DENISE LAVETTE DESHIELDS (NPI# 1124277629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124277629 |
| Entity Type | Individual |
| Full Name | DENISE LAVETTE DESHIELDS |
| Credential | M.D. |
| Practice Address |
3901 State Jail Rd El Paso TX 79938-8465 |
| Practice Telephone | 9158498039 |
| Practice Fax Number | 9158498465 |
| Mailing Telephone | 9158498039 |
| Mailing Fax Number | 9158498465 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2008-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | H5162 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
3901 STATE JAIL RD |
| City | EL PASO |
| State | TX |
| Zip Code | 79938-8465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861012080 | Blake Sporer | Physician Assistant | 3901 State Jail Rd, El Paso, TX 79938-8465 | 2020-04-17 |
| 1811003999 | Michael Jay Davidson | Dentist | 3901 State Jail Rd, El Paso, TX 79938-8465 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962047795 | Brooke Raanne Beaver | Behavioral Analyst | Wells Fargo Plaza, Kansas St # 700, El Paso, TX 79938 | 2019-11-15 |
| 1386109635 | Judith Roman | Nurse Practitioner | 12810 Edgemere, El Paso, TX 79938 | 2019-01-31 |
| 1033681564 | Project Vida Health Center | Clinic/Center | 3216 Tim Foster Street, El Paso, TX 79938 | 2018-12-21 |
| 1851868384 | Possibilities Speculation, Pllc | Dentist | 2260 N Zaragoza Rd Unit A112, El Paso, TX 79938 | 2018-11-02 |
| 1578030276 | Connor Family Dentistry East Pllc | Dentist | 1920 N. Zaragoza Rd., Suite 107, El Paso, TX 79938 | 2018-10-31 |
| 1952895039 | Marlen Hernandez Cortez | Behavior Technician | 15165 Snohomish Loop, El Paso, TX 79938 | 2018-06-21 |
| 1497287155 | Assisting Alliance L.L.C. | Physician Assistant | 14048 Oso Rock Way, El Paso, TX 79938 | 2017-03-31 |
| 1619428703 | Sege Medical PC | Family Medicine | 2260 N Zaragoza, Suite A118, El Paso, TX 79938 | 2016-10-24 |
| 1891148110 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 12051 Tierra Este Rd, El Paso, TX 79938 | 2016-07-21 |
| 1639538077 | Early Bird Pediatric Therapy Clinic, Inc | Occupational Therapist | 2114 N Zaragoza Rd Ste C1, El Paso, TX 79938 | 2016-02-13 |
| Find all providers in zip 79938 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528683810 | Umc El Paso Healthcare Inc | General Practice | 7500 Viscount Blvd Ste 140, El Paso, TX 79925-5692 | 2020-06-11 |
| 1023580925 | Esperanza Medical and Wellness | General Practice | 12102 Montwood Dr Ste F, El Paso, TX 79936-4570 | 2018-12-18 |
| 1386177400 | Luis Rochin | General Practice | 3215 Gateway Blvd W Ste B, El Paso, TX 79903-4225 | 2017-04-05 |
| 1881041689 | Colin Patrick Martyn | General Practice | 13001 Eastlake Blvd Ste 105, El Paso, TX 79928-6312 | 2016-05-21 |
| 1437512506 | Chirag Acharya | General Practice | 5501 N Stanton St Apt 6, El Paso, TX 79912 | 2016-04-05 |
| 1851773907 | Remigio Flor | General Practice | Wbamc, 5005 N Piedras St, Mchm-dos-gsr, El Paso, TX 79920-5001 | 2015-06-25 |
| 1821483322 | Cesar Siska | General Practice | 1409 Likins, El Paso, TX 79925-7992 | 2015-04-01 |
| 1245644673 | Robert Jessie Atchison | General Practice | 5005 N. Piedras St. Attn: Gme, William Beaumont Army Medical Center, El Paso, TX 79920-5001 | 2014-06-13 |
| 1043548514 | Saw San | General Practice | Soldiers Family Medical Clinic -11th Abd Bde Surgeon, Fort Bliss, El Paso, TX 79916 | 2009-11-21 |
| 1831345495 | Sumithra Rajashekhar | General Practice | 11167 Leo Collins Dr, El Paso, TX 79936-4630 | 2008-08-14 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.