HMO Blue Texas SM Table of Contents

HMO Blue TexasSM
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Table of Contents
Independent Provider Network (IPN)
Primary Care Physicians ......................................................................................... 2
Specialists.............................................................................................................. 14
Supervised and Sponsored Providers ................................................................... 50
Hospitals ................................................................................................................ 52
Quest Diagnostics (Quest)..................................................................................... 53
Ancillary Providers ................................................................................................. 54
Listing of Providers ................................................................................................ 56
Behavioral Health Providers (including Chemical Dependency Providers) ................... 59
Behavioral Health Hospitals........................................................................................... 63
Vision Providers ............................................................................................................. 64
Pharmacy Providers....................................................................................................... 65
Index of Primary Care Providers.................................................................................... 66
Index of Specialists ........................................................................................................ 68
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HMO
EL PASO
October 15, 2014
Limited Provider Networks
Your primary care physician is part of a provider network or association of health care professionals who work together to provide a full range of
health care services. That means, when you choose your primary care physician, you are also choosing a limited provider network and in most
instances, for services to be covered by your health care benefit plan, you are not allowed to receive services from any physician or health care
professional that is not also part of your primary care physician’s network. You will not be able to select any physician or provider outside of your
primary care physician’s network, even if that physician or provider is participating in HMO Blue Texassm. All of your care will be provided by or
arranged for within the limited provider network to which your primary care physician belongs, so make sure that your primary care physician’s
network includes the specialists and hospitals that you prefer.
ATTENTION FEMALE ENROLLEES: Choosing OB/GYN Services
In selecting your primary care physician, remember that your primary care physician’s network affects your choice of an OB/GYN. For preventive
care (well-woman exams), gynecological conditions, or maternity care, female members may see a network OB/GYN without first obtaining a
referral from their primary care physician. If you choose to select an OB/GYN, the OB/GYN you select must belong to the same limited provider
network as your primary care physician. This is another reason to make certain that your primary care physician’s network includes the specialists,
particularly the OB/GYN, and hospitals that you prefer. You are not required to select an OB/GYN; you may elect to receive your OB/GYN services
from your primary care physician.
A Division of Health Care Service Corporation, a Mutual Legal Reserve Company,
an Independent Licensee of the Blue Cross and Blue Shield Association
CANUTILLO
Independent Provider Network (IPN)
bmk_pin_pcp
OCTOBER 15, 2014
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
INDEPENDENT
O
ctober 15, 2014PROVIDER NETW ORK ( IPN)
CANUTILLO
FAMILY PRACTICE
Armendariz, Rafael, DO
Gender: Male
# PCP # 8S930004
NPI: 1346243235
7200 Doniphan Dr
J (915) 877-9010
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: Salud Y Vida PA
Board Certified Specialties: None
Canutillo
INTERNAL MEDICINE
" Friday, Dwayne, MD
Canutillo
Gender: Female
# PCP # 8DG77504
NPI: 1619101557
7200 Doniphan Dr
J (915) 877-9010
Hospital Affiliation: Del Sol Camp Lpdsh,
Las Palmas Camp Lpdsh
Clinic Affiliation: Salud Y Vida PA
Board Certified Specialties: Internal
Medicine
" Tovar, Yara E, MD
Canutillo
Gender: Female
# PCP # 8CM55903
NPI: 1740488279
7200 Doniphan Dr
(915) 877-9010
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Salud Y Vida PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
Agarwal, Ajai J, MD
Gender: Male
# PCP # 80352X06
NPI: 1437240256
1015 N Zaragosa Rd
J (915) 855-8550
FAMILY PRACTICE
" Adedeji, Adekunle A, MD
El Paso
Gender: Male
PCP # 8DM01801
NPI: 1902086937
1030 N Zaragoza Rd
Ste X
(915) 881-4155
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, Sierra
Providence East Med Ctr
Clinic Affiliation: Kingsway Medical Center
PLLC
Practice Information: No Patients Under 5
yrs old
Board Certified Specialties: Family
Practice
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
PCP # 8W506001
NPI: 1962510578
3101 Forney Ln
(915) 595-8815
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: United Medical Walk In
Clinic PA
Board Certified Specialties: None
" Ayala, Jose Ruben, MD
El Paso
Gender: Male
PCP # 8CY92701
NPI: 1376743518
1600 Medical Center
Dr Ste 405
J (915) 533-6690
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Gr Dallas Hlthcare
Enterprises
Board Certified Specialties: Family
Practice
# PCP # 80352X08
NPI: 1437240256
5301 Alameda Ave
J (915) 772-5849
# PCP # 80352X04
NPI: 1437240256
9311 Diana Dr
J (915) 855-8550
Hospital Affiliation: Del Sol Camp Lpdsh,
East El Paso Phys Med Ctr Llc, Providence
Memorial Hospital, Sierra Medical Center
Clinic Affiliation: Montwood Family Medical
Center
Board Certified Specialties: None
Baker, Ronald F, MD
Gender: Male
PCP # 8V096101
NPI: 1427052042
11880 Vista Del Sol Dr
J (915) 855-7900
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Primary
Healthcare Physic
Practice Information: No Patients Under 4
yrs old
Board Certified Specialties: None
El Paso
Alonzo, Jesus, MD
Gender: Male
PCP # 87410F01
NPI: 1457420242
8061 Alameda Ave
J (915) 859-7545
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Centro San Vicente
Board Certified Specialties: None
El Paso
" Behrens, Kenyon R, DO
Cajas, Oswaldo, MD
Gender: Male
# PCP # 82843X01
NPI: 1548251762
1721 N Lee Trevino Dr
J (915) 590-9424
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Juarez Edward C MD
Practice Information: No Obstetrics, No
Patients Under 2 yrs old
Board Certified Specialties: None
El Pas o
Calderoni, Henry H, MD
Gender: Male
# PCP # 82842X01
NPI: 1861483083
1721 N Lee Trevino Dr
J (915) 590-9424
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: Juarez Edward C MD
Practice Information: No Patients Under 2
yrs old
Board Certified Specialties: None
El Pas o
El Paso
" Aragon, Lorenzo B, MD
El Paso
Diaz, Marco, MD
Gender: Male
PCP # 8DA02101
NPI: 1104015577
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Pas o
Gender: Male
PCP # 8AW60901
NPI: 1225030976
7812 Gateway Blvd E
Ste 230
J (915) 592-8223
Hospital Affiliation: Del Sol Camp Lpdsh
Clinic Affiliation: Kenyon R Behrens DO
Board Certified Specialties: Family
Practice
Gender: Male
PCP # 8CZ99901
NPI: 1669420998
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Family
Practice
" Moazam, Mustafa M, MD
Borrego, Manuel, MD
Gender: Male
PCP # 8W506002
NPI: 1962510578
1810 McRae Blvd Ste A
(915) 317-6033
El Pas o
Gender: Female
# PCP # 8CW50901
NPI: 1518160548
631A N Resler Dr
Ste 101
(915) 842-0676
Clinic Affiliation: Gr Dallas Hlthcare
Enterprises
Board Certified Specialties: Family
Practice
PCP # 80352X09
NPI: 1437240256
3028 Trawood Dr
J (915) 857-9933
Canutillo
EL PASO
El Paso
# PCP # 80352X01
NPI: 1437240256
3022 Trawood Dr
J (915) 855-8550
PEDIATRICS
Gender: Male
# PCP # 8CL48802
NPI: 1306987474
7200 Doniphan Dr
(915) 877-9010
Hospital Affiliation: Providence Memorial
Hospital
Clinic Affiliation: Salud Y Vida PA
Board Certified Specialties: Pediatrics
" Arroyave, Ana M, MD
El Paso
" Belocura, Jonnalyn R, MD
El Paso
Gender: Female
# PCP # 0022HB01
NPI: 1033116793
11345 Montwood Dr
Ste A1
J (915) 921-5200
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Board Certified Specialties: Family
Practice
Armendariz, Rafael, DO
Gender: Male
PCP # 8S930006
NPI: 1346243235
10520 Montwood
J (915) 591-2704
El Paso
# PCP # 8S930001
NPI: 1346243235
6501 N Mesa St
Ste A
J (915) 585-6211
" Beltran, Celina R, MD
El Paso
# PCP # 8S930005
NPI: 1346243235
6974 Gateway Blvd E
Ste F
J (915) 774-8850
Gender: Female
# PCP # 8AR53201
NPI: 1265692750
8061 Alameda Ave
J (915) 859-7545
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Centro San Vicente
Board Certified Specialties: Family
Practice
# PCP # 8S930003
NPI: 1346243235
8030 N Loop Dr
Bldg C
J (915) 598-3461
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: Salud Y Vida PA
Board Certified Specialties: None
Benitez, Adolfo L, MD
Gender: Male
PCP # 8DE64201
NPI: 1528268166
3270 Joe Battle Blvd
Ste 100
(915) 504-6900
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Physicians and Allied
Health Prof
Board Certified Specialties: None
Easter II, Thomas G, MD
Gender: Male
PCP # 8S938401
NPI: 1235131020
2931 Montana Ave Ste A
J (915) 562-4246
Clinic Affiliation: Sun City Medical Practice
PA
Board Certified Specialties: None
El Pas o
Enriquez, Andres S, MD
Gender: Male
# PCP # 8A342001
NPI: 1982616173
836 E Redd Rd
J (915) 833-8444
Hospital Affiliation: Sierra Medical Center
Clinic Affiliation: Franklin Medical Center
Board Certified Specialties: None
El Pas o
" Escandon, Carmen G, MD
El Pas o
El Paso
J
Gender: Female
PCP # 8X832001
NPI: 1790792687
550 S Mesa Hills Dr
Ste C2
(915) 845-5700
Hospital Affiliation: Providence Memorial
Hospital
Clinic Affiliation: Family Medicine and
Aesthetics PA
Board Certified Specialties: Family
Practice
J - Wheelchair Access
2
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmki_pn_pcp
EL PASO
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Leyva, Edward S, MD
Gender: Male
PCP # 8CE33901
NPI: 1922331776
1810 Murchison Dr Ste 300
J (915) 544-0326
Hospital Affiliation: Del Sol Camp Lpdsh,
Las Palmas Camp Lpdsh, Providence
Memorial Hospital, Sierra Medical Center,
Sierra Providence East Med Ctr
Clinic Affiliation: El Paso Integrated
Physician
Board Certified Specialties: None
" Horn, Kathryn L, MD
El Paso
EL PASO Cont
FAMILY PRACTICE Cont
" Garcia, Angel J, MD
El Paso
Gender: Male
PCP # 8DM06201
NPI: 1801058177
1600 N Lee Trevino Dr
Ste D3
(915) 493-6646
Hospital Affiliation: Sierra Medical Center,
Sierra Providence East Med Ctr
Clinic Affiliation: El Paso Center For Family
and Spo
Board Certified Specialties: Family
Practice
" Guzman, Jorge G, MD
Gender: Male
PCP # 89466N01
NPI: 1427049378
1485 George Dieter Dr
Ste 107
J (915) 545-2778
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: Family
Practice
!
" Hernandez, Arturo, MD
Gender: Male
PCP # 8CL00601
NPI: 1114112141
11680 Pebble Hills Blvd
Ste 107
(915) 219-9434
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, Sierra
Providence East Med Ctr
Clinic Affiliation: Arturo Hernandez MD
Board Certified Specialties: Family
Practice
" Hinojos, Ralu, MD
El Paso
Gender: Male
PCP # 8BX59501
NPI: 1992801294
11880 Vista Del Sol Dr
J (915) 855-7900
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh, Sierra
Providence East Med Ctr
Clinic Affiliation: El Paso Primary
Healthcare Physic
Board Certified Specialties: Family
Practice
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
PCP # 8CR11301
NPI: 1346243847
9955 Dyer St
(915) 751-1249
Hospital Affiliation: Del Sol Camp Lpdsh,
Medical Arts Hospital, Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Community Medical Clinic
PA
Board Certified Specialties: Family
Practice
Jaraba Jr, Jaime I, MD
Gender: Male
PCP # 8DR92101
NPI: 1013061522
1900 N Oregon St
Ste 402
(915) 757-2581
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
" Molina, Melissa A, MD
El Paso
Gender: Female
PCP # 8DZ05001
NPI: 1831297159
1485 George Dieter
Ste 107
(915) 521-2258
Hospital Affiliation: Sierra Medical Center,
University Medical Ctr Of Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: Family
Practice
" Molokwu, Jennifer C, MD
El Paso
Gender: Female
PCP # 8DA08001
NPI: 1407022957
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Family
Practice
" Monroy, Anwar E, MD
El Paso
Gender: Male
PCP # 8CZ96001
NPI: 1568650992
8269 N Loop Rd
(915) 591-1615
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Candelaria Medical
Center
Board Certified Specialties: Family
Practice
" Luna Jr, Jose, MD
El Pas o
J
" Jones Allen, Angela S, MD
El Paso
Gender: Female
PCP # 8W709101
NPI: 1447200712
4815 Alameda Ave
(915) 790-5700
Gender: Male
PCP # 8U367501
NPI: 1700877255
8061 Alameda Ave
(915) 859-7545
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Centro San Vicente
Board Certified Specialties: Family
Practice
" Manquero Butler, Martha I, MD
El Pas o
PCP # 8W709102
NPI: 1447200712
4824 Alberta Ave
(915) 521-7866
" Haidarian, Mina, MD
El Paso
Gender: Male
PCP # 8CR11302
NPI: 1346243847
1400 George Dieter
Ste 110
(915) 856-3660
El Paso
El Paso
Gender: Female
PCP # 8CN30901
NPI: 1265526644
6604 Westwind Dr
J (915) 845-4600
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Westwind Medical Assoc
Board Certified Specialties: Family
Practice
El Pas o
Gender: Male
PCP # 8DF25601
NPI: 1962406694
7430 Remcon Cir
Bldg A
(915) 584-0051
Hospital Affiliation: Las Palmas Camp
Lpdsh, Sierra Medical Center
Clinic Affiliation: Wellmed Medical Group
PA
Board Certified Specialties: Family
Practice
" Guerra Sr, Francisco J, MD
El Paso
" Lopez, Hector, DO
" Jackson, George W, MD
El Paso
El Paso
Gender: Male
# PCP # 8A672101
NPI: 1356323224
10965 Ben Crenshaw Dr
Bldg 1
J (915) 594-4000
Hospital Affiliation: Las Palmas Camp
Lpdsh, University Medical Ctr Of Elpaso
Clinic Affiliation: The Doctors In
Practice Information: No Patients Under 1
yrs old
Board Certified Specialties: Family
Practice
El Pas o
Gender: Female
PCP # 8DA05001
NPI: 1548218985
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Family
Practice
!
PCP # 8A922101
NPI: 1447200712
7230 Gateway Blvd E
Ste G
(915) 599-1119
# PCP # 81321J01
NPI: 1447200712
8061 Alameda Ave
J (915) 859-7545
Hospital Affiliation: Sierra Medical Center,
University Medical Ctr Of Elpaso
Clinic Affiliation: Centro San Vicente, Rio
Grande Health Center of El Paso Inc,
University Med Ctr of El Paso
Board Certified Specialties: Family
Practice
Gender: Female
PCP # 8CK10001
NPI: 1255398293
1316 N Yarbrough Dr
Ste 1A
(915) 772-5400
Hospital Affiliation: Del Sol Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Martha Manquero Butler
MD
Practice Information: No Obstetrics, No
Patients Under 2 yrs old
Board Certified Specialties: Family
Practice
Munoz, Xavier J, DO
Gender: Male
PCP # 8CG00501
NPI: 1184738544
7812 Gateway Blvd E
Ste 230
(915) 592-8223
El Paso
PCP # 8DK29801
NPI: 1184738544
810 E Redd Rd
Ste D
(915) 581-6405
Hospital Affiliation: Del Sol Camp Lpdsh,
East El Paso Phys Med Ctr Llc, Las Palmas
Camp Lpdsh, Sierra Providence East Med
Ctr
Clinic Affiliation: Family Medicine of West
Texas PLL, Xavier J Munoz DO PA
Practice Information: No Patients Under 2
yrs old
Board Certified Specialties: None
" Martin, Charmaine A, MD
El Pas o
Gender: Female
PCP # 8DA06701
NPI: 1336107531
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Family
Practice
" Lemez, Alma, MD
El Paso
Gender: Female
# PCP # 8CX14701
NPI: 1578568044
4009 N Mesa St
Ste 102
J (915) 500-4307
Clinic Affiliation: Alma Lemez MD
Board Certified Specialties: Family
Practice
" Martinez, Pablo F, MD
El Pas o
Gender: Male
PCP # 8DX03201
NPI: 1316266687
300 S Zaragoza
(915) 790-5700
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: Family
Practice
Najera, Raul A, MD
Gender: Male
PCP # 8AU76001
NPI: 1790983229
7878 Gateway Blvd E
Ste 201
J (915) 595-3889
Hospital Affiliation: Sierra Medical Center
Clinic Affiliation: EP Optimum Health
Center
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties: None
El Paso
" Nduka, Chinwe C, MD
El Paso
Gender: Female
# PCP # 8BF02701
NPI: 1316946734
125 W Hague Ste 140
J (915) 774-0458
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Chinwe Nduka MD
Board Certified Specialties: Family
Practice
J - Wheelchair Access
3
EL PASO
Independent Provider Network (IPN)
bmk_pin_pcp
OCTOBER 15, 2014
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
" Peralta, Max A, MD
" Remirez, Carlos M, MD
El Paso
EL PASO Cont
FAMILY PRACTICE Cont
Noriega, Oscar A, MD
Gender: Male
PCP # 8DA08901
NPI: 1801885868
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Providence Memorial
Hospital, University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Paso
" Obregon, Jacinto A, MD
El Paso
Gender: Male
PCP # 8EC71901
NPI: 1396936019
9870 Gateway N Blvd
Ste A
(915) 577-1125
Clinic Affiliation: Gr Dallas Hlthcare
Enterprises
Board Certified Specialties: Family
Practice
" Padilla Jr, Manuel A, DO
El Paso
Gender: Male
PCP # 8V012001
NPI: 1164440400
1651 Joe Battle Blvd
(915) 849-9010
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Sun City Medical Clinic PA
Board Certified Specialties: Family
Practice
J
Palomino Hernandez, Adolfo, MD
Gender: Male
PCP # 8AM34501
NPI: 1811957673
1900 N Oregon St
Ste 500
(915) 544-8844
Clinic Affiliation: Physicians and Allied
Health Prof
Board Certified Specialties: None
El Paso
Parra, Guillermo, MD
Gender: Male
# PCP # 8J375301
NPI: 1346231941
3017 Trawood Dr
J (915) 855-2005
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Family and Occupational
Health Clinic
Board Certified Specialties: None
El Paso
Patterson, John, MD
Gender: Male
# PCP # 8CL32201
NPI: 1568653269
11680 Pebble Hills Blvd
Ste 107
(915) 219-9434
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, Sierra
Providence East Med Ctr
Clinic Affiliation: John Patterson MD
Board Certified Specialties: None
El Paso
" Penaranda, Eribeth K, MD
El Paso
Gender: Female
PCP # 8DA09701
NPI: 1548480312
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Family
Practice
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
El Paso
Gender: Male
! PCP # 8B989001
NPI: 1184694978
1733 Curie Dr
Ste 105
J (915) 533-7400
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Sun City Family
Physicians PA
Practice Information: No Patients Under 2
yrs old
Board Certified Specialties: Family
Practice
Gender: Male
PCP # 8AM34701
NPI: 1437149655
6024 Aztec Rd
(915) 594-7787
Hospital Affiliation: Providence Memorial
Hospital
Clinic Affiliation: Physicians and Allied
Health Prof
Practice Information: No Patients Under 2
yrs old
Board Certified Specialties: Family
Practice
" Shokar, Gurjeet S, MD
El Pas o
Gender: Male
PCP # 8DA11601
NPI: 1467520957
4800 Alberta Ave
(915) 545-8888
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Family
Practice
" Rigesti, German J, MD
El Paso
" Perez, Juan R, MD
El Paso
Gender: Male
PCP # 8CN35802
NPI: 1285625418
4900 Alameda Ave
Ste D
J (915) 781-1900
Gender: Male
# PCP # 8P937001
NPI: 1649278276
840 E Redd Rd Bldg 2
J (915) 845-2220
Clinic Affiliation: El Paso Wellness &
Healthcare Ctr P
Board Certified Specialties: Family
Practice
# PCP # 8CN35801
NPI: 1285625418
6955 N Mesa St
Ste 303C
J (915) 584-8800
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: German J Rigesti MD
Board Certified Specialties: Family
Practice
" Personett, Becky B, MD
El Paso
Gender: Female
!# PCP # 00K98G01
NPI: 1104907120
4421 Edgar Park Ave
J (915) 757-2874
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Practice Information: Call for new patient
availability, No Patients Under 12 yrs old
Board Certified Specialties: Family
Practice
" Shokar, Navkiran, MD
El Pas o
Gender: Female
PCP # 8DA11501
NPI: 1588722151
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: El Paso
ChildrensHospitalCorp', St Joseph Medical
Center, University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Family
Practice
" Rocha, Sandra T, DO
El Paso
Gender: Female
PCP # 8AW73901
NPI: 1518938687
840 E Redd Rd Bldg 4
J (915) 577-9003
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Westside Family Medicine
Practice Information: No Patients Under 2
yrs old
Board Certified Specialties: Family
Practice
Pitchford, William A, MD
Gender: Male
PCP # 8DT97701
NPI: 1912902875
7430 Remcon Cir
Bldg B
(915) 581-0357
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Wellmed Medical Group
PA
Board Certified Specialties: None
El Paso
!
Sherman III, John M, MD
Gender: Male
PCP # 00B66801
NPI: 1538167366
6516 Escondido Ste A1
J (915) 566-9369
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Practice Information: No Patients Under 1
yrs old
Board Certified Specialties: None
El Pas o
" Rocha Jr, Alejandro, DO
El Paso
Gender: Male
# PCP # 8CG06201
NPI: 1528028099
7812 Gateway Blvd E
Ste 230
(915) 592-8223
" Provencio Jr, Mauro, MD
El Paso
Gender: Male
PCP # 8DG90901
NPI: 1952560682
3270 Joe Battle Blvd
Ste 150
J (915) 504-6955
Clinic Affiliation: Sun City Sports Medicine
and Fami
Board Certified Specialties: Family
Practice
PCP # 8DK29901
NPI: 1528028099
810 E Redd Rd
Ste D
(915) 581-6405
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Alejandro Rocha Jr DO
PA, Family Medicine of West Texas PLL
Board Certified Specialties: Family
Practice
" Regalado, Nora G, MD
El Paso
Gender: Female
PCP # 8DX03401
NPI: 1992024699
300 S Zaragoza
J (915) 790-5717
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: Family
Practice
" Saunders, Richard D, DO
El Paso
!
Gender: Male
PCP # 8CZ78701
NPI: 1699735175
501 N Yarborough Dr
(915) 595-1844
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Wellmed Medical Group
PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Family
Practice
Silvia, Scott K, MD
Gender: Male
# PCP # 8BF35401
NPI: 1558453670
6955 N Mesa St
Ste 108
(915) 585-7016
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Scott K Silvia MD
Board Certified Specialties: None
El Pas o
Songbandith, Virabandith V, MD
Gender: Male
PCP # 8J920009
NPI: 1750489043
1015 N Zaragoza Rd
J (915) 860-4762
El Pas o
# PCP # 8J920006
NPI: 1750489043
3028 Trawood Dr Ste A
J (915) 855-8550
# PCP # 8J920002
NPI: 1750489043
9311 Diana Dr
J (915) 751-2448
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Montwood Family Medical
Center
Board Certified Specialties: None
" Spalding, Mary C, MD
El Pas o
Gender: Female
PCP # 8DA12101
NPI: 1831148857
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Family
Practice
J - Wheelchair Access
4
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmki_pn_pcp
EL PASO
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Wolfe II, Perry T, MD
Gender: Male
# PCP # 00G26R01
NPI: 1154300192
1515 N Oregon St
J (915) 532-1014
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Practice Information: No Patients Under 6
yrs old
Board Certified Specialties: None
" Aboud, Ambrose, MD
El Paso
EL PASO Cont
FAMILY PRACTICE Cont
" Thomas III, John P, MD
El Paso
!
Gender: Male
PCP # 8DX35001
NPI: 1144229766
9999 Kenworth
Ste A
(915) 751-7773
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Wellmed Medical Group
PA
Board Certified Specialties: Family
Practice
" Thornburg, Carroll W, DO
El Paso
Gender: Male
PCP # 8AJ58501
NPI: 1568460962
5835 Cromo Dr
Ste 3
J (915) 842-0990
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Carroll W Thornburg DO
Board Certified Specialties: Family
Practice
Watson, Michael J, MD
Gender: Male
PCP # 8DL83701
NPI: 1184602104
9849 Kenworthy
J (915) 757-3178
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Paso
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Female
PCP # 8EC05901
NPI: 1942430780
4774 Loma Del Sur
(915) 751-7773
Clinic Affiliation: Wellmed Medical Group
PA
Board Certified Specialties: Internal
Medicine
!
" Wright, Justin M, MD
Alnajjar, Mohammed R, MD
Gender: Male
PCP # 8CS45501
NPI: 1972524338
2311 N Mesa Bldg B
(915) 544-1533
Hospital Affiliation: D M Cogdell Memorial
Hospital, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Internal Med Care
PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
Gender: Male
PCP # 8DA32701
NPI: 1518118561
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Family
Practice
El Pas o
Zayas, Raul, MD
Gender: Male
PCP # 8DM34101
NPI: 1942252549
11880 Vista Del Sol Dr
(915) 855-7900
Hospital Affiliation: Sierra Medical Center
Clinic Affiliation: El Paso Primary
Healthcare Physic
Board Certified Specialties: None
El Paso
PCP # 8W173002
NPI: 1811979867
3379 Wedgewood Dr Ste C
J (915) 592-8500
Walker, Vernoy A, MD
Gender: Male
! PCP # 8DF25901
NPI: 1538164215
7430 Remcon Cir
Bldg A
(915) 584-0051
Hospital Affiliation: Sierra Medical Center
Clinic Affiliation: Wellmed Medical Group
PA
Board Certified Specialties: None
" Ajmal, Shajeea, MD
El Pas o
El Paso
PCP # 8W173004
NPI: 1811979867
3080 Joe Battle Blvd
J (915) 298-3607
El Paso
J
Woo Telles, Argelia, MD
Gender: Female
# PCP # 0081HA01
NPI: 1548266216
1030 N Zaragosa Rd Ste V
Zaragosa Medical Center
J (915) 859-8594
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Sierra Medical Center, Sierra
Providence East Med Ctr, University Medical
Ctr Of Elpaso
Practice Information: No Obstetrics
Board Certified Specialties: None
" Villalobos, Victor M, MD
# PCP # 8W173001
NPI: 1811979867
6151 Dew Dr Ste 410
J (915) 855-7680
Hospital Affiliation: Del Sol Camp Lpdsh,
Las Palmas Camp Lpdsh, Providence
Memorial Hospital, Sierra Medical Center
Clinic Affiliation: Mt West Health Center PA
Practice Information: No Patients Under 2
yrs old
Board Certified Specialties: Family
Practice
Gender: Male
PCP # 8BZ91101
NPI: 1407843873
1900 N Oregon St
Ste 500
(915) 544-8844
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Providence East Med Ctr
Clinic Affiliation: Physicians and Allied
Health Prof
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties: Internal
Medicine
El Paso
El Paso
Gender: Male
PCP # 8W173003
NPI: 1811979867
1860 Dean Martin Dr
Ste 104
J (915) 855-7680
El Pas o
" Amakiri, Onyema E, DO
El Pas o
GENERAL PRACTICE
J
Juarez, Edward C, MD
Gender: Male
# PCP # 85Z72001
NPI: 1285625400
1721 N Lee Trevino Dr
J (915) 590-9424
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Juarez Edward C MD
Practice Information: No Patients Under 2
yrs old
Board Certified Specialties: None
El Paso
Gender: Male
# PCP # 8U564001
NPI: 1962484378
4930 Osborne St Bldg A
J (915) 587-9455
" Abalihi, Carol N, MD
El Paso
J
Gender: Male
# PCP # 2613HM01
NPI: 1720151509
11355 Montwood Dr
J (915) 849-0243
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Practice Information: No Patients Under 9
yrs old
Board Certified Specialties: Internal
Medicine
" Belgrave, Genevieve M, MD
El Paso
Gender: Female
PCP # 8BF40501
NPI: 1649200668
1316 N Yarbrough Dr
Ste 1B
J (915) 590-7378
!
PCP # 8BF40502
NPI: 1649200668
550 S Mesa Hills Dr
Ste C3C4
J (915) 590-7378
Hospital Affiliation: Kindred Hospital El
Paso, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Genevieve M Belgrave
MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
!
Beltran, Armando, MD
Gender: Male
PCP # 83M22104
NPI: 1649267295
10201 Gateway Blvd W
Ste 100
J (915) 590-3291
El Paso
PCP # 83M22101
NPI: 1649267295
2022 Murchison Dr
Ste 100
J (915) 533-5388
Hospital Affiliation: Culberson Hospital Inc,
Las Palmas Camp Lpdsh, Providence
Memorial Hospital, Sierra Medical Center
Clinic Affiliation: El Paso Oncology and
Interna
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
Bender, Arianna, MD
Gender: Female
PCP # 8BF19601
NPI: 1609942598
125 W Hague Ste 310
J (915) 532-8233
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Arianna Bender MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
" Annabi, Michael H, MD
El Pas o
INTERNAL MEDICINE
J
Gender: Male
PCP # 8BB59001
NPI: 1811166721
1556 Lomaland Dr
Ste 101
(915) 317-5553
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Gateway Internal
Medicine Assc PA
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: Internal
Medicine
" Barahona, Jose A, MD
El Paso
Gender: Female
PCP # 8BX25401
NPI: 1326136243
1700 N Oregon St
Ste 710
(915) 225-4470
J
PCP # 8BX25402
NPI: 1326136243
3030 Joe Battle Blvd
Ste B
(915) 225-4470
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Carol N Abalihi MD
Board Certified Specialties: Internal
Medicine
PCP # 8U564002
NPI: 1962484378
615 E Schuster Ave Bldg 7
(915) 544-6657
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Michael H Annabi MD
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Internal
Medicine
" Assi, Muneer E, DO
El Pas o
J
Gender: Male
PCP # 8DQ96401
NPI: 1598721904
1700 E Cliff Dr
Ste 100
(915) 351-6200
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Muneer E Assi DO
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
" Botez, Maria I, MD
El Paso
Gender: Female
# PCP # 8CY34901
NPI: 1346349420
11170 La Quinta Pl
Ste A
(915) 355-5774
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, Sierra
Providence East Med Ctr
Clinic Affiliation: Eep Internal Medicine PA
Practice Information: No Patients Under 14
yrs old
Board Certified Specialties: Internal
Medicine
J - Wheelchair Access
5
EL PASO
Independent Provider Network (IPN)
bmk_pin_pcp
OCTOBER 15, 2014
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
" Davis II, Harry E, MD
" Espinosa, Jose, MD
El Paso
EL PASO Cont
Gender: Male
PCP # 8DA01901
NPI: 1992731061
4800 Alberta Ave
(915) 545-8888
INTERNAL MEDICINE Cont
" Brooker, Olmer R, MD
El Paso
Gender: Male
PCP # 8V096001
NPI: 1952304297
11880 Vista Del Sol Dr
(915) 855-7900
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Sierra Providence East Med Ctr
Clinic Affiliation: El Paso Primary
Healthcare Physic
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties: Internal
Medicine
J
" Caballero, Yuri J, MD
El Paso
Gender: Male
PCP # 85900F01
NPI: 1174517577
1810 Murchinson Dr
Ste 300
(915) 544-0326
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Integrated
Physician
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
J
Cardenas, Maria G, MD
Gender: Female
PCP # 8CB95001
NPI: 1164426748
1742 N Zaragoza Rd
Ste A
J (915) 855-1720
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Physicians and Allied
Health Prof
Board Certified Specialties: None
El Paso
" Casner, Paul R, MD
El Paso
Gender: Male
PCP # 8DA13801
NPI: 1225077092
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
" Castillo, Gregorio Joel A, MD
El Paso
Gender: Male
# PCP # 8P221001
NPI: 1184695488
10501 Vista Del Sol Dr
Ste 200
J (915) 592-8880
Hospital Affiliation: Del Sol Camp Lpdsh,
Sierra Medical Center
Clinic Affiliation: Gregorio Joel Castillo MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
PCP # 8DA01902
NPI: 1992731061
4801 Alberta Ave
(915) 545-6640
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
El Pas o
Gender: Male
PCP # 8J066201
NPI: 1881685600
300 S Zaragoza Rd
J (915) 790-5700
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
Gender: Female
# PCP # 8DG77501
NPI: 1619101557
3329 Montana St
J (915) 562-7101
# PCP # 8DG77502
NPI: 1619101557
6501 N Mesa St
Ste A
J (915) 585-6211
" Famatigan, Maria G, MD
El Paso
!
De Jesus Perdomo, Eduardo M, MD
Gender: Male
PCP # 8AW61001
NPI: 1639179690
7812 Gateway Blvd E
Ste 230
J (915) 592-8223
El Paso
Gender: Female
PCP # 8EC05801
NPI: 1992702773
1810 Murchison
Ste 120
(915) 533-8544
PCP # 8CJ33001
NPI: 1992702773
300 S Zaragoza Rd
(915) 790-5700
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: University Med Ctr of El
Paso, Wellmed Medical Group PA
Board Certified Specialties: Internal
Medicine
PCP # 8DK29701
NPI: 1639179690
810 E Redd Rd
Ste D
(915) 581-6405
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Eduardo M De Jesus MD,
Family Medicine of West Texas PLL
Practice Information: No Patients Under 5
yrs old
Board Certified Specialties: None
J
" Gonzalez, Enrique, MD
El Pas o
Gender: Male
PCP # 8EK66501
NPI: 1972784197
300 S Zaragoza Rd
(915) 790-5700
Hospital Affiliation: University Medical Ctr
Of Elpaso, Valley Regional Medical Center
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: Internal
Medicine
" Farrag, Safa E, MD
Gender: Female
PCP # 8DX42001
NPI: 1588983829
4801 Alberta Ave
(915) 545-6670
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
" De La Mora, Diego, MD
El Paso
Gender: Male
PCP # 8DX83901
NPI: 1124349667
4801 Alberta Ave
J (915) 215-5200
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
Gonzalez, Omar, MD
Gender: Male
PCP # 87120N04
NPI: 1780682260
10525 Vista Del Sol Dr
Ste 110
J (915) 593-1887
El Pas o
" Francis, Maureen D, MD
El Paso
" Didia, Silvia C, MD
El Paso
Gender: Female
PCP # 8DA02701
NPI: 1699750687
4801 Alberta Ave
(915) 545-6640
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
Gender: Female
PCP # 8DA02201
NPI: 1356385355
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: Internal
Medicine
" Eleje, Augustine O, MD
El Paso
J
PCP # 87120N01
NPI: 1780682260
1715 Saul Kleinfeld Dr
Bldg A
(915) 222-8275
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Gonzalez Omar MD
Board Certified Specialties: None
" Gonzalez Sozer, Mariaelena, MD
El Pas o
J
Gender: Male
# PCP # 8V855001
NPI: 1902843030
1700 N Oregon St
Ste 780
J (915) 533-8797
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Augustine O Eleje MD
Board Certified Specialties: Internal
Medicine
PCP # 8DG77506
NPI: 1619101557
6974 Gateway Blvd E
Ste F
(915) 774-8850
# PCP # 8DG77503
NPI: 1619101557
8030 N Loop Dr
Bldg C
J (915) 598-3461
Hospital Affiliation: Del Sol Camp Lpdsh,
Las Palmas Camp Lpdsh
Clinic Affiliation: Salud Y Vida PA
Board Certified Specialties: Internal
Medicine
El Paso
Gender: Female
PCP # 0014HL01
NPI: 1114937216
125 W Hague Ste 110
(915) 351-7644
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Practice Information: Practice includes
children
Board Certified Specialties: Internal
Medicine
" Gosavi, Sucheta, MD
El Pas o
J
Chin, Jennifer R, MD
Gender: Female
PCP # 8EA32501
NPI: 1902837461
1485 George Dieter
Ste 107
(915) 521-2258
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: None
El Paso
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
" Friday, Dwayne, MD
El Paso
Gender: Female
PCP # 8DM94001
NPI: 1114025061
4801 Alberta Ave
(915) 545-6626
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: Internal
Medicine
J - Wheelchair Access
6
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmki_pn_pcp
EL PASO
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Martinez, Hector R, MD
Gender: Male
PCP # 8EB73201
NPI: 1659373520
1501 N Mesa
Ste 2 B
(915) 532-1222
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: Ecj Internal Medicine PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: None
" Hunko, Gabriela, MD
El Paso
EL PASO Cont
INTERNAL MEDICINE Cont
Griffith, Nathaniel L, DO
Gender: Male
PCP # 8DQ94001
NPI: 1811918766
1470 George Dieter Dr
Ste F
(915) 599-9993
Clinic Affiliation: St Family Clinic Inc
Board Certified Specialties: None
El Paso
PCP # 8CB52601
NPI: 1063427433
6065 Montana Ave
Ste C10
(915) 540-7070
Hospital Affiliation: Las Palmas Camp
Lpdsh
Clinic Affiliation: Gabriela Hunko MD Plc
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
" Guerra, Luis G, MD
El Paso
Gender: Male
PCP # 8DB96201
NPI: 1538112198
550 S Mesa Hills Dr
Ste C3
(915) 532-1587
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Mesa Hills Internal
Medicine PLLC
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
" Haydar, Zafer H, MD
El Paso
Gender: Male
PCP # 86Z99001
NPI: 1922040658
6065 Montana Ave
Ste A2
J (915) 771-7200
Hospital Affiliation: Las Palmas Camp
Lpdsh
Clinic Affiliation: E P Premier Medical
Group PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
" Hazboun, Ramsey R, MD
El Paso
Gender: Male
PCP # 8CR13801
NPI: 1700949369
4930 Osborne Dr Ste A
Uppr Level
J (915) 587-9455
PCP # 8CR13802
NPI: 1700949369
615 E Schuster Ave
Ste 7
J (915) 544-6657
Hospital Affiliation: Providence Memorial
Hospital
Clinic Affiliation: Ramsey R Hazboun MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
" Ho, Hoi, MD
El Paso
Gender: Male
PCP # 8DA04601
NPI: 1427094820
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Providence Memorial
Hospital, University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
" Hughes, Harold W, MD
El Paso
El Pas o
Gender: Female
PCP # 8CB52602
NPI: 1063427433
10501 Gateway Blvd
W Ste 120
(915) 540-7070
Gender: Male
PCP # 8EL64901
NPI: 1760446926
1810 Murchison St
Ste 100
(915) 217-2163
Hospital Affiliation: Covenant Medical
Center Lakeside, East El Paso Phys Med Ctr
Llc, El Paso Specialty Hospital Ltd, Las
Palmas Camp Lpdsh, Mesa Hills Specialty
Hospital, Permian Regional Medical Center,
Providence Memorial Hospital, Sierra
Medical Center, Sierra Providence East Med
Ctr
Clinic Affiliation: Radu Ciubuc MD
Board Certified Specialties: Internal
Medicine
" Martinez, Renee L, MD
El Pas o
Gender: Female
PCP # 8EC71801
NPI: 1801006309
9870 Gateway N Blvd
Ste A
(915) 577-1125
Hospital Affiliation: Sierra Medical Center
Clinic Affiliation: Gr Dallas Hlthcare
Enterprises
Board Certified Specialties: Internal
Medicine
Juarez, Edward C, MD
Gender: Male
PCP # 8BX46401
NPI: 1285625400
1501 N Mesa St
Ste 2B
(915) 532-1222
El Paso
" Mehta, Nilesh S, MD
El Pas o
# PCP # 85Z72001
NPI: 1285625400
1721 N Lee Trevino Dr
J (915) 590-9424
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Ecj Internal Medicine PA,
Juarez Edward C MD
Practice Information: No Patients Under 2
yrs old
Board Certified Specialties: None
J
J
Lopez Leyva, Manuel D, MD
Gender: Male
! PCP # 0092AA01
NPI: 1942265533
10201 Gateway Blvd W
Ste 210
J (915) 591-2922
Hospital Affiliation: Las Palmas Camp
Lpdsh
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
El Paso
Gender: Male
PCP # 8CD54602
NPI: 1225045735
10501 Gateway Blvd W
Ste 120
(915) 540-7070
PCP # 8CD54601
NPI: 1225045735
6065 Montana Ave
Ste C10
(915) 540-7070
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, Surgical Center Of El Paso
Clinic Affiliation: Nilesh Mehta MD PLLC
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: Internal
Medicine
" Mendez Ramirez, Jose M, MD
El Pas o
Gender: Male
# PCP # 8CN99102
NPI: 1841498375
1031 N Zaragoza Rd
J (915) 858-0931
Macias, Laura, MD
Gender: Female
PCP # 8EE47901
NPI: 1689995185
300 S Zaragoza
(915) 790-5700
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: None
El Paso
# PCP # 8CN99101
NPI: 1841498375
125 Snelson Dr
J (915) 858-6500
# PCP # 8ED98701
NPI: 1841498375
8030 N Loop Dr
Bldg C
J (915) 598-3461
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh, Sierra
Medical Center
Clinic Affiliation: El Paso Oncology and
Interna, Salud Y Vida PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
" Martin, Gregory E, MD
El Paso
Gender: Male
PCP # 8DB96301
NPI: 1326107657
550 S Mesa Hills Dr
Ste C3
(915) 544-0099
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Mesa Hills Internal
Medicine PLLC
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
Midez, Jaime A, MD
Gender: Male
! PCP # 8DF25401
NPI: 1972674786
2260 Trawood Dr
(915) 591-4632
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Wellmed Medical Group
PA
Board Certified Specialties: None
El Pas o
Gender: Male
PCP # 8DA05101
NPI: 1699703124
4801 Alberta Ave
J (915) 545-0981
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
" Molina Jr, Salvador, DO
El Paso
" Molinares, Vanina, MD
El Paso
Gender: Female
PCP # 8DL83601
NPI: 1649480518
4801 Alberta Ave
J (915) 545-6626
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
Moreno, Robert A, MD
Gender: Male
PCP # 85902F01
NPI: 1174518823
1810 Murchison Dr
Ste 300
J (915) 544-0326
Hospital Affiliation: Las Palmas Camp
Lpdsh, Las Palmas Rehabilitation Hospital,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Integrated
Physician
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: None
El Paso
" Nayak, Tanaya, MD
El Paso
Gender: Female
# PCP # 8DQ03201
NPI: 1427150457
300 S Zaragoza
(915) 790-5700
PCP # 8DQ03202
NPI: 1427150457
5021 Crossroads
(915) 521-7050
PCP # 8DQ03203
NPI: 1427150457
6314 Delta Dr Rm 186
(915) 775-2745
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: Internal
Medicine
Nutis, Dinorah J, MD
Gender: Female
PCP # 8DD67601
NPI: 1912934928
1700 Curie Dr
Ste 4700
J (915) 532-1197
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Borderland Medica PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
J - Wheelchair Access
7
EL PASO
Independent Provider Network (IPN)
bmk_pin_pcp
OCTOBER 15, 2014
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Rodriguez Castro, Carlos E, MD
Gender: Male
PCP # 8DY35501
NPI: 1023321239
4801 Alberto Ave
(915) 215-5200
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
" Pham, Lisa K, MD
El Paso
EL PASO Cont
INTERNAL MEDICINE Cont
!
" Orellana, Miguel A, MD
El Paso
J
Gender: Male
PCP # 8V267001
NPI: 1588607071
7812 E Gateway Blvd
Ste 230
(915) 779-1716
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Miguel A Orellana MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
Palacios, Mariano, MD
Gender: Male
PCP # 85903F01
NPI: 1407840820
1810 Murchison Dr
Ste 300
J (915) 542-6519
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, El Paso Specialty Hospital Ltd, Las
Palmas Camp Lpdsh, Las Palmas
Rehabilitation Hospital, Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: El Paso Integrated
Physician
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: None
El Paso
" Palafox, Manuel J, DO
El Paso
Gender: Male
# PCP # 8AW50101
NPI: 1952301137
7812 Gateway Blvd E
Ste 230
J (915) 592-8223
Hospital Affiliation: Las Palmas Camp
Lpdsh
Clinic Affiliation: Manuel J Palafox DO PA
Practice Information: No Patients Under 1
yrs old
Board Certified Specialties: Internal
Medicine
" Payne, Douglas B, MD
El Paso
J
Gender: Male
PCP # 8CL58801
NPI: 1487639183
1201 E Schuster Ave
Ste 4A
(915) 532-6069
Hospital Affiliation: Sierra Medical Center
Clinic Affiliation: El Paso Medical Group PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Internal
Medicine
" Perez, Leida P, MD
El Paso
Gender: Female
PCP # 8CG62701
NPI: 1083824916
300 S Zaragoza Rd
(915) 790-5700
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: Internal
Medicine
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Female
PCP # 8DA11701
NPI: 1235154980
4800 Alberta Ave
(915) 545-8888
PCP # 8DA11702
NPI: 1235154980
4801 Alberta Ave
(915) 545-6627
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
" Romero Ramos, Samuel F, MD
Gender: Male
PCP # 8CS19101
NPI: 1366433583
2311 N Mesa St
Ste J
(915) 533-4445
Clinic Affiliation: Samuel F Romero MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
" Pinaroc, Teresa R, MD
Gender: Female
PCP # 8AJ27101
NPI: 1043420524
11548 Vista Del Sol Dr
(915) 594-0565
Hospital Affiliation: Providence Memorial
Hospital
Clinic Affiliation: Teresa R Pinaroc MD
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Internal
Medicine
" Ovalle, Alejandro, MD
" Shukla, Vani, MD
El Pas o
El Paso
El Paso
El Paso
Gender: Male
PCP # 8DB96401
NPI: 1265466726
550 S Mesa Hills Dr
Ste C3
(915) 351-0388
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Mesa Hills Internal
Medicine PLLC
Board Certified Specialties: Internal
Medicine
El Paso
Gender: Female
PCP # 8EE11601
NPI: 1275502379
9999 Kenworthy
Ste A
(915) 751-7773
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Wellmed Medical Group
PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
" Rovner, Sergio F, MD
El Paso
Gender: Male
PCP # 8CE43701
NPI: 1437164803
10525 Vista Del Sol Dr
Ste 206
J (915) 593-2600
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Academy of Diabetes
Thyroid and E
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
Polanco, Daniel, MD
Gender: Male
! PCP # 8DF26001
NPI: 1568469856
7430 Remcon Cir
Bldg A Ste 200
(915) 581-0357
Hospital Affiliation: Providence Memorial
Hospital
Clinic Affiliation: Wellmed Medical Group
PA
Board Certified Specialties: None
El Paso
" Porras, Enrique, MD
El Paso
" Saenz Alvarado, Rodrigo J, MD
El Paso
Gender: Male
!# PCP # 8DR72801
NPI: 1073591459
2260 Trawood Dr
(915) 591-4632
Gender: Male
PCP # 8DP63101
NPI: 1033329610
1810 Murchison Dr
Ste 300
(915) 544-0326
Hospital Affiliation: Sierra Medical Center,
University Medical Ctr Of Elpaso
Clinic Affiliation: El Paso Integrated
Physician
Board Certified Specialties: Internal
Medicine
PCP # 8BF35001
NPI: 1073591459
508 Rosinante Rd
J (915) 598-2100
Hospital Affiliation: Kindred Hospital El
Paso, Las Palmas Camp Lpdsh, Providence
Memorial Hospital, Sierra Medical Center
Clinic Affiliation: Enrique Porras MD,
Wellmed Medical Group PA
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: Internal
Medicine
" See, Gladina M, MD
El Paso
Gender: Female
PCP # 87W02801
NPI: 1174514814
300 S Zaragosa Rd
J (915) 790-5700
Hospital Affiliation: Las Palmas Camp
Lpdsh, University Medical Ctr Of Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: Internal
Medicine
Porras, Jose L, MD
Gender: Male
PCP # 85904F01
NPI: 1386638617
1810 Murchison Dr Ste 300
J (915) 544-0326
Hospital Affiliation: Las Palmas Camp
Lpdsh, Las Palmas Rehabilitation Hospital,
Sierra Medical Center
Clinic Affiliation: El Paso Integrated
Physician
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: None
El Paso
" Serna, Aime D, MD
El Paso
Gender: Female
PCP # 8M242001
NPI: 1548489248
1400 N El Paso St Bldg D
J (915) 532-7881
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Internists PA
Board Certified Specialties: Internal
Medicine
!
" Porres Aguilar, Mateo, MD
El Paso
Gender: Male
PCP # 8EB72201
NPI: 1093925927
4801 Alberta Ave
(915) 215-5200
Hospital Affiliation: University Medical
Center
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
Square, Jaime H, MD
Gender: Male
# PCP # 8A966302
NPI: 1205046752
10201 Gateway Blvd W
Ste 100
J (915) 590-3291
Clinic Affiliation: El Paso Oncology and
Interna
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Pas o
Tan, Jeanette S, MD
Gender: Female
PCP # 8BF19501
NPI: 1518938810
7812 Gateway Blvd E
Ste 220
J (915) 598-6628
Hospital Affiliation: Del Sol Camp Lpdsh,
East El Paso Phys Med Ctr Llc, Las Palmas
Camp Lpdsh, Providence Memorial Hospital,
Sierra Medical Center
Clinic Affiliation: Jeanette Tan MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Pas o
" Tovar, Yara E, MD
El Pas o
Gender: Female
# PCP # 8CM55905
NPI: 1740488279
6501 N Mesa St
Ste A
(915) 585-6211
# PCP # 8CM55902
NPI: 1740488279
6974 Gateway Blvd E
Ste F
(915) 774-8850
# PCP # 8CM55901
NPI: 1740488279
8030 N Loop Dr Bldg C
(915) 598-3461
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Salud Y Vida PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
Ugarte, Adrian O, MD
Gender: Male
# PCP # 00T21F01
NPI: 1568444768
9963 A Alameda Ave
J (915) 872-0477
Hospital Affiliation: Las Palmas Camp
Lpdsh, Permian Regional Medical Center,
Providence Memorial Hospital, Sierra
Medical Center, Southwest General Hospital,
University Medical Ctr Of Elpaso
Board Certified Specialties: None
El Pas o
J - Wheelchair Access
8
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmki_pn_pcp
EL PASO
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
" Iwaloye, Femi D, MD
" Antowan, Cenan M, MD
El Paso
EL PASO Cont
INTERNAL MEDICINE Cont
" Urtubey, Adriana M, MD
El Paso
Gender: Female
PCP # 8BX49701
NPI: 1083629794
1900 N Oregon St
Ste 602
J (915) 532-4600
Hospital Affiliation: Sierra Medical Center,
University Medical Ctr Of Elpaso
Clinic Affiliation: Southwest Mountain Star
Medical C
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
Wieland, Kristina M, MD
Gender: Female
! PCP # 8DX35201
NPI: 1821162868
4774 Loma Del Sur
(915) 751-7773
Hospital Affiliation: Sierra Medical Center
Clinic Affiliation: Wellmed Medical Group
PA
Board Certified Specialties: None
J
Gender: Male
PCP # 0052CW01
NPI: 1548206840
1601 N Mesa St
J (915) 533-0406
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties: Internal
Medicine
OBSTETRICS-GYNECOLOGY
Hale, Anne V, MD
Gender: Female
PCP # 8DD09301
NPI: 1063409274
11040 Vista Del Sol Dr
Ste A
(915) 591-4624
Hospital Affiliation: Shannon Medical
Center, Sierra Providence East Med Ctr
Clinic Affiliation: Invogue Total Womens
Healthcare P
Practice Information: Female Patients only,
No Patients Under 15 yrs old
Board Certified Specialties: None
El Paso
Harlass, Frederick E, MD
Gender: Male
PCP # 8M094001
NPI: 1386620003
1700 N Oregon St
Ste 755
J (915) 313-9383
Hospital Affiliation: Del Sol Camp Lpdsh,
Las Palmas Camp Lpdsh, Providence
Memorial Hospital, Sierra Medical Center,
University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Health Care
Network Inc
Board Certified Specialties: None
El Paso
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Male
# PCP # 8DG91001
NPI: 1760670756
11040 Vista Del Sol Dr
Ste C
(915) 591-7704
PCP # 8CN42001
NPI: 1760670756
3901 N Mesa St
(915) 838-1914
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: Physicians and Allied
Health Prof, Westside Pediatric Night Clinic
PA
Practice Information: No Patients Over 20
yrs old
Board Certified Specialties: Pediatrics
Asiain, Maria D, MD
Gender: Female
PCP # 8B422201
NPI: 1023114220
2905 N Stanton
J (915) 544-4484
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: Rich Jr Nicolas MD
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
El Pas o
PEDIATRICS
" Akinjaiyeju, Akintoluwa A, MD
El Paso
Gender: Male
# PCP # 8U410001
NPI: 1669477741
10755 Kenworthy St
J (915) 821-5900
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Nec Pediatrics
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: Pediatrics
Azarcon Samonte, Patricia A, MD
Gender: Female
PCP # 82290B01
NPI: 1538166947
11544 Vista Del Sol Dr
Bldg A
J (915) 592-2600
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Childrens Clinic of El Paso
PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
El Pas o
" Alpard, Allan J, MD
El Paso
J
PCP # 8DW77902
NPI: 1952629826
181 Gus Rallis Dr
(915) 242-0339
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Pediatric Group of Central
El Pas
Practice Information: No Patients Over 20
yrs old
Board Certified Specialties: None
" Aristizabal Ortiz, Andres, MD
Vera, Robert W, MD
Gender: Male
PCP # 8DA32301
NPI: 1962505479
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties: None
Gender: Female
PCP # 8DT97601
NPI: 1356501209
2260 Trawood Dr
(915) 591-4436
Clinic Affiliation: Wellmed Medical Group
PA
Board Certified Specialties: Internal
Medicine
Boadella, Andres D, MD
Gender: Male
PCP # 8DW77901
NPI: 1952629826
1400 N El Paso
Bldg E
(915) 577-0444
El Paso
El Pas o
El Paso
" Wu, Jie, MD
" Yusoof, Syed A, MD
PCP # 8CZ99801
NPI: 1457468787
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Pediatrics
Lyn, Heidi A, MD
Gender: Female
PCP # 8DA06101
NPI: 1578666053
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Providence Memorial
Hospital, University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Paso
El Paso
Gender: Male
PCP # 8CZ99802
NPI: 1457468787
11950 Bob Mitchell Dr
(915) 856-5760
El Paso
El Paso
!
