ALFREDO CEDILLO (NPI# 1821135997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821135997 |
| Entity Type | Individual |
| Full Name | ALFREDO CEDILLO |
| Credential | LSA |
| Practice Address |
769 Woodland Ave El Paso TX 79922 |
| Practice Telephone | 9155877888 |
| Practice Fax Number | 9155877888 |
| Mailing Telephone | 9155877888 |
| Mailing Fax Number | 9155877888 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | SA0059 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0010JR | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386144855 | Alfredo Cedillo | Technician | 5020 Alta Dr Ste B, Las Vegas, NV 89107-3940 | 2018-02-20 |
| Street Address |
769 WOODLAND AVE |
| City | EL PASO |
| State | TX |
| Zip Code | 79922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689220634 | Chad Condon Moltane | Counselor | 5048 Love Road, El Paso, TX 79922 | 2019-08-15 |
| 1205387628 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 1110 Sunland Park Drive, El Paso, TX 79922 | 2016-10-20 |
| 1164895462 | Jana Lynn Mccallister | Nurse Practitioner | 3801c Constitution, Suite 100, El Paso, TX 79922 | 2015-11-09 |
| 1689072233 | Smile Center for Kids I Pllc | Clinic/Center | 1050 Sundland Park Drive, Suite 200 B, El Paso, TX 79922 | 2014-12-15 |
| 1487098307 | Griselda Murguia | Speech-Language Pathologist | 716 Wakefield Ct., El Paso, TX 79922 | 2013-04-22 |
| 1013112549 | Mentis Neuro El Paso, LLC | Residential Treatment Facility, Physical Disabilities | 4360 Doniphan Drive, El Paso, TX 79922 | 2007-06-15 |
| 1952478232 | Luis A. Todd | Pediatrics | 4371 Boy Scout Ln, El Paso, TX 79922 | 2006-11-29 |
| 1023261856 | Jesus Fernando Escarzaga | Radiology Practitioner Assistant | 4930 Osborne, Suite H, El Paso, TX 79922 | 2008-10-24 |
| 1922588052 | Supercare, Inc. | Durable Medical Equipment & Medical Supplies | 4717 Osborne Dr Ste 100, El Paso, TX 79922-1035 | 2018-08-17 |
| 1194781864 | Guillermina Solis | Nurse Practitioner | 4930 Osborne Dr, Suitea, El Paso, TX 79922-1041 | 2006-04-21 |
| Find all providers in zip 79922 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639735525 | Hector Diaz Luna Md Pa | Surgery | 1601 Brown St, El Paso, TX 79902-4724 | 2019-05-15 |
| 1275944399 | Carl David Devemark | Surgery | 10201 Gateway Blvd W Ste 130, El Paso, TX 79925-7647 | 2014-05-12 |
| 1780959874 | Sergey Shimunov | Surgery | 2204e Joe Battle Blvd, El Paso, TX 79938-4659 | 2012-03-21 |
| 1114245925 | Nathaniel Ng | Surgery | 2000b Transmountain Rd Ste B300, El Paso, TX 79911-3600 | 2010-05-05 |
| 1487818431 | Miriam Christing Zolfoghary Md Pa | Surgery | 3822 Joe Battle, El Paso, TX 79936 | 2008-07-17 |
| 1366630170 | Halsted Surgical Association | Surgery | 10201 Gateway Blvd W Ste 420, El Paso, TX 79925-7647 | 2007-10-05 |
| 1881819035 | Jose Olallo Castillo | Surgery | 5043 Montoya Dr, El Paso, TX 79922-2031 | 2007-04-14 |
| 1750402681 | Aleksandr A Reznichenko | Surgery | 125 W Hague Rd Ste 170, El Paso, TX 79902-5811 | 2007-04-02 |
| 1023143278 | El Paso Del Norte Surgical Group, Pa | Surgery | 10175gateway West Blvd., Suite 220, El Paso, TX 79925-7618 | 2007-02-21 |
| 1447397278 | Jose Alfredo Rodriguez | Surgery | 8900 Viscount Blvd, Ste 242, El Paso, TX 79925 | 2007-01-31 |
| 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.