MICHAEL RAYMOND CHILDRESS (NPI# 1871863829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871863829 |
| Entity Type | Individual |
| Full Name | MICHAEL RAYMOND CHILDRESS |
| Credential | PA |
| Practice Address |
5005 N Piedras St El Paso TX 79920-5001 |
| Practice Telephone | 9157426386 |
| Practice Fax Number | 9155694890 |
| Mailing Telephone | 9157426386 |
| Mailing Fax Number | 9155694890 |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003019167 | Michael Raymond Childress | Physical Therapy Assistant | 2408 E 81st St Ste 300, Tulsa, OK 74137-4200 | 2007-06-07 |
| 1518155886 | Michael Wayne Childress | Chiropractor | 217 E Broadway Blvd, Johnston City, IL 62951-1604 | 2007-10-11 |
| 1295766418 | Michael H Childress | Radiology | 2041 Georgia Ave Nw, Washington, DC 20060-0001 | 2006-07-05 |
| Street Address |
5005 N PIEDRAS ST |
| City | EL PASO |
| State | TX |
| Zip Code | 79920-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588663868 | Troy M Denunzio Sr. | Internal Medicine | 5005 N Piedras St, Attn: Credentials Office, El Paso, TX 79920-5001 | 2005-07-19 |
| 1255932331 | Kenneth A Paull | Social Worker | 5005 N Piedras St, El Paso, TX 79930-5097 | 2020-11-04 |
| 1326649757 | Ashley Monique Graham | Social Worker | 5005 N Piedras St, El Paso, TX 79920 | 2020-11-03 |
| 1710597695 | Alyssa Engel | Student in an Organized Health Care Education/Training Program | 5005 N Piedras St, El Paso, TX 79920 | 2020-08-05 |
| 1497372312 | Luke Sly | Student in an Organized Health Care Education/Training Program | 5005 N Piedras St, El Paso, TX 79920-5001 | 2020-06-26 |
| 1922620731 | Genevieve Weldon | Dietitian, Registered | 5005 N Piedras St, El Paso, TX 79920 | 2020-05-14 |
| 1518503499 | Raul Aldair Marquez | Dietitian, Registered | 5005 N Piedras St, El Paso, TX 79920 | 2019-11-26 |
| 1972146934 | Jaclyn Franz | Student in an Organized Health Care Education/Training Program | 5005 N Piedras St, El Paso, TX 79930-5097 | 2019-10-22 |
| 1720632284 | Kara Young | Midwife | 5005 N Piedras St, El Paso, TX 79920 | 2019-08-01 |
| 1992367270 | Katharine Long | Dietitian, Registered | 5005 N Piedras St, El Paso, TX 79920 | 2019-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518512607 | Haley Yaw | Student in an Organized Health Care Education/Training Program | 5005 North Piedras Ave, El Paso, TX 79920 | 2019-08-06 |
| 1225521636 | Kelsea Killin | Student in an Organized Health Care Education/Training Program | Wbamc/dom/gme, 5005 N Piedras Street, El Paso, TX 79920 | 2018-06-11 |
| 1891216594 | Timothy C Gilligan | Student in an Organized Health Care Education/Training Program | Attn: Mchm-dos-gsr, Wbamc, 5005 N. Piedras St, El Paso, TX 79920 | 2017-07-03 |
| 1285180893 | Adelina Ibanez | Dental Assistant | 5005 N. Piedras St. 2nd Floor Rm 2112, William Beaumont Army Medical Center, El Paso, TX 79920 | 2016-09-01 |
| 1740657907 | Sondra Reynolds | Social Worker | 505 N Piedras St, El Paso, TX 79920 | 2015-08-24 |
| 1407279557 | Therese Hadden | Social Worker | 2489 Ricker Road, El Paso, TX 79920 | 2014-01-27 |
| 1265710032 | Courtney Rose Usry | Internal Medicine | 5005 N Piedras St., El Paso, TX 79920 | 2011-07-28 |
| 1760789010 | Debra Dianca Ingle-munoz | Social Worker | Wbamc, 5005 N. Piedras, El Paso, TX 79920 | 2011-02-23 |
| 1467688325 | Silvia Ursula Green | Radiology | 5005 N. Piedras Strees, El Paso, TX 79920 | 2009-06-05 |
| 1184803058 | Nora Dougan Hussey | Family Medicine | 5505 North Piedras St, William Beaumont Army Medical Center, El Paso, TX 79920 | 2007-10-29 |
| Find all providers in zip 79920 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598371791 | Miriam Leticia Munoz | Physician Assistant | 646 Mike Carbajal Rd, El Paso, TX 79927-2149 | 2020-09-22 |
| 1184264541 | Rodrigo Carrasco | Physician Assistant | 7560 Wolf Creek Dr, El Paso, TX 79911-3143 | 2020-01-13 |
| 1134764558 | Andrea Pilar Stam | Physician Assistant | 5005 N. Piedras Street; Attn, Wbamc, El Paso, TX 79920-5001 | 2019-11-08 |
| 1326680786 | Lori Evelyn Berumen | Physician Assistant | 7100 Westwind Dr Ste 120, El Paso, TX 79912-1757 | 2019-10-17 |
| 1609437946 | Ruben Andy Medina | Physician Assistant | 179 Vinson Way, El Paso, TX 79915-4227 | 2019-06-26 |
| 1790344331 | Alexandra Apodaca | Physician Assistant | 1641 Bessemer Dr, El Paso, TX 79936-5226 | 2019-06-07 |
| 1427518901 | Danielle Hicks | Physician Assistant | 2496 Ricker Rd., El Paso, TX 79916 | 2019-03-21 |
| 1023586211 | Erica Guerrero | Physician Assistant | 4801 Alberta Ave Ste B-3200, El Paso, TX 79905-2707 | 2018-11-06 |
| 1366919391 | Jeffrey Aaron Hobbs | Physician Assistant | 5005 N. Piedras Street, Attn;, Wbamc, El Paso, TX 79920-5001 | 2018-10-29 |
| 1720580764 | Sungil Hwang | Physician Assistant | 11200 Sean Haggerty Dr Apt 18208, El Paso, TX 79934-3386 | 2018-03-06 |
| 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.