El Pas o
Gender: Male
PCP # 8CR42801
NPI: 1801037973
11163 La Quinta Pl
Ste A200
(915) 595-5439
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, Sierra Providence East Med
Ctr, University Medical Ctr Of Elpaso
Clinic Affiliation: Femi David Iwaloye MD
Board Certified Specialties:
Obstetrics-Gynecology
Gender: Male
PCP # 87341S02
NPI: 1609854538
1160 Saddle Bronc Dr
(915) 593-2033
Blanc, Oscar, MD
Gender: Male
PCP # 8DA00201
NPI: 1568474880
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
El Pas o
# PCP # 87341S01
NPI: 1609854538
650 Belvidere St
J (915) 533-1441
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Pediatric Assoc
PA
Practice Information: No Patients Over 16
yrs old
Board Certified Specialties: Pediatrics
" Alva, Jose D, MD
El Paso
" Bowen, Michael L, DO
El Paso
Gender: Male
PCP # 8DK48601
NPI: 1336299098
545 E Redd Rd
Ste C2
(915) 298-1008
Clinic Affiliation: Bowen Pediatrics PA
Board Certified Specialties: Pediatrics
" Brower, Mary C, MD
El Paso
Gender: Female
# PCP # 87345S02
NPI: 1083692750
1160 Saddle Bronc Dr
J (915) 593-2033
# PCP # 87345S01
NPI: 1083692750
650 Belvidere St
J (915) 533-1441
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Pediatric Assoc
PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatrics
" Canales, Roberto, MD
El Paso
Gender: Male
# PCP # 87920F01
NPI: 1093827255
1733 Curie Dr Ste 103
J (915) 532-2985
# PCP # 87920F02
NPI: 1093827255
2295 Trawood Ste C
J (915) 532-2985
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Canales Roberto MD
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: Pediatrics
Gender: Male
PCP # 8EN36501
NPI: 1831140078
2311 N Mesa St
Ste 6
(915) 351-0699
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Gr Dallas Hlthcare
Enterprises
Practice Information: No Patients Over 16
yrs old
Board Certified Specialties: Pediatrics
J - Wheelchair Access
9
EL PASO
Independent Provider Network (IPN)
bmk_pin_pcp
OCTOBER 15, 2014
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
EL PASO Cont
PEDIATRICS Cont
" Casillas, Arturo, MD
El Paso
J
Gender: Male
PCP # 86Y87001
NPI: 1609875558
1400 N El Paso St Bldg E
(915) 577-0444
J
PCP # 86Y87002
NPI: 1609875558
1512 N Zaragoza Rd
Ste A1
(915) 855-7700
J
PCP # 86Y87004
NPI: 1609875558
181 Gus Rallis Dr
(915) 242-0339
J
PCP # 86Y87003
NPI: 1609875558
4659 Cohen Ave Ste C
(915) 217-1140
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Pediatric Group of Central
El Pas
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatrics
" Craig, Christopher H, MD
El Pas o
Gender: Male
PCP # 8DE29602
NPI: 1700971967
4800 Alberta Ave
J (915) 545-6810
# PCP # 8G703101
NPI: 1114905841
650 Belvidere St
J (915) 533-1441
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Pediatric Assoc
PA
Practice Information: No Patients Over 20
yrs old
Board Certified Specialties: Pediatrics
PCP # 8DE29601
NPI: 1700971967
4801 Alberta Ave
J (915) 545-6810
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Pediatrics
Gender: Female
# PCP # 8CB84301
NPI: 1265485932
3917 N Mesa St
J (915) 544-5439
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Sun City Kidz Clinic PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatrics
Gender: Female
PCP # 8CD60101
NPI: 1760677678
4500 N Mesa St
J (915) 532-9000
Clinic Affiliation: Border Pediatrics PA
Board Certified Specialties: Pediatrics
Contreras, Elizabeth, MD
Gender: Female
PCP # 8BW44401
NPI: 1811990419
1860 Dean Martin Dr
Ste 101
J (915) 857-6390
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, Sierra Providence East Med
Ctr, University Medical Ctr Of Elpaso
Clinic Affiliation: New Horizons
Pediatricspa
Board Certified Specialties: None
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
PCP # 8DA03001
NPI: 1629080833
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatrics
" Days, Alison L, MD
El Paso
Gender: Female
PCP # 8DH09001
NPI: 1801851308
433 Executive Center
Blvd
(915) 307-8087
Hospital Affiliation: El Paso
ChildrensHospitalCorp', Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Healthy Days Pediatrics
Board Certified Specialties: Pediatrics
Gonzalez Morales, Evelyn, MD
Gender: Female
# PCP # 89W69101
NPI: 1285798785
11160 La Quinta Pl
J (915) 591-1494
Hospital Affiliation: Las Palmas Camp
Lpdsh
Clinic Affiliation: Sun City Pediatrics PA
Practice Information: No Patients Over 17
yrs old
Board Certified Specialties: None
El Paso
" De Anda Ortiz, Jose L, MD
El Paso
Gender: Male
PCP # 0039XG01
NPI: 1386642528
125 W Hague
Ste 370
(915) 533-3444
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatrics
El Paso
El Paso
Gender: Female
PCP # 8DA03002
NPI: 1629080833
11950 Bob Mitchell Dr
(915) 856-5760
" Curbelo, Niurka, MD
Gender: Male
PCP # 87346S02
NPI: 1689652307
1160 Saddle Bronc Dr
(915) 593-2033
Colon Dordal, Ramon A, MD
Gender: Male
# PCP # 89W69001
NPI: 1467515940
11160 La Quinta Pl
J (915) 591-1494
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Sun City Pediatrics PA
Practice Information: No Patients Over 16
yrs old
Board Certified Specialties: None
" Garcia, Blanca I, MD
El Paso
El Paso
" Coleman, Scott K, MD
# PCP # 87346S01
NPI: 1689652307
650 Belvidere St
J (915) 533-1441
Hospital Affiliation: Del Sol Camp Lpdsh,
Las Palmas Camp Lpdsh, Providence
Memorial Hospital, Sierra Medical Center
Clinic Affiliation: El Paso Pediatric Assoc
PA
Practice Information: No Patients Over 20
yrs old
Board Certified Specialties: Pediatrics
" Ibarra, Isela, MD
El Paso
Gender: Male
# PCP # 8G703103
NPI: 1114905841
1160 Saddle Bronc Dr
J (915) 593-2033
El Paso
J
" Fuhrman, Bradley P, MD
El Paso
Isaac, David W, MD
Gender: Male
PCP # 8BF29901
PCP # 8S205201
NPI: 1497756613
3901 N Mesa St
J (915) 838-0100
(915) 838-1914
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: David W Isaac, Westside
Pediatric Night Clinic PA
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
El Pas o
" Kahn, Stuart W, MD
El Pas o
J
Gender: Male
PCP # 87340S02
NPI: 1548248263
1160 Saddle Bronc Dr
(915) 593-2033
# PCP # 87340S01
NPI: 1548248263
650 Belvidere St
J (915) 533-1441
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Pediatric Assoc
PA
Practice Information: No Patients Over 15
yrs old
Board Certified Specialties: Pediatrics
" Kronfol, Rana N, MD
El Pas o
Gonzalez Sozer, Mariaelena, MD
Gender: Female
PCP # 0014HL01
NPI: 1114937216
125 W Hague Ste 110
J (915) 351-7644
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Practice Information: Practice includes
children
Board Certified Specialties: Internal
Medicine
El Paso
Eleje, Augustine O, MD
Gender: Male
# PCP # 8V855001
NPI: 1902843030
1700 N Oregon St
Ste 780
J (915) 533-8797
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Augustine O Eleje MD
Board Certified Specialties: Internal
Medicine
El Paso
" Guggedahl, John E, MD
El Paso
Gender: Male
PCP # 8DC31101
NPI: 1073582904
6955 N Mesa St
Ste 104
J (915) 833-8996
Hospital Affiliation: Del Sol Camp Lpdsh,
Las Palmas Camp Lpdsh, Providence
Memorial Hospital, Sierra Medical Center,
Sierra Providence East Med Ctr, University
Medical Ctr Of Elpaso
Clinic Affiliation: John E Guggedahl MD
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatrics
" Frausto, Marcella A, MD
El Paso
Gender: Female
PCP # 8V113001
NPI: 1578541124
12350 Montwood Dr
Ste 300
J (915) 849-9733
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Marcella A Frausto MD
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatrics
" Handal, Gilbert A, MD
El Paso
Gender: Male
PCP # 8DA04201
NPI: 1629081948
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Pediatrics
Gender: Female
# PCP # 87347S02
NPI: 1992731608
1160 Saddle Bronc Dr
J (915) 593-2033
# PCP # 87347S01
NPI: 1992731608
650 Belvidere St
J (915) 533-1441
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, Texas Childrens Hospital
Clinic Affiliation: El Paso Pediatric Assoc
PA
Practice Information: No Patients Over 16
yrs old
Board Certified Specialties: Pediatrics
" Lazaro, Shelley S, MD
El Pas o
Gender: Female
PCP # 8DS98901
NPI: 1033345962
1512 N Zaragoza Rd
Ste A1
(915) 577-0444
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Pediatric Group of Central
El Pas
Practice Information: No Patients Over 20
yrs old
Board Certified Specialties: Pediatrics
J - Wheelchair Access
10
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmki_pn_pcp
EL PASO
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Lozano, Jesus L, MD
Gender: Male
PCP # 00H17J01
NPI: 1972501435
1600 Medical Center Dr
Ste 410
J (915) 532-1466
Mgbokwere, Chioma J, MD
Gender: Female
PCP # 8DC62502
NPI: 1144501875
14470 Horizon Blvd
Ste J
J (915) 577-1134
Hospital Affiliation: Sierra Providence East
Med Ctr
Clinic Affiliation: Gr Dallas Hlthcare
Enterprises
Board Certified Specialties: None
El Paso
EL PASO Cont
PEDIATRICS Cont
Levin, Garrett S, MD
Gender: Male
PCP # 8DA05801
NPI: 1184731614
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
El Paso
Leyva, Rodolfo, MD
Gender: Male
PCP # 8BV35001
NPI: 1982624532
14505 Horizon Blvd
(915) 852-4089
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Horizon City Pediatrics
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
PCP # 8S205101
NPI: 1972501435
3901 N Mesa St
(915) 838-1914
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: Westside Pediatric Night
Clinic PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
!
Lodhi, Huma Y, MD
Gender: Female
PCP # 8DJ25701
NPI: 1275537847
11040 Vista Del Sol
Ste C
(915) 591-7704
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: Physicians and Allied
Health Prof
Board Certified Specialties: None
El Paso
" Logvinoff, Marie Martine, MD
El Paso
Gender: Female
PCP # 8DA06001
NPI: 1407963937
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Pediatrics
# PCP # 8CL48801
NPI: 1306987474
8030 N Loop Dr Bldg C
(915) 598-3461
Hospital Affiliation: Providence Memorial
Hospital
Clinic Affiliation: Salud Y Vida PA
Board Certified Specialties: Pediatrics
" Maiyegun, Sitratullah O, MD
El Paso
Gender: Female
PCP # 8DA06301
NPI: 1649466244
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Las Palmas Camp
Lpdsh, University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Over 19
yrs old
Board Certified Specialties: Pediatrics
" Munoz, Luis R, MD
El Pas o
J
Marquez Smith, Teresa, MD
Gender: Female
PCP # 00N12S01
NPI: 1114998051
11410 Vista Del Sol Ste B
J (915) 838-1400
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Practice Information: No Patients Over 14
yrs old
Board Certified Specialties: None
El Paso
" Mendiola, Anna Marie T, MD
El Paso
Gender: Female
# PCP # 8AR53301
NPI: 1518129378
8061 Alameda Ave
J (915) 859-7545
Clinic Affiliation: Centro San Vicente
Board Certified Specialties: Pediatrics
" Naga, Osama I, MD
El Pas o
Gender: Male
# PCP # 8DN60401
NPI: 1912169921
6901 Helen of Troy
Ste E1
(915) 351-0302
Hospital Affiliation: Baptist Beaumont
Hospital, Christus Hospital
Clinic Affiliation: Osama Naga MD
Board Certified Specialties: Pediatrics
Gender: Female
PCP # 8CQ42502
NPI: 1477536894
12350 Montwood Dr
Ste 200
J (915) 845-2229
# PCP # 8CQ42501
NPI: 1477536894
1900 N Mesa St
J (915) 532-8187
Hospital Affiliation: Del Sol Camp Lpdsh,
Las Palmas Camp Lpdsh, Providence
Memorial Hospital, Sierra Medical Center
Clinic Affiliation: Akai Comprehensive
Pediatric PA
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: Pediatrics
Nowak, Paul C, MD
Gender: Male
# PCP # 0052DR01
NPI: 1033260641
1800 N Mesa Ste 102
J (915) 545-2600
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
El Paso
Ocaranza Flores, Hector I, MD
Gender: Male
PCP # 8H333101
NPI: 1548269210
4500 N Mesa St
J (915) 532-9000
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Border Pediatrics PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
Ortiz, Jorge L, MD
Gender: Male
PCP # 8AJ27401
NPI: 1083612592
11400 Vista Del Sol
J (915) 590-0662
El Paso
PCP # 8BV35201
NPI: 1083612592
14505 Horizon Blvd
(915) 852-4089
Hospital Affiliation: Del Sol Camp Lpdsh, El
Paso ChildrensHospitalCorp', Las Palmas
Camp Lpdsh, Providence Memorial Hospital,
Sierra Medical Center, Sierra Providence
East Med Ctr
Clinic Affiliation: Horizon City Pediatrics,
Jorge Ortiz MD
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
" Nassar, Eddie R, MD
J
Mendoza Castillo, Rodin R, MD
Gender: Male
PCP # 8BV35101
NPI: 1053458836
14505 Horizon Blvd
(915) 852-4089
J
Gender: Male
PCP # 8B422101
NPI: 1730256355
2905 North Stanton
(915) 544-4484
Hospital Affiliation: Del Sol Camp Lpdsh,
Las Palmas Camp Lpdsh, Providence
Memorial Hospital, Sierra Medical Center
Clinic Affiliation: Rich Jr Nicolas MD
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatrics
" Nnebe, Florence O, MD
El Paso
El Pas o
El Paso
" Loomba, Ashish, MD
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
# PCP # 8CL48804
NPI: 1306987474
6974 Gateway Blvd E
Ste F
(915) 774-8850
Gender: Female
PCP # 8CB84401
NPI: 1134171747
3917 N Mesa St
(915) 544-5439
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Sun City Kidz Clinic PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatrics
J
El Paso
Gender: Male
PCP # 8DP89201
NPI: 1790933042
4801 Alberta Ave
J (915) 545-6810
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatrics
Gender: Male
# PCP # 8CL48805
NPI: 1306987474
6501 N Mesa St
Ste A
(915) 585-6211
" Machorro, Angelica I, MD
El Paso
Gender: Female
PCP # 8DR98301
NPI: 1104820802
9870 Gateway Blvd N
Ste B7
(915) 751-5245
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Helena H Liptakova MD
PLLC
Board Certified Specialties: Pediatrics
" Moazam, Mustafa M, MD
El Pas o
El Paso
El Paso
" Liptakova, Helena H, MD
El Pas o
PCP # 8G454001
NPI: 1053458836
1860 Dean Martin Dr
Ste 101
(915) 857-6390
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Horizon City Pediatrics,
New Horizons Pediatricspa
Practice Information: No Patients Over 17
yrs old
Board Certified Specialties: None
Gender: Male
PCP # 8CE64001
NPI: 1053495267
5000 Doniphan Dr
Ste 104
(915) 881-4225
Hospital Affiliation: Las Palmas Camp
Lpdsh, North Central Baptist Hospital,
Northeast Baptist Hospital, Providence
Memorial Hospital, Sierra Medical Center
Clinic Affiliation: Eddie Nassar MD
Board Certified Specialties: Pediatrics
" Paniagua, Julian R, MD
El Paso
Gender: Male
PCP # 8DZ91901
NPI: 1770779506
1700 Curie Dr
Ste 1000
(915) 577-1152
Hospital Affiliation: Knapp Medical Center,
Las Colinas Medical Center, Providence
Memorial Hospital, University Medical Ctr Of
Elpaso
Clinic Affiliation: Gr Dallas Hlthcare
Enterprises
Board Certified Specialties: Pediatrics
J - Wheelchair Access
11
EL PASO
Independent Provider Network (IPN)
bmk_pin_pcp
OCTOBER 15, 2014
Primary Care Physicians
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Rodriguez, Kim V, MD
Gender: Female
# PCP # 87344S02
NPI: 1629056387
1160 Saddle Bronc Dr
J (915) 593-2033
" Prieto Jimenez, Carmen A, MD
El Paso
EL PASO Cont
PEDIATRICS Cont
" Patel, Jagdish D, MD
El Paso
Gender: Male
# PCP # 82470B01
NPI: 1518959709
11026 Vista Del Sol
J (915) 593-5444
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Pediatric Health Centers
of El Paso PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatrics
" Prodanovic, Maria L, MD
Gender: Female
PCP # 8DH35201
NPI: 1194930966
3917 N Mesa St
(915) 544-5439
Clinic Affiliation: Sun City Kidz Clinic PA
Board Certified Specialties: Pediatrics
" Patel, Jignesh D, MD
Pathak, Indu S, MD
Gender: Female
PCP # 8DC48801
NPI: 1568508638
4815 Alameda Ave
(915) 545-6810
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Paso
" Ramirez Jr, Amado, MD
Gender: Male
PCP # 8W892001
NPI: 1679689277
1440 George Dieter Dr
Ste C
J (915) 594-7777
Hospital Affiliation: Providence Memorial
Hospital
Clinic Affiliation: Amado Ramirez Jr MD
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatrics
" Renteria Alvarez, Jose M, MD
Gender: Male
PCP # 8EC80501
NPI: 1669551297
2311 N Mesa St
Ste G
(915) 542-1751
Hospital Affiliation: El Paso
ChildrensHospitalCorp', Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Gr Dallas Hlthcare
Enterprises
Board Certified Specialties: Pediatrics
Gender: Male
# PCP # 8AM34601
NPI: 1215931878
11040 Vista Del Sol Dr
Ste C
J (915) 591-7704
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Physicians and Allied
Health Prof
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: Pediatrics
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Male
PCP # 8AR73002
NPI: 1972619500
1541 N Zaragoza Rd
J (915) 219-7878
PCP # 8S205501
NPI: 1972619500
3901 N Mesa St
(915) 838-1914
Gender: Male
# PCP # 87343S02
NPI: 1831176833
1160 Saddle Bronc Dr
J (915) 593-2033
# PCP # 87343S01
NPI: 1831176833
650 Belvidere St
J (915) 533-1441
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Pediatric Assoc
PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Pediatrics
" Seshadri, Sheshashree, MD
El Pas o
Gender: Female
# PCP # 8ED98801
NPI: 1568727725
6974 Gateway E
Ste F
(915) 774-8850
Clinic Affiliation: Salud Y Vida PA
Board Certified Specialties: Pediatrics
" Shirsat, Pratibha K, MD
El Pas o
Gender: Female
PCP # 8EE14401
NPI: 1972610319
11026 Vista Del Sol
(915) 593-5444
J
Gender: Male
PCP # 8CK07801
PCP # 8CN40001
NPI: 1043494735
3901 N Mesa St
(915) 838-0100
(915) 838-1914
Hospital Affiliation: Providence Memorial
Hospital
Clinic Affiliation: David W Isaac, Westside
Pediatric Night Clinic PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Pediatrics
" Singh, Namrata S, MD
Gender: Female
PCP # 8DA11901
NPI: 1447367818
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: El Paso
ChildrensHospitalCorp', Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Pediatrics
PCP # 8CZ93702
NPI: 1972619500
4801 Alberta Ave
(915) 545-6810
PCP # 8AR73001
NPI: 1972619500
7102 Westwind Dr
J (915) 581-5100
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Doctor Salloum Pediatric
Clinic, Texas Tech University Health Scie,
Westside Pediatric Night Clinic PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatrics
" Rich Jr, Nicolas, MD
El Paso
Gender: Male
PCP # 8B422001
NPI: 1689741712
2905 N Stanton St
J (915) 544-4484
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Rich Jr Nicolas MD
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatrics
!
" Salloum, Maha S, MD
El Paso
Gender: Female
# PCP # 8CU05901
NPI: 1013024579
7102 Westwind Dr
J (915) 581-5100
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Doctor Salloum Pediatric
Clinic
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatrics
PCP # 8DT86301
NPI: 1972610319
1541 N Zaragoza Rd
(915) 219-7878
Hospital Affiliation: Del Sol Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Doctor Salloum Pediatric
Clinic, Pediatric Health Centers of El Paso
PA
Board Certified Specialties: Pediatrics
El Pas o
PCP # 8CZ93701
NPI: 1972619500
4800 Alberta Ave
(915) 545-8888
" Reyna, Ricardo, MD
Peralta Kattengell, Ivania, MD
Gender: Female
PCP # 8U553001
NPI: 1205916186
1700 N Oregon St
Ste 700
J (915) 544-2225
" Prieto Jr, Jose, MD
" Salloum, Hassan N, MD
" Segapeli, Joseph H, MD
El Pas o
El Paso
El Paso
El Paso
El Paso
# PCP # 8H333001
NPI: 1851318737
4500 N Mesa St
J (915) 532-9000
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital,
University Medical Ctr Of Elpaso
Clinic Affiliation: Border Pediatrics PA,
Westside Pediatric Night Clinic PA
Practice Information: No Patients Over 19
yrs old
Board Certified Specialties: None
El Paso
" Peinado Fragoso, Jesus, MD
PCP # 8S205801
NPI: 1205916186
3901 N Mesa St
(915) 838-1914
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: ABC Kids Pediatrics PA,
Westside Pediatric Night Clinic PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
Roncallo, Ruben R, MD
Gender: Male
PCP # 8S205401
NPI: 1851318737
3901 N Mesa St
(915) 838-1914
El Paso
El Paso
El Paso
Gender: Male
PCP # 8DA09501
NPI: 1003003971
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Pediatrics
# PCP # 87344S01
NPI: 1629056387
650 Belvidere St
J (915) 533-1441
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Pediatric Assoc
PA
Practice Information: No Patients Over 16
yrs old
Board Certified Specialties: None
El Paso
El Paso
Gender: Male
# PCP # 8R055001
NPI: 1275525818
11026 Vista Del Sol
J (915) 593-5444
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Pediatric Health Centers
of El Paso PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatrics
El Paso
Gender: Female
PCP # 8DA10101
NPI: 1528175064
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Pediatrics
" Talamas, Emilia, MD
El Pas o
Gender: Female
# PCP # 0054KQ01
NPI: 1356358121
11167 La Quinta Pl
J (915) 591-4453
Hospital Affiliation: Las Palmas Camp
Lpdsh, Sierra Medical Center
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatrics
Usen, Stanley O, MD
Gender: Male
# PCP # 8V031001
NPI: 1265466353
11800 Montana Ave
J (915) 546-4140
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: M & C Childrens Clinic
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
El Pas o
J - Wheelchair Access
12
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmki_pn_pcp
Primary Care Physicians
VINTON
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
PEDIATRICS
Zabanal, Rosario C, MD
Gender: Female
# PCP # 8P812001
NPI: 1962587949
8061 Alameda Ave
J (915) 859-7545
Hospital Affiliation: Rio Grande Regional
Hospital, University Medical Ctr Of Elpaso
Clinic Affiliation: Centro San Vicente
Board Certified Specialties: None
El Paso
EL PASO Cont
PEDIATRICS Cont
" Valenzuela, Manuel F, MD
El Paso
Gender: Male
PCP # 8EE11401
NPI: 1851390454
3901 N Mesa
(915) 838-1914
PCP # 8EB76101
NPI: 1851390454
6633 N Mesa St
Ste 202
(915) 500-4093
Hospital Affiliation: Las Palmas Camp
Lpdsh, Sierra Medical Center
Clinic Affiliation: Manuel F Valenzuela MD,
Westside Pediatric Night Clinic PA
Board Certified Specialties: Pediatrics
" Vashishtha, Neha, MD
El Paso
Gender: Female
PCP # 8EC10001
NPI: 1568767085
4801 Alberta Ave
(915) 215-5700
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Pediatrics
FABENS
FAMILY PRACTICE
Farris, Kelly, MD
Gender: Male
PCP # 89460N01
NPI: 1710978655
101 Potasio
J (915) 790-5700
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: None
Fabens
" Villanos, Maria Theresa M, MD
El Paso
Gender: Female
PCP # 8DA32401
NPI: 1386704914
4801 Alberta Ave
(915) 545-6810
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Pediatrics
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
SOCORRO
PEDIATRICS
" Egborge, Eseovhe A, MD
Socorro
Gender: Male
PCP # 8DK65401
NPI: 1548434467
10680 N Loop Dr Ste B2
(915) 219-9650
Clinic Affiliation: Socorro Pediatrics and
Autism Cen
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatrics
" Morales Mendez, Jacobo S, MD
Fabens
Gender: Male
PCP # 8DJ39601
NPI: 1770743544
101 Potassio
(915) 790-5700
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: Family
Practice
VINTON
FAMILY PRACTICE
" Nevarez, Alba N, MD
Fabens
Agarwal, Ajai J, MD
Gender: Male
# PCP # 80352X05
NPI: 1437240256
7920 Doniphan Dr
J (915) 855-8550
Hospital Affiliation: Del Sol Camp Lpdsh,
East El Paso Phys Med Ctr Llc, Providence
Memorial Hospital, Sierra Medical Center
Clinic Affiliation: Montwood Family Medical
Center
Board Certified Specialties: None
Vinton
Gender: Female
PCP # 8DX03301
NPI: 1164740361
101 S Potasio St
(915) 790-5700
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: Family
Practice
PCP # 88905J03
NPI: 1629069208
4815 Alameda Ave
J (915) 544-1200
# PCP # 89V59401
NPI: 1629069208
8061 Alameda Ave
J (915) 859-7545
Hospital Affiliation: Providence Memorial
Hospital, University Medical Ctr Of Elpaso
Clinic Affiliation: Centro San Vicente,
University Med Ctr of El Paso
Practice Information: No Patients Over 17
yrs old
Board Certified Specialties: None
Mgbokwere, Chioma J, MD
Gender: Female
PCP # 8DC62501
NPI: 1144501875
13800 E Lake Blvd Ste 400
J (915) 577-1134
Hospital Affiliation: Sierra Providence East
Med Ctr
Clinic Affiliation: Gr Dallas Hlthcare
Enterprises
Board Certified Specialties: None
Horizon City
Gender: Male
PCP # 8DX03202
NPI: 1316266687
101 Potasio
(915) 790-5700
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: Family
Practice
PCP # 0086WS01
NPI: 1679647648
9740 Dyer St Ste 112
J (915) 500-5030
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Physicians and Allied
Health Prof
Board Certified Specialties: Pediatrics
Viado, Emma S, MD
Gender: Female
PCP # 88905J01
NPI: 1629069208
300 S Zaragoza Rd
J (915) 790-5700
PEDIATRICS
" Martinez, Pablo F, MD
" Velasquez, Linda K, MD
El Paso
HORIZON CITY
Fabens
El Paso
Gender: Female
PCP # 8DD61701
NPI: 1679647648
11040 Vista Del Sol Dr
Ste C
(915) 591-7704
Viado, Emma S, MD
Gender: Female
PCP # 88905J02
NPI: 1629069208
101 Potasio
J (915) 521-2270
Hospital Affiliation: Providence Memorial
Hospital, University Medical Ctr Of Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Practice Information: No Patients Over 17
yrs old
Board Certified Specialties: None
Fabens
INTERNAL MEDICINE
Songbandith, Virabandith V, MD
Gender: Male
# PCP # 8J920003
NPI: 1750489043
7920 Doniphan Dr
J (915) 886-3399
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Montwood Family Medical
Center
Board Certified Specialties: None
Vinton
" Trevino, Marina, MD
Fabens
J
Gender: Female
PCP # 8AD70301
NPI: 1922164664
101 Potasio
(915) 521-2270
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: Internal
Medicine
J - Wheelchair Access
13
ANTHONY
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 15, 2014
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
INDEPENDENT
O
ctober 15, 2014PROVIDER NETW ORK ( IPN)
ANTHONY
OPHTHALMOLOGY
" Calderon, Marcos, MD
Anthony
Gender: Male
NPI: 1316939200
525 S Main
J(915) 886-2120
Hospital Affiliation: Las Palmas Camp
Lpdsh, Sierra Medical Center
Clinic Affiliation: Marcos Calderon MD
Practice Information: No Patients Under 8
yrs old
Board Certified Specialties:
Ophthalmology
#
Gaines, Lelia T, MD
Gender: Female
NPI: 1952393654
# 1733 Curie Dr
Ste 205
(915) 545-2054
Hospital Affiliation: Del Sol Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Sashi II PA
Practice Information: No Patients Under 6
yrs old
Board Certified Specialties: None
#
#
EL PASO
#
NPI: 1326015173
4501 N Mesa
J(915) 591-2080
Clinic Affiliation: Allergy and Asthma
Center of El P
Practice Information: No Patients Under 1
yrs old
Board Certified Specialties:
Allergy-Immunology
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
NPI: 1245566108
2400 Trawood Dr
Ste 100
(915) 577-6000
Clinic Affiliation: Chamizal Emergency
Physicians, El Paso Integrated Physician
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Anp/Cert/Clnp
!
Gender: Female
NPI: 1174773857
4801 Alberta Ave
(915) 545-6611
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Anp/Cert/Clnp
Castrellon, Demetria A, APN
Gender: Female
NPI: 1275882458
1700 Curie Dr
Ste 4800
J(915) 351-7000
Clinic Affiliation: Carmela P Morales MD
Board Certified Specialties: None
El Pas o
Chavez, Sylvia, APN
Gender: Female
NPI: 1164679536
1700 Cliff Bldg A
Ste 200
J(915) 577-9009
El Pas o
Bermudez, Raquel, APN
Gender: Female
NPI: 1417209594
8061 Alameda Ave
(915) 859-7545
Clinic Affiliation: Centro San Vicente
Board Certified Specialties: None
NPI: 1164679536
300 S Zaragoza
(915) 790-5700
Clinic Affiliation: Edward R Assi DO PA,
University Med Ctr of El Paso
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
" Blanco, Christina, APN
El Paso
" York, John C, MD
El Paso
#
Gender: Male
NPI: 1164464590
2121 Wyoming Ave
(915) 532-2663
Clinic Affiliation: Allergy Partners of El
Paso
Board Certified Specialties:
Allergy-Immunology
El Paso
ALLERGY-IMMUNOLOGY
Gender: Male
NPI: 1326015173
10470 Vista Del Sol Dr
Ste 100
J(915) 591-2080
Gender: Male
NPI: 1245566108
1810 Murchison Dr
Ste 300
J(915) 544-0326
Gender: Male
NPI: 1447367750
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties:
Allergy-Immunology
#
" Castaneda, Kayla E, APN
El Pas o
" Batista, Christopher A, APN
" Ting, Stanislaus, MD
El Paso
Gender: Female
NPI: 1689815797
101 Rim Rd
Ste 300
(915) 532-4542
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: El Paso Heart Center PA
Board Certified Specialties: Anp/Cert/Clnp
El Paso
El Paso
ADOLESCENT MEDICINE
" Funkhouser, Todd A, MD
Banda, Claudette M, APN
Gender: Female
NPI: 1306185848
4801 Alberta Ave
(915) 215-5000
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: Female Patients only
Board Certified Specialties: None
" Carcoba, Dora M, APN
El Pas o
El Paso
" Narra, Madhu B, MD
El Paso
Schydlower, Manuel, MD
Gender: Male
NPI: 1104933522
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital,
University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Pediatrics
NPI: 1649220138
6955 N Mesa Ste 106
J(915) 581-8751
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Board Certified Specialties:
Allergy-Immunology
El Paso
ACUPUNCTURE
Mata, Shirley A, DC
Gender: Female
NPI: 1194879312
# 10600 Montwood Dr
Ste 113
J(915) 252-9837
Board Certified Specialties: None
Armendariz, Maritza R, APN
Gender: Female
NPI: 1477784072
! 2400 Trawood Dr
Ste 100
(915) 577-6000
Clinic Affiliation: Chamizal Emergency
Physicians, Texas EM I Medical Services PA
Board Certified Specialties: None
Candelaria, Bilha A, APN
Gender: Female
NPI: 1609017623
500 E San Antonio Ave
(915) 790-5700
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: None
El Pas o
El Paso
Gender: Male
NPI: 1508936170
2121 Wyoming Ave
(915) 532-2663
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Allergy Partners of El
Paso
Board Certified Specialties:
Allergy-Immunology
" Moazam, Mustafa M, MD
Gender: Male
NPI: 1306987474
7200 Doniphan Dr
(915) 877-9010
Hospital Affiliation: Providence Memorial
Hospital
Clinic Affiliation: Salud Y Vida PA
Board Certified Specialties: Pediatrics
Gender: Male
NPI: 1649220138
10400 Vista Del Sol Dr
Ste 201
J(915) 594-1145
" Mansfield, Lyndon E, MD
Canutillo
#
Anaya, Gerardo, APN
Gender: Male
NPI: 1013244243
5021 Crossroads
J(915) 585-0109
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: None
El Paso
El Paso
PEDIATRICS
Canada, Linda R, APN
Gender: Female
NPI: 1114020625
8061 Alameda Ave
J(915) 859-7545
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Centro San Vicente
Board Certified Specialties: None
El Pas o
Gender: Female
NPI: 1467456913
501 N Yarbrough Dr
(915) 595-1844
Clinic Affiliation: Wellmed Medical Group
PA
Board Certified Specialties: Anp/Cert/Clnp
" Gonzalez, Luis A, MD
PEDIATRIC HEMATOLOGY-ONCOLOGY
Moazam, Mustafa M, MD
Gender: Male
NPI: 1306987474
# 7200 Doniphan Dr
(915) 877-9010
Hospital Affiliation: Providence Memorial
Hospital
Clinic Affiliation: Salud Y Vida PA
Board Certified Specialties: Pediatrics
El Paso
El Paso
CANUTILLO
Canutillo
" Alarcon, Maria T, APN
El Paso
#
Gender: Male
NPI: 1891884003
6633 N Mesa St
Ste 101
J(915) 584-9675
Clinic Affiliation: John C York MD
Board Certified Specialties:
Allergy-Immunology
Gender: Female
NPI: 1013095538
8061 Alameda Ave
J(915) 859-7545
Clinic Affiliation: Centro San Vicente
Board Certified Specialties: Anp/Cert/Clnp
" Bohlmann, Vilma F, APN
El Paso
Gender: Female
NPI: 1629340229
300 S Zaragoza Rd
(915) 790-5700
ANP/CERT/CLNP
NPI: 1629340229
7420 Remcon Cir
Ste A
J(915) 532-8823
Clinic Affiliation: Rio Grande Urology PA,
University Med Ctr of El Paso
Board Certified Specialties: Anp/Cert/Clnp
Acosta, Astrid, APN
Gender: Female
NPI: 1558790287
2260 Trawood Dr
J(915) 591-4436
Clinic Affiliation: Wellmed Medical Group
PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
" Camacho, Arlette Y, APN
El Paso
Gender: Female
NPI: 1104198795
7420 Remcon Cir
Ste A
J(915) 532-8823
Clinic Affiliation: Rio Grande Urology PA
Board Certified Specialties: Anp/Cert/Clnp
Dacus, Roberta A, APN
Gender: Female
NPI: 1407835101
! 2400 Trawood Dr
Ste 100
(915) 577-6000
Clinic Affiliation: Chamizal Emergency
Physicians
Board Certified Specialties: None
El Pas o
" Davis, Nicole E, APN
El Pas o
Gender: Female
NPI: 1477785038
10470 Vista Del Sol Dr
Ste 100
J(915) 591-2080
#
NPI: 1477785038
4501 N Mesa Ave
J(915) 591-2080
Clinic Affiliation: Allergy and Asthma
Center of El P
Board Certified Specialties: Anp/Cert/Clnp
J - Wheelchair Access
14
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmkpi_n_spec
EL PASO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
" Gonzalez, Nydia, APN
" Jacquez, Maria E, APN
El Paso
EL PASO Cont
ANP/CERT/CLNP Cont
" Dizzine, Amanda J, APN
El Paso
Gender: Female
NPI: 1841518487
4843 Alameda Ave
J(915) 298-5444
Clinic Affiliation: El Paso Childrens
Physician Group
Board Certified Specialties: Anp/Cert/Clnp
!
NPI: 1932438090
4824 Alberta Ave
Ste 207
J(915) 521-7731
Clinic Affiliation: El Paso Kidney
Specialists PA, University Med Ctr of El Paso
Board Certified Specialties: Anp/Cert/Clnp
Gill, Shirlina L, APN
Gender: Female
NPI: 1184865107
14505 Horizon Blvd
J(915) 852-4089
Clinic Affiliation: Horizon City Pediatrics
Board Certified Specialties: None
El Paso
" Jacobs, Michael J, APN
El Paso
Gender: Male
NPI: 1619123726
14505 Horizon Blvd
(915) 852-4089
!
Gender: Female
NPI: 1477899128
8061 Alameda Ave
(915) 859-7545
Clinic Affiliation: Centro San Vicente
Board Certified Specialties: Anp/Cert/Clnp
Karr, Lisa D, APN
Gender: Female
NPI: 1144468430
! 2400 Trawood Dr
Ste 100
(915) 577-6000
Clinic Affiliation: Chamizal Emergency
Physicians
Board Certified Specialties: None
El Pas o
Law, Patricia A, APN
Gender: Female
NPI: 1043211527
8061 Alameda Ave
J(915) 859-7545
Clinic Affiliation: Centro San Vicente
Board Certified Specialties: None
El Pas o
NPI: 1619123726
2400 Trawood Dr
Ste 100
(915) 577-6000
Clinic Affiliation: Chamizal Emergency
Physicians, Horizon City Pediatrics
Board Certified Specialties: Anp/Cert/Clnp
Leyva, Louie, APN
Gender: Male
NPI: 1154325603
1470 George Dieter Dr
Ste F
(915) 599-9993
Clinic Affiliation: St Family Clinic Inc
Board Certified Specialties: None
El Pas o
" Lindsay, Alejandrina, APN
El Pas o
Gomez, Maria S, APN
Gender: Female
NPI: 1558452524
2260 Trawood Dr
(915) 591-4632
Clinic Affiliation: Wellmed Medical Group
PA
Board Certified Specialties: None
El Paso
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
" Johnson, Cara R, APN
El Pas o
Jones, Daphne M, APN
Gender: Female
NPI: 1780634006
300 S Zaragoza Rd
J(915) 790-5700
Clinic Affiliation: University Med Ctr of El
Paso
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
NPI: 1932438090
300 S Zaragoza Rd
J(915) 790-5700
El Paso
Jacquez, Vicente, APN
Gender: Male
NPI: 1861725228
! 2400 Trawood Dr
Ste 100
(800) 355-0808
Clinic Affiliation: Chamizal Emergency
Physicians
Board Certified Specialties: None
El Pas o
Gender: Female
NPI: 1932438090
1700 Curie Dr
Ste 4300
(915) 544-4500
Gender: Female
NPI: 1528191707
10965 Ben Crenshaw
Bldg 1
(915) 594-4400
Clinic Affiliation: The Doctors In
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties: Anp/Cert/Clnp
NPI: 1265758445
3215 Gateway Blvd W
(915) 598-7246
Clinic Affiliation: El Paso Pain Center PA
Board Certified Specialties: Anp/Cert/Clnp
Gender: Female
NPI: 1972533289
2400 Trawood Dr
Ste 100
(915) 577-6000
Clinic Affiliation: Chamizal Emergency
Physicians
Board Certified Specialties: Anp/Cert/Clnp
" Herrera, Laura, APN
" Farrington, Valerie J, APN
" Loya, Nasla V, APN
Gender: Female
NPI: 1467875013
3215 Gateway Blvd W
J(915) 598-7246
Clinic Affiliation: El Paso Pain Center PA
Board Certified Specialties: Anp/Cert/Clnp
" Lozano, Rachel M, APN
El Paso
#
El Pas o
El Paso
El Paso
Gender: Female
NPI: 1265758445
1324 N Yarbrough Dr
(915) 598-7246
NPI: 1518290964
9311 Diana Dr
(915) 771-7200
Clinic Affiliation: E P Premier Medical
Group PA, Montwood Family Medical Center
Practice Information: No Patients Under 10
yrs old
Board Certified Specialties: Anp/Cert/Clnp
" Hernandez, Terry L, APN
" Farness, Judy L, APN
" Fiske, Haydee, APN
NPI: 1821106964
3215 Gateway Blvd W
J(915) 598-7246
Clinic Affiliation: El Paso Pain Center PA,
Southwest Neuro Spine Institute P
Board Certified Specialties: Anp/Cert/Clnp
El Paso
El Paso
Gender: Female
NPI: 1255431649
11525 Vista Del Sol
(915) 855-3636
Practice Information: No Patients Under 65
yrs old
Board Certified Specialties: Anp/Cert/Clnp
NPI: 1518290964
6065 Montana Ave
Ste A Z
(915) 771-7200
Harps, Patricia L, APN
Gender: Female
NPI: 1477799963
4824 Alberta Ave
Ste 207
J(915) 521-7731
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: None
El Paso
Lopez, Lirio E, APN
Gender: Female
NPI: 1518248764
9870 Gateway Blvd N
Ste B7
(915) 751-5245
Clinic Affiliation: Helena H Liptakova MD
PLLC
Board Certified Specialties: None
El Paso
El Paso
Gender: Male
NPI: 1821106964
1725 Brown St
(915) 590-2225
El Paso
Espinosa, Ivonne, APN
Gender: Female
NPI: 1194151217
8061 Alameda Ave
J(915) 859-7545
Clinic Affiliation: Centro San Vicente
Board Certified Specialties: None
El Paso
Gender: Female
NPI: 1750403218
10965 Ben Crenshaw
Blg 1
J(915) 594-4000
Clinic Affiliation: The Doctors In
Board Certified Specialties: Anp/Cert/Clnp
NPI: 1518290964
3022 Trawood Dr
(915) 771-7200
" Gonzalez III, Alvaro G, APN
" Dominguez, Guadalupe, APN
" Faner, Maria L, APN
Gender: Female
NPI: 1518290964
1015 N Zaragoza Rd
(915) 771-7200
El Paso
El Paso
Gender: Female
NPI: 1518290022
4801 Alberta Ave
(915) 545-6560
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Anp/Cert/Clnp
El Pas o
Gender: Female
NPI: 1518155134
4774 Loma Del Sur
(915) 751-7773
Clinic Affiliation: Wellmed Medical Group
PA
Board Certified Specialties: Anp/Cert/Clnp
Gender: Female
NPI: 1548691447
4824 Alberta Ave
Ste 207
J(915) 521-7731
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: Anp/Cert/Clnp
Gender: Female
NPI: 1114338407
2260 Trawood Dr
(915) 591-4632
Clinic Affiliation: Wellmed Medical Group
PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Anp/Cert/Clnp
Malone, Veronica A, APN
Gender: Female
NPI: 1881995355
4800 Alberta Ave
(915) 545-8888
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Paso
Marquez, Laura, APN
Gender: Female
NPI: 1669722070
8061 Alameda Ave
(915) 859-7545
Clinic Affiliation: Centro San Vicente
Board Certified Specialties: None
El Paso
Martinez, Mabel R, APN
Gender: Female
NPI: 1023107299
7430 Remcon Cir
Bldg B
(915) 581-0357
Clinic Affiliation: Wellmed Medical Group
PA
Board Certified Specialties: None
El Paso
Meza, Hugo A, APN
Gender: Male
NPI: 1396002937
2311 N Mesa
J(915) 544-1533
Clinic Affiliation: El Paso Internal Med Care
PA
Practice Information: No Patients Under 20
yrs old
Board Certified Specialties: None
El Paso
Miller Shultz, Marilyn D, APN
Gender: Female
NPI: 1487624474
! 2400 Trawood Dr
Ste 100
(915) 577-6000
Clinic Affiliation: Chamizal Emergency
Physicians
Board Certified Specialties: None
El Paso
" Mosier, Karina P, APN
El Paso
Gender: Male
NPI: 1861737249
1600 N Oregon St
J(915) 532-2445
Clinic Affiliation: Gastroenterology
Specialist of El Paso
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Anp/Cert/Clnp
J - Wheelchair Access
15
EL PASO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 15, 2014
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Ozuna, Linda, APN
Gender: Female
NPI: 1245235324
2260 Trawood Dr
J(915) 591-4632
Clinic Affiliation: Wellmed Medical Group
PA
Board Certified Specialties: None
Portugal, Elizabeth A, APN
Gender: Female
NPI: 1699879981
1485 George Dieter Dr
Ste 107
J(915) 532-5454
El Paso
EL PASO Cont
ANP/CERT/CLNP Cont
Myers, Debra A, APN
Gender: Female
NPI: 1871803916
1400 N Zaragoza Rd
Ste B
J(915) 856-5155
Clinic Affiliation: Esteem Womens
Healthcare LLC
Practice Information: No Patients Under 9
yrs old
Board Certified Specialties: None
El Paso
Natividad, Lorena, APN
Gender: Female
NPI: 1679582860
300 S Zaragoza Rd
J(915) 521-7731
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: None
El Paso
Natividad Jr, Pedro, APN
Gender: Male
NPI: 1326027848
9999 Kenworthy
Ste A
(915) 751-7773
Clinic Affiliation: Wellmed Medical Group
PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
Neumann, Emily A, APN
Gender: Female
NPI: 1083748073
300 S Zaragoza Rd
J(915) 790-5700
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: None
" Ortiz, Carlos, APN
Gender: Male
NPI: 1962741389
1512 Zaragoza
Ste A1
(915) 855-7700
NPI: 1962741389
181 Gus Rallis Dr
(915) 242-0339
Clinic Affiliation: Pediatric Group of Central
El Pas
Board Certified Specialties: Anp/Cert/Clnp
" Ortiz, Jessica H, APN
El Paso
Gender: Female
NPI: 1699106385
4824 Alberta Ave
J(915) 521-7731
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: Anp/Cert/Clnp
Salinas, Albert, APN
Gender: Male
NPI: 1669728903
300 S Zaragoza Rd
J(915) 790-5700
El Pas o
NPI: 1699879981
300 S Zaragoza Rd
Bldg B
J(915) 532-5454
Pagan, Maria L, APN
Gender: Female
NPI: 1417276056
# 10400 Vista Del Sol
Ste 204
(915) 598-1005
Clinic Affiliation: Murray M Vann MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
NPI: 1669728903
4801 Alberta Ave
(915) 545-6627
Clinic Affiliation: Texas Tech University
Health Scie, University Med Ctr of El Paso
Board Certified Specialties: None
NPI: 1699879981
4824 Alberta Ave
Ste 403
J(915) 521-7886
NPI: 1699879981
9839 Kenworthy St
J(915) 532-5454
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties: None
Paz, Christina I, APN
Gender: Female
NPI: 1942536198
8061 Alameda Ave
J(915) 859-7545
Clinic Affiliation: Centro San Vicente
Board Certified Specialties: None
El Paso
" Peebles, Taron T, APN
El Paso
#
#
" Sanchez, Adriana P, APN
El Pas o
NPI: 1699879981
5021 Crossroads Dr
J(915) 532-5454
Gender: Male
NPI: 1437423696
1865 N Lee Trevino Dr
J(915) 590-1994
Rincones, Cheyenne C, APN
Gender: Female
NPI: 1750719498
! 9849 Kenworthy
J(915) 215-5500
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
Gender: Female
NPI: 1205127636
2311 N Mesa
Bldg E
J(915) 533-8499
Clinic Affiliation: Cardio Pulmonary Assoc
Board Certified Specialties: Anp/Cert/Clnp
Sharp, Dayle B, APN
Gender: Female
NPI: 1790885184
10965 Ben Crenshaw
Bldg 1
(915) 594-4000
Clinic Affiliation: The Doctors In
Board Certified Specialties: None
El Pas o
El Paso
NPI: 1437423696
4305 N Mesa St
Ste A
J(915) 532-2477
Rodriguez, Hector L, APN
Gender: Female
NPI: 1104130087
9849 Kenworthy
J(915) 757-3178
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Paso
NPI: 1437423696
9999 Kenworthy St
Ste B
J(915) 757-6280
Clinic Affiliation: El Paso Pulmonary Assoc
Board Certified Specialties: Anp/Cert/Clnp
Pereira Wookee, Lisa, APN
Gender: Female
NPI: 1932357456
7430 Remcon Cir
Bldg B
(915) 581-0357
Clinic Affiliation: Wellmed Medical Group
PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
Rojas, Maria G, APN
Gender: Female
NPI: 1255335709
2260 Trawood Dr
(915) 591-4436
Clinic Affiliation: Wellmed Medical Group
PA
Board Certified Specialties: None
Solis, Guillermina R, APN
Gender: Female
NPI: 1194781864
# 4930 Osborne St Bldg A
(915) 587-9455
Clinic Affiliation: Michael H Annabi MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Pas o
" Steele, Sandra, APN
El Pas o
Gender: Female
NPI: 1922002526
2400 Trawood Dr
Ste 100
(915) 577-6000
!
El Paso
" Pimentel, Elizabeth A, APN
El Paso
Gender: Female
NPI: 1699795047
4800 Alberta Ave
(915) 545-8888
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Anp/Cert/Clnp
Suarez, Cerena H, APN
Gender: Female
NPI: 1356345037
7430 Remcon Cir
Bldg B
J(915) 584-0051
Clinic Affiliation: Wellmed Medical Group
PA
Board Certified Specialties: None
Romero, Belinda E, APN
Gender: Female
NPI: 1699756676
4824 Alberta Ave
Ste 403
J(915) 521-7854
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: None
El Pas o
Romero, Roberta A, APN
Gender: Female
NPI: 1871826818
4800 Alberta Ave
(915) 545-8888
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Pas o
El Paso
" Osborn, Susan M, APN
Gender: Female
NPI: 1467481051
1600 Medical Center Dr
Ste 101
J(915) 544-1350
Clinic Affiliation: Southwest Ear Nose &
Throat Consult PA
Board Certified Specialties: Anp/Cert/Clnp
NPI: 1922002526
3280 Joe Battle Blvd
(915) 577-6000
Clinic Affiliation: Texas EM I Medical
Services PA
Board Certified Specialties: Anp/Cert/Clnp
!
