: 118412337411200 Santos Sanchez St(915) 500-6606Clinic Affiliation:Spectrum TherapyConsultants IncBoard Certifications:NoneLanguage: SpanishTerrazas, Sandra G LPTGender: FemaleNPI: 172003947211200 Santos SanchezSt(915) 500-6606Clinic Affiliation:Spectrum TherapyConsultants IncBoard Certifications:NoneLanguage: Spanish
Woo, Thomas LPTGender: MaleNPI: 1528698255
U11200 Santos Sanchez St(915) 500-6606Clinic Affiliation:Spectrum TherapyConsultants IncBoard Certifications:None
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
SpecialistsYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 VINTON
273
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.UThis Provider Has Extended Hours.
CANUTILLO
ANP/CERT/CLNPCarrillo, Esteban APN7000 5th St(915) 542-3075Gaona, Maria D APN
♿7000 E 5th(915) 542-3075Hernandez, Vanessa MAPN1713 Banker Rd(915) 231-4370Jacquez, Vicente APN1713 Banker Rd(915) 231-4370McKelroy, Yostin Z APN7000 E 5th St(915) 542-3075Nathan, Athena APN
♿1713 Banker Rd(915) 231-4370Zamora, Juan P APN7000 Fifth St(915) 542-3075
PHYSICIAN ASSISTANTPeralta, Jasmine PA7000 E 5th St(915) 542-3075
DELL CITY
ANP/CERT/CLNPGaona, Maria D APN
♿104 S DodsonBuilding B(915) 964-2860
EL PASO
ANP/CERT/CLNPAcevedo, Maria M APN3270 Joe Battle BlvdSte 312(915) 849-2700
Acosta, Astrid APN♿5160 El Paso Dr(915) 774-2550♿2260 Trawood Dr(915) 591-4632♿1721 N Lee Trevino Dr(915) 590-9424Acosta, Jessica M APN501 N Yarbrough DrBldg B(915) 595-18442260 Trawood Dr(915) 591-4632Aguilar-Hernandez, P APN810 E Redd Rd Ste D(915) 298-100810870 Gateway Blvd NSte B(915) 751-52454659 Cohen Ave Unit A(915) 217-1140181 Gus Rallis Dr(915) 242-03391570 Lomaland Dr Ste A(915) 590-45551512 N Zaragoza Rd Ste A1(915) 855-7700Ahedor, Princess K APN1600 Medical Center DrSte 400(915) 217-2163Alarcon, Maria T APN
♿5160 El Paso Dr(915) 774-2550♿501 N Yarbrough DrBldg B(915) 595-1844♿2260 Trawood Dr(915) 591-4632Albidres, Diana APN1521 Joe Battle Blvd(915) 521-2200Alcala, Shirlina L APN
♿10870 Gateway NorthSte B(915) 751-5245
Alcantar, Laura E APN6000 Northern Pass DrSte A100(915) 600-2905211 Bartlett DrSte 102(915) 600-29051671 N Zaragoza Rd Ste B(915) 996-5210Alford, Brie B APN1600 Montana Ave(915) 599-6670Ali, Ahtesham APN2311 N Mesa StSte A(915) 974-22007100 Westwind DrSte 300(915) 974-22002270 Joe Battle BlvdSte Q(915) 974-2200Almodovar, Jesus M APN1721 N Lee Trevino Dr(915) 590-9424Aloeyi, Marie C APN3215 Gateway Blvd W(915) 598-724612200 Paseo Nuevo Dr(915) 598-72467825 N Mesa St(915) 598-7246Alvarez, Kelly A APN
♿6600 N Desert Blvd(915) 521-2210Alvarez, Tanya L APN4845 Alameda Ave(915) 215-5700Amparan, Ramon APN
♿721 S Ochoa St(915) 545-7090♿815 E Yandell(915) 351-1557♿200 Lisbon St(915) 778-9200Anaya, Gerardo APN1721 N Lee Trevino Dr(915) 590-9424Andujo, Stefany APN2260 Trawood Dr(915) 591-4632
Anzures, Juan E APN725 S Mesa Hills DrBldg 1 Ste 1(915) 887-3414Araiza Mitro, Anette APN
♿3215 Gateway Blvd W(915) 598-7246♿12200 Paseo Nuevo Dr(915) 598-7246♿7825 N Mesa St(915) 598-7246Arellano, Monica APN1900 N Oregon StSte 500(915) 544-884412350 Montwood DrSte 300(915) 231-6224Armendariz, Jennifer LAPN7848 Gateway E(915) 599-1313Arntson, Nels C APN
410301 Gateway Blvd W(713) 960-8008Ayala, Mary A APN3612 Pera Ave(915) 533-7057Ayub, Gisela APN1600 Montana Ave(915) 599-4700Baca, Bryan M APN1101 Rim RdSte 300(915) 594-592510640 Gateway NSte B(915) 307-463110555 Vista Del SolSte 200(915) 594-5925Baeza, Andres APN1551 Montana Ave(915) 887-3410Baeza, Ramona APN1000 N Mesa St(915) 533-1960Bakuya Orona, Yuki APN11040 Vista Del SolSte A(915) 591-4624
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
CANUTILLO 08/07/2020
274
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.
EL PASO (continued)
ANP/CERT/CLNP(continued)Balderrama, HumbertoAPN125 W Hague RdSte 500(915) 351-72001250 E Cliff DrSte 2b(915) 351-7200Batista, Christopher AAPN
♿4532 N Mesa StFloor 2(915) 544-0326♿1400 George DieterSte 240(915) 544-0326Becker, Paloma A APN7420 Remcon Circle(915) 532-8823Beltran, Erika APN181 Gus Rallis Dr(915) 242-0339Benavides, Amorette CAPN181 Gus Rallis Dr(915) 242-0339Benedict, Linda O APN2260 Trawood Dr(915) 591-4632Bermudez, Norma APN4801 Alberta Ave(915) 215-5700Birkhimer, Haydee V APN1720 Murchison Dr(915) 534-12169398 Viscount BlvdBldg 4 Ste C(915) 594-1033Bohlmann, Vilma F APN1700 N Oregon StSte 520(915) 533-5600Bravo, Elizabeth H APN4659 Cohen AveSte A(915) 217-11404659 Cohen Dr Ste B(915) 217-1140
Briffa, Timo APN7420 Remcon CircleBldg A(915) 532-8823Burillo, Lorena A APN4659 Cohen AveSte A(915) 577-112511163 La Quinta PlaceSte 200(915) 595-18111671 N ZaragozaSte A(915) 595-5439Bustillos, Daniel APN1600 Montana Ave(915) 887-34109440 Viscount Ste 100(915) 249-6639Butler, Jacob I APN1906 Denver Ave(915) 544-4000Cabrera, Yadira I APN10640 Gateway Blvd NSte B(915) 307-4631Campos, Cynthia APN310 S Mesa Hills DrSte B(915) 351-7546Campos, Erica APN1250 E Cliff DrSte 1c(915) 351-72001580 Lomaland Dr(915) 313-6300Capouch, Juanita J APN
♿501 N Yarbrough DrBldg B(915) 595-1844Cappelluti, Lenore APN1000 N Mesa Street(915) 533-1960Caro, Miguel A APN
41030 N Zaragoza RdSte X(915) 881-4155
49740 Dyer StSte 111(915) 500-50309740 Dyer St Ste 111 112(915) 500-5030
Carrillo Blanco, BeatrizAPN1225 E Cliff DrBldg 3 Ste 100(915) 239-29551900 Denver Ave(915) 544-40001900 Denver Ave(915) 544-40001390 Northwestern Dr(915) 541-5324725 S Mesa Hills DrBuilding 1 Suite 1(915) 887-3410Carrillo, Carlos A APN1755 Curie DrSte C(915) 533-74652000 Trans Mountain RdSte 120 A and B(915) 671-38381575 N Resler DrSte D(915) 271-45697420 Remcon Cir Ste A2(915) 534-12883100 N Lee Trevino DrSte B(915) 533-74652204 E Joe Battle Blvd(915) 271-4569Carrillo, Esteban APN4875 Maxwell Ave(915) 313-99083612 Pera Ave(915) 533-705714900b Greg Dr(915) 857-2638Castaneda, Kayla E APN101 Rim RdSte 100(915) 351-1444101 Rim Rd Ste 300(915) 594-59257420 Remcon Cir Bldg CSte 150(915) 532-8823Castaneda, Miranda JAPN6065 Montana Ste A 2(915) 771-7200
Castrellon, Demetria AAPN4801 Alberta Ave(915) 215-5900Castro, Lizbeth V APN2000b Transmountain Rd(915) 215-8400Celis, Francisco APN
♿8820 Gateway Blvd N(915) 759-7700Chaparro, Claudia APN
♿6044 Gateway Blvd ESte 605(915) 307-4688Chavarria, Tanya A APN1521 Joe Battle Blvd(915) 521-2200Chavez, Marcia APN
♿700 S Ochoa St(915) 545-4550♿823 E Yandell(915) 545-7205♿200 Lisbon St(915) 545-6140Chavez, Sylvia APN300 S Zaragoza(915) 790-5717Chawla, Loveleen APN1900 Denver Ave(915) 544-4000Chukwura, Damaris DAPN1600 Montana Ave(915) 599-6670Clark, Joanne B APN300 S Zaragoza Ave(915) 790-5700Clippard, Doris A APN
♿1208 Myrtle Ve(915) 351-8972♿1600 Montana Ave(915) 533-8398♿8061 Alameda Ave(915) 859-7545♿10780 Pebble Hills BlvdSte G 1(915) 773-0606Colker, Marcus A APN
♿10470 Vista Del SolSte 216(915) 591-2000
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
275
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.
EL PASO (continued)
ANP/CERT/CLNP(continued)Concha, Isabel G APN3100 Lee Trevino Ste G(915) 592-7400Contreras, Valerie APN1225 E Cliff DrBldg 3 Ste 100(915) 239-29556090 Surety DrSte 304(915) 799-84169440 Viscount Ste 100(915) 249-6639Cosby, Eladia APN299 Shadow Mountain DrSte C(915) 581-64057812 Gateway Blvd ESte 230(915) 592-82237812 Gateway E BlvdSte 230(915) 592-8223Coulehan, Sylvia A APN4824 Alberta Ave Ste 207(915) 521-77317848 Gateway East(915) 599-13133270 Joe Battle BlvdSte 312(915) 849-2700Cubela, Lynn APN4305 N Mesa StSte A(915) 532-2477El Paso PulmonaryAssociation9999 Kenworthy StSte B(915) 757-62801865 N Lee Trevino Dr(915) 590-1994Dalimata, Timothy J APN2931 Montana Ave Ste A(915) 562-4246Dandam, Yachit R CNM4801 Alberta Ave(915) 215-5000
Dand, Patricia M APN4301 N Mesa St Ste 100(915) 532-6767Davis, Krista R APN2000 TransmountainSte 200(915) 271-4586Davis, Nicole E APN125 W Hague RdSte 400(915) 320-38549870 Gateway Blvd NSte A(915) 577-112511163 La Quinta(469) 893-6358Dela Cruz De Jesus,Michael R APN4801 Alberta Ave(915) 215-5300Delacruz, Susan APN6600 N Desert Blvd(915) 521-2210Denning Maldonado,Monica M APN
♿3215 Gateway Blvd W(915) 598-72464545 N Mesa St(915) 598-7246♿12200 Paseo Nuevo Dr(915) 598-7246♿7825 N Mesa St(915) 598-7246Denson, Suzanne APN4305 N Mesa St Ste A(915) 532-24779999 Kenworthy Ste B(915) 575-62801865 N Lee Trevino(915) 590-1994Diaz, Roger APN9440 Viscount Ste 100(915) 249-6639Diaz, Thelma E APN3270 Joe Battle BlvdSte 160(915) 832-2831Dibenedetto, AmandaAPN310 S Mesa Hills Dr Ste B(915) 351-7546
Doctor, Melissa J APN1390 Northwestern Dr(915) 503-19592400 Trawood DrSte 301(915) 887-3410Dominguez, Charlie APN4824 Alberta Ave4th Floor(915) 521-7731Dominguez, GuadalupeAPN4801 Alberta Ave(915) 545-6560Dominguez, Victor I APN
♿1700 E Cliff Dr Bldg ASte 200(915) 577-9009Dorman, Katherine J APN1671 N Zaragoza Ste B(915) 996-5210Dungan, Brenda APN1221 N Cotton Ste 3(956) 546-58913615 Rutherglen St(915) 772-5400Dunn, Irene L APN1900 Denver Ave(915) 544-40007760 Alabama St(915) 757-7999♿6028 Surety Dr(915) 544-3500♿1219 Barranca(915) 779-5600Duque, Abel APN5080 Powder River Ln(915) 330-0794Duran, Allison L APN1250 E Cliff Dr Ste 1c(915) 351-7200Eddy, Nelda L APN4845 Alameda Ave(915) 298-5444Elevazo, Jhoanne C APN221 N Kansas StreetSuite 700(281) 888-8999Emejulu, Izuchukwu MAPN6028 Surety Dr(915) 544-3500
Enriquez, Janice A APN13001 Eastlake BlvdSte 105(915) 248-2345Enriquez, Julio A APN1600 Montana Ave(915) 351-4635Espinosa, Ivonne APN725 S Mesa Hills Dr Ste 1(915) 887-3414Estrada, Cynthia H APN4659 Cohen Ave Ste C(915) 777-7207Farness, Judy L APN11525 Vista Del Sol(915) 855-3636Fierro, Alejandra APN2201 N Stanton St(915) 533-0800Fiske, Haydee APN
♿3215 Gateway Blvd W(915) 598-7246♿12200 Paseo Nuevo Dr(915) 598-7246♿7825 N Mesa(915) 598-7246Flores Lopez, Claudia SAPN125 W Hague RdSte 180(915) 317-16604532 N Mesa StSte 2a(915) 544-0326Flores, Daniel L APN1485 George DieterSte 107(915) 790-57001521 Joe Battle Blvd(915) 521-2200Flores, Sandra APN4824 Alberta Ave4th Floor(915) 521-7731Flores, Sandra R APN1600 Medical Center DrSte 101(915) 544-1350Flores, Soledad APN3612 Pera Ave(915) 533-7057
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
276
♿This Location is Handicap Accessible.
EL PASO (continued)
ANP/CERT/CLNP(continued)Foster, Teresa K APN
♿1733 Curie DrSte 103(915) 532-2985♿2295 Trawood RdSte C(915) 532-2985Fray, Sasha M APN221 N Kansas StreetSuite 700(281) 888-8999Fuentes, Carlos APN2311 N Mesa St Bldg F(915) 544-6400Fuller, Crystal E APN6801 N Mesa StSte B3(915) 201-03381613 N Zaragoza RdSte 108(915) 201-0338
Gaona, Maria D APN♿1626 Medical Center Dr(915) 533-7057♿3501 Hueco Ave(915) 533-7057♿4875 Maxwell Ave(915) 313-9908♿3607 Rivera Ave(915) 533-7057♿3612 Pera Ave(915) 533-7057♿6040 Surety DrUnit 2(915) 533-7057♿1100 Colina De Paz(915) 533-7057♿150 Nonap Rd(915) 533-7057♿901 Ascencion St(915) 533-7057♿11700 School Ln(915) 533-7057♿11710 Pebble Hills Blvd(915) 533-7057♿12000 Montwood Dr(915) 533-7057♿14400 Pebble Hills Blvd(915) 533-7058♿14900 B Greg Drive(915) 857-2638♿2200 Sun Country Dr(915) 533-7057♿3216 Tim Foster St(915) 533-7057Garcia Ledesma, BrendaJ APN4301 N Mesa StSte 100(915) 532-6767Garcia, Erik APN2270 Joe Battle BlvdSte M(915) 855-7000Garcia, Erika APN
♿700 S Ochoa St(915) 545-4550♿823 E Yandell(915) 545-7205♿200 Lisbon St(915) 778-9200
Garcia, Lupita APN1250 E Cliff DrSte 5a(915) 532-18007878 Gateway Blvd ESte 204(915) 532-18004655 Cohen Ave(915) 532-1800Garcia, Mayela G APN101 Rim RdSte 300(915) 594-592510640 Gateway Blvd NSte B(915) 594-592510555 Vista Del SolSte 200(915) 594-5925Goehring, Rose M APN221 N Kansas StreetSuite 700(281) 888-8999Gomez, Maria S APN
♿1721 N Lee Trevino Dr(915) 590-9424Gonzales, Lori A APN300 S Zaragoza(915) 790-57001111 Hawkins BlvdSte 2a(915) 771-83466065 Montana Ste A 2(915) 771-7200Gonzalez, Alvaro G APN1725 Brown St(915) 590-2225Gonzalez, Maria E APN3612 Pera Ave(915) 533-70574687 N Mesa StSte 100(915) 532-3119Gonzalez, Ricardo APN7760 Alabama St(915) 887-34107760 Albama St(915) 887-3410Gonzalez, Roberta A APN
♿9398 Viscount Blvd Bldg 4Ste C(915) 594-1033
Gore, Jamye P APN2260 Trawood(915) 591-4632Grajeda, Veronica APN4532 N Mesa StSte 2a(915) 544-0326Green, Veronica M APN6065 Montana Ste A 2(915) 771-7200Griego, Annette APN1900 N Oregon StSte 500(915) 544-884412350 MontwoodSte 300(915) 231-6224Guerra, Adriane K APN
♿1600 N Lee TrevinoSte A 2(915) 440-0060Guerra, Francisco J APN
♿1600 N Lee TrevinoSte A 2(915) 440-0060Guerrero Heydarian,Rosalinda APN
♿4801 Alberta Ave(915) 215-5200Guevara, Iliana APN1600 Medical Center DrSte 405(915) 533-66901600 N Oregon St(915) 532-2445Guevara, Karla J APN114 W Castellano Dr(915) 532-3721Gutierrez, Edith A APN1440 George Dieter DrSte A(915) 591-4444Gutierrez, Klaudia S APN11026 Vista Del Sol(915) 593-5444Gutierrez, Mario A APN
♿6028 Surety Dr(915) 544-3500Gutierrez, Moises A APN5539 N Mesa St(915) 213-0900Gutierrez, Raul J APN4800 Alberta Ave(915) 215-5900
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
277
♿This Location is Handicap Accessible.
EL PASO (continued)
ANP/CERT/CLNP(continued)Gutierrez, Sandra J APN3100 Lee TrevinoSte G(915) 592-7400Guzman, Maritza APN3612 Pera Ave(915) 533-7057Helmick, Lory J APN2260 Trawood Dr(915) 591-46321721 N Lee Trevino Dr(915) 590-9424Henderson, Lorena C APN4301 N Mesa Ste 100(915) 532-6767Hendrix, Lisa M APN7430 Remcon Cir Bldg A(915) 584-0051Hernandez Bizouarn,Bruno APN1521 Joe Battle(915) 521-2200Hernandez, FranciscoAPN810 E Redd RdSte D(915) 298-100810870 Gateway Blvd NSte B(915) 751-52454659 Cohen AveSte A(915) 217-1140181 Gus Rallis Dr(915) 242-0339
Hernandez, Vanessa MAPN700 S Ochoa(915) 545-4550721 S Ochoa(915) 545-7090815 E Yandell(915) 351-1557823 E Yandell(915) 545-7205200 Lisbon(915) 545-61409870 Gateway N BlvdSte A1(915) 881-3368Herrera, Amanda R APN4801 Alberta Ave(915) 215-5400Hinson, Jessica APN9398 Viscount Bldg 4Ste C(915) 594-1033Hunter, Stephanie L APN8041 N Mesa StSte B 2(915) 703-7270Inostroza, Monica APN181 Gus Rallis(915) 242-0339Isaac, Valentina APN1600 Montana Ave(915) 887-3410Jacobs, Michael J APN10640 Gateway NSte B(915) 307-4631Jesse, Ann M APN
♿4824 Alberta Ave Fl 4(915) 521-7866Jin, Kate E APN
♿3329 Montana Ave(915) 591-2704♿400 Shadow Mountain(915) 591-2704♿6974 Gateway Clinic(915) 591-2704♿8030 North Loop(915) 591-2704♿1335 Geronimo(915) 591-2704
Johnson, Cara R APN♿1208 Myrtle Ave(915) 351-8972♿1600 Montana Ave(915) 533-8398♿8061 Alameda Ave(915) 859-7545♿10780 Pebble Hills BlvdSte G 1(915) 773-0606Johnson, Kenyua APN1485 George DieterSte 107(915) 790-5700Johnson, Sally M APN221 N Kansas StreetSuite 700(281) 888-8999Johnston, Katherine LAPN
♿3215 Gateway Blvd W(915) 598-7246♿12200 Paseo Nuevo Dr(915) 598-7246♿7825 N Mesa St(915) 598-7246Jones, Daphne M APN
♿1485 George Dieter DrSte 107(915) 521-2258Kaluzny, Chelcie D APN4875 Maxwell Ave(915) 313-9908Kaufman, Robert M APN
♿5340 El Paso Dr Ste A(915) 778-9813Kelly, Alma G APN3215 Gateway Blvd W(936) 675-1128Kelsey, Shannon E APN1600 Medical CenterSte 400(915) 217-2163Kimmel, Warren E APN4305 N Mesa StSte A(915) 532-24779999 KenworthySte B(915) 757-62801865 Lee Trevino(915) 590-1994
Kugelmann, Colin APN221 N Kansas StSuite 700(281) 888-8999Labrado, Victor APN3615 Rutherglen St(915) 772-5400Law, Patricia Z APN
♿1208 Myrtle Ave(915) 351-8972♿1600 Montana Ave(915) 533-8398♿8061 Alameda Ave(915) 859-7545♿10780 Pebble Hills BlvdSte G1(915) 773-0606Leal, Rey APN9440 Viscount Ste 100(915) 249-6639Lightner, Laura G APN5160 El Paso Dr(915) 774-2550Limberg, Teresa F APN1000 N Mesa St(915) 533-1960Lindsay, Alejandrina APN4801 Alberta Ave(915) 215-5300Lopez, Edwin APN4801 Alberta Ave(915) 215-5900Lopez, Lirio E APN1030 N ZaragozaSte X(915) 881-4155Lopez, Maday C APN10500 Vista Del SolSte C(915) 444-8571Lopez, Roxana APN9398 Viscount Blvd Ste 4c(915) 594-1033Lozano, Rachel M APN2260 Trawood Dr(915) 591-46321721 N Lee Trevino Dr(915) 590-9424Luna Bowen, Yvette MAPN1700 Curie DrSte 4700(915) 532-1197
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
278
♿This Location is Handicap Accessible.
EL PASO (continued)
ANP/CERT/CLNP(continued)Lunaevans, Claudia YAPN1111 Hawkins BlvdSte 2a(915) 771-8346Macias, Lilliana N APN3615 Rutherglen St(915) 772-5400Madrid, Alfredo APN1521 Joe Battle Blvd(915) 521-2200Magnon, Monicke APN4305 N MesaSte B(915) 779-73783030 Joe Battle(915) 242-1634Mahatha, Hazal APN1600 Montana Ave(915) 887-3410Maldonado, Vanessa APN1000 N Mesa St(915) 533-1960125 W Hague RdSte 550(915) 533-61001600 Medical Center DrSte 309(915) 532-91001810 Murchison DrSte 110(915) 533-61003270 Joe Battle BlvdSte 275(915) 271-4600Manriquez, Alynna A APN6040 Surety DrUnit 2(915) 533-7057Marquez, Cecilia APN
♿6604 Westwind(915) 845-4600Marquez, Maria M APN3615 Rutherglen St(915) 772-5400Martel, Rocio I APN1570 Lomaland Dr. Ste A(972) 957-3005
Martinez, Gabriela APN4646 N Mesa St(915) 313-63004646 North Mesa St(915) 313-63007878 Gateway Blvd EastSte 420(915) 313-44434659 Cohen AveSte A(915) 557-1125Martinez, Iris APN
♿1521 Joe Battle Blvd(915) 521-2200Martinez, Mabel R APN7430 Remcon CirBldg A(915) 584-0051Martinez, Nilda D APN4801 Alberta Ave(915) 215-5400McAnulty, Amy L APN1700 Murchison Dr(915) 534-12161720 Murchison Dr(915) 534-12161755 Curie Dr(915) 534-12167420 Remcon Cir Ste A2(915) 534-12163100 Lee Trevino Dr(915) 534-1216McDonald, Lisa R APN2001 N Oregon St(210) 704-47084845 Almeda Ave(210) 704-4708
McKelroy, Yostin Z APN1626 Medical Center Dr(915) 533-70573501 Hueco Ave(915) 533-70574875 Maxwell Ave(915) 313-99083607 Rivera Ave(915) 533-70573612 Pera Ave(915) 533-70576040 Surety Dr Unit 2(915) 533-7057901 Ascencion St(915) 533-705714900b Greg Dr(915) 857-2638Medina, Jorge APN601 E Overland Ave(915) 887-3410♿6070 Gateway Blvd ESte 218(915) 245-5150Medina, Pedro S APN4301 N Mesa St Ste 100(915) 532-6767Mendoza Marcial, KarinaY APN6373 Casper Rdg(915) 494-59836974 Gateway Blvd ESte F(915) 591-2704Mendoza, Elizabeth APN1570 Lomaland Dr. Ste A(915) 590-4718Mendoza, Gabriel APN
♿4305 N Mesa StSte A(915) 532-2477♿9999 KenworthySte B(915) 757-6280♿1865 N Lee TrevinoDr(915) 590-1994Mendoza, Maria A APN4305 N Mesa St Ste A(915) 532-24774305 N Mesa Ste B(915) 779-73783030 Joe Battle(918) 242-1634
Mercer, Roberta A APN♿4500 N Mesa(915) 532-9000Meza, Hugo A APN
♿423 Executive Center Blvd(915) 261-7688♿1111 Hawkins BlvdSte 2a(915) 771-8346♿2270 Joe Battle BlvdSte J(915) 996-9222Meza, Sonia M APN221 N Kansas StreetSuite 700(281) 888-8999Mineros, Henry J APN
♿300 S Zaragoza Rd(915) 790-5700Moldes, Orestes E APN1600 N Oregon St(915) 532-2445Monarez, Berenice APN4305 N Mesa St Ste A(915) 532-24774801 Alberta Ave(915) 215-54009999 KenworthySte B(915) 575-62801865 Lee Trevino(915) 590-1994Mondesir, Danielle APN221 N Kansas StreetSuite 700(281) 888-8999Mora, Carla L APN4659 Cohen AveSte A(915) 217-11404659 Cohen Dr Ste B(915) 217-11404659 Cohen Unit B(915) 217-1140Mosier, Karina P APN125 W Hague RdSte 500(915) 351-72001250 E Cliff DrSte 2b(915) 351-7200
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
279
♿This Location is Handicap Accessible.
EL PASO (continued)
ANP/CERT/CLNP(continued)Murray, Colleen S APN
♿1626 Medical Center DrSte 503(915) 532-37709440 Viscount Ste 100(915) 249-6639Murray, Justine M APN1700 Murchison Dr(915) 533-74651720 Murchison Dr(915) 534-12163100 N Lee Trevino DrSte B(915) 533-7465Nathan, Athena APN
♿700 South Ochoa(915) 545-4550♿200 Lisbon(915) 772-4524Natividad, Lorena APN
♿1485 George Dietter DrSte 107(915) 790-5700Natividad, Pedro APN4659 Cohen Ave Ste A1(915) 881-33689870 Gateway Blvd NSte A(915) 577-1125Nead, Rebecca L APN9398 Viscount BlvdBldg 4c(915) 594-1033Neff, Kristy K APN
4125 W Hague RdSte 440(915) 533-5733
47910 Gateway Blvd ESte 100(915) 629-9725Nelson, Guillermina AAPN4801 Alberta Ave(915) 215-5900Nieto, Sheri L APN9999 Kenworthy Ste 1000(915) 298-3434
Norris, Tewiana C APN201 E Main Dr Ste 600(915) 887-3410Nwiloh, Mariagorety OAPN2204 Joe Battle BlvdSte D203(817) 996-3226Ocaranza, Martha L APN
♿820 Redd RdBldg B(915) 581-0712♿1400 George DieterSte 100(915) 581-0712Ochoa, Felipe A APN5539 N Mesa St(915) 213-09001512 N Zaragoza RdSte B(915) 213-0900Ogaz, Monica P APN615 N Zaragoza RdSte 86(915) 516-6868Okubo, Raquel APN550 S Mesa Hills DrSte C3(915) 532-1587Olivas, Cecilia A APN4801 Alberta(915) 215-59004801 Alberta Ave(915) 215-5900Ontiveros Loya, BiancaAPN7430 Remcon CirBldg A(915) 584-0051Orozco, Angela APN4801 Alberta Ave(915) 215-5300Ortiz, Carlos APN1400 N El Paso St Bldg E(915) 577-0455Ortiz, Jessica H APN
♿4824 Alberta Ave(915) 521-7731Ozuna, Linda APN
♿2260 Trawood Dr(915) 591-4632♿1721 N Lee Trevino Dr(915) 590-9424
Padilla, Maria I APN♿1651 Joe Battle Blvd(915) 849-9010Padilla, Mari C APN3215 Gateway Blvd W(915) 598-724612200 Paseo Nuevo Dr(915) 598-72467825 N Mesa St(915) 598-7246Paulette, Renee N APN10470 Vista Del SolSte 216(915) 591-2000Paz, Christina I APN
♿1208 Myrtle Ave(915) 351-8972♿1600 Montana Ave(915) 533-8398♿8061 Alameda Ave(915) 859-7545♿10780 Pebble HillsBlvd Ste G1(915) 773-0606Pedraza, Alberto APN4801 Alberta Ave(915) 215-5416211 Bartlett DrSte 102(575) 650-3335Peebles, Taron T APN10500 Vista Del Sol Ste E(915) 444-85715080 Powder River Ln(915) 330-0794Pena Human, Lynda APN1400 N El Paso St Bldg E(915) 577-04558500 Boeing(915) 887-3410Pennington, Delia C APN7430 Remcon CircleSte B 100(915) 541-1144Pereira Wookee, Lisa APN
♿5160 El Paso Dr(915) 774-2550♿7430 Remcon CirBldg A(915) 584-0051Pimentel, Elizabeth A APN
♿4801 Alberta Ave(915) 215-5400
Pineda, Angel APN4801 Alberta Ave(915) 215-5900Ponce, Rafael APN4801 Alberta Ave(915) 215-5400Portillo, Ofelia L APN4801 Alberta Ave(915) 215-5900Portugal, Elizabeth ACNM4659 Cohen AveSte A(915) 577-11259870 Gateway N BlvdSte B1(915) 751-5571Priego, Vanessa J APN11861 Physicians Dr(915) 521-7253Prince, Monica APN1701 N Lee Trevino DrSte C(915) 706-4065Quinn, Kelly M APN4301 N Mesa St Ste 100(915) 532-6767Ramirez Resendez, NancyAPN10470 Vista Del Sol SrSte 105(915) 218-6055Ramirez, Eva Y APN1717 Brown StUnit 3(915) 261-7226Ramirez, Magdalena APN7420 Remcon CircleBldg A(915) 502-882310201 Gateway W Ste 201(915) 500-30763270 Joe Battle BlvdSuite 195(915) 206-2141Ramos, Ruben APN4824 Alberta4th Flr(915) 521-7731
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
280
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.
EL PASO (continued)
ANP/CERT/CLNP(continued)Reliford, Marjorie N APN
♿4305 N Mesa StSte A(915) 532-2477♿9999 KenworthySte B(915) 757-6280♿1865 N Lee Trevino(915) 590-1994Renteria, Jennifer A APN10870 Gateway Blvd NSte B(915) 751-5255♿10870 Gateway NorthSte B(915) 751-5245Reyes, Elizabeth APN
♿1485 George DieterSte 107(915) 521-2258Rincones, Cheyenne CAPN
♿9849 Kenworthy(915) 215-5500Rivera, Itzel APN2000 B Transmountain Rd(915) 215-8410Robinson, Emily E APN1511 E Missouri Ste B(915) 626-5191Robles, Celene M APN4801 Alberta Avenue(915) 215-5300Robles, Myra I APN
♿8030 North Loop(915) 591-2704Rocha, Ofelia A APN
♿1521 Joe Battle Blvd(915) 521-2200Rodriguez, Angela APN4801 Alberta Ave(915) 215-53102000 Trans Mountain Rd SteB(915) 215-8400Rodriguez, Erika V APN4305 N Mesa St Ste A(915) 532-2477
Rodriguez, Hector L APN♿9849 Kenworthy(915) 757-2581Rodriguez, Miguel A APN4532 N Mesa StFloor 2(915) 544-03261400 George DieterSte 240(915) 544-0326Rogers, Katrina E APN
♿12810 Edgemere Blvd(915) 504-6955Rojas, Maria G APN1721 N Lee Trevino Dr(915) 591-4632Romero, Joshua M APN1208 Myrtle Ave(915) 351-89721600 Montana Ave(915) 533-83988061 Alameda Ave(915) 859-779910780 Pebble HillsBlvd Ste G1(915) 773-0606Romero, Roberta A APN1250 E Cliff DrSte 2b(915) 356-39391700 Curie Dr Ste 4800(915) 356-3939Rosales, Ivonne V APN3615 Rutherglen St(915) 772-5400Rubio, Elizabeth APN
♿1208 Myrtle Ave(915) 351-8972♿1600 Montana Ave(915) 533-83985160 El Paso Dr(915) 774-2550♿10780 Pebble Hills BlvdSte G 1(915) 773-0606Salazar, Judith S APN1721 N Lee Trevino Dr(915) 590-9424Salinas, Albert APN4801 Alberta Ave(915) 215-5200♿300 S Zaragoza Rd(915) 790-5700
Samble Smith, Ruth EAPN1733 Curie DrSte 103(915) 532-29852295 Trawood DrSte C(915) 532-2985Sanchez, Adriana P APN
♿2311 N MesaBldg E(915) 533-8499Sanchez, Gabriel M APN
♿4305 N Mesa Ste A(915) 779-7378♿3030 Joe Battle(915) 242-1634Sanchez, Maria E APN125 W Hague StreetSte 270(915) 271-45962000 Trans Mountain RdSte 120 A & B(915) 671-38381580 Lomaland Dr(916) 313-6300Sanchez, Rosalinda TAPN1512 Zaragoza RdSte A 1(915) 855-7700Scott, Crystal Y APN4801 Alberta Ave(915) 215-5000Seagrove, Sara N APN
♿10470 Vista Del SolSte 216(915) 591-2000Serrano, Monique I APN1733 Curie Suite 103(915) 532-2985Sheppard, Heather APN1511 E Missouri AveSte B(817) 472-8196Sifuentes, JacquelineAPN2260 Trawood Dr(915) 591-4632Skory, John C APN
♿1523 N Zaragoza(915) 857-4559
Slape, Rosalia APN865 N Resler Dr Ste D(915) 500-307610201 Gateway WestSte 201(915) 500-307612379 Edgemere Ste 102(915) 500-3076Smilo, Stephanie A APN310 S Mesa Hills Dr Ste B(915) 351-7546Smith, Rubeena APN2000 Trans Mountain RdSte 270b(915) 213-09001512 N Zaragoza Rd Ste B(915) 213-0900Soberanes, Rickie J APN3615 Rutherglen St(915) 772-5400Solis, Guillermina R APN
♿4930 Osborne DrSte A(915) 587-9455Stewart Ray, Verlaine MAPN1516 Lomaland Dr(915) 593-2600Stripling, Paige M APN
♿4774 Loma Del Sur(915) 751-7773Suarez, Cerena H APN
♿7430 Remcon Cir Bldg A(915) 584-0051Tapia, Martha APN4301 N Mesa StSte 100(915) 532-6767Taylor, Jeffrey J APN1721 N Lee Trevino Dr(925) 590-9424Taylor, Marila APN4305 N Mesa StSte A(915) 242-63969999 Kenworthy StSte B(915) 757-62801865 N Lee Trevino Dr(915) 590-1994
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
281
♿This Location is Handicap Accessible.
EL PASO (continued)
ANP/CERT/CLNP(continued)Terrazas Ponce, BelenAPN7420 Remcon CirBldg A(915) 532-8823Thomas, Bobbi G APN
♿1721 N Lee Trevino Dr(915) 590-9424Tittle, Joe F APN1671 N Zaragoza Ste B(915) 996-5210Tofilon, Janett APN300 S Zaragoza Rd(915) 790-5700Torres, Evelyn G APN423 Executive Center(915) 261-76881111 Hawkins BlvdSte 2a(915) 771-83462270 Joe BattleSte J(915) 996-9222Torres, Leigh A APN4801 Alberta Ave(915) 215-5700Torres, Luz M APN1721 N Lee Trevino Dr(915) 590-9424Torres, Marcelita P APN
♿1400 George DieterSte 210(915) 855-1720Trevizo, Roberto APN300 S Zaragoza Ave(915) 790-57001397 George Dieter Ste D(915) 598-8120Udo, Inemesit G APN5160 El Paso Dr(915) 774-25509999 Kenworthy Ste 1000(915) 298-3434Uga, Cecilia O APN2022 Murchison DrSte 108(915) 200-1144
Valadez, Michelle M APN10870 Gateway Blvd NSte B(915) 751-5245Valdivia, Jose APN
♿3329 Montana Ave(915) 591-2704♿6974 Gateway Blvd EastSte F(915) 591-2704♿8030 N Loop Dr Bldg C(915) 591-2704Valle, Christina APN1600 Medical Center DrSte 405(915) 533-66904659 Cohen Ave Ste A1(915) 881-33684659 Cohen Ave Ste A1(915) 881-3368Vallejo, Daniel C APN4801 Alberta Ave(915) 215-5300Valverde, Caitlin D APN221 N Kansas StSuite 700(281) 888-8999Vargas, Ricardo APN7430 Remcon CirBldg A(915) 584-0051Vasquez, Bertha R APN4824 Alberta AveSte 207(915) 521-7731Vasquez, Monica APN5160 El Paso Dr(915) 774-2550Vega, Veronica APN4801 Alberta Ave(915) 215-5205Velasco, Sandra L APN2000 Trans Mountain RdSte 120 A and B(915) 671-38381575 N Resler DrSte D(915) 271-45692204 Joe Battle Blvd(915) 503-1870Velez, Claudia L APN1671 N Zaragoza Ste B C(915) 996-5210
Velez, Vanessa APN4845 Alameda Ave(915) 298-5444Villalobos, Oscar D APN7760 Alabama(915) 887-34149440 Viscount Ste 100(915) 249-663914900b Greg Dr(915) 857-2638Villa, Mindy E APN300 Zaragoza(915) 790-5700Villanueva, Crystal APN1600 Medical Center StSte 400(915) 217-2163Vizcaino, Adriana APN10501 Gateway Blvd WSte 105(915) 533-0406Volkova, Olga APN11861 Physician Ave(915) 521-7253Ward, Mariko APN3615 Rutherglen St(915) 772-5400Wentworth, Angela J APN1600 Montana Ave(915) 599-4700Wooley, Angela M APN1600 Medical Center StSte 400(915) 217-2163Woznicki, Marie T APN4301 N Mesa St Ste 100(915) 532-6767
Zamora, Juan P APN1626 Medical Center Dr(915) 533-70573501 Hueco Ave(915) 533-70574875 Maxwell Ave(915) 313-99083607 Rivera Ave(915) 533-70573612 Pera Ave(915) 533-70576040 Surety DrUnit 2(915) 533-70579440 Viscount Ste 100(915) 249-66391100 Colina De Paz(915) 533-7057150 Nonap Rd(915) 533-7057901 Ascencion St(915) 533-705711700 School Ln(915) 533-705711710 Pebble Hills Blvd(915) 533-705712000 Montwood Dr(915) 533-705714400 Pebble Hills Blvd(915) 533-705714900b Greg Dr(915) 857-26382200 Sun Country Dr(915) 533-70573216 Tim Foster St(915) 533-7057Zamora, Rosa I APN3615 Rutherglen St(915) 772-5400Zubia, Rosalia APN4801 Alberta Ace(915) 215-52001721 N Lee Trevino Dr(915) 590-9424Zuniga, Isabel APN4824 Alberta4th Flr(915) 521-7731Zuniga, Julie A APN1700 E Cliff Dr Bldg ASte 100(915) 351-6200
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
282
♿This Location is Handicap Accessible.
EL PASO (continued)
ANP/CERT/CLNP(continued)Zuniga, Marco A APN1201 E Schuster AveBldg 4(915) 642-94442270 Joe Battle BlvdSte E G(915) 642-9444
CERTIFIED NURSEMIDWIFECroslen, Margaret S CNM4801 Alberta Ave(915) 215-5000Giroux, Kristin M CNM3612 Pera Ave(915) 533-7057Nellikappallil, Anna MCNM3612 Pera Ave(915) 533-70574801 Alberta Ave(915) 215-5000Portugal, Elizabeth ACNM1300 Murchinson DrSte 100(915) 577-90909870 Gateway North BlvdSte B1(915) 751-5571Skrinak, Nikki A CNM3612 Pera Ave(915) 533-70574801 Alberta Ave(915) 215-5000Valenzuela, Carlos E CNM125 W Hague Rd Ste 340(915) 215-50004801 Alberta Ave(915) 215-5000White, Anna CNM3612 Pera Ave(915) 533-7057
NURSE MIDWIFEDandam, Yachit R CNM4801 Alberta Ave(915) 215-5000
PHYSICIAN ASSISTANTAdams, Jessica R PA4774 Loma Del Sur Dr(915) 751-7773Aguilar, Jessica L PA
♿3215 Gateway Blvd W(915) 598-7246♿12200 Paseo Nuevo Dr(915) 598-7246♿7825 N Mesa St(915) 598-7246Anaya, Richard J PA299 Shadow Mountain DrSte C(915) 581-6405Atten, Angelica V PA1523 N Zaragoza(915) 857-4559Avila, Ivan J PA7430 N Mesa St(915) 875-18012000 Lomaland DrSte 106-109(915) 875-1801Beltran, Jodie R PA9398 Viscount BlvdSte 4c(915) 594-1033Berntson, Phillip A PA
♿1600 Medical Center DrSte 212(915) 532-3977Calderon, Jose L PA
♿6211 Edgemere BlvdSte 1(915) 881-8264Callender, Yessenia I PA8820 Gateway Blvd N(915) 759-7700Cardona, Glenda M PA211 Bartlett Dr(915) 303-55224659 Cohen Ave Unit C(915) 777-7207Chavez, Santiago A PA1700 Murchison Dr(915) 533-74651720 Murchison Dr(915) 534-12163100 N Lee Trevino DrSte B(915) 533-7465
Dahill, Valerie J PA♿1800 N Mesa St Ste 200(915) 577-99004501 N Mesa St(915) 533-6100♿4659 Cohen AveSte A(915) 577-11254659 Cohen AveSte A 1(915) 881-3368Dedmon, Mark K PA
4125 W Hague Ste 120(888) 336-9633Del Cid, Jiselle PA6028 Surety Dr(915) 544-3500Dubravsky, Ethan E PA7812 Gateway Blvd ESte 110(915) 533-2888Esquivel, Michael R PA2260 Trawood Dr(915) 591-46321721 N Lee Trevino Dr(915) 590-9424♿1721 N Lee Trevino Dr(915) 590-9424Garza, Angela PA6028 Surety Dr(915) 544-3500Gutierrez, Arturo PA
♿1810 MurchisonSte 140(915) 581-0712♿820 Redd RdBldg B(915) 581-0712♿1400 George DieterSte 100(915) 581-0712Heins, Todd A PA
♿1600 Medical Center DrSte 212(915) 532-3977Hernandez, Maria E PA1601 E Yandell Dr(915) 747-3510Herrera, Andrea L PA4532 N Mesa Floor 2(915) 544-0326
Holguin, Melissa R PA11351 James Watt DrBldg F(915) 225-3807Hollingsed, Michael J PA
♿1600 Medical Center DrSte 212(915) 532-3977Hurdt, Lauren L PA4801 Alberta Ave(915) 215-5400Jacobs, Michael J APN
♿1523 N Zaragoza Rd(915) 857-4559Jacome, Elvis G PA310 S Mesa Hills DrSte B(915) 351-7546Kristofferson, Ken K PA7420 Remcon CircleBldg A(915) 532-8823Lawhon, Price H PA1201 E Schuster AveSte 5b(915) 544-3229125 W Hague Rd Ste 400(915) 544-3229Lopez, Nidia PA1901 Grandview Ave(915) 544-6750Luna, Silas S PA2201 N Stanton St(915) 533-0800Mack, Kimberlee N PA6974 Gateway Blvd E Ste F(915) 591-2704Manzo Micoletti, ZacharyD PA
♿1523 N Zaragoza(915) 857-4559Martinez, Jennifer M PA1700 Murchison Dr(915) 533-74651720 Murchison Dr(915) 534-12163100 N Lee Trevino DrSte B(915) 533-7465Medina, Ruben A PA6974 Gateway Blvd ESte F(915) 591-2704
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
283
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.
EL PASO (continued)
PHYSICIAN ASSISTANT(continued)Meraz, Victoria A PA310 S Mesa Hill DrSte B(915) 351-75461397 George Dieter DrSte A(915) 351-7546Mercado, Lisa M PA1600 Medical Center DrSte 214(915) 600-2220Miramontez, Jaclyn A PA125 W Hague RdSte 180(915) 317-1660Morales, Cesar G PA815 E Yandell(915) 351-1557200 Lisbon(915) 545-6140Morron, Clyde R PA1397 George Dieter DrSte A(915) 351-7546Nichols, Jessica S PA
42000 Trans Mountain Rd SteA(915) 215-8410Patrice, Carty Anna PA6065 Montana AveSte A2(915) 771-7200
Peralta, Jasmine PA1626 Medical Center Dr(915) 533-70573501 Hueco Ave(915) 533-70574875 Maxwell Ave(915) 313-99083607 Rivera Ave(915) 533-70573612 Pera Ave(915) 533-70576040 Surety DrUnit 2(915) 533-70571100 Colina De Paz(915) 533-7057150 Nonap Rd(915) 533-7057901 Ascencion St(915) 533-705711700 School Ln(915) 533-705711710 Pebble Hills Blvd(915) 533-705712000 Montwood Dr(915) 533-705714400 Pebble Hills Blvd(915) 533-705714900b Greg Dr(915) 857-26382200 Sun Country Dr(915) 533-7057Petrus, Philippe W PA221 N KansasSte 1501(915) 779-1716725 S Mesa Dr Bldg 1Ste 1(915) 887-34141225 E Cliff DrBldg 3 Ste 100(915) 239-29551900 Denver Ave(915) 544-40001900 Denver Ave(915) 544-4000Pugao, Irish F PA
♿1521 Joe Battle(915) 790-5700♿1521 Joe Battle Blvd(915) 790-5700
Ramirez, Jessica A PA3501 Hueco Ave(915) 533-70573612 Pera Ave(915) 533-7057901 Ascencion St(915) 533-7057Rasmussen, Sydney E PA3329 Montana Ave(915) 591-2704400 Shadow Mountain(915) 591-27046974 Gateway Clinic(915) 591-27048030 North Loop(915) 591-27041335 Geronimo(915) 591-2704Retana Brown, Perla A PA1250 E Cliff Dr Ste 3e(915) 626-5548Rincon, Jose L PA
♿10412 Vista Del Sol DrSte 1b(915) 593-9300Rosado, Damaris C PA4801 Alberta Ave(915) 215-5383Ruiz, Beth M PA1810 Murchison DrSte 300(915) 533-8544Saucedo, Ana M PA4532 N Mesa St Sta 2a(915) 544-0326Serna, Ana K PA11040 Vista Del Sol DrSte C(915) 444-8394Southwest Hcp AccessPA211 Bartlett DrBldg B(915) 444-83944659 Cohen AveSte C(915) 444-8394Short, Tracy A PA8041 N Mesa StSte B(915) 307-3416
Telles, Elizabeth A PA4125 W HagueSte 440(951) 533-5733Vogt, William PA1721 N Lee Trevino Dr(915) 590-9424Werge, Danielle M PA4659 Cohen Ave Ste C(915) 777-7207Yocum, Denise N PA1250 E Cliff DrSte 2a(915) 577-7951
SURG ASSISTDelolmo, Lorenzo LSA
♿421 Stotts Ave(915) 240-8234
FABENS
ANP/CERT/CLNPKviatkovskaya, Julia APN101 Potasio St(915) 521-2270Watts, Wallace M APN
♿101 Potasio Rd(915) 521-2270
FORT HANCOCK
ANP/CERT/CLNPGaona, Maria D APN
♿561 Knox Ave(915) 769-1079
HORIZON CITY
ANP/CERT/CLNPCabrera, Yadira I APN13650 Eastlake BlvdSte 104 Bldg A(915) 852-508613650 Eastlake Blvd SteSte 102(915) 217-2117
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
284
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.
