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).
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 |
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 Name | Type Code |
---|---|
PPH Global Services, LLC. | Doing Business As Name - Organization |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | PASSPORT HEALTH HOLDINGS, LLC | 8324 E. Hartford Dr. Ste. 200, Scottsdale, AZ 85255 |
Street Address |
200 BARTLETT DR # 105 |
City | EL PASO |
State | TX |
Zip Code | 79912 |
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 |
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 Code | 2083P0901X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Public Health & General Preventive Medicine |
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. |
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 |
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 |
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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.