El Paso
El Paso
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Rubio, Lori A, APN
Gender: Female
NPI: 1972870178
300 S Zaragoza
(915) 790-5700
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: None
El Pas o
El Paso
El Paso
El Paso
NPI: 1699879981
2022 Murchinson Dr
Ste 108
J(915) 532-5454
Padilla, Maria I, APN
Gender: Female
NPI: 1386725810
1651 Joe Battle Blvd
J(915) 849-9010
Clinic Affiliation: Sun City Medical Clinic PA
Board Certified Specialties: None
El Paso
El Paso
Olivas, Cecilia A, APN
Gender: Female
NPI: 1912140245
4800 Alberta Ave
(915) 545-8888
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Paso
" Rose, Marta K, APN
El Paso
Gender: Female
NPI: 1265552749
10412 Vista Del Sol Dr
Ste 1B
(915) 593-9300
Clinic Affiliation: Eastside Rehabilitation
Medicine of Pain Clinic
Board Certified Specialties: Anp/Cert/Clnp
" Tagle, James A, APN
Gender: Male
NPI: 1255677597
4301 N Mesa St
Ste 100
(915) 532-6767
#
NPI: 1255677597
4305 N Mesa St
Ste A
(915) 532-2477
Clinic Affiliation: El Paso Cardiology Assoc
PA, El Paso Pulmonary Assoc
Board Certified Specialties: Anp/Cert/Clnp
J - Wheelchair Access
16
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmkpi_n_spec
EL PASO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
EL PASO Cont
AUDIOLOGY
Dim, Uzodinma R, MD
Gender: Male
NPI: 1194990424
1733 Curie Dr Ste 210
J(915) 532-2272
Hospital Affiliation: El Paso Specialty
Hospital Ltd, Kindred Hospital El Paso, Las
Palmas Camp Lpdsh, Mesa Hills Specialty
Hospital, Providence Memorial Hospital,
Sierra Medical Center
Clinic Affiliation: Michael J Deluca MD
Board Certified Specialties: None
El Pas o
Hart, Loren S, AUDIO
Gender: Male
NPI: 1184732265
# 1600 Medical Center Dr
Ste 101
J(915) 544-1350
Clinic Affiliation: Southwest Ear Nose &
Throat Consult PA
Practice Information: Practice includes
children
Board Certified Specialties: None
El Paso
ANP/CERT/CLNP Cont
Terrazas Ponce, Belen, APN
Gender: Female
NPI: 1538403068
7420 Remcon Cir
Bldg A
(915) 532-8823
Clinic Affiliation: Rio Grande Urology PA
Board Certified Specialties: None
El Paso
Thomas, Bobbi G, APN
Gender: Female
NPI: 1265559421
# 1721 N Lee Trevino Dr
J(915) 590-9424
Clinic Affiliation: Juarez Edward C MD
Practice Information: No Patients Under 2
yrs old
Board Certified Specialties: None
El Paso
Tuey, Ruby I, APN
Gender: Female
NPI: 1528218518
! 2400 Trawood Dr
Ste 100
(915) 577-6000
Clinic Affiliation: Chamizal Emergency
Physicians
Board Certified Specialties: None
El Paso
" Vallejo, Daniel C, APN
El Paso
Gender: Male
NPI: 1912229154
4801 Alberta Ave
(915) 215-5300
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Anp/Cert/Clnp
" Vargas, Ricardo, APN
El Paso
Gender: Male
NPI: 1568889319
7430 Remcon Cir
Bldg B
(915) 581-0357
Clinic Affiliation: Wellmed Medical Group
PA
Board Certified Specialties: Anp/Cert/Clnp
" Vasquez, Bertha R, APN
El Paso
Gender: Female
NPI: 1972595304
4815 Alameda Ave
(915) 544-1200
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: Anp/Cert/Clnp
" Vela, Mario, APN
El Paso
Gender: Male
NPI: 1023068012
4301 N Mesa St
Ste 100
J(915) 532-6767
Clinic Affiliation: El Paso Cardiology Assoc
PA
Board Certified Specialties: Anp/Cert/Clnp
Villarreal, Vivian G, APN
Gender: Female
NPI: 1952572166
! 2400 Trawood Dr
Ste 100
(915) 577-6000
Clinic Affiliation: Chamizal Emergency
Physicians
Board Certified Specialties: None
El Paso
Zuniga, Julie A, APN
Gender: Female
NPI: 1124262381
! 2400 Trawood Dr
Ste 100
(915) 577-6000
Clinic Affiliation: Chamizal Emergency
Physicians
Board Certified Specialties: None
El Paso
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
" Aguilar, Oscar M, MD
El Paso
Gender: Male
NPI: 1295732592
101 Rim Rd
Ste 300
J(915) 532-4542
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: El Paso Heart Center PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease, Internal Medicine
" Gonzalez, Francisco J, MD
El Pas o
Longnecker, Beth A, AUDIO
Gender: Female
NPI: 1689614463
5959 Gateway Blvd W
Ste 104
J(915) 779-5866
Clinic Affiliation: El Paso ENT Assoc
Board Certified Specialties: None
Gender: Male
NPI: 1447475611
1600 Medical Center Dr
Ste 218
J(512) 838-1900
(915) 838-1900
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Electrophysiology
PA, Las Palmas Del Sol Cardiology PLL
Board Certified Specialties: Cardiac
Electrophysiology
El Paso
Lyon, Kerry H, AUDIO
Gender: Female
NPI: 1972602498
1500 N Mesa
J(915) 532-6935
Clinic Affiliation: El Paso Hearing Aid
Center Inc
Practice Information: Practice includes
children
Board Certified Specialties: None
El Paso
Nasur, Ali M, MD
Gender: Male
NPI: 1922011782
3270 Joe Battle Blvd
Ste 215
(800) 481-0089
Hospital Affiliation: Sierra Providence East
Med Ctr
Clinic Affiliation: Texan Cardiovascular
Institute PA
Board Certified Specialties:
Cardiovascular Disease
" Alvarez, Sergio R, MD
El Paso
Gender: Male
NPI: 1700843034
1440 George Dieter Dr
J(915) 533-8499
NPI: 1700843034
2311 N Mesa St Ste E
J(915) 533-8499
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Cardio Pulmonary Assoc
Practice Information: No Patients Over 2
yrs old
Board Certified Specialties:
Cardiovascular Disease, Sleep Medicine
El Pas o
Lyon, Matthew H, AUDIO
Gender: Male
NPI: 1588686844
# 1500 N Mesa
J(915) 532-6935
Clinic Affiliation: El Paso Hearing Aid
Center Inc
Practice Information: Practice includes
children
Board Certified Specialties: None
El Paso
" Amadi, Chikezie C, MD
El Paso
Gender: Male
NPI: 1487616918
1512 N Zaragoza Rd
Ste C4
J(915) 298-5425
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Southwest Cardiovascular
Interven
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
CARDIAC THORACIC SURGERY
Eisenberg, Kenneth L, MD
Gender: Male
NPI: 1659376929
1600 Medical Center Dr
Ste 212
J(915) 532-3977
Hospital Affiliation: Del Sol Camp Lpdsh,
Las Palmas Camp Lpdsh, Providence
Memorial Hospital, Sierra Medical Center,
Sierra Providence East Med Ctr
Clinic Affiliation: El Paso Southwestern
Cardiovascular Assoc
Board Certified Specialties: None
El Pas o
Ocampo, Eileen M, AUDIO
Gender: Female
NPI: 1548485345
4845 Alameda Ave
J(915) 298-5444
Clinic Affiliation: El Paso Childrens
Physician Group
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
El Paso
CARDIAC ELECTROPHYSIOLOGY
Flores, Hector A, MD
Gender: Male
NPI: 1972784247
1600 Medical Center Dr
Ste 212
J(915) 532-3977
Clinic Affiliation: El Paso Southwestern
Cardiovascular Assoc
Board Certified Specialties: Thoracic
Surgery
" Assi, Edward R, DO
El Paso
Gender: Male
NPI: 1669472544
1700 Cliff Bldg A
Ste 200
J(915) 577-9009
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Edward R Assi DO PA
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties:
Cardiovascular Disease
El Pas o
Abedin, Moeen, MD
Gender: Male
NPI: 1841403946
1701 N Lee Trevino Ste C
J(915) 593-5999
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, Sierra Providence East Med
Ctr
Board Certified Specialties:
Cardiovascular Disease
El Paso
Abedin, Zainul, MD
Gender: Male
NPI: 1265460885
1701 N Lee Trevino Ste C
J(915) 593-5999
El Paso
" Belbel, Roger J, DO
El Paso
Gender: Male
NPI: 1841240215
935 Sunland Park Dr
Ste 102
(915) 231-2286
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Elite Cariology Group PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
CARDIOVASCULAR DISEASE
" Abedin, Moeen, MD
El Pas o
NPI: 1265460885
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
Gender: Male
NPI: 1841403946
1701 N Lee Trevino Ste C
J(915) 593-5999
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, Sierra Providence East Med
Ctr
Board Certified Specialties:
Cardiovascular Disease
De Luca, Michael J, MD
Gender: Male
NPI: 1053311936
1733 Curie Dr Ste 210
J(915) 532-2272
Hospital Affiliation: El Paso Specialty
Hospital Ltd, Las Palmas Camp Lpdsh, Mesa
Hills Specialty Hospital, Providence
Memorial Hospital, Sierra Medical Center
Clinic Affiliation: Michael J Deluca MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
J - Wheelchair Access
17
EL PASO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 15, 2014
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
" Gutierrez, Michael E, MD
" Mendez Martinez, Jose I, MD
El Paso
EL PASO Cont
CARDIOVASCULAR DISEASE Cont
" Dobrin, David J, MD
El Paso
Gender: Male
NPI: 1477557387
4301 N Mesa St
Ste 100
J(915) 544-6556
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Cardiology Assoc
PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
" Escobar, Juan M, MD
El Paso
Gender: Male
NPI: 1588661094
101 Rim Rd
Ste 300
J(915) 532-4542
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: El Paso Heart Center PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
Lyn, Ian T, MD
Gender: Male
NPI: 1376529826
1600 Medical Center Dr
Ste 212
J(915) 532-3977
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: El Paso Southwestern
Cardiovascular Assoc
Board Certified Specialties: None
NPI: 1326142639
9999 Kenworthy St Ste B
J(915) 542-2352
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Cardiology Care
Consultants PA
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties:
Cardiovascular Disease
" Gough, David C, MD
Gender: Male
NPI: 1528063021
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties:
Cardiovascular Disease, Internal Medicine
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
#
Gender: Male
NPI: 1548250244
4301 N Mesa St
Ste 100
J(915) 532-6767
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: El Paso Cardiology Assoc
PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
Gender: Male
NPI: 1538274824
11551 Cedar Oak Dr
J(915) 592-8300
NPI: 1538274824
2820 N Stanton St
J(915) 544-0817
Hospital Affiliation: Del Sol Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Carlos A Velez MD
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties:
Cardiovascular Disease
Gender: Male
NPI: 1861468449
101 Rim Rd
Ste 300
(915) 532-4542
Clinic Affiliation: El Paso Heart Center PA
Board Certified Specialties:
Cardiovascular Disease
" Nasur, Ali M, MD
" Siddiqui, Tariq S, MD
El Pas o
Gender: Male
NPI: 1487879300
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties:
Cardiovascular Disease
El Paso
Gender: Male
NPI: 1922011782
3270 Joe Battle Blvd
Ste 215
(800) 481-0089
Hospital Affiliation: Sierra Providence East
Med Ctr
Clinic Affiliation: Texan Cardiovascular
Institute PA
Board Certified Specialties:
Cardiovascular Disease
" Medrano, Rafael, MD
El Paso
Gender: Male
NPI: 1043210792
4301 N Mesa St Ste 101
J(915) 542-2352
NPI: 1043210792
7814 Gateway Blvd E
J(915) 542-2352
NPI: 1043210792
9999 Kenworthy St Ste B
J(915) 542-2352
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Cardiology Care
Consultants PA
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties:
Cardiovascular Disease
El Paso
" Raja, Mohammad L, MD
El Pas o
" Munoz, Oscar C, MD
" Mathew, Salim B, MD
Gender: Male
NPI: 1578560876
101 Rim Rd
Ste 300
J(915) 532-4542
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Heart Center PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease, Internal Medicine,
Nuclear Medicine
NPI: 1477553196
9999 Kenworthy St Ste B
J(915) 542-2352
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Cardiology Care
Consultants PA
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties: None
El Paso
El Paso
" Gonzalez, Abraham, MD
NPI: 1952589970
9999 Kenworthy St Ste B
(915) 542-2352
Clinic Affiliation: Cardiology Care
Consultants PA
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties:
Cardiovascular Disease
Gender: Male
NPI: 1538153150
1729 Weston Brent Ln
Ste B
(915) 594-7554
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: Aung Zaw Min MD
Board Certified Specialties:
Cardiovascular Disease
Gender: Male
NPI: 1477580793
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties:
Cardiovascular Disease
El Paso
NPI: 1477553196
7814 Gateway Blvd E
J(915) 542-2352
" Min, Aung Z, MD
" Martinez Lopez, Jorge I, MD
Gender: Male
NPI: 1326142639
4301 N Mesa St Ste 101
J(915) 542-2352
NPI: 1952589970
7814 Gateway Blvd E
(915) 542-2352
El Paso
El Paso
" Garza Arreola, Luis, MD
Quintana Jr, Joseph A, MD
Gender: Male
NPI: 1477553196
4301 N Mesa St Ste 101
J(915) 542-2352
El Pas o
Gender: Male
NPI: 1952589970
4301 N Mesa St Ste 101
(915) 542-2352
El Paso
El Paso
NPI: 1326142639
7814 Gateway Blvd E
J(915) 542-2352
El Paso
Gender: Male
NPI: 1518957927
4301 N Mesa St
Ste 100
J(915) 532-6767
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Cardiology Assoc
PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
" Pease, Howard F, MD
" Soto Cora, Ediberto, MD
El Pas o
#
El Paso
Gender: Male
NPI: 1346247855
101 Rim Rd
Ste 300
J(915) 532-4542
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Heart Center PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
Meissner, Frank W, MD
Gender: Male
NPI: 1336147792
935 Sunland Park Dr
Ste 102
(915) 231-2286
Clinic Affiliation: Elite Cariology Group PA
Board Certified Specialties: None
El Paso
Gender: Male
NPI: 1588679443
1139 Caper Dr
J(915) 591-7495
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital,
University Medical Ctr Of Elpaso
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
" Taveras, Juan M, MD
El Pas o
Gender: Male
NPI: 1932109683
4301 N Mesa St Ste 101
J(915) 542-2352
NPI: 1932109683
7814 Gateway Blvd E
J(915) 542-2352
NPI: 1932109683
9999 Kenworthy St Ste B
J(915) 542-2352
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Cardiology Care
Consultants PA
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties:
Cardiovascular Disease
J - Wheelchair Access
18
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmkpi_n_spec
EL PASO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
EL PASO Cont
CHIROPRACTIC
Carrasco, Alfonso I, DC
Gender: Male
NPI: 1366710576
840 E Redd Rd
(915) 562-5700
Clinic Affiliation: West Texas Chiropractic
Center LL
Board Certified Specialties: None
El Pas o
Aguayo Jr, Fred, DC
Gender: Male
NPI: 1922080118
# 1030 N Zaragoza Rd
Ste A
J(915) 860-2233
El Paso
CARDIOVASCULAR DISEASE Cont
" Traylor, Michael T, MD
El Paso
Gender: Male
NPI: 1770573149
4301 N Mesa St
Ste 100
(915) 532-6767
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Cardiology Assoc
PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
#
NPI: 1922080118
106 Camille Dr
J(915) 581-9619
#
NPI: 1922080118
2727 Wyoming Ave
Ste B
J(915) 566-8118
NPI: 1922080118
61 Camille Dr
J(915) 581-9619
Clinic Affiliation: Southwest Chiropractic
Board Certified Specialties: None
#
" Turbay, David, MD
El Paso
Gender: Male
NPI: 1922082411
125 W Hague St
Ste 170
J(800) 000-0000
NPI: 1922082411
3028 Trawood Dr
Ste B
J(915) 855-7600
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: David Turbay MD PLLC
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties:
Cardiovascular Disease
Velez, Carlos A, MD
Gender: Male
NPI: 1649469131
11551 Cedar Oak Dr
J(915) 592-8300
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Carlos A Velez MD
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties: Internal
Medicine
Zamora, Jose L, MD
Gender: Male
NPI: 1396776167
# 121 E Redd Rd
J(915) 584-8882
Hospital Affiliation: Christus Spohn
Hospital Alice, Christus Spohn Hospital
Kleberg, East El Paso Phys Med Ctr Llc,
Harlingen Medical Center Lp, Valley Baptist
Medical Center
Clinic Affiliation: Zamora Jose L MD
Board Certified Specialties: None
Allen, Anna J, DC
Gender: Female
NPI: 1518954841
# 8838 Viscount Ste O
J(915) 594-1123
Board Certified Specialties: None
Anderson, Mikel J, DC
Gender: Male
NPI: 1043209174
# 11601 Pellicano Dr
Ste A9
J(915) 593-2225
Clinic Affiliation: Del Norte Chiropractic
PLLC
Board Certified Specialties: None
CHILD NEUROLOGY
Fierro Stevens, Rodolfo, MD
Gender: Male
NPI: 1568469245
1400 N El Paso St
Ste B
J(915) 544-4911
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
" Deiter, Cary T, DC
El Pas o
#
Ballmer, Scotti S, DC
Gender: Female
NPI: 1013054022
840 E Redd Rd
(915) 833-5200
Clinic Affiliation: West Texas Chiropractic
Center LL
Board Certified Specialties: None
El Paso
Gender: Male
NPI: 1326058298
6300 Gateway Blvd E
(915) 781-2273
Clinic Affiliation: 1st Choice Treatment
Clinic
Board Certified Specialties: Chiropractic
Georges, Thomas J, DC
Gender: Male
NPI: 1164592903
# 1400 N Zaragosa Ste D
J(915) 592-3333
Board Certified Specialties: None
Barker, Jerry W, DC
Gender: Male
NPI: 1609974856
# 1525 Common Dr Ste A
J(915) 590-9355
Board Certified Specialties: None
Hernandez, Javier S, DC
Gender: Male
NPI: 1437148335
# 7420 Remcon Circle
J(915) 790-3471
Clinic Affiliation: Sr Healthcare
Board Certified Specialties: None
El Pas o
Benedict, Justin C, DC
Gender: Male
NPI: 1972551398
11930 Vista Del Sol Dr
Ste A
(915) 203-8832
El Paso
#
#
Jimenez, Alexander D, DC
Gender: Male
NPI: 1205907805
# 1700 N Zaragoza Rd
Ste 116
J(915) 775-2400
El Pas o
NPI: 1972551398
915 Huckleberry
J(915) 566-1101
Clinic Affiliation: Vista Health Clinic and
Rehab
Board Certified Specialties: None
#
Campbell, Chris S, DC
Gender: Male
NPI: 1942386743
# 1470 George Dieter Dr
Ste C
J(915) 857-6607
Clinic Affiliation: Campbell Chiropractic
Board Certified Specialties: None
NPI: 1205907805
1700 N Zaragoza Rd
Ste 117
(915) 412-6677
El Paso
#
Carey, Cynthia T, DC
Gender: Female
NPI: 1417237959
# 7420 Remcon Cir
Ste C3
J(915) 587-4600
Clinic Affiliation: Truecare Chiropractic and
Acupunc
Board Certified Specialties: None
El Paso
NPI: 1205907805
6600 Montana Ave
Ste J
J(915) 412-6677
Clinic Affiliation: El Paso Chiropractic
Group, Injury Medical Clinic PA
Board Certified Specialties: None
Keith-Arden, Kathryn L, DC
Gender: Female
NPI: 1326159252
# 6955 N Mesa Ste 302C
J(915) 833-7797
Board Certified Specialties: None
El Pas o
La Rock, Wilford C, DC
Gender: Male
NPI: 1801199419
# 6330 N Mesa St Ste D
J(915) 875-0050
Clinic Affiliation: Affordable Chiropractic
Board Certified Specialties: None
El Pas o
NPI: 1649284969
9515 Gateway Blvd W
Ste N
J(915) 778-7778
Clinic Affiliation: Alivio Health Centers Inc
Board Certified Specialties: None
Marrufo, Sylvia E, DC
Gender: Female
NPI: 1164777918
4530 Montana Ave
Ste D
(915) 562-5700
Clinic Affiliation: West Texas Chiropractic
Center LL
Board Certified Specialties: None
El Paso
Mata, Shirley A, DC
Gender: Female
NPI: 1194879312
# 10600 Montwood Dr
Ste 113
J(915) 252-9837
Board Certified Specialties: None
El Paso
Morgan, Robert C, DC
Gender: Male
NPI: 1295813723
# 136 S Resler Dr
J(915) 581-6624
El Paso
El Pas o
El Paso
El Paso
Gender: Male
NPI: 1093137846
4801 Alberta Ave
(915) 215-5000
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Certified Nurse
Midwife
Darling, Scott S, DC
Gender: Male
NPI: 1114164506
# 4717 Hondo Pass Dr
Ste 1C
(915) 755-2773
Clinic Affiliation: Scott S Darling DC
Board Certified Specialties: None
El Pas o
El Paso
CERTIFIED NURSE MIDWIFE
" Poudel, Bindu, APN
Cornali, George R, DC
Gender: Male
NPI: 1215908546
# 3021 Trawood Bldg 1A
Trawood Chiropractic
J(915) 857-2282
Board Certified Specialties: None
Marioni, Luis R, DC
Gender: Male
NPI: 1649284969
# 1331 N Lee Trevino Dr
Ste B
J(915) 778-7778
El Paso
El Pas o
El Paso
El Paso
El Paso
Castro, Marco A, DC
Gender: Male
NPI: 1437154119
3270 Joe Battle
Ste 100
(915) 504-6900
Clinic Affiliation: Castro Chiropractic
Center PA
Board Certified Specialties: None
El Pas o
Leff, William M, DC
Gender: Male
NPI: 1265536593
# 3130 Montana Ave
J(915) 566-9671
Board Certified Specialties: None
El Paso
#
NPI: 1295813723
4720 Tetons Dr
J(915) 751-2432
Clinic Affiliation: Vision Chiropractic
Board Certified Specialties: None
Muniz, Jose I, DC
Gender: Male
NPI: 1770537979
# 11930 Vista Del Sol Dr
Ste A
J(915) 593-2273
Board Certified Specialties: None
El Paso
Munoz, Paul M, DC
Gender: Female
NPI: 1891771572
# 1624 N Lee Trevino Dr
Ste B
J(915) 598-2225
Clinic Affiliation: El Paso Doctors of
Chiropractic Inc
Board Certified Specialties: None
El Paso
Ontiveros, Michael A, DC
Gender: Male
NPI: 1174561351
# 3800 N Mesa St
Ste C1
J(915) 838-1500
Clinic Affiliation: Desert Sun Chiropractic
PLLC
Board Certified Specialties: None
El Paso
Ponce, Michael C, DC
Gender: Male
NPI: 1790074409
3215 Gateway Blvd W
(915) 598-7246
Clinic Affiliation: El Paso Pain Center PA
Board Certified Specialties: None
El Paso
Ponce, Ricardo, DC
Gender: Male
NPI: 1801834098
# 5539 N Mesa St Ste B
J(915) 587-9900
Board Certified Specialties: None
El Paso
J - Wheelchair Access
19
EL PASO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 15, 2014
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
EL PASO Cont
COLON-RECTAL SURGERY
Naylor, Anthony D, MD
Gender: Male
NPI: 1891751699
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Paso
" Gomez, Jaime R, MD
El Paso
CHIROPRACTIC Cont
Gender: Male
NPI: 1760563381
1225 E Cliff Dr
Ste 2B
J(915) 544-4042
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, El Paso Day Surgery Llc, Las Palmas
Camp Lpdsh, Providence Memorial Hospital,
Sierra Medical Center
Clinic Affiliation: El Paso Colon and Rectal
Clinic
Board Certified Specialties: Colon-Rectal
Surgery
Rodriguez, Paul, DC
Gender: Male
NPI: 1912000589
# 2295 Trawood Ste E
J(915) 593-8013
Practice Information: No Patients Under 5
yrs old
Board Certified Specialties: None
El Paso
Ruja, Marius, DC
Gender: Male
NPI: 1225083322
# 2022 Murchison Dr
Ste 116
J(915) 521-2020
Clinic Affiliation: Alpha and Omega
Wellness Center Inc
Board Certified Specialties: None
El Paso
Sifuentes, Liliana, DC
Gender: Female
NPI: 1033398698
# 9005 Dyer St
Ste B
J(915) 751-9791
Clinic Affiliation: Liliana Sifuentes DC PA
Board Certified Specialties: None
Sime, David A, DC
Gender: Male
NPI: 1043326895
# 425 S Mesa Hills Dr
Bldg A
J(915) 581-5745
Clinic Affiliation: Sime Chiropractic Clinic
PA
Board Certified Specialties: None
Untersee, Stephen W, DC
Gender: Male
NPI: 1447212501
# 6955 N Mesa Dr
Ste 305C
J(915) 845-3033
Practice Information: No Patients Under 8
yrs old
Board Certified Specialties: None
Glusman, Steven P, MD
Gender: Male
NPI: 1275530974
1015 N Zaragoza Rd
J(915) 592-7500
Hospital Affiliation: Las Palmas Camp
Lpdsh
Clinic Affiliation: Sun City Neurology PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
NPI: 1659373520
1900 N Oregon St
Ste 307
J(915) 532-3877
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: Ecj Internal Medicine PA,
Hector R Martinez MD
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: None
" Guevara, Adrian M, MD
Gender: Male
NPI: 1104898188
4545 N Mesa St
J(915) 351-7546
Clinic Affiliation: Sun City Dermatology PA
Board Certified Specialties: Dermatology
" Herman, Peter S, MD
El Paso
Gender: Male
NPI: 1669464285
10960 Montwood
J(915) 633-9456
#
Pinzon, Guillermo A, MD
Gender: Male
NPI: 1790774321
1810 Murchison Dr Ste 40
(915) 592-7662
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
NPI: 1669464285
2100 N Mesa
J(915) 544-3800
Clinic Affiliation: Peter S Herman MD
Board Certified Specialties: Dermatology
" Simpson, Michael H, MD
El Paso
#
El Paso
CLINICAL NEUROPHYSIOLOGY
Martinez, Hector R, MD
Gender: Male
NPI: 1659373520
1501 N Mesa
Ste 2 B
(915) 532-1222
El Paso
El Paso
El Paso
Weislow, Jeffrey S, DC
Gender: Male
NPI: 1902813207
# 1722 N Zaragoza Rd
Ste B
J(915) 593-1330
Board Certified Specialties: None
Gender: Male
NPI: 1376540211
10500 Vista Del Sol Dr
Ste C
J(915) 598-1959
NPI: 1376540211
4801 Alberta Ave
Internal Medicine
(915) 215-5200
Hospital Affiliation: Sierra Medical Center
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Dermatology
El Paso
Wardy, David J, DC
Gender: Male
NPI: 1710187810
# 5744 Tablerock Dr
J(915) 760-4700
Clinic Affiliation: Wardy Wellness
Chiropractic PLLC
Board Certified Specialties: None
Bright, Tamis M, MD
Gender: Female
NPI: 1871533372
4801 Alberta Ave
(915) 545-6640
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
" Franco, Hector L, MD
El Paso
Gender: Male
NPI: 1801058177
1600 N Lee Trevino Dr
Ste D3
(915) 493-6646
Hospital Affiliation: Sierra Medical Center,
Sierra Providence East Med Ctr
Clinic Affiliation: El Paso Center For Family
and Spo
Board Certified Specialties: Family
Practice
El Paso
El Paso
#
" Garcia, Angel J, MD
El Pas o
ENDOCRINOLOGY, DIABETES &
METABOLISM
DERMATOLOGY
El Paso
FAMILY PRACTICE
Gender: Male
NPI: 1497783849
1700 Murchison Dr
Ste 215
J(915) 544-3254
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Michael H Simpson MD
Board Certified Specialties: Dermatology
" Provencio Jr, Mauro, MD
El Pas o
Gender: Male
NPI: 1952560682
3270 Joe Battle Blvd
Ste 150
J(915) 504-6955
Clinic Affiliation: Sun City Sports Medicine
and Fami
Board Certified Specialties: Family
Practice
" Wright, Justin M, MD
El Pas o
Gender: Male
NPI: 1518118561
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Family
Practice
GASTROENTEROLOGY
Beniquez Nieves, Enrique, MD
Gender: Male
NPI: 1710955182
125 W Hague Rd
Ste 590
J(915) 532-1620
El Pas o
NPI: 1710955182
1560 Lomaland Dr
J(915) 532-1620
Hospital Affiliation: Endoscopy Center Of
El Paso, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Gastroenterology
Con
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
" Strader III, Wilbur J, MD
El Paso
Gender: Male
NPI: 1740283043
1201 E Schuster Ave
Bldg 7
(915) 533-5486
Hospital Affiliation: Las Palmas Camp
Lpdsh, Sierra Medical Center
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Endocrinology,
Diabetes & Metabolism
DIAGNOSTIC RADIOLOGY
Furlong, Joseph B, MD
Gender: Male
NPI: 1801898622
# 1111 Hawkins Blvd
Ste 2A
J(915) 771-8346
Hospital Affiliation: El Paso Specialty
Hospital Ltd, Providence Memorial Hospital,
University Medical Center
Clinic Affiliation: Joseph B Furlong MD
Board Certified Specialties: None
El Paso
FACIAL PLASTIC SURGERY
Gross, Eric M, MD
Gender: Male
NPI: 1053386763
11163 La Quinta Place
Ste B200
J(915) 591-8400
Hospital Affiliation: Sierra Providence East
Med Ctr
Clinic Affiliation: Eric M Gross MD
Board Certified Specialties: None
El Paso
Maj, Lukasz, MD
Gender: Male
NPI: 1770779282
# 1111 Hawkins Blvd
Ste 2A
(915) 771-8346
Clinic Affiliation: Joseph B Furlong MD
Board Certified Specialties: None
El Paso
" Chavez, Alfredo, MD
El Pas o
Gender: Male
NPI: 1689645913
1600 N Oregon St
Ste 1A
J(915) 532-2445
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Gastroenterology
Specialist of El Paso
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Gastroenterology
J - Wheelchair Access
20
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmkpi_n_spec
EL PASO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Kolli, Venkateswara R, MD
Gender: Male
NPI: 1780676197
1250 E Cliff Dr
Ste 4A
J(915) 541-7000
" Ojo, Edwin J, MD
El Paso
EL PASO Cont
GASTROENTEROLOGY Cont
" Cossentino, Mark J, MD
El Paso
Gender: Male
NPI: 1700841343
1400 George Dieter
Ste 225
(915) 351-7200
NPI: 1700841343
1700 Curie Dr Ste 4800
(915) 351-7200
Hospital Affiliation: Del Sol Camp Lpdsh,
East El Paso Phys Med Ctr Llc, Las Palmas
Camp Lpdsh, Providence Memorial Hospital,
Sierra Medical Center
Clinic Affiliation: Mark J Cossentino MD
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties:
Gastroenterology, Internal Medicine
" Gupta, Tej P, MD
El Paso
Gender: Male
NPI: 1154386621
1733 Curie Dr
Ste 200
J(915) 534-2500
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Tej P Gupta MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Gastroenterology
Halow, George M, MD
Gender: Male
NPI: 1396713335
# 2311 N Mesa Bldg D
J(915) 533-6844
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: None
NPI: 1780676197
1560 Lomaland Dr
J(915) 541-7000
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Digestive Hlth Clin of El
Paso PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
Longoria, Rolando R, MD
Gender: Male
NPI: 1417967282
1810 Murchison Dr Ste 300
J(915) 544-0326
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Integrated
Physician
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
Gender: Male
NPI: 1568462398
125 W Hague Rd
Ste 590
J(915) 532-1620
Gender: Male
NPI: 1982696324
125 W Hague Rd
Ste 590
J(915) 532-1620
NPI: 1982696324
1560 Lomaland Dr
J(915) 532-1620
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Gastroenterology
Con
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Gastroenterology
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Male
NPI: 1396701207
10175 Gateway Bvd W 220
J(915) 591-7700
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Norte Surgical
Grp PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: General
Surgery
" Patel, Vinaychandra M, MD
El Pas o
Gender: Male
NPI: 1992797302
1560 Lomaland Dr
J(915) 545-1252
NPI: 1992797302
1700 Curie Dr Ste 5000
J(915) 545-1252
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Vinay Patel MD
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties:
Gastroenterology
" Perrillo, Robert P, MD
Acosta Corrales, Manuel L, MD
Gender: Male
NPI: 1083615595
10175 Gateway Blvd W
Ste 220
J(915) 591-7700
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Norte Surgical
Grp PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: None
El Paso
" Brown, Courtney G, MD
El Paso
Gender: Female
NPI: 1578513735
1201 E Schuster Ave
Ste 4B
J(915) 351-9200
Hospital Affiliation: Las Palmas Camp
Lpdsh, Paso Del Norte Surgery Center,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Courtney G Brown MD
Board Certified Specialties: General
Surgery
El Pas o
Gender: Male
NPI: 1811972896
1600 N Oregon St
Ste 1
J(915) 532-2445
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Gastroenterology
Specialist of El Paso
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Gastroenterology
" Hernandez, Jesus A, MD
" Karp, Alan J, MD
Gender: Female
NPI: 1336121565
7848 Gateway Blvd E
(915) 599-1313
Clinic Affiliation: Health Texas Provider
Network
Board Certified Specialties:
Gastroenterology
Gender: Male
NPI: 1902909815
4801 Alberta Ave
J(915) 545-6640
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties:
Gastroenterology
" Moldes Rodriguez, Orestes, MD
" Acosta, Jorge, MD
El Paso
" Oleary, Jacqueline G, MD
" McCallum, Richard W, MD
El Paso
GENERAL SURGERY
El Pas o
El Paso
El Paso
El Paso
Gender: Male
NPI: 1821062837
3270 Joe Battle Blvd
Ste 265
J(915) 504-6950
Hospital Affiliation: East Texas Medical
Center Fairfield, Sierra Providence East Med
Ctr
Clinic Affiliation: Edwin Ojo MD
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties:
Gastroenterology
El Paso
El Paso
NPI: 1568462398
1560 Lomaland Dr
J(915) 532-1620
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Gastroenterology
Con
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Gastroenterology
El Pas o
Gender: Male
NPI: 1316962327
7848 Gateway Blvd E
(915) 599-1313
Hospital Affiliation: Baylor University
Medical Center
Clinic Affiliation: Health Texas Provider
Network
Board Certified Specialties:
Gastroenterology
" Tune, John M, MD
El Pas o
Gender: Male
NPI: 1770583676
125 W Hague Rd
Ste 590
J(915) 532-1620
" Morales, Carmela P, MD
El Paso
Gender: Female
NPI: 1699702563
1400 George Deiter
Ste 225
J(915) 351-7000
NPI: 1699702563
1700 Curie Dr Ste 4800
J(915) 351-7000
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Carmela P Morales MD
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties:
Gastroenterology
NPI: 1770583676
1560 Lomaland Dr
J(915) 590-2790
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Gastroenterology
Con
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Gastroenterology
" Zuckerman, Marc J, MD
El Pas o
Gender: Male
NPI: 1245268168
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Endoscopy Center Of
El Paso, Providence Memorial Hospital,
University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties:
Gastroenterology
Cooney, Paul D, MD
Gender: Male
NPI: 1568656189
7812 Gateway Blvd
Ste 250
J(915) 219-8265
Hospital Affiliation: Sierra Medical Center
Clinic Affiliation: The Vein and Skin
Treatment Center
Board Certified Specialties: None
El Paso
Crecca, Gerard F, MD
Gender: Male
NPI: 1104965490
# 1700 Curie Ste 5300
J(915) 542-2825
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Practice Information: No Patients Under 4
yrs old
Board Certified Specialties: None
El Paso
" Dandade, Pritam B, MD
El Paso
Gender: Male
NPI: 1770586885
2295 Trawood Dr
Ste A
J(915) 598-3886
#
NPI: 1770586885
615 E Schuster Ave Ste 8
J(915) 545-1707
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Practice Information: No Patients Under 11
yrs old
Board Certified Specialties: General
Surgery
J - Wheelchair Access
21
EL PASO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 15, 2014
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Khateeb, Mazin A, MD
Gender: Male
NPI: 1396708756
1400 George Dieter Dr
Ste 225
J(915) 545-1101
" Milan, Stacey A, MD
El Paso
EL PASO Cont
GENERAL SURGERY Cont
Davalos, Antonio, MD
Gender: Male
NPI: 1619906732
10201 Gateway Blvd W
Ste 410
J(915) 591-4467
Hospital Affiliation: Del Sol Camp Lpdsh,
Las Palmas Camp Lpdsh, Providence
Memorial Hospital
Board Certified Specialties: None
El Paso
" Davis, Brian R, MD
El Paso
" Dougherty, Steven H, MD
Gender: Male
NPI: 1598721490
10175 Gateway Blvd W
Ste 220
J(915) 591-7700
Hospital Affiliation: Las Palmas Camp
Lpdsh, Sierra Medical Center
Clinic Affiliation: El Paso Norte Surgical
Grp PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: General
Surgery
" Freemyer, Ryan R, MD
El Paso
Gender: Male
NPI: 1932295268
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: El Paso
ChildrensHospitalCorp', Palo Pinto General
Hospital, University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: General
Surgery
Kasha, Atur A, DO
Gender: Male
NPI: 1598770356
1810 Murchison Dr
Ste 250
(915) 313-9569
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Desert West Surgery PA
Board Certified Specialties: None
El Paso
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Female
NPI: 1063542736
1700 N Oregon St
Ste 620
(915) 351-6309
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Marsha Criscio Nelson
MD
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties: General
Surgery
Longoria, Alfredo, MD
Gender: Male
NPI: 1154429595
! 1501 N Mesa St
Ste 403 LL
J(915) 533-1603
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, Surgical Center Of El Paso
Board Certified Specialties: None
" McLean, Susan F, MD
El Paso
Gender: Female
NPI: 1174620462
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: General
Surgery
El Paso
Gender: Male
NPI: 1063714970
1250 E Cliff Dr
Ste 5A
(915) 532-1800
Clinic Affiliation: Dunamis Surgical Centers
PLLC
Board Certified Specialties: General
Surgery
" Nelson, Marsha C, MD
El Paso
El Paso
Gender: Male
NPI: 1063511525
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Sierra Medical Center,
University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: General
Surgery
" Familua, Oluwamayowa F, MD
Gender: Male
NPI: 1356540215
10175 Gateway Blvd W
Ste 220
(915) 591-7700
Hospital Affiliation: El Paso
ChildrensHospitalCorp', Las Palmas Camp
Lpdsh, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: El Paso Norte Surgical
Grp PA
Board Certified Specialties: General
Surgery
" Lara, Michael D, MD
" Diaz Luna, Hector J, MD
El Paso
" Morales Gonzalez, Angel M, MD
Gender: Male
NPI: 1578554895
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: General
Surgery
El Paso
El Paso
El Paso
" Spurbeck, William W, MD
El Pas o
Gender: Female
NPI: 1952512253
4801 Alberta Ave
(915) 215-5300
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: General
Surgery
NPI: 1396708756
3235 Trawood Dr
Ste A
J(915) 545-1101
Hospital Affiliation: Providence Memorial
Hospital
Board Certified Specialties: None
Gender: Male
NPI: 1801043724
4801 Alberta Ave
(915) 215-5300
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: General
Surgery
Gender: Male
NPI: 1871539189
1601 N Brown St
J(915) 533-1789
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: General
Surgery
El Paso
" Olivas Jr, Victor J, MD
El Paso
Gender: Male
NPI: 1619159670
4801 Alberta Ave
(915) 545-6765
Hospital Affiliation: El Paso
ChildrensHospitalCorp', Providence
Memorial Hospital, University Medical Ctr Of
Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: General
Surgery
Meier, Donald E, MD
Gender: Male
NPI: 1134229974
4801 Alberta Ave
(915) 545-6880
Hospital Affiliation: El Paso
ChildrensHospitalCorp', Las Palmas Camp
Lpdsh, Paso Del Norte Surgery Center,
Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
" Pradhan, Kumuda R, MD
El Paso
Gender: Male
NPI: 1427053669
1700 N Oregon St
Ste 620
J(915) 504-6940
Hospital Affiliation: Las Palmas Camp
Lpdsh
Clinic Affiliation: Kumada R Pradhan MD
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties: General
Surgery
" Michener, Brent D, DO
El Paso
" Tyroch, Alan H, MD
El Pas o
Gender: Male
NPI: 1912007766
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: General
Surgery
GENERAL VASCULAR SURGERY
Gomez, Edward R, MD
Gender: Male
NPI: 1528165289
# 1700 N Oregon St
Ste 550
J(915) 532-7797
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Board Certified Specialties: None
El Pas o
GERIATRIC MEDICINE
Casner, Paul R, MD
Gender: Male
NPI: 1225077092
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
El Pas o
GYNECOLOGIC ONCOLOGY
Greenberg, Harvey, MD
Gender: Male
NPI: 1912000480
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties:
Obstetrics-Gynecology
El Pas o
" Padilla, Luis A, MD
El Pas o
Gender: Male
NPI: 1336252063
1810 Murchison Dr
Ste 300
(915) 317-5077
Clinic Affiliation: Womens Cancer and
Surgical Care P
Board Certified Specialties: Gynecologic
Oncology
" Saltzstein, Edward C, MD
El Paso
Gender: Male
NPI: 1417165002
3270 Joe Battle Blvd
Ste 205
J(915) 855-2400
Hospital Affiliation: Sierra Providence East
Med Ctr
Clinic Affiliation: Southwest Physician
Group PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: General
Surgery
Gender: Male
NPI: 1942300793
4801 Alberta Ave
(915) 545-6880
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital,
University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: General
Surgery
Saracino, Dino P, MD
Gender: Male
NPI: 1871681684
10400 Vista Del Sol Dr
Ste 101
J(915) 351-9000
Hospital Affiliation: Las Palmas Camp
Lpdsh
Board Certified Specialties: None
El Paso
HAND SURGERY
Chavez-Holguin, Pedro S, MD
Gender: Male
NPI: 1336145374
1517 N Mesa
J(915) 533-0269
Hospital Affiliation: El Paso Day Surgery
Llc, Las Palmas Camp Lpdsh, Providence
Memorial Hospital
Board Certified Specialties: Plastic
Surgery
El Pas o
J - Wheelchair Access
22
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmkpi_n_spec
EL PASO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Shahinian, Haroutioun S, MD
Gender: Male
NPI: 1639184005
# 7812 Gateway Blvd E
Ste 110
J(915) 849-1200
El Paso
EL PASO Cont
HAND SURGERY Cont
Cook, Jonathan F, MD
Gender: Male
NPI: 1215046388
4801 Alberta Ave
(915) 215-5400
Hospital Affiliation: El Paso
ChildrensHospitalCorp', El Paso Specialty
Hospital Ltd, University Medical Ctr Of
Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Orthopedic
Surgery
El Paso
Pirela Cruz, Miguel A, MD
Gender: Male
NPI: 1386604767
4800 Alberta Ave
(915) 545-6752
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Orthopedic
Surgery
NPI: 1639184005
7812 Gateway Blvd E
Ste 110 120
(915) 533-2888
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Cancer Radiation and
Specialty Cl, Haroutioun S Shahinian MD
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: Oncology
El Paso
HEMATOLOGY
Herrada, Juan, MD
Gender: Male
NPI: 1215934674
1901 Grandview Ave
J(915) 544-6750
El Paso
NPI: 1215934674
3270 Joe Battle Blvd
Ste 312
J(915) 849-2700
NPI: 1215934674
7848 Gateway Blvd E
J(915) 599-1313
Hospital Affiliation: Del Sol Camp Lpdsh,
Las Palmas Camp Lpdsh, Mesa Hills
Specialty Hospital, Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Oncology
Lundy, Ray O, MD
Gender: Male
NPI: 1235222159
10555 Vista Del Sol Dr
Ste 120
J(915) 590-6770
Hospital Affiliation: Las Palmas Camp
Lpdsh, Sierra Medical Center
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
El Paso
Portillo, Raul M, MD
Gender: Male
NPI: 1265473391
1901 Grandview Ave
J(915) 544-6750
El Paso
NPI: 1265473391
7848 Gateway Blvd E
J(915) 599-1313
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Blood and Marrow
Transplant Services PLLC
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: None
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Nahleh, Zeina, MD
Gender: Female
NPI: 1790742476
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Pas o
Portillo, Raul M, MD
Gender: Male
NPI: 1265473391
1901 Grandview Ave
J(915) 544-6750
El Pas o
NPI: 1265473391
3270 Joe Battle Blvd
Ste 312
J(915) 849-2700
HEMATOLOGY-ONCOLOGY
Aboud, Ambrose, MD
Gender: Male
NPI: 1407843873
1900 N Oregon St
Ste 500
J(915) 544-8844
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Providence East Med Ctr
Clinic Affiliation: Physicians and Allied
Health Prof
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties: Internal
Medicine
NPI: 1265473391
7848 Gateway Blvd E
J(915) 599-1313
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Internal
Medicine, Oncology
El Paso
Aloba, Maria C, MD
Gender: Female
NPI: 1306923180
1901 Grandview Ave
J(915) 544-6750
El Paso
Sanchez Rivera, Ines J, MD
Gender: Female
NPI: 1508863408
1901 Grandview Ave
(915) 747-4851
El Pas o
NPI: 1508863408
7848 Gateway Blvd E
Ste E1
(915) 599-1313
Hospital Affiliation: Del Sol Camp Lpdsh,
Las Palmas Camp Lpdsh, Providence
Memorial Hospital, Sierra Medical Center,
Sierra Providence East Med Ctr
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Oncology
NPI: 1306923180
3270 Joe Battle Blvd
Ste 312
J(915) 849-2700
NPI: 1306923180
7848 Gateway Blvd E
J(915) 599-1313
Clinic Affiliation: Texas Oncology PA
Board Certified Specialties: None
Antony, Suresh J, MD
Gender: Male
NPI: 1831136548
1205 N Oregon St
J(915) 533-4900
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Center For Infectious
Disease and
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
Calianga, Cesar R, MD
Gender: Male
NPI: 1255301834
7812 Gateway Blvd E
Ste 200
J(915) 592-6868
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
El Paso
Costa, Henry C, MD
Gender: Male
NPI: 1134125651
10555 Vista Del Sol Dr
Ste 120
J(915) 590-6770
Hospital Affiliation: Del Sol Camp Lpdsh,
East El Paso Phys Med Ctr Llc, Las Palmas
Camp Lpdsh, Providence Memorial Hospital,
Sierra Medical Center, Sierra Providence
East Med Ctr
Clinic Affiliation: Henry C Costa MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
Fleming, Rhonda V, MD
Gender: Female
NPI: 1376590067
1700 Curie Dr Ste 4700
(915) 533-7001
Clinic Affiliation: Rhonda Fleming MD
Board Certified Specialties: None
El Paso
" Gouveia, Jacquelyn A, DO
El Paso
Gender: Female
NPI: 1669534699
1626 Medical Center Dr
Ste 4A
J(915) 400-2600
Clinic Affiliation: El Paso Infectious
Diseases PA
Board Certified Specialties: Infectious
Diseases
Valilis, Panagiotis N, MD
Gender: Male
NPI: 1033158480
1901 Grandview Ave
J(915) 544-6750
El Pas o
Corral, Javier C, MD
Gender: Male
NPI: 1558301002
4801 Alberta Ave
(915) 545-6640
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Paso
Gaur, Sumit, MD
Gender: Male
NPI: 1609972801
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Del Sol Camp Lpdsh,
East El Paso Phys Med Ctr Llc, Las Palmas
Camp Lpdsh, University Medical Ctr Of
Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
NPI: 1033158480
3270 Joe Battle Blvd
Ste 312
J(915) 849-2700
NPI: 1033158480
7848 Gateway Blvd E
J(915) 599-1313
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, El Paso Specialty Hospital Ltd, Las
Palmas Camp Lpdsh, Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Texas Oncology PA
Board Certified Specialties: Oncology
El Paso
INFECTIOUS DISEASES
Alozie, Ogechika K, MD
Gender: Male
NPI: 1891961884
4800 Alberta Ave
(915) 545-6627
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
El Pas o
Lundy, Ray O, MD
Gender: Male
NPI: 1235222159
10555 Vista Del Sol Dr
Ste 120
J(915) 590-6770
Hospital Affiliation: Las Palmas Camp
Lpdsh, Sierra Medical Center
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
El Paso
Ho, Hoi, MD
Gender: Male
NPI: 1427094820
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Providence Memorial
Hospital, University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
El Paso
Lam, Man T, MD
Gender: Male
NPI: 1790784692
1221 N Cotton St
J(915) 598-1600
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
El Paso
J - Wheelchair Access
23
EL PASO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 15, 2014
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
" Adzotor, Kwasi, MD
" Casner, Paul R, MD
El Paso
EL PASO Cont
INFECTIOUS DISEASES Cont
" Meza, Armando D, MD
El Paso
Gender: Male
NPI: 1023044005
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Sierra Providence East
Med Ctr, University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Infectious
Diseases
" Aguilar, Oscar M, MD
Gender: Male
NPI: 1295732592
101 Rim Rd
Ste 300
J(915) 532-4542
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: El Paso Heart Center PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease, Internal Medicine
Ortega, Antonio M, MD
Gender: Male
NPI: 1528060969
1400 N El Paso Bldg D
J(915) 544-9969
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Board Certified Specialties: None
Pieri, Richard E, MD
Gender: Male
NPI: 1760433924
3270 Joe Battle Blvd
Ste 175
J(915) 504-6939
Clinic Affiliation: Infectious Disease Center
of El P
Board Certified Specialties: Internal
Medicine
Szeyko, Larissa A, MD
Gender: Female
NPI: 1497961197
# 2101 N Oregon St
J(915) 577-7840
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Larissa A Szeyko MD
PLLC
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
Abbas, Aamer, MD
Gender: Male
NPI: 1508975772
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Paso
" Abedin, Zainul, MD
El Paso
Gender: Male
NPI: 1265460885
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
" Alozie, Ogechika K, MD
Gender: Male
NPI: 1891961884
4800 Alberta Ave
(915) 545-6627
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
Amadi, Chikezie C, MD
Gender: Male
NPI: 1487616918
1512 N Zaragoza Rd
Ste C4
J(915) 298-5425
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Southwest Cardiovascular
Interven
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
" Chukwu, Ikedieze I, MD
El Paso
Diaz, Gonzalo A, MD
Gender: Male
NPI: 1134129240
2001 N Oregon
J(915) 779-7378
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Practice Information: Limited to Sleep
Disorders, No Patients Under 16 yrs old
Board Certified Specialties: Pulmonary
Diseases
El Pas o
" Gaur, Sumit, MD
El Pas o
Gender: Male
NPI: 1609972801
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Del Sol Camp Lpdsh,
East El Paso Phys Med Ctr Llc, Las Palmas
Camp Lpdsh, University Medical Ctr Of
Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
" Gonzalez, Abraham, MD
El Pas o
Gender: Male
NPI: 1578560876
101 Rim Rd
Ste 300
J(915) 532-4542
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Heart Center PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease, Internal Medicine,
Nuclear Medicine
Gender: Male
NPI: 1720285661
1393 George Dieter Dr
Ste D
J(915) 996-9363
Hospital Affiliation: Sierra Providence East
Med Ctr
Clinic Affiliation: Regent Cross Medical
Clinic PLLC
Board Certified Specialties: Internal
Medicine
Cortes, Erasto, MD
Gender: Male
NPI: 1154321263
# 1020 Montana Ave
J(915) 533-2500
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Board Certified Specialties: Pulmonary
Diseases
Blandon Jr, Pedro A, MD
Gender: Male
NPI: 1275531469
4800 Alberta Ave
J(915) 545-8888
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Nephrology
El Paso
El Paso
" Cossentino, Mark J, MD
El Paso
Gender: Male
NPI: 1700841343
1400 George Dieter
Ste 225
(915) 351-7200
" Bright, Tamis M, MD
El Paso
Gender: Female
NPI: 1871533372
4801 Alberta Ave
(915) 545-6640
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
" Aboud, Ambrose, MD
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Chitti, Srinivas R, MD
Gender: Male
NPI: 1629157607
10501 Vista Del Sol Dr
Ste 210
J(915) 633-9317
Hospital Affiliation: Del Sol Camp Lpdsh,
East El Paso Phys Med Ctr Llc, Las Palmas
Camp Lpdsh, Providence Memorial Hospital,
Sierra Medical Center
Clinic Affiliation: Chitti Srinivas R MD
Board Certified Specialties: None
De Luca, Michael J, MD
Gender: Male
NPI: 1053311936
1733 Curie Dr Ste 210
J(915) 532-2272
Hospital Affiliation: El Paso Specialty
Hospital Ltd, Las Palmas Camp Lpdsh, Mesa
Hills Specialty Hospital, Providence
Memorial Hospital, Sierra Medical Center
Clinic Affiliation: Michael J Deluca MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Pas o
El Paso
El Paso
El Paso
Gender: Male
NPI: 1407843873
1900 N Oregon St
Ste 500
J(915) 544-8844
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Providence East Med Ctr
Clinic Affiliation: Physicians and Allied
Health Prof
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties: Internal
Medicine
Chavez, Alfonso, MD
Gender: Male
NPI: 1356326987
1250 E Cliff Dr
Ste 1A
J(915) 532-2693
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Nephrology Associate El
Paso
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
El Paso
El Paso
INTERNAL MEDICINE
Gender: Male
NPI: 1225077092
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
El Paso
El Paso
El Paso
El Paso
Gender: Male
NPI: 1063631281
3270 Joe Battle Blvd
Ste 235
(915) 504-6890
Clinic Affiliation: El Paso Neurological
Institute PA
Board Certified Specialties: Internal
Medicine, Neurology
NPI: 1700841343
1700 Curie Dr Ste 4800
(915) 351-7200
Hospital Affiliation: Del Sol Camp Lpdsh,
East El Paso Phys Med Ctr Llc, Las Palmas
Camp Lpdsh, Providence Memorial Hospital,
Sierra Medical Center
Clinic Affiliation: Mark J Cossentino MD
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties:
Gastroenterology, Internal Medicine
" Calianga, Cesar R, MD
El Paso
Gender: Male
NPI: 1255301834
7812 Gateway Blvd E
Ste 200
J(915) 592-6868
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
Gonzalez, Sylvia V, MD
Gender: Female
NPI: 1780724294
4801 Alberta Ave
(915) 545-8888
Hospital Affiliation: Sierra Medical Center,
University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Nephrology
El Pas o
" Gopalan, Nanda K, MD
El Pas o
Gender: Male
NPI: 1215975321
1901 Grandview Ave
J(915) 544-6750
NPI: 1215975321
3270 Joe Battle Blvd
Ste 312
J(915) 849-2700
NPI: 1215975321
7848 Gateway Blvd E
J(915) 599-1313
Hospital Affiliation: El Paso Specialty
Hospital Ltd, Kindred Hospital El Paso, Las
Palmas Camp Lpdsh, Sierra Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certified Specialties: Internal
Medicine, Oncology
J - Wheelchair Access
24
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmkpi_n_spec
EL PASO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Lopez Leyva, Manuel D, MD
Gender: Male
NPI: 1942265533
! 10201 Gateway Blvd W
Ste 210
J(915) 591-2922
Hospital Affiliation: Las Palmas Camp
Lpdsh
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
" Miller, Jerry W, MD
El Paso
EL PASO Cont
INTERNAL MEDICINE Cont
" Gough, David C, MD
El Paso
Gender: Male
NPI: 1528063021
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties:
Cardiovascular Disease, Internal Medicine
" Lundy, Ray O, MD
Gender: Male
NPI: 1235222159
10555 Vista Del Sol Dr
Ste 120
J(915) 590-6770
Hospital Affiliation: Las Palmas Camp
Lpdsh, Sierra Medical Center
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
" Guo, Linsheng, MD
Gupta, Tej P, MD
Gender: Male
NPI: 1154386621
1733 Curie Dr
Ste 200
J(915) 534-2500
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Tej P Gupta MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Gastroenterology
El Paso
Hernandez, German T, MD
Gender: Male
NPI: 1154367704
4801 Alberta Ave
(915) 545-6200
Hospital Affiliation: Providence Memorial
Hospital, University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Nephrology
El Paso
" Ho, Hoi, MD
NPI: 1659373520
1900 N Oregon St
Ste 307
J(915) 532-3877
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: Ecj Internal Medicine PA,
Hector R Martinez MD
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: None
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
NPI: 1760446926
61 Camile
(915) 581-9619
Hospital Affiliation: Covenant Medical
Center Lakeside, East El Paso Phys Med Ctr
Llc, El Paso Specialty Hospital Ltd, Las
Palmas Camp Lpdsh, Mesa Hills Specialty
Hospital, Permian Regional Medical Center,
Providence Memorial Hospital, Sierra
Medical Center, Sierra Providence East Med
Ctr
Clinic Affiliation: USA Medical PA
Board Certified Specialties: Internal
Medicine
" Mukherjee, Debabrata, MD
Gender: Female
NPI: 1225047046
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
Munoz, Oscar C, MD
Gender: Male
NPI: 1538274824
# 11551 Cedar Oak Dr
J(915) 592-8300
Nwosu, Azikiwe C, MD
Gender: Male
NPI: 1083641179
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
Ortega, Antonio M, MD
Gender: Male
NPI: 1528060969
1400 N El Paso Bldg D
J(915) 544-9969
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Board Certified Specialties: None
El Paso
Pande, Saurabh A, MD
Gender: Male
NPI: 1689888307
# 125 W Hague Rd
Ste 570
J(915) 544-7767
El Paso
#
Gender: Male
NPI: 1528052859
1810 Murchison Dr
Ste 300
J(915) 544-0326
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Integrated
Physician
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: Internal
Medicine
Mendez Martinez, Jose I, MD
Gender: Male
NPI: 1952589970
4301 N Mesa St Ste 101
(915) 542-2352
NPI: 1538274824
2820 N Stanton St
J(915) 544-0817
Hospital Affiliation: Del Sol Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Carlos A Velez MD
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties:
Cardiovascular Disease
El Paso
Nahleh, Zeina, MD
Gender: Female
NPI: 1790742476
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Pas o
NPI: 1952589970
7814 Gateway Blvd E
(915) 542-2352
NPI: 1952589970
9999 Kenworthy St Ste B
(915) 542-2352
Clinic Affiliation: Cardiology Care
Consultants PA
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties:
Cardiovascular Disease
NPI: 1689888307
1566 Lomaland Dr
J(915) 544-7767
Hospital Affiliation: El Paso Ltac Hospital,
Mesa Hills Specialty Hospital, Providence
Memorial Hospital, Sierra Medical Center,
Sierra Providence East Med Ctr
Clinic Affiliation: Kidney Consultants of El
Paso
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties: Nephrology
" Payne, Douglas B, MD
El Paso
Gender: Male
NPI: 1487639183
1201 E Schuster Ave
Ste 4A
J(915) 532-6069
Hospital Affiliation: Sierra Medical Center
Clinic Affiliation: El Paso Medical Group PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Internal
Medicine
El Pas o
" McDanald, Eugene C, MD
El Paso
" Hughes, Harold W, MD
Gender: Male
NPI: 1790784692
1221 N Cotton St
J(915) 598-1600
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
NPI: 1760446926
2727 Wyoming Ave
Ste B
(915) 566-8118
El Pas o
Martinez Lopez, Jorge I, MD
Gender: Male
NPI: 1477580793
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties:
Cardiovascular Disease
El Paso
El Paso
" Lam, Man T, MD
Gender: Male
NPI: 1760446926
1030 N Zaragoza Rd
Ste A
(915) 860-2233
#
Martinez, Hector R, MD
Gender: Male
NPI: 1659373520
1501 N Mesa
Ste 2 B
(915) 532-1222
Gender: Male
NPI: 1427094820
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Providence Memorial
Hospital, University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
El Paso
" Molina Jr, Salvador, DO
El Pas o
El Paso
El Paso
Gender: Male
NPI: 1699703124
4801 Alberta Ave
J(915) 545-0981
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
Gender: Male
NPI: 1811936511
1700 Murchison Dr
Ste 211
(915) 533-5100
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Center For Venous
Disease Managem
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
El Paso
El Paso
Gender: Male
NPI: 1053365510
7848 Gateway Blvd E
(915) 559-1313
Clinic Affiliation: Health Texas Provider
Network
Board Certified Specialties: Internal
Medicine
El Pas o
" Pazmino, Patricio A, MD
El Paso
Gender: Male
NPI: 1336131325
1701 N Mesa St
Ste 101
J(915) 534-7755
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: Patricio A Pazmino PhD
MD
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties: Internal
Medicine, Nephrology
Pease, Howard F, MD
Gender: Male
NPI: 1346247855
101 Rim Rd
Ste 300
J(915) 532-4542
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Heart Center PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
El Paso
J - Wheelchair Access
25
EL PASO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 15, 2014
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Rodriguez, Simon S, MD
Gender: Male
NPI: 1952512246
11989 Pellicano Dr
Ste D
J(915) 855-9991
" Tolbert Bornstein, Natalie, MD
El Paso
EL PASO Cont
INTERNAL MEDICINE Cont
" Pema, Kanchan, MD
El Paso
Gender: Female
NPI: 1851328850
4801 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
" Pieri, Richard E, MD
El Paso
" Portillo, Raul M, MD
El Paso
Gender: Male
NPI: 1265473391
1901 Grandview Ave
J(915) 544-6750
" Sandroni, Stephen, MD
Gender: Male
NPI: 1750382057
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
Quintana Jr, Joseph A, MD
Gender: Male
NPI: 1477553196
4301 N Mesa St Ste 101
J(915) 542-2352
El Paso
NPI: 1770583676
1560 Lomaland Dr
J(915) 590-2790
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Gastroenterology
Con
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Gastroenterology
Siddiqui, Tariq S, MD
Gender: Male
NPI: 1487879300
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties:
Cardiovascular Disease
El Paso
Turbay, David, MD
Gender: Male
NPI: 1922082411
125 W Hague St
Ste 170
J(800) 000-0000
" Szeyko, Larissa A, MD
#
NPI: 1922082411
3028 Trawood Dr
Ste B
J(915) 855-7600
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: David Turbay MD PLLC
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties:
Cardiovascular Disease
Gender: Female
NPI: 1497961197
2101 N Oregon St
J(915) 577-7840
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Larissa A Szeyko MD
PLLC
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
" Urtubey, Adriana M, MD
El Paso
Tan, Jeanette S, MD
Gender: Female
NPI: 1518938810
7812 Gateway Blvd E
Ste 220
J(915) 598-6628
Hospital Affiliation: Del Sol Camp Lpdsh,
East El Paso Phys Med Ctr Llc, Las Palmas
Camp Lpdsh, Providence Memorial Hospital,
Sierra Medical Center
Clinic Affiliation: Jeanette Tan MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
Gender: Female
NPI: 1083629794
7430 Remcon Cir
Bldg B
(915) 581-0357
Hospital Affiliation: Sierra Medical Center,
University Medical Ctr Of Elpaso
Clinic Affiliation: Wellmed Medical Group
PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Internal
Medicine
Valilis, Panagiotis N, MD
Gender: Male
NPI: 1033158480
1901 Grandview Ave
J(915) 544-6750
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, El Paso Specialty Hospital Ltd, Las
Palmas Camp Lpdsh, Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Blood and Marrow
Transplant Services PLLC
Board Certified Specialties: Oncology
El Paso
Taveras, Juan M, MD
Gender: Male
NPI: 1932109683
4301 N Mesa St Ste 101
J(915) 542-2352
El Paso
NPI: 1477553196
7814 Gateway Blvd E
J(915) 542-2352
NPI: 1477553196
9999 Kenworthy St Ste B
J(915) 542-2352
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Cardiology Care
Consultants PA
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties: None
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
" Velez, Carlos A, MD
El Pas o
Gender: Male
NPI: 1649469131
11551 Cedar Oak Dr
J(915) 592-8300
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Carlos A Velez MD
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties: Internal
Medicine
Vivanco, Cesar E, MD
Gender: Male
NPI: 1992843163
10555 Vista Del Sol Dr
Ste 120
J(915) 590-6770
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: Southwest Cancer Center
PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Oncology
El Pas o
" Woods, Gordon L, MD
El Pas o
Gender: Male
NPI: 1588722912
4801 Alberta Ave
J(915) 545-6640
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
El Paso
El Paso
NPI: 1265473391
3270 Joe Battle Blvd
Ste 312
J(915) 849-2700
NPI: 1265473391
7848 Gateway Blvd E
J(915) 599-1313
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Internal
Medicine, Oncology
Tune, John M, MD
Gender: Male
NPI: 1770583676
125 W Hague Rd
Ste 590
J(915) 532-1620
El Paso
El Paso
El Paso
Gender: Female
NPI: 1508860198
2260 Trawood Dr
J(915) 591-4436
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Wellmed Medical Group
PA
Board Certified Specialties: Internal
Medicine
!