HORIZON CITY(continued)
ANP/CERT/CLNP(continued)Denning Maldonado,Monica M APN
♿13650 Eastlake DrBldga Ste 102(915) 852-5086♿13650 Eastlake DrSte 104 Bldg A(915) 852-5086Gaona, Maria D APN
♿13000 Emerald Pass Ave(915) 533-7057♿13600 Ryderwood Dr(915) 533-7057Hernandez, Irma APN13800 Eastlake DrSte 400(915) 577-1134Mendoza, Celia A APN13650 Eastlake BlvdSte 102 104(915) 703-6299Rodriguez, Hector L APN13650 Eastlake DrSte 102(915) 217-211713650 Eastlake Dr BldgA Ste 104(915) 852-5086Zamora, Juan P APN13000 Emerald Pass Ave(915) 533-705713600 Ryderwood Dr(915) 533-7057
PHYSICIAN ASSISTANTPeralta, Jasmine PA13000 Emerald Pass Ave(915) 533-705713600 Ryderwood Dr(915) 533-7057
SAN ELIZARIO
ANP/CERT/CLNPAmparan, Ramon APN
♿12101 Socorro Rd(915) 545-6156
Chavez, Marcia APN♿12101 Socorro Rd(915) 851-5519Clippard, Doris A APN
♿13017 Perico Dr(915) 851-0999Garcia, Erika APN
♿12101 Socorro Rd(915) 851-5519Hernandez, Vanessa MAPN12101 Socorro Rd(915) 545-6156Johnson, Cara R APN
♿13017 Perico Dr(915) 851-0999Law, Patricia Z APN
♿13017 Perico Dr(915) 851-0919Nathan, Athena APN
♿12101 Socorro Rd(915) 545-6156Paz, Christina I APN
♿13017 Perico Dr(915) 851-0999Rodriguez, Hector L APN12101 Socorro Rd(915) 545-6156Romero, Joshua M APN13017 Perico Dr(915) 851-0999Rubio, Elizabeth APN
♿13017 Perico(915) 851-0999
SIERRA BLANCO
ANP/CERT/CLNPGaona, Maria D APN
♿500 E Walling St(915) 369-0038
SOCORRO
ANP/CERT/CLNPGaona, Maria D APN
♿10150 Alameda Ave(915) 533-7057♿11471 Alameda Ave(915) 533-7057♿301 Bovee Rd(915) 533-7057
Kraft, Nidia APN9895 Alameda Ave Ste 118(915) 440-0099Mercer, Roberta A APN10211 Alameda Ave(915) 440-4266Zamora, Juan P APN10150 Alameda Ave(915) 533-705711471 Alameda Ave(915) 533-7057
PHYSICIAN ASSISTANTPeralta, Jasmine PA10150 Alameda Ave(915) 533-705711471 Alameda Ave(915) 533-7057301 Bovee Rd(915) 533-7057
VINTON
ANP/CERT/CLNPMartinez, Jesus APN
♿141 Vinton Rd Ste E5(915) 886-3088
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Supervised and Sponsored ProvidersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 HORIZON CITY
285
♿This Location is Handicap Accessible.
EL PASOAlternatives Centre ForBehavioral Health♿7760 Alabama Street(915) 757-7999**Practice Information:11; 12; 13; 14; 23; 24; 26;27; 347; 348; 352; 353;362; 476; 477; 478; 479;515; 517; 520; 595; 599;600; 602; 722
El Paso PsychiatricHospital♿4615 Alameda Ave(432) 268-7459
Emergence Health Network7760 Alabama St(915) 757-7999
Rio Vista Behavioral Health1390 Northwestern Dr(915) 493-8564
The Hospitals ofProvidence TransmountainCam2000 Transmountain Rd(915) 577-8467
ER Physicians:Facility uses in-network andout-of-network ER physiciansUniversity Behav Hlth ElPaso LLC1900 Denver Ave(915) 544-4000
University Behav Hlth ElPaso LLC1900 Denver Ave(915) 544-4000
Behavioral Health FacilitiesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health FacilitiesYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
286
♿This Location is Handicap Accessible. **See the Practice Information Appendix for Details.
CANUTILLO
LICENSEDPROFESSIONALCOUNSELORAbdo, Roberta LPCGender: Female7000 E 5th St(915) 542-3075Clinic Affiliation: ProjectVida Health Center**Practice Information:32; 38; 39; 40; 41; 42; 45;46; 47; 48; 49; 52; 53; 58;59; 60; 62; 63; 65; 66; 67;69; 73; 75; 81; 84; 92; 93;94; 95; 98; 106; 112; 113;114; 116; 117; 118; 120;121; 122; 123; 127; 128;131; 139; 140; 141; 142;145; 152; 153; 157; 161;162; 163; 164; 165; 166;167; 168; 169; 170; 171;174; 176; 177; 180; 181;186; 187; 188; 189; 190;191; 193; 195; 196; 202;203; 207; 209; 210; 211;212; 213; 214; 215; 216;217; 218; 219; 220; 221;222; 223; 224; 225; 227;231; 232; 237; 238; 239;240; 241; 242; 244; 245;246; 247; 251; 253; 254;255; 256; 259; 261; 262;263; 264; 265; 266; 267;268; 269; 270; 272; 274;276; 277; 279; 283; 290;291; 292; 293; 294; 296;298; 299; 303; 305; 306;308; 311; 313; 315; 317;318; 320; 595; 614; 722Board Certifications:NoneLanguage: English;Spanish
Fuentes, Anna M LPCGender: Female7000 5th St(915) 542-3075Clinic Affiliation: ProjectVida Health Center**Practice Information:39; 40; 42; 49; 53; 54; 56;115; 117; 118; 120; 121;122; 124; 125; 126; 127;128; 139; 141; 142; 164;166; 167; 169; 170; 171;173; 174; 175; 176; 177;188; 190; 191; 204; 211;224; 225; 226; 227; 228;239; 241; 242; 256; 263;317; 319; 595; 722Board Certifications:NoneLanguage: SpanishGonzalez, Viridiana LPCGender: Female7000 5th St(915) 542-3075Clinic Affiliation: ProjectVida Health Center**Practice Information:65; 68; 70; 71; 73; 75; 77;80; 84; 85; 92; 94; 112;115; 117; 118; 120; 122;124; 127; 131; 132; 139;141; 161; 164; 166; 167;169; 171; 173; 176; 180;181; 188; 190; 212; 215;217; 218; 220; 222; 224;227; 231; 232; 239; 241;264; 267; 269; 270; 272;274; 276; 279; 283; 284;291; 293; 316; 317; 318;319; 320; 595; 722Board Certifications:NoneLanguage: SpanishLopez Longoria, Lizet LPCGender: Female7000 E 5th St(915) 542-3075Clinic Affiliation: ProjectVida Health CenterBoard Certifications:None
Ochoa De Marquez,Guadalupe LPCGender: Male7000 E 5th St(915) 542-3075Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: Abkhazian;Spanish
EL PASO
BOARD CERTIFIEDASSISTANT BEHAVIORANALYSTRodriguez, Mario LBCABAGender: Male
♿1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev CtrBoard Certifications:NoneLanguage: Spanish
u Sepulveda, Elizabeth CBCABAGender: Female
U725 S Mesa Hills DrBldg 3(855) 223-7123Clinic Affiliation: Aces2020 LLC**Practice Information:69; 71; 73; 81; 116; 118;120; 128; 165; 167; 169;177; 216; 218; 220; 228;595; 614; 722Board Certifications:Board Certified AssistantBehavior AnalystShull, Abby BCBAGender: Female
U9900 Montana Ave Ste C6(818) 241-6780Clinic Affiliation: AutismLearning PartnersBoard Certifications:None
u Valdez, Ashley M BCABAGender: Female
U725 S Mesa Hills DrBldg 3(855) 223-7123Clinic Affiliation: Aces2020 LLC**Practice Information:69; 71; 73; 81; 116; 118;120; 128; 165; 167; 169;177; 216; 218; 220; 228;595; 614; 722Board Certifications:Board Certified AssistantBehavior Analyst
BOARD CERTIFIEDBEHAVIOR ANALYSTAdame, Hector M BCBAGender: Male4700 N Mesa StSte F-4(915) 704-1094Clinic Affiliation: Autism &Behavioral Pediatric CliBoard Certifications:NoneLanguage: SpanishAlvarez, Judith A BCBAGender: Female
U725 S Mesa Hills DrBldg 3(855) 223-7123Clinic Affiliation: Aces2020 LLC**Practice Information:69; 71; 73; 81; 116; 118;120; 128; 165; 167; 169;177; 216; 218; 220; 228;595; 614; 722Board Certifications:NoneAndrews, Rebecca MBCBAGender: Female221 N Kansas StSte 700(855) 345-2273Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:None
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 CANUTILLO
287
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
BOARD CERTIFIEDBEHAVIOR ANALYST(continued)
u Banks, Carol L BCBAGender: Female
U221 N Kansas StSte 700(818) 345-2345Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:Board Certified BehaviorAnalystBaumann, Erica BCBAGender: Female221 N Kansas StSte 700(855) 345-2273Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:NoneCereceres, Yvette BCBAGender: Female1035 Belvidere StUnit 123(210) 447-00395915 Silver SpringsBldg Ste 6 A(210) 447-0039Clinic Affiliation:Empower BehavioralHealth**Practice Information:69; 71; 73; 81; 116; 118;120; 128; 165; 167; 169;177; 595; 722Board Certifications:NoneChacon, Diana S BCBAGender: Female
U725 S Mesa Hills DrBldg 3(855) 223-7123Clinic Affiliation: Aces2020 LLCBoard Certifications:NoneLanguage: Spanish
Curtis, Clarie BCBAGender: Female
U725 S Mesa Hills DrBldg 3(855) 223-7123Clinic Affiliation: Aces2020 LLCBoard Certifications:NoneDiaz, Danica BCBAGender: Female1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev Ctr**Practice Information:631Board Certifications:NoneLanguage: English;SpanishDuncan, Amy BCBAGender: Female
U725 S Mesa Hills DrBldg 3(855) 223-7123Clinic Affiliation: Aces2020 LLC**Practice Information:69; 71; 73; 81; 116; 118;120; 128; 165; 167; 169;177; 216; 218; 220; 228;595; 614; 722Board Certifications:None
u Eves, Jessica L BCBAGender: Female
U221 N Kansas StSte 700(818) 345-2345Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:Board Certified BehaviorAnalyst
u Flores, Adrian M BCBAGender: Male
U725 S Mesa Hills DrBldg 3(855) 223-7123Clinic Affiliation: Aces2020 LLC**Practice Information:69; 71; 73; 81; 116; 118;120; 128; 165; 167; 169;177; 216; 218; 220; 228;595; 614; 722Board Certifications:Board Certified BehaviorAnalystGalvani, Jacqueline BCBAGender: Female
♿U221 N Kansas StSte 700(818) 345-2345Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:NoneLanguage: French;Spanish
u Garcia, Roxanne BCBAGender: Female221 N Kansas StSte 700(855) 345-2273Clinic Affiliation: CenterFor Autism Related Disorde**Practice Information:69; 71; 116; 118; 595; 722Board Certifications:Board Certified BehaviorAnalystGiboney, Katelyn A BCBAGender: Female221 N Kansas StSte 700(855) 345-2273Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:None
Gomez, Jessica BCBAGender: Female
U3 Butterfield Trail BlvdSte 14(800) 991-6070Clinic Affiliation: AptitudeHabilitation Services In**Practice Information:69; 71; 73; 116; 118; 120;165; 167; 169; 722Board Certifications:NoneLanguage: SpanishGonzales, MarissalynBCBAGender: Female
U9900 Montana AveSte C6(818) 241-6780Clinic Affiliation: AutismLearning Partners**Practice Information:69; 71; 73; 81; 116; 118;120; 128; 165; 167; 169;177; 216; 218; 220; 228;595; 614; 722Board Certifications:NoneGonzalez, Liza N BCBAGender: Female
U221 N Kansas StSte 700(818) 345-2345Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:NoneGoodrich, Jamie M BCBAGender: Female221 N Kansas StSte 700(855) 345-2273Clinic Affiliation: CenterFor Autism Related Disorde**Practice Information:69; 71; 81; 116; 118; 128;165; 167; 177; 216; 218;228; 718; 722Board Certifications:None
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
288
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
BOARD CERTIFIEDBEHAVIOR ANALYST(continued)Hernandez, Francesca ABCBAGender: Female
U725 S Mesa Hills DrBldg 3(855) 223-7123Clinic Affiliation: Aces2020 LLCBoard Certifications:NoneHernandez, Priscila ABCBAGender: Female221 N Kansas StSte 700(855) 345-2273Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:NoneLanguage: SpanishHinojosa, Veronica BCBAGender: Female221 N Kansas StSte 700(855) 345-2273Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:None
u Jewell Hight, Sadie BCBAGender: Female
U3 Butterfield Trail BlvdSte 140(800) 991-6070Clinic Affiliation: AptitudeHabilitation Services In**Practice Information:69; 72; 73; 116; 119; 120;165; 168; 169; 722Board Certifications:Board Certified BehaviorAnalyst
u Massey, Ruth BCBAGender: Female
U725 S Mesa Hills DrBldg 3(855) 223-7123Clinic Affiliation: Aces2020 LLC**Practice Information:69; 71; 73; 81; 116; 118;120; 128; 165; 167; 169;177; 216; 218; 220; 228;595; 614; 722Board Certifications:Board Certified BehaviorAnalystMolina, Carmen BCBAGender: Female6044 Gateway Blvd ESte 300(915) 500-9288Board Certifications:NoneLanguage: SpanishMondok, Karen F BCBAGender: Female
U725 S Mesa Hills DrBldg 3(855) 223-7123Clinic Affiliation: Aces2020 LLC**Practice Information:69; 71; 73; 81; 116; 118;120; 128; 165; 167; 169;177; 216; 218; 220; 228;595; 614; 722Board Certifications:None
u Montes, Alejandro BCBAGender: Male221 N Kansas StSte 700(855) 345-2273Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:Board Certified BehaviorAnalystMontoya, Leah BCBAGender: Female
U9900 Montana AveSte C6(818) 241-6780Clinic Affiliation: AutismLearning PartnersBoard Certifications:None
Nguyen, Michelle BCBAGender: Female221 N Kansas StSte 700(855) 345-2273Clinic Affiliation: CenterFor Autism Related Disorde**Practice Information:69; 71; 81; 116; 118; 128;165; 167; 177; 216; 218;228; 268; 270; 280; 595;722Board Certifications:NonePerry, Devon W BCBAGender: Female1101 E Schuster Ave(915) 544-8484Clinic Affiliation: Paso DelNorte Childrens Dev Ctr**Practice Information:69; 71; 81; 114; 116; 117;118; 120; 128; 163; 165;166; 169; 212; 214; 215;216; 218; 220; 221; 264;266; 267; 268; 270; 272;595; 614; 722Board Certifications:NoneLanguage: SpanishSackrider, Aimee M BCBAGender: Female
♿221 N Kansas StSte 700(855) 345-2273Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:NoneLanguage: SpanishSmith, Jessica L BCBAGender: Female221 N Kansas StSte 700(855) 345-2273Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:NoneSmith, Shannon BCBAGender: Female221 N Kansas StSte 700(855) 345-2273Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:None
Solomon, Thomas RBCBAGender: Male
U725 S Mesa Hills DrBldg 3(855) 223-7123Clinic Affiliation: Aces2020 LLC**Practice Information:69; 71; 73; 81; 116; 118;120; 128; 165; 167; 169;177; 216; 218; 220; 228;595; 722Board Certifications:NoneTapia, Cecilia BCBAGender: Female221 N Kansas StSte 700(855) 345-2273Clinic Affiliation: CenterFor Autism Related Disorde**Practice Information:69; 71; 81; 116; 118; 128;165; 167; 177; 216; 218;228; 595; 722Board Certifications:None
u Tomei, Alexandra D BCBAGender: Female
U3 Butterfield Trail BlvdSte 140(800) 991-6070Clinic Affiliation: AptitudeHabilitation Services InBoard Certifications:Board Certified BehaviorAnalyst
u Torres, Adriana N BCBAGender: Female
U3821 Constitution DrBldg 1(915) 226-0367Clinic Affiliation: BlueSprig Pediatrics IncBoard Certifications:Board Certified BehaviorAnalyst
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
289
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
BOARD CERTIFIEDBEHAVIOR ANALYST(continued)Turner, Lisa BCBAGender: Female
U9900 Montana AveSte C6(818) 241-6780Clinic Affiliation: AutismLearning Partners**Practice Information:69; 71; 75; 107; 116; 118;122; 156; 165; 167; 171;206; 722Board Certifications:NoneVidal Buxton, Cynthia ABCBAGender: Female1035 Belvidere StUnit 123(210) 447-00395915 Silver Springs DrBldg 6a(210) 447-0039Clinic Affiliation:Empower BehavioralHealthBoard Certifications:NoneVilla Rojas, Adriana BCBAGender: Female
U725 S Mesa Hills DrBldg 3(855) 223-7123Clinic Affiliation: Aces2020 LLCBoard Certifications:NoneWagener, Jodie BCBAGender: Female221 N Kansas StSte 700(855) 345-2273Clinic Affiliation: CenterFor Autism Related DisordeBoard Certifications:None
u Wickenheiser, Sara ABCBAGender: Female
U9900 Montana AveSte C6(818) 241-6780Clinic Affiliation: AutismLearning PartnersBoard Certifications:Board Certified BehaviorAnalyst
BOARD CERTIFIEDBEHAVIOR ANALYST-DOCTORALAguilar, Jeannie MBCBADGender: Female
U3821 Constitution DrBldg 1 Ste 100-200(915) 226-0367Clinic Affiliation: BlueSprig Pediatrics Inc**Practice Information:69; 70; 71; 73; 75; 81; 95;116; 117; 118; 120; 122;128; 142; 216; 217; 218;220; 222; 228; 242; 595;718; 722Board Certifications:None
CHILD & ADOLESPSYCHIATRYArbona, Jaime MDGender: Male
♿5915 Silver Springs DrBldg 3b(915) 533-6360**Practice Information:40; 47; 54; 65; 67; 70; 87;108; 112; 114; 117; 134;140; 157; 161; 163; 166;183; 189; 207; 212; 214;234; 240; 259; 316; 317;318; 319; 394; 523Board Certifications:PsychiatryLanguage: Spanish
Brooks, David B MDGender: Male
♿154 N Festival DrVilla B(915) 231-9300Clinic Affiliation: DavidBrooks MD PLLC**Practice Information:40; 54; 65; 67; 68; 70; 71;73; 74; 80; 98; 105; 108;112; 114; 115; 117; 118;120; 121; 122; 127; 145;152; 157; 161; 163; 164;166; 167; 169; 170; 171;176; 195; 202; 207; 316;317; 319; 394; 627Board Certifications:None
u Devargas, Cecilia C MDGender: Female
♿2701 E Yandell Dr(915) 562-1999Hospital Affiliations: ElPaso Psychiatric Hospital;University Behav Hlth ElPaso LLCClinic Affiliation: El PasoChild Guidance Cnt**Practice Information:67; 70; 108; 112; 114; 117;134; 157; 163; 166; 183;207; 316; 317; 319; 394;564; 566Board Certifications:Child & Adoles Psychiatry;PsychiatryLanguage: Spanish
u Diaz, Noami M MDGender: Female
♿5055 N Mesa St Ste 1(915) 532-9200Clinic Affiliation:Bluebonnet Child andAdolescent**Practice Information:34; 40; 54; 65; 67; 70; 87;108; 112; 114; 117; 134;157; 161; 163; 166; 183;207; 316; 317; 319; 405Board Certifications:Child & Adoles Psychiatry;PsychiatryLanguage: English;Spanish
Gaytan, Osvaldo MDGender: Male
U1225 E Cliff DrBldg 3 Ste 100(915) 239-2955Hospital Affiliations:University Behav Hlth ElPaso LLCClinic Affiliation: LaFamilia Del Paso Inc**Practice Information:40; 47; 54; 65; 67; 70; 114;117; 134; 157; 163; 166;183; 207; 214; 217; 234;259; 316; 317; 318; 319;627Board Certifications:NoneLanguage: SpanishGutierrez, Octavio E MDGender: Male4615 Alameda Ave(915) 545-6830Clinic Affiliation: TX TechUniv Hlth Sci Ctr El Paso**Practice Information:427; 627Board Certifications:NoneLanguage: Spanish
u Khandheria, Mili MDGender: Female1600 Montana Ave(915) 599-4700Hospital Affiliations:Childrens Medical CenterDallasClinic Affiliation:Emergence Health Network**Practice Information:121; 145; 153; 163; 166;167; 170; 176; 195; 203;214; 217; 221; 227; 246;266; 269; 273; 279; 317;318; 320Board Certifications:Child & Adoles PsychiatryLanguage: Spanish
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
290
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
CLINICALPSYCHOLOGYAllberg, Walter R PhDGender: Male
♿1605 Beech St #B(915) 778-2458**Practice Information:35; 41; 44; 48; 51; 55; 61;64; 65; 66; 67; 68; 70; 71;72; 73; 74; 75; 76; 77; 79;80; 81; 84; 85; 87; 92; 93;94; 97; 103; 105; 106; 107;108; 111; 112; 113; 114;115; 117; 118; 119; 120;121; 122; 123; 124; 126;127; 128; 131; 132; 134;139; 140; 141; 144; 150;152; 153; 156; 157; 160;161; 162; 163; 164; 166;167; 168; 169; 170; 171;172; 173; 175; 176; 177;180; 181; 183; 188; 189;190; 193; 200; 202; 203;204; 206; 207; 208; 210;211; 212; 213; 214; 215;217; 218; 219; 220; 221;222; 223; 224; 226; 227;228; 231; 232; 234; 239;240; 241; 244; 251; 253;254; 255; 256; 258; 259;260; 262; 263; 264; 265;266; 267; 269; 270; 271;272; 273; 274; 275; 276;278; 279; 280; 283; 284;286; 291; 292; 293; 296;303; 305; 306; 307; 308;310; 311; 312; 314; 315;316; 317; 318; 319; 320;595; 722Board Certifications:NoneLanguage: SpanishCarrillo, Javier PhDGender: Male1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:None
Carrion, Felix PhDGender: Male
♿4120 Rio Bravo StSte 303(915) 351-6866**Practice Information:40; 47; 65; 67; 70; 107;112; 114; 117; 156; 161;163; 166; 206; 207; 212;214; 258; 259; 266; 310;317; 318; 319; 320; 383Board Certifications:NoneLanguage: SpanishChowdhury, Ingrid PhDGender: Female
♿1401 Montana AveSte L(915) 587-1091**Practice Information:15; 18; 44; 51; 114; 117;147; 156; 163; 166; 170;171; 173; 175; 176; 180;182; 183; 188; 189; 190;197; 198; 202; 206; 211;212; 214; 217; 221; 222;224; 226; 227; 231; 233;234; 239; 240; 241; 248;249; 251; 253; 258; 263;266; 300; 303; 310; 317;318; 319; 320; 321; 427Board Certifications:NoneLanguage: GermanDi Biase, Mario PsyDGender: Male
U7001 Westwind Dr Ste 170(915) 745-7134Clinic Affiliation:Westwind PsychologicalServicesBoard Certifications:None
Hand, Michael P PhDGender: Male
♿600 Sunland Park DrBldg 6 Ste 100(915) 584-3636**Practice Information:40; 47; 60; 112; 114; 117;134; 147; 150; 156; 157;161; 163; 166; 183; 189;197; 200; 206; 207; 212;214; 217; 234; 240; 248;251; 258; 259; 264; 266;286; 292; 300; 303; 310;311; 317; 318; 319; 320;405Board Certifications:NoneLanguage: English;SpanishJohnson, Temperance LPhDGender: Female
U1316 N Yarbrough Ste 1a(915) 201-2606Clinic Affiliation:Wellmind PLLC**Practice Information:33; 36; 38; 42; 44; 45; 49;51; 52; 56; 58; 62; 64; 65;66; 67; 68; 70; 71; 73; 74;81; 84; 85; 90; 91; 93; 94;106; 107; 111; 112; 113;114; 115; 117; 118; 120;121; 122; 126; 127; 128;131; 132; 137; 138; 140;141; 142; 150; 153; 156;160; 161; 162; 163; 164;166; 167; 169; 170; 171;172; 175; 176; 177; 180;181; 186; 187; 189; 190;191; 200; 203; 204; 205;206; 210; 211; 212; 213;214; 215; 217; 218; 220;221; 222; 223; 226; 227;231; 232; 237; 238; 240;241; 242; 251; 254; 255;256; 257; 258; 262; 263;264; 265; 266; 267; 269;270; 272; 273; 274; 275;278; 279; 283; 284; 289;290; 292; 293; 294; 303;306; 307; 308; 309; 310;314; 315; 316; 317; 318;319; 320; 595; 722Board Certifications:None
Longhurst, Melanie PhDGender: Female4615 Alameda Ave(915) 215-5855Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneNacim, Betsy E PhDGender: Female
♿2332 Montana Ave(915) 545-1188Clinic Affiliation: Adult &Adolescent Counsel IngCenter PLLC; EmergenceHealth Network**Practice Information:112; 114; 117; 134; 140;150; 156; 161; 163; 166;183; 189; 192; 200; 206;212; 214; 217; 234; 240;243; 251; 258; 259; 264;292; 311; 317; 318; 319;320; 438Board Certifications:NoneLanguage: SpanishPatterson, Richard B PhDGender: Male
♿U1605 Beech StSte B(915) 778-2458**Practice Information:15; 18; 39; 40; 44; 46; 47;51; 53; 54; 59; 60; 64; 65;67; 70; 107; 112; 114; 117;122; 124; 127; 131; 137;138; 139; 141; 156; 161;163; 166; 171; 173; 176;180; 186; 187; 188; 189;190; 206; 212; 214; 217;222; 224; 227; 231; 237;238; 239; 240; 241; 258;259; 264; 266; 274; 276;279; 283; 289; 290; 291;292; 293; 310; 316; 317;318; 319; 320; 321; 472;555; 567; 613Board Certifications:NoneLanguage: Spanish
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
291
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
CLINICALPSYCHOLOGY(continued)Riddell, Blake A PsyDGender: Male600 Sunland Park DrBldg 6 Ste 100(915) 584-3636**Practice Information:39; 40; 42; 44; 45; 46; 47;49; 51; 58; 59; 60; 62; 64;114; 115; 117; 120; 122;126; 127; 131; 139; 162;163; 164; 166; 169; 170;171; 172; 173; 175; 176;180; 188; 189; 190; 200;202; 203; 208; 212; 213;214; 215; 217; 218; 220;221; 222; 223; 224; 226;227; 231; 232; 233; 239;240; 241; 242; 245; 246;251; 253; 254; 260; 264;265; 266; 267; 269; 270;272; 273; 274; 275; 276;278; 279; 283; 284; 285;291; 292; 293; 294; 297;298; 305; 306; 312; 317;318; 319; 320; 595; 718;722Board Certifications:NoneSchutte, James PhDGender: Male1600 Montana Ave(915) 867-3410Clinic Affiliation:Emergence Health Network**Practice Information:41; 48; 55; 61; 107; 147;156; 197; 206; 247; 258;300; 310; 595; 614; 722Board Certifications:NoneLanguage: Spanish
LICENSED CHEMICALDEPENDENCYCOUNSELORBrockway, Amanda LCDCGender: Female9555 Diana(915) 759-2870Clinic Affiliation:Emergence Health Network**Practice Information:39; 40; 42; 46; 47; 49; 59;60; 62; 161; 163; 164; 166;167; 170; 171; 172; 173;175; 176; 177; 178; 180;181; 186; 188; 189; 190;191; 193; 200; 202; 203;207; 208; 209; 211; 212;214; 215; 217; 218; 221;222; 223; 224; 226; 227;228; 229; 231; 232; 237;239; 240; 241; 242; 244;251; 253; 254; 259; 260;261; 263; 264; 266; 267;269; 270; 273; 274; 275;276; 278; 279; 280; 281;283; 284; 289; 291; 292;293; 294; 296; 303; 305;306; 307; 311; 312; 313;315; 317; 318; 320; 595;614; 722Board Certifications:NoneCarlos, Danelle T LCDCGender: Female1600 Montana Ave(915) 599-4700Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneLanguage: SpanishCopado, Rocio LCDCGender: Female7760 Alabama St(915) 757-7999Clinic Affiliation:Emergence Health Network**Practice Information:47; 60Board Certifications:NoneLanguage: Spanish
Ekola, Jimmie L LCDCGender: Male10324 Ballymote Dr(915) 861-6287**Practice Information:39; 40; 46; 47; 59; 60; 164;169; 171; 181; 188; 189;191; 193; 196; 215; 220;222; 232; 239; 240; 242;244; 247; 267; 272; 274;284; 291; 292; 294; 296;299; 595; 614; 722Board Certifications:NoneEstrada, Victoria M LCDCGender: Female7760 Alabama St(915) 575-7999Clinic Affiliation:Emergence Health Network**Practice Information:40; 47; 60; 171; 175; 176;191; 222; 226; 227; 242;274; 278; 294; 595; 614;722Board Certifications:NoneGutierrez, Priscilla ALCDCGender: Female1600 Medical Center StSte B1(915) 845-3122Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PCBoard Certifications:NoneLanguage: SpanishMata, Nadine P LCDCGender: Female1600 Montana Ave(915) 599-4700Clinic Affiliation:Emergence Health NetworkBoard Certifications:None
Ortega, Lidia Y LPCGender: Female6701 S Desert Blvd(915) 533-7057Clinic Affiliation: ProjectVida Health Center**Practice Information:39; 40; 44; 46; 47; 116;117; 161; 163; 164; 165;166; 169; 170; 171; 176;180; 181; 188; 189; 190;191; 203; 211; 212; 214;215; 221; 222; 224; 227;231; 232; 239; 241; 242;246; 253; 254; 259; 263;279; 294; 315; 317; 318;595; 722Board Certifications:NoneRivera, Erica LPCGender: Female
♿U9861 Dyer StSte 2(915) 202-5778Clinic Affiliation: AspiringLife Family Counseling S**Practice Information:33; 39; 40; 46; 47; 53; 59;60; 68; 70; 73; 84; 92; 112;115; 117; 120; 126; 131;139; 141; 142; 153; 157;161; 164; 166; 169; 170;174; 175; 180; 182; 188;189; 190; 191; 203; 207;212; 215; 221; 223; 225;226; 231; 233; 239; 240;241; 242; 253; 254; 256;259; 260; 261; 262; 263;264; 267; 273; 275; 277;278; 285; 291; 292; 293;294; 305; 306; 308; 311;312; 313; 314; 315; 317;318; 319; 320; 394; 595;722Board Certifications:NoneLanguage: SpanishRodriguez, Yomaira YLCDCGender: Female1600 Montana Ave(915) 599-4700Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneLanguage: Spanish
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
292
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSED CHEMICALDEPENDENCYCOUNSELOR(continued)Rosales, Mabel Y LCDCGender: Female1400 N El Paso StBldg A(915) 533-5550Clinic Affiliation: OscarPerez MD PABoard Certifications:NoneLanguage: SpanishTalavera, Esther LCDCGender: Female1600 Montana Ave(915) 599-4700Clinic Affiliation:Emergence Health Network**Practice Information:381Board Certifications:NoneLanguage: SpanishTaylor, Michael J LCDCGender: Male1600 Montana Ave(915) 599-4700Clinic Affiliation:Emergence Health Network**Practice Information:47; 60; 595; 722Board Certifications:NoneLanguage: SpanishValencia, Maria D LCDCGender: Female1600 Montana Ave(915) 599-4700Clinic Affiliation:Emergence Health Network**Practice Information:381Board Certifications:NoneLanguage: Spanish
Zarate, Elizabeth LCDCGender: Female1600 Montana Ave(915) 599-4700Clinic Affiliation:Emergence Health Network**Practice Information:381Board Certifications:NoneLanguage: Spanish
LICENSED CLINICALSOCIAL WORKERAcosta, Arturo LCSWGender: Male
U1418 Montana Ave(915) 351-4431Clinic Affiliation: PinnacleSocial Services LLC**Practice Information:39; 40; 42; 46; 47; 49; 53;54; 59; 60; 62; 112; 113;114; 115; 117; 120; 121;122; 126; 127; 138; 139;141; 142; 161; 162; 163;164; 166; 169; 170; 171;174; 175; 176; 177; 181;187; 188; 189; 190; 191;193; 202; 212; 213; 214;215; 217; 220; 221; 222;223; 224; 225; 226; 227;228; 231; 232; 238; 239;240; 241; 242; 244; 253;259; 260; 264; 265; 266;267; 269; 272; 273; 274;275; 276; 277; 278; 279;280; 283; 284; 290; 291;292; 293; 294; 296; 305;311; 312; 317; 318; 319;320; 595; 722Board Certifications:NoneLanguage: Spanish
Andrews, Jessica L LCSWGender: Female1600 Montana Ave3rd Floor(915) 887-34101601 Yandell(915) 747-35102400 TrawoodSte 301b(915) 599-6690Clinic Affiliation:Emergence Health Network**Practice Information:33; 39; 40; 42; 46; 47; 53;54; 65; 66; 68; 70; 80; 81;84; 92; 94; 95; 112; 113;114; 115; 117; 120; 122;126; 127; 128; 131; 139;141; 142; 145; 161; 162;163; 164; 166; 169; 171;175; 176; 180; 181; 188;189; 191; 195; 202; 209;211; 212; 222; 224; 226;227; 232; 239; 241; 246;256; 259; 263; 316; 317;319Board Certifications:NoneArreola, Anna L LCSWGender: Female1551 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneAyoub, Joseph S LCSWGender: Male
U1600 Medical CenterSte B 1(915) 845-3122Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PCBoard Certifications:NoneLanguage: Spanish
Bird Rayas, Valerie ALCSWGender: Female4815 Alameda Ave(915) 521-7036Clinic Affiliation:University Med Ctr of ElPaso**Practice Information: 8;18; 112; 161; 212; 264;338; 472; 630Board Certifications:NoneLanguage: SpanishBrenner, Kimberly HLCSWGender: Female
♿U600 Sunland Park DrBldg 3 Ste 100(915) 585-9990Board Certifications:NoneBurlingame, Weylin LCSWGender: Male154 N Festival DrSte B(915) 216-2978Clinic Affiliation: FronteraTherapy PLLC**Practice Information:39; 44; 46; 51; 53; 59; 64;114; 115; 117; 120; 121;122; 126; 127; 131; 132;139; 140; 141; 159; 163;164; 166; 169; 170; 171;175; 176; 180; 181; 188;189; 190; 191; 209; 214;215; 217; 220; 221; 222;224; 226; 227; 231; 232;239; 240; 241; 242; 245;253; 260; 266; 267; 269;272; 273; 274; 276; 278;279; 283; 284; 291; 292;293; 294; 305; 312; 317;318; 319; 320; 595; 722Board Certifications:NoneCarrillo Gonzalez, ClaudiaR LCSWGender: Female
U6040 Surety Dr(915) 781-9900Clinic Affiliation: FamilyService of El PasoBoard Certifications:NoneLanguage: Spanish
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
293
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSED CLINICALSOCIAL WORKER(continued)Castaneda, GuadalupeLCSWGender: Female
♿1600 N Lee Trevino DrSte C7(915) 593-5676**Practice Information:18; 112; 114; 117; 127;131; 133; 140; 141; 156;161; 163; 166; 176; 180;182; 189; 190; 206; 211;212; 214; 227; 231; 233;240; 241; 258; 263; 264;266; 279; 283; 285; 292;293; 310; 315; 317; 318;319; 320; 438; 472; 555;567Board Certifications:NoneLanguage: SpanishCastrellon, Jose LCSWGender: Male
♿U499 Saint Matthews StBldg E(915) 872-8424Clinic Affiliation: CatholicCounseling Servicesinc**Practice Information:47; 112; 117; 161; 163;189; 212; 214; 240; 259;264; 292; 317; 318; 416Board Certifications:NoneLanguage: Spanish
Davis, Howard A LCSWGender: Male
♿U9611 AcerSte 108(915) 315-3049**Practice Information:42; 49; 56; 62; 65; 66; 68;75; 76; 80; 81; 85; 94; 105;106; 108; 112; 113; 115;122; 123; 127; 128; 132;140; 141; 144; 152; 153;157; 159; 161; 162; 164;171; 172; 174; 176; 177;181; 188; 189; 190; 193;202; 203; 207; 209; 212;215; 222; 223; 225; 227;228; 232; 239; 240; 241;244; 253; 254; 259; 261;264; 275; 277; 279; 280;284; 293; 296; 305; 306;311; 313; 375; 595; 722Board Certifications:NoneLanguage: German;SpanishDeines, Walter LMSWGender: Male
♿U6501 Boeing Dr Bldg FSte 2(915) 772-8210**Practice Information:65; 70; 87; 112; 114; 117;134; 161; 163; 166; 183;189; 201; 212; 214; 217;234; 240; 252; 264; 266;269; 286; 292; 304; 316;317; 318; 319; 320; 416Board Certifications:NoneLanguage: SpanishDepew, Elizabeth LCSWGender: Female
U1316 N Yarbrough DrSte 1a(915) 201-2606Clinic Affiliation:Wellmind PLLCBoard Certifications:None
Desrosiers, Margarita ALCSWGender: Female
♿U1200 Golden KeyCir Ste 101(915) 592-2200**Practice Information:40; 54; 112; 114; 161; 163;166; 212; 214; 217; 264;266; 317; 318; 319; 320;416Board Certifications:NoneLanguage: SpanishDiaz, Alfonso LCSWGender: Male
♿U9440 Viscount BlvdSte 101(915) 594-8080**Practice Information:212; 215; 222; 223; 227;241; 261; 264; 267; 274;275; 279; 293; 313; 595;722Board Certifications:NoneLanguage: SpanishDominguez, Martha LLCSWGender: Female
♿U5959 Gateway Blvd WSte 570(915) 772-1829**Practice Information:65; 70; 112; 114; 117; 134;161; 166; 183; 212; 214;217; 234; 264; 317; 318;319; 394Board Certifications:NoneLanguage: SpanishDuron, Diana D LCSWGender: Female
♿1600 Lee Trevino Ste C7(915) 593-5676**Practice Information:40; 47; 117; 163; 166; 214;416Board Certifications:NoneLanguage: Spanish
Garcia, Myra J LCSWGender: Female
U2601 E Yandell DrSte 231(915) 247-2407Clinic Affiliation:Liberacion Therapy andConsultatiBoard Certifications:NoneGately, Michael J LCSWGender: Male
♿1733 CurieSte 204(915) 542-4951**Practice Information:39; 46; 59; 161; 163; 164;169; 170; 171; 176; 182;202; 212; 214; 215; 220;221; 222; 224; 225; 227;233; 241; 253; 259; 264;266; 267; 272; 273; 274;276; 277; 279; 285; 293;317; 318; 320; 595; 722Board Certifications:NoneGiovas, Katherine ZLCSWGender: Female
U9861 Dyer St Ste 2(915) 202-5778
U1316 N Yarbrough Ste 1a(915) 356-8057Clinic Affiliation: AspiringLife Family Counseling S;Wellmind PLLC**Practice Information:33; 39; 46; 53; 59; 68; 70;74; 75; 77; 80; 85; 92; 108;115; 117; 121; 122; 124;127; 132; 139; 142; 153;157; 164; 166; 170; 171;173; 176; 181; 188; 191;203; 207; 211; 215; 221;222; 224; 227; 232; 233;239; 242; 253; 254; 259;260; 261; 262; 263; 267;273; 274; 276; 279; 284;285; 291; 294; 305; 306;311; 312; 313; 314; 315;317; 318; 319; 320; 595;722Board Certifications:NoneLanguage: Spanish
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
294
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSED CLINICALSOCIAL WORKER(continued)Gomez, Javier H LCSWGender: Male
♿U2419 N Piedras St(915) 383-1872**Practice Information:15; 32; 36; 38; 43; 45; 49;52; 56; 58; 62; 65; 67; 68;70; 73; 74; 75; 77; 79; 80;81; 84; 85; 86; 91; 92; 94;112; 114; 115; 117; 120;121; 122; 124; 126; 127;128; 131; 132; 133; 138;139; 140; 141; 157; 161;163; 164; 166; 169; 170;171; 173; 175; 176; 177;180; 181; 182; 187; 188;189; 190; 207; 212; 214;215; 217; 220; 221; 222;224; 226; 227; 228; 231;232; 233; 238; 239; 240;241; 264; 266; 267; 269;272; 273; 274; 276; 278;279; 280; 283; 284; 285;290; 291; 292; 293; 316;317; 318; 319; 320; 321;335; 394; 471; 480; 555;592Board Certifications:NoneLanguage: American Sign;Spanish
Gonzalez, Rocio LCSWGender: Female905 Noble St(915) 822-60302701 E Yandell Dr(915) 562-19993501 Hueco Ave(915) 533-70574875 Maxwell Ave(915) 313-99083612 Pera Ave(915) 533-705714900 Greg Dr(915) 857-2638Clinic Affiliation: El PasoChild Guidance Cnt;Project Vida Health Center**Practice Information:65; 67; 70; 112; 114; 117;161; 163; 183; 212; 214;316; 317; 318; 319Board Certifications:NoneLanguage: SpanishGuerra De Gutierre,Esperanza LCSWGender: Female
U6633 N Mesa StSte 103(915) 307-43201600 N Lee Trevino DrSte C 4(915) 801-4270Clinic Affiliation: InstituteFor Mental Health PABoard Certifications:NoneLanguage: SpanishKruzich, David J LCSWGender: Male
♿U4625 Alabama StSte D(915) 566-2000**Practice Information:40; 47; 60; 214; 266; 318;320; 381Board Certifications:None
Leony Carrete, Amelia HLCSWGender: Female
♿U1855 Trawood DrSte 107(915) 593-2000**Practice Information:65; 67; 70; 87; 103; 107;112; 114; 117; 134; 150;156; 161; 163; 166; 183;200; 206; 212; 214; 217;234; 251; 258; 264; 266;269; 286; 303; 310; 316;317; 318; 319; 320; 405Board Certifications:NoneLanguage: SpanishLittle, Lilly LCSWGender: Female
♿U1790 N Lee Trevino DrSte 201(915) 449-1549**Practice Information:65; 70; 112; 114; 117; 161;163; 166; 183; 212; 214;217; 234; 316; 317; 318;319Board Certifications:NoneLanguage: SpanishLivingston, Miriam LCSWGender: Female2400 Trawood Ste 301b(915) 599-6735Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneMartinez, Susan LCSWGender: Female
♿U499 Saint Matthews Bldg E(915) 872-8424Clinic Affiliation: CatholicCounseling Servicesinc**Practice Information:47; 112; 117; 161; 163;166; 189; 212; 214; 240;259; 427Board Certifications:NoneLanguage: Spanish
Mendoza, Eliza V LCSWGender: Female
U1210 Montana AveSte 205(915) 490-5440**Practice Information:34; 40; 47; 54; 60; 65; 67;70; 87; 93; 100; 103; 107;112; 114; 117; 134; 140;147; 150; 156; 161; 163;166; 183; 189; 197; 200;206; 212; 214; 234; 240;248; 251; 258; 259; 264;266; 286; 292; 300; 303;310; 316; 317; 318; 319;320; 405Board Certifications:NoneLanguage: SpanishMoreno, Ruben LCSWGender: Male
♿U5959 Gateway W Ste 570(915) 772-1829**Practice Information:40; 47; 60; 112; 114; 117;161; 163; 166; 207; 212;214; 217; 259; 264; 266;311; 317; 318; 319; 320;394Board Certifications:NoneLanguage: American Sign;SpanishPolk, Sara E LCSWGender: Female1551 Montana Ave(915) 747-3510Clinic Affiliation:Emergence Health Network**Practice Information:39; 40; 42; 46; 47; 49; 60;112; 115; 121; 122; 127;139; 140; 161; 163; 164;169; 170; 171; 176; 188;189; 190; 191; 202; 211;212; 214; 215; 221; 222;227; 239; 240; 241; 242;253; 263; 266; 267; 274;279; 292; 294; 305; 315;317; 318; 595; 614; 718;722Board Certifications:None
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
295
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSED CLINICALSOCIAL WORKER(continued)Reed, Norma W LCSWGender: Female
♿U1310 Montana Ave(915) 542-1582Clinic Affiliation: Reed &AssociatesBoard Certifications:NoneLanguage: SpanishScharf, Donald A LCSWGender: Male
♿U6501 Boeing Dr Ste J1(915) 538-9816**Practice Information:34; 40; 47; 54; 60; 65; 67;70; 87; 103; 104; 107; 108;112; 114; 117; 134; 150;151; 156; 157; 161; 163;166; 183; 200; 201; 206;207; 212; 214; 217; 234;251; 252; 258; 259; 264;266; 269; 286; 303; 304;310; 311; 316; 317; 318;319; 320; 372Board Certifications:NoneLanguage: SpanishSchweiger, Russell ALCSWGender: Male
U3410 Hondo Pass(915) 549-3968Board Certifications:NoneSigala, Viridiana LCSWGender: Female
U5959 Gateway W Ste 501(915) 244-4522**Practice Information:39; 46; 59; 138; 139; 164;169; 170; 171; 173; 175;176; 186; 187; 188; 190;191; 202; 203; 211; 215;220; 221; 222; 224; 226;227; 237; 238; 239; 241;242; 253; 254; 255; 256;263; 267; 272; 273; 274;276; 278; 279; 289; 290;291; 293; 294; 305; 306;307; 308; 315; 317; 318;320; 595; 718; 722Board Certifications:None
Silberman, Jenna R LCSWGender: Female1551 Montana Ave(915) 747-3510Clinic Affiliation:Emergence Health Network**Practice Information:32; 36; 38; 39; 40; 42; 45;46; 47; 49; 52; 56; 58; 59;60; 62; 65; 67; 68; 70; 71;73; 75; 80; 81; 84; 92; 94;95; 105; 112; 114; 115;117; 118; 120; 122; 127;128; 131; 132; 133; 134;139; 141; 142; 152; 161;163; 164; 166; 168; 169;171; 173; 175; 177; 180;181; 182; 183; 188; 190;191; 194; 202; 207; 211;212; 214; 215; 217; 218;219; 221; 222; 224; 226;231; 232; 233; 234; 239;241; 242; 245; 253; 259;263; 264; 266; 267; 273;274; 276; 283; 284; 285;286; 291; 293; 294; 297;305; 311; 315; 595; 614;718; 722Board Certifications:NoneSilva, Blanca E LCSWGender: Female9861 Dyer StSte 2(915) 202-5778Clinic Affiliation: AspiringLife Family Counseling SBoard Certifications:NoneSoriano Hidalgo, Luis ALCSWGender: Male
U406 Chelsea St(915) 307-7612Clinic Affiliation: PasitosClinic LLC**Practice Information:67; 69; 70; 71; 73; 75; 81;94; 95; 114; 116; 117; 118;120; 122; 128; 141; 142;163; 165; 166; 167; 169;171; 177; 190; 191; 316;317; 319; 394; 614; 630;722Board Certifications:NoneLanguage: American Sign;Spanish
Torres, Omar E LCSWGender: Male
♿U10761 Pebble Hills BlvdSte F(915) 594-8685♿U1219 Barranca Dr(915) 779-5600Clinic Affiliation:Amanecer PsychologicalServices PC; Buen SaludInc**Practice Information:40; 47; 54; 60; 112; 114;117; 134; 140; 150; 157;161; 163; 166; 183; 189;200; 207; 212; 214; 217;234; 240; 251; 259; 264;266; 269; 286; 292; 303;311; 317; 318; 319; 320;416Board Certifications:NoneLanguage: SpanishValenzuela, Jesus ELCSWGender: Male
♿1725 E Yandell(915) 544-0772**Practice Information:40; 47; 54; 60; 65; 70; 108;112; 114; 117; 134; 157;161; 163; 166; 183; 207;212; 214; 217; 234; 259;264; 266; 269; 286; 311;316; 317; 318; 319; 320;405Board Certifications:NoneLanguage: SpanishValles, Lorena LCSWGender: Female
