E.P. PREMIER MEDICAL GROUP, P.A. (NPI# 1386708865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386708865 |
| Entity Type | Organization |
| Organization Name | E.P. PREMIER MEDICAL GROUP, P.A. |
| Other Organization Name | PREMIER DIAGNOSTIC |
| Practice Address |
6065 Montana Ave Suite A-2 El Paso TX 79925-1835 |
| Practice Telephone | 9157717200 |
| Practice Fax Number | 9157717293 |
| Mailing Telephone | 9157717200 |
| Mailing Fax Number | 9157717293 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SEYED M. ALAVI (ADMINISTRATOR) |
| Authorized Official Telephone | 9157717200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | TX | Allopathic & Osteopathic Physicians | |
| X | 291U00000X | Clinical Medical Laboratory | TX | Laboratories |
| Other Name | Type Code |
|---|---|
| Premier Diagnostic | Doing Business As Name - Organization |
| Street Address |
6065 MONTANA AVE SUITE A-2 |
| City | EL PASO |
| State | TX |
| Zip Code | 79925-1835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922040658 | Zafer Hasan Haydar | Specialist | 6065 Montana Ave, Suite A2, El Paso, TX 79925-1835 | 2006-06-10 |
| 1861976995 | Miranda Jean Castaneda | Registered Nurse | 6065 Montana Ave, El Paso, TX 79925-1835 | 2018-09-25 |
| 1457878514 | Aicha Khamsi | Dentist | 6065 Montana Ave, El Paso, TX 79925-1835 | 2017-08-29 |
| 1215457536 | Nam Le | Dentist | 6065 Montana Ave, El Paso, TX 79925-1835 | 2017-06-27 |
| 1912259631 | Craig R Rainer | Dentist | 6065 Montana Ave, El Paso, TX 79925-1835 | 2012-10-04 |
| 1871894907 | Stephen Petty | Dentist | 6065 Montana Ave, El Paso, TX 79925-1835 | 2010-11-05 |
| 1881918092 | Ankur Bharat Patel | Radiology | 6065 Montana Ave, Suite A-6, El Paso, TX 79925-1835 | 2010-03-16 |
| 1861725228 | Vicente Jacquez | Nurse Practitioner | 6065 Montana Ave, Suite A-2, El Paso, TX 79925-1835 | 2009-09-16 |
| 1881873008 | North Mesa Dental, PC | Dentist | 6065 Montana Ave, Suite B4 - B10, El Paso, TX 79925-1835 | 2007-10-25 |
| 1457555351 | El Paso Therapy Services Inc | Durable Medical Equipment & Medical Supplies | 6065 Montana Ave, Suite B2, El Paso, TX 79925-1835 | 2007-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003434820 | Francisco Andres Escobar | Dentist | 2200 N Yardbrough Dr, Suite N, El Paso, TX 79925 | 2020-07-08 |
| 1982259495 | Cruz Elvia Corral | Assisted Living Facility | 10165 Bermuda, El Paso, TX 79925 | 2019-08-02 |
| 1740846179 | Sister Sisters In Home Care Services LLC | In Home Supportive Care | 9327 Sims Drive, Suite F, El Paso, TX 79925 | 2019-05-10 |
| 1245790450 | Mario Salinas | Student in an Organized Health Care Education/Training Program | 10301 Gateway Blvd W, El Paso, Texas 79925, El Paso, TX 79925 | 2019-03-22 |
| 1720559289 | Sweet Care Home Care Providers LLC | PACE Provider Organization | 7917 Sunmount Dr, El Paso, TX 79925 | 2018-12-10 |
| 1083130215 | Javier Calzadilla Jr. | Behavior Technician | 9900 Montana Ave Ste C6, El Paso, TX 79925 | 2017-08-18 |
| 1942721980 | Isela Cristina Sanchez | Specialist/Technologist | 3021 Killarney St., El Paso, TX 79925 | 2017-06-29 |
| 1831629617 | Rebekah E Alvarez | Behavior Technician | 2200 North Yarabrough Suite B, Apt 103, El Paso, TX 79925 | 2017-06-14 |
| 1841646817 | Imelda Barbosa | Counselor | 9455 Viscount 170, El Paso, TX 79925 | 2016-05-10 |
| 1528426491 | Salnor, Inc. | Clinic/Center | 8517 Lockheed Dr., El Paso, TX 79925 | 2016-02-05 |
| Find all providers in zip 79925 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851852297 | Trinity Heritage Pllc | Internal Medicine | 2204 Joe Battle Blvd # D203, El Paso, TX 79938-4660 | 2019-03-28 |
| 1770048175 | Pablo Casares Md Pa | Internal Medicine | 1516 Lomaland Dr, El Paso, TX 79935-4202 | 2019-02-10 |
| 1922504588 | Spectrum Radiologists Services Inc | Internal Medicine | 4855 N Mesa St Ste 130, El Paso, TX 79912-5939 | 2018-04-03 |
| 1831612738 | Cinu Integrated Medical Pa, Pllc | Internal Medicine | 1556 Lomaland Dr Ste 101b, El Paso, TX 79935-4202 | 2017-07-23 |
| 1619490133 | Dwayne Friday, M.d., Pllc | Internal Medicine | 811 Chelsea St Ste B, El Paso, TX 79903-4925 | 2017-07-18 |
| 1376907576 | Rene Roberts Jr. | Internal Medicine | 400 Stewart Dr, El Paso, TX 79915-2530 | 2016-04-13 |
| 1891159349 | Roberto Gonzalez | Internal Medicine | 2311 N Mesa St Ste J, El Paso, TX 79902-3575 | 2016-04-11 |
| 1548643216 | Internal Medicine Providers of El Paso Pllc | Internal Medicine | 717 Lakeway Dr, El Paso, TX 79932-3120 | 2015-06-30 |
| 1326445347 | Mojgan Kaveh-talley | Internal Medicine | 5100 North Piedras Street, El Paso, TX 79930 | 2014-11-20 |
| 1699183848 | Nathaniel Griffith, Do Pa | Internal Medicine | 10701 Sam Snead Dr, El Paso, TX 79935-2413 | 2014-07-31 |
| 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.