NPI: 1952512246
1700 Curie Dr Ste 4300
J(915) 544-4500
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, Sierra
Providence East Med Ctr
Clinic Affiliation: El Paso Kidney
Specialists PA
Board Certified Specialties: Nephrology
Gender: Male
NPI: 1760433924
3270 Joe Battle Blvd
Ste 175
J(915) 504-6939
Clinic Affiliation: Infectious Disease Center
of El P
Board Certified Specialties: Internal
Medicine
Pinzon, Guillermo A, MD
Gender: Male
NPI: 1790774321
1810 Murchison Dr Ste 40
(915) 592-7662
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
NPI: 1932109683
7814 Gateway Blvd E
J(915) 542-2352
NPI: 1932109683
9999 Kenworthy St Ste B
J(915) 542-2352
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Cardiology Care
Consultants PA
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties:
Cardiovascular Disease
Velasquez, Michael A, DO
Gender: Male
NPI: 1639161698
3270 Joe Battle Blvd
Ste 200
J(915) 855-8519
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, Sierra
Providence East Med Ctr
Clinic Affiliation: Southwest Nephrology
Internal Med
Board Certified Specialties: None
El Paso
Zuckerman, Marc J, MD
Gender: Male
NPI: 1245268168
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Endoscopy Center Of
El Paso, Providence Memorial Hospital,
University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties:
Gastroenterology
El Pas o
INTERVENTIONAL CARDIOLOGY
Amadi, Chikezie C, MD
Gender: Male
NPI: 1487616918
1512 N Zaragoza Rd
Ste C4
J(915) 298-5425
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Southwest Cardiovascular
Interven
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
El Pas o
Garza Arreola, Luis, MD
Gender: Male
NPI: 1326142639
4301 N Mesa St Ste 101
J(915) 542-2352
El Pas o
NPI: 1326142639
7814 Gateway Blvd E
J(915) 542-2352
NPI: 1326142639
9999 Kenworthy St Ste B
J(915) 542-2352
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Cardiology Care
Consultants PA
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties:
Cardiovascular Disease
J - Wheelchair Access
26
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmkpi_n_spec
EL PASO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Raja, Mohammad L, MD
Gender: Male
NPI: 1548250244
4301 N Mesa St
Ste 100
J(915) 532-6767
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: El Paso Cardiology Assoc
PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
El Paso
EL PASO Cont
INTERVENTIONAL CARDIOLOGY Cont
Mendez Martinez, Jose I, MD
Gender: Male
NPI: 1952589970
4301 N Mesa St Ste 101
(915) 542-2352
El Paso
NPI: 1952589970
7814 Gateway Blvd E
(915) 542-2352
NPI: 1952589970
9999 Kenworthy St Ste B
(915) 542-2352
Clinic Affiliation: Cardiology Care
Consultants PA
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties:
Cardiovascular Disease
Miller, Jerry W, MD
Gender: Male
NPI: 1811936511
1733 Curie Dr
Ste 305
J(915) 225-0410
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Jerry W Miller MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
Munoz, Oscar C, MD
Gender: Male
NPI: 1538274824
# 11551 Cedar Oak Dr
J(915) 592-8300
Soto Cora, Ediberto, MD
Gender: Male
NPI: 1588679443
# 1139 Caper Dr
J(915) 591-7495
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital,
University Medical Ctr Of Elpaso
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease
El Paso
Cardwell, Michael S, MD
Gender: Male
NPI: 1063419638
4801 Alberta Ave
(915) 545-6611
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties:
Obstetrics-Gynecology
Nasur, Ali M, MD
Gender: Male
NPI: 1922011782
3270 Joe Battle Blvd
Ste 215
(800) 481-0089
Hospital Affiliation: Sierra Providence East
Med Ctr
Clinic Affiliation: Texan Cardiovascular
Institute PA
Board Certified Specialties:
Cardiovascular Disease
" Patel, Vipool R, MD
Gender: Male
NPI: 1497752869
4301 N Mesa St
Ste 100
J(915) 532-6767
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Cardiology Assoc
PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Interventional
Cardiology
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
NPI: 1548208515
7848 Gateway Blvd E
J(915) 599-1313
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, El Paso Specialty Hospital Ltd, Las
Palmas Camp Lpdsh, Mesa Hills Specialty
Hospital, Mesa Vista Dialysis, Sierra Medical
Center
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
NPI: 1265473391
7848 Gateway Blvd E
J(915) 599-1313
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Blood and Marrow
Transplant Services PLLC
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: None
El Paso
El Paso
El Paso
NPI: 1548208515
3270 Joe Battle Blvd
Ste 312
J(915) 849-2700
Portillo, Raul M, MD
Gender: Male
NPI: 1265473391
1901 Grandview Ave
J(915) 544-6750
Harlass, Frederick E, MD
Gender: Male
NPI: 1386620003
1700 N Oregon St
Ste 755
J(915) 313-9383
Hospital Affiliation: Del Sol Camp Lpdsh,
Las Palmas Camp Lpdsh, Providence
Memorial Hospital, Sierra Medical Center,
University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Health Care
Network Inc
Board Certified Specialties: None
Rivera, Ragene R, MD
Gender: Female
NPI: 1275570004
1901 Grandview Ave
J(915) 544-6750
El Pas o
NPI: 1275570004
3270 Joe Battle Blvd
Ste 312
J(915) 849-2700
Theard, Franz C, MD
Gender: Male
NPI: 1770633216
# 1201 E Schuster Ave
Ste 2A
J(915) 532-4631
El Paso
#
NPI: 1770633216
1201 E Schuster Ave
Ste 2B
J(915) 533-8205
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Perinatal Health Care
Center, Theard Franz C MD
Board Certified Specialties:
Obstetrics-Gynecology
#
Chesbro, Byron H, MD
Gender: Male
NPI: 1548208515
1901 Grandview Ave
J(915) 544-6750
El Pas o
Giles, Harlan R, MD
Gender: Male
NPI: 1346210226
3280 Joe Battle Blvd
J(915) 832-2145
Hospital Affiliation: Sierra Medical Center
Clinic Affiliation: Harlan R Giles MD PC
Board Certified Specialties:
Obstetrics-Gynecology
Alvarez, Dionicio M, MD
Gender: Male
NPI: 1275504490
# 125 W Hague Rd
Ste 570
J(915) 544-7767
El Paso
El Pas o
El Paso
El Paso
NEPHROLOGY
MEDICAL ONCOLOGY
MATERNAL & FETAL MEDICINE
El Paso
NPI: 1538274824
2820 N Stanton St
J(915) 544-0817
Hospital Affiliation: Del Sol Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Carlos A Velez MD
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties:
Cardiovascular Disease
Velazquez, Maria D, MD
Gender: Female
NPI: 1154549954
1700 N Oregon St
Ste 755
J(915) 313-9383
Hospital Affiliation: Las Palmas Camp
Lpdsh
Clinic Affiliation: Texas Health Care
Network Inc
Board Certified Specialties:
Obstetrics-Gynecology
El Pas o
NPI: 1275570004
7848 Gateway Blvd E
J(915) 599-1313
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, Sierra Providence East Med
Ctr
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Oncology
Vivanco, Cesar E, MD
Gender: Male
NPI: 1992843163
10555 Vista Del Sol Dr
Ste 120
J(915) 590-6770
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: Southwest Cancer Center
PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Oncology
El Pas o
NPI: 1275504490
1566 Lomaland Dr
J(915) 544-7767
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Kidney Consultants of El
Paso
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties: None
" Blandon Jr, Pedro A, MD
El Paso
Gender: Male
NPI: 1275531469
4800 Alberta Ave
J(915) 545-8888
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Nephrology
Chavez, Alfonso, MD
Gender: Male
NPI: 1356326987
1250 E Cliff Dr
Ste 1A
J(915) 532-2693
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Nephrology Associate El
Paso
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
Chitti, Srinivas R, MD
Gender: Male
NPI: 1629157607
10501 Vista Del Sol Dr
Ste 210
J(915) 633-9317
Hospital Affiliation: Del Sol Camp Lpdsh,
East El Paso Phys Med Ctr Llc, Las Palmas
Camp Lpdsh, Providence Memorial Hospital,
Sierra Medical Center
Clinic Affiliation: Chitti Srinivas R MD
Board Certified Specialties: None
El Paso
" Demick, Diane S, MD
El Paso
#
#
Gender: Female
NPI: 1770553281
125 W Hague Rd
Ste 570
J(915) 544-7767
NPI: 1770553281
1566 Lomaland Dr
J(915) 544-7767
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Kindred Hospital El Paso, Las
Palmas Camp Lpdsh, Mesa Hills Specialty
Hospital, Providence Memorial Hospital,
Sierra Medical Center, Sierra Providence
East Med Ctr
Clinic Affiliation: Kidney Consultants of El
Paso
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties: Nephrology
J - Wheelchair Access
27
EL PASO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 15, 2014
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
" Martinez, Ileana, MD
" Rodriguez, Simon S, MD
El Paso
EL PASO Cont
NEPHROLOGY Cont
#
" Gonzalez, Alfredo E, MD
El Paso
#
#
Gender: Male
NPI: 1992776116
125 W Hague Rd
Ste 570
J(915) 544-7767
NPI: 1992776116
1566 Lomaland Dr
J(915) 544-7767
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Kidney Consultants of El
Paso
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties: Nephrology
" Gonzalez, Sylvia V, MD
El Paso
Gender: Female
NPI: 1780724294
4801 Alberta Ave
(915) 545-8888
Hospital Affiliation: Sierra Medical Center,
University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Nephrology
#
#
#
NPI: 1265534010
1700 Curie Dr Ste 4300
J(915) 544-4500
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Kidney
Specialists PA
Board Certified Specialties: Nephrology
#
Martin Jr, George J, MD
Gender: Male
NPI: 1841285756
1725 Brown St
J(915) 590-2225
Hospital Affiliation: Las Palmas Camp
Lpdsh, Sierra Providence East Med Ctr
Clinic Affiliation: Southwest Neuro Spine
Institute P
Board Certified Specialties: None
El Pas o
" Misra, Sanjay N, MD
El Pas o
Gender: Male
NPI: 1699799577
4815 Alameda Ave
J(915) 521-7731
Serna, Jorge H, MD
Gender: Male
NPI: 1861486532
# 11989 Pellicano Dr
Ste D
J(915) 855-9991
NPI: 1699799577
4824 Alberta Ave
Ste 207
J(915) 521-7731
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: Neurological
Surgery
El Paso
Gender: Male
NPI: 1689888307
125 W Hague Rd
Ste 570
J(915) 544-7767
#
NPI: 1689888307
1566 Lomaland Dr
J(915) 544-7767
Hospital Affiliation: El Paso Ltac Hospital,
Mesa Hills Specialty Hospital, Providence
Memorial Hospital, Sierra Medical Center,
Sierra Providence East Med Ctr
Clinic Affiliation: Kidney Consultants of El
Paso
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties: Nephrology
#
NPI: 1861486532
11989 Pellicano Dr Ste C
J(915) 857-0700
NPI: 1861486532
1700 Curie Dr
Ste 4300
J(915) 544-4500
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Kidney
Specialists PA
Board Certified Specialties: None
Velasquez, Michael A, DO
Gender: Male
NPI: 1639161698
3270 Joe Battle Blvd
Ste 200
J(915) 855-8519
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, Sierra
Providence East Med Ctr
Clinic Affiliation: Southwest Nephrology
Internal Med
Board Certified Specialties: None
El Paso
" Pazmino, Patricio A, MD
El Paso
Gender: Male
NPI: 1336131325
1701 N Mesa St
Ste 101
J(915) 534-7755
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: Patricio A Pazmino PhD
MD
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties: Internal
Medicine, Nephrology
NEUROLOGICAL SURGERY
Hanbali, Fadi, MD
Gender: Male
NPI: 1629175914
1250 E Cliff Dr
Ste 2A
(915) 577-7951
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, Sierra
Providence East Med Ctr, University Medical
Ctr Of Elpaso
Clinic Affiliation: Gr Dallas Hlthcare
Enterprises
Board Certified Specialties: None
El Paso
" Raudales, Fernando, MD
El Paso
#
Gender: Male
NPI: 1225096399
4824 Alameda Ave
Ste 207
J(915) 521-7737
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: Neurological
Surgery
Sandroni, Stephen, MD
Gender: Male
NPI: 1750382057
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
" Pande, Saurabh A, MD
#
" Lax, Fredric, MD
El Pas o
El Paso
El Paso
#
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Male
NPI: 1578761003
4801 Alberta Ave
J(915) 545-6640
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Nephrology
Gender: Male
NPI: 1316931140
10201 Gateway Blvd
W Ste 210
J(915) 591-2922
Clinic Affiliation: David O Opawumi MD
Board Certified Specialties: Nephrology
" Lopez Leyva, Manuel D, MD
!
" Salameh, Hasan J, MD
El Paso
" Opawumi Jr, David O, MD
El Paso
Gender: Male
NPI: 1942265533
10201 Gateway Blvd W
Ste 210
J(915) 591-2922
Hospital Affiliation: Las Palmas Camp
Lpdsh
Clinic Affiliation: Paso Del Norte
Nephrology
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Nephrology
NPI: 1952512246
1700 Curie Dr Ste 4300
J(915) 544-4500
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, Sierra
Providence East Med Ctr
Clinic Affiliation: El Paso Kidney
Specialists PA
Board Certified Specialties: Nephrology
El Paso
El Paso
Gender: Male
NPI: 1265534010
11989 Pellicano Dr Ste C
J(915) 857-0700
NPI: 1326032913
1700 Curie Dr
Ste 4300
(915) 857-0700
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Kidney
Specialists PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Nephrology
Nwosu, Azikiwe C, MD
Gender: Male
NPI: 1083641179
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
" Hernandez, German T, MD
" Komaragiri, Ramesh, MD
Gender: Male
NPI: 1952512246
11989 Pellicano Dr
Ste D
J(915) 855-9991
El Paso
El Paso
Gender: Male
NPI: 1154367704
4801 Alberta Ave
(915) 545-6200
Hospital Affiliation: Providence Memorial
Hospital, University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Nephrology
El Paso
Gender: Female
NPI: 1326032913
11989 Pellicano Dr
Ste C
(915) 857-0700
Gender: Male
NPI: 1801880307
11989 Pellicano Dr Ste C
J(915) 857-0700
NPI: 1801880307
1700 Curie Dr Ste 4300
J(915) 544-4500
Hospital Affiliation: Healthsouth
Rehabilitation Hospital Of Midland/Ode,
Kindred Hospital El Paso, Providence
Memorial Hospital, Sierra Medical Center
Clinic Affiliation: El Paso Kidney
Specialists PA
Board Certified Specialties: Nephrology
Pacheco, Sergio B, MD
Gender: Male
NPI: 1730188731
# 1900 N Oregon St
Ste 410
J(915) 532-1922
Hospital Affiliation: Providence Memorial
Hospital
Clinic Affiliation: Sergio B Pacheco MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Pas o
Pacheco Serrant, Helson, MD
Gender: Male
NPI: 1578543096
1700 N Oregon St
Ste 660
(915) 351-1444
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Neurosurgical Specialists
of El P
Board Certified Specialties: None
El Pas o
Storrs, Bruce B, MD
Gender: Male
NPI: 1902832876
# 4845 Alameda Ave
J(915) 298-5444
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: El Paso Childrens
Physician Group
Board Certified Specialties: None
El Pas o
Svarzbein, Leonardo, MD
Gender: Male
NPI: 1750491619
# 125 W Hague Rd
Ste 320
J(915) 545-1441
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital
Clinic Affiliation: Neurosurgical Institute of
El Pas
Practice Information: No Patients Under 21
yrs old
Board Certified Specialties: None
El Pas o
J - Wheelchair Access
28
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmkpi_n_spec
EL PASO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Fierro Stevens, Rodolfo, MD
Gender: Male
NPI: 1568469245
1400 N El Paso St
Ste B
J(915) 544-4911
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
EL PASO Cont
NEUROLOGICAL SURGERY Cont
" Vasquez, Luis F, MD
El Paso
Gender: Male
NPI: 1295728855
4824 Alberta Ave
Ste 207
(915) 521-7731
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: Neurological
Surgery
Glusman, Steven P, MD
Gender: Male
NPI: 1275530974
1015 N Zaragoza Rd
J(915) 592-7500
Hospital Affiliation: Las Palmas Camp
Lpdsh
Clinic Affiliation: Sun City Neurology PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
" Zolfoghary, Khosrow, MD
Gender: Male
NPI: 1326054164
2311 N Mesa St
Ste F
J(915) 544-6400
Hospital Affiliation: Providence Memorial
Hospital
Clinic Affiliation: Texas Neurodiagnostic
Headac
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties: Neurology
#
" Adzotor, Kwasi, MD
El Paso
" Basar, Irum, MD
El Paso
Gender: Female
NPI: 1386682326
1250 E Cliff Dr
Ste 2A
(915) 577-7951
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Gr Dallas Hlthcare
Enterprises
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Neurology
NUCLEAR MEDICINE
" Gonzalez, Abraham, MD
El Pas o
Gender: Male
NPI: 1578560876
101 Rim Rd
Ste 300
J(915) 532-4542
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Heart Center PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Cardiovascular Disease, Internal Medicine,
Nuclear Medicine
" Levine, Johanan S, MD
Gender: Male
NPI: 1316945843
4815 Alameda Ave
(915) 544-1200
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: Neurology
" Lujan Palma, Jose A, MD
El Paso
Gender: Male
NPI: 1407880867
550 S Mesa Hills
Bldg F3
(915) 351-3565
Hospital Affiliation: Sierra Medical Center
Clinic Affiliation: Jose Alfredo Lujan Palma
MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Neurology
" Cuetter, Albert C, MD
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Kassar, Darine, MD
Gender: Female
NPI: 1902035686
4615 Alameda Ave
(915) 215-5900
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Paso
El Paso
NPI: 1093706921
4815 Alameda Ave
(915) 545-6703
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Neurology
NEUROMUSCULAR MEDICINE
Kassar, Darine, MD
Gender: Female
NPI: 1902035686
4615 Alameda Ave
(915) 215-5900
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
Cowens Sr, Kevin E, MD
Gender: Male
NPI: 1881642213
1250 E Cliff Dr Ste 2A
J(915) 577-7951
Gender: Male
NPI: 1093706921
4800 Alberta Ave
(915) 545-8888
Gender: Male
NPI: 1396935011
4815 Alameda Ave
(915) 545-6844
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Neurology
El Paso
El Paso
NPI: 1881642213
1316 N Yarbrough Dr
Ste 1B
J(915) 545-8655
Hospital Affiliation: Doctors Hospital,
Providence Memorial Hospital, Sierra
Medical Center, Sierra Providence East Med
Ctr, Tx Hlth Presbyterian Hosp Dallas
Clinic Affiliation: Christian Neurology Assoc
of Dall, Gr Dallas Hlthcare Enterprises
Board Certified Specialties: None
" Rodriguez, Gustavo J, MD
El Pas o
El Pas o
" Kaim, Boris, MD
El Paso
NEUROLOGY
Gender: Male
NPI: 1063631281
3270 Joe Battle Blvd
Ste 235
(915) 504-6890
Clinic Affiliation: El Paso Neurological
Institute PA
Board Certified Specialties: Internal
Medicine, Neurology
Gender: Male
NPI: 1023033834
4615 Alameda Ave
(915) 215-5900
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Neurology
El Paso
El Paso
Gender: Male
NPI: 1659372159
1700 N Oregon Ste 750
J(915) 532-7579
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Board Certified Specialties: Neurological
Surgery
" Piriyawat, Paisith, MD
El Pas o
NUTRITION & DIETETICS
Anchondo, Ines M, RD
Gender: Female
NPI: 1033291810
4800 Alberta Ave
(915) 215-5700
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
El Pas o
Rascon, Adriana, RD
Gender: Female
NPI: 1376782581
6464 Snowheights Cr
J(915) 587-5374
El Pas o
NPI: 1376782581
6464 Snowheights Ct
J(915) 276-3715
Clinic Affiliation: El Paso Nutrition
Consultants LLC
Board Certified Specialties: None
" Maud, Alberto, MD
El Paso
Scallorn, Erin, RD
Gender: Female
NPI: 1225265895
# 1101 E Schuster Ave
J(915) 544-8484
Clinic Affiliation: Paso Del Norte Childrens
Dev Ctr
Board Certified Specialties: None
Gender: Male
NPI: 1740472331
4800 Alberta Ave
(915) 645-6830
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Neurology
El Pas o
OBSTETRICS-GYNECOLOGY
Alcala, Patricia H, MD
Gender: Female
NPI: 1952309643
125 W Hague Rd
Ste 260
J(915) 533-7579
El Paso
NPI: 1952309643
!# 125 W Hague Ste 260
J(915) 533-7579
NPI: 1952309643
!# 2400 Trawood Ln Ste 300
J(915) 533-7579
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, Surgical
Center Of El Paso
Clinic Affiliation: El Paso Rio Grande OB/
GYN PA, Rio Grande OB GYN Group PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: None
Aronson, Daniel J, MD
Gender: Male
NPI: 1871602755
3270 Joe Battle Blvd
Ste 200
J(915) 500-3076
Hospital Affiliation: Del Sol Camp Lpdsh,
Sierra Providence East Med Ctr
Clinic Affiliation: Daniel J Aronson MD
PLLC
Practice Information: No Patients Under 10
yrs old
Board Certified Specialties: None
El Paso
Asgharian, Robert B, MD
Gender: Male
NPI: 1497834345
9398 Viscount Blvd
Ste 2
J(915) 593-8888
Hospital Affiliation: Del Sol Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Asgharian PA
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties: None
El Paso
Blackburn, Arthur B, MD
Gender: Male
NPI: 1619956455
1733 Curie Dr
Ste 300
(915) 532-3906
Hospital Affiliation: Las Palmas Camp
Lpdsh, Paso Del Norte Surgery Center,
Providence Memorial Hospital, Sierra
Medical Center
Practice Information: Practice Limited to
Gynecology, Practice Limited to Obstetrics
Board Certified Specialties: None
El Paso
Brandl, Christine, MD
Gender: Female
NPI: 1316945629
1700 N Oregon St
Ste 570
J(915) 225-2455
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: Christine Brandl MD
Board Certified Specialties: None
El Paso
" Cardwell, Michael S, MD
El Paso
Gender: Male
NPI: 1063419638
4801 Alberta Ave
(915) 545-6611
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties:
Obstetrics-Gynecology
J - Wheelchair Access
29
EL PASO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 15, 2014
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
" Farnam, Richard W, MD
" Grewal, Preetpal, DO
El Paso
EL PASO Cont
OBSTETRICS-GYNECOLOGY Cont
Cazares Zavala, Jose Z, MD
Gender: Male
NPI: 1053403337
# 2311 N Mesa Ste A
J(915) 532-4603
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Board Certified Specialties: None
El Paso
" Cordova Hoy, Annette M, MD
El Paso
Gender: Female
NPI: 1639155914
10657 Vista Del Sol Dr
Ste E
(915) 875-1200
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Luz De Luna Medical
Center PLLC
Practice Information: No Patients Over 12
yrs old
Board Certified Specialties:
Obstetrics-Gynecology
#
Dandade, Usha P, MD
Gender: Female
NPI: 1053318097
# 615 E Schuster Bldg 8
J(915) 545-1707
Hospital Affiliation: Las Palmas Camp
Lpdsh, Surgical Center Of El Paso
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties: None
El Paso
Davis, Patricia M, MD
Gender: Female
NPI: 1023012556
10470 Vista Del Sol Dr
Ste 210
(915) 595-1212
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Patricia M Davis MD
Board Certified Specialties: None
" De La Rosa, Antonio, MD
Gender: Male
NPI: 1053318931
10657 Vista Del Sol Dr
Ste F
J(915) 594-9600
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital,
Surgical Center Of El Paso, University
Medical Ctr Of Elpaso
Clinic Affiliation: East Desert OB GYN
Assoc PA
Practice Information: Female Patients only
Board Certified Specialties:
Obstetrics-Gynecology
" Desantos, Christina, MD
El Paso
Gender: Female
NPI: 1023016326
1700 N Oregon St
Ste 570
J(915) 225-2455
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: Christina Desantos MD
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties:
Obstetrics-Gynecology
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
" Hernandez, Leticia S, MD
El Pas o
Gender: Female
NPI: 1437346822
125 W Hague Rd
Ste 360
(915) 533-1960
Clinic Affiliation: Prestige Womens
Healthcare PA
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties:
Obstetrics-Gynecology
Groening Wang, Mary T, DO
Gender: Female
NPI: 1437345949
4800 Alberta Ave
(915) 545-8888
Gender: Female
NPI: 1417038555
1700 N Oregon St
Ste 640
J(915) 544-6622
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Westside Institute For
Womens Health
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties:
Obstetrics-Gynecology
El Paso
" Follen, Michele F, MD
El Paso
Gender: Female
NPI: 1316033889
4801 Alberta Ave
(915) 215-5000
Hospital Affiliation: El Paso
ChildrensHospitalCorp', Las Palmas Camp
Lpdsh, Md Anderson Cancer Center,
University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: Female Patients only
Board Certified Specialties:
Obstetrics-Gynecology
" Hollingsworth, Amanda, DO
El Pas o
Gender: Female
NPI: 1538106042
1810 Murchison Dr
Ste 110
(915) 533-6100
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Amanda Hollingsworth DO
PA
Practice Information: No Patients Under 5
yrs old
Board Certified Specialties:
Obstetrics-Gynecology
NPI: 1437345949
4815 Alameda Ave
(915) 544-1200
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie, University Med Ctr of El Paso
Board Certified Specialties: None
Hale, Anne V, MD
Gender: Female
NPI: 1063409274
11040 Vista Del Sol Dr
Ste A
(915) 591-4624
Hospital Affiliation: Shannon Medical
Center, Sierra Providence East Med Ctr
Clinic Affiliation: Invogue Total Womens
Healthcare P
Practice Information: Female Patients only,
No Patients Under 15 yrs old
Board Certified Specialties: None
Garcia, Genevieve M, DO
Gender: Female
NPI: 1982816880
1000 N Mesa Dr
J(915) 401-4097
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: Prestige Womens
Healthcare PA
Board Certified Specialties: None
El Paso
El Paso
" Garcia, Henry F, MD
El Paso
Gender: Male
NPI: 1255444949
550 S Mesa Hills Ste D3
J(915) 534-7600
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties:
Obstetrics-Gynecology
El Paso
El Paso
El Paso
Gender: Male
NPI: 1205818234
1700 N Oregon St Ste 520
J(915) 533-5600
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, Surgical Center Of El Paso
Clinic Affiliation: Texas Gynecology and
Laser Surger
Practice Information: No Obstetrics
Board Certified Specialties:
Obstetrics-Gynecology
Harlass, Frederick E, MD
Gender: Male
NPI: 1386620003
1700 N Oregon St
Ste 755
J(915) 313-9383
Hospital Affiliation: Del Sol Camp Lpdsh,
Las Palmas Camp Lpdsh, Providence
Memorial Hospital, Sierra Medical Center,
University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Health Care
Network Inc
Board Certified Specialties: None
" Iwaloye, Femi D, MD
El Pas o
Gender: Male
NPI: 1801037973
11163 La Quinta Pl
Ste A200
J(915) 595-5439
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, Sierra Providence East Med
Ctr, University Medical Ctr Of Elpaso
Clinic Affiliation: Femi David Iwaloye MD
Board Certified Specialties:
Obstetrics-Gynecology
El Paso
" Giles, Harlan R, MD
El Paso
Gender: Male
NPI: 1346210226
3280 Joe Battle Blvd
J(915) 832-2145
Hospital Affiliation: Sierra Medical Center
Clinic Affiliation: Harlan R Giles MD PC
Board Certified Specialties:
Obstetrics-Gynecology
Hawkins Koch, Dorovenia N, DO
Gender: Female
NPI: 1386732881
1000 N Mesa St
(915) 533-1960
Hospital Affiliation: Baylor Medical Center
Carrollton, Bellville St Joseph Health Center,
Las Palmas Camp Lpdsh, Providence
Memorial Hospital
Clinic Affiliation: Prestige Womens
Healthcare PA
Board Certified Specialties: None
" James, Janine A, MD
El Pas o
Gender: Female
NPI: 1184635799
4801 Alberta Ave
(915) 215-5000
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties:
Obstetrics-Gynecology
El Paso
Gluck, Brion A, MD
Gender: Male
NPI: 1881692382
1800 N Mesa St
Ste 200
J(915) 577-9900
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Gluck Brion A MD
Board Certified Specialties: None
El Paso
Hernandez, Jose L, MD
Gender: Male
NPI: 1780683367
11163 La Quinta Pl
Ste A200
J(915) 595-1811
Hospital Affiliation: Del Sol Camp Lpdsh,
Providence Memorial Hospital, Sierra
Providence East Med Ctr
Clinic Affiliation: West Texas OB GYN PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
" Greenberg, Harvey, MD
El Paso
Gender: Male
NPI: 1912000480
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties:
Obstetrics-Gynecology
Kareh, Jorge, MD
Gender: Male
NPI: 1689684722
1900 N Oregon St
Ste 510
J(915) 577-9799
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: El Paso Womens
Healthcare Center PA
Board Certified Specialties: None
El Pas o
" Lacy, Linda S, MD
El Pas o
Gender: Female
NPI: 1275504227
7430 Remcon Cir Bldg B
Ste 100
J(915) 541-1144
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, Surgical Center Of El Paso
Clinic Affiliation: Sun West OB-GYN Assoc
PA
Practice Information: Practice Limited to
Gynecology
Board Certified Specialties:
Obstetrics-Gynecology
J - Wheelchair Access
30
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmkpi_n_spec
EL PASO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
" Manting, Michele A, MD
" Montoya, Teodoro I, MD
El Paso
EL PASO Cont
OBSTETRICS-GYNECOLOGY Cont
" Lewis Levine, Neil M, DO
El Paso
Gender: Male
NPI: 1275538266
2931 Montana Ave
(915) 345-0145
Gender: Male
NPI: 1003814310
1485 George Dieter
(915) 521-2258
NPI: 1003814310
1485 George Dieter Dr
Ste 107
(915) 532-5454
NPI: 1982713079
9839 Kenworthy St
Ste 108
(915) 532-5454
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties:
Obstetrics-Gynecology
NPI: 1003814310
2022 Murchinson Dr
Ste 108
(915) 532-5454
NPI: 1003814310
300 S Zaragoza Rd
Bldg B
(915) 532-5454
" Mendez, Melissa D, MD
El Paso
Gender: Female
NPI: 1427269489
4801 Alberta Ave
(915) 545-6710
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties:
Obstetrics-Gynecology
" Loubriel Velez, Carlos H, MD
El Paso
Gender: Male
NPI: 1831203553
4242 Hondo Pass Dr
Ste 101
J(915) 759-8555
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, Valley Regional Medical
Center
Clinic Affiliation: Carlos H Loubriel MD
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties:
Obstetrics-Gynecology
" Murtaza, Ghulam, MD
El Pas o
NPI: 1982713079
5021 Crossroads Dr
(915) 532-5454
El Paso
" Phipps, Wendy D, MD
El Paso
Gender: Female
NPI: 1700883519
125 W Hague Rd Ste 360
J(915) 544-9700
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Wendy D Phipps MD
Board Certified Specialties:
Obstetrics-Gynecology
NPI: 1003814310
5021 Crossroads Dr
(915) 532-5454
NPI: 1003814310
9839 Ken Worthy St
(915) 532-5454
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Texas Tech University
Health Scie, University Med Ctr of El Paso
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties:
Obstetrics-Gynecology
" Mokonchu, Monique C, MD
Gender: Female
NPI: 1407941750
1600 Medical Center Dr
Ste 102
J(915) 351-0755
Hospital Affiliation: Sierra Medical Center
Clinic Affiliation: Harmony Womens Clinic
PA
Board Certified Specialties:
Obstetrics-Gynecology
Montes, Rebecca M, MD
Gender: Female
NPI: 1609874098
125 W Hague Rd
Ste 260
(915) 533-7579
Novoa Jr, Julio C, MD
Gender: Male
NPI: 1164413803
# 1601 Murchison Dr
J(915) 533-2133
El Paso
El Pas o
NPI: 1609874098
125 W Hague Rd Ste 260
J(915) 533-7579
#
NPI: 1609874098
2400 Trawood Dr
Ste 300
(915) 533-7579
Pitre, Clarence A, MD
Gender: Male
NPI: 1821174897
10470 Vista Del Sol Dr
Ste 208
J(915) 590-7773
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Tony Pitre MD
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties: None
El Paso
" Quezada Jr, Oscar R, MD
El Paso
#
NPI: 1164413803
2400 Trawood Dr
Ste 308
J(915) 591-7277
NPI: 1164413803
5140 Montana Ave
(915) 772-2713
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: First Choice OB/GYN
Assoc PA, Novoa Medical Services PA
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties: None
NPI: 1609874098
2400 Trawood Ln Ste 300
J(915) 533-7579
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: El Paso Rio Grande OB/
GYN PA, Rio Grande OB GYN Group PA
Board Certified Specialties: None
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Padilla, Mario M, MD
Gender: Male
NPI: 1184611980
1300 Murchinson Dr
Ste 100
J(915) 577-9090
Hospital Affiliation: Del Sol Camp Lpdsh,
Las Palmas Camp Lpdsh, Providence
Memorial Hospital, Sierra Medical Center,
Sierra Providence East Med Ctr, University
Medical Ctr Of Elpaso
Clinic Affiliation: Padilla Mario M MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
NPI: 1003814310
4800 Alberta Ave
(915) 545-8888
El Paso
#
NPI: 1588714596
2400 Trawood Dr Ste 308
(915) 591-7277
Hospital Affiliation: Las Palmas Camp
Lpdsh, Las Palmas Rehabilitation Hospital,
Providence Memorial Hospital, University
Medical Ctr Of Elpaso
Clinic Affiliation: First Choice OB/GYN
Assoc PA, Nutis Medical PLLC
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties:
Obstetrics-Gynecology
Gender: Female
NPI: 1952442808
1810 Murchison Dr
Ste 110
(915) 533-6100
Hospital Affiliation: Sierra Medical Center
Clinic Affiliation: Armida Moreno MD
Board Certified Specialties:
Obstetrics-Gynecology
NPI: 1982713079
4824 Alberta Ave
Ste 403
(915) 521-7731
Lodeiro, Jorge G, MD
Gender: Male
NPI: 1568409894
3270 Joe Battle Blvd
Ste 340
(915) 832-2860
Hospital Affiliation: Sierra Providence East
Med Ctr
Clinic Affiliation: Jorge G Lodeiro MD
Board Certified Specialties: None
NPI: 1588714596
10201 Gateway W
Blvd Ste 330
(915) 228-2491
" Moreno, Armida G, MD
NPI: 1982713079
4815 Alameda Ave
(915) 544-1200
El Paso
Gender: Male
NPI: 1588714596
10201 Gateway Blvd W
Ste 330
(915) 228-2491
El Pas o
NPI: 1982713079
300 S Zaragoza Rd
Bldg G
(915) 532-5454
NPI: 1275538266
7430 Remcon Cir
Bldg A
(915) 231-2286
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: El Paso OB GYN PLLC
Practice Information: Female Patients only
Board Certified Specialties:
Obstetrics-Gynecology
" Nutis, Mario, MD
El Paso
Gender: Male
NPI: 1295922516
4801 Alberta Ave
(915) 215-5200
Hospital Affiliation: El Paso
ChildrensHospitalCorp'
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties:
Obstetrics-Gynecology
NPI: 1982713079
2022 Murchinson Dr
Ste 108
(915) 532-5454
NPI: 1275538266
550 S Mesa Hills
Ste E1
(915) 345-0145
Lopez, Sandra, MD
Gender: Female
NPI: 1760610976
4801 Alberta Ave
(915) 215-5000
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Pas o
Gender: Female
NPI: 1982713079
1485 George Dieter Dr
Ste 107
(915) 532-5454
Gender: Male
NPI: 1770670945
10657 Vista Del Sol Dr
Ste E
(915) 875-1200
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Luz De Luna Medical
Center PLLC
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties:
Obstetrics-Gynecology
" Rebeles, Sonia A, MD
El Paso
Gender: Female
NPI: 1881891026
125 W Hague Rd
Ste 550
J(915) 577-1596
Clinic Affiliation: Gr Dallas Hlthcare
Enterprises
Board Certified Specialties:
Obstetrics-Gynecology
J - Wheelchair Access
31
EL PASO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 15, 2014
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Rosen, Andrew P, MD
Gender: Male
NPI: 1639181712
1600 Medical Center Dr
Ste 307
J(915) 838-7940
Hospital Affiliation: El Paso Day Surgery
Llc, Las Palmas Camp Lpdsh, Providence
Memorial Hospital, Sierra Medical Center
Clinic Affiliation: Andrew P Rosen MD
Practice Information: No Patients Under 1
yrs old
Board Certified Specialties: None
Soegaard Torres, Antonio, MD
Gender: Male
NPI: 1871544247
6955 N Mesa St Ste 201B
J(915) 351-2884
El Paso
EL PASO Cont
OBSTETRICS-GYNECOLOGY Cont
" Reddi-Dickason, Renuka C, MD
El Paso
Gender: Female
NPI: 1346415635
10657 Vista Del Sol Dr
Ste E
(915) 875-1200
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, Sierra Providence East Med
Ctr, University Medical Ctr Of Elpaso
Clinic Affiliation: Luz De Luna Medical
Center PLLC
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties:
Obstetrics-Gynecology
#
" Saldivar III, Salvador J, MD
Gender: Male
NPI: 1326299264
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Md Anderson Cancer
Center, University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties:
Obstetrics-Gynecology
" Reddy, Sireesha Y, MD
" San Miguel, George G, MD
Gender: Male
NPI: 1033117767
125 W Hague Rd
Ste 260
(915) 533-7579
Rolon Z, Juan Carlos E, MD
Gender: Male
NPI: 1225036692
125 W Hague Rd
Ste 260
J(915) 533-7579
El Paso
NPI: 1225036692
1900 N Orgeon St Ste 305
J(915) 533-2228
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: El Paso Rio Grande OB/
GYN PA, Rio Grande OB GYN Group PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Female
NPI: 1154549954
1700 N Oregon St
Ste 755
J(915) 313-9383
Hospital Affiliation: Las Palmas Camp
Lpdsh
Clinic Affiliation: Texas Health Care
Network Inc
Board Certified Specialties:
Obstetrics-Gynecology
" Zamudio, Jose M, MD
El Pas o
#
" Theard, Franz C, MD
Gender: Male
NPI: 1962400465
1700 N Oregon St
Ste 515
J(915) 532-1700
NPI: 1962400465
4801 Alberta Ave
(915) 215-5000
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Michael G Schaffer MD,
Texas Tech University Health Scie
Practice Information: Female Patients only
Board Certified Specialties:
Obstetrics-Gynecology
El Paso
" Velazquez, Maria D, MD
El Pas o
El Paso
" Schaffer, Michael G, MD
Robinson, Estella, MD
Gender: Female
NPI: 1376593285
# 7826 Bois D Arc Dr
J(915) 590-1980
Hospital Affiliation: Del Sol Camp Lpdsh,
Las Palmas Camp Lpdsh, Providence
Memorial Hospital, Sierra Medical Center,
Sierra Providence East Med Ctr
Clinic Affiliation: Robinson Estella MD
Board Certified Specialties: None
Rojas Mendez, Carmen P, MD
Gender: Female
NPI: 1427285972
4801 Alberta Ave
(915) 215-5000
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
Gender: Female
NPI: 1891906822
3270 Joe Battle Blvd
Ste 205
(915) 255-2400
Hospital Affiliation: Pampa Regional
Medical Center, Sierra Providence East Med
Ctr
Clinic Affiliation: Southwest Physician
Group PA
Board Certified Specialties:
Obstetrics-Gynecology
El Paso
El Paso
NPI: 1851347645
2400 Trawood Ln Ste 300
J(915) 533-7579
Hospital Affiliation: Providence Memorial
Hospital
Clinic Affiliation: El Paso Rio Grande OB/
GYN PA, Rio Grande OB GYN Group PA
Board Certified Specialties: None
" Terry, Jill R, DO
NPI: 1033117767
2400 Trawood Ln Ste 300
J(915) 533-7579
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: El Paso Rio Grande OB/
GYN PA, Rio Grande OB GYN Group PA
Board Certified Specialties:
Obstetrics-Gynecology
" Rios, Angel M, MD
NPI: 1851347645
2400 Trawood Dr
Ste 300
(915) 533-7579
El Paso
NPI: 1033117767
125 W Hague Ste 260
J(915) 533-7579
El Paso
Gender: Male
NPI: 1063526622
1250 E Cliff Dr Ste 3D
J(915) 577-9100
Hospital Affiliation: Sierra Medical Center
Board Certified Specialties:
Obstetrics-Gynecology
Suarez, Claudia E, MD
Gender: Female
NPI: 1508969015
9398 Viscount Blvd
Ste 2B
(915) 629-0442
Hospital Affiliation: Del Sol Camp Lpdsh,
Las Palmas Camp Lpdsh, Providence
Memorial Hospital, Sierra Medical Center,
University Medical Ctr Of Elpaso
Clinic Affiliation: Her Health OB/GYN
Fertility Clinic
Board Certified Specialties: None
NPI: 1851347645
125 W Hague Ste 260
J(915) 533-7579
El Paso
El Paso
NPI: 1154365799
4845 Alameda Ave
(915) 298-5444
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: El Paso Childrens
Physician Group, Texas Tech University
Health Scie
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties:
Obstetrics-Gynecology
Torres, Jose A, MD
Gender: Male
NPI: 1851347645
125 W Hague Rd
Ste 260
(915) 533-7579
El Pas o
NPI: 1871544247
9870 Gateway N Ste B1
J(915) 751-5571
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Antonio Soegaard-Torres
MD
Board Certified Specialties: None
El Paso
El Paso
Gender: Female
NPI: 1154365799
4801 Alberta Ave
(915) 545-6730
El Paso
#
Gender: Male
NPI: 1770633216
1201 E Schuster Ave
Ste 2A
J(915) 532-4631
#
NPI: 1770633216
1201 E Schuster Ave
Ste 2B
J(915) 533-8205
NPI: 1770633216
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Perinatal Health Care
Center, Texas Tech University Health Scie,
Theard Franz C MD
Board Certified Specialties:
Obstetrics-Gynecology
!
" Scragg, William H, MD
El Paso
Tomasino, Rodolfo, MD
Gender: Male
NPI: 1154435808
1201 E Schuster Ave
Ste 2A
J(915) 533-2133
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: Perinatal Health Care
Center
Board Certified Specialties: None
NPI: 1407822281
4824 Alberta Ave
Fourth Fl
(915) 521-7866
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Desert Mountain
Obstetrics and Gynecology, University Med
Ctr of El Paso
Board Certified Specialties:
Obstetrics-Gynecology
" Zarate, Luis A, MD
El Pas o
Gender: Male
NPI: 1447366141
10520 Montwood Dr
J(915) 921-9090
Hospital Affiliation: Sierra Providence East
Med Ctr
Clinic Affiliation: Matern All PA
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties:
Obstetrics-Gynecology
El Paso
Gender: Male
NPI: 1710080221
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties:
Obstetrics-Gynecology
Gender: Male
NPI: 1407822281
1201 E Schuster Ave
Ste 5A
J(915) 545-1200
OCCUPATIONAL THERAPY
Aguirre, Diane, OT
Gender: Female
NPI: 1881714178
# 1101 E Schuster Ave
J(915) 544-8484
Clinic Affiliation: Paso Del Norte Childrens
Dev Ctr
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
El Pas o
Aguirre, Jesus, OT
Gender: Male
NPI: 1134545056
# 11351 James Watt Dr
Ste A
J(915) 849-6602
Clinic Affiliation: Therapy Consultants
Board Certified Specialties: None
El Pas o
J - Wheelchair Access
32
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmkpi_n_spec
EL PASO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Endozo, Edgar A, OT
Gender: Male
NPI: 1407286750
# 11351 James Watt Dr
Ste A
(915) 849-6602
Clinic Affiliation: Therapy Consultants
Board Certified Specialties: None
Munoz Gonzales, Denise M, OT
Gender: Female
NPI: 1669556247
# 1101 E Schuster Ave
J(915) 544-8484
Clinic Affiliation: Paso Del Norte Childrens
Dev Ctr
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
El Paso
EL PASO Cont
OCCUPATIONAL THERAPY Cont
Boren, Ulla K, OT
Gender: Female
NPI: 1235463910
# 1101 E Schuster Ave
J(915) 544-8484
Clinic Affiliation: Paso Del Norte Childrens
Dev Ctr
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
El Paso
Brown, Gloria A, OT
Gender: Female
NPI: 1356300693
500 W University Ave
Ste 100 Union E
(915) 747-5624
Hospital Affiliation: Providence Memorial
Hospital
Clinic Affiliation: Utep Student Health
Center
Practice Information: No Patients Under 2
yrs old
Board Certified Specialties: None
Escandon, Jasmine K, OT
Gender: Female
NPI: 1003999012
1101 E Schuster Ave
(915) 544-8484
El Paso
Carrillo, Itzel, OT
Gender: Female
NPI: 1124350889
1445 Bessemer Dr
Ste C
(915) 629-7663
Clinic Affiliation: Play and Grow Therapy
Board Certified Specialties: None
Ceballos, Monica, OT
Gender: Female
NPI: 1629213442
6611 Boeing Dr
J(915) 780-6576
Clinic Affiliation: A Step Forward
Board Certified Specialties: None
El Paso
Cervantes, Georgina, OT
Gender: Female
NPI: 1932302643
# 406 Chelsea St
(915) 779-7827
Clinic Affiliation: Healthstar Pediatric
Rehab
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
El Paso
Dulanto, Annette N, OT
Gender: Female
NPI: 1518292168
12200 Paseo Nuevo Dr
(915) 771-8523
El Paso
NPI: 1518292168
4012 Doniphan Dr
(915) 771-8523
#
NPI: 1518292168
406 Chelsea St
(915) 779-7827
Foust, Kelley E, OT
Gender: Female
NPI: 1508007709
# 424 Executive Center Blvd
Ste 121
J(915) 351-6825
Board Certified Specialties: None
El Paso
Ellison, Patricia E, OT
Gender: Female
NPI: 1528174877
7230 Gateway Blvd E
Ste F
J(915) 595-4500
Clinic Affiliation: Rehabilities Partners LLC
Practice Information: No Patients Under 5
yrs old
Board Certified Specialties: None
El Paso
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Male
NPI: 1609873504
1901 Grandview Ave
(915) 544-6750
NPI: 1609873504
3270 Joe Battle Blvd
Ste 312
(915) 849-2700
Rodriguez, Marco A, OT
Gender: Male
NPI: 1326355603
1920 N Zaragoza Rd
Ste 108
(800) 971-7970
Clinic Affiliation: Transformations Rehab
Services
Board Certified Specialties: None
Romero, Rocky J, OT
Gender: Male
NPI: 1215012158
# 11395 James Watt Dr
Ste A7
J(915) 598-1920
Clinic Affiliation: El Paso Hand
Rehabilitation Center Inc
Board Certified Specialties: None
El Pas o
NPI: 1609873504
7848 Gateway Blvd E
Ste E1
(915) 599-1313
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certified Specialties: Oncology
" Gopalan, Nanda K, MD
El Paso
Gender: Male
NPI: 1215975321
1901 Grandview Ave
J(915) 544-6750
NPI: 1215975321
3270 Joe Battle Blvd
Ste 312
J(915) 849-2700
OCULOFACIAL PLASTIC &
RECONSTRUCTIVE SURGERY
Garza, Margarita, OT
Gender: Female
NPI: 1336352491
# 1101 E Schuster Ave
(915) 544-8484
Clinic Affiliation: Paso Del Norte Childrens
Dev Ctr
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
El Paso
Reiter, Dennis J, DO
Gender: Male
NPI: 1669475109
# 400 Executive Center Blvd
J(915) 532-3937
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, Surgical Center Of El Paso
Clinic Affiliation: Visione 360 PA
Board Certified Specialties:
Ophthalmology
NPI: 1215975321
7848 Gateway Blvd E
J(915) 599-1313
Hospital Affiliation: El Paso Specialty
Hospital Ltd, Kindred Hospital El Paso, Las
Palmas Camp Lpdsh, Sierra Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certified Specialties: Internal
Medicine, Oncology
El Pas o
Gonzalez, Eugenia, OT
Gender: Female
NPI: 1770646291
500 W University Ave
Ste 100 Union E
J(915) 747-5624
Clinic Affiliation: Utep Student Health
Center
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
El Paso
" He, Zening, MD
El Paso
Gender: Male
NPI: 1477504611
7812 Gateway Blvd E
Ste 110
(915) 598-3888
Hospital Affiliation: Sierra Medical Center,
Sierra Providence East Med Ctr
Clinic Affiliation: Cancer Radiation and
Specialty Cl
Board Certified Specialties: Oncology
ONCOLOGY
Chesbro, Byron H, MD
Gender: Male
NPI: 1548208515
1901 Grandview Ave
J(915) 544-6750
El Pas o
Hayashi, Diane D, OT
Gender: Female
NPI: 1730337973
1920 N Zaragoza Rd
Ste 108
(800) 971-7970
Clinic Affiliation: Transformations Rehab
Services
Board Certified Specialties: None
NPI: 1548208515
7848 Gateway Blvd E
J(915) 599-1313
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, El Paso Specialty Hospital Ltd, Las
Palmas Camp Lpdsh, Mesa Hills Specialty
Hospital, Mesa Vista Dialysis, Sierra Medical
Center
Clinic Affiliation: Blood and Marrow
Transplant Services PLLC
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
Kangur, Violeta L, OT
Gender: Female
NPI: 1780750737
4400 N Mesa St Ste 4
J(915) 351-1600
El Paso
Corral, Javier C, MD
Gender: Male
NPI: 1558301002
4801 Alberta Ave
(915) 545-6640
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Pas o
NPI: 1780750737
7806 Gateway Blvd E
Ste 100
J(915) 566-7584
Clinic Affiliation: El Paso Pulmonary Rehab
Inst
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
NPI: 1518292168
6028 Surety Dr
(915) 771-8523
Clinic Affiliation: Healthstar Pediatric
Rehab, Omega Rehab Services
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
" Gomez, Jesus A, MD
El Paso
El Pas o
NPI: 1003999012
6611 Boeing Dr
J(915) 780-6576
Clinic Affiliation: A Step Forward, Paso Del
Norte Childrens Dev Ctr
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
El Paso
El Paso
El Pas o
" Herrada, Juan, MD
El Paso
Gender: Male
NPI: 1215934674
1901 Grandview Ave
J(915) 544-6750
NPI: 1215934674
3270 Joe Battle Blvd
Ste 312
J(915) 849-2700
NPI: 1215934674
7848 Gateway Blvd E
J(915) 599-1313
Hospital Affiliation: Del Sol Camp Lpdsh,
Las Palmas Camp Lpdsh, Mesa Hills
Specialty Hospital, Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Oncology
Cox, Derrick D, MD
Gender: Male
NPI: 1801073838
1250 E Cliff Dr
Ste 2A
J(915) 577-7951
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, Sierra
Providence East Med Ctr
Clinic Affiliation: Gr Dallas Hlthcare
Enterprises
Board Certified Specialties: None
Lacap, Maria A, LPT
Gender: Female
NPI: 1649696956
# 11351 James Watt Dr
Ste A
(915) 849-6602
Clinic Affiliation: Therapy Consultants
Board Certified Specialties: None
El Pas o
El Paso
J - Wheelchair Access
33
EL PASO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 15, 2014
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
OPHTHALMOLOGY
" Sanchez Rivera, Ines J, MD
El Paso
EL PASO Cont
Gender: Female
NPI: 1508863408
1901 Grandview Ave
(915) 747-4851
ONCOLOGY Cont
" Lopez III, Arsenio G, MD
El Paso
Gender: Male
NPI: 1477591493
1901 Grandview Ave
J(915) 544-6750
NPI: 1295798304
4171 N Mesa St
Bldg D Ste 100
J(915) 545-2333
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital,
Surgical Center Of El Paso
Clinic Affiliation: The Cataract Glaucoma
Refractive Surgery Center
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certified Specialties:
Ophthalmology
" Shahinian, Haroutioun S, MD
#
Gender: Male
NPI: 1639184005
7812 Gateway Blvd E
Ste 110
J(915) 849-1200
" Altaher, Ghada H, MD
Gender: Male
NPI: 1396782827
3022 Trawood Dr
Ste B
(915) 849-1345
Clinic Affiliation: East Side Oncology
Center PLLC
Board Certified Specialties: Oncology
Gender: Female
NPI: 1649222829
1600 Medical Center Dr
Ste 120
J(915) 545-2700
Hospital Affiliation: Houston Methodist St
John Hosp, Providence Memorial Hospital,
Sierra Medical Center
Clinic Affiliation: El Paso Eye Institute PA
Practice Information: Specializing in
Glaucoma
Board Certified Specialties:
Ophthalmology
NPI: 1265473391
3270 Joe Battle Blvd
Ste 312
J(915) 849-2700
NPI: 1033158480
3270 Joe Battle Blvd
Ste 312
J(915) 849-2700
NPI: 1295733996
1220 N Oregon St
J(915) 545-1484
NPI: 1265473391
7848 Gateway Blvd E
J(915) 599-1313
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Internal
Medicine, Oncology
NPI: 1033158480
7848 Gateway Blvd E
J(915) 599-1313
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, El Paso Specialty Hospital Ltd, Las
Palmas Camp Lpdsh, Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Blood and Marrow
Transplant Services PLLC, Texas Oncology
PA
Board Certified Specialties: Oncology
" Rivera, Ragene R, MD
El Paso
Gender: Female
NPI: 1275570004
1901 Grandview Ave
J(915) 544-6750
NPI: 1275570004
3270 Joe Battle Blvd
Ste 312
J(915) 849-2700
NPI: 1275570004
7848 Gateway Blvd E
J(915) 599-1313
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, Sierra Providence East Med
Ctr
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Oncology
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
" De La Torre, Javier E, MD
Gender: Male
NPI: 1821147778
1400 Common Dr
(915) 595-4375
Hospital Affiliation: Del Sol Camp Lpdsh, El
Paso ChildrensHospitalCorp', Las Palmas
Camp Lpdsh, University Medical Ctr Of
Elpaso
Clinic Affiliation: Southwest Eye Institute
Board Certified Specialties:
Ophthalmology
" Di Pascuale, Mario A, MD
El Pas o
Gender: Male
NPI: 1003075094
1240 Lomaland Dr
(915) 591-4441
NPI: 1003075094
2900 Pershing Dr
Ste A
(915) 261-7011
Hospital Affiliation: El Paso
ChildrensHospitalCorp', Providence
Memorial Hospital, Sierra Medical Center,
Sierra Providence East Med Ctr, University
Medical Ctr Of Elpaso
Clinic Affiliation: Cornea & Cataract
Specialty Center, Doka David S MD
Practice Information: No Patients Under 13
yrs old
Board Certified Specialties:
Ophthalmology
" Blumenfeld, Daniel G, MD
Gender: Male
NPI: 1295733996
1200 Golden Key Cir
Ste 163
J(915) 593-1226
NPI: 1295733996
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Schecter David R MD,
Texas Tech University Health Scie
Practice Information: No Patients Under 10
yrs old
Board Certified Specialties:
Ophthalmology
Burt, Benjamin O, MD
Gender: Male
NPI: 1205079969
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Paso
" Vivanco, Cesar E, MD
El Paso
Gender: Male
NPI: 1992843163
10555 Vista Del Sol Dr
Ste 120
J(915) 590-6770
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: Southwest Cancer Center
PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Oncology
" Calderon, Marcos, MD
" Doka, David S, MD
El Pas o
Gender: Male
NPI: 1841395696
1240 Lomaland Dr
J(915) 591-4441
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Doka David S MD
Board Certified Specialties:
Ophthalmology
Ellman, Marc, MD
Gender: Male
NPI: 1780635268
# 1400 Common Dr
J(915) 595-4375
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, University
Medical Ctr Of Elpaso
Clinic Affiliation: Southwest Eye Institute
Practice Information: No Patients Under 7
yrs old
Board Certified Specialties: None
El Pas o
" Gallardo, Mark J, MD
El Pas o
Gender: Male
NPI: 1659302099
1200 Golden Key Cir
Ste 163
J(915) 593-1226
El Paso
#
#
Gender: Male
NPI: 1316939200
1717 N Brown Ste 3
J(915) 544-0526
NPI: 1316939200
9235 Dyer
J(915) 751-8999
Hospital Affiliation: Las Palmas Camp
Lpdsh, Sierra Medical Center
Clinic Affiliation: Marcos Calderon MD
Practice Information: No Patients Under 8
yrs old
Board Certified Specialties:
Ophthalmology
Gender: Male
NPI: 1013935188
8815 Dyer Ste 130
J(915) 757-3937
Hospital Affiliation: Sierra Medical Center
Practice Information: Public Transportation
Access, Wheelchair Accessibility
Board Certified Specialties:
Ophthalmology
El Pas o
El Paso
" Valilis, Panagiotis N, MD
El Paso
Gender: Male
NPI: 1033158480
1901 Grandview Ave
J(915) 544-6750
Gender: Male
NPI: 1265473391
1901 Grandview Ave
J(915) 544-6750
#
El Paso
NPI: 1639184005
7812 Gateway Blvd E
Ste 110 120
(915) 533-2888
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Cancer Radiation and
Specialty Cl, Haroutioun S Shahinian MD
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: Oncology
" Mankan, Nagender, MD
" Portillo, Raul M, MD
Gender: Male
NPI: 1295798304
1030 N Zaragoza Rd
Ste Y
J(915) 545-2333
El Paso
El Paso
El Paso
El Paso
NPI: 1508863408
7848 Gateway Blvd E
Ste E1
(915) 599-1313
Hospital Affiliation: Del Sol Camp Lpdsh,
Las Palmas Camp Lpdsh, Providence
Memorial Hospital, Sierra Medical Center,
Sierra Providence East Med Ctr
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Oncology
NPI: 1477591493
3270 Joe Battle Blvd
Ste 312
J(915) 849-2700
NPI: 1477591493
7848 Gateway Blvd E
J(915) 599-1313
Hospital Affiliation: El Paso Specialty
Hospital Ltd, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Oncology
" Alpern, Louis M, MD
" Davitt III, William F, MD
El Pas o
#
NPI: 1659302099
1201 N Mesa St
Ste G
J(915) 542-0279
Hospital Affiliation: Providence Memorial
Hospital, University Medical Ctr Of Elpaso
Clinic Affiliation: El Paso Eye Surgeons PA
Board Certified Specialties:
Ophthalmology
J - Wheelchair Access
34
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmkpi_n_spec
EL PASO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
" Vazquez, Carlos W, MD
" Diaz Pagan, Jose L, MD
El Paso
EL PASO Cont
OPHTHALMOLOGY Cont
" Gulbas, Paul S, MD
El Paso
#
Gender: Male
NPI: 1376552810
1201 N Mesa St
Ste G
J(915) 542-0279
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, Surgical Center Of El Paso,
University Medical Ctr Of Elpaso
Clinic Affiliation: El Paso Eye Surgeons PA
Board Certified Specialties:
Ophthalmology
" Llamas Soforo, Jorge F, MD
#
Gender: Male
NPI: 1609871219
101 Arizona Ave
(915) 533-5477
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, Surgical Center Of El Paso
Clinic Affiliation: El Paso Eye Center
Board Certified Specialties:
Ophthalmology
" Filler, Trent C, DDS
Abdelgawad, Amr M, MD
Gender: Male
NPI: 1720228547
4801 Alberta Ave
(915) 215-5400
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Paso
Gender: Male
NPI: 1669475109
400 Executive Center Blvd
J(915) 532-3937
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, Surgical Center Of El Paso
Clinic Affiliation: Visione 360 PA
Board Certified Specialties:
Ophthalmology
" Schecter, David R, MD
El Paso
Gender: Male
NPI: 1710985411
1200 Golden Key Cir
Ste 163
J(915) 593-1226
NPI: 1710985411
1220 N Oregon St
J(915) 545-1484
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Schecter David R MD
Board Certified Specialties:
Ophthalmology
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
NPI: 1114925229
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital,
University Medical Ctr Of Elpaso
Clinic Affiliation: Gr Dallas Hlthcare
Enterprises, Texas Tech University Health
Scie
Board Certified Specialties: Orthopedic
Surgery
NPI: 1013915503
4646 N Mesa
J(915) 313-6300
NPI: 1013915503
4646 N Mesa St
(915) 313-6300
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Gr Dallas Hlthcare
Enterprises, Orthopaedic Surgeons Assoc
Board Certified Specialties: Orthopedic
Surgery
NPI: 1508864182
4646 N Mesa
J(915) 313-6300
NPI: 1508864182
4646 N Mesa St
(915) 313-6300
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Gr Dallas Hlthcare
Enterprises, Orthopaedic Surgeons Assoc
Board Certified Specialties: Orthopedic
Surgery
" Herzog, Joshua P, MD
Gender: Male
NPI: 1821063439
4801 Alberta Ave
(915) 545-8752
Hospital Affiliation: Providence Memorial
Hospital, University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Orthopedic
Surgery
" Campbell, Everett L, MD
Gender: Male
NPI: 1861505679
10201 Gateway Blvd W
Ste 201
(915) 595-2701
" Orr, Justin D, MD
El Paso
Gender: Male
NPI: 1649241696
4815 Alameda Ave
(915) 215-5400
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Orthopedic
Surgery
El Pas o
El Paso
" Pacheco, Hector O, MD
El Paso
Gender: Male
NPI: 1811957327
125 W Hague Rd
Ste 120
J(915) 577-1961
NPI: 1811957327
1600 Medical Center Dr
Ste B1
J(915) 533-6690
Hospital Affiliation: El Paso Specialty
Hospital Ltd, Providence Memorial Hospital,
University Medical Ctr Of Elpaso
Clinic Affiliation: Gr Dallas Hlthcare
Enterprises
Board Certified Specialties: Orthopedic
Surgery
" Heydemann, Jacob S, MD
El Pas o
Gender: Male
NPI: 1548263635
1300 Murchison Dr
Ste 310
J(915) 838-3888
Hospital Affiliation: El Paso Specialty
Hospital Ltd, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Jacob S Heydemann MD
Practice Information: No Patients Over 18
yrs old, Practice includes children
Board Certified Specialties: Orthopedic
Surgery
NPI: 1861505679
1400 George Dieter Dr
Ste 100
(915) 856-3900
Hospital Affiliation: Del Sol Camp Lpdsh,
Paso Del Norte Surgery Center, Providence
Memorial Hospital, Sierra Medical Center,
Sierra Providence East Med Ctr
Clinic Affiliation: Elite Orthopaedics of El
Paso PLL, Everett Lee Campbell MD
Board Certified Specialties: Orthopedic
Surgery
" Reiter, Dennis J, DO
Gender: Male
NPI: 1114925229
4646 N Mesa St
(915) 313-6300
Gender: Male
NPI: 1013915503
1732 Weston Brent Ln
Ste F
J(915) 313-6300
Gender: Male
NPI: 1508864182
1732 Weston Brent Ln
Ste F
J(915) 313-6300
El Paso
" Misenhimer, Gregory R, MD
El Paso
" Hernandez, Alvaro A, MD
" Alost Jr, Thomas E, MD
" Ramirez, Ruben E, MD
Gender: Male
NPI: 1629057179
10410 Vista Del Sol
J(915) 592-3323
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Board Certified Specialties: Orthopedic
Surgery
El Pas o
El Paso
El Paso
#
NPI: 1336305663
4801 Alberta Ave
(915) 215-5400
Clinic Affiliation: Southwest Orthopaedic
Clinic PA, Texas Tech University Health Scie
Board Certified Specialties: Orthopedic
Surgery
ORTHOPEDIC SURGERY
Motamarry, Silus, MD
Gender: Male
NPI: 1861634354
1240 Lomaland Dr
(915) 591-4441
Hospital Affiliation: Del Sol Camp Lpdsh
Clinic Affiliation: Doka David S MD
Board Certified Specialties: None
" Licon, Octavio P, MD
El Paso
Gender: Male
NPI: 1336305663
10410 Vista Del Sol Dr
(915) 592-3323
Gender: Male
NPI: 1427194364
4800 Alberta Ave
(915) 545-8888
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Oral Surgery
El Paso
Gender: Male
NPI: 1548464126
1300 Murchison Dr
Ste 140
J(915) 630-6463
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Buena Vista Eyecare
PLLC
Board Certified Specialties:
Ophthalmology
" Gonzalez, Carlos, MD
Kanlic, Enes M, MD
Gender: Male
NPI: 1578526034
4801 Alberta Ave
(915) 215-5400
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Paso
El Pas o
El Paso
" Khauv, Keak C, MD
El Paso
Gender: Male
NPI: 1275596850
8230 Gateway Blvd E
J(915) 593-6700
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Jose L Diaz Pagan MD
Board Certified Specialties: Orthopedic
Surgery
ORAL SURGERY
El Paso
Gender: Male
NPI: 1265444681
10400 Vista Del Sol
Ste 100
(915) 595-4300
Hospital Affiliation: Las Palmas Camp
Lpdsh, Sierra Medical Center, Surgical
Center Of El Paso
Clinic Affiliation: Provident Eye Specialists
PA
Board Certified Specialties:
Ophthalmology
El Pas o
Gender: Male
NPI: 1750486502
1240 Lomaland Dr
J(915) 591-4441
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Doka David S MD
Board Certified Specialties:
Ophthalmology
" Pallis, Mark P, DO
El Paso
Gender: Male
NPI: 1538219712
4801 Alberta Ave
J(915) 545-6752
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Orthopedic
Surgery
" Johnson, Keith R, MD
" Cook, Jonathan F, MD
El Pas o
El Paso
Gender: Male
NPI: 1558369058
1300 Murchison Dr
Ste 310
J(915) 838-3888
Hospital Affiliation: Del Sol Camp Lpdsh,
East El Paso Phys Med Ctr Llc, Providence
Memorial Hospital, Sierra Medical Center,
Sierra Providence East Med Ctr, University
Medical Ctr Of Elpaso
Clinic Affiliation: Keith R Johnson MD
Board Certified Specialties: Orthopedic