♿U1310 Montana Ave(915) 542-1582Clinic Affiliation: Reed &Associates**Practice Information:373Board Certifications:NoneLanguage: Spanish
Varela, Albert J LCSWGender: Male
♿U2310 Montana Ave(915) 544-7980Clinic Affiliation: CenterFor Employee Assis Tance**Practice Information:40; 47; 60; 112; 117; 134;161; 163; 166; 212; 214;217; 234; 266; 317; 318;319; 320Board Certifications:NoneLanguage: SpanishVillalobos, Griselda LCSWGender: Female
U1316 N YarbroughSte 1a(915) 356-8057♿U5959 Gateway Blvd WSte 501(915) 373-6021Clinic Affiliation:Wellmind PLLC**Practice Information:40; 47; 60; 161; 163; 166;183; 207; 212; 214; 217;234; 259; 264; 266; 269;286; 311; 317; 318; 320;449Board Certifications:NoneLanguage: American Sign;SpanishWatkins, Lora J LCSWGender: Female
♿U5763 Mira Grande Dr(915) 626-5275**Practice Information:39; 40; 46; 47; 59; 60; 161;163; 164; 170; 171; 173;174; 176; 178; 180; 181;187; 188; 190; 191; 203;211; 212; 214; 215; 221;222; 224; 225; 227; 229;231; 232; 238; 239; 241;242; 254; 263; 264; 266;267; 273; 274; 276; 277;279; 281; 283; 284; 290;291; 293; 294; 306; 315;317; 318; 320; 595; 722Board Certifications:None
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
296
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDMARRIAGE/FAMILYTHERAPYChristopherson, Joseph BLMFTGender: Male
U1600 Medical Center Ste B1(915) 845-3122Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PCBoard Certifications:NoneLanguage: SpanishGadney, Blanca L LMFTGender: Female4312 Marcus Uribe Dr(915) 351-8030**Practice Information:40; 47; 60; 112; 161; 163;189; 212; 214; 240; 264;266; 292; 317; 318; 320;375Board Certifications:NoneLanguage: SpanishLegate, Barbara H LMFTGender: Female
♿1400 Hardaway StSte 315(915) 241-4000**Practice Information:65; 70; 112; 114; 117; 134;140; 163; 166; 183; 212;214; 217; 234; 240; 259;317; 318; 319Board Certifications:NoneLanguage: SpanishSimpson, Angelica LMFTGender: Female11851 Physicians Dr(915) 221-0326**Practice Information:65; 73; 92; 112; 117; 120;122; 131; 132; 139; 141;161; 166; 169; 171; 176;180; 181; 188; 190; 204;205; 211; 212; 222; 223;227; 231; 232; 239; 241;245; 256; 257; 263; 264;279; 291; 293; 317; 318;319; 722Board Certifications:NoneLanguage: Spanish
LICENSEDPROFESSIONALCOUNSELORAbdo, Roberta LPCGender: Female
U14780 Tim Hardaway Dr(915) 275-7124Clinic Affiliation: Play ToHeal Counseling Center**Practice Information:32; 38; 39; 40; 41; 42; 45;46; 47; 48; 49; 52; 53; 58;59; 60; 62; 63; 65; 66; 67;69; 73; 75; 81; 84; 92; 93;94; 95; 98; 106; 112; 113;114; 116; 117; 118; 120;121; 122; 123; 127; 128;131; 139; 140; 141; 142;145; 152; 153; 157; 161;162; 163; 164; 165; 166;167; 168; 169; 170; 171;174; 176; 177; 180; 181;186; 187; 188; 189; 190;191; 193; 195; 196; 202;203; 207; 209; 210; 211;212; 213; 214; 215; 216;217; 218; 219; 220; 221;222; 223; 224; 225; 227;231; 232; 237; 238; 239;240; 241; 242; 244; 245;246; 247; 251; 253; 254;255; 256; 259; 261; 262;263; 264; 265; 266; 267;268; 269; 270; 272; 274;276; 277; 279; 283; 290;291; 292; 293; 294; 296;298; 299; 303; 305; 306;308; 311; 313; 315; 317;318; 320; 595; 614; 722Board Certifications:NoneLanguage: English;SpanishAcker, Jessica A LPCGender: Female5001 N Piedras St(575) 522-124112321 Tierra Humeda Dr(915) 694-1486Clinic Affiliation: El PasoVA Health Care System;Jessica Acker LPC IncBoard Certifications:None
Acosta, Cristal M LPCGender: Female
U2601 E Yandell Dr Ste 231(915) 995-5586♿U2701 E Yandell Dr(915) 562-19996955 N Mesa StSte 304(915) 209-1234Clinic Affiliation: ClarityCounseling Consultation;Counseling of El PasoPLLC; El Paso ChildGuidance Cnt**Practice Information:65; 66; 67; 69; 75; 84; 85;92; 112; 113; 114; 116;122; 127; 131; 132; 139;161; 164; 165; 171; 176;180; 181; 188; 212; 215;222; 224; 227; 317; 318;319; 320; 595; 722Board Certifications:NoneLanguage: SpanishAcosta, Holaya P LPCGender: Female
♿U4150 Rio Bravo Dr Ste 128(915) 533-0303**Practice Information:416Board Certifications:NoneLanguage: SpanishAcosta, Laura G LPCGender: Female
U1600 Medical CenterSte B-1(915) 845-3122Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PC**Practice Information:39; 40; 46; 47; 48; 59; 73;115; 120; 127; 139; 140;142; 161; 163; 164; 169;176; 181; 188; 189; 190;191; 202; 207; 212; 214;215; 220; 221; 222; 224;227; 231; 232; 239; 240;241; 242; 253; 259; 266;267; 317; 318; 319; 320;595; 722Board Certifications:NoneLanguage: Spanish
Acosta, Maria S LPCGender: Female
U1370 Pullman DrSte B(915) 407-1323**Practice Information:15; 38; 45; 52; 58; 70; 108;112; 113; 114; 115; 117;120; 121; 122; 124; 126;127; 131; 132; 133; 134;139; 140; 141; 144; 148;150; 153; 157; 161; 163;164; 166; 169; 170; 171;173; 175; 176; 180; 181;182; 183; 188; 189; 190;193; 198; 200; 203; 207;212; 213; 214; 215; 217;220; 221; 222; 224; 226;227; 231; 232; 233; 234;239; 240; 241; 244; 249;251; 254; 259; 264; 265;266; 267; 269; 272; 273;274; 276; 278; 279; 283;284; 285; 286; 291; 292;293; 296; 301; 303; 306;311; 316; 317; 318; 319;320; 321; 416; 555; 613Board Certifications:NoneLanguage: SpanishAguirre Barrios, Lucy ALPCGender: Female
♿U4120 Rio Bravo StSte 203(915) 443-3871
U6040 Surety DrSte B(915) 781-9900Clinic Affiliation: FamilyService of El Paso**Practice Information:65; 67; 70; 87; 108; 112;114; 117; 134; 157; 161;163; 166; 183; 207; 212;214; 234; 259; 264; 266;286; 311; 316; 317; 319;320; 416; 679Board Certifications:NoneLanguage: Spanish
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
297
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Aguirre, Vivian H LPCGender: Female
♿U1600 Montana Ave(915) 351-46352332 Montana Ave(915) 545-1188Clinic Affiliation: Adult &Adolescent Counsel IngCenter PLLC; EmergenceHealth NetworkBoard Certifications:NoneLanguage: SpanishAlaniz, Marlene N LPCGender: Female230 Thunderbird DrSte J(915) 584-5105**Practice Information:32; 33; 36; 38; 39; 42; 44;46; 49; 51; 52; 53; 56; 58;59; 62; 64; 68; 70; 71; 73;75; 79; 80; 81; 84; 86; 87;91; 92; 93; 94; 97; 105;112; 114; 115; 117; 118;120; 122; 126; 127; 128;131; 133; 134; 138; 139;140; 141; 144; 152; 153;158; 161; 163; 164; 166;167; 169; 171; 173; 175;176; 177; 180; 182; 183;187; 188; 189; 190; 191;193; 194; 202; 203; 204;205; 208; 211; 212; 214;215; 217; 218; 220; 222;224; 226; 227; 228; 231;233; 234; 238; 239; 240;241; 242; 244; 245; 253;254; 256; 257; 260; 263;264; 266; 267; 269; 270;272; 274; 276; 278; 279;280; 283; 285; 286; 290;291; 292; 293; 294; 296;297; 305; 306; 308; 309;312; 315; 316; 317; 318;319; 320; 595; 722Board Certifications:NoneLanguage: Spanish
Altamirano, Alma S LPCGender: Female
♿U7001 Westwind Ste 140(915) 833-8719**Practice Information:405Board Certifications:NoneLanguage: SpanishAlvarado, Gizelle LPCGender: Female
♿1418 Montana Ave(915) 351-44311612 N Lee Trevino Ste A(915) 245-8804Clinic Affiliation: PinnacleSocial Services LLC**Practice Information:39; 40; 46; 47; 53; 54; 66;73; 91; 112; 113; 114; 115;117; 120; 121; 122; 126;127; 132; 133; 138; 139;141; 142; 152; 153; 157;161; 162; 163; 164; 166;169; 170; 171; 175; 176;181; 182; 187; 188; 190;191; 202; 203; 204; 205;207; 211; 212; 214; 215;220; 221; 222; 226; 227;232; 233; 238; 239; 241;242; 253; 254; 256; 257;259; 263; 595; 614; 722Board Certifications:NoneLanguage: SpanishAparicio, Veronica LPCGender: Female1605 George Dieter DrSte 636(915) 355-8535Board Certifications:NoneArmendariz, Daniella ALPCGender: Female8730 Boeing Dr(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:None
Armstrong, Adam LPCGender: Male
U1600 Medical CenterSte B 1(915) 845-3122Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PC**Practice Information:34; 40; 47; 54; 60; 65; 66;67; 68; 70; 71; 73; 74; 75;76; 77; 78; 79; 80; 81; 112;113; 114; 115; 117; 118;120; 121; 122; 123; 124;125; 126; 127; 128; 161;162; 163; 164; 166; 167;169; 170; 171; 172; 173;174; 175; 176; 177; 212;213; 214; 215; 217; 218;220; 221; 222; 223; 224;225; 226; 227; 228; 264;265; 266; 267; 269; 270;272; 273; 274; 275; 276;277; 278; 279; 280; 316;317; 318; 319; 320; 595;722Board Certifications:NoneArvizu, Andres LPCGender: Male1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health Network**Practice Information:40; 47; 60; 191; 242; 244;294Board Certifications:NoneLanguage: American Sign
Asfahani, Houda B LPCGender: Female
♿U300 Thunderbird DrSte 12(915) 845-3122Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PC**Practice Information:65; 66; 68; 70; 73; 75; 77;80; 85; 92; 94; 112; 113;115; 117; 120; 122; 124;127; 132; 139; 141; 161;162; 164; 166; 169; 171;173; 176; 180; 181; 188;190; 204; 205; 211; 212;213; 215; 217; 220; 222;224; 227; 231; 232; 239;241; 255; 256; 257; 263;264; 265; 267; 269; 272;274; 276; 279; 283; 291;293; 307; 308; 309; 315;316; 317; 318; 319; 320;595; 722Board Certifications:NoneLanguage: Arabic; FrenchAvants, Melody R LPCGender: Female
U7376 Black Sage Dr(915) 412-7784**Practice Information:40; 47; 65; 67; 70; 112;114; 117; 134; 161; 163;166; 183; 207; 212; 214;234; 259; 316; 317; 318;319; 405Board Certifications:NoneLanguage: SpanishBalderrama, Bianca MLPCGender: Female
U4157 Rio Bravo St(915) 533-8696Clinic Affiliation: ShannonSawyer PLLC**Practice Information:44; 117; 118; 126; 127;139; 140; 166; 167; 176;180; 188; 189; 211; 212;226; 227; 231; 239; 240;242; 263; 317; 318; 319;595; 722Board Certifications:None
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
298
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Barajas, Veronica M LPCGender: Female
U4157 Rio Bravo St(915) 533-8696Clinic Affiliation: ShannonSawyer PLLC**Practice Information:45; 71; 73; 75; 79; 80; 95;117; 120; 122; 126; 127;142; 166; 167; 171; 175;176; 217; 218; 220; 226;251; 269; 274; 278; 279;316; 317; 318; 319; 320;383Board Certifications:NoneLanguage: SpanishBarber, Andrew V LPCGender: Male6028 Surety Dr(915) 544-35001219 Barranca Dr(915) 779-5600Clinic Affiliation: SunwestBehavioral Associate PA**Practice Information:212; 215; 217; 218; 221;227; 246; 252; 253; 254;318; 595; 722Board Certifications:NoneLanguage: SpanishBarrera, Ivonne G LPCGender: Female
U609 N Laurel St(915) 843-1328
U9440 Viscount Ste 100(915) 249-6639Clinic Affiliation: El PasoMental Health LLCBoard Certifications:None
Betancis, Jenny LPCGender: Female
♿1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health Network**Practice Information:51; 112; 113; 114; 115;117; 120; 122; 126; 128;131; 134; 139; 145; 153;161; 163; 164; 166; 167;169; 171; 175; 180; 183;188; 189; 191; 195; 203;211; 212; 214; 217; 220;221; 222; 226; 231; 239;240; 242; 253; 254; 259;260; 263; 273; 276; 277;291; 311; 313Board Certifications:NoneLanguage: SpanishBilbao, Sara K LPCGender: Female230 Thunderbird DrSte J(915) 584-5105Clinic Affiliation: SaraBilbao Counseling PLLC**Practice Information:45; 46; 47; 212; 214; 215;220; 221; 222; 224; 226;227; 231; 239; 241; 242;254; 256; 318; 381; 595;722Board Certifications:NoneLanguage: SpanishBilbe, Rebecca R LPCGender: Female
♿1219 Barranca Dr(915) 779-5600Clinic Affiliation:Amanecer PsychologicalServices PC**Practice Information:40; 47; 54; 65; 70; 112;114; 117; 134; 161; 163;166; 183; 189; 212; 214;217; 234; 240; 316; 317;318; 319; 416Board Certifications:NoneLanguage: Spanish
Blank, Lorena C LPCGender: Female
U1368 N Zaragoza RdBldg A Ste A(915) 307-6721Clinic Affiliation: AllianceCounseling Services PLLCBoard Certifications:NoneBoden, Ann E LPCGender: Female
U1316 N Yarbrough DrSte 1a(915) 201-2606Clinic Affiliation:Wellmind PLLCBoard Certifications:NoneBond, Steven R LPCGender: Male9440 Viscount BlvdSte 100(915) 249-6639Clinic Affiliation: El PasoMental Health LLCBoard Certifications:NoneBrown, Martha E LPCGender: Female6044 Gateway Blvd ESte 300(915) 229-5742**Practice Information:39; 40; 46; 47; 59; 60; 65;70; 73; 84; 112; 117; 120;131; 139; 161; 164; 166;169; 170; 171; 176; 177;180; 181; 188; 190; 203;211; 212; 214; 215; 220;221; 222; 224; 227; 228;231; 232; 239; 241; 253;254; 259; 263; 264; 266;267; 272; 273; 274; 276;279; 280; 283; 284; 290;291; 293; 305; 306; 311;315; 317; 318; 319; 320;595; 722Board Certifications:None
Bryan, Diane H LPCGender: Female
♿U851 Gomez Rd(915) 525-2796Clinic Affiliation: On SiteCrisis Intervention LLC**Practice Information:33; 34; 35; 37; 39; 40; 41;43; 46; 47; 48; 50; 53; 54;55; 57; 59; 60; 61; 63; 65;67; 68; 73; 74; 75; 76; 80;81; 82; 84; 85; 90; 91; 92;94; 95; 99; 104; 105; 106;107; 108; 111; 112; 114;115; 120; 121; 122; 123;127; 128; 131; 137; 138;139; 141; 142; 146; 151;153; 156; 157; 160; 161;163; 169; 170; 171; 172;177; 178; 180; 181; 186;187; 190; 191; 196; 201;202; 203; 206; 207; 210;211; 212; 214; 215; 220;221; 222; 223; 224; 227;228; 229; 231; 232; 237;239; 241; 242; 247; 252;253; 254; 255; 258; 259;262; 263; 264; 266; 267;272; 273; 274; 275; 276;279; 280; 281; 283; 284;289; 290; 291; 293; 294;299; 304; 305; 306; 307;310; 311; 314; 315; 316;317; 318; 319; 320Board Certifications:NoneBurgos, Cecilia LPCGender: Female
U468 San Blas(915) 525-9246Clinic Affiliation: CeciBurgos Counseling Inc**Practice Information:65; 70; 112; 114; 117; 134;161; 163; 166; 183; 207;212; 214; 234; 259; 316;317; 318; 319; 416Board Certifications:NoneLanguage: SpanishCabral, Michelle LPCGender: Female1600 Montana Ave(915) 351-4635Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneLanguage: Spanish
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
299
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Canizales, Maria L LPCGender: Female1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health Network**Practice Information:221; 227Board Certifications:NoneCano, Luis M LPCGender: Male1600 Medical Center StSte B1(915) 845-3122Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PCBoard Certifications:NoneCarlos, Danelle T LPCGender: Female1600 Montana(915) 351-4635Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneCarlson, Joseph A LPCGender: Male1600 Montana Ave(815) 887-34107001 Westwind DrSte 108(713) 504-2681Clinic Affiliation:Emergence HealthNetwork; Pupfish LLCBoard Certifications:None
Carrasco Herrera, MelissaLPCGender: Female
U1600 Medical CenterSte B1(915) 845-3122
U6070 Gateway Blvd ESte 506(915) 774-0500Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PCBoard Certifications:NoneLanguage: SpanishCarter, Shela M LPCGender: Female
U1600 Medical Center StSte B1(915) 845-3122♿U7833 Corozal Dr(915) 275-7124Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PC; ShelaM Carter CounselingServiceBoard Certifications:NoneLanguage: SpanishCastaneda, Guillermo ALPCGender: Male
U6955 N Mesa StSte 306(915) 209-1234Clinic Affiliation:Counseling of El PasoPLLCBoard Certifications:NoneLanguage: SpanishCastillo, Frank LPCGender: Male
♿6028 Surety Dr(915) 544-3500♿1219 Barranca Dr(915) 779-5600Clinic Affiliation: SunwestBehavioral Associate PA**Practice Information:212; 215; 217; 218; 227;246; 259; 318; 595; 722Board Certifications:NoneLanguage: Spanish
Castorena, Marco P LPCGender: Male
♿U416 N Stanton St5th Fl Ste C(915) 479-27548500 Boeing Dr(915) 588-6600Clinic Affiliation:Emergence Health Network**Practice Information:166; 170; 175; 176; 190;191; 217; 221; 226; 227;241; 242; 256; 269; 273;278; 279; 293; 294; 308;317; 318; 320; 595; 614;722Board Certifications:NoneLanguage: SpanishCazares, Wendy I LPCGender: Female7760 Alabama St(915) 757-7999Clinic Affiliation:Emergence Health Network**Practice Information:46; 212; 221; 222; 224;227; 318; 595; 614; 722Board Certifications:NoneCepeda, Laura A LPCGender: Female
U6028 Surety Dr(915) 544-35008500 Boeing Dr(915) 599-6600Clinic Affiliation:Emergence HealthNetwork; SunwestBehavioral Associate PA**Practice Information:212; 214; 221; 227; 241;256; 264; 266; 273; 279;293; 308; 318; 320; 595;614; 722Board Certifications:NoneLanguage: SpanishCervantes, Leticia LPCGender: Female
U1368 N Zaragoza RdBldg A Ste A(915) 307-6721Clinic Affiliation: AllianceCounseling Services PLLCBoard Certifications:None
Chavez, Yalile LPCGender: Female
U3605 Arcadia Pl(915) 588-4755
U6354 Edgemere Blvd(915) 542-4200Clinic Affiliation: LettyCounseling Services IncBoard Certifications:NoneLanguage: SpanishCollins, Joe D LPCGender: Male
♿1418 Montana Ave(915) 351-4431Clinic Affiliation: PinnacleSocial Services LLC**Practice Information:40; 47; 112; 161; 163; 214;317; 318Board Certifications:NoneLanguage: Spanish
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
300
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Corbin Burdick, Marilyn FLPCGender: Female
U4157 Rio Bravo St(915) 533-8696Clinic Affiliation: ShannonSawyer PLLC**Practice Information:32; 33; 34; 36; 38; 39; 40;42; 44; 45; 46; 47; 49; 51;52; 53; 54; 56; 58; 59; 60;62; 64; 65; 66; 67; 70; 71;74; 79; 80; 81; 84; 85; 86;87; 91; 92; 93; 94; 95; 97;106; 111; 112; 113; 114;115; 117; 118; 121; 126;132; 134; 138; 139; 140;141; 142; 144; 150; 153;157; 160; 161; 162; 163;164; 166; 167; 170; 175;176; 177; 180; 181; 182;183; 188; 191; 193; 194;200; 202; 203; 204; 205;207; 210; 211; 212; 213;214; 215; 217; 218; 221;224; 226; 227; 228; 231;232; 233; 234; 238; 239;240; 241; 242; 244; 245;251; 253; 254; 255; 256;257; 259; 260; 262; 263;273; 276; 278; 279; 280;294; 296; 297; 303; 305;306; 307; 308; 309; 311;312; 314; 315; 317; 318;319; 595; 722Board Certifications:NoneCorrea, Enrique LPCGender: Male7760 Alabama(915) 757-79992400 Trawood Ste 301(915) 599-6735Clinic Affiliation:Emergence Health NetworkBoard Certifications:None
Cortez, Michelle A LPCGender: Female
U1514 N Zaragoza RdSte A4(915) 525-9246Clinic Affiliation: CeciBurgos Counseling IncBoard Certifications:NoneCortez, Sonia E LPCGender: Female9861 Dyer StSte 2(915) 202-57782400 TrawoodSte 301(915) 887-3410Clinic Affiliation: AspiringLife Family Counseling S;Emergence Health Network**Practice Information:39; 40; 46; 47; 53; 54; 59;65; 67; 73; 75; 80; 92; 93;112; 114; 120; 121; 122;127; 131; 139; 140; 161;163; 169; 170; 171; 176;180; 181; 188; 189; 212;214; 220; 221; 222; 224;227; 231; 232; 239; 240;259; 272; 273; 274; 279;292; 311; 316; 317; 318;319Board Certifications:None
Cuellar, Samantha D LPCGender: Female
U7500 Viscount BlvdSte C43(915) 401-3012**Practice Information:42; 49; 56; 62; 112; 113;114; 115; 116; 121; 122;125; 126; 127; 128; 131;132; 133; 139; 140; 141;144; 152; 153; 157; 161;162; 163; 164; 166; 170;171; 174; 175; 176; 177;180; 181; 182; 188; 189;190; 193; 202; 203; 204;205; 207; 211; 212; 213;214; 215; 217; 221; 222;224; 225; 226; 227; 228;231; 232; 233; 239; 240;241; 244; 253; 254; 255;256; 257; 259; 263; 264;265; 266; 267; 269; 273;274; 276; 277; 278; 279;280; 283; 284; 285; 291;292; 293; 296; 305; 306;307; 308; 309; 311; 315;317; 318; 319; 320Board Certifications:NoneLanguage: SpanishDagle, Daniel L LPCGender: Male
♿U5675 Woodrow BeanSte 4(915) 502-4285Board Certifications:NoneLanguage: EnglishDavis, Allison J LPCGender: Female
U5764 N Mesa St(915) 584-5105**Practice Information:65; 67; 70; 87; 112; 114;117; 134; 161; 163; 166;183; 212; 214; 217; 234;264; 266; 269; 286; 316;317; 318; 319; 320Board Certifications:NoneLanguage: Spanish
Davis, Martha M LPCGender: Female
♿U5959 Gateway West BlvdSte 329(915) 504-6936**Practice Information:36; 38; 42; 45; 49; 56; 58;62; 65; 67; 68; 70; 73; 74;77; 79; 80; 81; 84; 85; 91;92; 93; 94; 97; 104; 105;106; 108; 112; 114; 115;117; 120; 121; 124; 126;127; 128; 131; 132; 138;139; 140; 141; 144; 151;152; 153; 157; 161; 163;164; 166; 169; 170; 173;175; 176; 177; 180; 181;187; 188; 189; 190; 193;194; 201; 202; 203; 204;205; 207; 208; 211; 212;214; 215; 217; 220; 221;224; 226; 227; 228; 231;232; 238; 239; 240; 241;244; 245; 252; 253; 254;255; 256; 257; 259; 260;263; 283; 284; 290; 291;292; 293; 296; 304; 305;306; 307; 308; 309; 311;312; 315; 316; 317; 318;319; 394; 595; 722Board Certifications:NoneLanguage: SpanishDe La Reza, Marcella LPCGender: Female5845 Onix Dr Ste 200(915) 497-4300Clinic Affiliation: The TalkShop PLLCBoard Certifications:NoneDe La Torre, Monica TLPCGender: Female
♿4801 Alberta Ave(915) 215-5700Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
301
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Texas Tech UniversityHealthGender: Female
♿11950 Bob Mitchell Dr(915) 856-5760Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: SpanishDozal, Julia A LPCGender: Female
U6070 Gateway Blvd ESte 5006(915) 873-9911**Practice Information:65; 70; 71; 74; 80; 84; 92;94; 95; 112; 117; 118; 121;127; 131; 139; 141; 142;161; 166; 167; 170; 173;176; 180; 188; 190; 191;212; 217; 218; 221; 224;227; 231; 239; 241; 242;264; 269; 270; 273; 276;279; 283; 291; 293; 294;316; 317; 318; 319; 320;595; 722Board Certifications:NoneDurfee, Christine R LPCGender: Female
U6028 Surety Dr(915) 544-35001219 Barranca Dr(915) 779-5600Clinic Affiliation: SunwestBehavioral Associate PA**Practice Information:33; 39; 46; 53; 68; 69; 70;73; 74; 75; 80; 81; 84; 92;115; 116; 117; 120; 121;122; 127; 128; 131; 139;164; 165; 166; 169; 170;171; 176; 177; 180; 188;215; 216; 217; 220; 221;222; 227; 230; 231; 239;255; 595; 722Board Certifications:NoneLanguage: Spanish
Durfee, Dennis M LPCGender: Male
U6028 Surety Dr(915) 544-35001219 Barranca Dr(915) 779-5600Clinic Affiliation: SunwestBehavioral Associate PABoard Certifications:NoneLanguage: SpanishEkleberry, Fabiola S LPCGender: Female
U12532 Sun Flare Dr(915) 245-3304**Practice Information:65; 67; 70; 112; 114; 117;161; 163; 166; 207; 212;214; 217; 259; 266; 317;318; 319; 320Board Certifications:NoneLanguage: SpanishElberg Urbina, Luisa MLPCGender: Female
U6040 Surety Dr(915) 781-9900
U3 Butterfield Trail BlvdSte 105a(915) 203-1387Clinic Affiliation: FamilyService of El Paso**Practice Information:416Board Certifications:NoneLanguage: German;Spanish
Espinoza, Jeanette I LPCGender: Female2400 Trawood DrSte 301(915) 599-8600Clinic Affiliation:Emergence Health Network**Practice Information:40; 44; 54; 65; 67; 68; 70;71; 73; 74; 75; 79; 80; 81;84; 85; 92; 94; 95; 112;114; 115; 117; 118; 120;121; 122; 126; 127; 128;131; 132; 139; 141; 142;157; 161; 163; 164; 166;167; 169; 170; 171; 175;176; 177; 180; 181; 188;190; 191; 207; 316; 317;319; 394; 595; 614; 626;722Board Certifications:NoneLanguage: SpanishEstrada, Jesus LPCGender: Male4875 Maxwell Ave(915) 313-9908Clinic Affiliation: ProjectVida Health CenterBoard Certifications:None
Estrada, Zul N LPCGender: Female
♿U9434 Viscount BlvdSte 234(915) 637-1159Clinic Affiliation:Associated Behavioral andTrauma**Practice Information:33; 38; 39; 40; 42; 45; 46;47; 52; 53; 54; 56; 58; 62;65; 66; 67; 68; 70; 73; 74;75; 79; 80; 84; 85; 94; 95;106; 112; 113; 115; 117;120; 121; 122; 125; 126;127; 131; 132; 133; 134;138; 139; 140; 141; 142;144; 152; 157; 161; 162;164; 166; 169; 170; 171;174; 176; 180; 181; 183;187; 188; 189; 193; 202;205; 207; 208; 210; 211;212; 215; 222; 223; 224;225; 226; 227; 231; 232;233; 234; 238; 239; 240;241; 242; 244; 245; 257;259; 262; 263; 278; 279;283; 290; 291; 292; 293;294; 296; 305; 309; 311;312; 316; 317; 318; 319;394Board Certifications:NoneLanguage: SpanishFabila, Lilia LPCGender: Female220 Thunderbird DrSuite D(915) 497-43009440 Viscount BlvdSte 100(915) 249-6639Clinic Affiliation: El PasoMental Health LLC; TheTalk Shop PLLCBoard Certifications:None
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
302
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Faflik, Julie K LPCGender: Female1600 Montana Ave(915) 599-4700Clinic Affiliation:Emergence Health Network**Practice Information:38; 39; 42; 43; 44; 45; 46;47; 49; 50; 51; 58; 59; 60;62; 63; 64; 69; 70; 71; 72;73; 116; 117; 118; 119;120; 164; 165; 166; 167;168; 169; 171; 175; 176;177; 180; 182; 183; 187;188; 189; 190; 191; 193;195; 200; 203; 204; 205;207; 208; 209; 210; 211;212; 214; 215; 216; 217;218; 219; 220; 221; 222;223; 224; 226; 227; 228;231; 233; 234; 238; 239;240; 241; 242; 244; 245;246; 251; 253; 254; 255;256; 257; 259; 260; 261;262; 263; 264; 266; 267;268; 269; 270; 271; 272;273; 274; 275; 276; 278;279; 280; 283; 285; 286;290; 291; 292; 293; 294;296; 297; 298; 303; 305;306; 307; 308; 309; 311;312; 313; 314; 315; 317;318; 320; 381; 722Board Certifications:NoneLanguage: SpanishFineron, Ruben J LPCGender: Male5845 Onix Dr Ste 200(915) 497-4300Clinic Affiliation: The TalkShop PLLCBoard Certifications:None
Flores, Adriana LPCGender: Female1600 Medical CenterSte B1(915) 845-3122Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PC**Practice Information:46; 47; 212; 214; 215; 222;224; 227; 228; 238; 239;241; 242; 251; 253; 263;318; 595; 722Board Certifications:NoneLanguage: SpanishFlores, Ana J LPCGender: Female1600 Montana Ave(915) 599-4700Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneLanguage: SpanishFlores, Irasema LPCGender: Female
U416 N Stanton St6th Fl Ste C(915) 329-4575**Practice Information:39; 46; 53; 112; 113; 114;115; 116; 117; 120; 121;122; 124; 127; 131; 132;139; 141; 142; 152; 153;161; 162; 163; 164; 165;166; 169; 170; 171; 173;176; 180; 181; 188; 190;191; 202; 203; 211; 212;213; 214; 215; 216; 217;220; 221; 222; 224; 227;231; 232; 239; 241; 242;253; 254; 263; 317; 318;319; 416Board Certifications:NoneLanguage: Spanish
Flores, Maria I LPCGender: Female1600 Montana Ave(915) 781-9900Clinic Affiliation:Emergence Health Network**Practice Information:50; 114; 120; 122; 128;131; 139; 161; 163; 164;169; 170; 171; 175; 176;177; 180; 188; 190; 191;203; 207; 212; 214; 215;220; 221; 222; 223; 224;226; 227; 229; 231; 232;239; 241; 242; 253; 254;256; 259; 263; 264; 266;267; 272; 273; 274; 275;276; 278; 279; 283; 284;291; 293; 294; 306; 311;318; 320; 416Board Certifications:NoneLanguage: SpanishFranco, Martha O LPCGender: Female
♿U4120 Rio BravoSte 318(915) 588-3345**Practice Information:40; 45; 47; 54; 58; 60; 115;117; 120; 122; 123; 126;127; 133; 141; 161; 164;166; 169; 171; 172; 175;176; 182; 190; 212; 215;217; 220; 222; 223; 225;226; 227; 232; 233; 238;239; 241; 251; 255; 256;257; 263; 264; 267; 272;274; 275; 277; 278; 279;284; 285; 290; 291; 293;303; 315; 427; 521Board Certifications:NoneLanguage: SpanishFrappier, Martamaria LPCGender: Female
U5941 Fiesta Dr Ste A(915) 400-7655Clinic Affiliation:Integrative SolutionsCenter PLLCBoard Certifications:None
Frias Duran, Patricia LPCGender: Female1418 Montana Ave(915) 351-4431Clinic Affiliation: PinnacleSocial Services LLC**Practice Information:65; 67; 70; 112; 114; 117;161; 163; 166; 212; 214;217; 259; 316; 317; 318;319; 383Board Certifications:NoneLanguage: SpanishGadney Moss, Blanca LLPCGender: Female
♿4312 Marcus Uribe Dr(915) 351-8030**Practice Information:40; 47; 60; 112; 161; 163;189; 212; 214; 240; 264;266; 292; 317; 318; 320;375Board Certifications:NoneLanguage: SpanishGadney, Lucia S LPCGender: Female
U1418 Montana Ave(915) 204-4417Clinic Affiliation: PinnacleSocial Services LLC**Practice Information:112; 140; 156; 161; 163;166; 189; 206; 207; 212;214; 217; 240; 258; 259;317; 318Board Certifications:NoneLanguage: SpanishGalvan, Bonnie LPCGender: Female
U1418 Montana Ave(915) 351-4431
U1370 Pullman DrSte B(915) 422-2978Clinic Affiliation: PinnacleSocial Services LLC**Practice Information:427Board Certifications:NoneLanguage: Spanish
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
303
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Gamez, Gustavo LPCGender: Male
♿U1533 N Lee Trevino DrSte 203(915) 595-8820Board Certifications:NoneLanguage: SpanishGarcia Salcido, Sandra LLPCGender: Female
♿U9434 Viscount BlvdSte 117(915) 740-6294**Practice Information:34; 65; 67; 70; 87; 112;114; 117; 134; 161; 163;166; 183; 212; 214; 217;234; 264; 266; 269; 286;316; 317; 318; 319; 320;416Board Certifications:NoneLanguage: SpanishGarcia Trujillo, CeshiaLPCGender: Female1418 Montana Ave(915) 351-4431Clinic Affiliation: PinnacleSocial Services LLC**Practice Information:65; 66; 67; 68; 70; 75; 77;80; 92; 94; 112; 113; 114;115; 117; 121; 122; 124;127; 139; 141; 152; 162;163; 164; 166; 170; 171;173; 176; 188; 190; 202;212; 214; 215; 217; 221;222; 224; 239; 241; 253;263; 264; 266; 267; 269;274; 276; 279; 291; 293;595; 722Board Certifications:None
Garcia, Catalina LPCGender: Female
U1201 Airway BlvdSte C(915) 820-4962Clinic Affiliation: EvolvingMind Counseling ServicesBoard Certifications:NoneGarcia, Gilberto J LPCGender: Male
♿U6090 Surety Dr Ste 405(915) 239-3795**Practice Information:70; 112; 114; 117; 134;161; 163; 166; 183; 212;214; 217; 234; 317; 318;319; 405Board Certifications:NoneLanguage: SpanishGarcia, Grecia LPCGender: Female
U6028 Surety Dr(972) 502-9160♿U6006 N Mesa St Ste 409(915) 491-3204Clinic Affiliation: SunwestBehavioral Associate PA**Practice Information:33; 39; 40; 46; 47; 53; 54;59; 60; 65; 66; 67; 70; 71;73; 74; 75; 77; 78; 79; 80;81; 84; 85; 86; 92; 93; 94;98; 106; 112; 113; 114;117; 118; 120; 121; 122;124; 125; 126; 127; 128;131; 132; 133; 137; 139;140; 141; 145; 153; 161;162; 163; 166; 169; 170;171; 173; 174; 175; 176;177; 180; 181; 182; 186;188; 189; 190; 195; 203;212; 213; 214; 217; 220;221; 222; 224; 225; 226;227; 228; 231; 232; 233;237; 239; 240; 241; 246;254; 264; 265; 266; 272;273; 274; 276; 277; 278;279; 280; 284; 285; 291;292; 293; 298; 316; 317;318; 319; 320; 383Board Certifications:NoneLanguage: Spanish
Garcia, Rafael LPCGender: Male
♿U9440 Viscount BlvdSte 101(915) 594-8080**Practice Information:394Board Certifications:NoneLanguage: SpanishGarza, Aurora P LPCGender: Female1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneLanguage: SpanishGarza, Hanna M LPCGender: Female
U2100 Howze(915) 603-8666**Practice Information:33; 39; 41; 42; 44; 46; 48;49; 51; 53; 59; 61; 62; 64;65; 66; 67; 68; 70; 71; 73;75; 79; 80; 81; 84; 85; 86;90; 92; 94; 95; 96; 97; 103;105; 106; 112; 113; 114;115; 117; 118; 120; 121;122; 125; 126; 127; 128;131; 132; 133; 137; 139;141; 142; 143; 144; 150;152; 153; 157; 161; 162;163; 164; 166; 167; 169;170; 171; 172; 174; 175;176; 177; 180; 181; 182;186; 188; 190; 191; 192;193; 200; 202; 203; 204;205; 207; 211; 212; 213;214; 215; 217; 218; 220;221; 222; 223; 224; 225;226; 227; 228; 231; 232;233; 237; 238; 239; 241;242; 243; 244; 251; 253;254; 256; 257; 259; 260;261; 263; 264; 265; 266;267; 269; 270; 272; 273;274; 275; 276; 277; 278;279; 280; 283; 284; 285;289; 290; 291; 293; 294;295; 296; 303; 305; 306;308; 309; 311; 312; 313;315; 316; 317; 318; 319;320; 595; 614; 722Board Certifications:None
Gerardo, Armando LPCGender: Male
U10921 Pellicano DrSte 118(915) 443-0523Board Certifications:NoneLanguage: SpanishGiner Nevarez, MaricelaLPCGender: Female8500 Boeing Dr(915) 599-6600Clinic Affiliation:Emergence Health Network**Practice Information:595; 614; 722Board Certifications:NoneGomez, Guillermo LPCGender: Male10921 Pellican DrSte 118(915) 778-424310921 Pellicano DrSte 118(915) 778-4243Clinic Affiliation: El PasoCounseling Associates Inc**Practice Information:40; 47; 54; 60; 65; 67; 70;112; 114; 117; 134; 161;163; 166; 183; 212; 214;217; 234; 264; 266; 269;286; 316; 317; 318; 319;320Board Certifications:NoneLanguage: SpanishGomez, Rocio LPCGender: Female1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health Network**Practice Information:381Board Certifications:NoneLanguage: Spanish
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
304
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Gonzalez, Irma D LPCGender: Female
U7511 Alpine(915) 526-2300**Practice Information:65; 67; 70; 112; 114; 117;134; 157; 161; 163; 166;183; 207; 212; 214; 217;234; 264; 316; 317; 318;319; 383Board Certifications:NoneLanguage: SpanishGonzalez, Joyce LPCGender: Female
U1600 Montana Ave(915) 351-4635
U9440 Viscount Ste 100(915) 249-6639Clinic Affiliation: El PasoMental Health LLC;Emergence Health Network**Practice Information:39; 40; 46; 47; 53; 54; 59;60; 112; 114; 117; 120;121; 122; 123; 126; 127;161; 163; 166; 169; 170;171; 172; 175; 176; 212;214; 217; 220; 221; 222;223; 226; 227; 264; 266;269; 272; 273; 274; 275;278; 279; 317; 318; 319;320; 595; 722Board Certifications:NoneGonzalez, Orlando LPCGender: Male2929 Montana Ave Ste B(915) 351-4680Clinic Affiliation:Emergence Health Network**Practice Information:47; 60; 212; 214; 240; 259;264; 266; 292; 311; 318;320; 381Board Certifications:NoneLanguage: Spanish
Guerra, Rae M LPCGender: Female6314 Delta(915) 238-2009Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneGutierrez Twomey,Priscilla LPCGender: Female
♿U5778 N Mesa StSte 204(915) 257-8182Clinic Affiliation: LivingProof Counseling andWellnBoard Certifications:NoneLanguage: Spanish
Gutierrez, Dolores A LPCGender: Female
♿U3410 Hondo Pass(915) 755-5888**Practice Information:15; 38; 39; 40; 42; 45; 46;47; 49; 51; 52; 53; 54; 58;59; 60; 64; 94; 112; 114;115; 116; 117; 118; 120;121; 122; 123; 124; 125;126; 127; 128; 129; 131;132; 133; 134; 137; 138;139; 141; 142; 143; 144;146; 151; 161; 163; 164;165; 166; 167; 169; 170;171; 172; 173; 174; 175;176; 177; 178; 180; 181;182; 183; 186; 187; 188;189; 190; 191; 192; 193;196; 201; 202; 205; 206;207; 211; 212; 214; 215;216; 217; 218; 219; 220;221; 222; 223; 224; 225;226; 227; 228; 229; 231;232; 233; 234; 237; 238;239; 240; 241; 242; 243;244; 245; 246; 247; 251;252; 253; 254; 255; 256;257; 258; 259; 260; 261;262; 263; 264; 266; 267;268; 269; 270; 272; 273;274; 275; 276; 277; 278;279; 280; 281; 283; 284;285; 286; 289; 290; 291;292; 293; 294; 295; 296;299; 304; 305; 317; 318;319; 320; 321; 416; 471;555; 595; 613; 722Board Certifications:NoneLanguage: Spanish
Gutierrez, Jeanette A LPCGender: Female
U9611 AcerSte 108(915) 315-3049**Practice Information:32; 38; 44; 45; 51; 52; 58;64; 65; 66; 67; 68; 70; 71;74; 77; 80; 84; 85; 87; 92;93; 94; 97; 103; 105; 106;109; 112; 113; 114; 115;117; 118; 121; 124; 127;131; 132; 134; 139; 140;141; 144; 150; 152; 153;158; 161; 162; 163; 164;166; 167; 170; 173; 176;180; 181; 183; 188; 189;190; 193; 200; 202; 203;208; 211; 212; 213; 214;215; 217; 218; 221; 224;227; 231; 232; 234; 239;240; 241; 244; 251; 253;254; 260; 263; 264; 265;266; 267; 269; 270; 273;276; 279; 283; 284; 286;291; 292; 293; 296; 303;305; 306; 312; 315; 316;317; 318; 319; 320; 416;595; 614; 722Board Certifications:NoneGutierrez, Leticia LPCGender: Female
♿U6354 Edgemere Blvd(915) 542-4200Clinic Affiliation: LettyCounseling Services Inc**Practice Information:65; 67; 70; 112; 114; 117;161; 163; 212; 214; 217;316; 317; 319; 405Board Certifications:NoneLanguage: SpanishGutierrez, Priscilla A LPCGender: Female1600 Medical Center StSte B1(915) 845-3122Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PCBoard Certifications:NoneLanguage: Spanish
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
305
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Hart, Kia J LPCGender: Female
U1801 Wyoming Ave Ste 102(915) 772-2237Clinic Affiliation: LivingHope Christian Counseling**Practice Information:114; 134; 157; 163; 183;207; 214; 234; 259; 317;318; 319Board Certifications:NoneHart, Robert LPCGender: Male
U1101 E Schuster Ave(915) 544-8484
U1801 Wyoming Ave Suite102(915) 772-2237Clinic Affiliation: LivingHope Christian Counseling;Paso Del Norte ChildrensDev Ctr**Practice Information: 8;18; 42; 49; 56; 112; 114;115; 117; 122; 161; 163;164; 166; 171; 215; 222;317; 319; 338; 373; 512;626Board Certifications:NoneLanguage: Spanish
Hatch, Holly LPCGender: Female
U1600 Medical CenterSte B1(915) 845-3122Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PC**Practice Information:45; 46; 47; 49; 58; 59; 60;62; 180; 189; 205; 212;214; 215; 216; 217; 218;219; 220; 221; 222; 223;224; 225; 226; 227; 228;231; 232; 233; 238; 239;240; 241; 242; 243; 244;245; 246; 247; 251; 253;254; 255; 256; 257; 259;260; 261; 263; 264; 266;267; 268; 269; 270; 271;272; 273; 274; 275; 276;277; 278; 279; 280; 283;284; 285; 290; 291; 292;293; 294; 295; 296; 297;298; 299; 303; 305; 306;307; 308; 309; 311; 312;313; 315; 318; 320; 595;722Board Certifications:NoneHenneburg, James V LPCGender: Male
♿U6090 Surety Dr Ste 105(915) 778-3807Clinic Affiliation:Henneburg CounselingCenter PC**Practice Information:40; 47; 112; 161; 163; 212;214; 317; 318; 374Board Certifications:NoneLanguage: American Sign;SpanishHeredia, Davina LPCGender: Female8500 Boeing Dr(915) 599-6600Clinic Affiliation:Emergence Health Network**Practice Information:39; 46; 47; 53; 59; 60; 84;86; 122; 127; 131; 133;164; 171; 176; 180; 182;215; 222; 224; 227; 231;233; 267; 274; 276; 279;283; 285; 316; 317; 318;319; 320; 595; 614; 722Board Certifications:None
Hernandez, Anais LPCGender: Female1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneLanguage: SpanishHernandez, Hector M LPCGender: Male1600 Montana Ave(915) 599-67356044 Gateway Blvd ESte 605(915) 920-2591Clinic Affiliation:Emergence Health Network**Practice Information:51; 64; 114; 115; 117; 139;141; 163; 164; 166; 170;175; 180; 182; 214; 215;217; 221; 224; 226; 231;233; 239; 241; 253; 259;266; 267; 269; 273; 276;278; 283; 285; 291; 293;305; 317; 318; 319; 320;595; 614; 722Board Certifications:NoneLanguage: SpanishHernandez, Hilary C LPCGender: Female
U710 N Campbell St(915) 479-1898Clinic Affiliation: NewJourney CounselingServicesBoard Certifications:None
Hernandez, Manuel LPCGender: Male2400 Trawood DrSte 301-B(915) 887-3410Clinic Affiliation:Emergence Health Network**Practice Information:33; 38; 39; 40; 45; 46; 47;52; 53; 58; 66; 68; 73; 74;75; 80; 82; 92; 95; 112;113; 114; 115; 117; 118;120; 121; 122; 126; 127;128; 129; 131; 139; 140;142; 153; 157; 161; 162;163; 164; 166; 167; 169;170; 171; 175; 176; 177;178; 180; 188; 189; 191;202; 203; 207; 212; 214;215; 221; 222; 224; 226;227; 229; 231; 239; 240;242; 246; 253; 254; 259;264; 266; 267; 273; 274;276; 278; 279; 291; 294;306; 311; 316; 317; 318;319; 320Board Certifications:NoneHernandez, Mara LPCGender: Female
♿1105 Whitaker Ln(915) 533-1929**Practice Information:65; 67; 70; 112; 114; 117;161; 163; 166; 212; 214;217; 316; 317; 318; 319;394Board Certifications:NoneLanguage: SpanishHernandez, Monica LPCGender: Female1601 Yandell(915) 747-3510Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneLanguage: Spanish
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
306
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Hernandez, Sandra A LPCGender: Female
♿U2606 Jefferson AveSte A(915) 694-6247**Practice Information:39; 46; 53; 65; 66; 112;113; 114; 115; 117; 120;122; 125; 127; 128; 129;131; 139; 141; 161; 162;163; 164; 166; 169; 170;171; 174; 176; 177; 178;180; 182; 188; 190; 211;212; 213; 214; 215; 217;221; 222; 224; 225; 227;228; 229; 231; 233; 239;241; 255; 256; 263; 279;293; 316; 317; 318; 319;320; 595; 722Board Certifications:NoneLanguage: SpanishHerrera, Koryna LPCGender: Female
