PASSPORT HEALTH HOLDINGS, LLC.


Address: 200 Bartlett Dr, # 105, El Paso, TX 79912
Phone: 8889096551

PASSPORT HEALTH HOLDINGS, LLC. (NPI# 1710303839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710303839
Entity Type Organization
Organization Name PASSPORT HEALTH HOLDINGS, LLC.
Other Organization Name PPH GLOBAL SERVICES, LLC.
Practice Address 200 Bartlett Dr
# 105
El Paso
TX 79912
Mailing Address 8324 E Hartford Dr
#200
Scottsdale
AZ 85255
Practice Telephone 8889096551
Practice Fax Number 4803836567
Mailing Telephone 8889096551
Mailing Fax Number 4803836567
Enumeration Date 2014-03-13
Last Update Date 2016-03-18
Authorized Official Name DOUG SHACKELL (DIRECTOR OF FINANCE)
Authorized Official Telephone 4806469024
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
261Q0000X TX Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
PPH Global Services, LLC. Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1811313943 Passport Health Holdings, LLC. Preventive Medicine 2812 Emerywood Parkway, #160, Richmond, VA 23294 2014-03-13
1649696766 Passport Health Holdings, LLC. Preventive Medicine 9190 Double Diamond Parkway, # 131, Reno, NV 89521 2014-03-13
1336557685 Passport Health Holdings, LLC. Preventive Medicine 3211 N. Tenaya Way, Las Vegas, NV 85255 2014-07-31
1477970192 Passport Health Holdings, LLC. Clinic/Center 29 Plantation Park Dr, B100 #117, Bluffton, SC 29910 2014-03-19
1447676572 Passport Health Holdings, LLC. Preventive Medicine 1600 University Ave W, #207, Saint Paul, MN 55104 2014-03-13
1720404858 Passport Health Holdings, LLC. Preventive Medicine 7003 Chadwick Dr, #227, Brentwood, TN 37027 2014-03-13

Other Data Sources

Entity Type Entity Name Entity Address
Massachusetts Corporations PASSPORT HEALTH HOLDINGS, LLC 8324 E. Hartford Dr. Ste. 200, Scottsdale, AZ 85255

Office Location

Street Address 200 BARTLETT DR
# 105
City EL PASO
State TX
Zip Code 79912

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770541435 West Texas Provider Services LLC Durable Medical Equipment & Medical Supplies 200 Bartlett Dr, Suite 108, El Paso, TX 79912-1628 2006-05-03
1316350671 Community Health and Immunization Services Community Health Worker 200 Bartlett Dr, Suite 102b, El Paso, TX 79912-1656 2014-06-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851903801 Cristina Valerie Quinones Registered Nurse 444 Executive Blvd., Suite 148, El Paso, TX 79912 2020-08-20
1528698255 Thomas Wayne Woo Sr. Physical Therapist 7430 Remcon Circle Bldg A, El Paso, TX 79912 2020-01-22
1760030290 Susan De La Cruz Nurse Practitioner 6600 N Dessert Blvd, El Paso, TX 79912 2019-08-28
1558925438 Smiles 4 Less Orthodontics, P.a. Dentist 7480 Remcon Cir, El Paso, TX 79912 2019-04-26
1831669423 Jorge Lorenzo Soto Occupational Therapy Assistant 4700 N. Mesa St. F-4, El Paso, TX 79912 2018-11-27
1811464126 Paloma Herrera Spec/Tech, Health Info 200 N Festival, El Paso, TX 79912 2018-10-25
1265910178 Texas Kids Dental Care West Pa Clinic/Center 7480 Remcon, El Paso, TX 79912 2018-08-02
1528555463 Wal-mart Stores Texas, LLC Durable Medical Equipment & Medical Supplies 7831 Paseo Del Norte Blvd, Ste A, El Paso, TX 79912 2018-04-17
1679078927 Kassandra Ashley Wright Registered Nurse 330 Bartlett Dr. Apt 2002, El Paso, TX 79912 2018-03-28
1013410802 Maranatha Physical Medicine & Rehabilitation, Pllc Physical Medicine & Rehabilitation 7100 Westwind Dr Ste 155, El Paso, TX 79912 2018-03-17
Find all providers in zip 79912

Taxonomy Information

Taxonomy Code 2083P0901X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Public Health & General Preventive Medicine

Taxonomy Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851493605 Luis Gerardo Escobedo Preventive Medicine 1610 N Zaragoza Rd Ste D1, El Paso, TX 79936-7918 2006-09-02
1801942826 Michael S Torres Preventive Medicine 5005 N Piedras St, William Beaumont Army Medical Center, El Paso, TX 79920-5001 2007-01-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1245847672 East Texas Functional Medicine Center, Pllc Preventive Medicine 419 Wsw Loop 323 Ste 400, Tyler, TX 75701-7063 2020-09-29
1710502695 Carol Pena Preventive Medicine 412 Capricorn St, Cedar Hill, TX 75104-8106 2020-06-16
1003456583 Southern Sector Health Initiative Preventive Medicine 4500 Spring Ave Ste 130, Dallas, TX 75210-1350 2020-01-13
1336786615 Regenerative Practitioners Group Preventive Medicine 8200 Preston Road Suite 100, Plano, TX 75024 2019-12-05
1942845565 Preferred Cardio Checkup Management LLC Preventive Medicine 211 Bent Creek Dr, Waxahachie, TX 75165-6353 2019-11-07
1982256129 Lifeworx Preventive Medicine 6001 Lake Hubbard Pkwy, Garland, TX 75043-4727 2019-07-09
1053872200 Leonel Vela Preventive Medicine Utrgv School of Medicine, 1201 W. University Dr., Edinburg, TX 78539 2019-03-29
1588122774 Jason James Moran Preventive Medicine 38706 Sugar Wood Dr, Magnolia, TX 77355-2621 2019-03-06
1578047635 Barry Davis Preventive Medicine 1200 Hermann Pressler Dr Ste 916, Houston, TX 77030-3900 2018-09-24
1013423284 Anew You Medical Weight Loss and Spa Preventive Medicine 14602 Huebner Rd, 100, San Antonio, TX 78230 2017-12-23
Find all providers with the same taxonomy

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City EL PASO
Zip Code 79912

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Dataset Information

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.

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