Surgery
Gender: Male
NPI: 1215046388
4801 Alberta Ave
(915) 215-5400
Hospital Affiliation: El Paso
ChildrensHospitalCorp', El Paso Specialty
Hospital Ltd, University Medical Ctr Of
Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Orthopedic
Surgery
" Pirela Cruz, Miguel A, MD
El Paso
Gender: Male
NPI: 1386604767
4800 Alberta Ave
(915) 545-6752
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Orthopedic
Surgery
J - Wheelchair Access
35
EL PASO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 15, 2014
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
" Zaltz, Charles, MD
" Contreras, Jorge I, MD
El Paso
EL PASO Cont
ORTHOPEDIC SURGERY Cont
" Sides, Eric E, MD
El Paso
Gender: Male
NPI: 1922088822
1400 George Dieter Dr
Ste 100
J(915) 581-0712
NPI: 1922088822
7430 Remcon Cir
Ste B120
J(915) 581-0712
Hospital Affiliation: El Paso Specialty
Hospital Ltd, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Eric E Sides MD
Practice Information: Practice includes
children
Board Certified Specialties: Orthopedic
Surgery
" Smith, Dean E, MD
El Paso
Vu, Hung Q, MD
Gender: Male
NPI: 1508977893
3022 Trawood
(915) 691-6705
NPI: 1184664492
201 Bartlett Dr
Ste A
J(915) 779-5866
NPI: 1033315411
4501 N Mesa
(915) 584-7474
NPI: 1184664492
4501 N Mesa
(915) 584-7474
NPI: 1033315411
5959 Gateway Blvd W
Ste 160
J(915) 779-5866
Hospital Affiliation: Las Palmas Camp
Lpdsh, Paso Del Norte Surgery Center,
Sierra Medical Center, Sierra Providence
East Med Ctr, University Medical Ctr Of
Elpaso
Clinic Affiliation: Allergy and Asthma
Center of El P, El Paso ENT Assoc
Board Certified Specialties:
Otolaryngology
NPI: 1184664492
5959 Gateway Blvd W
Ste 160
J(915) 779-5866
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Allergy and Asthma
Center of El P, El Paso ENT Assoc
Board Certified Specialties:
Otolaryngology
Gender: Male
NPI: 1326081795
1600 N Lee Trevino Dr
Ste A2
J(915) 779-5866
Gender: Male
NPI: 1740221761
1600 Lee Trevino Dr
Ste A2
J(915) 779-5866
NPI: 1740221761
201 Bartlett Dr
Ste A
J(915) 779-5866
NPI: 1326081795
4501 N Mesa
(915) 584-7474
NPI: 1326081795
5959 Gateway Blvd W
Ste 160
J(915) 779-5866
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Allergy and Asthma
Center of El P, El Paso ENT Assoc
Board Certified Specialties:
Otolaryngology
NPI: 1740221761
4501 N Mesa
(915) 584-7474
" Bright, Kevin E, MD
Gender: Male
NPI: 1174524441
1600 Medical Center Dr
Ste 101
J(915) 544-1350
#
" Goldman, Edward M, MD
Gender: Male
NPI: 1972610103
100 E Schuster Ave
J(915) 542-3059
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Board Certified Specialties:
Otolaryngology
Gender: Male
NPI: 1730180019
1600 Medical Center Dr
Ste 101
J(915) 544-1350
NPI: 1730180019
4501 N Mesa
(915) 584-7474
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Allergy and Asthma
Center of El P, Southwest Ear Nose & Throat
Consult PA
Practice Information: Practice includes
children
Board Certified Specialties:
Otolaryngology
El Paso
NPI: 1174524441
4501 N Mesa
(915) 584-7474
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Allergy and Asthma
Center of El P, Southwest Ear Nose & Throat
Consult PA
Practice Information: Practice includes
children
Board Certified Specialties:
Otolaryngology
" Korzec, Kenneth R, MD
El Pas o
Gender: Male
NPI: 1548200850
1600 Lee Trevino Dr
Ste A2
J(915) 779-5866
NPI: 1548200850
201 Bartlett Dr
Ste A
J(915) 779-5866
NPI: 1548200850
4501 N Mesa
(915) 584-7474
" Cesar, Carlos R, MD
El Paso
#
" Jamison, Rodney K, MD
El Pas o
NPI: 1740221761
5959 Gateway Blvd W
Ste 160
J(915) 779-5866
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Allergy and Asthma
Center of El P, El Paso ENT Assoc
Practice Information: Practice includes
children
Board Certified Specialties:
Otolaryngology
El Paso
#
Gross, Eric M, MD
Gender: Male
NPI: 1053386763
11163 La Quinta Place
Ste B200
J(915) 591-8400
Hospital Affiliation: Sierra Providence East
Med Ctr
Clinic Affiliation: Eric M Gross MD
Board Certified Specialties: None
El Pas o
" Garcia, Rafael I, MD
El Paso
NPI: 1326081795
201 Bartlett Dr
Ste A
J(915) 799-5866
El Paso
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
NPI: 1033315411
201 Bartlett St
Ste A
J(915) 779-5866
" Arango, Jorge J, MD
NPI: 1508977893
3022 Trawood Dr
(915) 691-6705
Hospital Affiliation: Las Palmas Camp
Lpdsh, Sierra Medical Center
Clinic Affiliation: Hung Vu MD
Board Certified Specialties: None
Waterman, Brian R, MD
Gender: Male
NPI: 1518158724
4801 Alberta Ave
(915) 545-6760
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
NPI: 1053319632
4646 N Mesa
J(915) 313-6300
El Paso
" Urrea, Robert E, MD
El Paso
Gender: Male
NPI: 1184664492
1600 N Lee Trevino Dr
Ste A2
J(915) 779-5866
OTOLARYNGOLOGY
El Paso
" Gomez, Patrick J, MD
El Pas o
Gender: Male
NPI: 1033315411
1600 Lee Trevino
Ste A2
J(915) 779-5866
NPI: 1053319632
4646 N Mesa St
(915) 313-6300
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Gr Dallas Hlthcare
Enterprises, Orthopaedic Surgeons Assoc
Practice Information: No Surgical Cases
Board Certified Specialties: Orthopedic
Surgery
Gender: Male
NPI: 1710939756
11880 Vista Del Sol
Ste B
J(915) 857-6699
Hospital Affiliation: El Paso Specialty
Hospital Ltd, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center, The Physicians Centre
Clinic Affiliation: Spine Medical Group Corp
Board Certified Specialties: Orthopedic
Surgery
Gender: Male
NPI: 1356303150
6211 Edgemere Blvd
Ste 1
J(915) 881-8264
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Robert E Urrea MD
Practice Information: Orthopedics Spine
Only
Board Certified Specialties: Orthopedic
Surgery
El Paso
Gender: Male
NPI: 1053319632
1732 Weston Brent Ln
Ste F
J(915) 313-6300
Gender: Male
NPI: 1841265279
2295 Trawood Ste B
J(915) 595-0067
Hospital Affiliation: Christus Spohn
Hospital Alice, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center, Sierra Providence East Med
Ctr
Board Certified Specialties:
Otolaryngology
NPI: 1548200850
5959 Gateway Blvd W
Ste 160
J(915) 779-5866
Hospital Affiliation: Del Sol Camp Lpdsh,
East El Paso Phys Med Ctr Llc, Las Palmas
Camp Lpdsh, Providence Memorial Hospital,
Sierra Medical Center
Clinic Affiliation: Allergy and Asthma
Center of El P, El Paso ENT Assoc
Board Certified Specialties:
Otolaryngology
J - Wheelchair Access
36
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmkpi_n_spec
EL PASO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Vega Jr, Oscar, MD
Gender: Male
NPI: 1588629331
1700 N Oregon St Ste 500
J(915) 779-1716
Hospital Affiliation: El Paso Specialty
Hospital Ltd, Las Palmas Camp Lpdsh, Paso
Del Norte Surgery Center, Providence
Memorial Hospital, Sierra Medical Center,
Surgical Center Of El Paso
Board Certified Specialties: None
" Wegleitner, Mark J, MD
El Paso
EL PASO Cont
El Pas o
Gender: Male
NPI: 1457393001
1600 N Lee Trevino Dr
Ste A2
J(915) 779-5866
OTOLARYNGOLOGY Cont
" Nanez, Gary, MD
El Paso
Gender: Male
NPI: 1669479127
1600 Lee Trevino Dr
Ste A2
J(915) 774-2050
NPI: 1457393001
201 Bartlett Dr
Ste A
J(915) 779-5866
Villarreal, Jose L, MD
Gender: Male
NPI: 1548231848
5652 N Mesa St
J(915) 351-1155
Hospital Affiliation: East El Paso Surgery
Center, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center, Surgical Center Of El Paso
Clinic Affiliation: Jose Luis Villarreal MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
" Plowden, John S, MD
El Paso
Gender: Male
NPI: 1003814856
4800 Alberta Ave
(915) 545-8888
NPI: 1003814856
7910 Gateway Blvd E
J(951) 533-5733
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Texas Newborn Services
Inc, Texas Tech University Health Scie
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatric
Cardiology
El Pas o
NPI: 1669479127
201 Bartlett Dr
Ste A
J(915) 774-2060
NPI: 1457393001
5959 Gateway Blvd W
Ste 160
J(915) 779-5866
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso ENT Assoc
Practice Information: Practice includes
children
Board Certified Specialties:
Otolaryngology
NPI: 1669479127
4501 N Mesa
(915) 584-7474
NPI: 1669479127
5959 Gateway Blvd W
Ste 160
J(915) 779-5866
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Allergy and Asthma
Center of El P, El Paso ENT Assoc
Board Certified Specialties:
Otolaryngology
PAIN MANAGEMENT
" Poss, James M, MD
NPI: 1003876665
4501 N Mesa
(915) 584-7474
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Allergy and Asthma
Center of El P, Southwest Ear Nose & Throat
Consult PA
Board Certified Specialties:
Otolaryngology
Gender: Male
NPI: 1144320995
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties:
Otolaryngology
Rios, Marino, MD
Gender: Male
NPI: 1003870312
1714 N Mesa
J(915) 533-1626
Hospital Affiliation: Las Palmas Camp
Lpdsh, Sierra Medical Center, Surgical
Center Of El Paso
Practice Information: No Patients Under 3
yrs old
Board Certified Specialties: None
El Paso
" Fenrich Jr, Arnold L, MD
El Pas o
Han, Anthony T, MD
Gender: Male
NPI: 1902914781
1324 N Yarbrough Dr
(915) 598-7246
Gender: Male
NPI: 1790736494
125 W Hague Rd Ste 440
J(915) 533-5733
Haque, Quazi N, MD
Gender: Male
NPI: 1063413193
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
Nussbaum, Ralph E, DO
Gender: Male
NPI: 1568426724
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: El Paso
ChildrensHospitalCorp', South Texas Health
System, University Medical Center,
University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Paso
Hamzeh, Rabih K, MD
Gender: Male
NPI: 1730364969
125 W Hague
Ste 440
J(951) 533-5733
El Pas o
NPI: 1730364969
4801 Alberta Ave
(915) 215-5200
NPI: 1730364969
7910 Gateway Blvd E
J(951) 533-5733
Clinic Affiliation: Texas Newborn Services
Inc, Texas Tech University Health Scie
Board Certified Specialties: None
Vazquez, Eduardo G, MD
Gender: Male
NPI: 1225283211
1324 N Yarbrough Dr
J(915) 598-7246
El Paso
NPI: 1225283211
3215 Gateway Blvd W
J(915) 598-7246
Hospital Affiliation: Md Anderson Cancer
Center, Providence Memorial Hospital
Clinic Affiliation: El Paso Pain Center PA
Board Certified Specialties: None
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
NPI: 1790736494
7910 E Gateway Blvd
Ste 100
J(915) 627-9725
Hospital Affiliation: College Station Medical
Center, Medical City Dallas Hospital,
Methodist Hospital, Seton Medical Center,
Seton Medical Center Hays, Seton
Northwest Hospital, Seton Southwest, St
Davids Georgetown Hospital, St Davids
Medical Center, University Med Ctr
Brackenridge
Clinic Affiliation: Magella Medical Assoc PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatric
Cardiology
NPI: 1902914781
3215 Gateway Blvd W
(915) 598-7246
Clinic Affiliation: El Paso Pain Center PA
Board Certified Specialties: None
" Rhodes, Miller F, MD
NPI: 1326155813
7910 Gateway E
J(915) 533-5733
Hospital Affiliation: Del Sol Camp Lpdsh,
Las Palmas Camp Lpdsh, Providence
Memorial Hospital, Sierra Medical Center, Tx
Hlth Presbyterian Hosp Dallas, University
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Texas Newborn Services
Inc, Texas Tech University Health Scie
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatric
Cardiology
PEDIATRIC CARDIOLOGY
El Paso
El Paso
NPI: 1326155813
4800 Alberta Ave
(915) 545-8888
Suchoff, Monica L, MD
Gender: Female
NPI: 1770516106
840 E Redd Rd Bldg 3
J(915) 581-5557
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Board Certified Specialties: None
El Pas o
NPI: 1669498416
615 E Schuster Ave
Ste 7
J(915) 544-6657
Hospital Affiliation: El Paso Specialty
Hospital Ltd, Providence Memorial Hospital,
Sierra Medical Center
Clinic Affiliation: Jeffrey H Annabi MD
Board Certified Specialties: None
Gender: Female
NPI: 1003876665
1600 Medical Center Dr
Ste 101
J(915) 544-1350
Gender: Male
NPI: 1326155813
125 W Hague Rd
Ste 440
J(915) 533-5733
PEDIATRIC - DEVELOPMENTAL
BEHAVIOR
Annabi, Jeffrey H, MD
Gender: Male
NPI: 1669498416
4930 Osborne Dr Ste A
J(915) 584-9800
El Paso
El Paso
" Schuster, Jeffrey D, MD
El Paso
" Shapiro, Allan J, MD
El Paso
Gender: Male
NPI: 1467458943
125 W Hague
Ste 440
J(951) 533-5733
NPI: 1467458943
7910 E Gateway
Ste 100
J(915) 629-9725
Clinic Affiliation: Texas Newborn Services
Inc
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatric
Cardiology
" Shmorhun, Daniel P, MD
El Paso
Gender: Male
NPI: 1841251246
125 W Hague Rd Ste 440
J(915) 533-5733
NPI: 1841251246
7910 E Gateway Blvd
Ste 100
J(915) 629-9725
Hospital Affiliation: College Station Medical
Center, Medical City Dallas Hospital,
Metroplex Hospital, Seton Medical Center,
Seton Northwest Hospital, Seton Southwest,
St Davids Georgetown Hospital, St Davids
Medical Center, St Davids S Austin Medical
Center, St Joseph Regional Health Center
Clinic Affiliation: Magella Medical Assoc PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatric
Cardiology
J - Wheelchair Access
37
EL PASO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 15, 2014
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Isaac, David W, MD
Gender: Male
NPI: 1497756613
3901 N Mesa St
J(915) 838-0100
" Carcamo, Benjamin, MD
El Paso
EL PASO Cont
PEDIATRIC ENDOCRINOLOGY
Christenson, Robert A, MD
Gender: Male
NPI: 1417940982
! 4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: El Paso
ChildrensHospitalCorp', Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatrics
El Paso
" Hartman, Lisa L, MD
Gender: Female
NPI: 1043468945
4801 Alberta Ave
J(915) 545-6810
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatric
Hematology-Oncology
" Rao, Krishnaswamy J, MD
PEDIATRIC GASTROENTEROLOGY
" Maspons, Aldo, MD
El Paso
Gender: Male
NPI: 1477692465
4801 Alberta Ave
J(915) 545-6810
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatric
Gastroenterology
#
NPI: 1306987474
6974 Gateway Blvd E
Ste F
(915) 774-8850
#
El Paso
Canales, Roberto, MD
Gender: Male
NPI: 1093827255
# 1733 Curie Dr Ste 103
J(915) 532-2985
#
NPI: 1093827255
2295 Trawood Ste C
J(915) 532-2985
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Canales Roberto MD
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: Pediatrics
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
PEDIATRIC SURGERY
" Cofer, Barry R, MD
El Pas o
Gender: Male
NPI: 1386617876
2001 N Oregon St
(210) 615-8757
Hospital Affiliation: Baptist Health System,
ChildrensHospitalSanAntonio', Methodist
Ambulatory Surg Ctr, Methodist Hospital,
North Central Baptist Hospital, St Lukes
Baptist Hospital, University Health System
Clinic Affiliation: Magella Medical Assoc PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatric
Surgery
Radenovich, Violeta, MD
Gender: Female
NPI: 1467463562
1250 E Cliff Dr Ste 4D
J(915) 577-9339
Hospital Affiliation: Providence Memorial
Hospital, University Medical Ctr Of Elpaso
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
Vazquez, Carlos W, MD
Gender: Male
NPI: 1750486502
1240 Lomaland Dr
J(915) 591-4441
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Doka David S MD
Board Certified Specialties:
Ophthalmology
El Paso
" Doski, John J, MD
El Pas o
Gender: Male
NPI: 1518930668
2001 N Oregon St
(210) 615-8757
Hospital Affiliation: Baptist Health System,
ChildrensHospitalSanAntonio', Methodist
Ambulatory Surg Ctr, Methodist Hospital,
North Central Baptist Hospital, St Lukes
Baptist Hospital, University Health System
Clinic Affiliation: Magella Medical Assoc PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatric
Surgery
PEDIATRIC ORTHOPEDICS
NPI: 1306987474
8030 N Loop Dr Bldg C
(915) 598-3461
Hospital Affiliation: Providence Memorial
Hospital
Clinic Affiliation: Moazam PA, Salud Y Vida
PA
Board Certified Specialties: Pediatrics
Abdelgawad, Amr M, MD
Gender: Male
NPI: 1720228547
4801 Alberta Ave
(915) 215-5400
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Paso
" Mulne, Arlynn F, MD
Gender: Female
NPI: 1720012982
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Childrens Medical
Center Of Dallas, Medical City Dallas
Hospital, Scott And White Memorial Hospital,
University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Pediatric
Hematology-Oncology
El Paso
Gender: Male
NPI: 1003814211
1201 E Schuster Ave
Ste 5B
J(915) 544-3229
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Practice Information: No Patients Over 19
yrs old
Board Certified Specialties: Pediatric
Pulmonology
El Paso
El Paso
PEDIATRIC HEMATOLOGY-ONCOLOGY
" Tremper, Larry J, DO
El Pas o
PEDIATRIC OPHTHALMOLOGY
Moazam, Mustafa M, MD
Gender: Male
NPI: 1306987474
2001 N Oregon St
(915) 852-3225
" Rosas Blum, Eduardo D, MD
Santos, Luis A, MD
Gender: Male
NPI: 1275532863
125 W Hague Rd
Ste 180
J(915) 533-2600
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
Moreno, Miguel A, MD
Gender: Male
NPI: 1164591657
11150 La Quinta Pl
(915) 313-4646
(915) 351-6500
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: El Paso Child Neurology
PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
El Paso
#
Logvinoff, Marie Martine, MD
Gender: Female
NPI: 1407963937
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Pediatrics
El Pas o
El Paso
Lacaze, Mary E, MD
Gender: Female
NPI: 1982704821
4801 Alberta Ave
(915) 545-6810
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
NPI: 1306987474
6501 N Mesa St
Ste A
(915) 585-6211
PEDIATRIC PULMONOLOGY
PEDIATRIC NEUROLOGY
El Paso
El Paso
Gender: Male
NPI: 1316133218
4801 Alberta Ave
J(915) 545-6817
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Pediatric
Gastroenterology
NPI: 1497756613
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: David W Isaac, Texas
Tech University Health Scie
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
El Paso
El Paso
Gender: Female
NPI: 1164743860
4801 Alberta Ave
(915) 215-5706
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Pediatric
Endocrinology
El Paso
Gender: Male
NPI: 1437362092
4801 Alberta Ave
(915) 545-6810
Hospital Affiliation: Providence Memorial
Hospital, University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Over 19
yrs old
Board Certified Specialties: Pediatric
Hematology-Oncology
Heydemann, Jacob S, MD
Gender: Male
NPI: 1548263635
1300 Murchison Dr
Ste 310
J(915) 838-3888
Hospital Affiliation: El Paso Specialty
Hospital Ltd, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Jacob S Heydemann MD
Practice Information: No Patients Over 18
yrs old, Practice includes children
Board Certified Specialties: Orthopedic
Surgery
El Paso
PEDIATRIC INFECTIOUS DISEASE
Handal, Gilbert A, MD
Gender: Male
NPI: 1629081948
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Pediatrics
El Paso
Fitzgerald, Tamara N, MD
Gender: Female
NPI: 1457534596
4801 Alberta Ave
(915) 215-5300
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Pas o
" Kidd Jr, Joseph N, MD
El Pas o
Gender: Male
NPI: 1184697674
2001 N Oregon St
J(210) 615-8757
Hospital Affiliation:
ChildrensHospitalSanAntonio', Methodist
Ambulatory Surg Ctr, Methodist Hospital,
North Central Baptist Hospital, St Lukes
Baptist Hospital, University Health System
Clinic Affiliation: Magella Medical Assoc PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatric
Surgery
J - Wheelchair Access
38
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmkpi_n_spec
EL PASO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
EL PASO Cont
PEDIATRICS
" Handal, Gilbert A, MD
El Pas o
Gender: Male
NPI: 1629081948
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Pediatrics
Ambat, Ma Teresa C, MD
Gender: Female
NPI: 1598788929
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Paso
PEDIATRIC SURGERY Cont
Meier, Donald E, MD
Gender: Male
NPI: 1134229974
4801 Alberta Ave
(915) 545-6880
Hospital Affiliation: El Paso
ChildrensHospitalCorp', Las Palmas Camp
Lpdsh, Paso Del Norte Surgery Center,
Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
" Robertson, Frank M, MD
El Paso
Gender: Male
NPI: 1043283534
2001 N Oregon St
(210) 615-8757
Hospital Affiliation:
ChildrensHospitalSanAntonio', Methodist
Ambulatory Surg Ctr, Methodist Hospital,
North Central Baptist Hospital, Northeast
Baptist Hospital, St Lukes Baptist Hospital,
University Health System
Clinic Affiliation: Magella Medical Assoc PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatric
Surgery
Spurbeck, William W, MD
Gender: Male
NPI: 1578554895
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: General
Surgery
" Canales, Roberto, MD
Gender: Male
NPI: 1093827255
1733 Curie Dr Ste 103
J(915) 532-2985
#
" Christenson, Robert A, MD
Gender: Male
NPI: 1417940982
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: El Paso
ChildrensHospitalCorp', Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatrics
!
Fierro Stevens, Rodolfo, MD
Gender: Male
NPI: 1568469245
1400 N El Paso St
Ste B
J(915) 544-4911
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
" Fuhrman, Bradley P, MD
El Paso
Gender: Male
NPI: 1700971967
4800 Alberta Ave
J(915) 545-6810
NPI: 1003024258
4845 Alameda Ave
J(915) 545-6810
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatrics
#
PEDIATRIC UROLOGY
El Paso
Leyva, Rodolfo, MD
Gender: Male
NPI: 1982624532
12135 Montwood Dr
Ste 114 To 115
(915) 225-0600
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Eastside Pediatric Night
Clinic P
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
" Gutierrez, Fatima D, MD
El Paso
#
Levin, Garrett S, MD
Gender: Male
NPI: 1184731614
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: None
El Pas o
El Pas o
NPI: 1700971967
4801 Alberta Ave
J(915) 545-6810
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Pediatrics
" Logvinoff, Marie Martine, MD
El Pas o
Gender: Female
NPI: 1295907194
4801 Alberta Ave
J(915) 545-6810
Hospital Affiliation: El Paso
ChildrensHospitalCorp'
Clinic Affiliation: Texas Tech University
Health Scie
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatrics
" Moazam, Mustafa M, MD
El Paso
#
Gender: Male
NPI: 1306987474
6501 N Mesa St
Ste A
(915) 585-6211
#
NPI: 1306987474
6974 Gateway Blvd E
Ste F
(915) 774-8850
#
Gender: Female
NPI: 1003024258
4801 Alberta Ave
J(915) 545-6810
El Paso
" Thomas, Robert P, MD
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
" Kypuros, Kristina, MD
El Pas o
El Paso
El Paso
Latiff, Guillermo A, MD
Gender: Male
NPI: 1780656843
7420 Remcon Cir
Ste A
J(915) 532-8823
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, El Paso Day Surgery Llc, Las Palmas
Camp Lpdsh, Providence Memorial Hospital,
Sierra Medical Center, Sierra Providence
East Med Ctr
Clinic Affiliation: Rio Grande Urology PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Urology
NPI: 1497756613
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: David W Isaac, Texas
Tech University Health Scie
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
NPI: 1093827255
2295 Trawood Ste C
J(915) 532-2985
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Canales Roberto MD
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: Pediatrics
#
El Paso
Gender: Male
NPI: 1013025188
2001 N Oregon St
(210) 615-8757
Hospital Affiliation:
ChildrensHospitalSanAntonio', Methodist
Ambulatory Surg Ctr, Methodist Hospital,
North Central Baptist Hospital, St Lukes
Baptist Hospital, University Health System
Clinic Affiliation: Magella Medical Assoc PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Pediatric
Surgery
Isaac, David W, MD
Gender: Male
NPI: 1497756613
3901 N Mesa St
J(915) 838-0100
El Pas o
El Paso
Mendoza Castillo, Rodin R, MD
Gender: Male
NPI: 1053458836
12135 Montwood Dr
Ste 114 To 115
(915) 225-0600
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Eastside Pediatric Night
Clinic P
Practice Information: No Patients Over 17
yrs old
Board Certified Specialties: None
El Paso
Gender: Female
NPI: 1407963937
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center, University
Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Pediatrics
NPI: 1306987474
8030 N Loop Dr Bldg C
(915) 598-3461
Hospital Affiliation: Providence Memorial
Hospital
Clinic Affiliation: Salud Y Vida PA
Board Certified Specialties: Pediatrics
" Naga, Osama I, MD
El Paso
Gender: Male
NPI: 1912169921
6901 Helen of Troy
Ste E1
(915) 351-0302
Hospital Affiliation: Baptist Beaumont
Hospital, Christus Hospital
Clinic Affiliation: West Pediatrics Night
Clinic PA
Board Certified Specialties: Pediatrics
" Sainz, Jorge G, MD
El Paso
#
Gender: Male
NPI: 1891771416
4845 Alameda Ave
J(915) 298-5444
Hospital Affiliation: El Paso
ChildrensHospitalCorp', Providence
Memorial Hospital, University Medical Ctr Of
Elpaso
Clinic Affiliation: El Paso Childrens
Physician Group
Board Certified Specialties: Pediatrics
Samonte Jr, Miguel B, MD
Gender: Male
NPI: 1164456521
12135 Montwood Dr
Ste 114 To 115
(915) 225-0600
Hospital Affiliation: East El Paso Surgery
Center, Las Palmas Camp Lpdsh, Paso Del
Norte Surgery Center, Providence Memorial
Hospital, Surgical Center Of El Paso,
University Medical Ctr Of Elpaso
Clinic Affiliation: Eastside Pediatric Night
Clinic P
Board Certified Specialties: None
El Paso
" Schydlower, Manuel, MD
El Paso
Gender: Male
NPI: 1104933522
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital,
University Medical Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Pediatrics
J - Wheelchair Access
39
EL PASO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 15, 2014
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Anderson, Sarah F, LPT
Gender: Female
NPI: 1750668869
# 6320 Gateway Blvd
Ste E
J(915) 593-1862
Clinic Affiliation: Concentra Medical
Centers
Board Certified Specialties: None
" Romagosa, Angelo E, MD
El Paso
EL PASO Cont
PEDIATRICS Cont
Serna, Jorge H, MD
Gender: Male
NPI: 1861486532
# 11989 Pellicano Dr
Ste D
J(915) 855-9991
El Paso
NPI: 1659379154
1626 Medical Center Dr
Ste 4A
(915) 351-6102
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Angelo E Romagosa MD,
Physicians and Allied Health Prof
Board Certified Specialties: Physical
Medicine & Rehabilitation
NPI: 1861486532
11989 Pellicano Dr Ste C
J(915) 857-0700
#
NPI: 1861486532
1700 Curie Dr
Ste 4300
J(915) 544-4500
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Kidney
Specialists PA
Board Certified Specialties: None
#
Ting, Stanislaus, MD
Gender: Male
NPI: 1447367750
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties:
Allergy-Immunology
" Vallala, Shravan, MD
Gender: Male
NPI: 1104152487
4845 Alameda Ave
(915) 545-6810
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Pediatrics
" August, Brian J, MD
El Paso
Gender: Male
NPI: 1184618597
1810 Murchison Dr Ste 300
J(915) 544-0326
NPI: 1184618597
4646 N Mesa
(915) 313-6300
Hospital Affiliation: El Paso Specialty
Hospital Ltd, Las Palmas Camp Lpdsh,
Sierra Medical Center
Clinic Affiliation: El Paso Integrated
Physician, Orthopaedic Surgeons Assoc
Practice Information: Practice includes
children
Board Certified Specialties: Physical
Medicine & Rehabilitation
" Refaeian, Manouchehr, MD
El Paso
#
Gender: Male
NPI: 1689632945
10412 Vista Del Sol Dr
Ste 1B
J(915) 593-9300
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Eastside Rehabilitation
Medicine of Pain Clinic
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties: Physical
Medicine & Rehabilitation
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
NPI: 1427107515
6151 Dew Dr Ste 300
J(915) 581-9606
Clinic Affiliation: El Paso Therapy Services
East
Board Certified Specialties: None
Gender: Male
NPI: 1700840659
10301 Gateway Blvd W
J(915) 594-5276
Hospital Affiliation: Las Palmas Camp
Lpdsh
Board Certified Specialties: Physical
Medicine & Rehabilitation
Armendariz, Soledad, LPT
Gender: Female
NPI: 1124176458
1891 N Lee Trevino Dr
Ste 700
J(915) 593-3787
NPI: 1770612202
836 E Redd Rd
Ste B
J(915) 845-4060
Clinic Affiliation: Border Therapy Services
Practice Information: No Patients Under 10
yrs old
Board Certified Specialties: None
Carrillo, Patti A, LPT
Gender: Female
NPI: 1669476222
10510 Montwood Dr
Ste B
(915) 591-0243
Clinic Affiliation: Manual Physical Therapy
Specialis
Board Certified Specialties: None
El Pas o
El Paso
PHYSICAL THERAPY
Ceniceros, Enrique, LPT
Gender: Male
NPI: 1851440846
2270 Joe Battle Blvd
Ste R
J(915) 855-7780
Clinic Affiliation: Reaction Physical
Therapy LLC
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties: None
El Pas o
NPI: 1124176458
6151 Dew Dr
Ste 300
J(915) 587-4081
Clinic Affiliation: El Paso Therapy Services
East
Board Certified Specialties: None
Acosta, Juan G, LPT
Gender: Male
NPI: 1194894683
3215 Gateway Blvd W
(915) 598-7246
Clinic Affiliation: El Paso Pain Center PA
Board Certified Specialties: None
El Paso
Benson II, Robert W, LPT
Gender: Male
NPI: 1689919342
7500 N Mesa St
Ste 212
(915) 585-1888
El Paso
Acosta, Patricia R, LPT
Gender: Female
NPI: 1306953062
# 11170 La Quinta Pl
Ste B
J(915) 629-7663
El Paso
PHYSICAL MEDICINE &
REHABILITATION
NPI: 1770612202
4242 Hondo Pass Dr
Ste 110
J(915) 751-0599
Armendariz, Albert, LPT
Gender: Male
NPI: 1427107515
1891 N Lee Trevino Dr
Ste 700
J(915) 593-3787
" Steinhauer, Mark H, MD
#
Bringas, Christa A, LPT
Gender: Female
NPI: 1770612202
# 2280 Trawood Dr
J(915) 595-3535
El Pas o
El Paso
El Paso
El Paso
El Paso
El Paso
Gender: Male
NPI: 1659379154
10201 Gateway Blvd W
Ste 110
(915) 351-6102
NPI: 1306953062
2009 Montana Ave
J(915) 533-3511
Clinic Affiliation: The Center For
Therapeutic Servic
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
#
NPI: 1689919342
8855 Viscount Blvd
Ste E
(915) 593-8555
Clinic Affiliation: Tier 1 Physical Therapy
and Sport
Board Certified Specialties: None
Blancas, Moses I, LPT
Gender: Male
NPI: 1366452237
1721 N Lee Trevino Dr
J(915) 590-1910
Clinic Affiliation: Juarez Edward C MD
Practice Information: No Patients Under 6
yrs old
Board Certified Specialties: None
El Paso
Adame, Lizette, LPT
Gender: Female
NPI: 1740513407
1101 E Schuster Ave
J(915) 544-8484
Clinic Affiliation: Paso Del Norte Childrens
Dev Ctr
Board Certified Specialties: None
El Paso
Boncser, Mark E, LPT
Gender: Male
NPI: 1760426332
# 4242 Hondo Pass Dr
Ste 110
J(915) 751-0599
El Paso
Adeniji, Ademola O, LPT
Gender: Male
NPI: 1760703219
10600 Montwood Ave
Ste 119
(915) 591-0680
Clinic Affiliation: Vista Health Clinic and
Rehab
Board Certified Specialties: None
El Paso
#
Akomolafe, Babatunde A, LPT
Gender: Male
NPI: 1316032675
11351 James Watt Dr Ste A
J(915) 849-6602
Clinic Affiliation: Therapy Consultants
Board Certified Specialties: None
El Paso
NPI: 1760426332
836 E Redd Rd
Ste B
J(915) 845-4060
Clinic Affiliation: Border Therapy Services
Practice Information: No Patients Under 10
yrs old
Board Certified Specialties: None
Cortez II, Luis, LPT
Gender: Male
NPI: 1144541889
# 3945 Doniphan Park Cir
Ste A
J(915) 760-8808
Clinic Affiliation: Excel Physical Therapy
Board Certified Specialties: None
El Pas o
Franco, Jonathan, LPT
Gender: Male
NPI: 1619259546
# 2280 Trawood Dr
J(915) 595-3535
El Pas o
NPI: 1619259546
4242 Hondo Pass Dr
Ste 110
J(915) 751-0599
#
NPI: 1619259546
836 E Redd Rd
Ste B
J(915) 845-4060
Clinic Affiliation: Border Therapy Services
Board Certified Specialties: None
#
Galbraith, Michael Y, LPT
Gender: Male
NPI: 1073628236
2400 Trawood Dr
Ste 104
(915) 593-1862
Clinic Affiliation: Concentra Medical
Centers
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties: None
El Pas o
Garcia, Bernadette M, LPT
Gender: Female
NPI: 1912197591
1700 E Cliff Dr Ste 101
(915) 500-6601
El Pas o
Alcala, Jennifer L, LPT
Gender: Female
NPI: 1003161423
8111 N Loop Dr
Ste B
J(915) 593-4985
Clinic Affiliation: Health Masters
Practice Information: No Patients Under 6
yrs old
Board Certified Specialties: None
El Paso
NPI: 1912197591
9870 Gateway Blvd N
Ste B
(915) 313-4510
Clinic Affiliation: Spectrum Therapy
Consultants PC
Board Certified Specialties: None
J - Wheelchair Access
40
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmkpi_n_spec
EL PASO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Hernandez, Manuel J, LPT
Gender: Male
NPI: 1750510806
# 2280 Trawood Dr
J(915) 595-3535
Jones, Robert D, LPT
Gender: Male
NPI: 1255440038
# 7500 N Mesa St
Ste 212
J(915) 585-1888
El Paso
EL PASO Cont
PHYSICAL THERAPY Cont
Garduno, Claudia M, LPT
Gender: Female
NPI: 1700812948
# 1779 N Zaragoza Rd
Ste A
J(915) 855-6466
El Paso
#
NPI: 1700812948
6358 Edgemere Blvd
J(915) 562-8525
Clinic Affiliation: Spine & Rehab Specialists
Board Certified Specialties: None
Garrido, Paul J, LPT
Gender: Male
NPI: 1245309848
# 836 E Redd Rd
Ste B
J(915) 845-4060
Clinic Affiliation: Border Therapy Services
Practice Information: No Patients Under 10
yrs old
Board Certified Specialties: None
NPI: 1750510806
4242 Hondo Pass Dr
J(915) 751-0599
#
NPI: 1750510806
836 E Redd Rd
Ste B
J(915) 845-4060
Clinic Affiliation: Border Therapy Services
Practice Information: No Patients Under 10
yrs old
Board Certified Specialties: None
#
El Paso
Garza, Tara L, LPT
Gender: Female
NPI: 1154692465
!# 1891 Lee Trevino
Ste 700
J(915) 593-3787
Clinic Affiliation: El Paso Therapy Services
East
Board Certified Specialties: None
Herrera, Efren, LPT
Gender: Male
NPI: 1124258744
# 2280 Trawood Dr
(915) 595-3535
El Paso
NPI: 1124258744
4242 Hondo Pass Dr
Ste 110
(915) 751-0599
Clinic Affiliation: Border Therapy Services
Practice Information: No Patients Under 10
yrs old
Board Certified Specialties: None
#
El Paso
Gomez, Suzana S, LPT
Gender: Female
NPI: 1316370232
2270 Joe Battle Blvd
Ste R
J(915) 855-7780
Clinic Affiliation: Reaction Physical
Therapy LLC
Board Certified Specialties: None
El Paso
Herrera, Jesus, LPT
Gender: Male
NPI: 1407153620
# 12300 Pellicano Dr
Ste B2
(915) 860-4838
Clinic Affiliation: Healing Hands Therapy
LLC
Board Certified Specialties: None
El Paso
Hartvigsen Jr, Curtis R, LPT
Gender: Male
NPI: 1063500924
# 11163 La Quinta Pl
Bldg C
J(915) 356-2639
Liano, Ruben, LPT
Gender: Male
NPI: 1851518310
3945 Doniphan Park Cir
Ste A
(915) 760-8808
Clinic Affiliation: El Paso Professional
Rehabilitati, Excel Physical Therapy
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties: None
NPI: 1093727935
4012 Doniphan Dr
J(915) 771-8523
Lomarquez, Lynnette S, LPT
Gender: Female
NPI: 1477893303
612 N Resler Dr
J(915) 584-5683
Clinic Affiliation: Paloma Wellness
Rehabilitation Pl
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Pas o
NPI: 1093727935
6028 Surety Dr
J(915) 771-8523
Clinic Affiliation: Omega Rehab Services
Board Certified Specialties: None
#
Holguin, Bobbie Jo, LPT
Gender: Female
NPI: 1154511210
1700 E Cliff Dr Ste 101
(915) 500-6601
El Paso
Magden, Travis J, LPT
Gender: Male
NPI: 1225267115
# 2280 Trawood Dr
(915) 595-3535
El Pas o
NPI: 1154511210
7430 Remcon Cir
Bldg A
(915) 231-2285
Clinic Affiliation: Spectrum Therapy
Consultants PC
Board Certified Specialties: None
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
NPI: 1831135318
6358 Edgemere Blvd
J(915) 562-8525
Clinic Affiliation: Spine & Rehab Specialists
Practice Information: Practice includes
children
Board Certified Specialties: None
El Pas o
Herrera, Sylvia, LPT
Gender: Female
NPI: 1093727935
12200 Paseo Nuevo Dr
J(915) 771-8523
#
NPI: 1073816930
8111 N Loop Dr
Ste B
J(915) 593-4985
Clinic Affiliation: Health Masters
Practice Information: No Patients Under 5
yrs old
Board Certified Specialties: None
#
El Paso
El Paso
NPI: 1063500924
6320 Gateway Blvd E
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers, The Body Center LLC
Board Certified Specialties: None
Kohn IV, Roy E, LPT
Gender: Male
NPI: 1073816930
4758 Loma Del Sur Dr
Ste A
J(915) 755-0738
El Pas o
#
NPI: 1932477957
7430 Remcon Cir
Bldg A
(915) 231-2285
Clinic Affiliation: Spectrum Therapy
Consultants PC
Board Certified Specialties: None
El Paso
Judd, Coy D, LPT
Gender: Male
NPI: 1730115775
# 1610 N Zaragosa Rd
Ste D1
J(915) 593-1862
Clinic Affiliation: Concentra Medical
Centers
Board Certified Specialties: None
El Pas o
Koster, Herman A, LPT
Gender: Male
NPI: 1831135318
# 1779 N Zaragoza Rd Ste A
J(915) 855-6466
Herrera, Paulina, LPT
Gender: Female
NPI: 1932477957
1700 E Cliff Dr Ste 101
(915) 500-6601
Gonzales, Mark J, LPT
Gender: Male
NPI: 1710282041
2871 Pershing Dr
Ste A
J(915) 408-0699
Clinic Affiliation: Dynamic Care Rehab
Board Certified Specialties: None
NPI: 1255440038
8855 Viscount Blvd
Ste E
J(915) 593-8555
Clinic Affiliation: Thomas K Waugh &
Assoc PC, Tier 1 Physical Therapy and Sport
Board Certified Specialties: None
El Pas o
El Paso
El Paso
Hansen, Judith M, LPT
Gender: Female
NPI: 1578999447
11351 James Watt Dr
Ste A
(915) 849-6602
Clinic Affiliation: Therapy Consultants
Board Certified Specialties: None
El Pas o
#
NPI: 1225267115
4242 Hondo Pass Dr
Ste 110
(915) 751-0599
Clinic Affiliation: Border Therapy Services
Board Certified Specialties: None
Manning, Rhonda A, LPT
Gender: Female
NPI: 1891825428
7609 Luz De Lumbre Ave
(915) 587-6226
Clinic Affiliation: West Texas Sensory
Integration In
Board Certified Specialties: None
El Paso
Marin, Rodolfo, LPT
Gender: Male
NPI: 1205985231
# 1891 N Lee Trevino Dr
Ste 700
J(915) 593-3787
El Paso
NPI: 1205985231
6151 Dew Dr
Ste 300
J(915) 581-9606
Clinic Affiliation: El Paso Therapy Services
East
Board Certified Specialties: None
Martinez, Delores N, LPT
Gender: Female
NPI: 1932453057
# 2280 Trawood Dr
J(915) 595-3535
Clinic Affiliation: Border Therapy Services
Practice Information: No Patients Under 10
yrs old
Board Certified Specialties: None
El Paso
Martinez, Joel, LPT
Gender: Male
NPI: 1972812170
# 2280 Trawood Dr
J(915) 595-3535
El Paso
#
#
NPI: 1972812170
4242 Hondo Pass Dr
Ste 110
J(915) 751-0599
NPI: 1972812170
836 E Redd Rd
Ste B
J(915) 845-4060
Clinic Affiliation: Border Therapy Services
Practice Information: No Patients Under 10
yrs old
Board Certified Specialties: None
McDonald, Duncan, LPT
Gender: Male
NPI: 1609840784
# 11450 Rojas Dr
Ste D1
J(915) 633-8600
Clinic Affiliation: Texas Orthopaedic
Therapy Specialists
Board Certified Specialties: None
El Paso
McLean, Matthew T, LPT
Gender: Male
NPI: 1629319181
6151 Dew Dr
Ste 300
(915) 581-9606
Clinic Affiliation: El Paso Therapy Services
East
Board Certified Specialties: None
El Paso
Melendez, Francisco J, LPT
Gender: Male
NPI: 1114266103
2280 Trawood Dr
(915) 595-3535
Clinic Affiliation: Border Therapy Services
Board Certified Specialties: None
El Paso
Miller, Don C, LPT
Gender: Male
NPI: 1356470157
5901 Gateway Blvd W
(915) 307-7612
Clinic Affiliation: Pasitos Clinic LLC
Board Certified Specialties: None
El Paso
J - Wheelchair Access
41
EL PASO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 15, 2014
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Olowe, Joseph O, LPT
Gender: Male
NPI: 1841202702
12200 Paseo Nuevo Dr
J(915) 771-8523
Rachel, David F, LPT
Gender: Male
NPI: 1306885389
# 2280 Trawood Dr
J(915) 595-3535
El Paso
EL PASO Cont
PHYSICAL THERAPY Cont
Miller, Orson A, LPT
Gender: Male
NPI: 1871513812
1610 N Zaragosa Rd
Ste D1
J(281) 873-0111
El Paso
NPI: 1871513812
6320 Gateway Blvd
Ste E
J(281) 873-0111
Clinic Affiliation: Concentra Medical
Centers
Board Certified Specialties: None
Moeller, Amanda P, LPT
Gender: Female
NPI: 1134278146
# 1891 N Lee Trevino Dr
Ste 700
J(915) 593-3787
El Paso
Moraga, Raymond S, LPT
Gender: Male
NPI: 1922446822
1610 N Zaragoza Rd
Ste D1
(888) 997-2669
Clinic Affiliation: Concentra Medical
Centers
Board Certified Specialties: None
Munoz, Benjamin E, LPT
Gender: Male
NPI: 1184773863
1610 N Zaragosa Rd
Ste D1
(915) 593-1862
Clinic Affiliation: Concentra Medical
Centers
Board Certified Specialties: None
El Paso
Munoz, Haydee, LPT
Gender: Female
NPI: 1144582495
11351 A James Watt
J(915) 849-6602
Clinic Affiliation: Therapy Consultants
Practice Information: No Patients Under 5
yrs old
Board Certified Specialties: None
El Paso
Nelson, Sherry L, LPT
Gender: Female
NPI: 1417107269
# 1610 N Zaragoza Rd
Ste D1
J(915) 593-1862
Clinic Affiliation: Concentra Medical
Centers
Board Certified Specialties: None
El Paso
#
NPI: 1841202702
6028 Surety Dr
J(915) 771-8523
Clinic Affiliation: Omega Rehab Services
Board Certified Specialties: None
#
Omotosho, Mobolaji J, LPT
Gender: Male
NPI: 1235496845
11351 James Watt
Ste A
(915) 849-6602
NPI: 1306885389
836 E Redd Rd
Ste B
J(915) 845-4060
Clinic Affiliation: Border Therapy Services
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties: None
Rodriguez, Heather L, LPT
Gender: Female
NPI: 1154649283
11351 James Watt
Ste A
(915) 849-6602
Clinic Affiliation: Therapy Consultants
Board Certified Specialties: None
NPI: 1235496845
4012 Doniphan Dr
J(915) 771-8523
Roth, Kathleen A, LPT
Gender: Female
NPI: 1245345032
# 7500 N Mesa St
Ste 212
(915) 585-1888
El Paso
NPI: 1235496845
6028 Surety Dr
J(915) 771-8523
Clinic Affiliation: Omega Rehab Services,
Therapy Consultants
Board Certified Specialties: None
NPI: 1245345032
8855 Viscount Blvd
Ste E
(915) 593-8555
Clinic Affiliation: Tier 1 Physical Therapy
and Sport
Practice Information: No Patients Under 6
yrs old
Board Certified Specialties: None
Palisoc, Imelda D, LPT
Gender: Female
NPI: 1184964017
612 N Resler Dr
(915) 584-5683
Clinic Affiliation: Paloma Wellness
Rehabilitation Pl
Board Certified Specialties: None
El Paso
Sander, Laura A, LPT
Gender: Female
NPI: 1952507402
# 2280 Trawood Dr
J(915) 595-3535
Clinic Affiliation: Border Therapy Services
Practice Information: No Patients Under 10
yrs old
Board Certified Specialties: None
El Paso
Palisoc, Vitus D, LPT
Gender: Male
NPI: 1902146830
# 612 N Resler Dr
J(915) 584-5633
Clinic Affiliation: Paloma Wellness
Rehabilitation Pl
Board Certified Specialties: None
El Paso
Parga, Marcos A, LPT
Gender: Male
NPI: 1396916326
10510 Montwood Dr
Ste B
J(915) 591-0243
Clinic Affiliation: Manual Physical Therapy
Specialis
Board Certified Specialties: None
Solis, Mirian, LPT
Gender: Female
NPI: 1578515177
1700 E Cliff Dr Ste 101
(915) 500-6601
El Paso
El Paso
NPI: 1578515177
7430 Remcon Cir Bldg A
(915) 231-2285
Clinic Affiliation: Spectrum Therapy
Consultants PC
Board Certified Specialties: None
Prieto, Lester O, LPT
Gender: Male
NPI: 1669547725
1717 Brown St
Ste 2A
J(915) 544-2981
Clinic Affiliation: Prieto Physical Therapy
Inc
Practice Information: No Patients Under 3
yrs old
Board Certified Specialties: None
El Paso
" Soto, Ali, LPT
El Paso
Gender: Female
NPI: 1700150661
2270 Joe Battle Blvd
Ste R
J(915) 855-7780
Clinic Affiliation: Reaction Physical
Therapy LLC
Board Certified Specialties: Physical
Therapy
Stanford, Lysandra C, LPT
Gender: Female
NPI: 1386871952
# 1101 E Schuster Ave
J(915) 544-8484
Clinic Affiliation: Paso Del Norte Childrens
Dev Ctr
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
El Paso
Ochoa, Jarrod L, LPT
Gender: Male
NPI: 1801211248
6028 Surety Dr
J(915) 771-8523
Clinic Affiliation: Omega Rehab Services
Board Certified Specialties: None
El Paso
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
NPI: 1306885389
4242 Hondo Pass Dr
Ste 110
J(915) 751-0599
El Paso
NPI: 1235496845
12200 Paseo Nuevo Dr
J(915) 771-8523
El Paso
El Paso
NPI: 1841202702
4012 Doniphan Dr
J(915) 771-8523
El Paso
NPI: 1134278146
6151 Dew Dr Ste 300
J(915) 581-9606
Clinic Affiliation: El Paso Therapy Services
East
Board Certified Specialties: None
Monroy, Patricia, LPT
Gender: Female
NPI: 1134258189
1101 E Schuster Ave
(915) 544-8484
Clinic Affiliation: Paso Del Norte Childrens
Dev Ctr
Board Certified Specialties: None
El Paso
Terrazas, Sandra G, LPT
Gender: Female
NPI: 1720039472
1700 E Cliff Dr
Ste 101
(915) 500-6601
El Pas o
NPI: 1720039472
7430 Remcon Cir
Bldg A
(915) 231-2285
Clinic Affiliation: Spectrum Therapy
Consultants PC
Board Certified Specialties: None
#
Torres, Miguel A, LPT
Gender: Male
NPI: 1942494695
10412 Vista Del Sol Dr
Ste 2B
(915) 591-3609
Clinic Affiliation: Eastside Rehabilitation
Medicine of Pain Clinic
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Pas o
Valdez, Alejandro, LPT
Gender: Male
NPI: 1871709907
1700 E Cliff Dr Ste 101
(915) 500-6601
El Pas o
NPI: 1871709907
2260 Trawood Dr
(915) 231-2285
Clinic Affiliation: Spectrum Therapy
Consultants PC
Board Certified Specialties: None
Valdez, Alyssa M, LPT
Gender: Female
NPI: 1972914455
# 12801 Edgemere Blvd
Ste 102B
(915) 493-6795
Clinic Affiliation: Border Therapy Services
Practice Information: No Patients Under 10
yrs old
Board Certified Specialties: None
El Pas o
Williams, Erin R, LPT
Gender: Male
NPI: 1003936477
1101 E Schuster Ave
J(915) 544-8484
Clinic Affiliation: Paso Del Norte Childrens
Dev Ctr
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
El Pas o
Zuniga, Louis E, LPT
Gender: Male
NPI: 1487856761
# 4646 N Mesa
(915) 313-6300
Clinic Affiliation: Orthopaedic Surgeons
Assoc
Board Certified Specialties: None
El Pas o
PLASTIC SURGERY
" Agullo, Francisco J, MD
El Pas o
Gender: Male
NPI: 1184821084
10175 Gateway Blvd W
Ste 210
(915) 590-7900
NPI: 1184821084
4800 Alberta Ave
(915) 545-6880
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Francisco J Agullo MD,
Southwest Plastic Surgery PA, Texas Tech
University Health Scie
Board Certified Specialties: Plastic
Surgery
J - Wheelchair Access
42
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmkpi_n_spec
EL PASO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
" Palladino, Humberto, MD
" De La Rosa, Efren, DPM
El Paso
EL PASO Cont
PLASTIC SURGERY Cont
" Chavez, Eva P, MD
El Paso
Gender: Female
NPI: 1700942919
1517 N Mesa St
J(915) 533-0269
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Eva Patricia Chavez MD
Board Certified Specialties: Plastic
Surgery
NPI: 1912169053
651 S Mesa Hills Dr
J(915) 351-1116
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Humberto Palladino MD,
Southwest Plastic Surgery PA
Board Certified Specialties: Plastic
Surgery
" Chavez-Holguin, Pedro S, MD
El Paso
Gender: Male
NPI: 1336145374
1517 N Mesa
J(915) 533-0269
Hospital Affiliation: El Paso Day Surgery
Llc, Las Palmas Camp Lpdsh, Providence
Memorial Hospital
Board Certified Specialties: Plastic
Surgery
" Garcia De Mitchell, Cecilia A, MD
Goldman, Edward M, MD
Gender: Male
NPI: 1972610103
100 E Schuster Ave
J(915) 542-3059
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Board Certified Specialties:
Otolaryngology
El Paso
" Jabor, Mark A, MD
El Paso
Gender: Male
NPI: 1659333573
1512 N Zaragoza Rd
Ste A 3
J(915) 855-7800
#
Gender: Male
NPI: 1992772768
1512 N Zaragoza Rd
Ste A 3
(915) 855-7800
NPI: 1003043464
10500 Vista Del Sol Dr
Ste A
J(915) 533-1622
NPI: 1992772768
5664 N Mesa St
(915) 532-6662
Clinic Affiliation: West Texas Cosmetic
Surgical Assoc
Board Certified Specialties: Plastic
Surgery
NPI: 1003043464
601 Sunland Park Dr
Bldg 1
J(915) 533-1622
Clinic Affiliation: Dr Alan W Pittle Podiatrist
PC
Board Certified Specialties: None
Seelig, Deborah, MD
Gender: Female
NPI: 1992793541
1700 Murchison Dr
Ste 200
J(915) 541-8825
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, El Paso Specialty Hospital Ltd, Las
Palmas Camp Lpdsh, Providence Memorial
Hospital, Sierra Medical Center, Sierra
Providence East Med Ctr, Surgical Center Of
El Paso, University Medical Ctr Of Elpaso
Board Certified Specialties: None
El Paso
Sozer, Sadri O, MD
Gender: Male
NPI: 1639255359
651 S Mesa Hills Dr
J(915) 351-1116
Hospital Affiliation: El Paso Specialty
Hospital Ltd, Providence Memorial Hospital,
Sierra Medical Center
Board Certified Specialties: None
Gonzalez, Juan A, DPM
Gender: Male
NPI: 1245266170
4400 N Mesa St
Ste 2
J(915) 577-0744
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Foot Specialists of El
Paso
Board Certified Specialties: None
Nguyen, Vivianne, DPM
Gender: Female
NPI: 1982863833
# 1635 N Lee Trevino Dr
Ste C
(915) 593-3668
El Paso
NPI: 1982863833
7343 Black Mesa Dr
(915) 608-2204
Clinic Affiliation: A Plus Foot Care PLLC,
Glazar Medical PA
Board Certified Specialties: None
Omeara, Sean M, DPM
Gender: Male
NPI: 1336326255
1400 George Dieter Dr
Ste 100
J(915) 503-2020
El Paso
NPI: 1336326255
7430 Remcon Cir
Ste B120
J(915) 503-2020
NPI: 1336326255
9870 Gateway Blvd N
Ste B7
J(915) 503-2020
Clinic Affiliation: Omeara Rosado DPM
PLLC
Board Certified Specialties: None
" Pittle, Alan W, DPM
El Paso
Gender: Male
NPI: 1346211026
1225 E Cliff Dr
(915) 598-3338
Hospital Affiliation: Paso Del Norte Surgery
Center, Providence Memorial Hospital,
Sierra Medical Center
Clinic Affiliation: Dr Charles Pittle DPM
PLLC
Board Certified Specialties: Podiatry
" Grindstaff, Gary S, DPM
El Pas o
Gender: Male
NPI: 1912995895
1721A N Lee Trevino Dr
Ste 103
J(915) 594-8877
NPI: 1912995895
5547 N Mesa St
Ste A
J(915) 845-5000
Hospital Affiliation: Las Palmas Camp
Lpdsh, Paso Del Norte Surgery Center,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Gary S Grindstaff DPM PA
Board Certified Specialties: Podiatry
" Wang, Peter T, MD
El Paso
Gender: Male
NPI: 1982656930
2001 N Oregon St
(210) 615-8757
Hospital Affiliation:
ChildrensHospitalSanAntonio', Christus
Santa Rosa Hosp City Ctr, Methodist
Ambulatory Surg Ctr, Methodist Hospital,
North Central Baptist Hospital, St Lukes
Baptist Hospital, University Health System
Clinic Affiliation: Magella Medical Assoc PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Plastic
Surgery
" Lee, Anhtuyet T, MD
Moreu, Gil M, DPM
Gender: Male
NPI: 1407816960
4800 Alberta Ave
(915) 545-6760
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
El Paso
El Pas o
El Paso
El Paso
Wright, Mary Johanna D, MD
Gender: Female
NPI: 1134291503
3270 Joe Battle Blvd
Ste 315
J(915) 504-6910
Clinic Affiliation: Mary Jo Wright MD
Board Certified Specialties: None
El Paso
Heidarian, Nosrat, DPM
Gender: Male
NPI: 1700988441
# 9530 Viscount Bldg P
J(915) 591-4499
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Board Certified Specialties: None
" Lazar, Gabriel, DPM
#
PODIATRY
Cutolo, Michael, DPM
Gender: Male
NPI: 1386729333
1144 Geronimo Dr
J(915) 778-4691
Board Certified Specialties: None
" Pittle, Charles I, DPM
El Paso
Gender: Male
NPI: 1750352449
1225 E Cliff Dr
Ste 2A
(915) 598-3338
Hospital Affiliation: Paso Del Norte Surgery
Center, Sierra Medical Center
Clinic Affiliation: Dr Charles Pittle DPM
PLLC
Board Certified Specialties: Podiatry
El Pas o
El Pas o
El Paso
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Fernandez, Fernando, DPM
Gender: Male
NPI: 1003043464
10400 Vista Del Sol Dr
Ste 103
J(915) 592-2634
El Pas o
" Reynolds, Richard D, MD
NPI: 1659333573
5664 N Mesa St
J(915) 543-5600
Hospital Affiliation: Las Palmas Camp
Lpdsh, Sierra Medical Center, Surgical
Center Of El Paso
Clinic Affiliation: West Texas Cosmetic
Surgical Assoc
Board Certified Specialties: Plastic
Surgery
Gender: Female
NPI: 1235328378
3270 Joe Battle
Ste 315
J(915) 504-6910
Hospital Affiliation: Sierra Providence East
Med Ctr
Clinic Affiliation: Anh Lee MD
Board Certified Specialties: Plastic
Surgery
Gender: Male
NPI: 1295846731
1810 Murchison
Ste 300
(915) 544-0326
Hospital Affiliation: Las Palmas Camp
Lpdsh, Paso Del Norte Surgery Center,
Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Integrated
Physician
Board Certified Specialties: Podiatry
El Paso
El Paso
Gender: Female
NPI: 1073717237
2001 N Oregon St
J(915) 577-6011
Hospital Affiliation: Baptist Health System,
ChildrensHospitalSanAntonio', Christus
Santa Rosa Hosp City Ctr, Methodist
Hospital, North Central Baptist Hospital,
Providence Memorial Hospital, St Lukes
Baptist Hospital
Clinic Affiliation: Magella Medical Assoc PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Plastic
Surgery
El Pas o
Gender: Male
NPI: 1912169053
10175 Gateway Blvd W
Ste 210
(915) 590-7900
Gender: Male
NPI: 1629117080
1635 N Lee Trevino Dr
Ste C
J(915) 593-3668
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Glazar Medical PA
Board Certified Specialties: Podiatry
Resignato, Paul J, DPM
Gender: Male
NPI: 1093799249
1722 N Zaragosa Rd
Ste C
J(915) 855-3338
El Paso
NPI: 1093799249
1810 Murchison Dr
Ste 200
J(915) 855-3338
Board Certified Specialties: None
J - Wheelchair Access
43
EL PASO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 15, 2014
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
EL PASO Cont
PULMONARY DISEASES
" Garcia, Hernando, MD
El Paso
" Anchondo, Adolfo N, MD
El Paso
PODIATRY Cont
Rosado, Rebecca J, DPM
Gender: Female
NPI: 1063609873
1400 George Dieter Dr
Ste 100
J(915) 503-2020
El Paso
#
NPI: 1063609873
9870 Gateway Blvd N
Ste B7
J(915) 503-2020
Clinic Affiliation: Omeara Rosado DPM
PLLC
Board Certified Specialties: None
" Scudday, Bruce A, DPM
Gender: Male
NPI: 1073574943
1400 George Dieter Dr
Ste 230
J(915) 856-3331
Gender: Male
NPI: 1154321263
1020 Montana Ave
J(915) 533-2500
" Gonzalez-Ayala, Emilio, MD
El Paso
NPI: 1154321263
4501 N Mesa
(915) 584-7474
#
NPI: 1154321263
9999 Kenworthy St
Ste C
(915) 533-2500
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Allergy and Asthma
Center of El P, El Paso Respiratory Sleep
Cons In
Board Certified Specialties: Pulmonary
Diseases, Sleep Medicine
NPI: 1073574943
1700 Curie Dr Ste 4000
J(915) 533-5151
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Board Certified Specialties: Podiatry
" Taylor, John G, DPM
El Paso
NPI: 1093771388
601 Sunland Park Dr
Bldg 1
J(915) 533-1622
Clinic Affiliation: Dr Alan W Pittle Podiatrist
PC
Board Certified Specialties: Podiatry
NPI: 1922000314
9999 Kenworthy St
Ste C
J(915) 533-2500
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Allergy and Asthma
Center of El P, El Paso Respiratory Sleep
Cons In
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties: Pulmonary
Diseases
" Cortes, Erasto, MD
#
#
#
" Diaz, Gonzalo A, MD
El Paso
Gender: Male
NPI: 1134129240
2001 N Oregon
J(915) 779-7378
#
Velasquez, Arma R, DPM
Gender: Female
NPI: 1285632562
10400 Vista Del Sol Dr
Ste 103
(915) 533-1622
El Paso
#
#
#
Quesada, Jaime A, MD
Gender: Male
NPI: 1578563862
1865 N Lee Trevino Dr
J(915) 590-1994
El Pas o
NPI: 1578563862
4305 N Mesa St Ste A
J(915) 532-2477
NPI: 1578563862
9999 Kenworthy St Ste B
J(915) 757-6280
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Pulmonary Assoc
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: None
NPI: 1366441701
4305 N Mesa St Ste A
J(915) 532-2477
NPI: 1366441701
9999 Kenworthy St
Ste B
J(915) 757-6280
Hospital Affiliation: Kindred Hospital El
Paso, Las Palmas Camp Lpdsh, Providence
Memorial Hospital, Sierra Medical Center
Clinic Affiliation: El Paso Pulmonary Assoc
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Pulmonary
Diseases
" Rivera, Manuel, MD
El Pas o
Gender: Male
NPI: 1083642037
4800 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Pulmonary
Diseases
Gender: Male
NPI: 1295814705
1865 N Lee Trevino Dr
J(915) 590-1994
Tan, Jeanette S, MD
Gender: Female
NPI: 1518938810
7812 Gateway Blvd E
Ste 200
J(915) 592-6868
El Pas o
NPI: 1295814705
4305 N Mesa St
Ste B
(915) 779-7378
NPI: 1295814705
9999 Kenworthy St
Ste B
J(915) 757-6280
Hospital Affiliation: Sierra Providence East
Med Ctr
Clinic Affiliation: El Paso Pulmonary Assoc,
El Paso Sleep Disorders Centers
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Pulmonary
Diseases
Gender: Male
NPI: 1306027669
1865 N Lee Trevino
(915) 590-1994
NPI: 1306027669
9999 Kenworthy
Ste B
(915) 757-6280
Hospital Affiliation: Kindred Hospital El
Paso, Las Palmas Camp Lpdsh, Mesa Hills
Specialty Hospital, Providence Memorial
Hospital, Sierra Medical Center, Sierra
Providence East Med Ctr
Clinic Affiliation: El Paso Pulmonary Assoc
Board Certified Specialties: Pulmonary
Diseases
Hughes, Harold W, MD
Gender: Male
NPI: 1699703124
4801 Alberta Ave
J(915) 545-0981
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
El Paso
" Figueroa Casas, Juan B, MD
El Paso
Gender: Male
NPI: 1699710889
4800 Alberta Ave
(915) 545-6640
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Pulmonary
Diseases
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Male
NPI: 1366441701
1865 N Lee Trevino Dr
J(915) 590-1994
NPI: 1093911091
9999 Kenworthy Ste B
(915) 757-6280
Hospital Affiliation: Del Sol Camp Lpdsh,
Mesa Hills Specialty Hospital, Providence
Memorial Hospital, Sierra Medical Center,
Sierra Providence East Med Ctr
Clinic Affiliation: El Paso Pulmonary Assoc
Board Certified Specialties: Pulmonary
Diseases
" Hatem, Carlo M, MD
" Fernandez, Juan F, MD
NPI: 1285632562
8920 Gateway Blvd E
Ste 1
J(915) 859-2120
Hospital Affiliation: Sierra Medical Center
Clinic Affiliation: Dr Alan W Pittle Podiatrist
PC
Board Certified Specialties: None
NPI: 1093911091
4305 N Mesa St
Ste A
(915) 532-2477
El Paso
NPI: 1134129240
4305 N Mesa St Ste A
J(915) 532-2477
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Pulmonary Assoc
Practice Information: Limited to Sleep
Disorders, No Patients Under 16 yrs old
Board Certified Specialties: Pulmonary
Diseases
El Paso
NPI: 1285632562
601 Sunland Park Dr
Bldg 1
(915) 533-1622
Gender: Male
NPI: 1093911091
1865 N Lee Trevino
(915) 590-1994
NPI: 1922000314
4501 N Mesa
(915) 584-7474
El Paso
El Paso
Gender: Male
NPI: 1093771388
10400 Vista Del Sol Dr
Ste 103
J(915) 533-1625
Gender: Male
NPI: 1063410777
1865 Lee Trevino Dr
J(915) 590-1994
NPI: 1063410777
9999 Kenworthy St
Ste B
J(915) 757-6280
Hospital Affiliation: Las Palmas Camp
Lpdsh, Sierra Medical Center
Clinic Affiliation: El Paso Pulmonary Assoc
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Pulmonary
Diseases
NPI: 1063609873
7430 Remcon Cir
Ste B120
J(915) 503-2020
" Payan, Hector A, MD
El Pas o
Gender: Male
NPI: 1922000314
10460 Vista Del Sol Dr
Ste 202
J(915) 594-5882
NPI: 1518938810
7812 Gateway Blvd E
Ste 220
J(915) 598-6628
Hospital Affiliation: Del Sol Camp Lpdsh,
East El Paso Phys Med Ctr Llc, Las Palmas
Camp Lpdsh, Providence Memorial Hospital,
Sierra Medical Center
Clinic Affiliation: Cancer Radiation and
Specialty Cl, Jeanette Tan MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
J - Wheelchair Access
44
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmkpi_n_spec
EL PASO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
EL PASO Cont
RHEUMATOLOGY
SLEEP MEDICINE
Abresch, Robert J, MD
Gender: Male
NPI: 1285628677
1810 Murchinson Dr
Ste 300
J(915) 544-0326
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital
Clinic Affiliation: El Paso Integrated
Physician
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: None
El Paso
RADIATION ONCOLOGY
" Gupta, Anuradha, MD
El Paso
Gender: Female
NPI: 1811939721
1901 Grandview Ave
J(915) 747-4809
NPI: 1811939721
3270 Joe Battle Blvd
Ste 312
J(915) 849-2700
NPI: 1811939721
7848 Gateway Blvd E
J(915) 599-1313
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, El Paso Specialty Hospital Ltd, Las
Palmas Camp Lpdsh, Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Texas Oncology PA
Board Certified Specialties: Radiation
Oncology
" Han, Nyun C, MD
El Paso
Marwah, Rajendra K, MD
Gender: Male
NPI: 1497942734
# 1600 Medical Center Ste 314
J(915) 545-1158
Hospital Affiliation: Las Palmas Camp
Lpdsh, Sierra Medical Center, University
Medical Ctr Of Elpaso
Practice Information: No Patients Under 18
yrs old, Practice includes children
Board Certified Specialties: None
McDanald, Eugene C, MD
Gender: Male
NPI: 1528052859
1810 Murchison Dr
Ste 300
J(915) 544-0326
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Integrated
Physician
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: Internal
Medicine
" Han, Stephanie C, MD
Nadorra, Rosario L, MD
Gender: Female
NPI: 1801880208
1810 Murchison Dr Ste 300
J(915) 544-0326
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Integrated
Physician
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Paso
Pema, Kanchan, MD
Gender: Female
NPI: 1851328850
4801 Alberta Ave
(915) 545-8888
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Internal
Medicine
" Reed, Teresa A, MD
" Smith, Karen D, MD
El Paso
Gender: Female
NPI: 1023064227
1400 George Dieter
Dr Ste 170
J(915) 921-7855
NPI: 1023064227
7825 N Mesa
J(915) 921-7855
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Border Medical Specialists
PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Radiation
Oncology
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Male
NPI: 1154321263
1020 Montana Ave
(915) 533-2500
#
NPI: 1154321263
9999 Kenworthy St
Ste C
(915) 533-2500
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Respiratory Sleep
Cons In
Board Certified Specialties: Pulmonary
Diseases, Sleep Medicine
!