♿5941 Fiesta Dr Ste A(915) 227-2737**Practice Information:65; 68; 70; 74; 80; 112;115; 117; 121; 127; 161;164; 166; 170; 176; 212;215; 217; 221; 227; 316;317; 318; 319; 595; 722Board Certifications:NoneLanguage: SpanishHerrera, Sylvia LPCGender: Female
U1418 Montana Ave(915) 351-44313127 Montana Ave(915) 345-1463Clinic Affiliation: PinnacleSocial Services LLC;Serene Life FamilyCounselingBoard Certifications:None
Holguin, David LPCGender: Male2400 Trawood DrSte 301(915) 887-3410Clinic Affiliation:Emergence Health Network**Practice Information:38; 39; 40; 44; 45; 46; 47;51; 58; 59; 60; 64; 161;162; 163; 164; 166; 167;168; 171; 172; 173; 174;175; 176; 177; 180; 181;182; 187; 190; 191; 193;194; 195; 202; 204; 212;213; 214; 215; 216; 217;218; 219; 221; 222; 223;224; 225; 226; 227; 228;231; 232; 233; 238; 241;244; 245; 253; 255; 256;264; 265; 266; 267; 268;269; 270; 271; 273; 274;275; 276; 277; 279; 280;283; 284; 290; 293; 294;296; 297; 298; 317; 318Board Certifications:NoneLanguage: SpanishHoppe, Curtis L LPCGender: Male
♿U9955 Dyer(915) 855-8550♿U3022 Trawood Dr(915) 855-8550**Practice Information:40; 54; 67; 70; 87; 107;108; 114; 117; 134; 140;156; 157; 163; 166; 183;189; 206; 207; 214; 217;240; 258; 316; 317; 318;319; 383Board Certifications:NoneLanguage: German;SpanishIbarra, Janet LPCGender: Female1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneLanguage: Spanish
Ibrahim, Tala LPCGender: Female
U6028 Surety Dr(915) 544-35006611 Boeing Dr(915) 780-65642300 George Dieter(915) 352-0640Clinic Affiliation: A StepForward; SunwestBehavioral Associate PABoard Certifications:NoneLanguage: SpanishJackson, John W LPCGender: Male3060 Solar Point Ln(915) 526-0539Board Certifications:NoneJimenez Flores, DanteLPCGender: Male
U1600 Montana Ave(915) 887-3410
U6090 SuretySte 200(915) 781-1337
U6633 N Mesa StSte 103(915) 307-4320Clinic Affiliation:Emergence HealthNetwork; Institute ForMental Health PA**Practice Information:40; 47; 54; 112; 115; 120;121; 122; 125; 126; 137;139; 141; 161; 164; 169;170; 171; 174; 175; 186;188; 190; 191; 212; 215;221; 222; 223; 225; 226;237; 239; 241; 242; 317;318; 319Board Certifications:NoneLanguage: SpanishJohnson, Veronica M LPCGender: Female8500 Boeing Dr(915) 599-6600Clinic Affiliation:Emergence Health Network**Practice Information:626Board Certifications:NoneLanguage: Spanish
Kasmoch, Lydia A LPCGender: Female4157 Rio Bravo St(915) 999-9540**Practice Information:65; 68; 70; 71; 73; 80; 92;94; 112; 115; 117; 118;120; 127; 139; 141; 142;161; 164; 166; 167; 169;176; 188; 190; 191; 211;212; 215; 217; 218; 220;224; 227; 239; 241; 242;263; 264; 267; 272; 276;279; 291; 293; 315; 316;317; 318; 319; 320; 595;722Board Certifications:NoneKissack, Alec LPCGender: Male
U1600 Medical Center StSte B1(915) 845-3122
U5959 Gateway Blvd WSte 304(915) 694-5222Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PCBoard Certifications:NoneLanguage: SpanishKuri Montes, Gabriela SLPCGender: Female8500 Boeing Dr(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneLanguage: SpanishLanderos, Blanca E LPCGender: Female
U6633 N Mesa StSte 103(915) 307-4320Clinic Affiliation: InstituteFor Mental Health PA**Practice Information:405; 630Board Certifications:NoneLanguage: Spanish
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
307
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Lara, Iyali LPCGender: Female
U4157 Rio Bravo St(915) 533-8696Clinic Affiliation: ShannonSawyer PLLC**Practice Information:44; 51; 64; 65; 66; 67; 68;69; 73; 75; 79; 90; 91; 94;106; 112; 113; 114; 115;116; 120; 122; 125; 126;137; 138; 141; 142; 153;161; 162; 163; 164; 165;169; 170; 171; 174; 175;186; 187; 190; 191; 202;203; 204; 211; 212; 213;214; 215; 216; 220; 221;222; 225; 226; 237; 238;241; 242; 245; 253; 254;255; 256; 263; 264; 266;267; 272; 273; 274; 277;278; 289; 290; 293; 294;305; 306; 307; 308; 315;316; 317; 318; 319; 320;595; 614; 722Board Certifications:NoneLedee, Cynthia A LPCGender: Female11220 RojasSte C13(915) 740-1413Board Certifications:NoneLanguage: SpanishLee, Catherine LPCGender: Female
U9434 ViscountSte 234(915) 799-0747Clinic Affiliation:Associated Behavioral andTraumaBoard Certifications:None
Leos, Loreli LPCGender: Female
♿U230 ThunderbirdSte J(915) 584-5105**Practice Information:40; 47; 117; 161; 163; 166;183; 207; 212; 214; 217;234; 259; 264; 266; 311;317; 318; 320; 372Board Certifications:NoneLanguage: SpanishLincoln, Curtis L LPCGender: Male
♿U4963 Grapeland Dr(915) 329-2019**Practice Information:15; 18; 112; 115; 117; 124;127; 132; 133; 139; 161;164; 166; 173; 176; 181;182; 188; 212; 215; 217;224; 227; 232; 233; 239;555Board Certifications:NoneLanguage: SpanishLizardo, Lizet C LPCGender: Female
U9434 ViscountSte 234(915) 799-0747Clinic Affiliation:Associated Behavioral andTraumaBoard Certifications:NoneLonngi, Marissa LPCGender: Female
♿U2701 E Yandell Dr(915) 562-19991370 Pullman Ave Ste B(832) 857-9382Clinic Affiliation: El PasoChild Guidance Cnt**Practice Information:18; 39; 46; 53; 59; 112;115; 120; 122; 127; 141;148; 161; 164; 169; 171;176; 190; 198; 211; 212;215; 220; 222; 227; 241;249; 263; 264; 267; 272;274; 279; 293; 301; 315;317; 318; 319; 472; 567Board Certifications:NoneLanguage: Spanish
Lopez Longoria, Lizet LPCGender: Female1626 Medical Center Dr(915) 533-70573501 Hueco Ave(915) 533-70574875 Maxwell Ave(915) 313-99083607 Rivera Ave(915) 533-70573612 Pera Ave(915) 533-70576040 Surety DrUnit 2(915) 533-70571100 Colina De Paz(915) 533-7057150 Nonap Rd(915) 533-7057901 Ascencion St(915) 533-705711700 School Ln(915) 533-705711710 Pebble Hills Blvd(915) 533-705712000 Montwood Dr(915) 533-705714400 Pebble Hills Blvd(915) 533-705714900b Greg Dr(915) 857-26383216 Tim Foster St(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLopez, Gomecindo LPCGender: Male1600 Montana Ave(915) 599-6670Clinic Affiliation:Emergence Health Network**Practice Information:381; 595; 614; 722Board Certifications:NoneLanguage: Spanish
Lopez, Joaquin LPCGender: Male1600 Montana Ave(915) 599-4700Clinic Affiliation:Emergence Health Network**Practice Information:68; 80; 115; 122; 127; 139;142; 161; 164; 171; 176;186; 188; 191; 212; 215;222; 227; 237; 239; 242;264; 267; 274; 279; 289;291; 294; 381; 595; 614;722Board Certifications:NoneLanguage: SpanishLopez, Luis A LPCGender: Male
U1600 Montana Ave(915) 599-4700
U6633 N Mesa StSte 103(915) 307-4320Clinic Affiliation:Emergence HealthNetwork; Institute ForMental Health PA**Practice Information:416; 627Board Certifications:NoneLanguage: SpanishLopez, Noe A LPCGender: Male
♿U10921 Pellicano DrSte 110(915) 313-4114**Practice Information:40; 46; 47; 53; 54; 59; 75;112; 113; 114; 115; 117;120; 121; 124; 127; 161;162; 163; 164; 166; 169;170; 171; 173; 176; 212;213; 214; 215; 220; 221;224; 264; 265; 266; 269;273; 276; 279; 317; 318;319; 320; 367; MalePatients onlyBoard Certifications:NoneLanguage: Spanish
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
308
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Lugo Munoz, Manuela ELPCGender: Female
U4157 Rio Bravo St(915) 533-8696Clinic Affiliation: ShannonSawyer PLLC**Practice Information:65; 66; 67; 68; 69; 70; 71;73; 74; 75; 76; 80; 84; 91;92; 94; 105; 106; 112; 113;114; 115; 116; 117; 118;120; 121; 122; 123; 127;131; 138; 139; 141; 152;153; 157; 161; 162; 163;164; 165; 166; 167; 169;170; 171; 172; 176; 180;181; 187; 188; 190; 191;202; 203; 207; 211; 212;213; 214; 215; 216; 217;218; 220; 221; 222; 223;224; 227; 231; 232; 238;239; 241; 242; 253; 254;255; 259; 263; 264; 265;266; 267; 268; 269; 270;272; 273; 274; 275; 276;279; 283; 284; 290; 291;293; 294; 305; 306; 307;311; 315; 316; 317; 318;319; 320Board Certifications:NoneLujan, Rene LPCGender: Male1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:None
Madrid, Guadalupe LPCGender: Female
♿U14485 Fernando Zubia Ave(915) 478-9566**Practice Information:40; 47; 60; 112; 114; 117;140; 150; 151; 157; 161;163; 166; 189; 200; 201;207; 212; 214; 217; 240;251; 252; 259; 266; 292;303; 317; 318; 319; 416Board Certifications:NoneLanguage: SpanishMarie, Donna LPCGender: Female
♿U1237 LomalandSte A(915) 592-3366**Practice Information:65; 67; 70; 112; 114; 117;161; 163; 166; 212; 214;217; 316; 317; 318; 319;394Board Certifications:NoneLanguage: American Sign;SpanishMariscal, Elizabeth LPCGender: Female10420 Montwood DrSte N115(915) 373-1444Clinic Affiliation: BeaconView Therapy PLLC**Practice Information:73; 75; 79; 84; 85; 112;120; 122; 126; 131; 132;137; 139; 141; 142; 145;153; 161; 169; 171; 175;180; 181; 186; 188; 190;191; 195; 200; 202; 204;211; 212; 220; 222; 226;231; 232; 237; 239; 241;242; 246; 251; 254; 256;263; 317; 318; 319; 595;722Board Certifications:NoneMarquez, Yvette LPCGender: Female
U1526 Rebecca Ann Dr(727) 741-7804Board Certifications:None
Martinez, Anastacia CLPCGender: Female3127 Montana Ave(915) 775-2599Clinic Affiliation:Anastacia Martinez LPCPC**Practice Information:67; 112; 114; 117; 134;140; 157; 161; 163; 166;183; 189; 207; 212; 214;217; 234; 240; 259; 264;266; 269; 286; 292; 311;316; 317; 318; 319; 320;427Board Certifications:NoneLanguage: SpanishMartinez, Brenda LPCGender: Female8730 Boeing Dr(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneMartinez, Eunice LPCGender: Female9440 Viscount Blvd Ste 110(915) 479-3249**Practice Information:34; 40; 47; 54; 60; 65; 67;70; 87; 108; 112; 114; 117;161; 163; 166; 212; 214;217; 264; 266; 269; 316;317; 318; 319; 320; 367;Male Patients onlyBoard Certifications:NoneLanguage: American Sign;Spanish
Martinez, Gessy C LPCGender: Female5959 Gateway Blvd WSte 304(915) 540-5771**Practice Information:39; 40; 46; 47; 59; 60; 161;162; 164; 171; 173; 175;176; 180; 181; 187; 188;204; 211; 212; 213; 215;222; 224; 226; 227; 231;232; 238; 239; 245; 253;255; 256; 263; 264; 265;267; 274; 276; 278; 279;283; 284; 290; 291; 297;305; 307; 308; 315; 317;318; 320; 595; 722Board Certifications:NoneMartinez, Jose E LPCGender: Male
♿U4851 Cuartel LnSte A(915) 532-2030**Practice Information:214; 318; 449Board Certifications:NoneLanguage: SpanishMartinez, Veronica LPCGender: Female1600 Montana Ave(915) 887-3414725 S Mesa Hills DrBldg 1 Ste 1(915) 887-3414Clinic Affiliation:Emergence Health Network**Practice Information:39; 45; 46; 47; 49; 50; 51;58; 59; 64; 163; 169; 171;176; 188; 190; 191; 195;212; 213; 214; 215; 220;221; 222; 227; 239; 240;241; 242; 246; 251; 253;256; 259; 260; 263; 264;266; 267; 272; 274; 279;291; 293; 294; 298; 311;315; 318; 320; 381; 595;722Board Certifications:NoneLanguage: Spanish
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
309
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Mascorro, Veronica LPCGender: Female9434 ViscountSte 149(915) 777-4399Clinic Affiliation: VeronicaMascorro Mental HealthBoard Certifications:NoneLanguage: SpanishMayfield, Holly A LPCGender: Female
U5675 Woodrow BeanSte 4(915) 502-4285Board Certifications:NoneMayhew, Tracy G LPCGender: Female
U5675 Woodrow BeanSte 4(915) 502-4285**Practice Information:38; 42; 44; 45; 46; 49; 51;58; 59; 62; 64; 163; 164;166; 169; 170; 171; 176;180; 182; 188; 189; 190;193; 204; 205; 210; 211;212; 214; 215; 217; 220;221; 222; 224; 226; 227;231; 233; 238; 239; 240;241; 244; 245; 255; 256;257; 259; 260; 262; 263;265; 266; 267; 269; 273;276; 279; 283; 290; 291;292; 293; 296; 307; 311;314; 315; 318; 320; 595;722Board Certifications:None
Maynez Olmos, SocorroLPCGender: Female
♿U125 Thunderbird DrSte J(915) 581-7599**Practice Information:40; 47; 54; 60; 65; 67; 70;93; 103; 107; 112; 114;117; 140; 150; 156; 157;161; 163; 166; 183; 189;200; 206; 207; 212; 214;217; 234; 240; 251; 258;259; 266; 269; 292; 303;310; 311; 316; 317; 318;319; 320; 383Board Certifications:NoneLanguage: SpanishMaynez, Nicole P LPCGender: Female2400 TrawoodSte 301 B(915) 599-6735Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneMcGoldrick, Tommy LPCGender: Male
♿1219 Barranca Dr(915) 779-5600Clinic Affiliation:Amanecer PsychologicalServices PCBoard Certifications:NoneLanguage: SpanishMcGowan, Monica DLMFTGender: Female1520 N Campbell St(915) 545-1520Clinic Affiliation: MonicaMcGowan PLLC**Practice Information:163; 166; 214; 217; 266;269; 317; 318; 320; 381Board Certifications:NoneMenchaca Guedea,Alejandra LPCGender: Female1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:None
Mendez, Grace LPCGender: Female
♿1725 E Yandell(915) 783-7430**Practice Information:47; 60; 212; 214; 221; 224;227; 239; 240; 259; 264;266; 273; 276; 279; 291;292; 311; 318; 320; 373Board Certifications:NoneLanguage: SpanishMendoza Gibson, LorenaLPCGender: Female
U2701 E Yandell Dr(915) 562-1999Clinic Affiliation: El PasoChild Guidance Cnt**Practice Information:36; 42; 49; 56; 62; 65; 66;67; 68; 70; 71; 73; 74; 75;80; 84; 85; 86; 92; 93; 94;95; 105; 106; 112; 113;114; 115; 117; 118; 120;121; 122; 127; 131; 132;133; 139; 140; 141; 142;152; 153; 161; 162; 163;164; 166; 167; 169; 170;171; 176; 180; 181; 182;188; 189; 190; 191; 202;203; 204; 205; 211; 212;213; 214; 215; 217; 218;220; 221; 222; 224; 227;231; 232; 233; 239; 240;241; 242; 253; 254; 255;256; 257; 263; 264; 265;266; 267; 269; 270; 272;273; 274; 276; 279; 283;284; 285; 291; 292; 293;294; 305; 306; 307; 308;309; 315; 316; 317; 318;319; 320; 394; 595; 722Board Certifications:NoneLanguage: SpanishMiddleton, Rochelle LLPCGender: Female5845 Onix DrSte 200(915) 497-4300Clinic Affiliation: The TalkShop PLLCBoard Certifications:NoneLanguage: English
Miller, Leah F LPCGender: Female
♿1600 Medical Center StSte B1(915) 845-3122Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PC**Practice Information:65; 67; 70; 87; 112; 114;117; 134; 161; 163; 166;183; 212; 214; 217; 234;264; 266; 269; 286; 316;317; 318; 319; 320; 383Board Certifications:NoneLanguage: English;SpanishMolina, Carmen LPCGender: Female6044 Gateway Blvd ESte 300(915) 500-9288Board Certifications:NoneLanguage: SpanishMontalvo, Denise L LPCGender: Female
♿U310 Thunderbird DrSte 3(915) 760-8999Clinic Affiliation: DeniseMontalvo PA**Practice Information:34; 40; 47; 54; 60; 65; 67;70; 87; 93; 108; 112; 114;117; 134; 140; 156; 157;161; 163; 166; 183; 189;206; 207; 212; 214; 217;234; 240; 258; 259; 264;266; 269; 286; 292; 310;311; 316; 317; 318; 319;320Board Certifications:NoneLanguage: SpanishMonte, Beatriz R LPCGender: Female
U1600 Medical Center DrSte B1(915) 845-3122Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PCBoard Certifications:None
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
310
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Montes, Jorge R LPCGender: Male
♿U11450 Rojas DrSte D13 14 Spc 20(915) 355-7958**Practice Information:40; 47; 54; 60; 65; 67; 70;87; 108; 112; 114; 117;134; 157; 161; 163; 166;183; 207; 212; 214; 217;234; 259; 264; 266; 269;286; 311; 316; 317; 318;319; 320; 416Board Certifications:NoneLanguage: SpanishMonty, Esther LPCGender: Female
♿U1600 N Lee Trevino DrSte C4(915) 542-0300Board Certifications:NoneLanguage: SpanishMorales Chavarria, IsabelLPCGender: Female
U1600 Montana(915) 351-4635
U4157 Rio Bravo St(915) 533-8696Clinic Affiliation:Emergence HealthNetwork; Shannon SawyerPLLCBoard Certifications:NoneMorales, Marisela LPCGender: Female1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health Network**Practice Information:376Board Certifications:NoneLanguage: Spanish
Muniz, Fernando LPCGender: Male
♿U1600 N Lee Trevino DrSte C3(915) 598-2190**Practice Information:40; 47; 65; 67; 70; 112;114; 117; 157; 161; 163;166; 183; 207; 214; 217;234; 259; 266; 311; 316;317; 318; 319; 320; 394Board Certifications:NoneLanguage: SpanishMuniz, Sandra LPCGender: Female1600 N Lee Trevino DrSte C3(915) 598-2190Clinic Affiliation:Hemispheres BehavioralServicesBoard Certifications:NoneLanguage: SpanishMunoz, Amanda K LPCGender: Female1600 Montana Ave(915) 351-4635Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneLanguage: SpanishMunoz, Lizette M LPCGender: Female
♿U10924 Bullseye St(915) 777-7199Board Certifications:NoneLanguage: SpanishMuro, Veronica I LPCGender: Female2400 Trawood DrSte 301(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:None
Nance, Lois L LPCGender: Female
♿1401 Montana Ave Ste L(915) 587-1097**Practice Information:18; 40; 44; 51; 67; 108;114; 117; 120; 121; 122;124; 127; 131; 133; 134;139; 141; 148; 150; 152;157; 163; 166; 169; 170;171; 173; 176; 180; 182;183; 188; 189; 190; 198;200; 202; 207; 211; 214;217; 220; 221; 222; 224;227; 231; 233; 234; 239;240; 241; 249; 251; 253;259; 263; 266; 311; 316;317; 318; 319; 320; 321;416Board Certifications:NoneLanguage: SpanishNavarrete, Rosalba LPCGender: Female1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health Network**Practice Information:66; 67; 70; 71; 81; 169;178; 183; 203; 220; 221;224; 227; 229; 231; 232;239; 241; 254; 263; 595;722Board Certifications:NoneLanguage: SpanishNevarez, Celeste S LPCGender: Female1600 Montana Ave(915) 351-4635Clinic Affiliation:Emergence Health Network**Practice Information:416Board Certifications:NoneLanguage: Spanish
Nicholson, Melissa LPCGender: Female
♿U9825 Eastridge(915) 595-1067**Practice Information:40; 47; 54; 65; 67; 70; 112;114; 117; 157; 161; 163;166; 183; 189; 207; 212;214; 217; 234; 240; 251;259; 264; 269; 303; 316;317; 318; 319; 320; 416Board Certifications:NoneLanguage: SpanishOgnibene, Doris A LPCGender: Female8500 Boeing(915) 599-6600Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneLanguage: SpanishOhare, Jennifer N LPCGender: Female
U1600 Montana Ave(915) 887-3410
U1370 Pullman Ste B(915) 588-3951Clinic Affiliation:Emergence Health Network**Practice Information:33; 39; 40; 45; 46; 47; 51;53; 58; 59; 60; 64; 65; 66;67; 68; 70; 71; 73; 81; 84;90; 94; 95; 112; 113; 114;115; 117; 118; 120; 128;131; 137; 139; 141; 142;161; 162; 163; 164; 166;167; 169; 175; 177; 180;181; 186; 188; 189; 190;191; 200; 204; 212; 213;214; 215; 217; 218; 220;221; 223; 224; 226; 228;229; 231; 232; 237; 238;239; 240; 241; 242; 243;244; 245; 246; 251; 253;254; 256; 257; 258; 260;263; 264; 265; 266; 267;269; 270; 272; 275; 278;280; 290; 293; 294; 298;316; 317; 318; 319; 320;595; 722Board Certifications:None
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
311
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Ontiveros, BernadetteLPCGender: Female11700 School Ln(915) 533-705711710 Pebble Hills Blvd(915) 533-7057Clinic Affiliation: ProjectVida Health Center**Practice Information:34; 40; 47; 54; 60; 65; 66;67; 68; 70; 71; 73; 74; 75;80; 84; 86; 92; 93; 94; 105;106; 112; 113; 114; 115;117; 118; 120; 121; 122;127; 131; 133; 139; 140;141; 142; 152; 153; 161;162; 163; 164; 166; 167;170; 171; 176; 180; 182;188; 189; 190; 191; 202;203; 204; 211; 212; 213;214; 215; 217; 218; 220;221; 222; 224; 227; 231;233; 239; 240; 241; 253;254; 256; 263; 264; 265;266; 267; 269; 270; 272;273; 274; 276; 279; 283;285; 291; 292; 305; 306;308; 315; 316; 317; 318;320; 595; 722Board Certifications:NoneLanguage: Spanish
Ontiveros, Deborah MLPCGender: Female
♿U1600 N Lee Trevino DrSte C7(915) 593-5676Clinic Affiliation: IntegrityEmployee Assistance**Practice Information:45; 46; 47; 51; 58; 59; 60;64; 212; 213; 214; 215;221; 222; 223; 224; 225;226; 227; 231; 232; 233;234; 239; 240; 241; 252;255; 260; 263; 264; 265;266; 267; 273; 274; 275;276; 277; 278; 279; 283;284; 285; 286; 291; 292;293; 304; 307; 312; 315;318; 320; 438; 595; 722Board Certifications:NoneLanguage: SpanishOrnelas, Claudia LPCGender: Female6040 Surety Dr(915) 781-9900Clinic Affiliation: FamilyService of El PasoBoard Certifications:NoneOrta, Maria E LPCGender: Female9440 Viscount Ste 100(915) 249-6639Clinic Affiliation: El PasoMental Health LLCBoard Certifications:None
Ortega, Daniel P LPCGender: Male1551 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health Network**Practice Information:38; 39; 42; 44; 45; 46; 49;51; 53; 56; 112; 114; 115;117; 118; 120; 121; 122;123; 126; 127; 128; 132;134; 137; 140; 141; 142;144; 146; 147; 152; 153;157; 158; 160; 161; 163;164; 166; 167; 169; 170;171; 172; 175; 176; 177;181; 183; 186; 189; 190;191; 193; 196; 197; 202;203; 207; 208; 210; 211;212; 214; 215; 217; 218;220; 221; 222; 223; 224;226; 227; 228; 232; 234;237; 240; 241; 242; 244;247; 248; 253; 254; 259;260; 262; 263; 317; 318;319; 595; 614; 722Board Certifications:NoneLanguage: SpanishOrtega, Lidia Y LPCGender: Female6701 S Desert Blvd(915) 533-7057Clinic Affiliation: ProjectVida Health Center**Practice Information:39; 40; 44; 46; 47; 116;117; 161; 163; 164; 165;166; 169; 170; 171; 176;180; 181; 188; 189; 190;191; 203; 211; 212; 214;215; 221; 222; 224; 227;231; 232; 239; 241; 242;246; 253; 254; 259; 263;279; 294; 315; 317; 318;595; 722Board Certifications:None
Paez Rios, Maria E LPCGender: Female
♿105 Castellano Dr Ste C(915) 373-5493**Practice Information:18; 67; 68; 70; 84; 90; 106;114; 115; 117; 131; 134;137; 153; 163; 164; 166;180; 183; 186; 203; 211;214; 215; 217; 231; 234;237; 254; 255; 263; 316;317; 318; 319; 320; 321;394; 555Board Certifications:NoneLanguage: English;SpanishParra, Abril E LPCGender: Female1601 E Yandell(915) 599-4900Clinic Affiliation:Emergence Health NetworkBoard Certifications:NonePatalano, Madeline LPCGender: Female
U13015 Bergstrom St(888) 588-7183Clinic Affiliation: MendCounseling Services PLLCBoard Certifications:NonePelking, Scott I LPCGender: Male230 Thunderbird Dr Ste J(915) 584-5105**Practice Information:15; 44; 51; 64; 65; 67; 68;70; 74; 77; 78; 80; 84; 85;87; 90; 92; 93; 94; 101;104; 105; 112; 114; 115;117; 121; 124; 125; 127;131; 132; 134; 137; 139;140; 141; 148; 151; 152;161; 163; 164; 166; 170;173; 174; 176; 180; 181;183; 186; 188; 189; 190;198; 201; 212; 214; 215;217; 221; 224; 225; 227;231; 232; 234; 237; 239;240; 241; 249; 252; 264;266; 267; 269; 273; 276;277; 279; 283; 284; 286;289; 291; 292; 293; 301;304; 316; 317; 318; 319;321; 555Board Certifications:None
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
312
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Perez Rede, Solanja LPCGender: Female
U1520 N Campbell(915) 545-15208500 Boeing(915) 599-6600
U9434 Viscount Ste 234(915) 799-0747Clinic Affiliation:Associated Behavioral andTrauma; Emergence HealthNetwork**Practice Information:65; 66; 67; 68; 70; 73; 75;80; 84; 87; 92; 94; 95; 112;113; 114; 115; 117; 120;122; 127; 131; 139; 141;142; 161; 162; 163; 164;166; 169; 171; 176; 180;183; 188; 190; 191; 203;212; 214; 215; 217; 220;222; 224; 227; 231; 234;239; 241; 242; 254; 264;266; 267; 269; 272; 276;279; 283; 286; 291; 293;294; 306; 316; 317; 318;319; 320; 416Board Certifications:NoneLanguage: SpanishPerez Zayas, Liliana LPCGender: Female
♿U11880 Vista Del Sol Dr(915) 740-5402**Practice Information:40; 47; 70; 114; 117; 163;166; 214; 217; 316; 317;318; 319; 373Board Certifications:NoneLanguage: English;Spanish
Petros, Berekat B LPCGender: Male
U1600 Medical Center DrSte B1(915) 845-3122Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PCBoard Certifications:NoneLanguage: Amharic;SpanishPineda, Sherry L LPCGender: Female
U5845 Onix Dr Ste 200(915) 497-43002400 Trawood Ste 301b(915) 599-6735Clinic Affiliation:Emergence HealthNetwork; The Talk ShopPLLC**Practice Information:39; 40; 44; 46; 47; 51; 59;60; 64; 146; 161; 163; 164;165; 169; 170; 171; 172;173; 174; 175; 176; 180;181; 182; 187; 188; 189;190; 191; 193; 196; 200;202; 203; 204; 205; 208;211; 212; 214; 215; 216;217; 220; 221; 222; 223;224; 225; 226; 227; 231;232; 233; 235; 236; 238;239; 240; 241; 242; 244;246; 247; 251; 253; 254;255; 256; 257; 259; 260;263; 264; 266; 267; 268;269; 273; 274; 275; 276;277; 278; 283; 284; 285;290; 291; 292; 293; 294;296; 298; 299; 303; 305;306; 307; 308; 309; 311;312; 315; 317; 318; 320;595; 614; 718; 722Board Certifications:NoneQuezada Acosta, DaynaLPCGender: Female
U5941 Fiesta DrSte A(915) 400-7655Clinic Affiliation:Integrative SolutionsCenter PLLCBoard Certifications:None
Ramirez, Andrea M LPCGender: Female
U3210 Dyer St(915) 298-1132Clinic Affiliation: ProjectAmistad**Practice Information:32; 33; 34; 35; 36; 39; 41;42; 44; 45; 46; 47; 51; 52;53; 54; 55; 65; 66; 67; 68;70; 71; 72; 73; 74; 75; 76;77; 78; 79; 80; 81; 84; 85;86; 87; 91; 92; 93; 94; 95;96; 97; 98; 99; 100; 103;104; 105; 106; 108; 109;110; 111; 112; 113; 114;115; 122; 123; 124; 125;126; 127; 128; 131; 132;133; 134; 138; 140; 141;142; 143; 144; 145; 146;147; 150; 151; 152; 153;157; 161; 162; 163; 164;166; 174; 176; 177; 180;181; 182; 183; 187; 188;189; 190; 191; 192; 193;195; 196; 197; 200; 201;203; 204; 205; 207; 209;210; 211; 212; 213; 214;215; 218; 219; 220; 221;222; 223; 224; 225; 226;227; 228; 231; 232; 233;243; 244; 246; 247; 248;251; 252; 253; 254; 255;256; 257; 259; 260; 261;262; 316; 317; 318Board Certifications:NoneLanguage: SpanishRamirez, Chris LPCGender: Male
U10921 Pellicano DrSte 118(915) 778-4243Clinic Affiliation: ChrisRamirez CounselingAssociat; El PasoCounseling Associates Inc**Practice Information:65; 67; 70; 112; 114; 117;157; 161; 163; 166; 183;207; 212; 214; 217; 234;259; 316; 317; 318; 319;416; 662; 679Board Certifications:NoneLanguage: Spanish
Ramos, Ida LPCGender: Female2200 N Lee TrevinoSte A2(915) 594-8685Clinic Affiliation: BuenSalud IncBoard Certifications:NoneRamos, Sacheen S LPCGender: Female8500 Boeing Dr(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneRawlings, Christine LPCGender: Female725 S Mesa Hills DrBuilding 1 Ste 1(915) 887-3410Clinic Affiliation:Emergence Health Network**Practice Information:39; 40; 46; 47; 53; 54; 59;60; 114; 115; 117; 118;121; 122; 127; 128; 161;163; 164; 166; 167; 169;170; 171; 176; 177; 212;213; 214; 215; 217; 218;220; 221; 222; 224; 227;264; 266; 267; 272; 273;274; 276; 279; 317; 318;319; 320; 595; 722Board Certifications:NoneLanguage: Spanish
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
313
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Reyes, Cynthia M LPCGender: Female
♿U1370 Pullman Ste B(915) 433-5164**Practice Information:39; 46; 65; 67; 68; 69; 73;75; 78; 80; 85; 92; 94; 95;105; 106; 112; 114; 115;116; 117; 120; 121; 122;125; 127; 131; 132; 139;141; 142; 152; 153; 161;163; 164; 166; 169; 170;171; 174; 175; 176; 180;181; 182; 188; 190; 191;203; 212; 214; 215; 217;220; 221; 222; 224; 225;226; 227; 231; 232; 233;239; 241; 253; 316; 317;318; 319Board Certifications:NoneLanguage: SpanishReyes, Oscar A LPCGender: Male
♿U10921 PellicanoSte 110(915) 373-2135**Practice Information:47; 60; 67; 112; 114; 117;151; 163; 166; 201; 207;212; 214; 217; 252; 264;266; 304; 316; 317; 318;319; 320Board Certifications:NoneLanguage: SpanishRheder, Richard H LPCGender: Male
U6040 Surety Dr(915) 781-9900Clinic Affiliation: FamilyService of El Paso**Practice Information:112; 114; 117; 161; 163;166; 207; 212; 214; 217;259; 264; 266; 269; 317;318; 319; 320Board Certifications:NoneLanguage: Spanish
Rios, Graciela LPCGender: Female
♿U6040 Surety Dr(915) 781-9900
U5941 Fiesta DrSte A(915) 400-7655Clinic Affiliation: FamilyService of El Paso;Integrative SolutionsCenter PLLC**Practice Information:112; 114; 117; 157; 161;163; 166; 189; 207; 212;214; 240; 259; 264; 266;292; 311; 317; 318; 319;320Board Certifications:NoneLanguage: SpanishRivera, Erica LPCGender: Female
♿U9861 Dyer StSte 2(915) 202-5778Clinic Affiliation: AspiringLife Family Counseling S**Practice Information:33; 39; 40; 46; 47; 53; 59;60; 68; 70; 73; 84; 92; 112;115; 117; 120; 126; 131;139; 141; 142; 153; 157;161; 164; 166; 169; 170;174; 175; 180; 182; 188;189; 190; 191; 203; 207;212; 215; 221; 223; 225;226; 231; 233; 239; 240;241; 242; 253; 254; 256;259; 260; 261; 262; 263;264; 267; 273; 275; 277;278; 285; 291; 292; 293;294; 305; 306; 308; 311;312; 313; 314; 315; 317;318; 319; 320; 394; 595;722Board Certifications:NoneLanguage: Spanish
Rivera, Erica E LPCGender: Female
U1219 Barranca Dr(915) 779-56002200 Sun Country Dr(915) 533-70573216 Tim Foster St(915) 533-7057Clinic Affiliation:Amanecer PsychologicalServices PC; Project VidaHealth Center**Practice Information:112; 115; 117; 120; 122;127; 139; 161; 164; 166;169; 171; 176; 188; 212;215; 217; 222; 227; 239;317; 318; 319; 595; 722Board Certifications:NoneLanguage: SpanishRobles Samaniego, MariaA LPCGender: Female
U9434 ViscountSte 234(915) 799-0747♿U9434 Viscount BlvdSte 234(915) 799-0747Clinic Affiliation:Associated Behavioral andTrauma**Practice Information:65; 67; 70; 87; 112; 114;117; 134; 161; 163; 166;183; 212; 214; 217; 234;264; 266; 269; 286; 316;317; 318; 319; 320Board Certifications:NoneLanguage: Spanish
Robles, Elizabeth LPCGender: Female
♿U6090 Surety DrSte 200(915) 781-1337**Practice Information:38; 39; 40; 45; 46; 47; 51;52; 58; 59; 60; 64; 112;113; 115; 117; 120; 122;127; 128; 131; 132; 133;138; 139; 140; 141; 160;161; 162; 163; 164; 166;168; 169; 170; 171; 173;175; 176; 177; 178; 180;181; 182; 187; 188; 189;190; 191; 192; 193; 194;200; 203; 204; 205; 210;211; 212; 214; 215; 217;219; 220; 221; 222; 223;224; 225; 226; 227; 228;229; 231; 232; 233; 238;239; 240; 241; 242; 243;244; 245; 251; 253; 254;255; 256; 257; 259; 260;262; 263; 264; 266; 267;269; 271; 272; 273; 274;275; 276; 277; 278; 279;280; 281; 283; 284; 285;290; 291; 292; 293; 294;296; 303; 305; 306; 307;308; 309; 311; 312; 314;315; 317; 318; 319; 320;416; 595; 722Board Certifications:NoneLanguage: SpanishRodriguez, Alberto I LPCGender: Male7760 Alabama St(915) 757-79992400 TrawoodSte 301(915) 599-6735Clinic Affiliation:Emergence Health Network**Practice Information:45; 46; 47; 51; 58; 59; 60;64; 212; 214; 215; 220;221; 222; 224; 226; 227;231; 232; 234; 239; 240;241; 242; 244; 251; 253;254; 259; 260; 262; 264;266; 267; 272; 273; 274;276; 278; 279; 283; 284;286; 291; 292; 293; 294;296; 303; 305; 306; 311;312; 314; 318; 320; 595;614; 718; 722Board Certifications:None
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
314
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Rodriguez, Stacey V LPCGender: Female1600 Montana Ave(915) 351-4635Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneRonconi, Linda A LPCGender: Female1725 E Yandell(210) 863-0990Board Certifications:NoneRosales, Mabel Y LCDCGender: Female611 Newman St(915) 275-4062Clinic Affiliation: Rosalesand Rosales CounselingBoard Certifications:NoneLanguage: SpanishRosales, Patricia LPCGender: Female
U611 Newman(915) 731-1829611 Newman St(915) 275-4062Clinic Affiliation: Rosalesand Rosales CounselingBoard Certifications:NoneLanguage: Spanish
Rosas, Gerardo LPCGender: Male
U9434 Viscount BlvdSte 234(915) 799-0747Clinic Affiliation:Associated Behavioral andTrauma**Practice Information:34; 40; 54; 60; 65; 67; 70;87; 93; 108; 112; 114; 117;134; 157; 161; 163; 166;183; 189; 212; 214; 217;240; 259; 264; 266; 286;292; 316; 317; 318; 319;320; 394Board Certifications:NoneLanguage: SpanishRuiz, Rosalina LPCGender: Female3501 Hueco Ave(915) 533-70574875 Maxwell Ave(915) 313-99083612 Pera Ave(915) 533-7057901 Ascencion St(915) 533-705714900b Greg Dr(915) 857-2638Clinic Affiliation: ProjectVida Health Center**Practice Information:33; 39; 40; 46; 47; 59; 60;113; 115; 117; 120; 126;128; 161; 162; 163; 164;166; 169; 171; 175; 176;212; 213; 214; 215; 221;222; 224; 226; 227; 228;231; 264; 266; 267; 272;273; 274; 278; 279; 318;319; 320Board Certifications:NoneLanguage: SpanishRuss, Rhonda M LPCGender: Female1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:None
Saenz Hernandez, MaribelLPCGender: Female1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneSalcedo, Araceli LPCGender: Female
♿U9440 Viscount BlvdSte 101(915) 594-8080**Practice Information:405Board Certifications:NoneSalcido, Richard LPCGender: Male
♿U6040 Surety Dr(915) 781-9900Clinic Affiliation: FamilyService of El Paso**Practice Information:112; 114; 117; 157; 161;163; 166; 189; 207; 212;214; 217; 240; 259; 264;266; 269; 292; 311; 317;318; 319; 320; 405Board Certifications:NoneLanguage: American Sign;SpanishSalinas, Annette LPCGender: Female
♿U6040 Surety Dr(915) 781-9900Clinic Affiliation: FamilyService of El PasoBoard Certifications:NoneLanguage: SpanishSanders, Karen L LPCGender: Female
♿U4851 Cuartel LnSide A(915) 532-2030**Practice Information:161; 163; 166; 189; 212;214; 217; 240; 264; 266;317; 318; 320; 373Board Certifications:NoneLanguage: Spanish
Saucedo, Suzette LPCGender: Female8500 Boeing(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneSawyer, Shannon C LPCGender: Female
U4157 Rio Bravo St(915) 533-8696Clinic Affiliation: ShannonSawyer PLLC**Practice Information:65; 68; 70; 71; 73; 75; 77;80; 92; 94; 112; 115; 117;118; 120; 122; 124; 127;139; 141; 161; 164; 166;167; 169; 171; 173; 176;188; 190; 212; 215; 217;218; 220; 222; 224; 227;239; 241; 264; 267; 269;270; 272; 274; 276; 279;291; 293Board Certifications:NoneLanguage: English;Spanish
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
315
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Schulte, Kim E LPCGender: Female
U1225 E Cliff Dr Bldg 3Ste 100(915) 239-2955Clinic Affiliation: LaFamilia Del Paso Inc**Practice Information:39; 40; 42; 46; 47; 49; 53;56; 59; 60; 62; 112; 113;114; 115; 117; 120; 121;122; 126; 127; 128; 131;132; 133; 140; 141; 142;150; 152; 153; 157; 160;161; 162; 163; 164; 166;169; 170; 171; 175; 176;177; 180; 181; 182; 189;190; 191; 200; 202; 203;204; 205; 207; 210; 211;212; 213; 214; 215; 217;220; 221; 222; 226; 227;231; 232; 233; 240; 241;242; 251; 253; 254; 256;257; 259; 262; 263; 264;265; 266; 267; 269; 272;273; 274; 278; 279; 283;284; 285; 292; 293; 294;303; 305; 306; 311; 314;315; 317; 318; 319; 320;595; 722Board Certifications:NoneLanguage: Spanish
Sears, Laurence D LPCGender: Male
U1600 Medical CenterSte B1(915) 845-3122♿U6040 Surety Dr(915) 781-9900Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PC; FamilyService of El Paso**Practice Information:112; 114; 117; 157; 161;163; 166; 189; 207; 212;214; 217; 240; 259; 264;266; 269; 292; 311; 317;318; 319; 320Board Certifications:NoneLanguage: SpanishShrewsbury, Bethany MLPCGender: Female1600 Montana Ave(915) 747-3510Clinic Affiliation:Emergence Health Network**Practice Information:39; 46; 53; 59; 112; 122;129; 137; 138; 141; 152;153; 161; 171; 178; 186;188; 190; 191; 202; 203;211; 212; 222; 229; 237;239; 241; 242; 253; 254;263; 264; 274; 281; 289;291; 293; 294; 305; 306;315; 317; 318; 319; 320;381; 595; 614; 722Board Certifications:NoneLanguage: SpanishSifuentes, Blanca LPCGender: Female
♿U2150 Trawood Dr Ste A260(915) 329-6110**Practice Information:65; 70; 112; 114; 117; 151;161; 163; 166; 189; 201;212; 214; 240; 252; 264;266; 292; 304; 317; 318;319; 320; 394Board Certifications:NoneLanguage: Spanish
Silva, Jazmine A LPCGender: Female6955 N Mesa StSte 304(915) 209-1234Clinic Affiliation:Counseling of El PasoPLLCBoard Certifications:NoneSolis, Ricardo A LPCGender: Male6000 Welch Ave Ste 15(915) 408-7125Clinic Affiliation: BlsCounseling Services Inc**Practice Information:65; 67; 70; 87; 112; 114;117; 134; 161; 163; 166;183; 212; 214; 217; 234;316; 317; 318; 319; 416Board Certifications:NoneLanguage: SpanishSt Almond, Maureen MLPCGender: Female1600 Medical Ctr Ste B1(915) 845-3122Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PC**Practice Information:40; 47; 54; 60; 112; 114;115; 120; 122; 124; 127;139; 141; 142; 161; 163;164; 169; 171; 173; 176;188; 190; 191; 211; 212;214; 215; 220; 222; 224;227; 239; 241; 242; 263;264; 266; 267; 272; 274;276; 279; 290; 291; 293;294; 315; 595; 722Board Certifications:NoneLanguage: Spanish
Stallings, Tricia LPCGender: Female7760 Alabama St(915) 887-3410Clinic Affiliation:Emergence Health Network**Practice Information:70; 75; 92; 112; 113; 117;120; 122; 127; 131; 137;139; 161; 164; 166; 169;171; 174; 176; 180; 186;188; 189; 191; 202; 211;212; 215; 217; 221; 222;224; 225; 227; 231; 237;239; 240; 242; 253; 259;263; 595; 614; 722Board Certifications:NoneStehling Monzon, ToniLPCGender: Female
♿U1801 Wyoming Ave Ste 102(915) 772-2237Clinic Affiliation: LivingHope Christian Counseling**Practice Information:118; 122; 126; 139; 151;167; 171; 175; 186; 188;201; 209; 218; 222; 224;226; 237; 239; 242; 252;274; 276; 278; 289; 291;294; 304; 317; 318; 319;320; 381; 595; 722Board Certifications:NoneStemsrud, Rebecca LPCGender: Female1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneLanguage: SpanishSwafford, Sarah M LPCGender: Female
U710 N Campbell St(915) 588-1252Clinic Affiliation: MindfulWellness Counseling PLLCBoard Certifications:None
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
316
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Tatem, Diane W LPCGender: Female1600 Medical Center StSte B1(915) 845-3122♿300 Thunderbird DrSte 12(915) 845-3122Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PC**Practice Information:67; 70; 114; 117; 189; 214;217; 240; 266; 269; 316;318; 319; 320; 376; 626Board Certifications:NoneLanguage: SpanishThomas, Jessica R LPCGender: Female3612 Pera Ave(915) 369-0038Clinic Affiliation: ProjectVida Health Center**Practice Information:40; 47; 54; 112; 115; 117;122; 127; 131; 139; 141;161; 164; 166; 171; 176;180; 188; 189; 190; 191;212; 215; 221; 222; 224;227; 231; 232; 239; 241;259; 317; 318; 319; 595;614; 722Board Certifications:NoneLanguage: SpanishTorres, Ivan N LPCGender: Male1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:None
Tovar, Daniel R LPCGender: Male
♿1520 N Campbell St(915) 545-1520Clinic Affiliation: Daniel RTovar**Practice Information:161; 163; 189; 214; 240;292; 317; 318; 320; 376Board Certifications:NoneLanguage: SpanishTrevizo, Bernadette V LPCGender: Female
U1600 Medical CenterSte 1(915) 845-3122Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PCBoard Certifications:NoneTrick, Kristin LPCGender: Female
U4157 Rio Bravo St(915) 533-8696Clinic Affiliation: ShannonSawyer PLLCBoard Certifications:NoneTrujillo, Brianne F LPCGender: Female1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneLanguage: Spanish
Urban, Elizabeth M LPCGender: Female1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health Network**Practice Information:39; 40; 42; 46; 47; 49; 66;67; 70; 71; 73; 75; 81; 94;112; 113; 114; 115; 117;118; 120; 122; 127; 128;139; 141; 153; 161; 162;163; 164; 166; 167; 169;171; 176; 177; 186; 188;190; 191; 196; 203; 204;210; 212; 214; 215; 217;218; 220; 221; 222; 224;226; 227; 237; 239; 241;246; 253; 254; 256; 259;262; 263; 316; 317; 318;319Board Certifications:NoneLanguage: American Sign;SpanishVacio, Liliana LPCGender: Female
U9434 ViscountSte 234(915) 799-0747Clinic Affiliation:Associated Behavioral andTrauma**Practice Information:40; 47; 54; 60; 90; 112;114; 115; 120; 121; 122;127; 131; 132; 137; 161;163; 164; 169; 170; 171;175; 176; 180; 181; 186;212; 214; 215; 220; 221;222; 224; 226; 227; 231;232; 237; 239; 264; 266;267; 272; 273; 274; 278;279; 283; 284; 289; 291;317; 318; 319; 320Board Certifications:NoneValenzuela, Jose L LPCGender: Male6304 Hutsell Pl(915) 260-5485Board Certifications:NoneLanguage: Spanish
Varela, Erika LPCGender: Female1600 Medical CenterSte B-1(915) 845-31221790 N Lee TrevinoSte 501(915) 637-0974Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PC**Practice Information:112; 114; 115; 117; 120;121; 122; 127; 139; 141;152; 153; 161; 163; 164;166; 169; 170; 171; 176;188; 190; 191; 202; 203;317; 319; 595; 722Board Certifications:NoneVasquez Capelli, SamuelLPCGender: Male9739 Socorro Rd(915) 408-4798Clinic Affiliation: TheCapelli Group LLCBoard Certifications:NoneVasquez, Iris LPCGender: Female
U1600 Medical CenterSte B1(915) 845-3122Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PCBoard Certifications:NoneVasquez, Rodolfo E LPCGender: Male
♿U6090 Surety DrSte 200(915) 781-1337**Practice Information:40; 47; 65; 70; 112; 114;117; 140; 161; 163; 166;183; 189; 207; 212; 214;217; 234; 240; 259; 264;266; 269; 292; 311; 316;317; 318; 319; 320; 405Board Certifications:NoneLanguage: Spanish
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
317
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Vazquez, Norma O LPCGender: Female
U237 Stoneheath CT(915) 207-4047Board Certifications:NoneLanguage: SpanishVelazquez, Rosario LPCGender: Female5924 Via Robles Lane(915) 408-5950**Practice Information:39; 46; 53; 59; 112; 113;114; 116; 117; 118; 120;121; 122; 124; 125; 126;127; 128; 129; 131; 132;133; 138; 139; 140; 141;142; 144; 152; 153; 157;161; 162; 163; 165; 166;167; 169; 170; 171; 173;174; 175; 176; 177; 178;180; 181; 182; 187; 188;189; 190; 191; 193; 202;203; 207; 212; 213; 214;216; 217; 218; 220; 221;222; 224; 225; 226; 227;228; 229; 231; 232; 233;238; 239; 240; 241; 242;244; 253; 254; 259; 264;265; 266; 268; 269; 270;272; 273; 274; 276; 277;278; 279; 280; 281; 283;284; 285; 290; 291; 292;293; 294; 296; 305; 306;311; 317; 318; 319; 320;595; 722Board Certifications:NoneLanguage: Spanish
Villa, Stacey R LPCGender: Female
U1600 Medical Center DrSte B1(915) 845-3122Clinic Affiliation: El PasoCounseling Ctr ofExpressive Arts PC**Practice Information:66; 67; 70; 71; 73; 80; 94;95; 105; 106; 113; 114;117; 118; 120; 127; 141;142; 152; 153; 162; 163;166; 167; 169; 176; 190;191; 202; 203; 211; 213;214; 220; 227; 241; 242;253; 254; 263; 266; 272;279; 293; 305; 306; 315;316; 317; 318; 319; 320;595; 722Board Certifications:NoneWade, Michael K LPCGender: Male
U609 N Laurel St(915) 886-8793**Practice Information:39; 40; 42; 44; 46; 47; 49;51; 59; 60; 62; 64; 112;117; 120; 129; 131; 139;141; 161; 162; 163; 164;166; 167; 169; 171; 175;176; 178; 180; 188; 189;190; 191; 212; 214; 215;217; 218; 220; 221; 222;223; 224; 226; 227; 229;231; 232; 238; 239; 240;241; 242; 244; 255; 259;260; 264; 266; 267; 273;274; 276; 290; 291; 292;293; 294; 296; 312; 317;318; 416; 595; 722Board Certifications:None
Walter, Perri D LPCGender: Female1600 Montana Ave(915) 887-34107769 Alabama St(915) 757-7999Clinic Affiliation:Emergence Health Network**Practice Information:40; 47; 54; 60; 113; 114;115; 127; 142; 162; 163;164; 171; 176; 191; 213;214; 215; 222; 227; 242;265; 266; 267; 274; 279;294; 317; 318; 319; 320;595; 722Board Certifications:NoneWard, Kenneth R LPCGender: Male
U3210 Dyer St(915) 298-1132Clinic Affiliation: ProjectAmistad**Practice Information:40; 44; 47; 51; 54; 60; 64;112; 114; 115; 121; 122;127; 131; 132; 139; 141;161; 163; 164; 170; 171;173; 176; 180; 181; 182;188; 190; 206; 207; 212;214; 215; 221; 222; 224;227; 231; 232; 233; 239;241; 242; 258; 259; 264;266; 267; 273; 274; 276;279; 283; 284; 285; 291;293; 294; 310; 311; 317;318; 319; 320; 595; 722Board Certifications:NoneWeaver, Casey LPCGender: Female
U9434 ViscountSte 234(915) 799-0747Clinic Affiliation:Associated Behavioral andTraumaBoard Certifications:NoneWilliams, Patricia LPCGender: Female8500 Boeing Dr(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:None
Wilson, Lourdes G LPCGender: Female
U1368 N Zaragoza RdBldg A Ste A(915) 307-6721♿U1368 Zaragoza RdBldg A Ste A(915) 208-6815Clinic Affiliation: AllianceCounseling Services PLLC**Practice Information:416Board Certifications:NoneLanguage: SpanishWitwer, Stephanie L LPCGender: Female2200 N Lee Trevino Ste A2(915) 594-8685Clinic Affiliation: BuenSalud Inc**Practice Information:42; 44; 49; 51; 112; 114;115; 117; 121; 127; 128;139; 141; 152; 157; 158;161; 163; 164; 166; 170;176; 177; 188; 190; 202;207; 208; 211; 212; 214;215; 217; 221; 224; 227;240; 241; 253; 256; 259;260; 263; 317; 318; 319Board Certifications:NoneLanguage: SpanishWright, Camesha LPCGender: Female8500 Boeing(915) 599-6600Clinic Affiliation:Emergence Health Network**Practice Information:46; 47; 48; 67; 68; 69; 70;71; 73; 75; 81; 92; 95; 114;115; 116; 117; 118; 120;122; 128; 139; 142; 161;163; 164; 169; 171; 191;212; 214; 215; 218; 220;221; 222; 227; 228; 241;242; 246; 253; 259; 263;316; 317; 318; 319; 595;614; 718; 722Board Certifications:None
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
318
♿This Location is Handicap Accessible. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Young, Elizabeth S LPCGender: Female
♿U7400 Viscount BlvdSte 201(915) 592-3287**Practice Information:114; 117; 140; 150; 163;166; 189; 200; 212; 214;240; 251; 317; 318; 319;438Board Certifications:NoneLanguage: Spanish
LICENSEDPSYCHOLOGICALASSOCIATEOaxaca, Arturo LPAGender: Male
U5380 N Mesa StSte108(915) 613-3989
U5601 Beth View Dr(915) 630-3236Clinic Affiliation: DyslexiaInstitutes of AmericaBoard Certifications:NoneLanguage: Spanish
PSYCHIATRYu Adler, Laura E MDGender: Female7001 Westwind DrSte 120(505) 247-4900Clinic Affiliation: OcotilloWellness PLLC**Practice Information:40; 42; 47; 49; 161; 163;164; 166; 168; 170; 171;175; 176; 187; 189; 190;191; 194; 195; 202; 203;204; 205; 207; 211; 212;214; 215; 217; 219; 221;222; 238; 240; 241; 242;245; 246; 253; 254; 256;257; 259; 263; 317; 318;595; 722Board Certifications:Psychiatry
u Aguirre Hauchbaum,Salvador F MDGender: Male
U4305 N Mesa Ste B(915) 779-73783030 Joe Battle(915) 242-1634Hospital Affiliations: ElPaso Psychiatric HospitalClinic Affiliation: El PasoSleep Disorders Centers**Practice Information:45; 46; 47; 49; 50; 58; 59;60; 62; 63; 212; 213; 214;215; 216; 217; 218; 220;221; 222; 223; 225; 226;227; 228; 229; 231; 232;233; 234; 236; 237; 238;240; 241; 243; 245; 246;247; 248; 252; 253; 254;255; 256; 257; 258; 259;260; 261; 262; 263; 264;265; 266; 267; 268; 269;270; 272; 273; 274; 275;277; 278; 279; 280; 281;283; 284; 285; 286; 288;289; 290; 292; 293; 295;297; 298; 299; 300; 304;305; 306; 307; 308; 309;310; 311; 312; 313; 314;315; 318; 320; 381; 722Board Certifications:PsychiatryLanguage: Spanish
u Arbona, Jaime MDGender: Male
♿5915 Silver Springs DrBldg 3b(915) 533-6360**Practice Information:40; 47; 54; 65; 67; 70; 87;108; 112; 114; 117; 134;140; 157; 161; 163; 166;183; 189; 207; 212; 214;234; 240; 259; 316; 317;318; 319; 394; 523Board Certifications:PsychiatryLanguage: Spanish
Ataalla, Mohamed MDGender: Male1900 Denver(915) 544-40003612 Pera Ave(915) 533-70571390 Northwestern Dr(915) 503-1959Hospital Affiliations: ElPaso Psychiatric HospitalClinic Affiliation:Mohamed Hamdy PLLC;Project Vida Health Center**Practice Information:33; 34; 39; 40; 41; 42; 46;47; 48; 49; 53; 54; 55; 56;59; 60; 65; 66; 67; 68; 69;70; 71; 72; 73; 74; 75; 76;77; 78; 79; 80; 81; 112;113; 114; 115; 116; 117;118; 119; 120; 121; 122;123; 124; 125; 126; 127;128; 141; 142; 153; 157;161; 162; 163; 164; 165;166; 167; 168; 169; 170;171; 172; 173; 174; 175;176; 177; 190; 191; 203;204; 207; 210; 212; 213;214; 215; 216; 217; 218;219; 220; 221; 222; 223;224; 225; 226; 227; 228;241; 242; 253; 254; 256;259; 260; 262; 264; 265;266; 267; 268; 269; 270;271; 272; 273; 274; 275;276; 277; 278; 279; 280;293; 311; 316; 317; 318;319; 320; 595; 722Board Certifications:NoneLanguage: Spanish
Avila, Jorge N MDGender: Male125 W Hague Rd Ste 250El Paso(915) 219-41001900 Denver Ave(915) 544-40004875 Maxwell Ave(915) 313-99083612 Pera Ave(915) 533-705714900b Greg Dr(915) 857-2638Hospital Affiliations:University Behav Hlth ElPaso LLCClinic Affiliation: JorgeNatividad Avila Jr MD PA;Project Vida Health CenterBoard Certifications:NoneLanguage: Spanish
u Banner, M C MDGender: Female1600 Montana Ave(915) 887-3410Hospital Affiliations:Cook Childrens MedicalCenterClinic Affiliation:Emergence Health Network**Practice Information:65; 70; 71; 74; 80; 112;117; 118; 121; 127; 161;166; 167; 170; 176; 212;217; 218; 221; 227; 316;317; 318; 319; 394; 595;614; 722Board Certifications:PsychiatryBaptiste, Nadine MDGender: Female1600 Montana Ave(915) 599-6670Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneLanguage: Spanish
u Bennett, Dwayne L MDGender: Male1600 Montana Ave(915) 577-0111Clinic Affiliation:Emergence Health NetworkBoard Certifications:Psychiatry
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
319
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
PSYCHIATRY(continued)Borrego, Ed J MDGender: Male5736 N Mesa St(915) 842-9585Clinic Affiliation: Ed JoseBorrego MD PA**Practice Information:47; 214; 217; 259; 318Board Certifications:NoneLanguage: Spanish
u Briones, David F MDGender: Male4305 N Mesa St Ste A(915) 779-7378♿4615 Alameda Ave(915) 215-58503030 Joe Battle Blvd(915) 242-1634Hospital Affiliations: ElPaso Psychiatric HospitalClinic Affiliation: El PasoSleep Disorders Centers;TX Tech Univ Hlth Sci CtrEl Paso**Practice Information:214; 217; 259; 266; 269;311; 318; 320; 381Board Certifications:PsychiatryLanguage: American Sign;SpanishBrooks, David B MDGender: Male
♿154 N Festival DrVilla B(915) 231-9300Clinic Affiliation: DavidBrooks MD PLLC**Practice Information:40; 54; 65; 67; 68; 70; 71;73; 74; 80; 98; 105; 108;112; 114; 115; 117; 118;120; 121; 122; 127; 145;152; 157; 161; 163; 164;166; 167; 169; 170; 171;176; 195; 202; 207; 316;317; 319; 394; 627Board Certifications:None
Brown, Nicolas D MDGender: Male1600 Montana Ave(915) 887-3419Clinic Affiliation:Emergence Health Network**Practice Information:32; 33; 38; 39; 40; 42; 45;46; 47; 52; 53; 58; 59; 60;65; 66; 67; 68; 69; 70; 71;73; 75; 79; 80; 81; 84; 92;94; 98; 106; 108; 111; 112;113; 114; 115; 116; 117;118; 120; 121; 122; 126;127; 128; 129; 131; 132;139; 141; 142; 145; 152;153; 157; 160; 161; 162;163; 164; 165; 166; 167;169; 170; 171; 175; 176;177; 178; 180; 181; 183;188; 189; 190; 191; 195;202; 203; 204; 205; 207;210; 212; 214; 215; 217;218; 221; 222; 226; 227;229; 231; 232; 238; 239;241; 242; 246; 253; 254;256; 257; 259; 262; 264;266; 267; 269; 273; 274;278; 279; 290; 291; 293;298; 305; 306; 311; 314;316; 317; 318; 319; 320;394; 722Board Certifications:NoneLanguage: Spanish
u Bui, Theresa D DOGender: Female1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health Network**Practice Information:47; 214; 217; 218; 221;227; 246; 253; 254; 256;257; 259; 263; 318; 394Board Certifications:PsychiatryCasoy, Flavio MDGender: Male1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health Network**Practice Information:394Board Certifications:None
Castaneda, Christopher AMDGender: Male4615 Alameda Ave(915) 215-5850Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:None
u Chabra, Monica DOGender: Female1900 Denver Ave(915) 544-4000Clinic Affiliation: MonicaChabra DO PABoard Certifications:Psychiatry
u Chavez Rice, Eugenio MDGender: Male
U6028 Surety Dr(915) 544-3500
U1219 Barranca Dr(915) 779-5600Clinic Affiliation:Amanecer PsychologicalServices PC; SunwestBehavioral Associate PA**Practice Information:376Board Certifications:PsychiatryLanguage: Spanish
u Chawla, Goshawn MDGender: Male1900 Denver Ave(915) 544-4000Clinic Affiliation: MindCare PsychiatryConsultantsBoard Certifications:PsychiatryCheng, Yan Y MDGender: Female4110 Rio Bravo StSte 108(915) 213-3262Clinic Affiliation: Yan YanCheng MDBoard Certifications:None
Debba, Bachir MDGender: Male1900 Denver Ave(915) 544-4000Hospital Affiliations: SunHouston LLC**Practice Information:45; 46; 47; 51; 58; 59; 60;64; 212; 213; 214; 215;216; 217; 219; 220; 221;222; 223; 224; 226; 227;228; 229; 232; 233; 234;237; 238; 240; 251; 253;254; 256; 259; 264; 265;266; 267; 268; 269; 271;272; 273; 274; 275; 276;278; 279; 280; 281; 284;285; 286; 290; 292; 303;305; 306; 308; 310; 318;320; 595; 722Board Certifications:NoneLanguage: Arabic; French
u Delcid, Ricardo E MDGender: Male1600 Montana Ave(915) 351-4635Clinic Affiliation:Emergence Health Network**Practice Information:40; 45; 47; 51; 54; 58; 60;64; 114; 117; 157; 163;166; 200; 207; 214; 217;238; 239; 241; 246; 251;253; 256; 259; 262; 266;269; 290; 291; 293; 298;303; 305; 311; 314; 316;318; 319; 320; 394Board Certifications:PsychiatryLanguage: Spanish
u Delgado Ramos, FabrizzioA MDGender: Male4615 Alameda Ave(915) 215-5850Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Psychiatry
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
320
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
PSYCHIATRY(continued)
u Devargas, Cecilia C MDGender: Female
♿2701 E Yandell Dr(915) 562-1999♿4815 Alameda Ave(915) 215-5850Hospital Affiliations: ElPaso Psychiatric Hospital;University Behav Hlth ElPaso LLCClinic Affiliation: El PasoChild Guidance Cnt; TXTech Univ Hlth Sci Ctr ElPaso**Practice Information:67; 70; 108; 112; 114; 117;134; 157; 163; 166; 183;207; 316; 317; 319; 394;564; 566Board Certifications:Child & Adoles Psychiatry;PsychiatryLanguage: Spanish
u Diaz Vogt, Josefina A MDGender: Female
♿U10320 Ashwood St(915) 590-2535Hospital Affiliations: LasPalmas Camp Lpdsh**Practice Information:47; 60; 212; 214; 217; 234;240; 251; 259; 264; 266;269; 286; 292; 303; 311;318; 320; 381Board Certifications:PsychiatryLanguage: Spanish
u Diaz, Noami M MDGender: Female
♿5055 N Mesa St Ste 1(915) 532-9200Clinic Affiliation:Bluebonnet Child andAdolescent**Practice Information:34; 40; 54; 65; 67; 70; 87;108; 112; 114; 117; 134;157; 161; 163; 166; 183;207; 316; 317; 319; 405Board Certifications:Child & Adoles Psychiatry;PsychiatryLanguage: English;Spanish
Dieb, Rami MDGender: Male1900 Denver Ave(915) 544-4000Clinic Affiliation: RamiDieb PLLC**Practice Information:39; 40; 42; 43; 46; 47; 49;50; 53; 54; 56; 57; 59; 60;62; 63; 112; 114; 115; 117;118; 120; 121; 125; 126;127; 128; 139; 141; 142;145; 152; 153; 157; 158;159; 160; 161; 163; 164;166; 167; 169; 170; 172;173; 174; 175; 176; 177;188; 190; 191; 195; 202;203; 204; 205; 207; 208;209; 210; 211; 212; 214;215; 217; 218; 220; 221;223; 224; 225; 226; 227;228; 239; 241; 242; 246;253; 254; 256; 257; 259;260; 261; 262; 263; 264;266; 267; 269; 270; 272;273; 275; 276; 277; 278;279; 280; 291; 293; 294;298; 305; 306; 308; 309;311; 312; 313; 314; 315;317; 318; 319; 320; 595;718; 722Board Certifications:NoneLanguage: Arabic;Spanish
u Douglas, Lauren MDGender: Female1600 Montana(915) 351-4635Clinic Affiliation:Emergence Health NetworkBoard Certifications:PsychiatryFishkind, Avrim B MDGender: Male1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health Network**Practice Information:44; 51; 71; 74; 80; 108;112; 118; 121; 127; 157;161; 162; 166; 170; 176;207; 212; 213; 217; 221;227; 259; 317; 318; 381Board Certifications:NoneLanguage: Spanish
Flores, Sara K MDGender: Female1601 Yandell(915) 599-4900Hospital Affiliations: BenTaub General HospitalClinic Affiliation:Emergence Health Network**Practice Information:163; 207; 214; 259; 317;318; 394Board Certifications:NoneGarza, Cynthia E MDGender: Female4875 Maxwell Ave(915) 313-99083612 Pera Ave(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneGaytan, Osvaldo MDGender: Male
U1225 E Cliff DrBldg 3 Ste 100(915) 239-2955Hospital Affiliations:University Behav Hlth ElPaso LLCClinic Affiliation: LaFamilia Del Paso Inc**Practice Information:40; 47; 54; 65; 67; 70; 114;117; 134; 157; 163; 166;183; 207; 214; 217; 234;259; 316; 317; 318; 319;627Board Certifications:NoneLanguage: SpanishGracia, Edgar I MDGender: Male
♿2311 N Mesa St Ste H(915) 250-0996**Practice Information:18; 47; 60; 212; 214; 217;234; 240; 259; 264; 266;269; 286; 292; 311; 318;320; 381; 472Board Certifications:NoneLanguage: Spanish
Guerrero, Martin MDGender: Male
U1122 Montana AveSte A(915) 307-5796
U9440 Viscount Ste 100(915) 249-6639Clinic Affiliation: El PasoMental Health LLC**Practice Information:47; 60; 212; 214; 215; 217;218; 221; 227; 264; 266;267; 269; 270; 273; 279;595; 722Board Certifications:NoneGutierrez, Octavio E MDGender: Male
U6633 N Mesa St Ste 103(915) 307-43201600 N Lee Trevino DrSte C4(915) 801-4270Clinic Affiliation: InstituteFor Mental Health PA**Practice Information:427; 627Board Certifications:NoneLanguage: SpanishHaque, Danish MDGender: Male4875 Maxwell Ave(915) 313-99083612 Pera Ave(915) 533-7057725 S Mesa HillsSte 1 Bldg 1(915) 887-341014900b Greg Dr(915) 857-2638Clinic Affiliation:Emergence HealthNetwork; Project VidaHealth Center**Practice Information:18; 65; 67; 68; 70; 71; 74;80; 81; 108; 112; 114; 115;117; 118; 121; 127; 128;157; 161; 163; 164; 166;167; 170; 176; 207; 212;214; 215; 217; 218; 221;227; 259; 316; 317; 318;319; 595; 614; 722Board Certifications:NoneLanguage: Hindi; Spanish;Urdu
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
321
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
PSYCHIATRY(continued)Hardesty, Susan J MDGender: Female1600 Montana Ave(915) 877-3410Clinic Affiliation:Emergence Health Network**Practice Information:394Board Certifications:NoneHernandez, Stephanie VDOGender: Male1600 Montana Ave(915) 887-3410Hospital Affiliations: BenTaub General Hospital;Houston Methodist HospitalClinic Affiliation:Emergence Health Network**Practice Information:38; 39; 40; 45; 46; 47; 50;52; 53; 54; 58; 59; 60; 62;63; 70; 112; 115; 117; 118;120; 121; 122; 126; 127;128; 129; 141; 142; 145;152; 161; 163; 164; 166;167; 169; 170; 171; 175;176; 177; 178; 184; 185;190; 191; 195; 202; 204;205; 207; 208; 211; 212;214; 215; 217; 218; 220;221; 222; 226; 227; 228;229; 235; 236; 241; 242;246; 253; 256; 257; 259;260; 263; 264; 266; 267;269; 270; 272; 273; 274;279; 280; 281; 287; 288;293; 294; 298; 305; 308;309; 311; 312; 317; 318;319; 320; 394; 595; 722Board Certifications:NoneLanguage: Spanish
u Jimenez Soto, Raul J MDGender: Male
♿U2311 N Mesa StSte I(915) 544-0600♿U7760 Alabama St(915) 757-7999Clinic Affiliation: J RaulJimenez Soto Mb**Practice Information:47; 212; 214; 217; 318; 387Board Certifications:PsychiatryLanguage: Spanish
u Joe, Roger G MDGender: Male1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:PsychiatryJoseph Vander, Jean RMDGender: Male
♿U6028 Surety Dr(915) 544-3500♿U1219 Barranca Dr(915) 779-5600Hospital Affiliations:University Behav Hlth ElPaso LLCClinic Affiliation: SunwestBehavioral Associate PA**Practice Information:47; 214; 259; 318; 381Board Certifications:NoneLanguage: SpanishJoseph-Vanderpool, JeanR MDGender: Male
U6028 Surety Dr(915) 544-3500Hospital Affiliations:University Behav Hlth ElPaso LLCClinic Affiliation: SunwestBehavioral Health LLC**Practice Information:47; 214; 259; 318; 381Board Certifications:NoneLanguage: English;Spanish
u Karwowski, Eliza DOGender: Female1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health Network**Practice Information:45; 212; 217; 221; 227;253; 256; 257; 259; 263;318; 595; 614; 722Board Certifications:PsychiatryLanguage: Polish
u Katz, Abraham J MDGender: Male
♿1201 E Schuster AveSte 6(915) 532-7799Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation: AbrahamJ Katz MD**Practice Information:67; 70; 108; 114; 117; 150;157; 163; 166; 183; 200;207; 214; 217; 234; 251;259; 266; 269; 286; 303;311; 316; 317; 318; 319;320; 416Board Certifications:PsychiatryLanguage: Spanish
u Kazakevich, Natalia MDGender: Female725 S Mesa Hills DrBldg 1 Ste 1(915) 887-3414Hospital Affiliations:Cypress Creek HospitalClinic Affiliation:Emergence Health Network**Practice Information:47; 212; 214; 215; 217;218; 219; 220; 221; 227;253; 254; 259; 263; 318;381; 595; 679; 722Board Certifications:Psychiatry
Kenny, John M MDGender: Male1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health Network**Practice Information:40; 47; 48; 51; 60; 61; 64;163; 166; 170; 176; 188;195; 202; 203; 207; 214;217; 221; 224; 227; 239;241; 242; 246; 253; 254;259; 266; 269; 273; 276;279; 290; 291; 293; 294;298; 305; 306; 311; 317;318; 320Board Certifications:NoneKhandheria, Mili MDGender: Female1600 Montana Ave(915) 599-4700Hospital Affiliations:Childrens Medical CenterDallasClinic Affiliation:Emergence Health Network**Practice Information:121; 145; 153; 163; 166;167; 170; 176; 195; 203;214; 217; 221; 227; 246;266; 269; 273; 279; 317;318; 320Board Certifications:Child & Adoles PsychiatryLanguage: Spanish
u King, Alisha E MDGender: Female1600 Montana Ave(915) 887-3410Hospital Affiliations:Baptist Health SystemClinic Affiliation:Emergence Health Network**Practice Information:47; 51; 212; 214; 215; 217;220; 221; 222; 227; 246;253; 254; 256; 257; 259;262; 318; 416; 521Board Certifications:Psychiatry
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
322
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
PSYCHIATRY(continued)
u Kirby, Wendy L MDGender: Female1600 Montana Ave(915) 887-3410Hospital Affiliations:Houston BehavioralHealthcare HosClinic Affiliation:Emergence Health NetworkBoard Certifications:Psychiatry
u Knobles, Micah J MDGender: Male1600 Montana Ave(915) 599-4700Clinic Affiliation:Emergence Health Network**Practice Information:381Board Certifications:PsychiatryLanguage: Spanish
u Laporta, Lauren D MDGender: Female1600 Montana Ave(915) 599-4700Clinic Affiliation:Emergence Health Network**Practice Information:381Board Certifications:PsychiatryLanguage: Spanish
u Lefkof, Gary D MDGender: Male1600 Montana Ave(915) 599-4700Clinic Affiliation:Emergence Health Network**Practice Information:214; 221; 227; 246; 259;266; 273; 279; 298; 311;318; 320; 381; 405Board Certifications:PsychiatryLanguage: American Sign;Spanish
Lopez, Pamela A MDGender: Female4615 Alameda Ave(915) 215-58502000b Transmountain Rd(915) 215-8400Hospital Affiliations:Hosps of ProvidenceTransmountainClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneMarquez, Francisco J MDGender: Male
♿2616 N Oregon St(915) 541-1200♿11621 Pellicano Dr(915) 541-1200Clinic Affiliation: MarquezFrancisco J MD**Practice Information:163; 207; 214; 259; 266;317; 318; 320Board Certifications:NoneLanguage: Spanish
Martin, Sarah L MDGender: Female
♿800 N Mesa St(915) 215-5850♿900 N Mesa St(915) 215-5850♿4615 Alamedaa Ave(915) 215-5850Hospital Affiliations: ElPaso Psychiatric Hospital;University Behav Hlth ElPaso LLCClinic Affiliation: TX TechUniv Hlth Sci Ctr El Paso**Practice Information:65; 67; 70; 71; 74; 80; 81;92; 94; 95; 98; 105; 106;108; 111; 112; 114; 117;118; 121; 122; 127; 128;139; 141; 142; 145; 152;153; 157; 160; 161; 163;166; 167; 170; 171; 176;177; 188; 190; 191; 195;202; 203; 204; 207; 210;211; 212; 214; 217; 218;221; 222; 227; 228; 239;241; 242; 246; 253; 254;256; 259; 262; 263; 264;266; 269; 270; 273; 274;279; 280; 291; 293; 294;298; 305; 306; 308; 311;314; 315; 316; 317; 318;319; 320; 595; 722Board Certifications:NoneLanguage: Spanish
u Mehta, Shivani U MDGender: Female800 N Mesa St(915) 215-58504615 Alameda Ave(915) 215-585012217 Sitting Bull Dr(801) 615-1796Hospital Affiliations: ElPaso Psychiatric HospitalClinic Affiliation: SunPsychiatry PLLC; TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:Psychiatry
Meissner, Frank W MDGender: Male3612 Pera Ave(915) 533-7057Hospital Affiliations:Baptist Health System; LasPalmas Camp Lpdsh;Methodist Spec &Transplant HospClinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: SpanishMontgomery, Lyle B MDGender: Female1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneMoreno, Alvaro MDGender: Male1600 Montana Ave(915) 577-0111Clinic Affiliation:Emergence Health Network**Practice Information:394Board Certifications:None
u Naidoo, Elton R MDGender: Male1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health Network**Practice Information:394Board Certifications:Psychiatry
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
323
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty.**See the Practice Information Appendix for Details.
EL PASO (continued)
PSYCHIATRY(continued)Parrott, Justin J MDGender: Male1600 Montana Ave(915) 887-3410Hospital Affiliations:Medical City Green OaksHospitalClinic Affiliation:Emergence Health Network**Practice Information:42; 49; 62; 65; 66; 67; 68;70; 71; 74; 79; 80; 81; 84;85; 94; 97; 105; 106; 108;112; 113; 114; 115; 117;118; 121; 126; 127; 128;131; 132; 140; 141; 144;152; 153; 157; 161; 162;163; 164; 166; 167; 170;175; 176; 177; 180; 181;189; 190; 193; 202; 203;204; 207; 209; 212; 213;214; 215; 217; 218; 221;223; 226; 227; 231; 232;240; 241; 244; 253; 254;255; 256; 259; 260; 261;264; 265; 266; 267; 269;270; 273; 275; 278; 279;283; 284; 292; 293; 296;305; 306; 307; 308; 311;312; 313; 316; 317; 318;319; 320; 595; 722Board Certifications:NoneLanguage: Spanish
u Perez Garcia, Gonzalo JMDGender: Male1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health Network**Practice Information:394Board Certifications:PsychiatryLanguage: Spanish
u Perez, Oscar E MDGender: Male
♿1400 N El Paso StSte A(915) 533-5550Hospital Affiliations: ElPaso Psychiatric HospitalClinic Affiliation: OscarPerez MD PA**Practice Information:40; 47; 112; 114; 115; 117;121; 127; 134; 157; 161;163; 164; 166; 170; 176;183; 207; 212; 214; 215;217; 221; 227; 234; 259;317; 318; 319Board Certifications:PsychiatryLanguage: Spanish
u Petersen Crair, Pamela JMDGender: Female1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health Network**Practice Information:47; 60; 212; 214; 215; 217;218; 221; 227; 228; 241;244; 246; 253; 256; 257;259; 262; 263; 264; 266;267; 269; 270; 273; 279;280; 293; 296; 298; 305;308; 309; 311; 314; 315;318; 320; 394Board Certifications:Psychiatry
u Ragheb, Motataz M MDGender: Male4615 Alameda Ave(915) 215-58502000 B Transmountain Rd(915) 215-8408Clinic Affiliation: TX TechUniv Hlth Sci Ctr El Paso**Practice Information:379Board Certifications:PsychiatryLanguage: Arabic;Spanish
u Riaz, Jawad MDGender: Male1600 Montana Ave(915) 887-3410Hospital Affiliations:Texoma Medical CenterClinic Affiliation:Emergence Health Network**Practice Information:427Board Certifications:PsychiatryLanguage: Hindi; Punjabi;UrduRivera Reyes, Hector LMDGender: Male1600 Montana Ave(915) 775-0513Clinic Affiliation:Emergence Health Network**Practice Information:38; 40; 47; 65; 67; 70; 71;73; 81; 112; 113; 114; 115;117; 118; 120; 127; 128;131; 140; 141; 144; 161;162; 163; 164; 166; 167;169; 170; 171; 175; 176;177; 178; 180; 183; 188;189; 190; 193; 202; 207;212; 214; 215; 217; 218;219; 221; 222; 226; 227;229; 234; 239; 240; 241;246; 253; 260; 263; 317;318; 319; 595; 614; 722Board Certifications:NoneRizvi, Rabab MDGender: Female1600 Montana(915) 577-0111Clinic Affiliation:Emergence Health Network**Practice Information:381Board Certifications:None
Rodarte Rojas, Sergio MMDGender: Male
♿U1600 Montana Ave(915) 887-3410♿1600 Yandell(915) 543-9051♿U1601 E Yandell(915) 543-90511900 Denver Ave(915) 544-4000Hospital Affiliations: ElPaso Psychiatric Hospital;University Behav Hlth ElPaso LLCClinic Affiliation: CynthiaD Rivera MD PLLC;Emergence Health Network**Practice Information:212; 214; 217; 259; 264;266; 311; 318; 320; 381Board Certifications:NoneLanguage: Spanish
u Rodriguez Che, Angel MMDGender: Male
♿U1600 Montana(915) 566-8224Clinic Affiliation:Emergence Health Network**Practice Information: 8;18; 47; 115; 122; 154; 164;171; 204; 212; 214; 215;217; 222; 234; 256; 259;267; 274; 308; 318; 338;472Board Certifications:PsychiatryLanguage: Spanish
u Rodriguez, Darice M MDGender: Female1600 Montana Ave(915) 887-6410Clinic Affiliation:Emergence Health Network**Practice Information:394Board Certifications:Psychiatry
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
324
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
EL PASO (continued)
PSYCHIATRY(continued)
u Ruan, Qingmin MDGender: Female1600 Montana Ave(915) 599-4700Hospital Affiliations:Intracare North HospitalClinic Affiliation:Emergence Health Network**Practice Information:47; 60; 212; 214; 215; 217;221; 226; 241; 246; 256;257; 259; 262; 264; 266;267; 269; 273; 278; 293;298; 308; 309; 311; 314;318; 320; 595; 722Board Certifications:PsychiatryLanguage: Chinese;Spanish
u Salazar, Ricardo MDGender: Male4615 Alameda Ave(915) 215-4480Hospital Affiliations: ElPaso Psychiatric Hospital;University Health SystemClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:PsychiatryLanguage: American Sign;SpanishSchuchman, Mark C MDGender: Male1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:None
u Sembrano, Svetlana R MDGender: Female
41600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health NetworkBoard Certifications:Psychiatry
u Siddiqui, Samina MDGender: Female1600 Montana Ave(915) 599-4700Clinic Affiliation:Emergence Health Network**Practice Information:381Board Certifications:PsychiatryLanguage: American Sign;French; Spanish;VietnameseSingletary, Kellye N MDGender: Female1600 Montana Ave(915) 577-0111Clinic Affiliation:Emergence Health NetworkBoard Certifications:NoneSt Hill, Ronald G MDGender: Male1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health Network**Practice Information:381Board Certifications:None
u Strebeck, Sarah L MDGender: Female1600 Montana Ave(915) 599-4700Hospital Affiliations:Millwood Hospital ExcelCenterClinic Affiliation:Emergence Health Network**Practice Information:381Board Certifications:PsychiatryLanguage: SpanishSullivan, Andre J MDGender: Male1600 Montana(915) 351-46351601 E Yandell(915) 599-4900Clinic Affiliation:Emergence Health NetworkBoard Certifications:None
Sullivan, Zachary DOGender: Male1600 Montana Ave(915) 887-3410Hospital Affiliations:Harris County PsychiatricCenterClinic Affiliation:Emergence Health Network**Practice Information:114; 117; 118; 127; 157;161; 163; 166; 176; 207;212; 214; 217; 227; 259;317; 318; 319; 595; 614;722Board Certifications:NoneTerry, Wanda K MDGender: Female1600 Montana Ave(915) 887-3410Clinic Affiliation:Emergence Health Network**Practice Information:212; 214; 217; 221; 227;246; 259; 318Board Certifications:None
u Thompson, Peter M MDGender: Male4615 Alameda Ave(915) 215-4480Hospital Affiliations: ElPaso Psychiatric Hospital;University Health SystemClinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:PsychiatryLanguage: SpanishThompson, Susan S MDGender: Female1600 Montana Ave(915) 599-4900Clinic Affiliation:Emergence Health Network**Practice Information:40; 47; 54; 60; 112; 114;115; 117; 118; 121; 127;128; 152; 161; 163; 164;166; 167; 170; 176; 177;212; 214; 215; 217; 218;221; 227; 228; 253; 264;266; 267; 269; 270; 273;279; 280; 317; 318; 319;320; 722Board Certifications:NoneLanguage: Spanish
u Tonarelli De Maud, SilvinaB MDGender: Female4615 Alameda Ave(915) 215-5850Clinic Affiliation: TX TechUniv Hlth Sci Ctr El Paso**Practice Information:45; 58; 212; 214; 215; 217;218; 221; 227; 228; 246;253; 254; 256; 259; 262;263; 264; 266; 267; 269;270; 273; 279; 280; 298;305; 306; 308; 311; 314;315; 318; 320; 595; 722Board Certifications:PsychiatryLanguage: Spanish
u Uga, Aghaegbulam H MDGender: Male2022 Murchison DrSte 108(915) 200-1144♿4305 N Mesa St Ste B(915) 779-73784801 Alberta Ave(915) 215-5200♿7430 N Mesa St(915) 779-7378♿2000 Lomaland Dr(915) 779-7378♿3030 Joe Battle Blvd(915) 242-1634Clinic Affiliation: El PasoSleep Disorders Centers;Haracec CompleteHealthcare PLLC; TX TechUniv Hlth Sci Ctr El Paso**Practice Information:627Board Certifications:Psychiatry; Psychiatry &NeurologyLanguage: American Sign;Igbo; Spanish
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 EL PASO
325
♿This Location is Handicap Accessible. 4 This Provider May Not Be Accepting New Patients.u Board Certified in Listed Specialty. **See the Practice Information Appendix for Details.
EL PASO (continued)
PSYCHIATRY(continued)Uribe, Francisco MDGender: Male
U125 W Hague RdSte 250(915) 575-10307100 Westwind DrSte 300(915) 875-1030Hospital Affiliations: LasPalmas Camp LpdshClinic Affiliation:Francisco Uribe MD PA**Practice Information:38; 45; 58; 135; 161; 163;166; 170; 176; 184; 185;195; 207; 212; 214; 217;221; 227; 235; 236; 246;259; 264; 266; 269; 273;279; 288; 298; 311; 317;318; 320; 595; 722Board Certifications:None
u Varghees, Seema S MDGender: Female1600 Montana Ave(915) 351-4635Clinic Affiliation:Emergence Health Network**Practice Information:65; 66; 67; 68; 70; 71; 79;80; 81; 82; 84; 112; 113;114; 115; 118; 121; 126;127; 128; 129; 131; 139;156; 161; 162; 163; 164;167; 170; 171; 175; 176;177; 180; 188; 201; 204;205; 206; 211; 212; 214;215; 217; 221; 222; 226;227; 228; 231; 239; 252;256; 257; 258; 263; 266;267; 269; 273; 274; 279;283; 310; 315; 316; 317;318; 319; 320; 595; 614;722Board Certifications:PsychiatryLanguage: Spanish
Zink, Susan MDGender: Female1600 Montana Ave(915) 599-4700Clinic Affiliation:Emergence Health Network**Practice Information:47; 60; 212; 214; 221; 227;246; 256; 257; 259; 263;264; 266; 273; 279; 298;311; 315; 318; 320; 381Board Certifications:NoneLanguage: Spanish
PSYCHIATRY &NEUROLOGY
u Uga, Aghaegbulam H MDGender: Male2022 Murchison DrSte 108(915) 200-1144Clinic Affiliation: HaracecComplete Healthcare PLLC**Practice Information:627Board Certifications:Psychiatry; Psychiatry &NeurologyLanguage: Igbo
HORIZON CITY
LICENSEDPROFESSIONALCOUNSELORTexas Tech UniversityHealthGender: Female
♿500 S Darrington Rd(915) 652-1380Clinic Affiliation: TX TechUniv Hlth Sci Ctr El PasoBoard Certifications:NoneLanguage: Spanish
Fuentes, Anna M LPCGender: Female13000 Emerald Pass Ave(915) 533-705713600 Ryderwood Dr(915) 533-7057Clinic Affiliation: ProjectVida Health Center**Practice Information:39; 40; 42; 49; 53; 54; 56;115; 117; 118; 120; 121;122; 124; 125; 126; 127;128; 139; 141; 142; 164;166; 167; 169; 170; 171;173; 174; 175; 176; 177;188; 190; 191; 204; 211;224; 225; 226; 227; 228;239; 241; 242; 256; 263;317; 319; 595; 722Board Certifications:NoneLanguage: SpanishGonzalez, Viridiana LPCGender: Female13000 Emerald Pass Ave(915) 533-705713600 Ryderwood Dr(915) 533-7057Clinic Affiliation: ProjectVida Health Center**Practice Information:65; 68; 70; 71; 73; 75; 77;80; 84; 85; 92; 94; 112;115; 117; 118; 120; 122;124; 127; 131; 132; 139;141; 161; 164; 166; 167;169; 171; 173; 176; 180;181; 188; 190; 212; 215;217; 218; 220; 222; 224;227; 231; 232; 239; 241;264; 267; 269; 270; 272;274; 276; 279; 283; 284;291; 293; 316; 317; 318;319; 320; 595; 722Board Certifications:NoneLanguage: SpanishLopez Longoria, Lizet LPCGender: Female13000 Emerald Pass Ave(915) 533-705713600 Ryderwood Dr(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:None
Ochoa De Marquez,Guadalupe LPCGender: Male13000 Emerald Pass Ave(915) 533-705713600 Ryderwood Dr(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: Abkhazian;Spanish
SOCORRO
LICENSEDPROFESSIONALCOUNSELORFuentes, Anna M LPCGender: Female10150 Alameda Ave(915) 533-705711471 Alameda Ave(915) 533-7057301 Bovee Rd(915) 533-7057Clinic Affiliation: ProjectVida Health Center**Practice Information:39; 40; 42; 49; 53; 54; 56;115; 117; 118; 120; 121;122; 124; 125; 126; 127;128; 139; 141; 142; 164;166; 167; 169; 170; 171;173; 174; 175; 176; 177;188; 190; 191; 204; 211;224; 225; 226; 227; 228;239; 241; 242; 256; 263;317; 319; 595; 722Board Certifications:NoneLanguage: Spanish
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
EL PASO 08/07/2020
326
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
SOCORRO(continued)
LICENSEDPROFESSIONALCOUNSELOR(continued)Gonzalez, Viridiana LPCGender: Female10150 Alameda Ave(915) 533-705711471 Alameda Ave(915) 533-7057301 Bovee Rd(915) 533-7057Clinic Affiliation: ProjectVida Health Center**Practice Information:65; 68; 70; 71; 73; 75; 77;80; 84; 85; 92; 94; 112;115; 117; 118; 120; 122;124; 127; 131; 132; 139;141; 161; 164; 166; 167;169; 171; 173; 176; 180;181; 188; 190; 212; 215;217; 218; 220; 222; 224;227; 231; 232; 239; 241;264; 267; 269; 270; 272;274; 276; 279; 283; 284;291; 293; 316; 317; 318;319; 320; 595; 722Board Certifications:NoneLanguage: SpanishHernandez, Anais LPCGender: Female10150 Alameda Ave(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: SpanishLopez Longoria, Lizet LPCGender: Female10150 Alameda Ave(915) 533-7057301 Bovee Rd(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:None
Ochoa De Marquez,Guadalupe LPCGender: Male10150 Alameda Ave(915) 533-7057301 Bovee Rd(915) 533-7057Clinic Affiliation: ProjectVida Health CenterBoard Certifications:NoneLanguage: Abkhazian;Spanish
VINTON
LICENSEDPROFESSIONALCOUNSELORHoppe, Curtis L LPCGender: Male
♿U7920 Doniphan Dr(915) 855-8550**Practice Information:40; 54; 67; 70; 87; 107;108; 114; 117; 134; 140;156; 157; 163; 166; 183;189; 206; 207; 214; 217;240; 258; 316; 317; 318;319; 383Board Certifications:NoneLanguage: German;Spanish
YSLETA PUEBLO
PSYCHIATRYu De Vargas, Cecilia C MDGender: Female9314 Juanchido Ln(915) 860-6170Hospital Affiliations: ElPaso Psychiatric Hospital;University Behav Hlth ElPaso LLCClinic Affiliation: YsletaDel Sur Pueblo CommunityHealth Center**Practice Information:67; 70; 108; 112; 114; 117;134; 157; 163; 166; 183;207; 316; 317; 319; 394;564; 566Board Certifications:PsychiatryLanguage: Spanish
Martin, Sarah L MDGender: Female9314 Juanchido Ln(915) 860-8170Hospital Affiliations: ElPaso Psychiatric Hospital;University Behav Hlth ElPaso LLCClinic Affiliation: YsletaDel Sur Pueblo CommunityHealth Center**Practice Information:65; 67; 70; 71; 74; 80; 81;92; 94; 95; 98; 105; 106;108; 111; 112; 114; 117;118; 121; 122; 127; 128;139; 141; 142; 145; 152;153; 157; 160; 161; 163;166; 167; 170; 171; 176;177; 188; 190; 191; 195;202; 203; 204; 207; 210;211; 212; 214; 217; 218;221; 222; 227; 228; 239;241; 242; 246; 253; 254;256; 259; 262; 263; 264;266; 269; 270; 273; 274;279; 280; 291; 293; 294;298; 305; 306; 308; 311;314; 315; 316; 317; 318;319; 320; 595; 722Board Certifications:NoneLanguage: Spanish
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
Behavioral Health PractitionersYou may not have coverage for services provided by certain provider types listed. Review your benefit bookletfor the benefits covered under your plan.
08/07/2020 SOCORRO
327
♿This Location is Handicap Accessible. u Board Certified in Listed Specialty. UThis Provider Has Extended Hours.**See the Practice Information Appendix for Details.