Gender: Female
NPI: 1154317378
3270 Joe Battle Blvd
Ste 185
J(915) 313-7373
Hospital Affiliation: Sierra Medical Center,
Sierra Providence East Med Ctr
Clinic Affiliation: Eastside Rheumatology
PLLC
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Rheumatology
Arends, Ann M, SLP
Gender: Female
NPI: 1477759843
# 9440 Viscount Blvd
Ste 210
J(915) 599-8900
Clinic Affiliation: True Potential PLLC
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
El Paso
Carlson, Staci L, SLP
Gender: Female
NPI: 1679607667
# 406 Chelsea St
(915) 779-7827
Clinic Affiliation: Healthstar Pediatric
Rehab
Board Certified Specialties: None
Diaz, Gonzalo A, MD
Gender: Male
NPI: 1134129240
1770 Airway Blvd
Ste 307
(915) 779-7378
Celis, Vanessa S, SLP
Gender: Female
NPI: 1053592998
12200 Paseo Nuevo Dr
J(915) 771-8523
El Paso
#
NPI: 1053592998
2150 Trawood Dr
Ste A270
(915) 595-5959
#
NPI: 1053592998
4012 Doniphan Dr
J(915) 771-8523
El Pas o
NPI: 1053592998
6028 Surety Dr
J(915) 771-8523
Clinic Affiliation: Omega Rehab Services,
Renovo Speech and Language Servic
Board Certified Specialties: None
NPI: 1134129240
3030 Joe Battle Blvd
J(915) 242-1634
NPI: 1134129240
4305 N Mesa St
Ste B
J(915) 779-7378
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: El Paso Sleep Center Inc,
El Paso Sleep Disorders Centers
Practice Information: Limited to Sleep
Disorders, No Patients Under 16 yrs old
Board Certified Specialties: None
Tan, Jeanette S, MD
Gender: Female
NPI: 1518938810
7812 Gateway Blvd E
Ste 220
J(915) 598-6628
Hospital Affiliation: Del Sol Camp Lpdsh,
East El Paso Phys Med Ctr Llc, Las Palmas
Camp Lpdsh, Providence Memorial Hospital,
Sierra Medical Center
Clinic Affiliation: Jeanette Tan MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: None
El Pas o
El Paso
Aragon, Priscilla, SLP
Gender: Female
NPI: 1518292689
# 1101 E Schuster Ave
J(915) 544-8484
Clinic Affiliation: Paso Del Norte Childrens
Dev Ctr
Board Certified Specialties: None
El Paso
" Cortes, Erasto, MD
El Pas o
El Paso
" Oas, Lute G, MD
El Paso
Gender: Male
NPI: 1013977420
7812 Gateway Blvd E
Ste 120
J(915) 598-3888
Hospital Affiliation: Las Palmas Camp
Lpdsh, Scott And White Memorial Hospital
Clinic Affiliation: Cancer Radiation and
Specialty Cl
Board Certified Specialties: Radiation
Oncology
NPI: 1700843034
2311 N Mesa St Ste E
J(915) 533-8499
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Cardio Pulmonary Assoc
Practice Information: No Patients Over 2
yrs old
Board Certified Specialties:
Cardiovascular Disease, Sleep Medicine
El Paso
El Paso
NPI: 1538169388
7848 Gateway Blvd E
(915) 599-1313
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, Sierra Providence East Med
Ctr
Clinic Affiliation: Texas Oncology PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Radiation
Oncology
Gender: Male
NPI: 1700843034
1440 George Dieter Dr
J(915) 533-8499
El Paso
Gender: Male
NPI: 1134127293
7420 Remcon Cir
Ste A
J(915) 581-6702
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Rio Grande Urology PA
Board Certified Specialties: Radiation
Oncology
Gender: Female
NPI: 1538169388
1901 Grandview Ave
(915) 544-6750
" Alvarez, Sergio R, MD
El Pas o
El Paso
SPEECH PATHOLOGY
Adame, Hector M, SLP
Gender: Male
NPI: 1639496326
# 406 Chelsea St
(915) 779-7827
El Pas o
NPI: 1639496326
424 Executive Center Blvd
Ste 121
(915) 637-9524
Clinic Affiliation: Healthstar Pediatric
Rehab
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
Cormack Aboud, Ailbhe T, SLP
Gender: Female
NPI: 1750676094
# 1101 E Schuster Ave
J(915) 544-8484
Clinic Affiliation: Paso Del Norte Childrens
Dev Ctr
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
El Paso
De La Fuente, Karin H, SLP
Gender: Female
NPI: 1205037744
# 1527 Brown St
Bldg B1
J(915) 500-1875
Clinic Affiliation: El Paso Speech
Language Sv Excell
Practice Information: No Patients Under 1
yrs old
Board Certified Specialties: None
El Paso
De La Rosa, Lily, SLP
Gender: Female
NPI: 1841505948
# 1101 E Schuster Ave
(915) 544-8484
Clinic Affiliation: Paso Del Norte Childrens
Dev Ctr
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
El Paso
Duarte, Sandra, SLP
Gender: Female
NPI: 1477780070
# 1101 E Schuster Ave
(915) 544-8484
Clinic Affiliation: Paso Del Norte Childrens
Dev Ctr
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
El Paso
J - Wheelchair Access
45
EL PASO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 15, 2014
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Lerer, Elisa K, SP
Gender: Female
NPI: 1437279783
# 1101 E Schuster Ave
J(915) 544-8484
Clinic Affiliation: Paso Del Norte Childrens
Dev Ctr
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
Maynard, Margaret E, SP
Gender: Female
NPI: 1770501504
12200 Paseo Nuevo Dr
J(915) 771-8523
El Paso
EL PASO Cont
SPEECH PATHOLOGY Cont
Garcia, Patricia A, SLP
Gender: Female
NPI: 1073741492
# 1101 E Schuster Ave
J(915) 544-8484
Clinic Affiliation: Paso Del Norte Childrens
Dev Ctr
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
El Paso
Gonzalez, Elizabeth, SLP
Gender: Female
NPI: 1871835348
# 11351 James Watt Dr
Ste A
J(915) 849-6602
Clinic Affiliation: Therapy Consultants
Board Certified Specialties: None
El Paso
Hayes, Anita L, SLP
Gender: Female
NPI: 1316107956
# 12200 Paseo Nuevo Dr
J(915) 342-3399
(915) 771-8523
NPI: 1316107956
6028 Surety Dr
(915) 771-8523
Clinic Affiliation: Kidworks Therapy Inc,
Omega Rehab Services
Practice Information: No Patients Over 21
yrs old, No Patients Under 1 yrs old
Board Certified Specialties: None
Hazelton, Laura, SLP
Gender: Female
NPI: 1841310034
# 1101 E Schuster Ave
J(915) 544-8484
Clinic Affiliation: Paso Del Norte Childrens
Dev Ctr
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
El Paso
Healy, Alline, SP
Gender: Female
NPI: 1780704965
# 1101 E Schuster Ave
J(915) 544-8484
Clinic Affiliation: Paso Del Norte Childrens
Dev Ctr
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
El Paso
Hernandez, Yolanda R, SP
Gender: Female
NPI: 1861713158
831 Pendale Rd
(915) 598-6816
Clinic Affiliation: Speech Communication
Therapies In
Board Certified Specialties: None
El Paso
Hickey, Morgan L, SLP
Gender: Female
NPI: 1932494184
# 1101 E Schuster Ave
J(915) 544-8484
Clinic Affiliation: Paso Del Norte Childrens
Dev Ctr
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
El Paso
NPI: 1770501504
6028 Surety Dr
J(915) 771-8523
Clinic Affiliation: Omega Rehab Services
Practice Information: Practice includes
children
Board Certified Specialties: None
Licon, Marco A, SLP
Gender: Male
NPI: 1598088213
12200 Paseo Nuevo
J(915) 771-8523
NPI: 1598088213
4012 Doniphan Dr
J(915) 771-8523
Millis, Emma, SP
Gender: Female
NPI: 1710007059
1101 E Schuster Ave
J(915) 544-8484
Clinic Affiliation: Paso Del Norte Childrens
Dev Ctr
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
El Paso
NPI: 1598088213
6028 Surety Dr
J(915) 771-8523
Clinic Affiliation: Omega Rehab Services
Board Certified Specialties: None
Lopez, Jennifer D, SP
Gender: Female
NPI: 1437331675
12200 Paseo Nuevo Dr
J(915) 771-8523
El Paso
Morales, Jennifer L, SLP
Gender: Female
NPI: 1144458050
9440 Viscount Blvd
Ste 210
(915) 599-8900
Clinic Affiliation: True Potential PLLC
Board Certified Specialties: None
El Paso
NPI: 1437331675
4012 Doniphan Dr
J(915) 771-8523
#
NPI: 1437331675
6028 Surety Dr
J(915) 771-8523
Clinic Affiliation: Omega Rehab Services
Board Certified Specialties: None
Navarrete, Sergio R, SLP
Gender: Male
NPI: 1306953070
# 2009 Montana Ave
J(915) 533-1799
Clinic Affiliation: The Center For
Therapeutic Servic
Practice Information: No Patients Over 21
yrs old
Board Certified Specialties: None
El Paso
Majewski, Karen R, SLP
Gender: Female
NPI: 1275760845
# 1101 E Schuster Ave
J(915) 544-8484
Clinic Affiliation: Paso Del Norte Childrens
Dev Ctr
Practice Information: No Patients Over 3
yrs old
Board Certified Specialties: None
El Paso
Rasmussen, Susanne, SLP
Gender: Female
NPI: 1174751291
# 1101 E Schuster Ave
J(915) 544-8484
Clinic Affiliation: Paso Del Norte Childrens
Dev Ctr
Board Certified Specialties: None
El Paso
Marquis Colvard, Clarissa A, SLP
Gender: Female
NPI: 1558365338
1900 N Oregon St Ste 420
J(915) 533-1388
Practice Information: Practice includes
children
Board Certified Specialties: None
El Paso
Rivera, Audrey F, SLP
Gender: Female
NPI: 1578697561
# 406 Chelsea St
J(915) 779-7827
Clinic Affiliation: Healthstar Pediatric
Rehab
Board Certified Specialties: None
El Paso
Martinez, Armida, SLP
Gender: Female
NPI: 1982940656
12200 Paseo Nuevo Dr
J(915) 771-8523
El Paso
#
#
Robertson, Christina D, SLP
Gender: Female
NPI: 1679867279
# 11351 James Watt Dr
Ste A
(915) 849-6602
Clinic Affiliation: Therapy Consultants
Board Certified Specialties: None
El Paso
NPI: 1982940656
4012 Doniphan Dr
J(915) 771-8523
NPI: 1982940656
6028 Surety
J(915) 771-8523
Clinic Affiliation: Omega Rehab Services
Board Certified Specialties: None
Rodriguez, Rosa I, SLP
Gender: Female
NPI: 1073677449
12200 Paseo Nuevo Dr
J(915) 771-8523
El Paso
#
NPI: 1356470165
4012 Doniphan Dr
J(915) 771-8523
NPI: 1356470165
6028 Surety Dr
J(915) 771-8523
Clinic Affiliation: Omega Rehab Services
Board Certified Specialties: None
#
Sykes, Andrea B, SLP
Gender: Female
NPI: 1902242266
# 11351 James Watt
Ste A
J(915) 849-6602
Clinic Affiliation: Therapy Consultants
Board Certified Specialties: None
El Pas o
Villegas, Valerie E, SLP
Gender: Female
NPI: 1932542677
# 11351 James Watt Dr
Ste A
J(915) 849-6602
Clinic Affiliation: Therapy Consultants
Board Certified Specialties: None
El Pas o
SPORTS MEDICINE
Garcia, Angel J, MD
Gender: Male
NPI: 1801058177
1600 N Lee Trevino Dr
Ste D3
(915) 493-6646
Hospital Affiliation: Sierra Medical Center,
Sierra Providence East Med Ctr
Clinic Affiliation: El Paso Center For Family
and Spo
Board Certified Specialties: Family
Practice
El Pas o
Pallis, Mark P, DO
Gender: Male
NPI: 1538219712
4801 Alberta Ave
J(915) 545-6752
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Orthopedic
Surgery
El Pas o
Provencio Jr, Mauro, MD
Gender: Male
NPI: 1952560682
3270 Joe Battle Blvd
Ste 150
J(915) 504-6955
Clinic Affiliation: Sun City Sports Medicine
and Fami
Board Certified Specialties: Family
Practice
El Pas o
THERAPEUTIC OPTOMETRY
Alvarez, Lilia B, OD
Gender: Female
NPI: 1568564888
5920 Cromo Dr
(915) 532-3697
El Pas o
NPI: 1568564888
6336 Edgemere Blvd
J(915) 594-8082
Clinic Affiliation: Sun Eye Care PA
Practice Information: No Patients Under 3
yrs old
Board Certified Specialties: None
NPI: 1073677449
4012 Doniphan Dr
J(915) 771-8523
NPI: 1073677449
6028 Surety Dr
J(915) 771-8523
Clinic Affiliation: Omega Rehab Services
Board Certified Specialties: None
Lara, Patricia, SLP
Gender: Female
NPI: 1689848640
# 1851 Trawood Dr Ste A
J(915) 256-6309
Board Certified Specialties: None
El Paso
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Rodriguez Jr, Jose A, SLP
Gender: Male
NPI: 1356470165
12200 Paseo Nuevo Dr
J(915) 771-8523
El Pas o
NPI: 1770501504
4012 Doniphan Dr
J(915) 771-8523
El Paso
El Paso
NPI: 1316107956
4012 Doniphan Dr
(915) 771-8523
El Paso
Anderson, Heath L, OD
Gender: Male
NPI: 1659420289
1240 Lomaland Dr
J(915) 591-4441
Clinic Affiliation: Doka David S MD
Board Certified Specialties: None
El Pas o
J - Wheelchair Access
46
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmkpi_n_spec
EL PASO
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Falknor, Larry W, OD
Gender: Male
NPI: 1891798534
# 1325 George Dieter Dr
Ste I2
J(915) 591-8800
McMahon, Louis M, OD
Gender: Male
NPI: 1114919701
# 9513 Viscount Blvd
Ste B
J(915) 590-9977
Clinic Affiliation: Eyeworld
Practice Information: No Patients Under 5
yrs old
Board Certified Specialties: None
El Paso
EL PASO Cont
THERAPEUTIC OPTOMETRY Cont
Blair, Terry B, OD
Gender: Male
NPI: 1063402063
# 3800 N Mesa St
Ste B1
J(915) 533-1811
Clinic Affiliation: University Vision Centre
Practice Information: No Patients Under 5
yrs old
Board Certified Specialties: None
El Paso
Buck, Victor R, OD
Gender: Male
NPI: 1770546079
1030 N Zaragoza Rd
Ste Y
J(915) 545-2333
NPI: 1891798534
2222 Montana Ave
J(915) 544-6700
#
Dzubey, Kenneth C, OD
Gender: Male
NPI: 1730172206
# 5959 Gateway Blvd W
Ste 244
J(915) 779-0676
Clinic Affiliation: Dzubey Kenneth C OD
Board Certified Specialties: None
El Paso
Ellis II, John L, OD
Gender: Male
NPI: 1417947417
# 3800 N Mesa St
Ste B1
J(915) 533-1811
Clinic Affiliation: University Vision Centre
Practice Information: No Patients Under 5
yrs old
Board Certified Specialties: None
El Paso
Ellsesser, Anna M, OD
Gender: Female
NPI: 1124104690
# 1325 George Dieter
Ste I- 2
(915) 591-8800
El Paso
NPI: 1124104690
7401 N Mesa
Ste K
(915) 587-9400
Clinic Affiliation: Envision Eyecare
Board Certified Specialties: None
Falknor, Kenneth R, OD
Gender: Male
NPI: 1073516910
# 1325 George Dieter Dr
Ste I2
J(915) 591-8800
El Paso
#
#
NPI: 1073516910
2222 Montana
J(915) 544-6700
NPI: 1073516910
7401 N Mesa St
Ste K
J(915) 587-9400
Clinic Affiliation: Envision Eyecare
Practice Information: Practice includes
children
Board Certified Specialties: None
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Nguyen, Anthony, OD
Gender: Male
NPI: 1114357597
# 655 Sunland Park Dr
Ste E 1B
(915) 242-0682
Clinic Affiliation: Isee Clarity LLC
Board Certified Specialties: None
Favela Jr, Samuel, OD
Gender: Male
NPI: 1245391754
1810 Murchison Dr Ste 300
J(915) 544-0326
El Paso
" Santoscoy, Robert, MD
El Paso
Gender: Male
NPI: 1467455022
1600 Medical Center Dr
Ste 212
J(915) 532-3977
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: El Paso Southwestern
Cardiovascular Assoc
Board Certified Specialties: Thoracic
Surgery
Nguyen, Phuong, OD
Gender: Male
NPI: 1689703878
# 4775 Loma Del Sur
J(915) 821-6800
Clinic Affiliation: P Nguyen and K Holt OD
PC
Practice Information: No Patients Under 5
yrs old
Board Certified Specialties: None
Nguyen, Quyen C, OD
Gender: Male
NPI: 1700842739
# 8401 Gateway Blvd W
J(915) 775-4916
Practice Information: No Patients Under 1
yrs old
Board Certified Specialties: None
El Pas o
Garner, Ammon D, OD
Gender: Male
NPI: 1881958619
# 3800 N Mesa St
Ste B1
J(915) 533-1811
Clinic Affiliation: University Vision Centre
Board Certified Specialties: None
El Paso
Nitardy, Jon J, OD
Gender: Male
NPI: 1720064579
# 750 Sunland Park Dr G1
J(915) 585-1928
Board Certified Specialties: None
El Pas o
Goff, Kathleen E, OD
Gender: Female
NPI: 1144223058
# 1325 George Dieter Dr
Ste I2
J(915) 591-8800
El Paso
OTO, Candace N, OD
Gender: Female
NPI: 1356653836
1400 Common Dr
(915) 595-4375
Clinic Affiliation: Southwest Eye Institute
Board Certified Specialties: None
Zamora, Jose L, MD
Gender: Male
NPI: 1396776167
# 121 E Redd Rd
J(915) 584-8882
Hospital Affiliation: Christus Spohn
Hospital Alice, Christus Spohn Hospital
Kleberg, East El Paso Phys Med Ctr Llc,
Harlingen Medical Center Lp, Valley Baptist
Medical Center
Clinic Affiliation: Zamora Jose L MD
Board Certified Specialties: None
El Paso
URGENT CARE PROVIDER
El Pas o
NPI: 1144223058
2222 Montana Ave
J(915) 544-6700
NPI: 1144223058
7401 N Mesa St Ste K
J(915) 587-9400
Clinic Affiliation: Envision Eyecare
Practice Information: Practice includes
children
Board Certified Specialties: None
#
Gender: Male
NPI: 1417950114
1600 Medical Center
Dr Ste 212
J(915) 532-3977
Hospital Affiliation: Del Sol Camp Lpdsh,
East El Paso Phys Med Ctr Llc, Las Palmas
Camp Lpdsh, Providence Memorial Hospital,
Sierra Medical Center, University Medical Ctr
Of Elpaso
Clinic Affiliation: El Paso Southwestern
Cardiovascular Assoc
Board Certified Specialties: Thoracic
Surgery
El Pas o
NPI: 1245391754
8815 Dyer St Ste 140
J(915) 751-7302
Clinic Affiliation: El Paso Integrated
Physician
Practice Information: No Patients Under 5
yrs old
Board Certified Specialties: None
#
" Kidd, Joseph N, MD
El Paso
El Pas o
NPI: 1891798534
7401 N Mesa St Ste K
J(915) 587-9400
Clinic Affiliation: Envision Eyecare
Board Certified Specialties: None
#
El Paso
NPI: 1770546079
4171 N Mesa St
Ste 100 Bldg D
J(915) 545-2333
Clinic Affiliation: The Cataract Glaucoma
Refractive Surgery Center
Practice Information: No Patients Under 15
yrs old
Board Certified Specialties: None
El Pas o
Pholvichitr, Paul P, OD
Gender: Male
NPI: 1700835782
# 1509 N Zaragoza Rd
J(915) 779-7355
Practice Information: No Patients Under 6
yrs old
Board Certified Specialties: None
Lyman, David M, MD
Gender: Male
NPI: 1033238522
! 1610 N Zaragosa Rd
Ste D1
J(915) 593-1862
El Paso
El Pas o
Holt, Kerry, OD
Gender: Male
NPI: 1699835637
# 4775 Loma Del Sur
J(915) 821-6800
Clinic Affiliation: P Nguyen and K Holt OD
PC
Practice Information: No Patients Under 5
yrs old
Board Certified Specialties: None
El Paso
Purdy, Stephen, OD
Gender: Male
NPI: 1588951669
# 1400 Common Dr
J(915) 595-4375
Clinic Affiliation: Southwest Eye Institute
Board Certified Specialties: None
El Pas o
Maldonado, Michael F, OD
Gender: Male
NPI: 1437333929
4800 Alberta Ave
(915) 545-8888
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: None
Ramirez, Monica V, OD
Gender: Female
NPI: 1417114356
1300 Murchison Dr
Ste 140
(915) 630-6463
Clinic Affiliation: Buena Vista Eyecare
PLLC
Board Certified Specialties: None
El Paso
!
UROLOGY
" Annabi, Hani M, MD
El Paso
Gender: Male
NPI: 1700819927
615 E Schuster Ave
Ste 7
J(915) 544-6657
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Practice Information: No Patients Under 16
yrs old
Board Certified Specialties: Urology
El Pas o
Martinez, Gabriel, OD
Gender: Male
NPI: 1891984076
# 1821 N Zaragosa Rd
Ste 208B
J(915) 857-3937
Clinic Affiliation: El Paso Eyeworks
Board Certified Specialties: None
El Paso
THORACIC SURGERY
" Flores, Hector A, MD
NPI: 1033238522
6320 Gateway Blvd E
J(915) 772-2111
Clinic Affiliation: Concentra Urgent Care
Board Certified Specialties: None
" Bagg, Michael D, MD
El Paso
Gender: Male
NPI: 1881641967
1400 George Dieter Dr
Ste 130
J(915) 592-7400
El Pas o
Gender: Male
NPI: 1972784247
1600 Medical Center Dr
Ste 212
J(915) 532-3977
Clinic Affiliation: El Paso Southwestern
Cardiovascular Assoc
Board Certified Specialties: Thoracic
Surgery
NPI: 1881641967
2201 N Stanton St
J(915) 533-0800
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Rio Grande Urology PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Urology
J - Wheelchair Access
47
EL PASO
Independent Provider Network (IPN)
bmk_pin_spec
OCTOBER 15, 2014
Specialists
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Piriyawat, Paisith, MD
Gender: Male
NPI: 1023033834
4615 Alameda Ave
(915) 215-5900
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Neurology
" Spier, Jeffrey M, MD
El Paso
EL PASO Cont
UROLOGY Cont
" Davalos, Mauricio, MD
El Paso
Gender: Male
NPI: 1114179678
10175 Gateway Blvd
W Ste 320
J(915) 225-2456
NPI: 1114179678
10175 Gateway Blvd W
Ste 320
(915) 225-2451
Hospital Affiliation: Las Palmas Camp
Lpdsh
Clinic Affiliation: Advanced Urology of El
Paso PA, Rio Grande Urology PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Urology
NPI: 1033222906
7420 Remcon Cir
Ste A
J(915) 532-8823
Hospital Affiliation: El Paso Day Surgery
Llc, Las Palmas Camp Lpdsh, Providence
Memorial Hospital, Sierra Medical Center,
Sierra Providence East Med Ctr
Clinic Affiliation: Rio Grande Urology PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Urology
Gender: Male
NPI: 1861448987
1400 George Dieter Dr
Ste 130
J(915) 592-7400
Portugal, Elizabeth A, APN
Gender: Female
NPI: 1699879981
101 Potasio
J(915) 532-5454
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties: None
Fabens
Gender: Male
NPI: 1659312676
10400 Vista Del Sol Dr
Ste 204
J(915) 598-1005
Hospital Affiliation: Del Sol Camp Lpdsh,
Las Palmas Camp Lpdsh, Providence
Memorial Hospital, Sierra Medical Center,
University Medical Ctr Of Elpaso
Clinic Affiliation: Murray M Vann MD
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Urology
FAMILY PRACTICE
" Urquidi, Ulysses J, MD
Fabens
Gender: Male
NPI: 1245288109
600 Fourth St NE
J(915) 765-5119
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: Gamut Medical Group PA
Board Certified Specialties: Family
Practice
" Voglewede, Daniel C, MD
El Paso
Gender: Male
NPI: 1588636633
1400 George Dieter Dr
Ste 130
J(915) 592-7400
NPI: 1588636633
7420 Remcon Cir
Ste A
J(915) 532-8823
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Rio Grande Urology PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Urology
" Lozano, Javier E, MD
El Paso
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
Gender: Female
NPI: 1295039436
101 Potassio
(915) 790-5700
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties: Anp/Cert/Clnp
" Vann, Murray M, MD
" Latiff, Guillermo A, MD
Gender: Male
NPI: 1447218409
10175 Gateway Blvd W
Ste 130
(915) 225-2456
Clinic Affiliation: Rio Grande Urology PA
Board Certified Specialties: Urology
" Calderon, Michelle L, APN
El Paso
El Paso
" Sebesta, Michael J, MD
ANP/CERT/CLNP
Fabens
" Garduno, Abel, MD
El Paso
FABENS
NPI: 1861448987
2201 N Stanton St
J(915) 533-0800
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Rio Grande Urology PA
Practice Information: No Patients Under 17
yrs old
Board Certified Specialties: Urology
El Paso
Gender: Male
NPI: 1619949757
7420 Remcon Cir
Ste A
J(915) 532-8823
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, Las Palmas Camp Lpdsh,
Providence Memorial Hospital, Sierra
Medical Center, Sierra Providence East Med
Ctr
Clinic Affiliation: Rio Grande Urology PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Urology
Cook, Patrick R, DO
Gender: Male
NPI: 1215185244
1111 Hawkins Blvd
Ste 2A
(915) 771-8346
Clinic Affiliation: Joseph B Furlong MD
Board Certified Specialties: None
El Paso
" Taber, Jeffrey E, MD
Eisenberg, Lauren N, DO
Gender: Female
NPI: 1053511279
7420 Remcon Cir
Ste A
J(915) 532-8823
Hospital Affiliation: Providence Memorial
Hospital, Sierra Medical Center
Clinic Affiliation: Rio Grande Urology PA
Board Certified Specialties: None
Gender: Male
NPI: 1780656843
7420 Remcon Cir
Ste A
J(915) 532-8823
Hospital Affiliation: East El Paso Phys Med
Ctr Llc, El Paso Day Surgery Llc, Las Palmas
Camp Lpdsh, Providence Memorial Hospital,
Sierra Medical Center, Sierra Providence
East Med Ctr
Clinic Affiliation: Rio Grande Urology PA
Practice Information: No Patients Over 18
yrs old
Board Certified Specialties: Urology
VASCULAR SURGERY
El Paso
El Paso
Gender: Male
NPI: 1457323883
2201 N Stanton St
J(915) 533-0800
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: Rio Grande Urology PA
Practice Information: No Patients Under 18
yrs old
Board Certified Specialties: Urology
El Paso
Gender: Male
NPI: 1033222906
1400 George Dieter Dr
Ste 130
J(915) 592-7400
OBSTETRICS-GYNECOLOGY
" Manting, Michele A, MD
Fabens
Gender: Female
NPI: 1982713079
101 Potasio
(915) 532-5454
Hospital Affiliation: University Medical Ctr
Of Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Board Certified Specialties:
Obstetrics-Gynecology
VASCULAR NEUROLOGY
Maud, Alberto, MD
Gender: Male
NPI: 1740472331
4800 Alberta Ave
(915) 645-6830
Hospital Affiliation: El Paso
ChildrensHospitalCorp', University Medical
Ctr Of Elpaso
Clinic Affiliation: Texas Tech University
Health Scie
Board Certified Specialties: Neurology
El Paso
" Murtaza, Ghulam, MD
Fabens
Gender: Male
NPI: 1003814310
101 Potasio Dr
(915) 532-5454
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center, University Medical Ctr Of
Elpaso
Clinic Affiliation: University Med Ctr of El
Paso
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties:
Obstetrics-Gynecology
HORIZON CITY
OBSTETRICS-GYNECOLOGY
Novoa Jr, Julio C, MD
Gender: Male
NPI: 1164413803
# 14505 Horizon Blvd
J(915) 852-7026
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: First Choice OB/GYN
Assoc PA
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties: None
Horizon City
Pitre, Clarence A, MD
Gender: Male
NPI: 1821174897
14505 Horizon Blvd
Ste C
J(915) 852-7142
Hospital Affiliation: Las Palmas Camp
Lpdsh, Providence Memorial Hospital, Sierra
Medical Center
Clinic Affiliation: Tony Pitre MD
Practice Information: No Patients Under 12
yrs old
Board Certified Specialties: None
Horizon City
PEDIATRIC HEMATOLOGY-ONCOLOGY
Moazam, Mustafa M, MD
Gender: Male
NPI: 1306987474
14470 Horizon Blvd
Ste J
(915) 577-6889
Hospital Affiliation: Providence Memorial
Hospital
Clinic Affiliation: Moazam PA
Board Certified Specialties: None
Horizon City
SAN ELIZARIO
ANP/CERT/CLNP
Orozco, Elizabeth, APN
Gender: Female
NPI: 1952537169
13017 Perico
J(915) 851-0999
Clinic Affiliation: Centro San Vicente
Board Certified Specialties: None
San Elizario
SOCORRO
PHYSICAL THERAPY
Armendariz, Albert, LPT
Gender: Male
NPI: 1427107515
# 10760 N Loop Dr
Ste C2
J(915) 872-9333
Clinic Affiliation: El Paso Therapy Services
East
Board Certified Specialties: None
Socorro
Armendariz, Soledad, LPT
Gender: Female
NPI: 1124176458
# 10760 N Loop Dr
Ste C2
J(915) 872-9333
Clinic Affiliation: El Paso Therapy Services
East
Board Certified Specialties: None
Socorro
Gonzalez, Lilia A, LPT
Gender: Female
NPI: 1154690139
# 10760 N Loop Dr
Ste C2
J(915) 872-9333
Clinic Affiliation: El Paso Therapy Services
East
Board Certified Specialties: None
Socorro
J - Wheelchair Access
48
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmkpi_n_spec
Specialists
SOCORRO
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
SOCORRO Cont
PHYSICAL THERAPY Cont
Marin, Rodolfo, LPT
Gender: Male
NPI: 1205985231
# 10760 N Loop Dr
Ste C2
J(915) 872-9333
Clinic Affiliation: El Paso Therapy Services
East
Board Certified Specialties: None
Socorro
Moeller, Amanda P, LPT
Gender: Female
NPI: 1134278146
# 10760 N Loop Dr
Ste C2
J(915) 872-9333
Clinic Affiliation: El Paso Therapy Services
East
Board Certified Specialties: None
Socorro
! - Accepting Existing Patients Only
" - Board Certified In Listed Specialty
#- Extended Office Hours
J - Wheelchair Access
49
CANUTILLO
Independent Provider Network (IPN)
bmk_pin_sasp
OCTOBER 15, 2014
Supervised and Sponsored Providers
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
INDEPENDENT
O
ctober 15, 2014PROVIDER NETW ORK ( IPN)
Dacus, Roberta A, APN
2400 Trawood Dr
Ste 100
(915) 577-6000
PHYSICIAN ASSISTANT
Bacchus, Haseena F, PA
7200 Doniphan Dr
(915) 877-9010
Canutillo
Duran, Ana M, PA
7200 Doniphan Dr
J (915) 877-9010
Jacquez, Maria E, APN
6065 Montana Ave
Ste A Z
(915) 771-7200
El Paso
CANUTILLO
El Paso
9311 Diana Dr
(915) 771-7200
10470 Vista Del Sol Dr
Ste 100
(915) 591-2080
J
ANP/CERT/CLNP
Dizzine, Amanda J, APN
4843 Alameda Ave
J (915) 298-5444
Acosta, Astrid, APN
2260 Trawood Dr
J (915) 591-4436
Alarcon, Maria T, APN
501 N Yarbrough Dr
(915) 595-1844
El Paso
Anaya, Gerardo, APN
5021 Crossroads
J (915) 585-0109
El Paso
Jacquez, Vicente, APN
2400 Trawood Dr
Ste 100
(800) 355-0808
Dominguez, Guadalupe, APN
4801 Alberta Ave
(915) 545-6560
Johnson, Cara R, APN
8061 Alameda Ave
(915) 859-7545
El Paso
Espinosa, Ivonne, APN
8061 Alameda Ave
J (915) 859-7545
El Paso
Jones, Daphne M, APN
300 S Zaragoza Rd
J (915) 790-5700
El Paso
Faner, Maria L, APN
10965 Ben Crenshaw
Blg 1
J (915) 594-4000
El Paso
Karr, Lisa D, APN
2400 Trawood Dr
Ste 100
(915) 577-6000
El Paso
Farness, Judy L, APN
11525 Vista Del Sol
(915) 855-3636
El Paso
Armendariz, Maritza R, APN
2400 Trawood Dr
Ste 100
(915) 577-6000
El Paso
Law, Patricia A, APN
8061 Alameda Ave
J (915) 859-7545
El Paso
Farrington, Valerie J, APN
10965 Ben Crenshaw
Bldg 1
(915) 594-4400
El Paso
Banda, Claudette M, APN
4801 Alberta Ave
(915) 215-5000
El Paso
Leyva, Louie, APN
1470 George Dieter Dr
Ste F
(915) 599-9993
Fiske, Haydee, APN
3215 Gateway Blvd W
(915) 598-7246
2400 Trawood Dr
Ste 100
(915) 577-6000
Bermudez, Raquel, APN
8061 Alameda Ave
(915) 859-7545
El Paso
Blanco, Christina, APN
8061 Alameda Ave
J (915) 859-7545
1324 N Yarbrough Dr
(915) 598-7246
J
Camacho, Arlette Y, APN
7420 Remcon Cir
Ste A
J (915) 532-8823
El Paso
Canada, Linda R, APN
8061 Alameda Ave
J (915) 859-7545
El Paso
Candelaria, Bilha A, APN
500 E San Antonio Ave
(915) 790-5700
Gomez, Maria S, APN
2260 Trawood Dr
(915) 591-4632
Castrellon, Demetria A, APN
1700 Curie Dr
Ste 4800
J (915) 351-7000
El Paso
Chavez, Sylvia, APN
300 S Zaragoza
(915) 790-5700
El Paso
J
Malone, Veronica A, APN
4800 Alberta Ave
(915) 545-8888
El Paso
3215 Gateway Blvd W
(915) 598-7246
Marquez, Laura, APN
8061 Alameda Ave
(915) 859-7545
El Paso
Harps, Patricia L, APN
4824 Alberta Ave
Ste 207
J (915) 521-7731
El Paso
Martinez, Mabel R, APN
7430 Remcon Cir
Bldg B
(915) 581-0357
El Paso
Hernandez, Terry L, APN
2400 Trawood Dr
Ste 100
(915) 577-6000
El Paso
Meza, Hugo A, APN
2311 N Mesa
J (915) 544-1533
Herrera, Laura, APN
1700 Curie Dr
Ste 4300
(915) 544-4500
J
J
300 S Zaragoza Rd
(915) 790-5700
Padilla, Maria I, APN
1651 Joe Battle Blvd
J (915) 849-9010
El Pas o
Pagan, Maria L, APN
10400 Vista Del Sol
Ste 204
(915) 598-1005
El Pas o
Paz, Christina I, APN
8061 Alameda Ave
(915) 859-7545
El Pas o
J
Peebles, Taron T, APN
4305 N Mesa St
Ste A
J (915) 532-2477
El Pas o
J
1865 N Lee Trevino Dr
(915) 590-1994
J
9999 Kenworthy St
Ste B
(915) 757-6280
Pereira Wookee, Lisa, APN
7430 Remcon Cir
Bldg B
(915) 581-0357
El Pas o
Pimentel, Elizabeth A, APN
4800 Alberta Ave
(915) 545-8888
El Pas o
Portugal, Elizabeth A, APN
4824 Alberta Ave
Ste 403
J (915) 521-7886
El Pas o
J
300 S Zaragoza Rd
Bldg B
(915) 532-5454
J
5021 Crossroads Dr
(915) 532-5454
J
1485 George Dieter Dr
Ste 107
(915) 532-5454
J
2022 Murchinson Dr
Ste 108
(915) 532-5454
J
9839 Kenworthy St
(915) 532-5454
El Paso
El Paso
4824 Alberta Ave
Ste 207
(915) 521-7731
Ozuna, Linda, APN
2260 Trawood Dr
J (915) 591-4632
El Pas o
Lozano, Rachel M, APN
2260 Trawood Dr
(915) 591-4632
Gonzalez III, Alvaro G, APN
1725 Brown St
(915) 590-2225
Carcoba, Dora M, APN
101 Rim Rd
Ste 300
(915) 532-4542
Osborn, Susan M, APN
1600 Medical Center Dr
Ste 101
J (915) 544-1350
El Pas o
El Paso
El Paso
El Paso
Castaneda, Kayla E, APN
4801 Alberta Ave
(915) 545-6611
Loya, Nasla V, APN
3215 Gateway Blvd W
J (915) 598-7246
Gonzalez, Nydia, APN
4774 Loma Del Sur
(915) 751-7773
J
J
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
7420 Remcon Cir
Ste A
(915) 532-8823
Lopez, Lirio E, APN
9870 Gateway Blvd N
Ste B7
(915) 751-5245
Gill, Shirlina L, APN
14505 Horizon Blvd
J (915) 852-4089
El Paso
El Paso
Bohlmann, Vilma F, APN
300 S Zaragoza Rd
(915) 790-5700
Lindsay, Alejandrina, APN
4824 Alberta Ave
Ste 207
J (915) 521-7731
El Paso
Ortiz, Jessica H, APN
4824 Alberta Ave
(915) 521-7731
El Pas o
El Paso
El Paso
Batista, Christopher A, APN
1810 Murchison Dr
Ste 300
J (915) 544-0326
El Paso
181 Gus Rallis Dr
(915) 242-0339
El Paso
El Paso
El Paso
Ortiz, Carlos, APN
1512 Zaragoza
Ste A1
(915) 855-7700
El Pas o
1015 N Zaragoza Rd
(915) 771-7200
El Paso
EL PASO
Olivas, Cecilia A, APN
4800 Alberta Ave
(915) 545-8888
El Pas o
3022 Trawood Dr
(915) 771-7200
Davis, Nicole E, APN
4501 N Mesa Ave
J (915) 591-2080
El Paso
Canutillo
Neumann, Emily A, APN
300 S Zaragoza Rd
J (915) 790-5700
El Pas o
Miller Shultz, Marilyn D, APN
2400 Trawood Dr
Ste 100
(915) 577-6000
El Paso
Mosier, Karina P, APN
1600 N Oregon St
J (915) 532-2445
El Paso
Myers, Debra A, APN
1400 N Zaragoza Rd
Ste B
J (915) 856-5155
El Paso
Jacobs, Michael J, APN
14505 Horizon Blvd
(915) 852-4089
El Paso
Natividad, Lorena, APN
300 S Zaragoza Rd
J (915) 521-7731
El Paso
2400 Trawood Dr
Ste 100
(915) 577-6000
Natividad Jr, Pedro, APN
9999 Kenworthy
Ste A
(915) 751-7773
El Paso
1700 Cliff Bldg A
Ste 200
(915) 577-9009
Rincones, Cheyenne C, APN
9849 Kenworthy
J (915) 215-5500
El Pas o
Rodriguez, Hector L, APN
9849 Kenworthy
J (915) 757-3178
El Pas o
Rojas, Maria G, APN
2260 Trawood Dr
(915) 591-4436
El Pas o
J - Wheelchair Access
50
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmkpi_n_sasp
VINTON
Supervised and Sponsored Providers
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
Villarreal, Vivian G, APN
2400 Trawood Dr
Ste 100
(915) 577-6000
Law, Barbara C, PA
4845 Alameda Ave
(915) 298-5444
El Paso
EL PASO Cont
ANP/CERT/CLNP Cont
Romero, Belinda E, APN
4824 Alberta Ave
Ste 403
J (915) 521-7854
El Paso
Romero, Roberta A, APN
4800 Alberta Ave
(915) 545-8888
El Paso
Rose, Marta K, APN
10412 Vista Del Sol Dr
Ste 1B
(915) 593-9300
Zuniga, Julie A, APN
2400 Trawood Dr
Ste 100
(915) 577-6000
PHYSICIAN ASSISTANT
Bacchus, Haseena F, PA
6974 Gateway Blvd E
Ste F
(915) 774-8850
Tagle, James A, APN
4305 N Mesa St
Ste A
(915) 532-2477
4301 N Mesa St
Ste 100
(915) 532-6767
Chavez, Donald X, PA
1600 Medical Center Dr
Ste 212
J (915) 532-3977
Terrazas Ponce, Belen, APN
7420 Remcon Cir
Bldg A
(915) 532-8823
Thomas, Bobbi G, APN
1721 N Lee Trevino Dr
(915) 590-9424
El Paso
J
Tuey, Ruby I, APN
2400 Trawood Dr
Ste 100
(915) 577-6000
El Paso
Vallejo, Daniel C, APN
4801 Alberta Ave
(915) 215-5300
El Paso
Vargas, Ricardo, APN
7430 Remcon Cir
Bldg B
(915) 581-0357
El Paso
Vasquez, Bertha R, APN
4815 Alameda Ave
(915) 544-1200
El Paso
Vela, Mario, APN
4301 N Mesa St
Ste 100
J (915) 532-6767
El Paso
5301 Alameda Ave
(915) 772-5849
Pugao, Irish F, PA
1485 George Dieter
Ste 107
(915) 790-5700
El Pas o
Cosart Banerji, Audra L, PA
4824 Alberta Ave
Ste 207
(915) 521-7731
El Paso
Rincon, Jose L, PA
10412 Vista Del Sol Dr
Ste 1B
(915) 593-9300
El Pas o
4815 Alameda Ave
(915) 521-7737
Dalley, Jeremy, PA
4824 Alberta Ave
Fourth Fl Ste 403
(915) 521-7866
El Paso
Rosser, Sharon L, PA
2400 Trawood Dr
Ste 100
(915) 577-6000
El Pas o
Deter, Dwight M, PA
1201 E Schuster Ave
Bldg 7
(915) 533-5486
El Paso
Short, Tracy A, PA
1201 E Schuster Ave
Bldg 7
(915) 533-5486
El Pas o
Duran, Ana M, PA
8030 N Loop Dr
Bldg C
J (915) 598-3461
El Paso
J
6974 Gateway Blvd E
Ste F
(915) 774-8850
J
6501 N Mesa St
Ste A
(915) 585-6211
El Paso
Patrice, Carty Anna, PA
7920 Doniphan Dr
(915) 886-3399
10420 Montwood Dr
Ste H
(915) 598-2721
El Paso
El Paso
Vinton
6065 Montana Ave
Ste A2
(915) 771-7200
Calderon, Jose L, PA
6211 Edgemere Blvd
Ste 1
J (915) 881-8264
El Paso
VINTON
PHYSICIAN ASSISTANT
1015 N Zaragoza Rd
(915) 598-9494
El Paso
Steele, Sandra, APN
3280 Joe Battle Blvd
(915) 577-6000
Orozco, Elizabeth, APN
13017 Perico
J (915) 851-0999
San Eliz ario
9311 Diana Dr
(915) 751-2448
6501 N Mesa St
Ste A
(915) 585-6211
El Paso
SAN ELIZARIO
ANP/CERT/CLNP
3022 Trawood Dr
(915) 855-8550
8030 N Loop Dr
Bldg C
(915) 598-3461
El Paso
Suarez, Cerena H, APN
7430 Remcon Cir
Bldg B
J (915) 584-0051
Patrice, Carty Anna, PA
6065 Montana Ave
Ste A Z
(915) 771-7200
El Pas o
El Paso
4801 Alberta Ave
(915) 545-6627
2400 Trawood Dr
Ste 100
(915) 577-6000
Paige, Craig V, PA
2400 Trawood Dr
Ste 100
(915) 577-6000
El Pas o
Salinas, Albert, APN
300 S Zaragoza Rd
J (915) 790-5700
Solis, Guillermina R, APN
4930 Osborne St Bldg A
(915) 587-9455
J
Poudel, Bindu, APN
4801 Alberta Ave
(915) 215-5000
El Paso
El Paso
Morron III, Clyde R, PA
1700 Murchison Dr 215
(915) 544-3254
El Pas o
El Paso
Rubio, Lori A, APN
300 S Zaragoza
(915) 790-5700
Sharp, Dayle B, APN
10965 Ben Crenshaw
Bldg 1
(915) 594-4000
J
CERTIFIED NURSE MIDWIFE
El Paso
El Paso
4824 Alberta Ave
Ste 210
(915) 544-1200
El Paso
El Paso
Sanchez, Adriana P, APN
2311 N Mesa
Bldg E
J (915) 533-8499
El Pas o
Silva, Brenda D, PA
8061 Alameda Ave
J (915) 859-7545
El Pas o
Walls, Johnny E, PA
1900 Denver Ave
(915) 544-4000
El Pas o
Yocum, Denise N, PA
1250 E Cliff Dr
Ste 2A
(915) 538-4400
El Pas o
Esquivel, Michael R, PA
1721 N Lee Trevino Dr
J (915) 590-9424
El Paso
4824 Alberta Ave
Ste 207
(915) 521-7731
Gruppo Jr, Leonard Q, PA
2400 Trawood Dr
Ste 100
(915) 577-6000
El Paso
4815 Alameda Ave
(915) 521-7737
FABENS
Gutierrez III, Arturo, PA
7430 Remicon Cir
Bldg B Ste 120
J (915) 581-0712
El Paso
ANP/CERT/CLNP
Calderon, Michelle L, APN
101 Potassio
(915) 790-5700
Fabens
Heins, Todd A, PA
1600 Medical Center Dr
Ste 212
(915) 532-3977
El Paso
Portugal, Elizabeth A, APN
101 Potasio
J (915) 532-5454
Fabens
Hollingsed, Michael J, PA
1600 Medical Center Dr
Ste 212
J (915) 532-3977
El Paso
PHYSICIAN ASSISTANT
Walls, Johnny E, PA
600 NE Fourth St
(915) 765-5119
Fabens
Kristofferson, Ken K, PA
7420 Remcon Circle
Bldg A
(915) 532-8823
El Paso
J - Wheelchair Access
51
EL PASO
Independent Provider Network (IPN)
bmk_pin_hosp
Hospitals
OCTOBER 15, 2014
INDEPENDENT
O
ctober 15, 2014PROVIDER NETW ORK ( IPN)
EL PASO
El Paso
Del Sol Camp Lpdsh
NPI: 1770536120
10301 Gateway Blvd W
(915) 595-9000
East El Paso Phys Med Ctr LLC
NPI: 1487659884
1416 George Dieter
J (915) 598-4240
El Paso
El Paso
El Paso
El Paso Children’s Hospital Corp
NPI: 1558659714
4845 Alameda Ave
(915) 521-7148
El Paso Ltac Hospital
NPI: 1194890103
1221 N Cotton St Third Flr
(915) 496-9687
El Paso Specialty Hospital Ltd
NPI: 1366427130
1755 Curie Dr
Ste A
J (915) 544-3636
El Paso
Kindred Hospital El Paso
NPI: 1013993559
1740 Curie Dr
J (915) 351-9044
El Paso
Las Palmas Camp Lpdsh
NPI: 1770536120
1801 N Oregon St
J (915) 521-1200
El Paso
El Paso
Mesa Hills Specialty Hospital
NPI: 1215937966
2311 N Oregon St
(915) 545-1823
Providence Memorial Hospital
NPI: 1700801909
2001 N Oregon St
J (915) 577-6011
El Paso
Sierra Medical Center
NPI: 1215969787
1625 Medical Center Dr
J (915) 747-4000
El Paso
El Paso
Sierra Providence East Med Ctr
NPI: 1972709970
3280 Joe Battle Blvd
(915) 832-2000
University Medical Ctr of Elpaso
NPI: 1316936990
4815 Alameda Ave
J (915) 544-1200
El Paso
J - Wheelchair Access
52
OCTOBER 15, 2014
Independent Provider Network (IPN)
QUEST
Quest Diagnostics (Quest)
Quest is the exclusive provider of outpatient clinical reference laboratory services for HMO Blue Texas members in the cities listed below. HMO Blue Texas Members and
Participating Providers are required to use participating laboratory facilities. The providers and locations listed in this section are part of
Quest’s network of laboratory facilities and drawing stations. For more information on current listings of Quest facilities and drawing stations,
you may call Quest’s toll-free number at 1-888-277-8772 or access Quest’s website at www.QuestDiagnostics.com/patient.