Practice Information AppendixPractice Information Appendix
328
1 18 years and under by referral only2 Abdominal Surgery Only3 Accepting Newborns Only4 Accepts newborns only5 Accepts Newborns, existing patientsonly6 Accepts siblings of existing patients7 Active Duty Only8 Adolescent9 Adolescent Inpatient (IP)10 Adolescent Inpatient (IP) -Substance Use11 Adolescent Intensive OutpatientProgram (IOP)12 Adolescent Intensive OutpatientProgram (IOP) - Substance Use13 Adolescent Partial HospitalPlacement (PHP)14 Adolescent Partial HospitalPlacement (PHP) - Substance Use15 Adolescent Psychiatry16 Adolescent Residential TreatmentCenter (RTC)17 Adolescent Residential TreatmentCenter (RTC) - Substance Use18 Adult19 Adult Cardiology only20 Adult Detoxification - SubstanceUse21 Adult Inpatient (IP)22 Adult Inpatient (IP) - SubstanceUse23 Adult Intensive Outpatient Program(IOP)24 Adult Intensive Outpatient Program(IOP) - Substance Use25 Adult Otho & Major Joints, no back26 Adult Partial Hospital Placement(PHP)27 Adult Partial Hospital Placement(PHP) - Substance Use28 Adult patients with Epilepsy29 Adult Residential Treatment Center(RTC)30 Adult Residential Treatment Center(RTC) - Substance Use31 Adult Spine Surgery & Jointreplacement32 Age 0-5 Behavioral Healthcare forMedical Condition33 Age 0-5 Brief Solution FocusedTherapy34 Age 0-5 ChemicalDependency/Chemical DependencyAssessment35 Age 0-5 Forensic Psychiatry36 Age 0-5 GenderRealignment/Transition37 Age 0-5 Medication AssistedTreatment (MAT)38 Age 13-17 Behavioral Healthcarefor Medical Condition39 Age 13-17 Brief Solution FocusedTherapy40 Age 13-17 ChemicalDependency/Chemical DependencyAssessment
41 Age 13-17 Forensic Psychiatry42 Age 13-17 GenderRealignment/Transition43 Age 13-17 Medication AssistedTreatment (MAT)44 Age 13-17 Men's Issues45 Age 18-64 Behavioral Healthcarefor Medical Condition46 Age 18-64 Brief Solution FocusedTherapy47 Age 18-64 ChemicalDependency/Chemical DependencyAssessment48 Age 18-64 Forensic Psychiatry49 Age 18-64 GenderRealignment/Transition50 Age 18-64 Medication AssistedTreatment (MAT)51 Age 18-64 Men's Issues52 Age 6-12 Behavioral Healthcare forMedical Condition53 Age 6-12 Brief Solution FocusedTherapy54 Age 6-12 ChemicalDependency/Chemical DependencyAssessment55 Age 6-12 Forensic Psychiatry56 Age 6-12 GenderRealignment/Transition57 Age 6-12 Medication AssistedTreatment (MAT)58 Age 65+ Behavioral Healthcare forMedical Condition59 Age 65+ Brief Solution FocusedTherapy60 Age 65+ ChemicalDependency/Chemical DependencyAssessment61 Age 65+ Forensic Psychiatry62 Age 65+ GenderRealignment/Transition63 Age 65+ Medication AssistedTreatment (MAT)64 Age 65+ Men's Issues65 Ages 0-5 Abuse (Physical and/orSexual)66 Ages 0-5 Adoption Issues67 Ages 0-5 Affective Mood Disorders68 Ages 0-5 Anger Management69 Ages 0-5 Applied BehaviorAnalysis (ABA)70 Ages 0-5 Attention DeficitDisorders71 Ages 0-5 Autism SpectrumDisorders72 Ages 0-5 Bariatric Assessment73 Ages 0-5 Behavior Modification74 Ages 0-5 Bipolar Disorders/ManicDepressive Illness75 Ages 0-5 Cognitive BehaviorTherapy76 Ages 0-5 Compulsive Gambling77 Ages 0-5 Couples/MarriageTherapy78 Ages 0-5 Critical Incident StressDebrief (CISD)79 Ages 0-5 Cultural/Ethnic Issues
80 Ages 0-5 Depression81 Ages 0-5 Developmental Disorders82 Ages 0-5 Dialectical BehaviorTherapy83 Ages 0-5 Dissociative Disorders84 Ages 0-5 Divorce/Blended FamilyIssues85 Ages 0-5 Domestic Violence86 Ages 0-5 EAP General87 Ages 0-5 Eating Disorders88 Ages 0-5 ElectroconvulsiveTherapy IP89 Ages 0-5 ElectroconvulsiveTherapy OP90 Ages 0-5 EMDR91 Ages 0-5 End of Life Issues92 Ages 0-5 Family Therapy93 Ages 0-5 Gay/Lesbian Issues94 Ages 0-5 Grief/Bereavement95 Ages 0-5 Group Therapy96 Ages 0-5 Hearing Impaired97 Ages 0-5 HIV/AIDS/ARC RelatedIssues98 Ages 0-5 Medication Management99 Ages 0-5 Multi-Systemic Therapy(MST)100 Ages 0-5 NeuropsychologicalTesting101 Ages 0-5 Obsessive CompulsiveDisorder102 Ages 0-5 Organic Disorders103 Ages 0-5 Pain Management104 Ages 0-5 Pastoral Counseling105 Ages 0-5 Personality Disorders106 Ages 0-5 Phobias107 Ages 0-5 Psychological Testing108 Ages 0-5 Schizophrenia andother Psychotic Disorders109 Ages 0-5 Sexual Disfunction110 Ages 0-5 Sexual OffenderTreatment111 Ages 0-5 Somatoform Disorders112 Ages 6-12 Abuse (Physicaland/or Sexual)113 Ages 6-12 Adoption Issues114 Ages 6-12 Affective MoodDisorders115 Ages 6-12 Anger Management116 Ages 6-12 Applied BehaviorAnalysis (ABA)117 Ages 6-12 Attention DeficitDisorders118 Ages 6-12 Autism SpectrumDisorders119 Ages 6-12 Bariatric Assessment120 Ages 6-12 Behavior Modification121 Ages 6-12 BipolarDisorders/Manic Depressive Illness122 Ages 6-12 Cognitive BehaviorTherapy123 Ages 6-12 Compulsive Gambling124 Ages 6-12 Couples/MarriageTherapy125 Ages 6-12 Critical Incident StressDebrief (CISD)126 Ages 6-12 Cultural/Ethnic Issues127 Ages 6-12 Depression
Practice Information AppendixPractice Information Appendix
329
128 Ages 6-12 DevelopmentalDisorders129 Ages 6-12 Dialectical BehaviorTherapy130 Ages 6-12 Dissociative Disorders131 Ages 6-12 Divorce/BlendedFamily Issues132 Ages 6-12 Domestic Violence133 Ages 6-12 EAP General134 Ages 6-12 Eating Disorders135 Ages 6-12 ElectroconvulsiveTherapy IP136 Ages 6-12 ElectroconvulsiveTherapy OP137 Ages 6-12 EMDR138 Ages 6-12 End of Life Issues139 Ages 6-12 Family Therapy140 Ages 6-12 Gay/Lesbian Issues141 Ages 6-12 Grief/Bereavement142 Ages 6-12 Group Therapy143 Ages 6-12 Hearing Impaired144 Ages 6-12 HIV/AIDS/ARCRelated Issues145 Ages 6-12 MedicationManagement146 Ages 6-12 Multi-SystemicTherapy (MST)147 Ages 6-12 NeuropsychologicalTesting148 Ages 6-12 ObsessiveCompulsive Disorder149 Ages 6-12 Organic Disorders150 Ages 6-12 Pain Management151 Ages 6-12 Pastoral Counseling152 Ages 6-12 Personality Disorders153 Ages 6-12 Phobias154 Ages 6-12 Postpartum Issues155 Ages 6-12 Prenatal Issues156 Ages 6-12 Psychological Testing157 Ages 6-12 Schizophrenia & otherPsych Disorders158 Ages 6-12 Sexual Disfunction159 Ages 6-12 Sexual OffenderTreatment160 Ages 6-12 Somatoform Disorders161 Ages 13-17 Abuse (Physicaland/or Sexual)162 Ages 13-17 Adoption Issues163 Ages 13-17 Affective MoodDisorders164 Ages 13-17 Anger Management165 Ages 13-17 Applied BehaviorAnalysis (ABA)166 Ages 13-17 Attention DeficitDisorders167 Ages 13-17 Autism SpectrumDisorders168 Ages 13-17 Bariatric Assessment169 Ages 13-17 Behavior Modification170 Ages 13-17 BipolarDisorders/Manic Depressive Illness171 Ages 13-17 Cognitive BehaviorTherapy172 Ages 13-17 Compulsive Gambling173 Ages 13-17 Couples/MarriageTherapy
174 Ages 13-17 Critical IncidentStress Debrief (CISD)175 Ages 13-17 Cultural/Ethnic Issues176 Ages 13-17 Depression177 Ages 13-17 DevelopmentalDisorders178 Ages 13-17 Dialectical BehaviorTherapy179 Ages 13-17 DissociativeDisorders180 Ages 13-17 Divorce/BlendedFamily Issues181 Ages 13-17 Domestic Violence182 Ages 13-17 EAP General183 Ages 13-17 Eating Disorders184 Ages 13-17 ElectroconvulsiveTherapy IP185 Ages 13-17 ElectroconvulsiveTherapy OP186 Ages 13-17 EMDR187 Ages 13-17 End of Life Issues188 Ages 13-17 Family Therapy189 Ages 13-17 Gay/Lesbian Issues190 Ages 13-17 Grief/Bereavement191 Ages 13-17 Group Therapy192 Ages 13-17 Hearing Impaired193 Ages 13-17 HIV/AIDS/ARCRelated Issues194 Ages 13-17 Infertility195 Ages 13-17 MedicationManagement196 Ages 13-17 Multi-SystemicTherapy (MST)197 Ages 13-17 NeuropsychologicalTesting198 Ages 13-17 ObsessiveCompulsive Disorder199 Ages 13-17 Organic Disorders200 Ages 13-17 Pain Management201 Ages 13-17 Pastoral Counseling202 Ages 13-17 Personality Disorders203 Ages 13-17 Phobias204 Ages 13-17 Postpartum Issues205 Ages 13-17 Prenatal Issues206 Ages 13-17 Psychological Testing207 Ages 13-17 Schizophrenia & otherPsych Disorders208 Ages 13-17 Sexual Disfunction209 Ages 13-17 Sexual OffenderTreatment210 Ages 13-17 SomatoformDisorders211 Ages 13-17 Women's Issues212 Ages 18-64 Abuse (Physicaland/or Sexual)213 Ages 18-64 Adoption Issues214 Ages 18-64 Affective MoodDisorders215 Ages 18-64 Anger Management216 Ages 18-64 Applied BehaviorAnalysis (ABA)217 Ages 18-64 Attention DeficitDisorders218 Ages 18-64 Autism SpectrumDisorders219 Ages 18-64 Bariatric Assessment220 Ages 18-64 Behavior Modification
221 Ages 18-64 BipolarDisorders/Manic Depressive Illness222 Ages 18-64 Cognitive BehaviorTherapy223 Ages 18-64 Compulsive Gambling224 Ages 18-64 Couples/MarriageTherapy225 Ages 18-64 Critical IncidentStress Debrief (CISD)226 Ages 18-64 Cultural/Ethnic Issues227 Ages 18-64 Depression228 Ages 18-64 DevelopmentalDisorders229 Ages 18-64 Dialectical BehaviorTherapy230 Ages 18-64 DissociativeDisorders231 Ages 18-64 Divorce/BlendedFamily Issues232 Ages 18-64 Domestic Violence233 Ages 18-64 EAP General234 Ages 18-64 Eating Disorders235 Ages 18-64 ElectroconvulsiveTherapy IP236 Ages 18-64 ElectroconvulsiveTherapy OP237 Ages 18-64 EMDR238 Ages 18-64 End of Life Issues239 Ages 18-64 Family Therapy240 Ages 18-64 Gay/Lesbian Issues241 Ages 18-64 Grief/Bereavement242 Ages 18-64 Group Therapy243 Ages 18-64 Hearing Impaired244 Ages 18-64 HIV/AIDS/ARCRelated Issues245 Ages 18-64 Infertility246 Ages 18-64 MedicationManagement247 Ages 18-64 Multi-SystemicTherapy (MST)248 Ages 18-64 NeuropsychologicalTesting249 Ages 18-64 ObsessiveCompulsive Disorder250 Ages 18-64 Organic Disorders251 Ages 18-64 Pain Management252 Ages 18-64 Pastoral Counseling253 Ages 18-64 Personality Disorders254 Ages 18-64 Phobias255 Ages 18-64 Police/Fire FighterIssues256 Ages 18-64 Postpartum Issues257 Ages 18-64 Prenatal Issues258 Ages 18-64 Psychological Testing259 Ages 18-64 Schizophrenia & otherPsych Disorders260 Ages 18-64 Sexual Disfunction261 Ages 18-64 Sexual OffenderTreatment262 Ages 18-64 SomatoformDisorders263 Ages 18-64 Women's Issues264 Ages 65+ Abuse (Physical and/orSexual)265 Ages 65+ Adoption Issues266 Ages 65+ Affective MoodDisorders
Practice Information AppendixPractice Information Appendix
330
267 Ages 65+ Anger Management268 Ages 65+ Applied BehaviorAnalysis (ABA)269 Ages 65+ Attention DeficitDisorders270 Ages 65+ Autism SpectrumDisorders271 Ages 65+ Bariatric Assessment272 Ages 65+ Behavior Modification273 Ages 65+ Bipolar Disorders/ManicDepressive Illness274 Ages 65+ Cognitive BehaviorTherapy275 Ages 65+ Compulsive Gambling276 Ages 65+ Couples/MarriageTherapy277 Ages 65+ Critical Incident StressDebrief (CISD)278 Ages 65+ Cultural/Ethnic Issues279 Ages 65+ Depression280 Ages 65+ DevelopmentalDisorders281 Ages 65+ Dialectical BehaviorTherapy282 Ages 65+ Dissociative Disorders283 Ages 65+ Divorce/Blended FamilyIssues284 Ages 65+ Domestic Violence285 Ages 65+ EAP General286 Ages 65+ Eating Disorders287 Ages 65+ ElectroconvulsiveTherapy IP288 Ages 65+ ElectroconvulsiveTherapy OP289 Ages 65+ EMDR290 Ages 65+ End of Life Issues291 Ages 65+ Family Therapy292 Ages 65+ Gay/Lesbian Issues293 Ages 65+ Grief/Bereavement294 Ages 65+ Group Therapy295 Ages 65+ Hearing Impaired296 Ages 65+ HIV/AIDS/ARC RelatedIssues297 Ages 65+ Infertility298 Ages 65+ MedicationManagement299 Ages 65+ Multi-Systemic Therapy(MST)300 Ages 65+ NeuropsychologicalTesting301 Ages 65+ Obsessive CompulsiveDisorder302 Ages 65+ Organic Disorders303 Ages 65+ Pain Management304 Ages 65+ Pastoral Counseling305 Ages 65+ Personality Disorders306 Ages 65+ Phobias307 Ages 65+ Police/Fire FighterIssues308 Ages 65+ Postpartum Issues309 Ages 65+ Prenatal Issues310 Ages 65+ Psychological Testing311 Ages 65+ Schizophrenia andother Psychotic Disorders312 Ages 65+ Sexual Disfunction313 Ages 65+ Sexual OffenderTreatment
314 Ages 65+ Somatoform Disorders315 Ages 65+ Women's Issues316 Behavioral Healthcare Age 0-5Anxiety and Panic Disorders317 Behavioral Healthcare Age 13-17Anxiety and Panic Disorders318 Behavioral Healthcare Age 18-64Anxiety and Panic Disorders319 Behavioral Healthcare Age 6-12Anxiety and Panic Disorders320 Behavioral Healthcare Age 65+Anxiety and Panic Disorders321 Behavioral Problems322 BH Distant Site323 BH Hospital Based Physician324 BH OP Opioid Treatment325 BH Originating Site326 Breast Disease Only327 By Referral Only328 Call for new patient availability329 Child Detoxification - SubstanceUse330 Child Inpatient (IP)331 Child Inpatient (IP) - SubstanceUse332 Child Intensive OutpatientProgram (IOP)333 Child Partial Hospital Placement(PHP)334 Child Partial Hospital Placement(PHP) - Substance Use335 Child Psychiatry336 Child Residential TreatmentCenter (RTC)337 Child Residential TreatmentCenter (RTC) - Substance Use338 Children339 Clinic charge will apply; mayincrease your costs340 Current University/Collegestudents only341 Development Delay or Disability342 Developmental Disorders only343 Diabetic Educ Prog344 Diagnostic Radiology only345 ED Adolescent Inpatient346 ED Adolescent IntensiveOutpatient Program347 ED Adolescent Outpatient348 ED Adolescent Partial349 ED Adolescent Residential350 ED Adult Inpatient351 ED Adult Intensive OutpatientProgram352 ED Adult Outpatient353 ED Adult Partial354 ED Adult Residential355 ED Child Inpatient356 ED Child Intensive OutpatientProgram357 ED Child Outpatient358 ED Child Partial359 ED Child Residential360 ED Geriatric Inpatient361 ED Geriatric Intensive OutpatientProgram362 ED Geriatric Outpatient
363 ED Geriatric Partial364 ED Geriatric Residential365 Established Patients only366 Eye Movement Desensitization &Reprocessing (EMDR)367 Female Patients only368 Female Sex369 Foot and Ankle surgery only370 From Age371 From Age 0372 From Age 1373 From Age 10374 From Age 11375 From Age 12376 From Age 13377 From Age 14378 From Age 15379 From Age 16380 From Age 17381 From Age 18382 From Age 19383 From Age 2384 From Age 20385 From Age 21386 From Age 22387 From Age 23388 From Age 24389 From Age 25390 From Age 26391 From Age 27392 From Age 28393 From Age 29394 From Age 3395 From Age 30396 From Age 31397 From Age 32398 From Age 33399 From Age 34400 From Age 35401 From Age 36402 From Age 37403 From Age 38404 From Age 39405 From Age 4406 From Age 40407 From Age 41408 From Age 42409 From Age 43410 From Age 44411 From Age 45412 From Age 46413 From Age 47414 From Age 48415 From Age 49416 From Age 5417 From Age 50418 From Age 51419 From Age 52420 From Age 53421 From Age 54422 From Age 55423 From Age 56424 From Age 57425 From Age 58426 From Age 59427 From Age 6428 From Age 60
Practice Information AppendixPractice Information Appendix
331
429 From Age 61430 From Age 62431 From Age 63432 From Age 64433 From Age 65434 From Age 66435 From Age 67436 From Age 68437 From Age 69438 From Age 7439 From Age 70440 From Age 71441 From Age 72442 From Age 73443 From Age 74444 From Age 75445 From Age 76446 From Age 77447 From Age 78448 From Age 79449 From Age 8450 From Age 80451 From Age 81452 From Age 82453 From Age 83454 From Age 84455 From Age 85456 From Age 86457 From Age 87458 From Age 88459 From Age 89460 From Age 9461 From Age 90462 From Age 91463 From Age 92464 From Age 93465 From Age 94466 From Age 95467 From Age 96468 From Age 97469 From Age 98470 From Age 99471 Gender Identity Affirmation472 Geriatric473 Geriatric Detoxification -Substance Use474 Geriatric Inpatient (IP)475 Geriatric Inpatient (IP) -Substance Use476 Geriatric Intensive OutpatientProgram (IOP)477 Geriatric Intensive OutpatientProgram (IOP) - Substance Use478 Geriatric Partial HospitalPlacement (PHP)479 Geriatric Partial HospitalPlacement (PHP) - Substance Use480 Geriatric Psychiatry481 Geriatric Residential TreatmentCenter (RTC)482 Geriatric Residential TreatmentCenter (RTC) - Substance Use483 Gynecologic Oncology only484 Gynecology and Infertility485 Hematology/Oncology only486 HIV Patients only487 Home Visits Only
488 Hospice Visits Only489 Hospital Based Only490 Hyperbaric Medicine491 Includes Cardiatric Electrophys492 Includes Critical Care Medicine493 Includes General VascularSurgery494 Includes Infectious Diseases495 Includes Neonatal - Perinatal Med496 Includes Open Heart Surgery497 Includes Oral Surgery498 Includes Pain Management499 Includes PediatricAllergy/Immunology500 Includes Pediatric Cardiology501 Includes Pediatric Endocrinology502 Includes ReproductiveEndocrinology503 Infectious Disease only504 Inpatient505 Intensive Out Patient506 Limited to Child & Adolescent507 Limited to Crisis & Trauma508 Limited to Marriage-FamilyCounselor509 Limited to Pain Management510 Limited to Pediatric Psychiatry511 Limited to Sleep Disorders512 Male Patients Only513 Male Sex514 Medication Assisted Treatment(MAT - e.g.Suboxone/Burprenorphine/NaltrexoneTreatment)515 MH Adolescent Outpatient516 MH Adult ECT517 MH Adult Outpatient518 MH Child Outpatient519 MH Geriatric ECT520 MH Geriatric Outpatient521 New Patients by Referral only522 No Facial surgery523 No Geriatric patients524 No Hemorrhoid Treatment525 No infants under 6 months old526 No Medicaid527 No Medicare528 No Medicare/Medicaid patients529 No Neck or Back surgery530 No Neck patients531 No Obstetrical532 No Obstetrics533 No Obstetrics or major surgery534 No patients under 18 months535 No patients under 2 months536 No patients under 3 months537 No patients under 50 years old538 No patients under 9 years oldunless diabetic539 No pediatrics540 No Primary Care541 No Surgical Cases542 No TMJ surgery543 No Vascular Surgery544 No workers comp patients545 None
546 Noninvasive, preventative adultcardiology547 Nursing Home Visits Only548 OB Services only549 Only adult patients in hospital550 Only referred Pediatric patients551 Orthopedics Spine Only552 Other553 Outpatient554 Palliative and Hospice Care Only555 Parenting556 Partial Day557 Partial Hospital Placement (PHP)558 Patients 55 and older559 Ped Individual case by case only560 Pediatric and Adult MRI561 Pediatric Nuerology (birth to 21yrs)562 Pediatric Radiology Only563 Practice includes A.D.D.564 Practice includes Adolescents565 Practice includes Breast Disease566 Practice includes children567 Practice includes Geriatrics568 Practice includes Hematology569 Practice includes MOHS Surgery570 Practice includes Obstetrics571 Practice includes Retinal surgery572 Practice includes Sleep Disorder573 Practice includes substanceabuse574 Practice Limitation to ChildhoodObesity575 Practice limited internal medicine576 Practice Limited to AddictionTherapy577 Practice limited to Cardiology578 Practice Limited to Dermatology579 Practice Limited to Endocrinology580 Practice Limited to Geriatrics581 Practice Limited to Gynecology582 Practice Limited to Hematology583 Practice Limited to Immunology584 Practice Limited to Males over 40585 Practice Limited to Neonatology586 Practice limited to nursing homepatients587 Practice Limited to Obstetrics588 Practice Limited to Oncology589 Practice Limited to Surgery590 Practice Nuclear Card591 Preschool592 Psychoanalysis593 Psychological Testing Only594 Psychopharmacology595 Public Transportation Access596 Rehabilitation - Substance Use597 Rehabilitiation - Inpatient598 SA Adolescent Detox599 SA Adolescent Outpatient600 SA Adult Outpatient601 SA Child Outpatient602 SA Geriatric Outpatient603 Sex604 Sign Language605 Skin Cancer Referrals606 Skin Cancer Referrals only
Practice Information AppendixPractice Information Appendix
332
607 Sleep Medicine Only608 SNF Visits Only609 Specialized in Pediatrics610 Specializing in Glaucoma611 Specializing in Transplant Surgery612 Specializing in Wound Care613 Substance Use Disorders (Alcoholand Drugs)614 TDD Capacity615 To Age616 To Age 0617 To Age 1618 To Age 10619 To Age 100620 To Age 11621 To Age 12622 To Age 13623 To Age 14624 To Age 15625 To Age 16626 To Age 17627 To Age 18628 To Age 19629 To Age 2630 To Age 20631 To Age 21632 To Age 22633 To Age 23634 To Age 24635 To Age 25636 To Age 26637 To Age 27638 To Age 28639 To Age 29640 To Age 3641 To Age 30642 To Age 31643 To Age 32644 To Age 33645 To Age 34646 To Age 35647 To Age 36648 To Age 37649 To Age 38650 To Age 39651 To Age 4652 To Age 40653 To Age 41654 To Age 42655 To Age 43656 To Age 44657 To Age 45658 To Age 46659 To Age 47660 To Age 48661 To Age 49662 To Age 5663 To Age 50664 To Age 51665 To Age 52666 To Age 53667 To Age 54668 To Age 55669 To Age 56670 To Age 57671 To Age 58672 To Age 59
673 To Age 6674 To Age 60675 To Age 61676 To Age 62677 To Age 63678 To Age 64679 To Age 65680 To Age 66681 To Age 67682 To Age 68683 To Age 69684 To Age 7685 To Age 70686 To Age 71687 To Age 72688 To Age 73689 To Age 74690 To Age 75691 To Age 76692 To Age 77693 To Age 78694 To Age 79695 To Age 8696 To Age 80697 To Age 81698 To Age 82699 To Age 83700 To Age 84701 To Age 85702 To Age 86703 To Age 87704 To Age 88705 To Age 89706 To Age 9707 To Age 90708 To Age 91709 To Age 92710 To Age 93711 To Age 94712 To Age 95713 To Age 96714 To Age 97715 To Age 98716 To Age 99717 Urban Indian718 Urgent Care/Extended Hours719 Vascular Surgery only720 Veterans Issues721 Walk in Only722 Wheelchair Accessibility723 Work Place Visits Only
INDEX OF PROVIDERSINDEX OF PROVIDERS
333
ASee Page
.....................Aaluri, Srinivasa R MD 49....................Abalihi, Carol N MD 60, 85
................................Abbasi, Ali MD 154.....................Abd Alla, Marwa K MD 49
................Abdo, Roberta LPC 287, 297.........Abedin, Moeen MD 115, 116, 124
..................Abedin, Zainul MD 115, 154........Aboud, Ambrose MD 60, 151, 154
.............Aboud, Dwayne M MD 60, 154............Acevedo, Maria M APN 94, 274..................Acharya, Prakrati C MD 168
.....................Acker, Jessica A LPC 297...........Acosta Corrales, Luis D MD 173
.Acosta Corrales, Manuel L MD 17, 23,27, 145
.......................Acosta, Alma R SLP 255.....................Acosta, Arturo LCSW 293
...................Acosta, Astrid APN 94, 274....................Acosta, Cristal M LPC 297
..............Acosta, Dorian D OD 195, 262....................Acosta, Holaya P LPC 297............Acosta, Jessica M APN 94, 274
......Acosta, Jorge MD 9, 17, 23, 27, 40,145
...............Acosta, Juan D LPT 218, 273
.......................Acosta, Juan G LPT 218.....................Acosta, Laura G LPC 297......................Acosta, Maria S LPC 297
...................Acosta, Patricia R LPT 218
.....................Acosta, William G LAC 86...........Acquaviva, Annalisa G SLP 255
................Adame, Christine R SLP 255.................Adame, Hector M BCBA 287
....................Adame, Hector M SLP 255........................Adame, Lizette LPT 218
.......Adams Krueger, Andrea J MD 154.............Adams, Jessica R PA 229, 283
............Adedeji, Adekunle A MD 49, 84....................Adeniyi, Muniru O MD 154
..................Adesanya, Ismail O MD 141..........................Adler, Laura E MD 319
..............Adnan, Muhammad K MD 154..............Aduroja, Olufemi MD 154, 168
.................Adusumalli, Jasvant MD 165.................Adzotor, Kwasi MD 155, 173.....................Agarwal, Ajai J MD 50, 85
................Aghababyan, Marina MD 141................Agrawal, Harsh MD 116, 155
............................Aguayo, Fred DC 122
........................Aguila, Jorge MD 9, 238............Aguilar, Jeannie M BCBAD 290
.............Aguilar, Jessica L PA 229, 283
........Aguilar, Oscar M MD 60, 117, 155.....................Aguilar, Rachel M OT 186.....................Aguilar, Sylvia S SLP 255
.......Aguilar-Hernandez, P APN 94, 274..........Aguirre Barrios, Lucy A LPC 297
Aguirre Hauchbaum, Salvador F MD319
...........................Aguirre, Diane OT 186....................Aguirre, Vivian H LPC 298...Agullo, Francisco J MD 9, 18, 23, 27,
40, 145, 233.................Agunanne, Enoch E MD 155..........Ahedor, Princess K APN 94, 274
..................Ahmad, Adeel MD 155, 168.........................Ahmad, Anwar MD 164
......................Ahmad, Hameed MD 155......................Ahmed, Farooque MD 61
..........................Ahnfeldt, Kari M DO 50.......................Aidinian, Gilbert MD 149
.............Ajibade, Oluwaseun A MD 155...........................Ajibade, Tope MD 155
...........Akinjaiyeju, Akintoluwa A MD 72........Akomolafe, Babatunde A LPT 218
............................Akram, Yasir MD 117.....................Al Abboodi, Yasir MD 155
........Al Chalabi, Mustafa T MD 11, 130...................Alaniz, Marlene N LPC 298
...............Alarcon, Maria T APN 94, 274.......................Alba, Audrey R SLP 255
............................Alba, Janet R OT 186.................Albidres, Diana APN 94, 274
..................Albino, Miguel MD 151, 190....................Alcala, Jennifer L LPT 219
.....................Alcala, Patricia H MD 176..............Alcala, Shirlina L APN 94, 274.............Alcantar, Laura E APN 94, 274.................Alexander, Victoria SLP 255
......................Alfaro, Rodrigo J MD 168....................Alford, Brie B APN 94, 274...................Ali, Ahtesham APN 94, 274
................................Ali, Arshad MD 164.........................Ali, Zulfiqar MD 28, 239
.....................Alkhalili, Eyas MD 20, 145....................Alkhateeb, Haider MD 117
.........................Allard, Monica SLP 255....................Allberg, Walter R PhD 291
....................Allen, Mariano MD 28, 207.........Allen, Michael S MD 28, 125, 239
.............Allison, Matthew C MD 28, 239......................Allison, Sidney H MD 155
.................Almestady, Rajaa M MD 239..................Almodovar, Alexi L SLP 255
........Almodovar, Jesus M APN 94, 274..................Almquist, Samuel F MD 124
..............Alnajjar, Mohammed R MD 61.........................Aloba, Maria C MD 151
.................Aloeyi, Marie C APN 94, 274.............Alomia, Yvonne T OD 195, 262
.............................Alonzo, Jesus MD 50..................Alorgbey, Douglas D MD 50
......................Alost, Thomas E MD 198..........Alozie, Ogechika K MD 152, 156
............................Alpard, Allan J MD 72........................Alpern, Louis M MD 192
.................Altamirano, Alma S LPC 298........................Altenberg, Leo L MD 50
....................Alvarado, Gizelle LPC 298.....................Alvarado, Julia E SLP 255.....................Alvarado, Sergio A MD 50..........Alvarez, Dionicio M MD 156, 169
.......................Alvarez, Erica R MD 192..Alvarez, George H MD 15, 16, 20, 26,
87..................Alvarez, Judith A BCBA 287
................Alvarez, Kelly A APN 94, 274.................Alvarez, Lilia B OD 195, 262
........Alvarez, Roman D MD 18, 24, 167.............Alvarez, Sergio R MD 117, 254
............................Alvarez, Sonia MD 61..............Alvarez, Tanya L APN 94, 274...Amadi, Chikezie C MD 117, 156, 164....................Amakiri, Onyema E DO 61
..........................Amaro, Alden LPT 219.....................Amato, Malena M MD 192....................Amaya, Cecilia A SLP 255
.Amdemichael, Eden T MD 20, 40, 145.....................Ammon, Donald J DC 122....Amparan, Ramon APN 95, 271, 274,
285................Anaya, Gerardo APN 95, 274..............Anaya, Richard J PA 229, 283
.................Anchondo, Adolfo N MD 236................Anderson, Bertha U SLP 255
...........Anderson, Heath L OD 195, 262..Anderson, James S MD 9, 13, 15, 16,
20, 26, 36, 87..................Anderson, Sarah F LPT 219
................Andrade, Alonso MD 40, 145.............Andrews, Jessica L LCSW 293
..........Andrews, Rebecca M BCBA 287................Andujo, Stefany APN 95, 274
.............Anekwe, Emmanuel C MD 169........................Annabi, Hani M MD 265
....Annabi, Jeffrey H MD 13, 16, 19, 20,26, 87, 206
......................Annabi, Michael H MD 61
........Annamalai, Palam MD 9, 239, 267.......Anspaugh, Melanie K OD 195, 262
INDEX OF PROVIDERSINDEX OF PROVIDERS
334
.....Antohi, Octavian MD 12, 15, 20, 35,36, 87
................Antony, Nishaal MD 152, 156.............Antony, Suresh J MD 152, 156
..............Antowan, Cenan M MD 72, 83................Anyaogu, Obiageli E MD 156
...............Anzures, Juan E APN 95, 274..................Aparicio, Veronica LPC 298....Applebaum, Bruce J MD 23, 27, 145
....Applebaum, Stephen A OD 195, 262...........Appleton, Nicolas C MD 29, 239
..............Applewhite, Claudia P OT 186............Aquino, Suzanne L MD 29, 239.....................Aragon, Lorenzo B MD 50
......................Aragon, Priscilla SLP 255.........Araiza Mitro, Anette APN 95, 274
...........Aranda Jaimes, Jorge F MD 176.......................Arango, Jorge J MD 204
..................Arbona, Jaime MD 290, 319..............Arellano, Monica APN 95, 274
......Arellano, Paul P MD 14, 18, 23, 27,145
...................Arellano, Sylvia M SLP 255.......................Arenas, Javier L MD 266
............Aristizabal Ortiz, Andres MD 72...........Armendariz, Daniella A LPC 298.....Armendariz, Jennifer L APN 95, 274
....................Armendariz, Rafael DO 50......Armendariz, Soledad LPT 219, 270
......................Arms, Richard G MD 176...................Armstrong, Adam LPC 298............Armstrong, Linda K DO 29, 239
................Arntson, Nels C APN 95, 274....................Aronson, Daniel J MD 176
................Arp, Suezanna T AUDIO 115.........................Arreglo, Lea A LPT 219
...................Arreola, Anna L LCSW 293........................Arroyave, Ana M MD 50
.....................Arroyo, Maximo E LAC 86........................Arvizu, Andres LPC 298
.................Asfahani, Houda B LPC 298..........Asgharian, Robert B MD 70, 176
...........................Asiain, Maria D MD 72
.........................Assi, Edward R DO 117
...........................Assi, Muneer E DO 61....................Ataalla, Mohamed MD 319
.................Atchley, Mikaelah L LPT 219........Atkinson, Darryl A DO 14, 21, 130
..............Atten, Angelica V PA 229, 283........................August, Brian J MD 217
.................................Aun, Jose MD 176.................................Aung, Ko K MD 61
...................Avants, Melody R LPC 298...Avila Hernandez, Jorge H MD 15, 16,
21, 26, 87
......................Avila, Ivan J PA 229, 283...........................Avila, Jorge N MD 319
.....................Aviles, Fernando J MD 50..Awobokun, Oluyemisi O MD 156, 253
................Awwad, Reem S MD 29, 240.....................Ayala, Jose Ruben MD 50
...................Ayala, Mary A APN 95, 274................Ayeni, Christopher S MD 156
.......Ayo, Luis A MD 19, 24, 28, 41, 167..........Ayoub, Hanan H MD 19, 24, 207
.................Ayoub, Joseph S LCSW 293........Ayoubieh, Houriya S MD 124, 156
.....................Ayub, Gisela APN 95, 274.....Azarcon Samonte, Patricia A MD 72
...........................Azoulay, Leor MD 141
BSee Page
.................Baca, Bryan M APN 95, 274...............Baca, Marshall G DO 38, 131......................Backer, Farnel F MD 141
...................Badsha, Farrukh S MD 156........Badugu, Srinivasa R MD 209, 214
.................Baeza, Andres APN 95, 274...................Baeza, Jesus MD 176, 269
...............Baeza, Ramona APN 95, 274......................Bagg, Michael D MD 266
............Bagga, Harprabhjot MD 25, 240.............................Bahl, Dinesh MD 192...............Bailey, Lin H MD 25, 125, 240
...................Bailey, Omavi MD 141, 254.........................Baker, Ronald F MD 51
.....................Bakleh, Mohanad MD 156.........Bakuya Orona, Yuki APN 95, 274
............Balderrama, Bianca M LPC 298.....Balderrama, Humberto APN 95, 275
.................Ballapuram, Kalyani MD 157
....Banerjee, Amitabha MD 10, 29, 125,240
...............Banerjee, Arindam M MD 164.....................Banks, Carol L BCBA 288
.............................Banner, M C MD 319..............Baptiste, David J OD 195, 262......................Baptiste, Nadine MD 319
......................Barahona, Jose A MD 61...............Barajas, Veronica M LPC 299
...................Barber, Andrew V LPC 299.......Barbosa, Vera L MD 26, 36, 37, 87
............Barchie, Matthew F MD 29, 240........Barentine, Sharon G OD 195, 262
........................Barker, Jerry W DC 122....Barkley Brackett, Monique A OT 187
..............Barnes, Dominique M MD 176.........Barreno, Ramon X MD 15, 16, 87...................Barrera, Ivonne G LPC 299
..........................Barrett, Lisa S MD 217................Barron, Elaine M MD 21, 131
............................Bates, John C MD 88.........................Bathla, Lokesh MD 145
......Batista, Christopher A APN 95, 275.....................Bauer, Bonnie C SLP 255
...................Baumann, Erica BCBA 288...................Bausas, Wilma I MD 72, 84
..................Bautista, Marisa C LPT 219..........Bayazid, Saeb MD 9, 16, 20, 146
...........Baylon Andrew, Angelica MD 72............Bazil Mieses, Osvaldo D MD 61
.......................Bean, James W MD 198..........................Beaver, Gail K OT 187
.........................Becerra, Juan G MD 51............Becker, Paloma A APN 95, 275
......................Belay, Tilahun W MD 157...........Belgrave, Genevieve M MD 254
..............Bell, Christopher M MD 19, 88.......Beltran, Armando MD 61, 151, 157..................Beltran, Celina R MD 51, 83
...................Beltran, Erika APN 96, 275................Beltran, Jodie R PA 229, 283
....Benavides, Amorette C APN 96, 275.........................Bender, Arianna MD 61
............Benedict, Linda O APN 96, 275.......Beniquez Nieves, Enrique MD 142
........................Benitez, Adolfo L MD 51..................Bennett, Dwayne L MD 319
.......................Benson, Olajide MD 174..................Benson, Robert W LPT 219
.......Bermo, Mohammed S MD 41, 175,240
............Bermudez, Norma APN 96, 275............Berntson, Phillip A PA 229, 283
.......................Berry, Tiffany N SLP 256.........Berumen, Kenneth A MD 21, 131
......................Betancis, Jenny LPC 299...................Betterman, Mary J MD 240
.................Beuerle, John R MD 38, 131....................Bevevino, Adam J MD 198
........Beville, Lee W MD 10, 25, 29, 240........Bharat Ved Prakash, Fnu MD 236
.............Bharwani, Salim K MD 11, 167...............Bhatt, Bankim D MD 142, 157......................Bhatta, Mangesh MD 157
...............Bhatti, Zagum A MD 240, 267........................Bhavsar, Anil S MD 240
....................Bhayana, Suverta MD 169............Bilbao, Jorge E MD 24, 28, 207........................Bilbao, Sara K LPC 299
....................Bilbe, Rebecca R LPC 299..........Bird Rayas, Valerie A LCSW 293
........Birkhimer, Haydee V APN 96, 275
INDEX OF PROVIDERSINDEX OF PROVIDERS
335
.............................Bista, Sangita MD 62.....................Bitton, Kennen J LPT 219
..................Blackburn, Arthur B MD 176...............Blackburn, Bert A MD 70, 177
..........................Blair, James A MD 198....................Blair, Terry B OD 195, 262
....................Blancas, Moses I LPT 219........................Blanco, Adolfo A MD 88......Blandon, Pedro A MD 9, 17, 21, 27,
38, 131, 157, 169, 269......................Blank, Lorena C LPC 299
...............Blumenfeld, Daniel G MD 192
...............Blumenfeld, Ronald J MD 204....................Boadella, Andres D MD 72........Bobadilla, Melissa S MD 140, 157
...........................Bodart, Amy DPM 234.........................Boden, Ann E LPC 299
................Bodiford, Jason M MD 15, 88...........Bohlmann, Vilma F APN 96, 275
............Boiteau, Guillaume MD 29, 240........Bold, Jonathan W MD 10, 29, 240.............Boncser, Mark E LPT 219, 270......................Bond, Steven R LPC 299
........................Bonet, Evalyne LPT 219
........................Bonilla, Jennifer DC 122.....Boone, James B MD 12, 15, 17, 35,
36, 88.....................Boone, Michael K MD 217.....................Boppana, Ratna C MD 62
............................Boren, Ulla K OT 187...........................Borrego, Ed J MD 320
........................Borrego, Manuel MD 51...................Bosah, Augustine O MD 62
.............................Botez, Maria I MD 62.............Bouchra Hanna, Hani K MD 88
.......................Bowen, Michael L DO 72........Bowen, Samara R MD 21, 38, 131
..........................Boyd, Sarah E MD 150.................Boykin, Mark A MD 125, 241...................Bradford, Ric A DO 25, 241..........................Braid, Reyna M MD 73......................Brandl, Christine MD 177
..................Brandon, Patrick K LPT 219...........Bravo, Elizabeth H APN 96, 275
....Breckwoldt, Reid D MD 30, 126, 241............Brenner, Kimberly H LCSW 293
......Brewer, Edward S MD 30, 126, 241.......................Briffa, Timo APN 96, 275
.........................Bright, Kevin E MD 204........................Bright, Tamis M MD 140.....................Brin, Edward N MD 37, 88
...........Bringas, Christa A LPT 219, 270......................Briones, David F MD 320.........................Brito, Jacquelyn MD 82
..............Brockway, Amanda LCDC 292...........Brooker, Matthew G DO 14, 131
.................Brooker, Olmer R MD 60, 62........................Brooks, Allen Z LPT 220
...........Brooks, Catherine A DO 28, 167...............Brooks, David B MD 290, 320
..................Broome, Charles B MD 199...................Brower, Richard D MD 174.......Brown, Courtney G MD 18, 23, 36,
146........................Brown, Gloria A OT 187
.....................Brown, Jennifer L MD 177
.....................Brown, Martha E LPC 299.....................Brown, Nicolas D MD 320.....................Brown, Shanna J MD 193
.........................Bruno, Felice L MD 117.......................Bryan, Diane H LPC 299
..............Buchanan, Patrick AUDIO 115......Buendia, Francisco I MD 12, 19, 88
.........................Bui, Theresa D DO 320......................Burgess, Laura F SP 256
.......................Burgos, Cecilia LPC 299..........................Burgos, Jose D MD 62
..............Burillo, Lorena A APN 96, 275.............Burlingame, Weylin LCSW 293.........Burroughs, Devin B CRNA 37, 88
..............................Busey, Blake DO 51.....Bustamante, Daniel MD 12, 41, 207
...........Bustamante, Pamela A LPT 220...............Bustillos, Daniel APN 96, 275...............Butler, Gordon M MD 25, 241
..................Butler, Jacob I APN 96, 275
........................Bybee, Ryan A LPT 220.........................Byerly, Tracy A MD 204
CSee Page
...........Caballero, Mario A OD 195, 262........................Caballero, Yuri J MD 62......................Cabral, Michelle LPC 299
.......................Cabrera, Ramiro OT 187.....Cabrera, Yadira I APN 96, 269, 275,
284..............Caceres, David I OD 195, 262
..........................Cajas, Oswaldo MD 51.......Caldemeyer, Karen S MD 30, 126,
241..............Calderon, Jose L PA 229, 283
....................Calderoni, Henry H MD 51.....Calianga, Cesar R MD 62, 153, 157
.......Callender, Yessenia I PA 229, 283..Calleros Macias, Jesus E MD 41, 241
..Camacho, Claudio MD 12, 26, 35, 36,88
.........Cammarata, Curtis A MD 25, 241
.................Campbell, Everett L MD 199..............Campbell, John C MD 10, 241
.................Campbell, Laurie D LPT 220.............Campos, Cynthia APN 96, 275
.................Campos, Erica APN 96, 275....Campos, Napoleon A MD 12, 13, 35,
36, 37, 88........................Canak, Ryan A LPT 220
.......Canales, Roberto MD 73, 211, 214......................Canby, Robert C MD 117
..................Canizales, Maria L LPC 300..........................Cano, Luis M LPC 300
.......Cantres Carmona, Higinio OD 195,262
.................................Cao, Tu T DO 117.................Caperton, Charles L MD 253..........Capouch, Juanita J APN 96, 275
............Cappelluti, Lenore APN 96, 275.................Capps, Kimberly R APN 214.................Carcamo, Benjamin MD 211
....................Cardenas, Maria G MD 62
..........Cardona, Glenda M PA 229, 283.........................Cardona, Jorge OT 187
....................Carino, Marivic P LPT 220.................Carlos, Danelle T LCDC 292
....................Carlos, Danelle T LPC 300..................Carlson, Joseph A LPC 300
......................Carlson, Staci L SLP 256.................Caro, Miguel A APN 97, 275
.....Carrasco Herrera, Melissa LPC 300....Carrillo Blanco, Beatriz APN 97, 275
Carrillo Gonzalez, Claudia R LCSW293
..............Carrillo, Carlos A APN 97, 275.......Carrillo, Esteban APN 86, 97, 274,
275......................Carrillo, Hector L OT 187
..............................Carrillo, Itzel OT 187........................Carrillo, Javier PhD 291........................Carrillo, Patti A LPT 220
....Carrillo, Ricardo D CRNA 12, 15, 35,36, 88
....Carrion Monsalve, Andres F MD 142..........................Carrion, Felix PhD 291
........Carswell, Aimee P MD 20, 30, 42,126, 242
......................Carter, Shela M LPC 300......Casares, Pablo A MD 62, 149, 157,
174..Case, David CRNA 12, 13, 17, 35, 36,
89.........................Cashin, Laura M DO 62
..........................Casillas, Adrian MD 86.......................Casillas, Arturo C MD 73
...........................Casillas, Arturo MD 73....Casner, Paul R MD 60, 62, 149, 157
INDEX OF PROVIDERSINDEX OF PROVIDERS
336
...........................Casoy, Flavio MD 320.............Castaneda, Chantelle I OT 187
.......Castaneda, Christopher A MD 320
.......Castaneda, Guadalupe LCSW 294.........Castaneda, Guillermo A LPC 300
.........Castaneda, Kayla E APN 97, 275......Castaneda, Miranda J APN 97, 275
..................Castellanos, Luis G MD 177........................Castillo, Frank LPC 300
............Castillo, Gregorio Joel A MD 63...........Castleberry, Chesney D MD 209
...............Castorena, Marco P LPC 300.....Castrellon, Demetria A APN 97, 275
..................Castrellon, Jose LCSW 294..............Castro Garcia, Jose A MD 233
.......Castro Sandoval, Jesus A MD 238.............Castro, Lizbeth V APN 97, 275
.......................Castro, Marco A DC 122..................Catinella, Anthony P MD 51
.............Caviglia, Roy J MD 19, 24, 167...........................Cazares, Rick DC 122
...................Cazares, Wendy I LPC 300........................Ceglio, Mary S SLP 256
...............Celis, Francisco APN 97, 275....................Celis, Vanessa S SLP 256
.................Ceniceros, Enrique LPT 220....Cep America LLC 11, 17, 21, 22, 23,
38, 39, 40, 131, 132, 133, 134, 135,136, 137, 139, 140
....................Cepeda, Laura A LPC 300................Cereceres, Yvette BCBA 288................Cervantes, Georgina OT 187
...................Cervantes, Leticia LPC 300.......................Cesar, Carlos R MD 205........................Chabra, Monica DO 320........................Chabra, Sanjay DO 253
.................Chacon, Diana S BCBA 288...................Chacon, Lysandra LPT 220
.........Chamarthy, Murthy R MD 10, 242...........Chambers, Jeffrey J MD 21, 131................Chambers, Karinn M MD 190
.........................Chanana, Nitin MD 209..........Chang Lopez, Aymara Y MD 153
...........Chang, John K MD 30, 126, 242............Chaparro, Claudia APN 97, 275
.............Chapman, Cathlene L SLP 256....Chaudhuri, Kallol MD 17, 21, 26, 37,
89...............Chauvet, Marcelo MD 63, 157
..............Chauvin, Dean P MD 242, 267..........Chavarria, Tanya A APN 97, 275
.............Chavarria, Veronica J SLP 256.............Chavda, Suresh N MD 21, 131
.Chavez Holgui, Pedro S MD 150, 233,261
.............Chavez Rice, Eugenio MD 320...............Chavez, Alfonso MD 158, 169.......................Chavez, Alfredo MD 142
.........................Chavez, Eva P MD 233.......Chavez, Marcia APN 97, 271, 275,
285...................Chavez, Margie P SLP 256....................Chavez, Roberto C MD 73..........Chavez, Santiago A PA 230, 283
.................Chavez, Sylvia APN 98, 275...................Chavez, Veronica SLP 256
........................Chavez, Yalile LPC 300.................Chavira, Linda LPT 220, 270
....................Chawla, Goshawn MD 320............Chawla, Loveleen APN 98, 275
...........................Chen, Brian S MD 205................................Cheng, Wei MD 51
..........................Cheng, Yan Y MD 320............Cheung, Michael S MD 21, 131
...Chheda, Sadhana MD 11, 16, 19, 24,28, 41, 167
.........................Chiao, David S MD 242..................Chiba, Shintaro MD 20, 146
............Chikwendu, Nnaemeka MD 169..............Chitti, Srinivas R MD 158, 169.........Chizen, Robert P MD 17, 21, 131...Chorens, Albert L MD 16, 18, 23, 146
.................Choudhri, Ajay MD 242, 267..................Chowdhury, Ingrid PhD 291
....Christopherson, Joseph B LMFT 297..........................Chubb, Paul J DO 199
....................Chukwu, Ikedieze I MD 63......Chukwura, Damaris D APN 98, 275
..............Cigarroa, Francisco G MD 213...........................Ciubuc, Radu I MD 63
.Clapp, Benjamin L MD 18, 23, 27, 146.............................Clark, Gloria MD 177
...............Clark, Joanne B APN 98, 275......................Clarke, Darius N MD 217
.....Clippard, Doris A APN 98, 271, 275,285
.................Co, Maridine L MD 211, 215..........................Cofer, Barry R MD 213.........................Cole, James D MD 193
.......................Cole, Jeremy A LPT 220.............................Cole, Joe A LPT 220
.....................Coleman, Jessie D MD 89.......................Coleman, Scott K MD 73.............Colker, Marcus A APN 98, 275
.........................Collins, Joe D LPC 300.............Colon Dordal, Ramon A MD 73
...........Colon Pineiro, Edgardo L MD 82..................Compean, Brenda SLP 256.............Concha, Isabel G APN 98, 276
.......Contreras Tullius, Monica SLP 256
....................Contreras, Jorge I MD 205............Contreras, Valerie APN 98, 276
........................Cook, Patrick R DO 261
..............Cooney, Paul D MD 9, 18, 146.....................Copado, Rocio LCDC 292
.......Corbin Burdick, Marilyn F LPC 301................Cordova, Isaac LPT 220, 270
.......Cormack Aboud, Ailbhe T SLP 256........................Corral, Javier C MD 190......................Correa, Enrique LPC 301
..........Cortes, Erasto MD 158, 236, 254..................Cortez, Michelle A LPC 301
......................Cortez, Sonia E LPC 301.......Cosban, Travis MD 22, 27, 38, 132...................Cosby, Eladia APN 98, 276
..........Cossentino, Mark J MD 142, 158........................Costa, Henry C MD 153
.....................Cota, Francisco J MD 164..........Cotter, Timothy MD 14, 126, 242
............................Cotto, Ashley OT 187...........Coulehan, Sylvia A APN 98, 276
................Covarrubias, Eduardo MD 73.....................Cowens, Kevin E MD 174
......Cox, Derrick D MD 16, 18, 23, 146,190
.................Craig, Steven H MD 25, 242...........Crawford, Daniel C OD 195, 262
...Crecca, Gerard F MD 18, 23, 27, 146.......................Cromer, Barry L MD 199
....................Crosby, Mark I DO 22, 132......Croslen, Margaret S CNM 121, 283
...................Crow, Suzanne M SLP 256..............Cruz Flores, Salvador MD 174
......Cruz Perez, Franchesca D MD 253....................Cubela, Lynn APN 98, 276
..............Cuellar, Samantha D LPC 301............Cunningham, James C DO 242
..........................Curbelo, Niurka MD 73
........................Curtis, Clarie BCBA 288............Cuthbertson, Jeremy R MD 193
DSee Page
.......................Dabbagh, Noor LPT 220...................Dabiri, Tajudeen O MD 177
..........Daggett, Benjamin D MD 22, 132.......................Dagle, Daniel L LPC 301
.................Dahill, Valerie J PA 230, 283.........Dalimata, Timothy J APN 98, 276
..............Dand, Patricia M APN 98, 276...Dandam, Yachit R CNM 98, 276, 283
.....................Daniels, Felicia C MD 215....................Dar, Nabeel S MD 10, 242
........................Darling, Scott S DC 122....................Davalos, Mauricio MD 266
INDEX OF PROVIDERSINDEX OF PROVIDERS
337
.....................Davila, Selene L SLP 256.......................Davis, Allison J LPC 301
..............Davis, Brian R MD 11, 40, 146...........Davis, Cornelius A MD 116, 264
............................Davis, Harry E MD 63.................Davis, Howard A LCSW 294
.................Davis, Krista R APN 98, 276.....................Davis, Martha M LPC 301
.................Davis, Nicole E APN 98, 276......................Davis, Patricia M MD 177................Davis, Steven W MD 30, 242...............Davis, Thomas N MD 10, 242
.......................Davitt, William F MD 193............................Days, Alison L MD 73
..........De Anda Ortiz, Jose L MD 73, 85..De Benedetti Zunino, Maria E MD 117
De Jesus Perdomo, Eduardo M MD63
............De La Fuente, Karin H SLP 256.....................De La Mora, Diego MD 63
.............De La Reza, Marcella LPC 301................De La Rosa, Antonio MD 177
.................De La Rosa, Efren DPM 234..................De La Rosa, Jose M MD 73...............De La Torre, Javier E MD 193
...........De La Torre, Monica T LPC 301..................De Luca, Michael J MD 118
..............De Santiago, Vanessa OT 187...............De Vargas, Cecilia C MD 327
..........................Debba, Bachir MD 320...............Dedmon, Mark K PA 230, 283
....................Deines, Walter LMSW 294..................Del Cid, Jiselle PA 230, 283
..Del Coro Amengual, Carlos R MD 27,146
.....................Del Moral, Cecilia I MD 82Dela Cruz De Jesus, Michael R APN99, 276
...............Delacruz, Susan APN 99, 276
.....................Delcid, Ricardo E MD 320...Delgado Ramos, Fabrizzio A MD 320
.............Delgado Rios, Yezika A MD 73.....Delolmo, Lorenzo LSA 35, 261, 284...........Demarco, James J OD 196, 262
......................Demick, Diane S MD 169Denning Maldonado, Monica M APN99, 269, 276, 285
............Denson, Suzanne APN 99, 276........................Deoker, Abhizith MD 63
................Depew, Elizabeth LCSW 294.................Desai, Pranav J MD 38, 132
.................Desantos, Christina MD 177......Desrosiers, Margarita A LCSW 294
.............Destefano, Kimberly A MD 165.........Devargas, Cecilia C MD 290, 321
........................Dhar, Abhishek MD 215..........Dharia, Chiraag MD 14, 126, 243
.....................Di Biase, Mario PsyD 291...............Di Pascuale, Mario A MD 193
.....................Diamond, Shawn MD 233......Diaz Luna, Hector J MD 18, 24, 27,
146..................Diaz Pagan, Jose L MD 199
........Diaz Reyes, Stephanie E SLP 256..............Diaz Vogt, Josefina A MD 321
....................Diaz, Abraham Q LPT 220..................Diaz, Adora G CRNA 11, 89
.......................Diaz, Alfonso LCSW 294........................Diaz, Danica BCBA 288...............Diaz, Gonzalo A MD 236, 254
...............Diaz, Jaime A MD 19, 25, 207......Diaz, Jose A MD 15, 17, 21, 26, 37,
89................................Diaz, Marco MD 51
.........................Diaz, Monica A MD 190.................Diaz, Noami M MD 290, 321
......................Diaz, Roger APN 99, 276................Diaz, Thelma E APN 99, 276
.............Diaz-Chavez, Susana SLP 256......Dibenedetto, Amanda APN 99, 276
....................Dickason, John M MD 199.............................Didia, Silvia C MD 63
...............................Dieb, Rami MD 321......................Dihowm, Fatma M MD 63
......Dillow, Roberto G MD 9, 17, 21, 26,37, 89
.............Dim, Uzodinma R MD 118, 164..............................Do, Hao Q DPM 234
........................Dobrin, David J MD 118.............Doctor, Melissa J APN 99, 276....................Dodson, Darrel W MD 158
............Dombrowsky, Joseph W MD 51...Dominguez Silveyra, Endy A MD 213
.........Dominguez, Charlie APN 99, 276...Dominguez, Guadalupe APN 99, 276..........Dominguez, Martha L LCSW 294
..........Dominguez, Victor I APN 99, 276.............Donaldson, Chase MD 22, 132
........Dorman, Katherine J APN 99, 276...........................Doski, John J MD 213
.................Dossett, Lucy M MD 25, 243..................Douglas, Derek MD 22, 132......................Douglas, Lauren MD 321
.........................Dozal, Julia A LPC 302.......................Duarte, Marco A MD 177.......................Duarte, Sandra SLP 256
..........Dubravsky, Ethan E PA 230, 283............Dudrey, Ellen F MD 28, 41, 208
...................Dulanto, Annette N OT 187.......................Duncan, Amy BCBA 288
.....................Duncan, Laura M MD 177
...............Dungan, Brenda APN 99, 276...................Dunn, Irene L APN 99, 276
...........................Dunn, John C MD 199
.....................Duque, Abel APN 99, 276................Duran, Allison L APN 99, 276....................Durant, Antonio J LPT 221
.................Durfee, Christine R LPC 302...................Durfee, Dennis M LPC 302...................Duron, Diana D LCSW 294....................Durussel, David A MD 206..............Dykes, Thomas M MD 42, 243
..........Dzubey, Kenneth C OD 196, 262
ESee Page
........................Eady, Bonnie E DO 178
........Eddy, Nelda L APN 100, 215, 276.................Edman, Margaret J LPT 221
..........Edson, Darren S MD 22, 39, 132..............Edupuganti, Pradeep LPT 221
.......................Edwards, Brian P MD 63......Edwards, Oliver L MD 42, 126, 243
......................Egbuna, Ikenna I MD 143....................Eidel, James M MD 15, 89.......................Eiland, Mason D DC 122
..............Eisenberg, Kenneth L MD 116................Eisenberg, Lauren N DO 266
...............Ekery, Jeffrey M OD 196, 262...............Ekleberry, Fabiola S LPC 302
...................Ekola, Jimmie L LCDC 292.........El Paso Kidney Specialist PA 170
......El Paso Pulmonary Association 98,276
...........Elberg Urbina, Luisa M LPC 302..........Elder Quintana, William F MD 51
.....................Eleje, Augustine O MD 63.......Elevazo, Jhoanne C APN 100, 276
.......................Eley, Douglas R OD 196.....................Elhanafi, Sherif E MD 143.........Elkins, Gregory C MD 19, 25, 208
......................Ellis, John L OD 196, 262......................Ellison, Patricia E OT 187
............................Ellman, Marc MD 193...Emejulu, Izuchukwu M APN 100, 276
....................Enriquez, Andres S MD 52.........Enriquez, Janice A APN 100, 276
............Enriquez, Julio A APN 100, 276................Escandon, Carmen G MD 52...............Escandon, Jasmine K OT 187
......................Escobar, Juan M MD 118...................Escobar, Kimberly LPT 221
.......................Escobedo, Diana MD 82.....Escontrias, Adrian M MD 15, 17, 21,
26, 35, 36, 89
INDEX OF PROVIDERSINDEX OF PROVIDERS
338
......Esparza Granillo, Caroline SLP 257.....................Esparza, Lucia A LPT 221
.......Esparza, Mary Josephine A DO 52...Espinosa, Ivonne APN 100, 141, 276
...............Espinoza, Jeanette I LPC 302..........Esposito, James J MD 19, 38, 89..Esquivel, Michael R PA 158, 230, 283
.................Esser, James M MD 25, 243.........Estrada, Cynthia H APN 100, 276
........................Estrada, Jesus LPC 302......................Estrada, Nelly M MD 243...............Estrada, Paul M MD 143, 158
..............Estrada, Victoria M LCDC 292.........................Estrada, Zul N LPC 302...................Evans, Peter S MD 22, 132
....................Eves, Jessica L BCBA 288......................Eze, Chigolum C MD 174
....Ezhapilli Chennan, Sajeev R MD 42,243
..........................Ezirim, Nkechi MD 178
FSee Page
.............................Fabila, Lilia LPC 302..........................Faflik, Julie K LPC 303...................Fagan, Scott R MD 14, 132.......................Faith, Samuel C MD 193
..........Falknor, Kenneth R OD 196, 262..............Falknor, Larry W OD 196, 263......................Fallah, David M DDS 198.....................Fallon, Michael A MD 199
...................Famatigan, Maria G MD 64....Familua, Oluwamayowa F MD 9, 18,
24, 147..............Farber, Gerald L MD 150, 200
..................Farnam, Richard W MD 178.............Farness, Judy L APN 100, 276
............................Farrag, Safa E MD 64........................Farrell, Mitchell J MD 52
................Favela, Samuel OD 196, 263..........Feinstein, Steven J MD 166, 178
.....................Fenrich, Arnold L MD 210.................Fernandez, Edgar E MD 200
...................Fernandez, Juan F MD 236......................Ferrer, Nicole C LPT 221
....Fierro Steven, Rodolfo MD 121, 174,215
............Fierro, Alejandra APN 100, 276.....Fierro, Jessica C MD 12, 26, 35, 36,
89..........Figueroa Casas, Juan B MD 237
................................Fikfak, Vid MD 124....................Fineron, Ruben J LPC 303
..........Fischenich, Debra D AUDIO 115..................Fisher, Ian MD 15, 126, 243
.....................Fishkind, Avrim B MD 321................Fiske, Haydee APN 100, 276.................Fitzgerald, Ryan MD 39, 132
...............Fitzgerald, Tamara N MD 213...................Fitzpatrick, Kelly V DO 200..................Flavian, Melissa Y SLP 257..................Fleming, Rhonda V MD 153
............Flo, Frederick J MD 11, 39, 132........Flores Lopez, Claudia S APN 100,
276..................Flores, Adrian M BCBA 288
.......................Flores, Adriana LPC 303..........................Flores, Ana J LPC 303
................Flores, Andres A MD 70, 178
..............Flores, Daniel L APN 100, 276...............Flores, Hector A MD 116, 265......................Flores, Irasema LPC 303
.........................Flores, Maria I LPC 303..........................Flores, Marissa MD 52
.....Flores, Rebecca A DO 30, 126, 243.......................Flores, Roberto LPT 221...............Flores, Sandra APN 100, 276
............Flores, Sandra R APN 100, 276..........................Flores, Sara K MD 321..........................Flores, Sara M RD 176
..............Flores, Soledad APN 100, 276........................Fodor, Zsolt DO 22, 133
......................Fonseca, Anacani MD 74.....................Foote, Michael W MD 193
.........................Fort, Samuel L MD 124.....................Foster, Preston F MD 147............Foster, Teresa K APN 100, 277
......................Foust, William S LPT 221............Fox, Stephen G MD 10, 30, 243
.....................Francis, Denease MD 211...................Francis, Maureen D MD 64
...........................Franck, Agathe MD 52......................Franco, Hector L MD 124
...................Franco, Martha O LPC 303
.............Franklin, William E DO 39, 133..............Frappier, Martamaria LPC 303
....................Frausto, Marcella A MD 74................Fray, Sasha M APN 100, 277
...............Frazier, William J MD 14, 133.....................French, Stanley E DC 122
...............Frias Duran, Patricia LPC 303..................Friday, Dwayne MD 64, 158
..............Friedman, Glen C MD 28, 208.....................Fritze, Danielle M MD 147............Fuentes, Anna M LPC 287, 326
..............Fuentes, Carlos APN 100, 277................Fuentes, Isabella M SLP 257...........Fuhrman, Bradley P MD 74, 215
.............Fuller, Crystal E APN 101, 277
.....................Fulmer, Robert P MD 205..................Funkhouser, Todd A MD 87
.......Furlong, Joseph B MD 14, 25, 127,243
GSee Page.........Gadney Moss, Blanca L LPC 303
................Gadney, Blanca L LMFT 297.....................Gadney, Lucia S LPC 303
...................Gajendran, Mahesh MD 64..........................Galic, Vijaya J MD 178
..................Galindo, Duane D DPM 234......................Gallardo, Mark J MD 193.......................Galvan, Bonnie LPC 303
.............Galvani, Jacqueline BCBA 288..........Gambarota, Marci C MD 19, 133
.......Gamboa, Rose Jennifer L LPT 221....................Gamez, Gustavo LPC 304.............Gamez, Roberto G MD 41, 208
......Gan, Mark F DO 14, 17, 21, 26, 35,36, 89, 206
...............Gangupalli, Saranya LPT 221.......Gaona, Maria D APN 86, 101, 269,
272, 274, 277, 284, 285...........................Gaona, Raul E MD 49
...Garcia De Mitchell, Cecilia A MD 233...Garcia Ledesma, Brenda J APN 101,
277.......Garcia Salcido, Sandra L LPC 304
............Garcia Trujillo, Ceshia LPC 304..........Garcia, Angel J MD 52, 142, 261
.................Garcia, Angelina M SLP 257........................Garcia, Anna L SLP 257...................Garcia, Blanca I MD 74, 83......................Garcia, Catalina LPC 304
........................Garcia, Cesar J MD 143....................Garcia, Erik APN 101, 277..Garcia, Erika APN 101, 271, 277, 285
..................Garcia, Estephan J MD 200...............Garcia, Genevieve M DO 178
...................Garcia, Gilberto J LPC 304........................Garcia, Grecia LPC 304.......................Garcia, Henry F MD 178
....................Garcia, Hernando MD 237.................Garcia, Lupita APN 101, 277
...........Garcia, Mayela G APN 101, 277.....................Garcia, Myra J LCSW 294....................Garcia, Patricia A SLP 257
........................Garcia, Rafael LPC 304..................Garcia, Roxanne BCBA 288
............Garner, Ammon D OD 196, 263................Garrido, Paul J LPT 221, 270
..................Garza Arreola, Luis MD 118...................Garza, Angela PA 230, 283
INDEX OF PROVIDERSINDEX OF PROVIDERS
339
.....................Garza, Aurora P LPC 304
.......................Garza, Brianna C MD 74
.....................Garza, Cynthia E MD 321........................Garza, David E MD 178
.....................Garza, Hanna M LPC 304.............................Garza, Luis R MD 52
....................Garza, Rochelle A OT 188..........................Garza, Tara L LPT 221
..............Gasco Tamarit, Jaime MD 172................Gately, Michael J LCSW 294
......................Gaur, Sumit MD 151, 158..............Gaytan, Osvaldo MD 290, 321.......................Genrich, Colby M MD 52
.................Genrich, Katherine C MD 52........................George, Jessy A MD 74
........Georgelas, Timothy J MD 42, 127,243
..................Georges, Thomas J DC 122
..................Gerardo, Armando LPC 304.............Gerges, Anwar S MD 158, 170
.Ghaleb, Melhem R MD 10, 30, 42, 243...................Ghiselli, Antonio A MD 200...................Giandoni, Martin B MD 124
..............Giboney, Katelyn A BCBA 288...................Gilani, Syed M MD 41, 208
...............Gilardoni, Paul G MD 22, 133........................Giles, Harlan R MD 178
........Gillespie, Michael C LPT 221, 270...................Gillett, David P MD 22, 133
.........Giner Nevarez, Maricela LPC 304............Giovas, Katherine Z LCSW 294
............................Giron, Ann M OT 188............Giroux, Kristin M CNM 121, 283
......................Givens, Leslie P LPT 221.......Giyanani, Vishan L MD 10, 30, 244
..........................Gluck, Brion A MD 179........................Goche, Andrea LPT 221
......................Godson, Bridget SLP 257..........Goehring, Rose M APN 101, 277
...............Goff, Kathleen E OD 196, 263......Goldstein, Randy J MD 22, 39, 133
...............Gomes, Andrew MD 244, 267..........Gomez Perez, Jesus A DDS 198
...................Gomez, Edward R MD 149.........................Gomez, Gilberto MD 74
..................Gomez, Guillermo LPC 304..............Gomez, Jaime R MD 124, 261
.................Gomez, Javier H LCSW 295...................Gomez, Jessica BCBA 288
......................Gomez, Jesus A MD 190..........................Gomez, Lorena MD 52
..Gomez, Luis F MD 14, 18, 24, 27, 40,124, 147, 261
.............Gomez, Maria S APN 102, 277
.....................Gomez, Patrick J MD 205.........................Gomez, Rocio LPC 304
...................Gomez, Teresa C SLP 257............Gonzales, Jacob R MD 22, 133
............Gonzales, Lori A APN 102, 277..........Gonzales, Marissalyn BCBA 288
....................Gonzales, Mark J LPT 222..............Gonzalez Ayal, Emilio MD 237..............Gonzalez Cama, Omar MD 64
.....Gonzalez Camarena, Omar MD 158..............Gonzalez Mora, Evelyn MD 74
....Gonzalez Sozer, Mariaelena MD 64,74
...Gonzalez Trevizo, Gilberto A MD 200.................Gonzalez, Abraham MD 118.................Gonzalez, Alfredo E MD 170........Gonzalez, Alvaro G APN 102, 277
..................Gonzalez, Ayrel AUDIO 115...............Gonzalez, Benjamin A MD 52
.....................Gonzalez, Carlos MD 200......................Gonzalez, Erika SLP 257
.................Gonzalez, Esteban A MD 52.............Gonzalez, Francisco J MD 116
...................Gonzalez, Irma D LPC 305................Gonzalez, Jaime MD 64, 170
...............Gonzalez, Jorge A MD 38, 90.....................Gonzalez, Joyce LPC 305
..................Gonzalez, Juan A DPM 235.................Gonzalez, Liza N BCBA 288
........................Gonzalez, Luis A MD 87...................Gonzalez, Lydia Y LPT 222.........Gonzalez, Maria E APN 102, 277.................Gonzalez, Martha A RD 176.................Gonzalez, Orlando LPC 305.........Gonzalez, Ricardo APN 102, 277
......Gonzalez, Roberta A APN 102, 277.................Gonzalez, Roberto I MD 158..................Gonzalez, Rocio LCSW 295.......Gonzalez, Viridiana LPC 287, 326,
327..............Good, Benjamin E MD 22, 133
..................Good, Stacey F DO 22, 133...................Goodman, Gens P DO 200
..............Goodrich, Jamie M BCBA 288...........Gopalan, Nanda K MD 159, 190
...............Gore, Jamye P APN 102, 277.......Gorla, Sudheer R MD 74, 210, 215
............Gorospe, Emmanuel C MD 143..........................Goss, Gary K LPT 222
...............Gough, David C MD 118, 159..............Gouveia, Jacquelyn A DO 153
.........................Gracia, Edgar I MD 321..........Grajeda, Veronica APN 102, 277................Granados, Hector M MD 211
.........Green, Veronica M APN 102, 277........Greenberg, Harvey M MD 31, 244
..........Greenberg, Harvey MD 150, 179......................Grewal, Preetpal DO 179..............Griego, Annette APN 102, 277......Grieshop, Neil A MD 16, 18, 24, 27,
36, 147....................Griffith, Nathaniel L DO 64
..................Grifka, Cory A OD 196, 263..................Grindstaff, Gary S DPM 235
...........Groening Wang, Mary T DO 179.............Gross, Dominic L MD 150, 200
...................Gross, Eric M MD 141, 205..............Gruenebaum, Dane D DO 164.............Guenena, Mohamed A MD 193
Guerra De Gutierre, Esperanza LCSW295
..........Guerra, Adriane K APN 102, 277.......Guerra, Francisco J APN 102, 277
...................Guerra, Francisco J MD 52...........................Guerra, Luis G MD 64........................Guerra, Rae M LPC 305
Guerrero Heydarian, Rosalinda APN102, 277
.....................Guerrero, Juan A MD 265......................Guerrero, Martin MD 321
............Guerrero, Richard MD 143, 159...................Guevara, Adrian M MD 124
...............Guevara, Iliana APN 102, 277............Guevara, Karla J APN 102, 277
..........................Guido, Sara M DC 122.........Guillen Herrera, Rosalia SLP 257
....................Gulley, Robert B DDS 198.........................Guo, Linsheng MD 159
.....................Gupta, Anuradha MD 238.....................Gupta, Dhruv MD 16, 167
.....................Gupta, Tej P MD 143, 159............................Gupta, Vikas MD 174
......................Gupte, Akshay A MD 172................Gurmendi, Alfredo F MD 265
..............Gutarra Arana, Mell F MD 159....Gutierrez Twomey, Priscilla LPC 305
...............Gutierrez, Arturo PA 230, 283............Gutierrez, Carlos A MD 74, 149
...............Gutierrez, Dolores A LPC 305...........Gutierrez, Edith A APN 102, 277
.............Gutierrez, Jeanette A LPC 305.......................Gutierrez, Jose LPT 222
.......Gutierrez, Klaudia S APN 103, 277.............Gutierrez, Laura C MD 71, 179....................Gutierrez, Leticia LPC 305
..........Gutierrez, Mario A APN 103, 277...............Gutierrez, Matthew R OT 188................Gutierrez, Michael E MD 118.......Gutierrez, Moises A APN 103, 277
INDEX OF PROVIDERSINDEX OF PROVIDERS
340
........Gutierrez, Octavio E MD 290, 321............Gutierrez, Priscilla A LCDC 292
...............Gutierrez, Priscilla A LPC 305.................Gutierrez, Ramiro M DC 122
............Gutierrez, Raul J APN 103, 277...................Gutierrez, Rocio G DC 122
........Gutierrez, Sandra J APN 103, 278...................Guvvala, Suvarna L MD 64.........Guzman, Barbara A DO 9, 38, 90
......................Guzman, Jorge G MD 52............Guzman, Maritza APN 103, 278
HSee Page
.............Habib, Shahnaz MD 49, 53, 83..................Hacker, Callenda A MD 217
...............................Haeri, Sina MD 166..........................Haidarian, Mina MD 53
............Haisman, David R OD 196, 263.....Hakim, Mohamad N MD 19, 41, 208
......................Hale, Anne V MD 71, 179...........................Halff, Glenn A MD 147
.....................Halow, George M MD 143.....................Hamilton, Steven MD 159...............Hamm, Markus L MD 22, 133
............................Han, Nyun C MD 238....................Han, Stephanie C MD 238
.......................Hanahan, Laura MD 244............................Hanbali, Fadi MD 172
.....................Hand, Michael P PhD 291.....Handal, Gilberto A MD 75, 212, 215
.....................Hansen, Nancy P OT 188.........................Haque, Danish MD 321
...................Harden, Jeannie K MD 217
...................Hardesty, Susan J MD 322........................Haribhai, Parul LPT 222
.........Harper, William D MD 17, 39, 133...Harris, Stephen R MD 15, 17, 21, 26,
90..........................Hart, Jehna A SLP 257
...............................Hart, Kia J LPC 306......................Hart, Loren S AUDIO 115
............................Hart, Robert LPC 306.......................Hartman, Lisa L MD 211
............................Hatch, Holly LPC 306......................Hatchett, John G MD 193
........................Hatem, Carlo M MD 237..................Haug, James C DO 25, 244..............Hawk, Kristina E MD 127, 244
....Hawkins Koch, Dorovenia N DO 179.............Hawksworth, Shane A MD 172
.........................Haydar, Zafer H MD 64.................Hayden, Emerald E LPT 222.................Haynes, Christina N OT 188..................Hazboun, Ramsey R MD 65
......................Hazelton, Laura SLP 257.......................He, Chaoying MD 15, 90
...............................He, Zening MD 191...........Hechanova, Lisa A MD 159, 170
.....................Heida, Kenneth A MD 200...................Heins, Todd A PA 230, 283
.Hellinger, Deborah R MD 31, 127, 244..............Helmick, Lory J APN 103, 278
.....Henderson, Lorena C APN 103, 278..............Hendrix, Lisa M APN 103, 278
..............Henneburg, James V LPC 306......................Heredia, Davina LPC 306..............Herekar, Aamr A MD 174, 254.....................Herman, Karen L MD 142......................Herman, Peter S MD 124
Hernandez Bizouarn, Bruno APN103, 278
........Hernandez Garcia, Juan C MD 53..........Hernandez, Alejandra L SLP 257
................Hernandez, Alvaro A MD 201...........Hernandez, Anais LPC 306, 327............Hernandez, Andres MD 22, 134..................Hernandez, Arturo A MD 75
.....................Hernandez, Arturo MD 53..............Hernandez, Christine K MD 53
......................Hernandez, David MD 53..................Hernandez, Erika C OT 188
.....Hernandez, Francesca A BCBA 289....Hernandez, Francisco APN 103, 278
.............Hernandez, German T MD 170
.............Hernandez, Hector M LPC 306...............Hernandez, Hilary C LPC 306
............Hernandez, Irma APN 269, 285.................Hernandez, Javier S DC 122........Hernandez, Jesus A MD 143, 159
...................Hernandez, Jose L MD 179.................Hernandez, Joseph LPT 222...............Hernandez, Leticia S MD 179......Hernandez, Manuel J LPT 222, 270
................Hernandez, Manuel LPC 306....................Hernandez, Mara LPC 306..........Hernandez, Maria E PA 230, 283................Hernandez, Monica LPC 306
..........Hernandez, Priscila A BCBA 289.............Hernandez, Sandra A LPC 307
..........Hernandez, Stephanie V DO 322..Hernandez, Vanessa M APN 86, 103,
271, 274, 278, 285.............Hernandez, Yolanda R SP 257
..................Herrada, Juan MD 151, 191........Herrera, Amanda R APN 103, 278
.............Herrera, Andrea L PA 230, 283.........................Herrera, Efren LPT 222
......................Herrera, Koryna LPC 307
...................Herrera, Sandra R MD 166........................Herrera, Sylvia LPC 307........................Herrera, Sylvia LPT 222
...............Herrmann, Jennifer L MD 124.........Hestermann, Braden J MD 38, 90
......Heydemann, Jacob S MD 201, 213......Hicks, Brandi N MD 10, 16, 31, 244
.............Higgins, Stanley M MD 31, 244........................Hilburn, Shaun LPT 222
......................Hill, Lance M DO 14, 134...........................Hill, Monica R MD 134
.................Hindi, Ammar M MD 10, 244.....Hinnant, Samantha C LPT 222, 273
..............................Hinojos, Ralu MD 53..............Hinojosa, Veronica BCBA 289
...................Hinshaw, Shirley J MD 179..............Hinson, Jessica APN 103, 278
.........Ho, Hoi MD 60, 65, 150, 153, 159........................Holguin, David LPC 307
............Holguin, Melissa R PA 230, 283........................Holland, David A MD 53
........Hollingsed, Michael J PA 230, 283............Hollingsworth, Amanda DO 179
........................Holt, Kerry OD 196, 263..................Hoover, Lance R MD 38, 90..............Hoppe, Curtis L LPC 307, 327.........................Horn, Kathryn V MD 53
............Horton, Amanda L MD 166, 180...............Horton, Erica A DO 13, 38, 90
................Houghton, Angela D MD 180......Hovsepian, Michael M MD 31, 127,
245....................Howard, James R MD 134
.........................Howe, Jarett K MD 213...................Howell, Greg A MD 22, 134...........................Howze, Sheri L MD 75
..............................Htay, Thwe T MD 65....Hudkins, Matthew G MD 31, 42, 245
.......Hughes, Jason D MD 31, 127, 245.........................Hunko, Gabriela MD 65
.......Hunter, Stephanie L APN 103, 278.................Hurdt, Lauren L PA 230, 283
.....................Hussain, Faheem MD 245....................Hwang, Richard Y MD 193
ISee Page
................................Ibarra, Isela MD 75...........................Ibarra, Janet LPC 307
...........Ibrahim, Ahmed M MD 118, 159....Ibrahim, Ali D MD 12, 14, 19, 35, 36,
90, 206...................Ibrahim, Parisa MD 65, 160
...........................Ibrahim, Tala LPC 307....................Idada, Francis MD 11, 134
INDEX OF PROVIDERSINDEX OF PROVIDERS
341
.......................Iglesias, Michelle MD 84........................Infante, Adam A OT 188
.....................Infante, Manuel A OT 188......................Ingram, James R DO 201
...........Inostroza, Monica APN 103, 278......................Iqbal, Maaz MD 245, 267
...........Irvine, Henry A MD 31, 127, 245
...........Isaac, David W MD 75, 212, 215.............Isaac, Valentina APN 103, 278
..................Iskander, George B MD 180.............Isuani, Hugo E MD 25, 31, 245
.................Iwaloye, Femi D MD 71, 180
JSee Page
....Jabara, Benjamin J MD 10, 127, 245...........................Jabor, Mark A MD 233
...................Jackson, George W MD 53.......................Jackson, John S DO 201
....................Jackson, John W LPC 307............Jackson, Richard P OD 86, 272.Jacobs, Michael J APN 103, 230, 278,
283.............Jacobson, Brent R DO 31, 245..................Jacobson, Robert L MD 180
................Jacome, Elvis G PA 230, 283..............Jacquez, Vicente APN 86, 274
.........Jalalzai, Waheed MD 10, 31, 245..................James, Brian D DO 39, 134
..................Jamison, Rodney K MD 205................Janke, Clifford O MD 22, 134
.........................Janosz, Caleb J MD 53..........................Jaraba, Jaime I MD 53
..........................Jasso, Juan A MD 215...................Jauregui, Amber M OT 188
.......................Javed, Saeed U MD 167......Jean Pierre, Jean S MD 12, 15, 35,
36, 38, 90................Jenkins, Keyonna M MD 206
.........Jesse, Ann M APN 104, 142, 278.....................Jeter, Jonathan P MD 124
..................Jevne, Tyler R OD 196, 263..............Jewell Hight, Sadie BCBA 289
.........................Jezari, Anna M MD 180......................Jiao, Ma Reyna D MD 75
...........Jimenez Flores, Dante LPC 307...............Jimenez Soto, Raul J MD 322..............Jimenez, Alexander D DC 122
..................Jimenez, Mauricio E MD 65......................Jin, Kate E APN 104, 278
............................Joe, Roger G MD 322.............John, Ann K MD 12, 35, 37, 90
..................Johnsen, Michael W MD 90...Johnson, Cara R APN 104, 271, 278,
285
.........................Johnson, Keith MD 134.....................Johnson, Keith R MD 201
...........Johnson, Kenyua APN 104, 278......................Johnson, Levi A LPT 223
............Johnson, Sally M APN 104, 278.........Johnson, Temperance L PhD 291
..............Johnson, Veronica M LPC 307....Johnston, Katherine L APN 104, 278
........................Johnston, Kirby OD 196..................Johnston, Robert C MD 180
................Jones Allen, Angela S MD 53...Jones, Daphne M APN 104, 142, 278
..........................Jones, Larry D DC 122...................Jones, Margaret M MD 180
......................Jones, Robert D LPT 223
......................Jorai Khan, Zaira DO 180...........Joseph Vander, Jean R MD 322
.................Joseph, James MD 160, 170....Joseph-Vanderpool, Jean R MD 322
........................Joshi, Prashant MD 215................Juarez, Edward C MD 59, 65.....................Jude, Veronica H MD 211
KSee Page
................................Kahn, Elisa SP 257...............................Kaim, Boris MD 174
....................Kain, Conor M MD 32, 245.........Kaluzny, Chelcie D APN 104, 278...................Kandpal, Saurabh B MD 65
......................Kangur, Violeta L OT 188.....................Kapp, Ronald MD 22, 134
.....................Kar, Subrata MD 118, 164....................Karam, Charles W DC 122
............................Kareh, Jorge MD 180.............................Karp, Alan J MD 143
......................Karwowski, Eliza DO 322...............Kasha, Atur A DO 18, 24, 147
..................Kasmoch, Lydia A LPC 307.........................Kassar, Darine MD 174
.....................Kasuga, Daniel T MD 194....................Katan, Brian S MD 39, 134............................Kataria, Rahul MD 75
...........Katsigiannis, Christos A MD 265......................Katz, Abraham J MD 322
.......Kaufman, Robert M APN 104, 160,278
......................Kavonian, Gary D MD 65.................Kazakevich, Natalia MD 322.Keegan, Catherine N MD 32, 127, 246
........Keenan, Sean C MD 32, 128, 246.................Kelly, Alma G APN 104, 278
.............Kelminson, Stephen B MD 246........Kelsey, Shannon E APN 104, 278
...............Kendall, Lindsay C MD 19, 90
...........Kennebrew, Garry J MD 22, 134........Kennedy, Lindsey M OD 196, 263
.........................Kenny, John M MD 322..............Kerns, Scott R MD 10, 32, 246
....................Khair, Tarif H MD 118, 160..........................Khalaf, Rossa MD 191
...............................Khalil, Sabry MD 90........................Khamsi, Naima MD 180
..Khan, Muhammad N MD 10, 128, 246
................Khan, Muhammad U MD 118...............Khandheria, Mili MD 290, 322
.................Khatri, Rakesh MD 175, 268
.........................Khauv, Keak C MD 194.................................Khin, Ei E MD 212
............Kholeif, Clark T MD 10, 32, 246
........................Kidd, Joseph N MD 213.............Kidwai, Shahroz MD 49, 54, 83..................Kilgo, Robert W MD 39, 135
......................Killings, Jamie T LPT 223....................Kim, Hannah OD 196, 263
........Kim, Ho Jin MD 15, 17, 21, 26, 91.......................Kim, Hong J MD 15, 246
..................Kimble, Gretchen A OT 188.....................Kime, Lynn R MD 25, 208
..........Kimmel, Warren E APN 104, 278...........................King, Alisha E MD 322.........................King, Clinton A MD 124
.................Kingsley, George M DO 180........................Kirby, Wendy L MD 323
............................Kircher, John MD 194..........................Kissack, Alec LPC 307.........................Klein, Terren D MD 201
..........Knecht, Lance H MD 10, 32, 246.....................Knobles, Micah J MD 323
.......................Knoll, Kaylee M LPT 223.......................Koch, Eric B MD 20, 147
.....................Koch, Thadine C SLP 257............................Kohn, Roy E LPT 223
..............Kolli, Venkateswara R MD 143................Komaragiri, Ramesh MD 170
.Konstantinidis, Ioannis MD 20, 40, 147...................Korzec, Kenneth R MD 205...................Koster, Herman A LPT 223...................Koussayer, Samer MD 149
.....................Kraft, Nidia APN 272, 285............Krinkey, Priscilla J OD 197, 263
..Kristofferson, Ken K PA 160, 231, 283.........................Kronfol, Rana N MD 75
......................Kronfol, Ziad MD 40, 147..................Kruzich, David J LCSW 295...........Kugelmann, Colin APN 104, 278
...............Kumar, Vibhash MD 210, 270........Kunam, Vamsi K MD 42, 246, 267
............Kupesic Plavsic, Sanja MD 180
INDEX OF PROVIDERSINDEX OF PROVIDERS
342
.........Kuri Montes, Gabriela S LPC 307..........................Kurian, Asha M MD 65
.......Kviatkovskaya, Julia APN 268, 284........................Kypuros, Kristina MD 75
LSee Page...........La Puma, Marcantonio SLP 258
...................La Rock, Wilford C DC 122...............Labrado, Victor APN 104, 278
......Labruzzo, Salvatore V DO 128, 246........................Lacaze, Mary E MD 215
.............Lackamp, Robert J MD 25, 247.....................Lacy, Linda S MD 71, 181
....................Lagunas, Yolanda MD 181................Lam, Man T MD 65, 153, 160
...................Lam, Michael MD 128, 247....................Lambeth, Kelly M SLP 258............Lambson, Jared R OD 197, 263
................Landeros, Blanca E LPC 307.....Landeros, Mark M MD 9, 18, 24, 28,
147.....................Lange, Richard A MD 119
...........Langenberg, Matthew T MD 149.......................Lanzi, Joseph T MD 201
....................Laporta, Lauren D MD 323...........................Lara, Crystal SLP 258
................................Lara, Iyali LPC 308...Lara, Michael D MD 9, 14, 18, 24, 28,
40, 148...............................Lara, Olivia OT 188
....................Lares, Matthew J LPT 223................Larrazaleta, Maria E MD 181
...............Larson, Joshua S MD 11, 135
...Larson, Steven S MD 18, 24, 36, 148............Latiff, Guillermo A MD 214, 266
......Lavezo, Jonathan L MD 12, 20, 41,208
.....................Law, Jennifer MD 14, 135......Law, Patricia Z APN 104, 271, 278,
285...................Lawal, Lookman O MD 119
...............Lawhon, Price H PA 231, 283..Lawrance, Elizabeth A MD 16, 18, 24,
148..............................Lax, Fredric MD 172
........................Lazar, Gabriel DPM 235.......................Lazaro, Shelley S MD 75
.................Lazcano, Amanda M SP 258........................Leal, Rey APN 104, 278
....................Ledee, Cynthia A LPC 308.....................Ledford, Cheryl L MD 201
...................Lee, Andrew Y MD 25, 247.......................Lee, Anhtuyet T MD 234........................Lee, Catherine LPC 308
.............................Lee, Janet J MD 206
...............................Lee, Jeanne MD 65........................Lee, Shawna T LPT 223
...................Leeser, Jessica A LPT 223..........................Leff, William M DC 123..........................Lefkof, Gary D MD 323
................Legate, Barbara H LMFT 297........................Lehker, Angelica MD 65
..............................Lemez, Alma MD 54.....................Leon, Francisco J DC 123
.....Leony Carrete, Amelia H LCSW 295.............................Leos, Loreli LPC 308
...........................Levine, Ali W SLP 258...........Levine, Johanan S MD 121, 175
................Leyva, Edward S MD 54, 254...................Leyva, Rodolfo MD 75, 216
..........................Liano, Ruben LPT 223........................Licon, Marco A SLP 258
.........Lievano, Kang Mei N MD 22, 135...........Lightner, Laura G APN 105, 278
..............Lim, Douglas DO 9, 26, 38, 91..........Limberg, Teresa F APN 105, 278
.....Lin, Steven C MD 12, 15, 35, 37, 91............................Linan, Luis E MD 181
......................Lincoln, Curtis L LPC 308
........................Lindo, Rolando J MD 54.......Lindsay, Alejandrina APN 105, 278
............Lindsey, Michael W MD 22, 135..................Liptakova, Helena H MD 76
............................Little, Lilly LCSW 295...............Livingston, Miriam LCSW 295
......................Lizardo, Lizet C LPC 308.......................Llamas, Luis MD 25, 208
............................Loaiza, Jose L MD 54..................Locke, Lee Dylan M PA 142
..............Lodeiro, Jorge G MD 166, 181...................Lodhi, Huma Y MD 76, 216..........................Loflin, James R MD 59
.......Loizeaux Witte, John N MD 15, 25,247
...........Lomarquez, Lynnette S LPT 223.................Longhurst, Melanie PhD 291
....Longoria, Alfredo MD 18, 24, 28, 37,148
........Longoria, Leonardo A MD 71, 181................Longoria, Rolando R MD 143
......................Lonngi, Marissa LPC 308....Lopez Leyva, Manuel D MD 65, 160,
170....Lopez Longoria, Lizet LPC 287, 308,
326, 327..............Lopez, Armando L AUDIO 115
.....................Lopez, Arsenio G MD 191...........................Lopez, Edrick MD 217.................Lopez, Edwin APN 105, 278
.................Lopez, Gomecindo LPC 308.............................Lopez, Hector DO 54
.....................Lopez, Jennifer D SP 258.......................Lopez, Joaquin LPC 308
.................Lopez, Lirio E APN 105, 278..........................Lopez, Luis A LPC 308
.............Lopez, Maday C APN 105, 278...................Lopez, Michelle A SLP 258
......................Lopez, Nidia PA 231, 283..........................Lopez, Noe A LPC 308
.....................Lopez, Pamela A MD 323...........................Lopez, Raul J MD 207
...............Lopez, Roxana APN 105, 278.....................Lopez, Sandra L SLP 258
.........................Lopez, Sandra MD 181.....................Lopez, Stephany SLP 258
........................Lopez, Zuleyhm OT 188
..................Loree, Robert T MD 25, 247..............................Lou, Wynee DO 261
..........Loubriel Velez, Carlos H MD 181....................Lovato, Zachary R DO 201
.............................Love, Ashley OT 188...................Lovett, Paris B MD 22, 135
..........Lowe, Richard E MD 20, 42, 247............Loya Valencia, Carlos E MD 54
........................Loya, Juan F MD 59, 84.........................Loya, Linda M SLP 258
....Lozano Guzman, German A MD 212.Lozano, Hector MD 13, 17, 21, 35, 37,
91......................Lozano, Javier E MD 266.............Lozano, Jesus L MD 49, 76, 84
..........Lozano, Rachel M APN 105, 278.....................Luevano, Arlene SLP 258
........Lugo Munoz, Manuela E LPC 309
........Lujan Hernandez, Nancy SLP 258................Lujan Palma, Jose A MD 175
............................Lujan, Rene LPC 309...Luna Bowen, Yvette M APN 105, 278
.......................Luna Jr, Jose MD 54, 84....................Luna, Silas S PA 231, 283
....Lunaevans, Claudia Y APN 105, 279.................................Lyn, Ian T MD 119
...........................Lynch, Janel M MD 82.....................Lyon, Kerry H AUDIO 115
................Lyon, Matthew H AUDIO 115
MSee Page
..................Machorro, Angelica I MD 76...........Macias Defran, Gloria P SP 258
...........Macias, Lilliana N APN 105, 279
...........Mack, Kimberlee N PA 231, 283.................Mackay, John M MD 39, 135................Madarang, Eric L DO 14, 135
INDEX OF PROVIDERSINDEX OF PROVIDERS
343
......................Maddox, Craig L MD 125...............Madrid, Alfredo APN 105, 279
.........................Madrid, Dina M OT 188..........................Madrid, Elise M MD 54
.................Madrid, Guadalupe LPC 309............Magden, Travis J LPT 223, 271...........Magnon, Monicke APN 105, 279
..........................Mahajan, Nitin MD 164..............Mahatha, Hazal APN 105, 279
...................Mahmood, Brian K MD 216.......Maiyegun, Sitratullah O MD 76, 83
..................Majewski, Karen R SLP 258..............Maldonado, Hector M MD 175......Maldonado, Michael F OD 197, 263
................Maldonado, Pedro A MD 181.....Maldonado, Vanessa APN 105, 279
...................Mallerich, Walton J DC 123...................Mallett, Paul W MD 22, 135
..............Mancone, Angelica MD 38, 91................Mangalpally, Kiran K MD 164
.................Mangel, Ryan S MD 22, 135.......................Manglik, Niti MD 41, 208
.........Manquero Butler, Martha I MD 54......Manriquez, Alynna A APN 105, 279
...................Mansfield, David J MD 202..........Mansfield, William P MD 32, 247
...................Manuel, Sharron L MD 182.....Manzo Micoletti, Zachary D PA 231,
283..................Marcee, Thomas T LPT 224.................Marciniak, Robert A MD 136
..........................Marie, Donna LPC 309.............................Marin, Jose A MD 55
........................Marin, Rodolfo LPT 224....................Marioni, Noe MD 160, 170
.................Mariscal, Elizabeth LPC 309..........................Mark, Kevin B LPT 224
....Markham, Jeffrey C MD 14, 42, 128,247
.......Marquez Smith, Teresa MD 55, 76..............Marquez, Alexa Reign OT 188
............Marquez, Cecilia APN 105, 279..............Marquez, Francisco J MD 323
..........Marquez, Maria M APN 105, 279.....................Marquez, Yvette LPC 309
...Marquis Colvard, Clarissa A SLP 258..Marranzini, Benito A MD 66, 140, 160
......................Marrufo, Sylvia E DC 123.........Marsan, Nathanael P MD 39, 136
................Martel, Rocio I APN 106, 279..................Martin, Charmaine A MD 55
......................Martin, George J MD 172.....................Martin, Gordon H MD 149......................Martin, Gregory E MD 66
................Martin, Sarah L MD 323, 327......................Martinez, Ana L SLP 258
............Martinez, Anastacia C LPC 309....................Martinez, Andrew LPT 224....................Martinez, Armida SLP 258....................Martinez, Brenda LPC 309
.............Martinez, Carla A MD 166, 182
.....................Martinez, Eunice LPC 309..............Martinez, Gabriel OD 197, 263
..........Martinez, Gabriela APN 106, 279
..................Martinez, Gessy C LPC 309.....Martinez, Hector R MD 66, 140, 160
.......................Martinez, Ileana MD 170..................Martinez, Iris APN 106, 279
..................Martinez, Jeffrey M MD 149.........Martinez, Jennifer M PA 231, 283
..............Martinez, Jesus APN 272, 285.................Martinez, Joel LPT 224, 271
.....................Martinez, Jose E LPC 309.......................Martinez, Julio C OT 188
..........Martinez, Mabel R APN 106, 279.............Martinez, Miguel A MD 22, 136...........Martinez, Nilda D APN 106, 279
.......................Martinez, Pablo F MD 55..................Martinez, Susan LCSW 295
...........................Martinez, Tony MD 55.................Martinez, Veronica LPC 309
.....................Maruthoor, Jim K MD 136................Marwah, Rajendra K MD 253................Mascorro, Veronica LPC 310
.........................Maspons, Aldo MD 211.......................Massey, Ruth BCBA 289
................Massingill, George S MD 182............Master, Kiron S MD 19, 25, 247
..........................Mata, Bethany RD 176....................Mata, Nadine P LCDC 292.....................Mateo, Christina C MD 76
.............................Mathew, Paul MD 66........................Mathur, Garima RD 176
....................Matthias, Melissa LPT 224..................Maud, Alberto MD 175, 268
.............................May, Evan E MD 119.....................Mayfield, Holly A LPC 310...................Mayhew, Tracy G LPC 310
................Maynard, Margaret E SP 259.........Maynez Olmos, Socorro LPC 310
...................Maynez, Nicole P LPC 310.............McAleer, Irene M MD 214, 266............McAnulty, Amy L APN 106, 279
..............McCallum, Richard W MD 160..McCarron, Audrey P MD 32, 128, 247
..................McCool, Gerald B DPM 235.......McDanald, Eugene C MD 160, 254
.............McDaniel, Dawn D MD 11, 167
.................McDonald, Duncan LPT 224...........McDonald, Lisa R APN 106, 279
................McDonnold, Mollie A MD 166......McGann, Kevin Sean A DO 22, 136
...............McGoldrick, Tommy LPC 310............McGowan, Monica D LMFT 310
..McKelroy, Yostin Z APN 86, 106, 274,279
..............McKissack, Sterling S MD 125........McLean, Susan P MD 11, 40, 148...........McMahon, Louis M OD 197, 263
....................Meagher, David P MD 216................Meagher, Melissa S LPT 224
................Medina, Jorge APN 106, 279............Medina, Pedro S APN 106, 279
..............Medina, Ruben A PA 231, 283
......................Medrano, Rafael MD 119...........................Mehta, Aditya MD 194
..........................Mehta, Nilesh S MD 66.....................Mehta, Shivani U MD 323
...................Meissner, Frank W MD 323..........Melamed, Matthew J MD 39, 136..............Melendez, Veronica M SP 259
...................Melhem, Ayyash Y MD 164Menchaca Guedea, Alejandra LPC310
.................Mendel, Jameson T MD 238..........Mendez Martinez, Jose I MD 119..........Mendez Ramirez, Jose M MD 66
...........Mendez Vargas, Karina MD 175.......................Mendez, Grace LPC 310
..................Mendez, Melissa D MD 182...............Mendez, Veronica M SLP 259
.......Mendiola, Anna Marie T MD 76, 84..................Mendivil, Jason M DPM 235
............Mendoza Casti, Rodin R MD 76.......Mendoza Castillo, Rodin R MD 76,
216.......Mendoza Gibson, Lorena LPC 310.......Mendoza Ladd, Antonio H MD 144
...Mendoza Marcial, Karina Y APN 106,279
...........Mendoza, Celia A APN 269, 285................Mendoza, Eliza V LCSW 295.......Mendoza, Elizabeth APN 106, 279
...........Mendoza, Gabriel APN 106, 279..........Mendoza, Maria A APN 107, 279
..................Mendoza, Michelle L MD 66.................Mendoza, Omar MD 22, 136..............Meraz, Victoria A PA 231, 284...............Mercado, Lisa M PA 231, 284
.........Mercer, Roberta A APN 107, 272,279, 285
...........................Merli, Nicole M MD 55......................Meshel, William N MD 66
INDEX OF PROVIDERSINDEX OF PROVIDERS
344