EL PASO
Ques t
Quest Diagnostics
1810 Murchison Dr Ste 240
(915) 533-3701
NPI: 1790721538
1900 N Oregon St Ste 108
(915) 542-4877
NPI: 1790721538
INDEPENDENT
October
15, 2014PROVIDER NETWO RK (IPN)
Ques t
Quest Diagnostics Clinical Lab In
10470 Vista Del Sol Dr Ste 103
(915) 592-5555
NPI: 1962522201
1831 N Zaragoza Rd
Ste 107
(915) 921-5933
NPI: 1962522201
1900 N Oregon St Ste 108
(915) 542-4877
NPI: 1962522201
4930 Osborne Dr Ste D
(915) 875-0789
NPI: 1962522201
840 E Redd Rd
(915) 760-5053
NPI: 1962522201
Ques t
Re Thomason General Hospital
4815 Alameda Ave
(915) 544-1200
NPI: 1962522201
INDEPENDENT PROVIDER NETWORK (IPN)
53
J - Wheelchair Access
ACQUIRED BRAIN INJURY
Independent Provider Network (IPN)
bmk_pin_ancli
OCTOBER 15, 2014
Ancillary Providers
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
ACQUIRED BRAIN INJURY
EL PASO
Mentis El Paso LLP
NPI: 1013112549
1831 Murchison Dr
Ste C
(915) 351-4441
ACQUIRED BRAIN INJURY
INDEPENDENT
O
ctober 15, 2014PROVIDER NETW ORK ( IPN)
AMBULATORY SURGICAL
CENTER (ASC)
Quest Diagnostics Clinical Lab In (cont.)
NPI: 1962522201
4930 Osborne Dr Ste D
(915) 875-0789
NPI: 1962522201
840 E Redd Rd
(915) 760-5053
East El Paso Surgery Center
NPI: 1205899705
7835 Corral Dr
J (915) 533-8412
El Paso Ctr Gastrointestinal Endo
NPI: 1326114869
1620 N Mesa
(915) 545-5300
AMBULATORY SURGICAL CENTER (ASC)
El Paso Day Surgery LLC
NPI: 1407807050
1300 Murchison Dr
Ste 200
(915) 594-9333
AMBULATORY SURGICAL CENTER (ASC)
Endoscopy Center of El Paso
NPI: 1033181862
1300 Murchison Dr
Ste 180
J (915) 544-5000
AMBULATORY SURGICAL CENTER (ASC)
Paso Del Norte Surgery Center
NPI: 1881678662
125 W Castellano Dr
J (915) 532-8200
AMBULATORY SURGICAL CENTER (ASC)
Surgical Center of El Paso
NPI: 1225091721
1815 North Stanton
J (915) 533-8412
AMBULATORY SURGICAL CENTER (ASC)
Vista Surgery Center LLC
NPI: 1033316765
1400 Common Dr
Ste A
(915) 595-4375
AMBULATORY SURGICAL CENTER (ASC)
CARDIAC CATHETER LAB
EL PASO
El Paso Cardiac Endovascular Ctr
NPI: 1073784070
4301 N Mesa Ste 104
(915) 407-7900
CARDIAC CATHETER LAB
CLINICAL AND ANATOMICAL
LABORATORIES
EL PASO
Quest Diagnostics
NPI: 1790721538
1810 Murchison Dr Ste 240
(915) 533-3701
CLINICAL AND ANATOMICAL LABORATORIES
NPI: 1790721538
1900 N Oregon St Ste 108
(915) 542-4877
Quest Diagnostics Clinical Lab In
NPI: 1962522201
10470 Vista Del Sol Dr Ste 103
(915) 592-5555
CLINICAL AND ANATOMICAL LABORATORIES
NPI: 1962522201
1831 N Zaragoza Rd
Ste 107
(915) 921-5933
NPI: 1962522201
1900 N Oregon St Ste 108
(915) 542-4877
Alpha Home Nurses
NPI: 1437108370
3737 N Mesa Ste A
J (915) 533-7100
HOME HEALT H
Re Thomason General Hospital
NPI: 1962522201
4815 Alameda Ave
(915) 544-1200
CLINICAL AND ANATOMICAL LABORATORIES
Altomar Home Healthcare Inc
NPI: 1891734240
423 Executive Center
Blvd Ste 100
(915) 845-2211
HOME HEALT H
DURABLE MEDICAL
EQUIPMENT
EL PASO
AMBULATORY SURGICAL CENTER (ASC)
Almar Home Health Care Corp
NPI: 1740417336
1155 N Zaragoza Rd
Ste A 103
(915) 858-5000
HOME HEALT H
Always Caring Health Care Services Inc
NPI: 1568577526
4171 N Mesa St
Bldg D Ste 400
J (915) 533-0362
EL PASO
HOME HEALT H
Apria Healthcare Inc
NPI: 1689684128
10737 Gateway W
Ste 340
J (915) 594-8204
DURABLE MEDICAL EQUIPMENT
Armonia Home Health Care Agency
NPI: 1881904860
5732 N Mesa
(915) 584-5272
HOME HEALT H
Byram Healthcare
NPI: 1912952375
Mail Order Supplier
(866) 321-0900
Avida Home Health
NPI: 1912065236
2211 E Missouri Ave
Ste W 101
(915) 532-8432
DURABLE MEDICAL EQUIPMENT
HOME HEALT H
Durable Orthopaedic Supplies L L C
NPI: 1316955693
1720 Murchison
J (915) 532-2228
DURABLE MEDICAL EQUIPMENT
Caprock Home Health Services
NPI: 1588649107
11180 La Quinta
J (915) 598-6522
HOME HEALT H
Edgepark Surgical Supply
NPI: 1609858729
Mail Order Supplier
J (800) 321-0591
DURABLE MEDICAL EQUIPMENT
Desert Star Home Health
NPI: 1649550880
2022 Murchison
Ste 120
(915) 307-2785
HOME HEALT H
KCI USA Inc
NPI: 1447332572
11601 Pellicano Dr
Ste B4
J (800) 275-4524
DURABLE MEDICAL EQUIPMENT
Dignity Home Health
NPI: 1982936316
9301 Breish Ct
(915) 500-5159
HOME HEALT H
Lincare Inc
NPI: 1467469064
5446 N Mesa
Ste B
J (915) 845-2000
DURABLE MEDICAL EQUIPMENT
El Paso Nursing Services Inc
NPI: 1568469989
1800 E Cliff Dr
Ste B
(915) 546-2311
Southwest Home Health
NPI: 1427068980
11601 Pellicano Dr Ste A3
J (915) 591-0900
HOME HEALTH
Tlc Home Healthcare Services Inc
NPI: 1912236670
5959 Gateway W
Ste 250
(915) 772-4852
HOME HEALTH
Urgent Care Home Health Inc
NPI: 1730333519
10048 Suez Dr
(915) 594-8070
HOME HEALTH
Victoria Home Healthcare Inc
NPI: 1962662759
1005 Desierto Seco Dr
(915) 587-5284
HOME HEALTH
Visiting Nurse Association of El Paso Inc
NPI: 1811056807
4171 N Mesa St
Bldg D Ste 500
J (915) 532-0888
HOME HEALTH
Vital Care Home Health Agency
NPI: 1164420980
11204 Montwood
(915) 595-4804
HOME HEALTH
HOME INFUSION THERAPY
EL PASO
Amerita Inc
NPI: 1154548402
7338 Remcon Cir
Ste 300
(915) 613-5580
HOME INFUSION THERAPY
Coram Specialty Infusion Services
NPI: 1861599896
3817 Constitution
Ste 300
J (915) 833-0140
HOME INFUSION THERAPY
HOSPICE
HOME HEALT H
Major Medical Supply
NPI: 1669442471
12025 Rojas Ste C and D
J (888) 772-7295
DURABLE MEDICAL EQUIPMENT
Epic Health Services Inc
NPI: 1760706899
9440 Viscount Blvd
Ste 104
(915) 629-9260
HOME HEALT H
United Seating and Mobility LLC
NPI: 1770891889
1111 Baranca Dr
Ste 700
(915) 591-3130
DURABLE MEDICAL EQUIPMENT
Home Care Unlimited of El Paso
NPI: 1134122450
1160 Airway Blvd
Ste B6
J (915) 757-1373
HOME HEALT H
Uromed Inc
NPI: 1114905163
Mail Order Supplier
(800) 403-9189
DURABLE MEDICAL EQUIPMENT
Nurses Care Home Services
NPI: 1053629279
11351 James Watt
Bldg C Ste 300
(915) 599-9998
HOME HEALT H
HEARING AID SUPPLIER
EL PASO
Outreach Health Services
NPI: 1366518441
10501 Gateway W
Bldg 12 Ste 101
(915) 595-8729
Jack Jones Hearing Centers Inc
NPI: 1134115256
6348 Edgemere Blvd
(915) 774-9987
HOME HEALT H
HEARING AID SUPPLIER
HOME HEALTH
Pasos Home Health Inc
NPI: 1376540963
6028 Surety Dr
Ste B
J (915) 781-2901
HOME HEALT H
CLINT
New Mission Home Care LLC
NPI: 1053449447
12708 Alameda Ave
(915) 851-9200
Quantum Home Care Inc
NPI: 1265544290
6090 Surety Dr
Ste 402
J (915) 771-6160
HOME HEALTH
EL PASO
Cima Hospice of El Paso LP
NPI: 1538105648
6090 Surety Dr
Ste 102
(915) 778-1222
HOSPICE
Global Hospice Care
NPI: 1538384029
1817 Wyoming Ave
(915) 543-6060
HOSPICE
Hospice of El Paso
NPI: 1982686192
1440 Miracle Way
J (915) 532-5699
HOSPICE
La Mariposa Hospice
NPI: 1598797201
1250 E Cliff Dr Ste 5E
J (915) 577-7870
HOSPICE
Odyssey Hospice
NPI: 1194726083
7500 Viscount Ste C83
(915) 778-9058
HOSPICE
Visiting Nurse Association of El Paso Inc
NPI: 1417018466
4171 N Mesa St
Bldg D Ste 500
J (915) 532-0888
HOSPICE
IMAGING CENTER
HOME HEALT H
EL PASO
Rio Grande Home Health
NPI: 1538125752
7717 Lockheed Dr
Ste E
(915) 772-3529
1st Choice Home Health
NPI: 1558599944
11220 Rojas Ste C-4
(915) 855-9333
HOME HEALT H
HOME HEALTH
EL PASO
Desert Imaging Services LP
NPI: 1225137078
122 W Castellano Dr
J (915) 577-0100
IMAGING CENT ER
J - Wheelchair Access
54
OCTOBER 15, 2014
Independent Provider Network (IPN)
bmkpi_n_ancli
URGENT CARE PROVIDER
Ancillary Providers
The providers listed in this section are part of a Limited Provider Network. Please note: If your Primary Care Physician is with a Limited Provider Network, all your medical care must come
from providers who are in the same Limited Provider Network. For more information on Limited Provider Networks, please see the bottom of the Table of Contents of this directory.
IMAGING CENTER Cont
EL PASO Cont
Diagnostic Outpatient Imaging
NPI: 1326082603
6065 Montana Ave Ste A6
J (915) 881-1900
IMAGING CENTER
Hagan Imaging LLC
NPI: 1417941279
1800 N Mesa St
Ste 101
J (915) 544-4624
IMAGING CENTER
Imaging El Paso
NPI: 1629184361
2930 N Stanton St
(915) 545-2273
IMAGING CENTER
Las Palmas Diagnostic Center
NPI: 1770536120
1700 N Oregon St
Ste G40
(915) 521-1180
IMAGING CENTER
Scc Imaging LLC
NPI: 1013224823
3080 Joe Battle Ste B
(915) 313-7325
IMAGING CENTER
Southwest Xray LP
NPI: 1467524231
1720 Murchison
(915) 544-7300
IMAGING CENTER
PROSTHESES, ORTHOTICS
& PEDORTHISTS
EL PASO
Custom Orthotics and Prosthetics
NPI: 1255417929
3901 Montana Ave
Ste C
(915) 566-3440
PROSTHESES, ORTHOTICS & PEDORTHISTS
Hanger Prosthetics Orthotics Inc
NPI: 1407882376
1302 North Stanton
J (915) 532-4444
PROSTHESES, ORTHOTICS & PEDORTHISTS
J
NPI: 1609802578
2267 Trawood Dr
Ste C1
(915) 599-8883
Precision Prosthetic Inc
NPI: 1366585689
1501 E Missouri Ave
(915) 544-2961
PROSTHESES, ORTHOTICS & PEDORTHISTS
Texas Artificial Limbs Lab Inc
NPI: 1134171606
2900 Pershing Dr
Ste D
(915) 562-6100
PROSTHESES, ORTHOTICS & PEDORTHISTS
Total Orthotic & Prosthetic Solutio
NPI: 1063458917
900 E Yandell
(915) 541-8677
PROSTHESES, ORTHOTICS & PEDORTHISTS
Total Orthotic and Prosthetic Sol
NPI: 1326379736
1393 George Dieter Dr
Ste C
(915) 595-0730
PROSTHESES, ORTHOTICS & PEDORTHISTS
Your Image Boutique Inc
NPI: 1922105899
3401 Montana Ave
J (915) 564-5923
REHABILITATION FACILITY
The Montevista At Coronado
NPI: 1649226028
1575 Belvidere St
J (915) 833-3864
SKILLED NURSING FACILITY
EL PASO
White Acres Good Samaritan Retirement
Village
NPI: 1881685162
7304 Good Samaritan Court
J (915) 581-4683
Las Palmas Rehabilitation Hospital
NPI: 1770536120
300 Waymore
J (915) 577-2600
REHABILITATION FACILITY
SKILLED NURSING FACILITY
RENAL DIALYSIS FACILITY
SLEEP STUDIES CENTER
EL PASO
EL PASO
BMA El Paso Cliffview
NPI: 1356453245
1225 E Cliff Dr
Ste 1A
J (915) 532-6411
Sonno Sleep Center
NPI: 1518181684
2311 N Mesa Bldg E
(915) 533-8499
RENAL DIALYSIS FACILITY
SLEEP STUDIES CENTER
URGENT CARE CENTER
BMA El Paso Gateway
NPI: 1578675450
10767 Gateway W
J (915) 599-2891
RENAL DIALYSIS FACILITY
EL PASO
Central City Dialysis
NPI: 1972566040
1310 Murchison Dr
Ste 200
J (915) 533-8503
Concentra Urgent Care
NPI: 1710176524
1610 N Zaragosa Rd
Ste D1
(915) 593-1862
RENAL DIALYSIS FACILITY
URGENT CARE C ENTER
Cielo Vista Dialysis
NPI: 1285697250
7200 Gateway Blvd E
Ste B
J (915) 771-6893
NPI: 1710176524
6320 Gateway Blvd E
(915) 772-2111
RENAL DIALYSIS FACILITY
El Paso Urgent Care Center
NPI: 1962702837
10501 Gateway Blvd W
Ste 105
(915) 307-2371
URGENT CARE C ENTER
El Paso Kidney Center East
NPI: 1083660617
10737 Gateway Blvd W Ste 100
J (915) 590-8334
RENAL DIALYSIS FACILITY
Priority Urgent Care PA
NPI: 1720266968
3080 Joe Battle
(915) 298-3607
FMC Dialysis Services Vista Del Sol
NPI: 1508978495
10420 Vista Del Sol Ste 201
J (915) 592-8496
URGENT CARE C ENTER
RENAL DIALYSIS FACILITY
URGENT CARE PROVIDER
Fresenius Med Care Horizon Dial
NPI: 1922142017
12245 Rojas Dr
(915) 872-0270
RENAL DIALYSIS FACILITY
EL PASO
El Paso Urgent Care Center
NPI: 1962702837
10501 Gateway Blvd W
Ste 105
(915) 307-2371
Loma Vista Dialysis
NPI: 1114980927
1382 A Lomaland Dr
J (915) 591-0834
URGENT CARE PROVIDER
RENAL DIALYSIS FACILITY
Mesa Vista Dialysis
NPI: 1336103514
2400 N Oregon St
Ste C
J (915) 532-5598
RENAL DIALYSIS FACILITY
West Texas Dialysis
NPI: 1538123120
5595 Alameda Ave B
Ste B
J (915) 881-0254
RENAL DIALYSIS FACILITY
SOCORRO
Dsi El Paso South Dialysis
NPI: 1669781738
10651 N Loop Dr
(915) 255-4344
RENAL DIALYSIS FACILITY
SKILLED NURSING FACILITY
EL PASO
PROSTHESES, ORTHOTICS & PEDORTHISTS
RADIATION THERAPY
CENTER
EL PASO
Las Palmas Medical Center
NPI: 1770536120
1801 N Oregon St
J (915) 521-1200
RADIATION THERAPY CENTER
Franklin Heights Nursing & Rehab
NPI: 1386884047
223 S Resler
(915) 584-9417
SKILLED NURSING FACILITY
Nazareth Hall
NPI: 1538114525
4614 Trowbridge
(915) 565-4677
SKILLED NURSING FACILITY
Oasis Nursing and Rehab Center
NPI: 1801036561
9001 N Loop
(915) 584-9417
SKILLED NURSING FACILITY
J - Wheelchair Access
55
Independent Provider Network (IPN)
bmki_pn_sil t
1st Choice Home Health
Abalihi, Carol N, MD
Abbas, Aamer, MD
Abdelgawad, Amr M, MD
Abedin, Moeen, MD
Abedin, Zainul, MD
Aboud, Ambrose, MD
Abresch, Robert J, MD
Acosta, Astrid, APN
Acosta, Jorge, MD
Acosta, Juan G, LPT
Acosta, Patricia R, LPT
Acosta Corrales, Manuel L, MD
Adame, Hector M, SLP
Adame, Lizette, LPT
Adedeji, Adekunle A, MD
Adeniji, Ademola O, LPT
Adzotor, Kwasi, MD
Agarwal, Ajai J, MD
Aguayo Jr, Fred, DC
Aguilar, Oscar M, MD
Aguirre, Diane, OT
Aguirre, Jesus, OT
Agullo, Francisco J, MD
Ajmal, Shajeea, MD
Akinjaiyeju, Akintoluwa A, MD
Akomolafe, Babatunde A, LPT
Alarcon, Maria T, APN
Alcala, Jennifer L, LPT
Alcala, Patricia H, MD
Allen, Anna J, DC
Almar Home Health Care Corp
Alnajjar, Mohammed R, MD
Aloba, Maria C, MD
Alonzo, Jesus, MD
Alost Jr, Thomas E, MD
Alozie, Ogechika K, MD
Alpard, Allan J, MD
Alpern, Louis M, MD
Alpha Home Nurses
Altaher, Ghada H, MD
Altomar Home Healthcare Inc
Alva, Jose D, MD
Alvarez, Dionicio M, MD
Alvarez, Lilia B, OD
Alvarez, Sergio R, MD
Always Caring Health Care Services
Inc
Amadi, Chikezie C, MD
Amakiri, Onyema E, DO
Ambat, Ma Teresa C, MD
Amerita Inc
Anaya, Gerardo, APN
Anchondo, Adolfo N, MD
Anchondo, Ines M, RD
Anderson, Heath L, OD
Anderson, Mikel J, DC
Anderson, Sarah F, LPT
Annabi, Hani M, MD
Annabi, Jeffrey H, MD
Annabi, Michael H, MD
Antony, Suresh J, MD
Antowan, Cenan M, MD
Apria Healthcare Inc
Aragon, Lorenzo B, MD
Aragon, Priscilla, SLP
Arango, Jorge J, MD
Arends, Ann M, SLP
Aristizabal Ortiz, Andres, MD
Armendariz, Albert, LPT
Armendariz, Maritza R, APN
Armendariz, Rafael, DO
Armendariz, Soledad, LPT
Armonia Home Health Care Agency
Aronson, Daniel J, MD
Arroyave, Ana M, MD
Asgharian, Robert B, MD
Asiain, Maria D, MD
Assi, Edward R, DO
Assi, Muneer E, DO
August, Brian J, MD
Avida Home Health
Ayala, Jose Ruben, MD
Azarcon Samonte, Patricia A, MD
Bacchus, Haseena F, PA
Independent
O
ctober 15, 2014Provider Network (IPN)
Bagg, Michael D, MD
Baker, Ronald F, MD
Ballmer, Scotti S, DC
Banda, Claudette M, APN
Barahona, Jose A, MD
Barker, Jerry W, DC
Basar, Irum, MD
Batista, Christopher A, APN
Behrens, Kenyon R, DO
Belbel, Roger J, DO
Belgrave, Genevieve M, MD
Belocura, Jonnalyn R, MD
Beltran, Armando, MD
Beltran, Celina R, MD
Bender, Arianna, MD
Benedict, Justin C, DC
Beniquez Nieves, Enrique, MD
Benitez, Adolfo L, MD
Benson II, Robert W, LPT
Bermudez, Raquel, APN
Blackburn, Arthur B, MD
Blair, Terry B, OD
Blanc, Oscar, MD
Blancas, Moses I, LPT
Blanco, Christina, APN
Blandon Jr, Pedro A, MD
Blumenfeld, Daniel G, MD
BMA El Paso Cliffview
BMA El Paso Gateway
Boadella, Andres D, MD
Bohlmann, Vilma F, APN
Boncser, Mark E, LPT
Boren, Ulla K, OT
Borrego, Manuel, MD
Botez, Maria I, MD
Bowen, Michael L, DO
Brandl, Christine, MD
Bright, Kevin E, MD
Bright, Tamis M, MD
Bringas, Christa A, LPT
Brooker, Olmer R, MD
Brower, Mary C, MD
Brown, Courtney G, MD
Brown, Gloria A, OT
Buck, Victor R, OD
Burt, Benjamin O, MD
Byram Healthcare
Caballero, Yuri J, MD
Cajas, Oswaldo, MD
Calderon, Jose L, PA
Calderon, Marcos, MD
Calderon, Michelle L, APN
Calderoni, Henry H, MD
Calianga, Cesar R, MD
Camacho, Arlette Y, APN
Campbell, Chris S, DC
Campbell, Everett L, MD
Canada, Linda R, APN
Canales, Roberto, MD
Candelaria, Bilha A, APN
Caprock Home Health Services
Carcamo, Benjamin, MD
Carcoba, Dora M, APN
Cardenas, Maria G, MD
Cardwell, Michael S, MD
Carey, Cynthia T, DC
Carlson, Staci L, SLP
Carrasco, Alfonso I, DC
Carrillo, Itzel, OT
Carrillo, Patti A, LPT
Casillas, Arturo, MD
Casner, Paul R, MD
Castaneda, Kayla E, APN
Castillo, Gregorio Joel A, MD
Castrellon, Demetria A, APN
Castro, Marco A, DC
Cazares Zavala, Jose Z, MD
Ceballos, Monica, OT
Celis, Vanessa S, SLP
Ceniceros, Enrique, LPT
Central City Dialysis
Cervantes, Georgina, OT
Cesar, Carlos R, MD
Chavez, Alfonso, MD
Chavez, Alfredo, MD
Listing
Chavez, Donald X, PA
Chavez, Eva P, MD
Chavez, Sylvia, APN
Chavez-Holguin, Pedro S, MD
Chesbro, Byron H, MD
Chin, Jennifer R, MD
Chitti, Srinivas R, MD
Christenson, Robert A, MD
Chukwu, Ikedieze I, MD
Cielo Vista Dialysis
Cima Hospice of El Paso LP
Cofer, Barry R, MD
Coleman, Scott K, MD
Colon Dordal, Ramon A, MD
Concentra Urgent Care
Contreras, Elizabeth, MD
Contreras, Jorge I, MD
Cook, Jonathan F, MD
Cook, Patrick R, DO
Cooney, Paul D, MD
Coram Specialty Infusion Services
Cordova Hoy, Annette M, MD
Cormack Aboud, Ailbhe T, SLP
Cornali, George R, DC
Corral, Javier C, MD
Cortes, Erasto, MD
Cortez II, Luis, LPT
Cosart Banerji, Audra L, PA
Cossentino, Mark J, MD
Costa, Henry C, MD
Cowens Sr, Kevin E, MD
Cox, Derrick D, MD
Craig, Christopher H, MD
Crecca, Gerard F, MD
Cuetter, Albert C, MD
Curbelo, Niurka, MD
Custom Orthotics and Prosthetics
Cutolo, Michael, DPM
Dacus, Roberta A, APN
Dalley, Jeremy, PA
Dandade, Pritam B, MD
Dandade, Usha P, MD
Darling, Scott S, DC
Davalos, Antonio, MD
Davalos, Mauricio, MD
Davis, Brian R, MD
Davis II, Harry E, MD
Davis, Nicole E, APN
Davis, Patricia M, MD
Davitt III, William F, MD
Days, Alison L, MD
De Anda Ortiz, Jose L, MD
De Jesus Perdomo, Eduardo M, MD
De La Fuente, Karin H, SLP
De La Mora, Diego, MD
De La Rosa, Antonio, MD
De La Rosa, Efren, DPM
De La Rosa, Lily, SLP
De La Torre, Javier E, MD
De Luca, Michael J, MD
Deiter, Cary T, DC
Demick, Diane S, MD
Desantos, Christina, MD
Desert Imaging Services LP
Desert Star Home Health
Deter, Dwight M, PA
Di Pascuale, Mario A, MD
Diagnostic Outpatient Imaging
Diaz, Gonzalo A, MD
Diaz, Marco, MD
Diaz Luna, Hector J, MD
Diaz Pagan, Jose L, MD
Didia, Silvia C, MD
Dignity Home Health
Dim, Uzodinma R, MD
Dizzine, Amanda J, APN
Dobrin, David J, MD
Doka, David S, MD
Dominguez, Guadalupe, APN
Doski, John J, MD
Dougherty, Steven H, MD
Dsi El Paso South Dialysis
Duarte, Sandra, SLP
Dulanto, Annette N, OT
Durable Orthopaedic Supplies L L C
56
Duran, Ana M, PA
Dzubey, Kenneth C, OD
East El Paso Surgery Center
Easter II, Thomas G, MD
Edgepark Surgical Supply
Egborge, Eseovhe A, MD
Eisenberg, Kenneth L, MD
Eisenberg, Lauren N, DO
El Paso Cardiac Endovascular Ctr
El Paso Ctr Gastrointestinal Endo
El Paso Day Surgery LLC
El Paso Kidney Center East
El Paso Nursing Services Inc
El Paso Urgent Care Center
Eleje, Augustine O, MD
Ellis II, John L, OD
Ellison, Patricia E, OT
Ellman, Marc, MD
Ellsesser, Anna M, OD
Endoscopy Center of El Paso
Endozo, Edgar A, OT
Enriquez, Andres S, MD
Epic Health Services Inc
Escandon, Carmen G, MD
Escandon, Jasmine K, OT
Escobar, Juan M, MD
Espinosa, Ivonne, APN
Espinosa, Jose, MD
Esquivel, Michael R, PA
Falknor, Kenneth R, OD
Falknor, Larry W, OD
Famatigan, Maria G, MD
Familua, Oluwamayowa F, MD
Faner, Maria L, APN
Farnam, Richard W, MD
Farness, Judy L, APN
Farrag, Safa E, MD
Farrington, Valerie J, APN
Farris, Kelly, MD
Favela Jr, Samuel, OD
Fenrich Jr, Arnold L, MD
Fernandez, Fernando, DPM
Fernandez, Juan F, MD
Fierro Stevens, Rodolfo, MD
Figueroa Casas, Juan B, MD
Filler, Trent C, DDS
Fiske, Haydee, APN
Fitzgerald, Tamara N, MD
Fleming, Rhonda V, MD
Flores, Hector A, MD
FMC Dialysis Services Vista Del Sol
Follen, Michele F, MD
Foust, Kelley E, OT
Francis, Maureen D, MD
Franco, Hector L, MD
Franco, Jonathan, LPT
Franklin Heights Nursing & Rehab
Frausto, Marcella A, MD
Freemyer, Ryan R, MD
Fresenius Med Care Horizon Dial
Friday, Dwayne, MD
Fuhrman, Bradley P, MD
Funkhouser, Todd A, MD
Furlong, Joseph B, MD
Gaines, Lelia T, MD
Galbraith, Michael Y, LPT
Gallardo, Mark J, MD
Garcia, Angel J, MD
Garcia, Bernadette M, LPT
Garcia, Blanca I, MD
Garcia, Genevieve M, DO
Garcia, Henry F, MD
Garcia, Hernando, MD
Garcia, Patricia A, SLP
Garcia, Rafael I, MD
Garcia De Mitchell, Cecilia A, MD
Garduno, Abel, MD
Garduno, Claudia M, LPT
Garner, Ammon D, OD
Garrido, Paul J, LPT
Garza, Margarita, OT
Garza, Tara L, LPT
Garza Arreola, Luis, MD
Gaur, Sumit, MD
Georges, Thomas J, DC
OCTOBER 15, 2014
Giles, Harlan R, MD
Gill, Shirlina L, APN
Global Hospice Care
Gluck, Brion A, MD
Glusman, Steven P, MD
Goff, Kathleen E, OD
Goldman, Edward M, MD
Gomez, Edward R, MD
Gomez, Jaime R, MD
Gomez, Jesus A, MD
Gomez, Maria S, APN
Gomez, Patrick J, MD
Gomez, Suzana S, LPT
Gonzales, Mark J, LPT
Gonzalez, Abraham, MD
Gonzalez, Alfredo E, MD
Gonzalez III, Alvaro G, APN
Gonzalez, Carlos, MD
Gonzalez, Elizabeth, SLP
Gonzalez, Enrique, MD
Gonzalez, Eugenia, OT
Gonzalez, Francisco J, MD
Gonzalez, Juan A, DPM
Gonzalez, Lilia A, LPT
Gonzalez, Luis A, MD
Gonzalez, Nydia, APN
Gonzalez, Omar, MD
Gonzalez, Sylvia V, MD
Gonzalez Morales, Evelyn, MD
Gonzalez Sozer, Mariaelena, MD
Gonzalez-Ayala, Emilio, MD
Gopalan, Nanda K, MD
Gosavi, Sucheta, MD
Gough, David C, MD
Gouveia, Jacquelyn A, DO
Greenberg, Harvey, MD
Grewal, Preetpal, DO
Griffith, Nathaniel L, DO
Grindstaff, Gary S, DPM
Groening Wang, Mary T, DO
Gross, Eric M, MD
Gruppo Jr, Leonard Q, PA
Guerra Sr, Francisco J, MD
Guerra, Luis G, MD
Guevara, Adrian M, MD
Guggedahl, John E, MD
Gulbas, Paul S, MD
Guo, Linsheng, MD
Gupta, Anuradha, MD
Gupta, Tej P, MD
Gutierrez III, Arturo, PA
Gutierrez, Fatima D, MD
Gutierrez, Michael E, MD
Guzman, Jorge G, MD
Hagan Imaging LLC
Haidarian, Mina, MD
Hale, Anne V, MD
Halow, George M, MD
Hamzeh, Rabih K, MD
Han, Anthony T, MD
Han, Nyun C, MD
Han, Stephanie C, MD
Hanbali, Fadi, MD
Handal, Gilbert A, MD
Hanger Prosthetics Orthotics Inc
Hansen, Judith M, LPT
Haque, Quazi N, MD
Harlass, Frederick E, MD
Harps, Patricia L, APN
Hart, Loren S, AUDIO
Hartman, Lisa L, MD
Hartvigsen Jr, Curtis R, LPT
Hatem, Carlo M, MD
Hawkins Koch, Dorovenia N, DO
Hayashi, Diane D, OT
Haydar, Zafer H, MD
Hayes, Anita L, SLP
Hazboun, Ramsey R, MD
Hazelton, Laura, SLP
He, Zening, MD
Healy, Alline, SP
Heidarian, Nosrat, DPM
Heins, Todd A, PA
Herman, Peter S, MD
Hernandez, Alvaro A, MD
OCTOBER 15, 2014
Hernandez, Arturo, MD
Hernandez, German T, MD
Hernandez, Javier S, DC
Hernandez, Jesus A, MD
Hernandez, Jose L, MD
Hernandez, Leticia S, MD
Hernandez, Manuel J, LPT
Hernandez, Terry L, APN
Hernandez, Yolanda R, SP
Herrada, Juan, MD
Herrera, Efren, LPT
Herrera, Jesus, LPT
Herrera, Laura, APN
Herrera, Paulina, LPT
Herrera, Sylvia, LPT
Herzog, Joshua P, MD
Heydemann, Jacob S, MD
Hickey, Morgan L, SLP
Hinojos, Ralu, MD
Ho, Hoi, MD
Holguin, Bobbie Jo, LPT
Hollingsed, Michael J, PA
Hollingsworth, Amanda, DO
Holt, Kerry, OD
Home Care Unlimited of El Paso
Horn, Kathryn L, MD
Hospice of El Paso
Hughes, Harold W, MD
Hunko, Gabriela, MD
Ibarra, Isela, MD
Imaging El Paso
Isaac, David W, MD
Iwaloye, Femi D, MD
Jabor, Mark A, MD
Jack Jones Hearing Centers Inc
Jackson, George W, MD
Jacobs, Michael J, APN
Jacquez, Maria E, APN
Jacquez, Vicente, APN
James, Janine A, MD
Jamison, Rodney K, MD
Jaraba Jr, Jaime I, MD
Jimenez, Alexander D, DC
Johnson, Cara R, APN
Johnson, Keith R, MD
Jones, Daphne M, APN
Jones, Robert D, LPT
Jones Allen, Angela S, MD
Juarez, Edward C, MD
Judd, Coy D, LPT
Kahn, Stuart W, MD
Kaim, Boris, MD
Kangur, Violeta L, OT
Kanlic, Enes M, MD
Kareh, Jorge, MD
Karp, Alan J, MD
Karr, Lisa D, APN
Kasha, Atur A, DO
Kassar, Darine, MD
KCI USA Inc
Keith-Arden, Kathryn L, DC
Khateeb, Mazin A, MD
Khauv, Keak C, MD
Kidd, Joseph N, MD
Kidd Jr, Joseph N, MD
Kohn IV, Roy E, LPT
Kolli, Venkateswara R, MD
Komaragiri, Ramesh, MD
Korzec, Kenneth R, MD
Koster, Herman A, LPT
Kristofferson, Ken K, PA
Kronfol, Rana N, MD
Kypuros, Kristina, MD
La Mariposa Hospice
La Rock, Wilford C, DC
Lacap, Maria A, LPT
Lacaze, Mary E, MD
Lacy, Linda S, MD
Lam, Man T, MD
Lara, Michael D, MD
Lara, Patricia, SLP
Las Palmas Diagnostic Center
Las Palmas Medical Center
Las Palmas Rehabilitation Hospital
Latiff, Guillermo A, MD
Independent Provider Network (IPN)
bmk_pinsi_lt
Law, Barbara C, PA
Law, Patricia A, APN
Lax, Fredric, MD
Lazar, Gabriel, DPM
Lazaro, Shelley S, MD
Lee, Anhtuyet T, MD
Leff, William M, DC
Lemez, Alma, MD
Lerer, Elisa K, SP
Levin, Garrett S, MD
Levine, Johanan S, MD
Lewis Levine, Neil M, DO
Leyva, Edward S, MD
Leyva, Louie, APN
Leyva, Rodolfo, MD
Liano, Ruben, LPT
Licon, Marco A, SLP
Licon, Octavio P, MD
Lincare Inc
Lindsay, Alejandrina, APN
Liptakova, Helena H, MD
Llamas Soforo, Jorge F, MD
Lodeiro, Jorge G, MD
Lodhi, Huma Y, MD
Logvinoff, Marie Martine, MD
Loma Vista Dialysis
Lomarquez, Lynnette S, LPT
Longnecker, Beth A, AUDIO
Longoria, Alfredo, MD
Longoria, Rolando R, MD
Loomba, Ashish, MD
Lopez III, Arsenio G, MD
Lopez, Hector, DO
Lopez, Jennifer D, SP
Lopez, Lirio E, APN
Lopez, Sandra, MD
Lopez Leyva, Manuel D, MD
Loubriel Velez, Carlos H, MD
Loya, Nasla V, APN
Lozano, Javier E, MD
Lozano, Jesus L, MD
Lozano, Rachel M, APN
Lujan Palma, Jose A, MD
Luna Jr, Jose, MD
Lundy, Ray O, MD
Lyman, David M, MD
Lyn, Heidi A, MD
Lyn, Ian T, MD
Lyon, Kerry H, AUDIO
Lyon, Matthew H, AUDIO
Machorro, Angelica I, MD
Macias, Laura, MD
Magden, Travis J, LPT
Maiyegun, Sitratullah O, MD
Maj, Lukasz, MD
Majewski, Karen R, SLP
Major Medical Supply
Maldonado, Michael F, OD
Malone, Veronica A, APN
Mankan, Nagender, MD
Manning, Rhonda A, LPT
Manquero Butler, Martha I, MD
Mansfield, Lyndon E, MD
Manting, Michele A, MD
Marin, Rodolfo, LPT
Marioni, Luis R, DC
Marquez, Laura, APN
Marquez Smith, Teresa, MD
Marquis Colvard, Clarissa A, SLP
Marrufo, Sylvia E, DC
Martin, Charmaine A, MD
Martin Jr, George J, MD
Martin, Gregory E, MD
Martinez, Armida, SLP
Martinez, Delores N, LPT
Martinez, Gabriel, OD
Martinez, Hector R, MD
Martinez, Ileana, MD
Martinez, Joel, LPT
Martinez, Mabel R, APN
Martinez, Pablo F, MD
Martinez, Renee L, MD
Martinez Lopez, Jorge I, MD
Marwah, Rajendra K, MD
Maspons, Aldo, MD
Listing
Mata, Shirley A, DC
Mathew, Salim B, MD
Maud, Alberto, MD
Maynard, Margaret E, SP
McCallum, Richard W, MD
McDanald, Eugene C, MD
McDonald, Duncan, LPT
McLean, Matthew T, LPT
McLean, Susan F, MD
McMahon, Louis M, OD
Medrano, Rafael, MD
Mehta, Nilesh S, MD
Meier, Donald E, MD
Meissner, Frank W, MD
Melendez, Francisco J, LPT
Mendez, Melissa D, MD
Mendez Martinez, Jose I, MD
Mendez Ramirez, Jose M, MD
Mendiola, Anna Marie T, MD
Mendoza Castillo, Rodin R, MD
Mentis El Paso LLP
Mesa Vista Dialysis
Meza, Armando D, MD
Meza, Hugo A, APN
Mgbokwere, Chioma J, MD
Michener, Brent D, DO
Midez, Jaime A, MD
Milan, Stacey A, MD
Miller, Don C, LPT
Miller, Jerry W, MD
Miller, Orson A, LPT
Miller Shultz, Marilyn D, APN
Millis, Emma, SP
Min, Aung Z, MD
Misenhimer, Gregory R, MD
Misra, Sanjay N, MD
Moazam, Mustafa M, MD
Moeller, Amanda P, LPT
Mokonchu, Monique C, MD
Moldes Rodriguez, Orestes, MD
Molina, Melissa A, MD
Molina Jr, Salvador, DO
Molinares, Vanina, MD
Molokwu, Jennifer C, MD
Monroy, Anwar E, MD
Monroy, Patricia, LPT
Montes, Rebecca M, MD
Montoya, Teodoro I, MD
Moraga, Raymond S, LPT
Morales, Carmela P, MD
Morales, Jennifer L, SLP
Morales Gonzalez, Angel M, MD
Morales Mendez, Jacobo S, MD
Moreno, Armida G, MD
Moreno, Miguel A, MD
Moreno, Robert A, MD
Moreu, Gil M, DPM
Morgan, Robert C, DC
Morron III, Clyde R, PA
Mosier, Karina P, APN
Motamarry, Silus, MD
Mukherjee, Debabrata, MD
Mulne, Arlynn F, MD
Muniz, Jose I, DC
Munoz, Benjamin E, LPT
Munoz, Haydee, LPT
Munoz, Luis R, MD
Munoz, Oscar C, MD
Munoz, Paul M, DC
Munoz, Xavier J, DO
Munoz Gonzales, Denise M, OT
Murtaza, Ghulam, MD
Myers, Debra A, APN
Nadorra, Rosario L, MD
Naga, Osama I, MD
Nahleh, Zeina, MD
Najera, Raul A, MD
Nanez, Gary, MD
Narra, Madhu B, MD
Nassar, Eddie R, MD
Nasur, Ali M, MD
Natividad, Lorena, APN
Natividad Jr, Pedro, APN
Navarrete, Sergio R, SLP
Nayak, Tanaya, MD
57
Naylor, Anthony D, MD
Nazareth Hall
Nduka, Chinwe C, MD
Nelson, Marsha C, MD
Nelson, Sherry L, LPT
Neumann, Emily A, APN
Nevarez, Alba N, MD
New Mission Home Care LLC
Nguyen, Anthony, OD
Nguyen, Phuong, OD
Nguyen, Quyen C, OD
Nguyen, Vivianne, DPM
Nitardy, Jon J, OD
Nnebe, Florence O, MD
Noriega, Oscar A, MD
Novoa Jr, Julio C, MD
Nowak, Paul C, MD
Nurses Care Home Services
Nussbaum, Ralph E, DO
Nutis, Dinorah J, MD
Nutis, Mario, MD
Nwosu, Azikiwe C, MD
Oas, Lute G, MD
Oasis Nursing and Rehab Center
Obregon, Jacinto A, MD
Ocampo, Eileen M, AUDIO
Ocaranza Flores, Hector I, MD
Ochoa, Jarrod L, LPT
Odyssey Hospice
Ojo, Edwin J, MD
Oleary, Jacqueline G, MD
Olivas, Cecilia A, APN
Olivas Jr, Victor J, MD
Olowe, Joseph O, LPT
Omeara, Sean M, DPM
Omotosho, Mobolaji J, LPT
Ontiveros, Michael A, DC
Opawumi Jr, David O, MD
Orellana, Miguel A, MD
Orozco, Elizabeth, APN
Orr, Justin D, MD
Ortega, Antonio M, MD
Ortiz, Carlos, APN
Ortiz, Jessica H, APN
Ortiz, Jorge L, MD
Osborn, Susan M, APN
OTO, Candace N, OD
Outreach Health Services
Ovalle, Alejandro, MD
Ozuna, Linda, APN
Pacheco, Hector O, MD
Pacheco, Sergio B, MD
Pacheco Serrant, Helson, MD
Padilla, Luis A, MD
Padilla Jr, Manuel A, DO
Padilla, Maria I, APN
Padilla, Mario M, MD
Pagan, Maria L, APN
Paige, Craig V, PA
Palacios, Mariano, MD
Palafox, Manuel J, DO
Palisoc, Imelda D, LPT
Palisoc, Vitus D, LPT
Palladino, Humberto, MD
Pallis, Mark P, DO
Palomino Hernandez, Adolfo, MD
Pande, Saurabh A, MD
Paniagua, Julian R, MD
Parga, Marcos A, LPT
Parra, Guillermo, MD
Paso Del Norte Surgery Center
Pasos Home Health Inc
Patel, Jagdish D, MD
Patel, Jignesh D, MD
Patel, Vinaychandra M, MD
Patel, Vipool R, MD
Pathak, Indu S, MD
Patrice, Carty Anna, PA
Patterson, John, MD
Payan, Hector A, MD
Payne, Douglas B, MD
Paz, Christina I, APN
Pazmino, Patricio A, MD
Pease, Howard F, MD
Peebles, Taron T, APN
Peinado Fragoso, Jesus, MD
Pema, Kanchan, MD
Penaranda, Eribeth K, MD
Peralta, Max A, MD
Peralta Kattengell, Ivania, MD
Pereira Wookee, Lisa, APN
Perez, Juan R, MD
Perez, Leida P, MD
Perrillo, Robert P, MD
Personett, Becky B, MD
Pham, Lisa K, MD
Phipps, Wendy D, MD
Pholvichitr, Paul P, OD
Pieri, Richard E, MD
Pimentel, Elizabeth A, APN
Pinaroc, Teresa R, MD
Pinzon, Guillermo A, MD
Pirela Cruz, Miguel A, MD
Piriyawat, Paisith, MD
Pitchford, William A, MD
Pitre, Clarence A, MD
Pittle, Alan W, DPM
Pittle, Charles I, DPM
Plowden, John S, MD
Polanco, Daniel, MD
Ponce, Michael C, DC
Ponce, Ricardo, DC
Porras, Enrique, MD
Porras, Jose L, MD
Porres Aguilar, Mateo, MD
Portillo, Raul M, MD
Portugal, Elizabeth A, APN
Poss, James M, MD
Poudel, Bindu, APN
Pradhan, Kumuda R, MD
Precision Prosthetic Inc
Prieto Jr, Jose, MD
Prieto, Lester O, LPT
Prieto Jimenez, Carmen A, MD
Priority Urgent Care PA
Prodanovic, Maria L, MD
Provencio Jr, Mauro, MD
Pugao, Irish F, PA
Purdy, Stephen, OD
Quantum Home Care Inc
Quesada, Jaime A, MD
Quest Diagnostics
Quest Diagnostics Clinical Lab In
Quezada Jr, Oscar R, MD
Quintana Jr, Joseph A, MD
Rachel, David F, LPT
Radenovich, Violeta, MD
Raja, Mohammad L, MD
Ramirez Jr, Amado, MD
Ramirez, Monica V, OD
Ramirez, Ruben E, MD
Rao, Krishnaswamy J, MD
Rascon, Adriana, RD
Rasmussen, Susanne, SLP
Raudales, Fernando, MD
Re Thomason General Hospital
Rebeles, Sonia A, MD
Reddi-Dickason, Renuka C, MD
Reddy, Sireesha Y, MD
Reed, Teresa A, MD
Refaeian, Manouchehr, MD
Regalado, Nora G, MD
Reiter, Dennis J, DO
Remirez, Carlos M, MD
Renteria Alvarez, Jose M, MD
Resignato, Paul J, DPM
Reyna, Ricardo, MD
Reynolds, Richard D, MD
Rhodes, Miller F, MD
Rich Jr, Nicolas, MD
Rigesti, German J, MD
Rincon, Jose L, PA
Rincones, Cheyenne C, APN
Rio Grande Home Health
Rios, Angel M, MD
Rios, Marino, MD
Rivera, Audrey F, SLP
Rivera, Manuel, MD
Rivera, Ragene R, MD
Robertson, Christina D, SLP
Independent Provider Network (IPN)
bmki_pn_sil t
Robertson, Frank M, MD
Robinson, Estella, MD
Rocha Jr, Alejandro, DO
Rocha, Sandra T, DO
Rodriguez, Gustavo J, MD
Rodriguez, Heather L, LPT
Rodriguez, Hector L, APN
Rodriguez Jr, Jose A, SLP
Rodriguez, Kim V, MD
Rodriguez, Marco A, OT
Rodriguez, Paul, DC
Rodriguez, Rosa I, SLP
Rodriguez, Simon S, MD
Rodriguez Castro, Carlos E, MD
Rojas, Maria G, APN
Rojas Mendez, Carmen P, MD
Rolon Z, Juan Carlos E, MD
Romagosa, Angelo E, MD
Romero, Belinda E, APN
Romero, Roberta A, APN
Romero, Rocky J, OT
Romero Ramos, Samuel F, MD
Roncallo, Ruben R, MD
Rosado, Rebecca J, DPM
Rosas Blum, Eduardo D, MD
Rose, Marta K, APN
Rosen, Andrew P, MD
Rosser, Sharon L, PA
Roth, Kathleen A, LPT
Rovner, Sergio F, MD
Rubio, Lori A, APN
Ruja, Marius, DC
Saenz Alvarado, Rodrigo J, MD
Sainz, Jorge G, MD
Salameh, Hasan J, MD
Saldivar III, Salvador J, MD
Salinas, Albert, APN
Salloum, Hassan N, MD
Salloum, Maha S, MD
Saltzstein, Edward C, MD
Samonte Jr, Miguel B, MD
San Miguel, George G, MD
Sanchez, Adriana P, APN
Sanchez Rivera, Ines J, MD
Sander, Laura A, LPT
Sandroni, Stephen, MD
Santos, Luis A, MD
Santoscoy, Robert, MD
Saracino, Dino P, MD
Saunders, Richard D, DO
Scallorn, Erin, RD
Scc Imaging LLC
Schaffer, Michael G, MD
Schecter, David R, MD
Schuster, Jeffrey D, MD
Schydlower, Manuel, MD
Scragg, William H, MD
Scudday, Bruce A, DPM
Sebesta, Michael J, MD
See, Gladina M, MD
Seelig, Deborah, MD
Segapeli, Joseph H, MD
Serna, Aime D, MD
Serna, Jorge H, MD
Seshadri, Sheshashree, MD
Shahinian, Haroutioun S, MD
Shapiro, Allan J, MD
Sharp, Dayle B, APN
Sherman III, John M, MD
Shirsat, Pratibha K, MD
Shmorhun, Daniel P, MD
Shokar, Gurjeet S, MD
Shokar, Navkiran, MD
Short, Tracy A, PA
Shukla, Vani, MD
Siddiqui, Tariq S, MD
Sides, Eric E, MD
Sifuentes, Liliana, DC
Silva, Brenda D, PA
Silvia, Scott K, MD
Sime, David A, DC
Simpson, Michael H, MD
Singh, Namrata S, MD
Smith, Dean E, MD
Smith, Karen D, MD
Soegaard Torres, Antonio, MD
Solis, Guillermina R, APN
Solis, Mirian, LPT
Songbandith, Virabandith V, MD
Sonno Sleep Center
Soto, Ali, LPT
Soto Cora, Ediberto, MD
Southwest Home Health
Southwest Xray LP
Sozer, Sadri O, MD
Spalding, Mary C, MD
Spier, Jeffrey M, MD
Spurbeck, William W, MD
Square, Jaime H, MD
Stanford, Lysandra C, LPT
Steele, Sandra, APN
Steinhauer, Mark H, MD
Storrs, Bruce B, MD
Strader III, Wilbur J, MD
Suarez, Cerena H, APN
Suarez, Claudia E, MD
Suchoff, Monica L, MD
Surgical Center of El Paso
Svarzbein, Leonardo, MD
Sykes, Andrea B, SLP
Szeyko, Larissa A, MD
Taber, Jeffrey E, MD
Tagle, James A, APN
Talamas, Emilia, MD
Tan, Jeanette S, MD
Taveras, Juan M, MD
Taylor, John G, DPM
Terrazas, Sandra G, LPT
Terrazas Ponce, Belen, APN
Terry, Jill R, DO
Texas Artificial Limbs Lab Inc
The Montevista At Coronado
Theard, Franz C, MD
Thomas, Bobbi G, APN
Thomas III, John P, MD
Thomas, Robert P, MD
Thornburg, Carroll W, DO
Ting, Stanislaus, MD
Tlc Home Healthcare Services Inc
To, Ngan K, OD
Tolbert Bornstein, Natalie, MD
Tomasino, Rodolfo, MD
Torres, Jose A, MD
Torres, Miguel A, LPT
Total Orthotic & Prosthetic Solutio
Total Orthotic and Prosthetic Sol
Tovar, Yara E, MD
Traylor, Michael T, MD
Tremper, Larry J, DO
Trevino, Marina, MD
Tuey, Ruby I, APN
Tune, John M, MD
Turbay, David, MD
Tyroch, Alan H, MD
Ugarte, Adrian O, MD
United Seating and Mobility LLC
Untersee, Stephen W, DC
Urgent Care Home Health Inc
Uromed Inc
Urquidi, Ulysses J, MD
Urrea, Robert E, MD
Urtubey, Adriana M, MD
Usen, Stanley O, MD
Valdez, Alejandro, LPT
Valdez, Alyssa M, LPT
Valenzuela, Manuel F, MD
Valilis, Panagiotis N, MD
Vallala, Shravan, MD
Vallejo, Daniel C, APN
Vann, Murray M, MD
Vargas, Ricardo, APN
Vashishtha, Neha, MD
Vasquez, Bertha R, APN
Vasquez, Luis F, MD
Vazquez, Carlos W, MD
Vazquez, Eduardo G, MD
Vega Jr, Oscar, MD
Vela, Mario, APN
Velasquez, Arma R, DPM
Velasquez, Linda K, MD
Listing
Velasquez, Michael A, DO
Velazquez, Maria D, MD
Velez, Carlos A, MD
Vera, Robert W, MD
Viado, Emma S, MD
Victoria Home Healthcare Inc
Villalobos, Victor M, MD
Villanos, Maria Theresa M, MD
Villarreal, Jose L, MD
Villarreal, Vivian G, APN
Villegas, Valerie E, SLP
Visiting Nurse Association of El
Paso Inc
Vista Surgery Center LLC
Vital Care Home Health Agency
Vivanco, Cesar E, MD
Voglewede, Daniel C, MD
Vu, Hung Q, MD
Walker, Vernoy A, MD
Walls, Johnny E, PA
Wang, Peter T, MD
Wardy, David J, DC
Waterman, Brian R, MD
Watson, Michael J, MD
Wegleitner, Mark J, MD
Weislow, Jeffrey S, DC
West Texas Dialysis
White Acres Good Samaritan
Retirement Village
Wieland, Kristina M, MD
Williams, Erin R, LPT
Wolfe II, Perry T, MD
Woo Telles, Argelia, MD
Woods, Gordon L, MD
Wright, Justin M, MD
Wright, Mary Johanna D, MD
Wu, Jie, MD
Yocum, Denise N, PA
York, John C, MD
Your Image Boutique Inc
Yusoof, Syed A, MD
Zabanal, Rosario C, MD
Zaltz, Charles, MD
Zamora, Jose L, MD
Zamudio, Jose M, MD
Zarate, Luis A, MD
Zayas, Raul, MD
Zolfoghary, Khosrow, MD
Zuckerman, Marc J, MD
Zuniga, Julie A, APN
Zuniga, Louis E, LPT
58
OCTOBER 15, 2014
Behavioral Health Providers
OCTOBER 15, 2014
EL PASO
bmk_hmo_bhprov
Preauthorization Must be Obtained for all Behavioral Health Care,
Including Chemical Dependency By Calling Toll-Free 1-800-729-2422.