.....................Metrikin, David C MD 194..............................Meza, Ana M MD 66
....................Meza, Armando D MD 153................Meza, Hugo A APN 107, 279...............Meza, Sonia M APN 107, 279
..Mgbokwere, Chioma J MD 66, 77, 82,83
.....................Middaugh, David LPT 224.............Middleton, Rochelle L LPC 310
..............................Miguel, Irma OT 188...........................Miller, Don C LPT 224
...................Miller, Garett P MD 22, 136..........................Miller, Jerry W MD 165..........................Miller, Leah F LPC 310........................Miller, Orson A LPT 224
....................Mimbella, Paolo C MD 207..............................Min, Aung Z MD 119
............Mineros, Henry J APN 107, 279.......Miramontez, Jaclyn A PA 231, 284
..........................Miranda, Blas A MD 66............Misenhimer, Gregory R MD 202
.......................Misick, Lofton N MD 265..............Mitchell, Justin S DO 150, 202
...........Mitchell, Lex A MD 32, 128, 247.....Moazam, Mustafa M MD 67, 77, 82,
83, 161, 212, 216, 269, 270.........Moeller, Amanda P LPT 224, 271
..................Mohammadi, Milad MD 149..................Moinuddeen, Khaja MD 264
.............Mokonchu, Monique C MD 182.......Molchanova Cook, Olga P MD 248
...........Moldes Rodrig, Orestes MD 144.....Moldes Rodriguez, Orestes MD 144
.........Moldes, Orestes E APN 107, 279..........Molina, Armando MD 17, 27, 136
...................Molina, Carmen BCBA 289......................Molina, Carmen LPC 310
........................Molina, Dolly J LPT 224......................Molinares, Vanina MD 67
..................Molokwu, Jennifer C MD 55.....................Molokwu, Regina I MD 55
.........Monarez, Berenice APN 107, 279
.........Mondesir, Danielle APN 107, 279
.................Mondok, Karen F BCBA 289.................Monroy, Anwar E MD 55, 60.....................Monroy, Kristy R SLP 259......................Monroy, Patricia LPT 224.....Monsivais, Jose J MD 9, 14, 24, 28,
148, 150................Monsivaiz, Maricela LPT 225.................Montalvo, Denise L LPC 310
..................Montanez, Tomy MD 55, 84.....................Monte, Beatriz R LPC 310
.....Montelongo, Juan A MD 17, 22, 136...............Montero, Stephanie A OT 189
................Montes, Alejandro BCBA 289.....................Montes, Jorge R LPC 311
.................Montes, Rebecca M MD 182
.................Montgomery, Lyle B MD 323..................Monticone, David E DO 182
.....................Montoya, Leah BCBA 289...................Montoya, Melissa M DO 55..................Montoya, Teodoro I MD 182
.........................Monty, Esther LPC 311...........................Moore, Lisa E MD 182.................Mora, Carla L APN 107, 279
......Morales Chavarria, Isabel LPC 311.................Morales, Carmela P MD 144
.............Morales, Cesar G PA 231, 284...................Morales, Marisela LPC 311
....More, Snehal R MD 10, 32, 128, 248........................Moreno, Alvaro MD 323
...................Moreno, Armida G MD 182......................Moreno, John C LPT 225
...Moreno, Joseph A MD 13, 14, 17, 21,26, 35, 37, 91
..............Moreno, Killeen M MD 14, 137..............Moreno, Robert A MD 67, 255...................Moreno, Ruben LCSW 295
.......................Moreno, Stella C SP 259..........................Moreu, Gil M DPM 235
.....................Morgan, Robert C DC 123.......................Morilla, Daniel B MD 266....Morris, Russell R MD 13, 35, 37, 38,
91...............Morron, Clyde R PA 231, 284......................Moser, Doreen A DO 182............Mosier, Karina P APN 107, 279
...............Moss, Roy L MD 32, 129, 248..................Mrochek, Michael J MD 217
.............Mukherjee, Debabrata MD 161...........Mullen, Casey K MD 23, 39, 137
.......Mulukutla, Venkatachalam MD 119....................Muniz, Fernando LPC 311
............................Muniz, Jose I DC 123........................Muniz, Sandra LPC 311
..................Munoz, Amanda K LPC 311....................Munoz, Lizette M LPC 311
............................Munoz, Luis R MD 77.........................Munoz, Noah A OT 189.......................Munoz, Oscar C MD 165
.........................Munoz, Paul M DC 123.........................Munoz, Xavier J DO 55
...................Murga, Stephen A LPT 225.....Murillo, Tomas MD 9, 17, 21, 26, 91
.....................Muro, Veronica I LPC 311.........................Muron, David J MD 202...........................Murphy, Daniel MD 55
................Murphy, Sean M MD 23, 137
..........Murray, Colleen S APN 107, 280
..........Murray, Justine M APN 107, 280..............Muyot Cortes, Leslie N MD 77
.......Myers, Timothy V MD 32, 129, 248
NSee Page
.......................Nacim, Betsy E PhD 291...................Naga, Osama I MD 77, 216
....Nagarajarao, Harsha S MD 119, 165........................Naidoo, Elton R MD 323
.............................Nair, Anjana MD 182............................Najera, Raul A MD 56.........................Nance, Lois L LPC 311
..............Nance, Vinson E OD 197, 263.............................Nanez, Gary MD 205
.................Narra, Nagarjun MD 23, 137.........................Nassar, Eddie R MD 77.......Nathan, Athena APN 86, 107, 271,
274, 280, 285...........Natividad, Lorena APN 107, 280
............Natividad, Pedro APN 108, 280..........Natividad, Toribio T MD 202, 270........Navarrete, Mayra C LPT 225, 273................Navarrete, Rosalba LPC 311................Navarrete, Sergio R SLP 259
...................Navarro, Veronica SLP 259.......Navedo Sanchez, Vianka SLP 259
................Navedo, Clarissa M SLP 259....Navejas, Elizabeth MD 9, 13, 27, 35,
37, 91...........................Nayak, Tanaya MD 67
......Naylor, Anthony D MD 42, 129, 248....................Nazeer, Omer MD 23, 137
.......................Nduka, Chinwe C MD 56...........Nead, Rebecca L APN 108, 280
..................Neff, Kristy K APN 108, 280...Negrete, Margaret DO 14, 15, 17, 21,
27, 37, 91............Neiman, Parviz MD 25, 33, 248
...............Neira Juarez, Carlos J MD 67....Nellikappallil, Anna M CNM 121, 283
.....................Nelson, Daniel W DO 191....Nelson, Guillermina A APN 108, 280
.....................Nelson, James H MD 202...............Nelson, Jess T MD 13, 17, 91
....................Nelson, Patricia C MD 194...............Nemenzo, Cristina C LPT 225...............Nemenzo, Ronald R LPT 225
.....................Nemir, Stephanie MD 234.......................Neria, Alfonso W SP 259
.........................Nesbitt, Shayla MD 182.......Neurosurgical Specialists of El 172
.........................Nevarez, Alba N MD 82................Nevarez, Celeste S LPC 311
INDEX OF PROVIDERSINDEX OF PROVIDERS
345
..............Nevarez, Luis R LPT 225, 271...........Newell, Cameron M MD 39, 137........Newman, Barbara A MD 129, 248
...................Ng, Nathaniel MD 124, 261..............Nguyen, Khanh D MD 25, 248
..................Nguyen, Linda OD 197, 263.................Nguyen, Michelle BCBA 289
..............Nguyen, Phuong OD 197, 264............Nguyen, Quyen C OD 197, 264
............Nguyen, Vinh Quang D DO 137.........Nicell, Donald T MD 33, 129, 248
............Nichols, Jessica S PA 231, 284.................Nicholson, Melissa LPC 311
.....................Nielsen, Dana M SLP 259..........................Nieto, Daisy C MD 119.................Nieto, Sheri L APN 108, 280
.................Nii Moi, Ebenezer A MD 182..............Nnebe, Florence O MD 77, 83
.........................Noble, Decarlo MD 183............................Noble, Luis S MD 253
.........................Noe, Michiel R MD 183..........................Noel, Kriste A SLP 259
................Nordquist, Erik K MD 40, 137.......................Noriega, Oscar A MD 56
..........Norris, Tewiana C APN 108, 280.........................Novoa, Julio C MD 183...........................Nowak, Paul C MD 77
.............Nunez, Angelica A MD 67, 161.......................Nunez, George LPT 225.........................Nutis, Dinorah J MD 67
..............................Nutis, Mario MD 183.......Nwanze, Chukwusomnazu MD 33,
248...Nwiloh, Mariagorety O APN 108, 280
.........................Nwiloh, Victor M MD 67....................Nwosu, Azikiwe C MD 171
OSee Page
..............................Oas, Lute G MD 238.......................Oaxaca, Arturo LPA 319
...............Obhg Texas Holdings PA 186
.......Ocaranza, Martha L APN 108, 280Ochoa De Marquez, Guadalupe LPC287, 326, 327
.............Ochoa, Felipe A APN 108, 280
.............Ogaz, Monica P APN 108, 280.........................Ogden, Paul E MD 161
..................Ognibene, Doris A LPC 311...................Ohare, Jennifer N LPC 311
..............Ojha, Chandra P MD 120, 165.............................Ojo, Edwin J MD 144
......................Okada, Ken MD 9, 27, 92.......................Okajima, Kazue MD 120
............Okpalaji, Chukwujekwu I MD 49
...............Okubo, Raquel APN 108, 280............Olivares, Christopher H DO 266
.............Olivas, Cecilia A APN 108, 280
.....................Olivas, Teresa M LPT 225...................Olowe, Olalekan J LPT 225
..............Olusanya, Adebayo O MD 120..............................Omar, Asad MD 237
............................Omar, Fahad MD 237...................Omeara, Sean M DPM 235
.....................Onate, Eduardo J MD 161..Ontiveros Loya, Bianca APN 108, 280
............Ontiveros, Bernadette LPC 312
............Ontiveros, Deborah M LPC 312................Ontiveros, Michael A DC 123
..................Onuoha, Adaeze A MD 175.............Onyedika, Ikechukwu I MD 213
...................Opawumi, David O MD 171..Opina, Maria Theresa D MD 161, 237
...............Orazio, Attilio MD 12, 41, 208.....................Orellana, Miguel A MD 67
.....................Ornelas, Claudia LPC 312.................................Oros, Areli OT 189
..............Orozco, Angela APN 108, 280.........................Orr, Jennifer M MD 183
.............................Orr, Justin D MD 202..........................Orta, Maria E LPC 312
......Ortega, Antonio M MD 67, 153, 161.....................Ortega, Daniel P LPC 312
...........................Ortega, Lauro I MD 67...............Ortega, Lidia Y LPC 292, 312....................Ortega, Rose L MD 77, 84
...................Ortiz, Carlos APN 108, 280.............Ortiz, Carlos R MD 23, 40, 137
.....................Ortiz, Daniel MD 120, 161
...................Ortiz, Ivan A MD 15, 21, 92..............Ortiz, Jessica H APN 108, 280
.............................Ortiz, Jorge L MD 77.....................Ortiz, Michelle C SLP 259.....................Osuna, Veronica SLP 259
......................Otah, Kenneth E MD 120.................................Otto, Tara MD 248
.......................Ovalle, Alejandro MD 68.........Oyediran, Babatunde O MD 9, 92
.......................Ozanich, Brett A DO 125..................Ozuna, Linda APN 108, 280
PSee Page.........Pacheco Serrant, Helson MD 173
..................Pacheco, Hector O MD 202...................Pacheco, Sergio B MD 173
................Padilla, Angelica MD 41, 208..........................Padilla, Luis A MD 150
.......................Padilla, Manuel A DO 56
................Padilla, Mari C APN 108, 280...............Padilla, Maria I APN 108, 280.................Padilla, Osvaldo MD 41, 208
........Paez Fernandez, David A MD 161.................Paez Rios, Maria E LPC 312
......................Palacios, Mariano MD 68
....................Palafox, Andrew J MD 202......................Palafox, Maria D MD 138
....................Palisoc, Imelda D LPT 225.......................Palisoc, Vitus D LPT 225
................Palladino, Humberto MD 234................Pallares, Juan C MD 25, 249
...........................Pallis, Mark P DO 203...................Palm, Daniel B MD 23, 138
.....Panapitiya, Narendra C MD 25, 249........................Panda, Sanjeet MD 216
...................Pande, Saurabh A MD 171.....................Paniagua, Julian R MD 77
.....................Parga, Marcos A LPT 225.................Parisi, Sandro B MD 25, 249
..........................Parra, Abril E LPC 312.........................Parra, Guillermo MD 56
....................Parrilla, Zoraya M MD 218........................Parrott, Justin J MD 324................Partovi, Sirous N MD 23, 138
.................Patalano, Madeline LPC 312...............Patek, Gregory C MD 40, 138
..................Patel, Dipak T OD 197, 264.........................Patel, Haroon I MD 214
.........................Patel, Jagdish D MD 78
.........................Patel, Jignesh D MD 78............................Patel, Riddhi J MD 78
.....................Patel, Ripal H MD 23, 138.....................Patel, Sandeep N DO 144
...............................Patel, Vijita MD 218.............Patel, Vinaychandra M MD 144
...........................Pathak, Indu S MD 78..........Patrice, Carty Anna PA 231, 284.............Patterson, David S MD 26, 249
..........................Patterson, John MD 56..............Patterson, Richard B PhD 291
.....Patton, Samuel H MD 13, 35, 37, 92..........Paulette, Renee N APN 109, 280
.......Payan Schober, Fernanda MD 171.......................Payan, Hector A MD 237.................Payne, Carolyn E MD 49, 68..............Payne, Douglas B MD 68, 161
......Paz, Christina I APN 109, 271, 280,285
.........Pazmino, Patricio A MD 161, 171..........................Peake, Mark F MD 125
..............................Pean, Jules MD 120.................Pediatrix Medical Group 168
............Pedraza, Alberto APN 109, 280
INDEX OF PROVIDERSINDEX OF PROVIDERS
346
...........Peebles, Taron T APN 109, 280........................Pelking, Scott I LPC 312
...........Pema, Kanchan M MD 162, 254......Pena Human, Lynda APN 109, 280................Penaranda, Eribeth K MD 56
...................Penninck, Johan J MD 203.......Pennington, Delia C APN 109, 280
...........Peralta Kattengell, Ivania MD 78............Peralta Rojas, Diego P MD 153
........Peralta, Jasmine PA 86, 232, 271,272, 274, 284, 285
...........................Peralta, Max A MD 56.....Pereira Wookee, Lisa APN 109, 280
..........Perez Garcia, Gonzalo J MD 324..Perez Lopez, Arianna M MD 140, 162
..............Perez Rede, Solanja LPC 313...............Perez Zayas, Liliana LPC 313
.....................Perez, Jennifer A MD 183............................Perez, Juan R MD 56...........................Perez, Leida P MD 68.........................Perez, Oscar E MD 324
..........................Perez, Rebeca OT 189.....................Perrillo, Robert P MD 144
...................Perry, Devon W BCBA 289....................Personett, Becky B MD 56
.................Pester, Judith A MD 19, 209.............Peters, Kenneth W MD 14, 138
.........Petersen Crair, Pamela J MD 324...................Petros, Berekat B LPC 313............Petrus, Philippe W PA 232, 284
.........................Petteys, Rory J MD 173....Philipovskiy, Alexander MD 151, 162
.................Phillips, Jack E OD 197, 264........................Phillips, Paul M MD 234
............Pholvichitr, Paul P OD 197, 264................Pierantoni, Hector R MD 167
................Pieri, Richard E MD 153, 162.....Pimentel, Elizabeth A APN 109, 280
......................Pinaroc, Teresa R MD 68.................Pineda, Angel APN 109, 280
.....................Pineda, Sherry L LPC 313.........Pinzon, Guillermo A MD 141, 162
.......Pirela Cruz, Miguel A MD 150, 203.............Piriyawat, Paisith MD 175, 268
.................Pitchkolan, Larisa I LPT 225..Pitre, Clarence A MD 71, 82, 183, 270......................Pittle, Charles I DPM 235
...................Pittman, Eric F MD 40, 138......................Plowden, John S MD 210
..............................Po, Patricia L MD 56..........................Polanco, Daniel MD 68........................Polk, Sara E LCSW 295
Pollock Wakeham, Catherine D MD218
.........Ponce Lawler, Monica Y SLP 259.....................Ponce, Michael C DC 123
................Ponce, Rafael APN 109, 280..........................Porras, Enrique MD 68
............................Porras, Jose L MD 68..............Porta, Kendra J MD 15, 21, 92.................Porter, Alston M MD 11, 168
....................Porter, Matthew S MD 194..............Portillo, Ofelia L APN 109, 280....................Portillo, Patricia J SLP 260
........Portillo, Raul M MD 151, 162, 191............Portillo, Ricardo J LPT 226, 271
....Portugal, Elizabeth A CNM 109, 121,280, 283
.................Powell, Justin W DO 14, 138......Pradhan, Kumuda R MD 9, 28, 148..........Prasad, Shashank S MD 26, 249
..........Priego, Vanessa J APN 109, 280.....Prieto Jimene, Carmen A MD 78, 83
................................Prieto, Jose MD 78.......................Prieto, Lester O LPT 226
.................Prieto, Roberto MD 152, 191...............Prince, Monica APN 109, 280
.....................Pritchard, David G MD 92...................Prodanovic, Maria L MD 78
.....Prospero Ponce, Claudia M MD 194....................Protzman, Scott A MD 203.......Provencio, Mauro MD 57, 142, 261
...................Puentes, Audrey R MD 183...................Pugao, Irish F PA 232, 284
...............Pumerantz, Christa M OT 189....Puntenney, Elizabeth A MD 42, 129,
249....................Purcell, Richard L MD 203
................Purdy, Stephen OD 197, 264
QSee Page
....................Qiao, Jesse C MD 41, 209........Quarles, Stephanie R MD 23, 138
...................Quesada, Jaime A MD 238........Quezada Acosta, Dayna LPC 313
................Quinn, Kelly M APN 109, 280.................Quintana, Joseph A MD 120
RSee Page
..............Rachel, David F LPT 226, 271.................Radenovich, Violeta MD 212
.....................Radtke, Steven J MD 183.................Ragheb, Motataz M MD 324
...................Rai, Surinder K DO 33, 249.........Raja, Mohammad L MD 120, 165
....Rajachandran, Manu S MD 162, 165
...Ramirez Resendez, Nancy APN 110,280
......................Ramirez, Alan E LPT 226
........................Ramirez, Amado MD 78................Ramirez, Andrea M LPC 313
........................Ramirez, Chris LPC 313
..................Ramirez, Diego MD 71, 183..............Ramirez, Eva Y APN 110, 280
...........Ramirez, Jessica A PA 232, 284..................Ramirez, Loretta P SLP 260
......Ramirez, Magdalena APN 110, 280...........Ramirez, Monica V OD 197, 264...................Ramirez, Ruben E MD 194
.......................Ramirez, Ruben MD 144..........................Ramirez, Saul I MD 68
......Ramos Ramirez, Manuel D MD 138.............................Ramos, Ida LPC 313
........Ramos, Monica MD 9, 24, 28, 168...............Ramos, Ruben APN 110, 280
................Ramos, Sacheen S LPC 313..........................Ranch, Daniel MD 212
......Rangashamanna, Vital MD 42, 249...........................Rao, Bhaskar MD 162
..............Rao, Krishnaswamy J MD 211.......Rao, Sandeep MD 19, 26, 33, 249,
268.............Raphael, Leonard S MD 38, 92
.....Rasmussen, Sydney E PA 232, 284................Raudales, Fernando MD 171.................Rawlings, Christine LPC 313
..........................Ray, Harold W MD 207...................Reddy, Sireesha Y MD 183..................Reed, Norma W LCSW 296
..............Refaeian, Manouchen MD 218............Reffell, Massala P OD 197, 264......................Regalado, Nora G MD 57
...............Rehman, Aziz U MD 141, 162....................Reiersen, David A MD 206
...........Reiner, Bruce I MD 33, 129, 249...............Reiter, Dennis J DO 190, 194........................Reiter, Morris D OD 197
..........................Reiter, Todd A OD 197........Reliford, Marjorie N APN 110, 281
.....................Remirez, Carlos M MD 57...........Renteria Alvarez, Jose M MD 78
.......Renteria, Jennifer A APN 110, 281.................Renteria, Michelle M OT 189
..................Resignato, Paul J DPM 235.....Retana Brown, Perla A PA 232, 284
....................Revilla, Rodolfo M MD 184....Reyes Brooks, Katherine M LPT 226
.............................Reyes, Ariel LPT 226...................Reyes, Cynthia M LPC 314
............Reyes, Elizabeth APN 110, 281
INDEX OF PROVIDERSINDEX OF PROVIDERS
347
......................Reyes, Oscar A LPC 314.....Reyna Maldonado, Edgar D MD 57,
84..........................Reyna, Ricardo MD 79
................Reynolds, Richard D MD 234.Reza Trujillo, Cesar MD 13, 36, 37, 92
........Reznichenko, Aleksandr A MD 20,148
..................Rheder, Richard H LPC 314.......................Rhodes, Miller F MD 206
.............................Riaz, Jawad MD 324.......................Rich, Natalya D SLP 260
..............................Rich, Nicolas MD 79.....Rickman, Christopher E MD 33, 250
..................Ricks Cord, Anila R MD 184....................Riddell, Blake A PsyD 292......................Rigesti, German J MD 57..................Rincon, Cristina G SLP 260
..................Rincon, Jose L PA 232, 284..Rincones, Cheyenne C APN 110, 281
......Rios Tovar, Alejandro J MD 11, 40,148
...........................Rios, Angel M MD 184.........................Rios, Graciela LPC 314.......................Rios, Viviana A LPT 226
........................Ritz, Reis B MD 23, 138..........Rivera Alsina, Manuel E MD 184
............Rivera Reyes, Hector L MD 324.....................Rivera, Audrey F SLP 260
....Rivera, Efrain MD 13, 17, 21, 27, 36,37, 92
.......................Rivera, Erica E LPC 314...................Rivera, Erica LPC 292, 314
....................Rivera, Itzel APN 110, 281............Rivera, Ragene R MD 166, 191
..........................Rivera, Ruben OT 189.............................Rizvi, Rabab MD 324
.................Robertson, Frank M MD 214.....Robertson, Kathleen A MD 150, 203
................Robinette, Alison MD 33, 250..........Robinson, Emily E APN 110, 281
.....................Robinson, Estella MD 184..................Robledo, Claudia C OT 189
.......................Robledo, Laura L MD 60...Robles Samaniego, Maria A LPC 314
..........Robles, Celene M APN 110, 281...................Robles, Elizabeth LPC 314
................Robles, Myra I APN 110, 281...........................Roby, Kate A LPT 226
.......................Rocha, Alejandro DO 57..............Rocha, Ofelia A APN 110, 281........................Rocha, Sandra T DO 57
.........Rodarte Rojas, Sergio M MD 324.........................Rodarte, Galo A MD 68................Rodela, Evelyn LPT 226, 273
..........Rodriguez Che, Angel M MD 324...Rodriguez Gonzalez, Hector L MD 57
................Rodriguez, Alberto I LPC 314.........Rodriguez, Angela APN 110, 281................Rodriguez, Darice M MD 324
........Rodriguez, David F MD 15, 21, 92
..................Rodriguez, Diane D OT 189.........Rodriguez, Erika V APN 110, 281
...Rodriguez, Francisco B MD 261, 265..............Rodriguez, Gabriela I SLP 260
................Rodriguez, Gilbert S MD 138.................Rodriguez, Grisel J SLP 260
..............Rodriguez, Gustavo J MD 175...............Rodriguez, Hector E LPT 226......Rodriguez, Hector L APN 110, 269,
272, 281, 285......................Rodriguez, Ismael MD 68..................Rodriguez, Jose A SLP 260
............Rodriguez, Kevin LPT 226, 273.......................Rodriguez, Kim V MD 79.......................Rodriguez, Luis L MD 69
..................Rodriguez, Marco A OT 189............Rodriguez, Mario L BCABA 287
.......Rodriguez, Miguel A APN 110, 281....................Rodriguez, Paul C DC 123....................Rodriguez, Paul M OT 189
.....Rodriguez, Ricardo M LPT 227, 273...................Rodriguez, Rosa I SLP 260.........Rodriguez, Simon S MD 162, 171
...............Rodriguez, Stacey V LPC 315.........Rodriguez, Yomaira Y LCDC 292
...........Rogers, Katrina E APN 111, 281........Rojas Mendez, Carmen P MD 184
...............Rojas, Maria G APN 111, 281...............Rolon, Juan Carlos E MD 184
............Romero Flores, Patricia OT 189........Romero Ramos, Samuel F MD 69
........Romero, Joshua M APN 111, 272,281, 285
........Romero, Roberta A APN 111, 281......................Romero, Rocky J OT 189
..................Romero, Yvonne L SLP 260...............Roncallo, Ruben R MD 79, 85
....................Ronconi, Linda A LPC 315..........Rosado, Damaris C PA 232, 284
...............Rosado, Rebecca J DPM 235....................Rosales, Edmundo MD 69..........Rosales, Ivonne V APN 111, 281
.....................Rosales, Kendra SLP 260........Rosales, Mabel Y LCDC 293, 315
....................Rosales, Patricia LPC 315.................Rosario, Domingo J MD 209
.........................Rosario, Rey F MD 171..Rosas Blum, Eduardo D MD 211, 216
......................Rosas, Gerardo LPC 315...............Rosen, Andrew P MD 71, 184
.........................Ross, Ashlee R OT 189.........................Ross, Cray MD 23, 139
.....................Roth, Kathleen A LPT 227........Rovner, Sergio F MD 69, 141, 162.......................Rowley, Kevin D DO 238
.........................Ruan, Qingmin MD 325....Rubio, Elizabeth APN 111, 142, 272,
281, 285....Rubio, Ruby N MD 9, 13, 27, 36, 37,
92..................................Ruck, Lela MD 69
.............Rucker, Ebony MD 23, 40, 139.......................Rueda, Destyni SLP 260
.....Ruhnke, Thomas J MD 42, 129, 250.....................Ruiz, Beth M PA 232, 284............................Ruiz, Cristina OT 189
........Ruiz, Javier MD 16, 17, 21, 27, 92...........................Ruiz, Mario E MD 250
........................Ruiz, Rosalina LPC 315...............................Ruiz, Sarah RD 176
............................Ruiz, Vanessa MD 79
..........................Ruja, Marius S DC 123.....................Russ, Rhonda M LPC 315......................Rymer, Jessica M MD 57
SSee Page
.............Sackrider, Aimee M BCBA 289......Saeed, Mohammad A MD 250, 268
........Saenz Alvarado, Rodrigo J MD 69.....Saenz Hernandez, Maribel LPC 315
............................Safdar, Amar MD 154
......................Saha, Arnold MD 26, 250........................Sahewalla, Rini MD 210...........................Sainz, Jorge G MD 79
....................Sairam, Shrilekha MD 254.....................Salas, Jessica V LPT 227
.......................Salas, Nancy L SLP 260...........Salayandia, Luis C MD 163, 254
............................Salazar, Alex MD 145.............Salazar, Cesar O MD 144, 163............Salazar, Judith S APN 111, 281
......................Salazar, Ricardo MD 325.....................Salcedo, Araceli LPC 315.....................Salcido, Richard LPC 315
...............Saldivar, Jose S MD 150, 184................Salinas, Albert APN 111, 281
.....................Salinas, Annette LPC 315....................Salloum, Hassan N MD 79
.......................Salloum, Maha S MD 79................Saluja, Paramveer S MD 171
................................Sam, Gloria MD 57....Samble Smith, Ruth E APN 111, 281
INDEX OF PROVIDERSINDEX OF PROVIDERS
348
..................Samonte, Miguel B MD 216.....................Samsel, Kara MD 40, 139
.............San Miguel, George G MD 184....Sanchez Rivera, Ines J MD 152, 191
.......Sanchez, Adriana P APN 111, 281
.......Sanchez, Gabriel M APN 111, 281....................Sanchez, Javier E MD 116...........Sanchez, Maria E APN 111, 281
....Sanchez, Rosalinda T APN 111, 281...................Sandberg, Kevin J MD 218...................Sanders, Karen L LPC 315
..................Santos, Luis A MD 211, 216.......................Santos, Ryan F LPT 227
...................Santoscoy, Robert MD 265....................Sapien, Mariano DPM 235
......................Saqib, Naveed U MD 149....................Sartori, Michele P MD 165
...............Saucedo, Ana M PA 232, 284...................Saucedo, Suzette LPC 315
...............Sawyer, Shannon C LPC 315.................Schaffer, Michael G MD 185.................Scharf, Donald A LCSW 296
.....................Scheller, Mark D LPT 227......................Schiller, Sander LPT 227
................Schuchman, Mark C MD 325...........................Schuller, Dan MD 238
........................Schulte, Kim E LPC 316..................Schuster, Jeffrey D MD 210
.......................Schutte, James PhD 292.......Schwarzkopf, Heinz Dieter DO 139
..........Schweiger, Russell A LCSW 296........Scott Martinez, Theresa A OT 189
..............Scott, Crystal Y APN 111, 281..................Scudday, Bruce A DPM 235..........Seagrove, Sara N APN 111, 281.................Sears, Laurence D LPC 316
..................Sebesta, Michael J MD 267..........................See, Gladina M MD 69.......................Seelig, Deborah MD 234
....................Segapeli, Joseph H MD 79..................Segapeli, Nancy S LPT 227
.....................Sehgal, Neha DO 40, 139.............Sembrano, Svetlana R MD 325
..............Sepahdari, Amir K MD 15, 250...............Sepulveda, Amanda SLP 260
...........Sepulveda, Bernadette LPT 227.....Sepulveda, Elizabeth C BCABA 287
...................Sepulveda, Sarah A MD 57............................Serna, Aime D MD 69
....................Serna, Ana K PA 232, 284.........................Serna, Jorge H MD 172
.........Serrano, Michelle N OD 197, 264........Serrano, Monique I APN 111, 281
..............................Shafi, Nazish MD 57
.......................Shah, Arjav J MD 16, 93.........Shah, Rajvee M MD 33, 129, 250
.........Shahabi Azad, Benjamin MD 218..Shahinian, Haroutioun S MD 151, 192
......................Shami, Waseem MD 165..................Sharma, Amit K MD 26, 250.......................Sharma, Rajiv K MD 163
.........Sheppard, Heather APN 111, 281......................Sherman, John M MD 57
...Shestopalov, Alexander MD 250, 268...Shimunov, Sergey DO 16, 18, 20, 24,
148.....................Shirsat, Pratibha K MD 79
.................Shmorhun, Daniel P MD 210................Shoemake, Brittany D MD 69
......................Shokar, Gurjeet S MD 58.......................Shokar, Navkiran MD 58
...................Short, Tracy A PA 233, 284.........Shrewsbury, Bethany M LPC 316
.........................Shuaib, Samer MD 165...............................Shukla, Vani MD 69
...........................Shull, Abby BCBA 287........................Shults, Sandra D MD 58
.......Shydohub, Alexander V MD 38, 93......................Siddiqui, Samina MD 325..............Siddiqui, Tariq S MD 120, 163
................................Sides, Eric MD 203..................Sidhu, Gurbans MD 40, 139
...................Sifuentes, Blanca LPC 316.....Sifuentes, Jacqueline APN 112, 281
......................Sifuentes, Liliana DC 123..................Sigala, Viridiana LCSW 296
............Silberman, Jenna R LCSW 296....................Silva, Blanca E LCSW 296
...........................Silva, Jaime L MD 120.....................Silva, Jazmine A LPC 316
...............................Silva, Jose J MD 69..................Silva, Katrina S DO 33, 250...................Silva, Naomi N MD 12, 250
............Silvestre Tobias, Lorena MD 85.............................Silvia, Scott K MD 58...........................Sime, David A DC 123
...............Simpson, Angelica LMFT 297.........Simpson, Brenda M MD 125, 210.................Simpson, Michael H MD 125
...............Singh, Ajay P MD 11, 41, 168.....................Singh, Heramb K MD 273
............................Singh, Jasbir MD 166................Singh, Namrata S MD 80, 83
.................Singletary, Kellye N MD 325..................Skelton, Sabrina L LPT 227
................Skory, John C APN 112, 281.............Skrinak, Nikki A CNM 121, 283
................Slape, Rosalia APN 112, 281
........Smilo, Stephanie A APN 112, 281......................Smit, Jozef L MD 23, 139
.........................Smith, Darci L LPT 227..........................Smith, Dean E MD 203
..................Smith, Jessica L BCBA 289.........................Smith, Karen D MD 254.........................Smith, Oliver R DC 123
.............Smith, Rubeena APN 112, 281...................Smith, Shannon BCBA 289
.....................Smith, Vanesa P SLP 260.......Soberanes, Rickie J APN 112, 281
......................Soliman, Ahmed MD 194.......Solis, Guillermina R APN 112, 281
...............................Solis, Maria OT 189....................Solis, Mirian LPT 227, 272
......................Solis, Ricardo A LPC 316............Solomon, Thomas R BCBA 289
.....................Son, Mary Ann H MD 185......................Sonbol, Yassir A MD 165
...........Song, Young S MD 34, 129, 251...Songbandith, Virabandi V MD 58, 60,
85......Soriano Hidalgo, Luis A LCSW 296
...........Sotelo Rafiq, Elsa P MD 19, 209
.................Soto Cora, Ediberto MD 120.....Southwest Hcp Access PA 232, 284
...............................Speeg, K V MD 144........................Spier, Jeffrey M MD 267
..Spraitzar, Sarah R MD 13, 36, 37, 38,93
.........Spurbeck, Maria V MD 49, 80, 84.....Spurbeck, William W MD 11, 18, 24,
28, 41, 148, 214, 217........................Square, Jaime H MD 69
...........St Almond, Maureen M LPC 316......................St Hill, Ronald G MD 325.......................Stallings, Tricia LPC 316
............Stehling Monzon, Toni LPC 316................Stemsrud, Rebecca LPC 316
...................Stendel, Marissa R OT 189.......Stewart Ray, Verlaine M APN 112,
281.........................Stewart, Kevin L MD 58................Stiles, Charles T MD 23, 139..............Strader, Wilbur J MD 141, 175
....................Strebeck, Sarah L MD 325...........Stripling, Paige M APN 112, 281..........Suarez, Cerena H APN 112, 281
....................Suarez, Claudia E MD 185
....................Suchoff, Monica L MD 209......................Sullivan, Andre J MD 325.....................Sullivan, Zachary DO 325
..Sundarakumar, Dinesh K MD 42, 130,251, 268
........Sundrani, Shanker S MD 173, 272
INDEX OF PROVIDERSINDEX OF PROVIDERS
349
...................Sung, Helen M MD 23, 139................Suwan, Tariq Z MD 251, 268
..................Swafford, Sarah M LPC 316.....................Sykes, Andrea B SLP 260............Szeyko, Larissa A MD 154, 163
TSee Page
.......................Taber, Jeffrey E MD 267.................Tafoya, Lawrence C MD 194
..................Takeuchi, Sean MD 10, 251.........................Talamas, Emilia MD 80........................Talarico, Nick A DC 123
..................Talavera, Esther LCDC 293.Tan, Jeanette S MD 70, 163, 238, 255
...........................Tano, Sara E LPT 227...............Tano, Sheeba V DO 152, 192........................Tantoush, Manal MD 80.......................Tapia, Cecilia BCBA 289
.................Tapia, Martha APN 112, 281.....................Tatem, Diane W LPC 317......................Taveras, Juan M MD 121
..................Taylor, Hillary E AUDIO 115.............Taylor, Jeffrey J APN 112, 281
...........................Taylor, John DPM 236.................Taylor, Marila APN 112, 281
.................Taylor, Michael J LCDC 293.........Tedesco, Kurtis L MD 10, 34, 251
.....Teegarden, Ernest A DO 13, 17, 21,36, 37, 93
....................Tejeda, Veronica SLP 260................Teleb, Mohamed MD 20, 139............Telles, Elizabeth A PA 233, 284..................Telly, Alexandra C LPT 227
..Terrazas Ponce, Belen APN 112, 282........Terrazas, Sandra G LPT 227, 273
......Terreri, Anthony A MD 34, 130, 251.....................Terry, Kimberly D MD 212
........................Terry, Wanda K MD 325.....Tesorero Tengco, Mafalda D MD 80
Texas Tech Univ Healthscience Ctr42, 249
....................Texas Tech University 233.......Texas Tech University Health 302,
326........Thabet-Hagag, Ahmed M MD 203
...............Theard, Franz C MD 166, 185...Thomas, Bobbi G APN 112, 163, 282
.................Thomas, Jessica R LPC 317.........................Thomas, John P MD 58........Thomas, Linda P MD 34, 130, 251......................Thomas, Mark D MD 267
....................Thomas, Robert P MD 214........Thompson, Christopher P MD 206
.....................Thompson, Kida A MD 58
.................Thompson, Peter M MD 325..Thompson, Robert L MD 34, 130, 251................Thompson, Susan S MD 325.................Thornburg, Carroll W DO 58
...............Tibrewal, Sapna MD 194, 212...............Tiffault, Gerard R MD 23, 139
.................Tiscareno, Tessa S LPT 227....................Tittle, Joe F APN 112, 282
..............Todora, Michael A MD 10, 251................Tofilon, Janett APN 112, 282
..........Tolbert Bornstein, Natalie MD 70..............................Tomas, Iris A MD 58
...................Tomasino, Rodolfo MD 185.............Tomei, Alexandra D BCBA 289
...Tonarelli De Maud, Silvina B MD 325................Torres, Adriana N BCBA 289
.........................Torres, Erick G MD 203............Torres, Evelyn G APN 112, 282
.........................Torres, Ivan N LPC 317..........................Torres, Jose A MD 185
..............Torres, Leigh A APN 113, 282.................Torres, Luz M APN 113, 282
.........Torres, Marcelita P APN 113, 282.....................Torres, Miguel A LPT 228
.......................Torres, Nancy L MD 152...................Torres, Omar E LCSW 296
......................Tovar, Daniel R LPC 317..Townsend, Dwight A MD 34, 130, 251
....................Trejo, Octavio MD 25, 209......................Tremper, Larry J DO 213
..........................Trevino, Marina MD 82.............Trevizo, Bernadette V LPC 317
............Trevizo, Roberto APN 113, 282............................Trick, Kristin LPC 317...........................Trien, Remi H MD 163
............................Trier, Todd T MD 173..............Trinh, Michelle T OD 197, 264
........................Tripathy, Uttam MD 265..............Trubowitsch, Gregory MD 194
.................Trueba, Deborah A LPT 228...................Trujillo, Brianne F LPC 317
.........................Trujillo, Eric M LPT 228.....................Trujillo, Sasha D LPT 228......................Tucker, Anna M LPT 228
.............Tulachan, Sidhartha S MD 145..............Tullius, Thomas G MD 42, 251
............Tullius, Zoe MD 12, 24, 41, 168..................Turbay, David MD 121, 163
...................Turner, Candice B LPT 228..........................Turner, Lisa BCBA 290.............Tyroch, Alan H MD 11, 41, 149
...................Tyroch, Roxanne M MD 70
USee Page
.............Udo, Inemesit G APN 113, 282.....Uga, Aghaegbulam H MD 163, 325,
326................Uga, Cecilia O APN 113, 282
........................Ugarte, Adrian O MD 70......Ungar, Joseph MD 11, 14, 34, 130,
252.................Urban, Elizabeth M LPC 317
................Urias, Jorge A MD 27, 38, 93.......................Uribe, Francisco MD 326
............................Urrea, Luis H MD 204........................Urrea, Robert E MD 204.........................Usen, Stanley O MD 80
VSee Page
..........................Vacio, Liliana LPC 317...Vadi Latiff, V H MD 13, 17, 21, 27, 93
.......Valadez, Michelle M APN 113, 282..........................Valdes, Marisol MD 80
............Valdez, Alyssa M LPT 228, 271..............Valdez, Ashley M BCABA 287
......................Valdez, Justin B LPT 228.................Valdivia, Jose APN 113, 282
................Valencia, Maria D LCDC 293.....Valenzuela, Carlos E CNM 121, 283...........Valenzuela, Jesus E LCSW 296
.................Valenzuela, Jose L LPC 317................Valenzuela, Manuel F MD 80
...........Valilis, Panagisti N MD 152, 192...............Valle, Christina APN 113, 282
............Vallejo, Daniel C APN 113, 282.....................Valles, Lorena LCSW 296
.........Valverde, Caitlin D APN 113, 282.............Vande Lune, Daniel W MD 204
...................Varela, Albert J LCSW 296...........................Varela, Erika LPC 317
......................Vargas, Adam J LPT 228.................Vargas, Arturo L MD 25, 209.............Vargas, Ricardo APN 113, 282
.................Varghees, Seema S MD 326.......Vasquez Capelli, Samuel LPC 317
.........Vasquez, Bertha R APN 113, 282...........................Vasquez, Iris LPC 317
.......................Vasquez, Luis F MD 173...........Vasquez, Monica APN 113, 282
................Vasquez, Rodolfo E LPC 317......................Vasquez, Valerie OT 190................Vaughn, David D MD 26, 252
..........Vazquez, Carlos W MD 195, 213...............Vazquez, Eduardo G MD 207
......................Vazquez, Gerardo MD 59
INDEX OF PROVIDERSINDEX OF PROVIDERS
350
..............Vazquez, Jefferey R DPM 236..............Vazquez, Lilia A LPT 228, 271.....................Vazquez, Marylu SLP 260
.................Vazquez, Norma O LPC 318........Vedoy Barajas, Qurana F DO 185
..............Vega, Veronica APN 113, 282................Vegunta, Ravindra K MD 214
.....................Velasco, Joanna SLP 260..........Velasco, Sandra L APN 113, 282
...............Velasquez, Arma R DPM 236....................Velasquez, Linda K MD 80
......Velasquez, Michael A DO 163, 172.................Velazquez, Maria D MD 185................Velazquez, Rosario LPC 318
.............Velez, Claudia L APN 114, 282..............Velez, Vanessa APN 114, 282
................Velimirovic, Bratislav MD 173.............Vellipuram, Anantha R MD 175
..............................Venzor, Jose MD 87..................Vera, Robert W MD 71, 185..............Viado, Emma S MD 80, 82, 84
.......Vidal Buxton, Cynthia A BCBA 290......................Viesca, Carlos O MD 207
.............Villa Rojas, Adriana BCBA 290.....Villa Royval, Silvia M MD 27, 38, 93
..............Villa, Chelsea R LPT 228, 271.................Villa, Mindy E APN 114, 282........................Villa, Stacey R LPC 318
....................Villalba, Adam MD 11, 139.............Villalobos, Griselda LCSW 296
........Villalobos, Oscar D APN 114, 282....................Villalobos, Victor M MD 59.................Villaneda, Gabriela SLP 261
...Villanos, Maria Theresa M MD 81, 83.........Villanueva, Crystal APN 114, 282
...............Villarreal Ga, Jorge J MD 185..............Villarreal Garcia, Jose MD 186
.....Villarreal, Jose L MD 11, 17, 21, 27,37, 93, 207
....Villavicencio Fernan, Sandra MD 49,59
..................Vinson, Frederick L MD 186....................Vinson, Richard P MD 125
.....Vivanco, Cesar E MD 163, 166, 192...........Vizcaino, Adriana APN 114, 282
...............Voglewede, Daniel C MD 267.....................Vogt, William PA 233, 284
.................Volkova, Olga APN 114, 282........................Vos, Tammie L LPT 228
................Vourazeris, Jason D MD 204..............................Vu, Hung Q MD 204
WSee Page
....................Wade, Michael K LPC 318
......Wadhwa, Mukesh N DO 13, 16, 36,37, 93
............................Wadja, Allen LPT 229...................Wagener, Jodie BCBA 290
....................Walk, Ryan M MD 11, 149....................Walker, Sandra L LPT 229
.......................Walker, Sarah K MD 214........................Walter, Perri D LPC 318
.............Wang, Benjamin Y MD 26, 252.......................Wang, Chinsing MD 173
...........................Wang, Jason J MD 81..........................Wang, Peter T MD 234
.......................Wang, Robert H MD 186....................Wang, You A OD 197, 264..............Ward, David L MD 34, 42, 252
....................Ward, Kenneth R LPC 318..................Ward, Mariko APN 114, 282
................Ward, Matthew J MD 34, 252.........................Wardy, David J DC 123...Warfel, Joel W MD 13, 19, 36, 37, 93
...............Warpinski, Amy L DO 20, 252.................Washburn, Daniel S MD 195
...................Watkins, Lora J LCSW 296...............Watkins, Sarah A MD 40, 139......................Watson, Wayne K MD 70...........Watts, Wallace M APN 268, 284
............Wawer Chubb, Allison K DO 81.......................Weaver, Casey LPC 318
...........................Webb, Joel C MD 186...........................Weber, Eric D MD 195
................Weber, Nancy W DO 40, 140..................Weidner, Jennifer L MD 186
.........................Weir, Wendy R LAC 86....................Weislow, Jeffrey S DC 123..Weiss, Katherine J MD 16, 19, 20, 24,
168......................Weiss, William M MD 204
........................Welch, Gregory MD 217.............Wellmed Medical Group PA 66
..............Welte, Frank J MD 11, 34, 252......Wendt, Frederick C MD 26, 34, 252
......Wentworth, Angela J APN 114, 282............Werge, Danielle M PA 233, 284
............Westbrook, Benjamin J MD 206..............Westbrook, Richard S MD 204
...................White, Anna CNM 121, 283...................White, Ronald L MD 38, 93
..........Wickenheiser, Sara A BCBA 290...............Wickley, Aaron B MD 26, 252
....................Wieland, Kristina M MD 70...................Wilcox, John R MD 11, 252
...............Wilkerson, Jermaine LPT 229..................Williams, David B DPM 236
....Williams, Gethin MD 11, 35, 42, 130,252
......................Williams, Michael OT 190
......................Williams, Nayo S MD 186....................Williams, Patricia LPC 318...................Willison, Elizabeth LPT 229
......Wilson, Harry L MD 12, 25, 41, 209..................Wilson, Lourdes G LPC 318
.......................Winter, Marta P SLP 261......................Wittmann, Amy L OD 198
...............Witwer, Stephanie L LPC 318Wm Beaumont Arm, Y Medical Ctr MD142
............Wojciechowska, Joanna MD 81............................Wolfe, Perry T MD 59.................Wong, Joyce L OD 198, 264
....................Woo Telles, Argelia MD 59.................Woo, Thomas LPT 229, 273
.....................Woods, Gordon L MD 163..........Woodward, Harold L MD 14, 140
..........Wooley, Angela M APN 114, 282..........Woznicki, Marie T APN 114, 282
....................Wright, Camesha LPC 318.........................Wright, Justin M MD 59...............Wright, William H MD 35, 253
.......................................Wu, Jie MD 70............................Wyant, Glen R MD 93
YSee Page
......................Yagel, Claudia M OT 190.............Yates, Mariana M MD 141, 164
..................Yerram, Sushma R MD 175..............Yocum, Denise N PA 233, 284
..............................York, John C MD 87.........................Young, Allan G DO 149
.................Young, Elizabeth S LPC 319....................Yousef, Karl A MD 40, 140....................Yusoof, Syed A MD 60, 70
ZSee Page
..............Zabanal, Rosario C MD 81, 84.........Zaborowski, Elizabeth F SLP 261
.....Zafar, Abdul M MD 12, 42, 130, 253...............................Zaidi, Syed MD 253
......................Zakula, Mark MD 40, 140......................Zaman, Naoshad DC 123......Zamora, Juan P APN 86, 114, 269,
272, 274, 282, 285..............Zamora, Rosa I APN 114, 282...............Zamudio, Jose M MD 86, 186
.................Zarate, Elizabeth LCDC 293.........Zarghouni, Mehrzad MD 253, 268
....................Zate, Sarah M MD 81, 217................................Zayas, Raul MD 59
.Zebda, Mohamed A DO 49, 81, 83, 85
INDEX OF PROVIDERSINDEX OF PROVIDERS
351
............Zepeda, Hector MD 15, 28, 209.....................Zerah, Michele M MD 211
..............................Zink, Susan MD 326...............Zoraya Parrilla MD PLLC 218
................Zubia, Rosalia APN 115, 282..........Zuckerman, Marc J MD 145, 164..................Zuniga, Caesar A DPM 236
................Zuniga, Isabel APN 115, 282...............Zuniga, Julie A APN 115, 282.......................Zuniga, Louis E LPT 229
.............Zuniga, Marco A APN 115, 283............Zvavanjanja, Rodrick C MD 253