October 15, 2014
El Paso
EL PASO
BOARD CERTIFIED BEHAVIOR
ANALYST
El Paso
Archibek, Sienna Marie, MSED
725 S Mesa Hills Dr
(800) 515-5016
Practice Information: BH 0-5
Attention Deficit Disorders, BH
13-17 Attention Deficit Disorders,
BH 18-64 Attention Deficit
Disorders, BH 6-12 Attention
Deficit Disorders, BH 65+
Attention Deficit Disorders
LICENSED CLINICAL SOCIAL
WORKER
El Paso
Brenner, Kimberly H, LCSW
5758 N Mesa St
(915) 585-9990
7221 Canyon Run Dr
(915) 491-5709
Practice Information: BH 0-5
Affective Mood Disorders, BH 0-5
Attention Deficit Disorders, BH
13-17 Affective Mood Disorders,
BH 13-17 Attention Deficit
Disorders, BH 18-64 Affective
Mood Disorders, BH 18-64
Attention Deficit Disorders, BH
6-12 Affective Mood Disorders,
BH 6-12 Attention Deficit
Disorders, BH 65+ Affective Mood
Disorders, BH 65+ Attention
Deficit Disorders
El Paso
Castaneda, Guadalupe, LCSW
1600 N Lee Trevino Dr Ste C7
(915) 593-5676
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Psychological Testing, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64 Gay/
Lesbian Issues, BH 18-64
Psychological Testing, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12 Gay/
Lesbian Issues, BH 6-12
Psychological Testing, BH 65+
Abuse (Physical and/or Sexual),
BH 65+ Affective Mood Disorders,
BH 65+ Anxiety Disorders, BH
65+ Attention Deficit Disorders,
BH 65+ Gay/Lesbian Issues, BH
65+ Psychological Testing
El Paso
Castrellon Sr, Jose, LCSW
499 Saint Matthews St
(915) 872-8424
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Gay/Lesbian Issues, BH 0-5
Pastoral Counseling, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Gay/Lesbian Issues, BH 13-17
Pastoral Counseling, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Chemical Dependency, BH 18-64
Gay/Lesbian Issues, BH 18-64
Pastoral Counseling, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12
Chemical Dependency, BH 6-12
Gay/Lesbian Issues, BH 6-12
Pastoral Counseling, BH 65+
Abuse (Physical and/or Sexual),
BH 65+ Affective Mood Disorders,
BH 65+ Anxiety Disorders, BH
65+ Attention Deficit Disorders,
BH 65+ Chemical Dependency,
BH 65+ Gay/Lesbian Issues, BH
65+ Pastoral Counseling
Deines, Walter W, LCSW
6501 Boeing Dr Ste 2
(915) 772-8210
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 13-17 Abuse
(Physical and/or Sexual), BH
13-17 Affective Mood Disorders,
BH 13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 13-17 Eating Disorders, BH
13-17 Gay/Lesbian Issues, BH
18-64 Abuse (Physical and/or
Sexual), BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64 Eating
Disorders, BH 18-64 Gay/Lesbian
Issues, BH 6-12 Abuse (Physical
and/or Sexual), BH 6-12 Affective
Mood Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12 Eating
Disorders, BH 6-12 Gay/Lesbian
Issues, BH 65+ Abuse (Physical
and/or Sexual), BH 65+ Affective
Mood Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders, BH 65+ Eating
Disorders, BH 65+ Gay/Lesbian
Issues
El Paso
El Paso
El Paso
Dominguez, Martha Lopez, LCSW
5959 Gateway Blvd W Ste 501
(915) 772-1829
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH
13-17 Abuse (Physical and/or
Sexual), BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders
Duron, Diana, LCSW
2332 Montana Ave
(915) 545-1188
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Chemical Dependency, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12
Chemical Dependency, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders
Gallinar, Janine L, LCSW
6040 Surety Dr
(915) 781-9900
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Chemical
Dependency, BH 13-17 Gay/
Lesbian Issues, BH 13-17 Pain
Management, BH 13-17 Pastoral
Counseling, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Chemical Dependency, BH
18-64 Gay/Lesbian Issues, BH
18-64 Pain Management, BH
18-64 Pastoral Counseling, BH
18-64 Schizophrenia & other
Psych Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Chemical Dependency, BH 65+
Gay/Lesbian Issues, BH 65+ Pain
Management, BH 65+ Pastoral
Counseling, BH 65+
Schizophrenia and other
Psychotic Disorders
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
Maureira, Damian Alan, LCSW
657 Winn Rd
(915) 858-3857
Practice Information: BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Pastoral Counseling, BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Pastoral Counseling, BH
65+ Affective Mood Disorders, BH
65+ Anxiety Disorders, BH 65+
Pastoral Counseling
Torres, Omar E, LCSW
1001 Montana Ave
(915) 253-0570
1219 Barranca Dr
(915) 253-0570
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Schizophrenia & other Psych
Disorders, BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders, BH 65+
Schizophrenia and other
Psychotic Disorders
Little, Lilly, LCSW
1790 N Lee Trevino Dr Ste 201
(915) 449-1549
Martinez, Susan F, LCSW
499 Saint Matthews St
(915) 872-8424
Napiwocki, Christine Ann, LCSW
8815 Dyer St Ste 160
(915) 751-1926
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Pastoral Counseling, BH 13-17
Schizophrenia & other Psych
Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Pastoral Counseling, BH
6-12 Schizophrenia & other Psych
Disorders
10761 Pebble Hills Blvd Ste F
(915) 253-0570
Kruzich, David J, LCSW
4625 Alabama St Ste D
(915) 566-2000
Practice Information: BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Chemical Dependency
7362 Remcon Cir
(915) 449-1549
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders
El Paso
59
Gomez, Javier H, LCSW
2525 E Missouri Ave
(915) 383-1872
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Gay/Lesbian Issues, BH 0-5 Pain
Management, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17 Pain
Management, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Gay/Lesbian Issues, BH
18-64 Pain Management, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Gay/Lesbian Issues, BH
6-12 Pain Management, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Gay/Lesbian Issues, BH 65+
Pain Management, BH 65+
Schizophrenia and other
Psychotic Disorders
El Paso
Valenzuela, Jesus Espinosa,
LCSW
1725 E Yandell Dr
(915) 544-0772
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Chemical Dependency, BH 18-64
Eating Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 65+
Abuse (Physical and/or Sexual),
BH 65+ Affective Mood Disorders,
BH 65+ Anxiety Disorders, BH
65+ Attention Deficit Disorders,
BH 65+ Chemical Dependency,
BH 65+ Eating Disorders
Behavioral Health Providers
EL PASO
OCTOBER 15, 2014
bmk_hmo_bhprov
Preauthorization Must be Obtained for all Behavioral Health Care,
Including Chemical Dependency By Calling Toll-Free 1-800-729-2422.
EL PASO Cont
LICENSED CLINICAL SOCIAL
WORKER Cont
El Paso
El Paso
Valles, Lorena, LCSW
1310 Montana Ave
(915) 542-1582
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17 Eating
Disorders, BH 13-17 Gay/Lesbian
Issues, BH 18-64 Abuse (Physical
and/or Sexual), BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12 Eating
Disorders, BH 6-12 Gay/Lesbian
Issues, BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders
Varela, Albert J, LCSW
1855 Trawood Dr Ste 201
(915) 544-7980
2310 Montana Ave
(915) 544-7980
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Chemical Dependency, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12
Chemical Dependency, BH 65+
Abuse (Physical and/or Sexual),
BH 65+ Affective Mood Disorders,
BH 65+ Anxiety Disorders, BH
65+ Attention Deficit Disorders,
BH 65+ Chemical Dependency
El Paso
Villalobos, Griselda, LCSW
6040 Surety Dr
(915) 781-9900
LICENSED PROFESSIONAL
COUNSELOR
El Paso
El Paso
El Pas o
Acker, Jessica Ann, LPC
1605 Beech St Ste A2
(915) 549-5308
Practice Information: BH 0-5
Affective Mood Disorders, BH 0-5
Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 13-17 Chemical Dependency,
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Chemical Dependency, BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
65+ Affective Mood Disorders, BH
65+ Anxiety Disorders, BH 65+
Attention Deficit Disorders
Avants, Melody R, LPC
609 Woodlark Pl
(915) 412-9542
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 13-17 Abuse
(Physical and/or Sexual), BH
13-17 Affective Mood Disorders,
BH 13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 13-17 Chemical Dependency,
BH 13-17 Eating Disorders, BH
13-17 Gay/Lesbian Issues, BH
18-64 Abuse (Physical and/or
Sexual), BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Chemical Dependency, BH 18-64
Eating Disorders, BH 18-64 Gay/
Lesbian Issues, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Gay/Lesbian Issues, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders
El Pas o
El Pas o
Ayala, George, LPC
1790 N Lee Trevino Dr Ste 601A
(915) 920-2591
Practice Information: BH 0-5
Affective Mood Disorders, BH 0-5
Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 13-17 Chemical Dependency,
BH 13-17 Eating Disorders, BH
13-17 Gay/Lesbian Issues, BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
6-12 Affective Mood Disorders,
BH 6-12 Anxiety Disorders, BH
6-12 Attention Deficit Disorders,
BH 6-12 Chemical Dependency,
BH 6-12 Eating Disorders, BH
6-12 Gay/Lesbian Issues, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues
Collins, Joe David, LPC
1418 Montana Ave
(915) 351-4431
Practice Information: BH 0-5
Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 6-12 Anxiety Disorders, BH
6-12 Attention Deficit Disorders,
BH 65+ Anxiety Disorders, BH
65+ Attention Deficit Disorders
Curley, Mary K, LPC
4171 N Mesa St Ste 106
(915) 532-3335
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Chemical Dependency,
BH 13-17 Eating Disorders, BH
13-17 Gay/Lesbian Issues, BH
13-17 Pastoral Counseling, BH
18-64 Abuse (Physical and/or
Sexual), BH 18-64 Chemical
Dependency, BH 18-64 Eating
Disorders, BH 18-64 Gay/Lesbian
Issues, BH 18-64 Pastoral
Counseling, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Chemical Dependency, BH 6-12
Eating Disorders, BH 6-12 Gay/
Lesbian Issues, BH 6-12 Pastoral
Counseling, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Chemical Dependency, BH 65+
Eating Disorders, BH 65+ Gay/
Lesbian Issues, BH 65+ Pastoral
Counseling
60
El Paso
El Paso
El Paso
Duran, Patricia F, LPC
1418 Montana Ave
(915) 351-4431
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Eating Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17 Eating
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Eating Disorders, BH
6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12 Eating
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Eating Disorders
El Paso
Gomez Jr, Guillermo, LPC
1790 N Lee Trevino Dr Ste 601A
(915) 778-4243
Henneburg Jr, James Vincent,
LPC
1420 Geronimo Dr Ste C1
(915) 778-3807
6090 Surety Dr Ste 105
(915) 778-3807
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Chemical Dependency,
BH 18-64 Abuse (Physical and/or
Sexual), BH 18-64 Chemical
Dependency, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Chemical Dependency
El Paso
El Paso
Lopez, Noe Antonio, LPC
10600 Montwood Dr Ste 123
(915) 313-4114
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17
Pastoral Counseling, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Pastoral Counseling, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Pastoral Counseling, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Pastoral Counseling, BH 65+
Schizophrenia and other
Psychotic Disorders
El Paso
Martinez, Anastacia C, LPC
3127 Montana Ave
(915) 775-2599
Practice Information: BH 13-17
Affective Mood Disorders, BH
13-17 Chemical Dependency, BH
18-64 Affective Mood Disorders,
BH 18-64 Chemical Dependency,
BH 6-12 Affective Mood
Disorders, BH 6-12 Chemical
Dependency, BH 65+ Affective
Mood Disorders, BH 65+
Chemical Dependency
Martinez, Jose E, LPC
4171 N Mesa St Ste A106
(915) 532-2030
Practice Information: BH 0-5
Affective Mood Disorders, BH 0-5
Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Pain Management, BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 13-17 Pain Management, BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Pain Management, BH
6-12 Affective Mood Disorders,
BH 6-12 Anxiety Disorders, BH
6-12 Attention Deficit Disorders,
BH 6-12 Pain Management, BH
65+ Affective Mood Disorders, BH
65+ Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Pain Management
Maynez, Lidia I, LPC
6623 Dawn Dr Ste A
(915) 449-5694
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Chemical Dependency, BH 0-5
Gay/Lesbian Issues, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Chemical
Dependency, BH 6-12 Gay/
Lesbian Issues, BH 6-12
Schizophrenia & other Psych
Disorders
Behavioral Health Providers
OCTOBER 15, 2014
EL PASO
bmk_hmo_bhprov
Preauthorization Must be Obtained for all Behavioral Health Care,
Including Chemical Dependency By Calling Toll-Free 1-800-729-2422.
El Paso
EL PASO Cont
LICENSED PROFESSIONAL
COUNSELOR Cont
El Paso
El Paso
Muniz, Fernando, LPC
1600 N Lee Trevino Dr Ste C3
(915) 598-2190
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5 Gay/
Lesbian Issues, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Gay/Lesbian Issues, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+
Schizophrenia and other
Psychotic Disorders
El Paso
Nevarez, Celeste S, LPC
6040 Surety Dr
(915) 781-9900
El Paso
Nicholson, Melissa, LPC
9825 Eastridge Dr
(915) 595-1067
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Gay/Lesbian Issues, BH 0-5
Pastoral Counseling, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Gay/Lesbian Issues, BH 13-17
Pastoral Counseling, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Gay/Lesbian Issues, BH
18-64 Pastoral Counseling, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Gay/Lesbian Issues, BH
6-12 Pastoral Counseling, BH
6-12 Schizophrenia & other Psych
Disorders, BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders, BH 65+
Schizophrenia and other
Psychotic Disorders
Ontiveros, Deborah M, LPC
1600 N Lee Trevino Dr Ste C7
(915) 593-5676
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Pastoral Counseling, BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Chemical Dependency, BH 18-64
Eating Disorders, BH 18-64 Gay/
Lesbian Issues, BH 18-64
Pastoral Counseling, BH 6-12
Abuse (Physical and/or Sexual),
BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12
Chemical Dependency, BH 6-12
Eating Disorders, BH 6-12 Gay/
Lesbian Issues, BH 6-12 Pastoral
Counseling, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+
Pastoral Counseling
El Paso
El Paso
El Paso
El Paso
El Paso
Ramirez, Chris, LPC
1790 N Lee Trevino Dr Ste 601A
(915) 778-4243
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Eating Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17 Eating
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Eating Disorders, BH
6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12 Eating
Disorders, BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders
El Paso
El Paso
Reyes, Oscar Alejandro, LPC
10600 Montwood Dr Ste 123
(915) 373-2135
Rheder, Richard H, LPC
6040 Surety Dr
(915) 781-9900
Rios, Graciela, LPC
6040 Surety Dr
(915) 781-9900
Salcido Sr, Richard M, LPC
6040 Surety Dr
(915) 781-9900
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Gay/Lesbian Issues, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Gay/Lesbian Issues, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Gay/Lesbian Issues, BH
6-12 Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Gay/Lesbian Issues, BH 65+
Schizophrenia and other
Psychotic Disorders
Perez Rede, Solanja, LPC
6040 Surety Dr
(915) 781-9900
61
El Paso
Sanders, Karen L, LPC
4171 N Mesa St Ste 106
(915) 532-2030
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17 Eating
Disorders, BH 13-17 Gay/Lesbian
Issues, BH 13-17 Pain
Management, BH 13-17 Pastoral
Counseling, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Pain Management, BH
18-64 Pastoral Counseling, BH
65+ Affective Mood Disorders, BH
65+ Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Pain Management
Stearne, Laura May, LPC
1600 N Lee Trevino Dr Ste C7
(915) 593-5676
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17 Pain
Management, BH 13-17 Pastoral
Counseling, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Pain Management, BH
18-64 Pastoral Counseling, BH
6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12
Chemical Dependency, BH 6-12
Eating Disorders, BH 6-12 Gay/
Lesbian Issues, BH 6-12 Pain
Management, BH 6-12 Pastoral
Counseling, BH 65+ Affective
Mood Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders, BH 65+ Pain
Management
Wagner, Linda, LPC
5862 Cromo Dr Ste 145
(915) 585-9760
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Schizophrenia & other Psych
Disorders, BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders, BH 65+
Schizophrenia and other
Psychotic Disorders
El Paso
Young, Elizabeth S, LPC
7400 Viscount Blvd Ste 201
(915) 592-3287
Practice Information: BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Eating Disorders, BH 13-17
Gay/Lesbian Issues, BH 13-17
Pain Management, BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Eating Disorders, BH 18-64
Gay/Lesbian Issues, BH 18-64
Pain Management, BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Eating Disorders, BH 6-12 Gay/
Lesbian Issues, BH 6-12 Pain
Management, BH 65+ Affective
Mood Disorders, BH 65+ Anxiety
Disorders, BH 65+ Eating
Disorders, BH 65+ Gay/Lesbian
Issues, BH 65+ Pain Management
PSYCHIATRY
El Paso
El Paso
El Paso
Borrego, Ed Jose, MD
5736 N Mesa St
(915) 842-9585
Practice Information: BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Schizophrenia & other
Psych Disorders, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Schizophrenia and other
Psychotic Disorders
Choubkha, Nora, MD
1900 Denver Ave
(915) 544-4000
Practice Information: BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Chemical Dependency, BH
13-17 Schizophrenia & other
Psych Disorders, BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Chemical Dependency, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Chemical Dependency, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders, BH 65+ Chemical
Dependency, BH 65+
Schizophrenia and other
Psychotic Disorders
Cota, Francisco J, MD
1700 Murchison Dr Ste 201
(915) 542-1022
Practice Information: BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Schizophrenia & other
Psych Disorders, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Schizophrenia and other
Psychotic Disorders
Behavioral Health Providers
EL PASO
OCTOBER 15, 2014
bmk_hmo_bhprov
Preauthorization Must be Obtained for all Behavioral Health Care,
Including Chemical Dependency By Calling Toll-Free 1-800-729-2422.
El Paso
EL PASO Cont
PSYCHIATRY Cont
El Paso
El Paso
Gaytan Jr, Osvaldo, MD
1900 Denver Ave
(915) 544-4000
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Chemical
Dependency, BH 13-17 Eating
Disorders, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Chemical Dependency, BH
18-64 Eating Disorders, BH 18-64
Schizophrenia & other Psych
Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Chemical Dependency, BH 6-12
Eating Disorders, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Chemical Dependency, BH 65+
Eating Disorders, BH 65+
Schizophrenia and other
Psychotic Disorders
Jimenez, J Raul, MD
2311 N Mesa St
(915) 544-0600
Practice Information: BH 18-64
Abuse (Physical and/or Sexual),
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Schizophrenia & other
Psych Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders, BH 65+
Schizophrenia and other
Psychotic Disorders
El Paso
Katz, Abraham J, MD
1201 E Schuster Ave Ste 6
(915) 532-7799
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Pain
Management, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Pain Management, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Pain Management, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Pain Management, BH 65+
Schizophrenia and other
Psychotic Disorders
El Pas o
El Pas o
Marquez, Francisco J, MD
11621 Pellicano Dr
(915) 856-9979
2616 N Oregon St
(915) 541-1200
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Pastoral Counseling, BH 13-17
Psychological Testing, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Pastoral Counseling, BH
18-64 Psychological Testing, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Gay/Lesbian Issues, BH 6-12
Pastoral Counseling, BH 6-12
Psychological Testing, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+
Pastoral Counseling, BH 65+
Psychological Testing, BH 65+
Schizophrenia and other
Psychotic Disorders
El Pas o
Martin, Sarah Lynette, MD
1900 Denver Ave
(915) 544-4000
PSYCHOLOGY
El Paso
Perez, Oscar Ernesto, MD
1400 N El Paso St Ste A
(915) 533-5550
Practice Information: BH 0-5
Abuse (Physical and/or Sexual),
BH 0-5 Affective Mood Disorders,
BH 0-5 Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Eating Disorders, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Schizophrenia & other
Psych Disorders, BH 6-12 Abuse
(Physical and/or Sexual), BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Eating Disorders, BH 6-12
Schizophrenia & other Psych
Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Schizophrenia and other
Psychotic Disorders
Ramirez, Arthur Leonard, MD
1515 N Mesa St
(915) 544-7326
Practice Information: BH 0-5
Affective Mood Disorders, BH 0-5
Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Chemical Dependency, BH 0-5
Schizophrenia and other
Psychotic Disorders, BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 13-17 Chemical Dependency,
BH 13-17 Schizophrenia & other
Psych Disorders, BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Schizophrenia & other
Psych Disorders, BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Chemical Dependency, BH
6-12 Schizophrenia & other Psych
Disorders, BH 65+ Affective Mood
Disorders, BH 65+ Anxiety
Disorders, BH 65+ Attention
Deficit Disorders, BH 65+
Chemical Dependency, BH 65+
Schizophrenia and other
Psychotic Disorders
62
El Paso
Chowdhury, Ingrid, PHD
6044 Gateway Blvd E Ste 651
(915) 587-1091
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Neuropsychological Testing, BH
13-17 Pain Management, BH
13-17 Pastoral Counseling, BH
13-17 Psychological Testing, BH
18-64 Abuse (Physical and/or
Sexual), BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Chemical Dependency, BH 18-64
Eating Disorders, BH 18-64 Gay/
Lesbian Issues, BH 18-64
Neuropsychological Testing, BH
18-64 Pain Management, BH
18-64 Pastoral Counseling, BH
18-64 Psychological Testing, BH
6-12 Abuse (Physical and/or
Sexual), BH 6-12 Affective Mood
Disorders, BH 6-12 Anxiety
Disorders, BH 6-12 Attention
Deficit Disorders, BH 6-12
Chemical Dependency, BH 6-12
Eating Disorders, BH 6-12 Gay/
Lesbian Issues, BH 6-12
Neuropsychological Testing, BH
6-12 Pain Management, BH 6-12
Pastoral Counseling, BH 6-12
Psychological Testing, BH 65+
Abuse (Physical and/or Sexual),
BH 65+ Affective Mood Disorders,
BH 65+ Anxiety Disorders, BH
65+ Attention Deficit Disorders,
BH 65+ Chemical Dependency,
BH 65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+
Neuropsychological Testing, BH
65+ Pain Management, BH 65+
Pastoral Counseling, BH 65+
Psychological Testing
Fernandez, Peter, PHD
1700 Murchison Dr Ste 213
(915) 541-1100
Practice Information: BH 18-64
Neuropsychological Testing, BH
18-64 Psychological Testing
REGISTERED NURSE
El Paso
Anderson Jimenez, Carol Jean,
RN
7760 Alabama St
(915) 757-7999
Practice Information: BH 13-17
Abuse (Physical and/or Sexual),
BH 13-17 Affective Mood
Disorders, BH 13-17 Anxiety
Disorders, BH 13-17 Attention
Deficit Disorders, BH 13-17
Chemical Dependency, BH 13-17
Eating Disorders, BH 13-17 Gay/
Lesbian Issues, BH 13-17
Schizophrenia & other Psych
Disorders, BH 18-64 Abuse
(Physical and/or Sexual), BH
18-64 Affective Mood Disorders,
BH 18-64 Anxiety Disorders, BH
18-64 Attention Deficit Disorders,
BH 18-64 Chemical Dependency,
BH 18-64 Eating Disorders, BH
18-64 Gay/Lesbian Issues, BH
18-64 Schizophrenia & other
Psych Disorders, BH 65+ Abuse
(Physical and/or Sexual), BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Chemical Dependency, BH
65+ Eating Disorders, BH 65+
Gay/Lesbian Issues, BH 65+
Schizophrenia and other
Psychotic Disorders
El Paso
El Paso
Chaparro, Claudia, RN
6044 Gateway Blvd E
(915) 307-4688
Practice Information: BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Schizophrenia & other
Psych Disorders, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Schizophrenia and other
Psychotic Disorders
Leal, Rey, RN
7760 Alabama St
(915) 577-0111
Practice Information: BH 18-64
Affective Mood Disorders, BH
18-64 Anxiety Disorders, BH
18-64 Chemical Dependency, BH
18-64 Schizophrenia & other
Psych Disorders, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Chemical Dependency, BH 65+
Schizophrenia and other
Psychotic Disorders
HORIZON CITY
LICENSED PROFESSIONAL
COUNSELOR
Navidomskis, Carlisle C, LPC
14200 Ashford St
(915) 433-7727
Practice Information: BH 0-5
Affective Mood Disorders, BH 0-5
Anxiety Disorders, BH 0-5
Attention Deficit Disorders, BH 0-5
Pastoral Counseling, BH 13-17
Affective Mood Disorders, BH
13-17 Anxiety Disorders, BH
13-17 Attention Deficit Disorders,
BH 13-17 Pastoral Counseling,
BH 18-64 Affective Mood
Disorders, BH 18-64 Anxiety
Disorders, BH 18-64 Attention
Deficit Disorders, BH 18-64
Pastoral Counseling, BH 6-12
Affective Mood Disorders, BH
6-12 Anxiety Disorders, BH 6-12
Attention Deficit Disorders, BH
6-12 Pastoral Counseling, BH 65+
Affective Mood Disorders, BH 65+
Anxiety Disorders, BH 65+
Attention Deficit Disorders, BH
65+ Pastoral Counseling
Horizon City
OCTOBER 15, 2014
Behavioral Health Hospitals
bmkh_mo_bhosp
EL PASO
Preauthorization Must be Obtained for all Behavioral Health Care,
Including Chemical Dependency By Calling Toll-Free 1-800-729-2422.
October 15, 2014
EL PASO
El Paso
El Paso
Alternative Center For Behavioral Health
7760 Alabama St
(915) 757-7999
University Behavioral Health of El Paso LLC
1900 Denver Ave
(915) 544-4000
J - Wheelchair Access
63
Vision Providers
ANTHONY
OCTOBER 15, 2014
Call Davis Vision at 1-800-501-1459 for assistance
O ctober 15, 2014
El Paso
ANTHONY
Anthony
Jackson, Richard, OD
216 W Washington St
(915) 886-3005
El Paso
EL PASO
El Paso
El Paso
El Paso
El Paso
*Appelson, Edward, OD
7101 Gateway Blvd
(915) 779-0005
To, Ngan, OD
655 Sunland Park Dr
Ste E-1
(915) 242-0682
Visionworks
8401 Gateway Blvd W
(915) 881-1188
D10
750 Sunland Park Dr
(915) 842-9985
El Paso
Dr Richard Nevins Wal Mart
Vision Center
7555 N Mesa
(915) 833-1616
Wal-Mart Vision Center
10727 Gateway Blvd W
(915) 594-3069
12236 Montana Ave
(915) 921-6878
El Paso Eyeworks
1821 N Zaragoza Rd
Ste 208B
(915) 857-3937
1850 N Zaragoza Rd
(915) 855-6553
4530 Woodrow Bean Tr
(915) 757-0064
Eyemart Express
10415 Gateway W
(915) 592-6792
5631 Dyer St
(915) 564-3579
7101 Gateway Blvd W
(915) 779-6855
655 Sunland Park Dr
Ste E-1
(915) 581-7757
7555 N Mesa
(915) 833-0511
8401 Gateway Blvd W
Ste K22
(915) 881-8139
K8
750 Sunland Park Dr
(915) 584-1767
9441 Alameda Ave
(915) 860-7177
FORT BLISS
Fort Bliss
El Paso
El Paso
El Paso
*Favela, Samuel, OD
1810 Murchison Dr
Ste 300
(915) 544-0326
Isee Clarity LLC
655 Sunland Park Dr
Ste E-1
(915) 242-0682
Kluka, Andrew, OD
1830 N Zaragoza
Ste 108
(915) 857-0363
HORIZON CITY
Walmart Vision Center
13900 Horizon Blvd
(915) 206-6217
Horizon City
SOCORRO
Socorro
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
Martinez, Gabriel, OD
1821 N Zaragoza Rd
Ste 208B
(915) 857-3937
National Vision Center
Fort Bliss Main Exchange
Bldg 1616 Ste F 107
(915) 566-8639
Dr Richard Jackson
10377 Socorro Rd
(915) 860-9806
McMahon, Louis, OD
9513 Viscount Blvd
Ste B
(915) 590-9977
Murchison Optical
1810 Murchison Dr
Ste 220
(915) 544-0326
Nevins, Richard, OD
7555 N Mesa
(915) 833-1616
Nguyen, Anthony, OD
655 Sunland Park Dr
Ste E-1
(915) 242-0682
Opticas Franklin Optical LLC
1718 N Zaragoza Rd
Ste A2
(915) 857-2394
Opticas Lazer Optical
1830 N Zaragoza
Ste 108
(915) 857-0363
Sams Club
11360 Pellicano Dr
(915) 591-6688
7001 Gateway Blvd W
(915) 771-0004
7970 N Mesa
(915) 585-2433
El Paso
The Lens Factory
1510 N Zaragoza
Ste A-4
(915) 629-9639
* - Exam Only
J - Wheelchair Access
64
Pharmacy Providers
OCTOBER 15, 2014
October 15, 2014
bmk_hmo_pharm
El Paso
ANTHONY
Anthony
Anthony
Palafox Pharmacy
929 S Main St
(915) 886-3394
Walgreens #12376
1432 Antonio St
(915) 886-2413
EL PASO
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
Advant Edge Pharmacy
1576 Lomaland Dr
(915) 595-0409
Alameda Thrifty Pharmacy
4900 Alameda Ave
(915) 772-5331
American Specialty Pharmacy
1015 N Zaragoza Rd
(915) 860-7225
Amerita Inc
7338 Remcon Circle
(915) 613-5580
Bank Pharmacy
4000 Montana Ave
(915) 562-4000
CVS Pharmacy #
201 N Mesa St
(915) 533-3709
CVS Pharmacy #
745 N Zaragoza Rd
(915) 859-2600
Centro San Vicente
8061 Alameda Ave Ste B
(915) 859-7545
Costco Pharmacy
6101 Gateway W Blvd
(915) 774-5202
Genoa Healthcare
1601 E Yandell St
(915) 235-0060
Global Hospice Care
1817 Wyoming Ave
(915) 543-6060
Grace Pharmacy
11125 La Quinta Place
(915) 593-0603
Guardian Angel Pharmacy
1400 George Dieter Dr
(915) 850-0713
Kmart Pharmacy3491
6375 Montana Ave
(915) 772-1402
Kmart Pharmacy3919
11330 Montwood Dr
(915) 855-4967
Kmart Pharmacy4201
1120 McRae Blvd
(915) 593-1296
Kmart Pharmacy4205
9484 Dyer St
(915) 757-2531
Kmart Pharmacy7347
411 N Zaragoza Rd
(915) 872-9802
Kmart Pharmacy9325
655 Sunland Park Dr
(915) 584-9448
McCrorys Pharmacy Inc
6151 Dew Dr
(915) 581-9655
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
Med Time Pharmacy
641 N Resler
(915) 584-6337
Medicine Shoppe
3310 Fort Blvd
(915) 564-5451
El Paso
Medicine Shoppe Pharmacy
2002 Grant Stea
(915) 544-6605
Primemed Pharmacy
7812 Gateway Blvd E
(915) 595-1300
Sams Pharmacy
11360 Pellicano Dr
(915) 591-4090
El Paso
El Paso
El Paso
Sams Pharmacy
7001 Gateway Blvd W
(915) 775-0960
El Paso
Sams Pharmacy
7970 N Mesa
(915) 587-0626
El Paso
Savon Pharmacy
10765 Kenworthy
(915) 821-3031
El Paso
Savon Pharmacy
11320 Montwood Dr
(915) 855-9772
El Paso
Savon Pharmacy
2200 Yarbrough Dr
(915) 591-5637
El Paso
Savon Pharmacy
3100 Mesa St
(915) 351-1183
Savon Pharmacy
5200 Montana Ave
(915) 778-0680
Savon Pharmacy
5630 N Desert Blvd
(915) 845-1422
Savon Pharmacy
7022 N Mesa St
(915) 584-9481
Savon Pharmacy
9111 Dyer St
(915) 751-8808
Sun City Compounding LLC
720 Arizona Ave
(915) 532-2400
Target Pharmacy
1874 Joe Battle Bvld
(915) 849-5011
Target Pharmacy
1901 George Dieter Dr
(915) 255-4758
Target Pharmacy
801 Sunland Park Dr
(915) 255-4744
Texas Oncology Pharmacy
1901 Grandview
(915) 747-4840
Texas Oncology Pharmacy
7848 Gateway E
(915) 595-6874
The Family Pharmacy
3660 Joe Battle Blvd Ste 10
(915) 857-5510
The Pharmacy Center
1720 Murchison
(915) 313-9870
U and T Pharmacy
2260 Trawood
(915) 590-9300
University Medical Center East
Phar
1485 George Dieter Dr Ste 107
(915) 521-7087
University Medical Center
Northeast
9839 Kenworthy St
(915) 231-2310
University Medical Center Ysleta
Ph
300 S Zaragoza Rd Bldg B
(915) 790-5722
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
University Medical Center of El
Pas
4815 Alameda Ave
(915) 521-7705
Wal-Mart Pharmacy
10727 Gateway Blvd W
(915) 593-3164
Wal-Mart Pharmacy
12236 Montana Ave
(915) 921-6879
Wal-Mart Pharmacy
1551 Zaragosa Rd
(915) 855-2745
Wal-Mart Pharmacy
3000 Saul Kleinfeld Dr
(915) 846-7804
Wal-Mart Pharmacy
4530 Woodrow Bean
(915) 757-2538
Wal-Mart Pharmacy
5631 Dyer St
(915) 564-5092
Wal-Mart Pharmacy
7101 Gateway Blvd
(915) 779-6768
Wal-Mart Pharmacy
7555 N Mesa
(915) 833-4332
Wal-Mart Pharmacy
8115 N Loop
(915) 629-0903
Wal-Mart Pharmacy
9441 Alameda Ave
(915) 858-1071
Wal-Mart Pharmacy
951 N Resler
(915) 875-0196
Wal-Mart Pharmacy 10-2612
1850 N Zaragoza Rd
(915) 855-6597
Walgreens
12201 Montwood Dr
(915) 856-0278
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
El Paso
Walgreens #11516
1329 George Dieter Dr
(915) 594-3838
Walgreens #11749
10600 Montana Ave
(915) 591-4655
Walgreens #1293
1210 Wedgewood
(915) 591-9401
Walgreens #15036
5401 Montana Ave
(915) 779-8825
Walgreens #15371
302 Oregon St
(915) 532-4344
Walgreens #3236
800 N Zaragoza Rd
(915) 860-1644
Walgreens #3542
1607 Zaragosa Rd
(915) 856-0060
Walgreens #3570
890 N Resler Dr
(915) 584-1422
Walgreens #3826
11685 Montwood
(915) 855-7740
Walgreens #3924
5900 N Mesa
(915) 581-3307
65
Walgreens #5274
2800 N Mesa St
(915) 533-5449
Walgreens #5477
100 N Americas
(915) 790-0404
Walgreens #6435
1831 Lee Trevino Dr
(915) 594-1127
Walgreens #6498
2950 George Dieter Dr
(915) 856-6833
Walgreens #6542
1100 Geronimo Dr
(915) 778-5449
Walgreens #6543
10780 Kenworthy
(915) 821-2065
Walgreens #6753
8045 N Loop Dr
(915) 592-5585
Walgreens #7328
9428 Dyer St
(915) 751-2494
Walgreens #9173
8050 N Mesa St
(915) 585-0388
Walgreens #9368
12390 Edgemere
(915) 849-6755
Walmart Pharmacy 105962
4716 Hondo Pass Dr
(915) 757-2292
FABENS
Fabens
Fabens
Walgreens
8889 Gateway Blvd W
(915) 599-8571
Walgreens #10414
10090 Rushing Rd
(915) 755-9510
Walgreens #4679
2879 Montana
(915) 562-5588
The Medicine Shoppe
1420 Fabens Rd Ste B
(915) 764-2739
University Medical Center Fabens
Ph
101 Potasio St
(915) 521-2271
HORIZON CITY
Advant Edge Pharmacy
14476 Horizon Blvd
(915) 852-8884
Horiz on City
Wal-Mart Pharmacy
13900 Horizon Blvd
(915) 206-6215
Horiz on City
Walgreens #11518
14300 Horizon Blvd
(915) 852-1561
Horiz on City
SOCORRO
Socorro
Socorro
Wal-Mart Pharmacy
10301 Alameda Ave
(915) 858-1841
Walgreens #11436
10850 N Loop Dr
(915) 860-1315
SOCORRO
Primary Care Physician Index
bmk_hmo_pc_index
A
Espinosa, Jose, MD (IPN) ............................................................. 6
Abalihi, Carol N, MD (IPN) .............................................................5
Aboud, Ambrose, MD (IPN) ............................................................5
Adedeji, Adekunle A, MD (IPN) ......................................................2
Agarwal, Ajai J, MD (IPN) .........................................................2, 13
Ajmal, Shajeea, MD (IPN) ...............................................................5
Akinjaiyeju, Akintoluwa A, MD (IPN) ..............................................9
Alnajjar, Mohammed R, MD (IPN) ..................................................5
Alonzo, Jesus, MD (IPN) ................................................................2
Alpard, Allan J, MD (IPN) ...............................................................9
Alva, Jose D, MD (IPN) ...................................................................9
Amakiri, Onyema E, DO (IPN) ........................................................5
Annabi, Michael H, MD (IPN) .........................................................5
Antowan, Cenan M, MD (IPN) ........................................................9
Aragon, Lorenzo B, MD (IPN) .........................................................2
Aristizabal Ortiz, Andres, MD (IPN) ...............................................9
Armendariz, Rafael, DO (IPN) ........................................................2
Arroyave, Ana M, MD (IPN) ............................................................2
Asiain, Maria D, MD (IPN) ..............................................................9
Assi, Muneer E, DO (IPN) ...............................................................5
Ayala, Jose Ruben, MD (IPN) .........................................................2
Azarcon Samonte, Patricia A, MD (IPN) ........................................9
F
B
Baker, Ronald F, MD (IPN) .............................................................2
Barahona, Jose A, MD (IPN) ..........................................................5
Behrens, Kenyon R, DO (IPN) ........................................................2
Belgrave, Genevieve M, MD (IPN) .................................................5
Belocura, Jonnalyn R, MD (IPN) ....................................................2
Beltran, Armando, MD (IPN) ...........................................................5
Beltran, Celina R, MD (IPN) ...........................................................2
Bender, Arianna, MD (IPN) .............................................................5
Benitez, Adolfo L, MD (IPN) ............................................................2
Blanc, Oscar, MD (IPN) ..................................................................9
Boadella, Andres D, MD (IPN) ........................................................9
Borrego, Manuel, MD (IPN) ............................................................2
Botez, Maria I, MD (IPN) .................................................................5
Bowen, Michael L, DO (IPN) ...........................................................9
Brooker, Olmer R, MD (IPN) ..........................................................6
Brower, Mary C, MD (IPN) ..............................................................9
C
Caballero, Yuri J, MD (IPN) ............................................................6
Cajas, Oswaldo, MD (IPN) ..............................................................2
Calderoni, Henry H, MD (IPN) ........................................................2
Canales, Roberto, MD (IPN) ...........................................................9
Cardenas, Maria G, MD (IPN) ........................................................6
Casillas, Arturo, MD (IPN) ............................................................10
Casner, Paul R, MD (IPN) ...............................................................6
Castillo, Gregorio Joel A, MD (IPN) ................................................6
Chin, Jennifer R, MD (IPN) .............................................................6
Coleman, Scott K, MD (IPN) .........................................................10
Colon Dordal, Ramon A, MD (IPN) ..............................................10
Contreras, Elizabeth, MD (IPN) ....................................................10
Craig, Christopher H, MD (IPN) ....................................................10
Curbelo, Niurka, MD (IPN) ............................................................10
Famatigan, Maria G, MD (IPN) ...................................................... 6
Farrag, Safa E, MD (IPN) ............................................................... 6
Farris, Kelly, MD (IPN) ................................................................. 13
Francis, Maureen D, MD (IPN) ...................................................... 6
Frausto, Marcella A, MD (IPN) ..................................................... 10
Friday, Dwayne, MD (IPN) ......................................................... 2, 6
Fuhrman, Bradley P, MD (IPN) .................................................... 10
G
Garcia, Angel J, MD (IPN) .............................................................. 3
Garcia, Blanca I, MD (IPN) ........................................................... 10
Gonzalez Morales, Evelyn, MD (IPN) .......................................... 10
Gonzalez Sozer, Mariaelena, MD (IPN) .................................. 6, 10
Gonzalez, Enrique, MD (IPN) ......................................................... 6
Gonzalez, Omar, MD (IPN) ............................................................ 6
Gosavi, Sucheta, MD (IPN) ............................................................ 6
Griffith, Nathaniel L, DO (IPN) ....................................................... 7
Guerra, Luis G, MD (IPN) ............................................................... 7
Guerra, Sr, Francisco J, MD (IPN) ................................................. 3
Guggedahl, John E, MD (IPN) ..................................................... 10
Guzman, Jorge G, MD (IPN) .......................................................... 3
H
Haidarian, Mina, MD (IPN) ............................................................. 3
Hale, Anne V, MD (IPN) ................................................................. 9
Handal, Gilbert A, MD (IPN) ......................................................... 10
Harlass, Frederick E, MD (IPN) ..................................................... 9
Haydar, Zafer H, MD (IPN) ............................................................. 7
Hazboun, Ramsey R, MD (IPN) ..................................................... 7
Hernandez, Arturo, MD (IPN) ......................................................... 3
Hinojos, Ralu, MD (IPN) ................................................................ 3
Ho, Hoi, MD (IPN) ........................................................................... 7
Horn, Kathryn L, MD (IPN) ............................................................. 3
Hughes, Harold W, MD (IPN) ......................................................... 7
Hunko, Gabriela, MD (IPN) ............................................................ 7
I
Machorro, Angelica I, MD (IPN) ................................................... 11
Macias, Laura, MD (IPN) ................................................................ 7
Maiyegun, Sitratullah O, MD (IPN) ............................................... 11
Manquero Butler, Martha I, MD (IPN) ........................................... 3
Marquez Smith, Teresa, MD (IPN) .............................................. 11
Martin, Charmaine A, MD (IPN) ..................................................... 3
Martin, Gregory E, MD (IPN) .......................................................... 7
Martinez, Hector R, MD (IPN) ........................................................ 7
Martinez, Pablo F, MD (IPN) .................................................... 3, 13
Martinez, Renee L, MD (IPN) ......................................................... 7
Mehta, Nilesh S, MD (IPN) ............................................................. 7
Mendez Ramirez, Jose M, MD (IPN) ............................................. 7
Mendiola, Anna Marie T, MD (IPN) .............................................. 11
Mendoza Castillo, Rodin R, MD (IPN) ......................................... 11
Mgbokwere, Chioma J, MD (IPN) .......................................... 11, 13
Midez, Jaime A, MD (IPN) .............................................................. 7
Moazam, Mustafa M, MD (IPN) ................................................ 2, 11
Molina, Jr, Salvador, DO (IPN) ....................................................... 7
Molina, Melissa A, MD (IPN) .......................................................... 3
Molinares, Vanina, MD (IPN) ......................................................... 7
Molokwu, Jennifer C, MD (IPN) ..................................................... 3
Monroy, Anwar E, MD (IPN) ........................................................... 3
Morales Mendez, Jacobo S, MD (IPN) ........................................ 13
Moreno, Robert A, MD (IPN) .......................................................... 7
Munoz, Luis R, MD (IPN) .............................................................. 11
Munoz, Xavier J, DO (IPN) ............................................................. 3
N
Naga, Osama I, MD (IPN) ............................................................. 11
Najera, Raul A, MD (IPN) ............................................................... 3
Nassar, Eddie R, MD (IPN) .......................................................... 11
Nayak, Tanaya, MD (IPN) .............................................................. 7
Nduka, Chinwe C, MD (IPN) ........................................................... 3
Nevarez, Alba N, MD (IPN) ........................................................... 13
Nnebe, Florence O, MD (IPN) ...................................................... 11
Noriega, Oscar A, MD (IPN) ........................................................... 4
Nowak, Paul C, MD (IPN) ............................................................. 11
Nutis, Dinorah J, MD (IPN) ............................................................. 7
O
J
Obregon, Jacinto A, MD (IPN) ....................................................... 4
Ocaranza Flores, Hector I, MD (IPN) ........................................... 11
Orellana, Miguel A, MD (IPN) ......................................................... 8
Ortiz, Jorge L, MD (IPN) ............................................................... 11
Ovalle, Alejandro, MD (IPN) ........................................................... 8
Jackson, George W, MD (IPN) ...................................................... 3
Jaraba, Jr, Jaime I, MD (IPN) ......................................................... 3
Jones Allen, Angela S, MD (IPN) .................................................. 3
Juarez, Edward C, MD (IPN) ...................................................... 5, 7
D
Davis, II, Harry E, MD (IPN) ............................................................6
Days, Alison L, MD (IPN) ..............................................................10
De Anda Ortiz, Jose L, MD (IPN) .................................................10
De Jesus Perdomo, Eduardo M, MD (IPN) ....................................6
De La Mora, Diego, MD (IPN) .........................................................6
Diaz, Marco, MD (IPN) ....................................................................2
Didia, Silvia C, MD (IPN) .................................................................6
Kahn, Stuart W, MD (IPN) ............................................................ 10
Kronfol, Rana N, MD (IPN) .......................................................... 10
Easter II, Thomas G, MD (IPN) .......................................................2
Egborge, Eseovhe A, MD (IPN) ....................................................13
Eleje, Augustine O, MD (IPN) ...................................................6, 10
Enriquez, Andres S, MD (IPN) ........................................................2
Escandon, Carmen G, MD (IPN) ....................................................2
M
Ibarra, Isela, MD (IPN) ................................................................. 10
Isaac, David W, MD (IPN) ............................................................ 10
Iwaloye, Femi D, MD (IPN) ............................................................ 9
K
E
Lopez, Hector, DO (IPN) ................................................................ 3
Lozano, Jesus L, MD (IPN) .......................................................... 11
Luna, Jr, Jose, MD (IPN) ................................................................ 3
Lyn, Heidi A, MD (IPN) ................................................................... 9
L
Lazaro, Shelley S, MD (IPN) ........................................................ 10
Lemez, Alma, MD (IPN) ................................................................. 3
Levin, Garrett S, MD (IPN) ........................................................... 11
Leyva, Edward S, MD (IPN) ........................................................... 3
Leyva, Rodolfo, MD (IPN) ............................................................ 11
Liptakova, Helena H, MD (IPN) ................................................... 11
Lodhi, Huma Y, MD (IPN) ............................................................ 11
Logvinoff, Marie Martine, MD (IPN) ............................................ 11
Loomba, Ashish, MD (IPN) .......................................................... 11
Lopez Leyva, Manuel D, MD (IPN) ................................................ 7
66
P
Padilla, Jr, Manuel A, DO (IPN) ...................................................... 4
Palacios, Mariano, MD (IPN) .......................................................... 8
Palafox, Manuel J, DO (IPN) .......................................................... 8
Palomino Hernandez, Adolfo, MD (IPN) ....................................... 4
Paniagua, Julian R, MD (IPN) ...................................................... 11
Parra, Guillermo, MD (IPN) ............................................................. 4
Patel, Jagdish D, MD (IPN) ........................................................... 12
Patel, Jignesh D, MD (IPN) ........................................................... 12
Pathak, Indu S, MD (IPN) ............................................................. 12
Patterson, John, MD (IPN) ............................................................. 4
Payne, Douglas B, MD (IPN) .......................................................... 8
Peinado Fragoso, Jesus, MD (IPN) ............................................. 12
Penaranda, Eribeth K, MD (IPN) .................................................... 4
Peralta Kattengell, Ivania, MD (IPN) ........................................... 12
Peralta, Max A, MD (IPN) ............................................................... 4
Perez, Juan R, MD (IPN) ................................................................ 4
Perez, Leida P, MD (IPN) ............................................................... 8
Personett, Becky B, MD (IPN) ....................................................... 4
Pham, Lisa K, MD (IPN) ................................................................. 8
Pinaroc, Teresa R, MD (IPN) ......................................................... 8
Pitchford, William A, MD (IPN) ...................................................... 4
Primary Care Physician Index
bmk_hmo_pcp_nidex
Polanco, Daniel, MD (IPN) ............................................................. 8
Porras, Enrique, MD (IPN) ............................................................. 8
Porras, Jose L, MD (IPN) ............................................................... 8
Porres Aguilar, Mateo, MD (IPN) .................................................. 8
Prieto Jimenez, Carmen A, MD (IPN) ......................................... 12
Prieto, Jr, Jose, MD (IPN) ............................................................ 12
Prodanovic, Maria L, MD (IPN) ................................................... 12
Provencio, Jr, Mauro, MD (IPN) .................................................... 4
R
Ramirez, Jr, Amado, MD (IPN) ..................................................... 12
Regalado, Nora G, MD (IPN) ......................................................... 4
Remirez, Carlos M, MD (IPN) ......................................................... 4
Renteria Alvarez, Jose M, MD (IPN) ........................................... 12
Reyna, Ricardo, MD (IPN) ............................................................ 12
Rich, Jr, Nicolas, MD (IPN) .......................................................... 12
Rigesti, German J, MD (IPN) ......................................................... 4
Rocha, Jr, Alejandro, DO (IPN) ...................................................... 4
Rocha, Sandra T, DO (IPN) ........................................................... 4
Rodriguez Castro, Carlos E, MD (IPN) ......................................... 8
Rodriguez, Kim V, MD (IPN) ........................................................ 12
Romero Ramos, Samuel F, MD (IPN) ........................................... 8
Roncallo, Ruben R, MD (IPN) ...................................................... 12
Rovner, Sergio F, MD (IPN) ........................................................... 8
W
Walker, Vernoy A, MD (IPN) ........................................................... 5
Watson, Michael J, MD (IPN) ......................................................... 5
Wieland, Kristina M, MD (IPN) ....................................................... 9
Wolfe, II, Perry T, MD (IPN) ............................................................ 5
Woo Telles, Argelia, MD (IPN) ....................................................... 5
Wright, Justin M, MD (IPN) ............................................................ 5
Wu, Jie, MD (IPN) ........................................................................... 9
Y
Yusoof, Syed A, MD (IPN) ............................................................. 9
Z
Zabanal, Rosario C, MD (IPN) ...................................................... 13
Zayas, Raul, MD (IPN) .................................................................... 5
S
Saenz Alvarado, Rodrigo J, MD (IPN) ........................................... 8
Salloum, Hassan N, MD (IPN) ..................................................... 12
Salloum, Maha S, MD (IPN) ......................................................... 12
Saunders, Richard D, DO (IPN) ..................................................... 4
See, Gladina M, MD (IPN) .............................................................. 8
Segapeli, Joseph H, MD (IPN) ..................................................... 12
Serna, Aime D, MD (IPN) ............................................................... 8
Seshadri, Sheshashree, MD (IPN) ............................................... 12
Sherman, III, John M, MD (IPN) ..................................................... 4
Shirsat, Pratibha K, MD (IPN) ...................................................... 12
Shokar, Gurjeet S, MD (IPN) .......................................................... 4
Shokar, Navkiran, MD (IPN) ........................................................... 4
Shukla, Vani, MD (IPN) .................................................................. 8
Silvia, Scott K, MD (IPN) ................................................................ 4
Singh, Namrata S, MD (IPN) ........................................................ 12
Songbandith, Virabandith V, MD (IPN) ................................... 4, 13
Spalding, Mary C, MD (IPN) .......................................................... 4
Square, Jaime H, MD (IPN) ............................................................ 8
T
Talamas, Emilia, MD (IPN) ........................................................... 12
Tan, Jeanette S, MD (IPN) ............................................................. 8
Thomas, III, John P, MD (IPN) ....................................................... 5
Thornburg, Carroll W, DO (IPN) .................................................... 5
Tovar, Yara E, MD (IPN) ............................................................ 2, 8
Trevino, Marina, MD (IPN) ........................................................... 13
U
Ugarte, Adrian O, MD (IPN) ........................................................... 8
Urtubey, Adriana M, MD (IPN) ....................................................... 9
Usen, Stanley O, MD (IPN) .......................................................... 12
V
Valenzuela, Manuel F, MD (IPN) ................................................. 13
Vashishtha, Neha, MD (IPN) ....................................................... 13
Velasquez, Linda K, MD (IPN) ..................................................... 13
Vera, Robert W, MD (IPN) .............................................................. 9
Viado, Emma S, MD (IPN) ........................................................... 13
Villalobos, Victor M, MD (IPN) ....................................................... 5
Villanos, Maria Theresa M, MD (IPN) .......................................... 13
67
Specialists Index
bmk_hmo_spec_ni dex
A
Abbas, Aamer, MD (IPN) ...............................................................24
Abdelgawad, Amr M, MD (IPN)...............................................35, 38
Abedin, Moeen, MD (IPN) .............................................................17
Abedin, Zainul, MD (IPN).........................................................17, 24
Aboud, Ambrose, MD (IPN).....................................................23, 24
Abresch, Robert J, MD (IPN).........................................................45
Acker, Jessica Ann, LPC ...............................................................60
Acosta Corrales, Manuel L, MD (IPN) ..........................................21
Acosta, Astrid, APN (IPN)........................................................14, 50
Acosta, Jorge, MD (IPN)................................................................21
Acosta, Juan G, LPT (IPN) ............................................................40
Acosta, Patricia R, LPT (IPN) ........................................................40
Adame, Hector M, SLP (IPN).........................................................45
Adame, Lizette, LPT (IPN) .............................................................40
Adeniji, Ademola O, LPT (IPN)......................................................40
Adzotor, Kwasi, MD (IPN) .......................................................24, 29
Aguayo, Jr, Fred, DC (IPN) ...........................................................19
Aguilar, Oscar M, MD (IPN).....................................................17, 24
Aguirre, Diane, OT (IPN) ...............................................................32
Aguirre, Jesus, OT (IPN) ...............................................................32
Agullo, Francisco J, MD (IPN) .......................................................42
Akomolafe, Babatunde A, LPT (IPN) ............................................40
Alarcon, Maria T, APN (IPN) ...................................................14, 50
Alcala, Jennifer L, LPT (IPN) .........................................................40
Alcala, Patricia H, MD (IPN) ..........................................................29
Allen, Anna J, DC (IPN) .................................................................19
Aloba, Maria C, MD (IPN) ..............................................................23
Alost, Jr, Thomas E, MD (IPN) ......................................................35
Alozie, Ogechika K, MD (IPN) .................................................23, 24
Alpern, Louis M, MD (IPN).............................................................34
Altaher, Ghada H, MD (IPN) ..........................................................34
Alvarez, Dionicio M, MD (IPN) .......................................................27
Alvarez, Lilia B, OD (IPN) ..............................................................46
Alvarez, Sergio R, MD (IPN)....................................................17, 45
Amadi, Chikezie C, MD (IPN) ............................................17, 24, 26
Ambat, Ma Teresa C, MD (IPN).....................................................39
Anaya, Gerardo, APN (IPN).....................................................14, 50
Anchondo, Adolfo N, MD (IPN) .....................................................44
Anchondo, Ines M, RD (IPN) ........................................................29
Anderson Jimenez, Carol Jean, RN.............................................62
Anderson, Heath L, OD (IPN) .......................................................46
Anderson, Mikel J, DC (IPN) .........................................................19
Anderson, Sarah F, LPT (IPN) ......................................................40
Annabi, Hani M, MD (IPN) .............................................................47
Annabi, Jeffrey H, MD (IPN) ..........................................................37
Antony, Suresh J, MD (IPN) ..........................................................23
Aragon, Priscilla, SLP (IPN) ..........................................................45
Arango, Jorge J, MD (IPN) ............................................................36
Archibek, Sienna Marie, MSED.....................................................59
Arends, Ann M, SLP (IPN).............................................................45
Armendariz, Albert, LPT (IPN) ................................................40, 48
Armendariz, Maritza R, APN (IPN)..........................................14, 50
Armendariz, Soledad, LPT (IPN).............................................40, 48
Aronson, Daniel J, MD (IPN).........................................................29
Asgharian, Robert B, MD (IPN).....................................................29
Assi, Edward R, DO (IPN) .............................................................17
August, Brian J, MD (IPN) .............................................................40
Avants, Melody R, LPC .................................................................60
Ayala, George, LPC .......................................................................60
B
Bacchus, Haseena F, PA (IPN)...............................................50, 51
Bagg, Michael D, MD (IPN)............................................................47
Ballmer, Scotti S, DC (IPN) ...........................................................19
Banda, Claudette M, APN (IPN) ..............................................14, 50
Barker, Jerry W, DC (IPN) .............................................................19
Basar, Irum, MD (IPN) ...................................................................29
Batista, Christopher A, APN (IPN)...........................................14, 50
Belbel, Roger J, DO (IPN) .............................................................17
Benedict, Justin C, DC (IPN).........................................................19
Beniquez Nieves, Enrique, MD (IPN)............................................20
Benson, II, Robert W, LPT (IPN) ...................................................40
Bermudez, Raquel, APN (IPN) ................................................14, 50
Blackburn, Arthur B, MD (IPN)......................................................29
Blair, Terry B, OD (IPN) .................................................................47
Blancas, Moses I, LPT (IPN) .........................................................40
Blanco, Christina, APN (IPN)...................................................14, 50
Blandon, Jr, Pedro A, MD (IPN) ..............................................24, 27
Blumenfeld, Daniel G, MD (IPN) ...................................................34
Bohlmann, Vilma F, APN (IPN) ...............................................14, 50
Boncser, Mark E, LPT (IPN) ......................................................... 40
Boren, Ulla K, OT (IPN) ................................................................ 33
Borrego, Ed Jose, MD .................................................................. 61
Brandl, Christine, MD (IPN) .......................................................... 29
Brenner, Kimberly H, LCSW ......................................................... 59
Bright, Kevin E, MD (IPN) ............................................................. 36
Bright, Tamis M, MD (IPN) ..................................................... 20, 24
Bringas, Christa A, LPT (IPN)....................................................... 40
Brown, Courtney G, MD (IPN) ...................................................... 21
Brown, Gloria A, OT (IPN) ............................................................ 33
Buck, Victor R, OD (IPN) .............................................................. 47
Burt, Benjamin O, MD (IPN).......................................................... 34
C
Calderon, Jose L, PA (IPN) .......................................................... 51
Calderon, Marcos, MD (IPN) .................................................. 14, 34
Calderon, Michelle L, APN (IPN) ............................................ 48, 51
Calianga, Cesar R, MD (IPN).................................................. 23, 24
Camacho, Arlette Y, APN (IPN) .............................................. 14, 50
Campbell, Chris S, DC (IPN) ........................................................ 19
Campbell, Everett L, MD (IPN) ..................................................... 35
Canada, Linda R, APN (IPN)................................................... 14, 50
Canales, Roberto, MD (IPN) ................................................... 38, 39
Candelaria, Bilha A, APN (IPN) .............................................. 14, 50
Carcamo, Benjamin, MD (IPN) ..................................................... 38
Carcoba, Dora M, APN (IPN).................................................. 14, 50
Cardwell, Michael S, MD (IPN) ............................................... 27, 29
Carey, Cynthia T, DC (IPN)........................................................... 19
Carlson, Staci L, SLP (IPN) .......................................................... 45
Carrasco, Alfonso I, DC (IPN)....................................................... 19
Carrillo, Itzel, OT (IPN) ................................................................. 33
Carrillo, Patti A, LPT (IPN)............................................................ 40
Casner, Paul R, MD (IPN) ....................................................... 22, 24
Castaneda, Guadalupe, LCSW..................................................... 59
Castaneda, Kayla E, APN (IPN) ............................................. 14, 50
Castrellon Sr, Jose, LCSW .......................................................... 59
Castrellon, Demetria A, APN (IPN) ........................................ 14, 50
Castro, Marco A, DC (IPN) ........................................................... 19
Cazares Zavala, Jose Z, MD (IPN) ............................................... 30
Ceballos, Monica, OT (IPN) .......................................................... 33
Celis, Vanessa S, SLP (IPN)......................................................... 45
Ceniceros, Enrique, LPT (IPN) ..................................................... 40
Cervantes, Georgina, OT (IPN) .................................................... 33
Cesar, Carlos R, MD (IPN)............................................................ 36
Chaparro, Claudia, RN ................................................................. 62
Chavez, Alfonso, MD (IPN) ..................................................... 24, 27
Chavez, Alfredo, MD (IPN)............................................................ 20
Chavez, Donald X, PA (IPN) ......................................................... 51
Chavez, Eva P, MD (IPN).............................................................. 43
Chavez, Sylvia, APN (IPN)...................................................... 14, 50
Chavez-Holguin, Pedro S, MD (IPN)...................................... 22, 43
Chesbro, Byron H, MD (IPN) .................................................. 27, 33
Chitti, Srinivas R, MD (IPN) .................................................... 24, 27
Choubkha, Nora, MD.................................................................... 61
Chowdhury, Ingrid, PHD .............................................................. 62
Christenson, Robert A, MD (IPN)........................................... 38, 39
Chukwu, Ikedieze I, MD (IPN) ...................................................... 24
Cofer, Barry R, MD (IPN) .............................................................. 38
Collins, Joe David, LPC................................................................ 60
Contreras, Jorge I, MD (IPN)........................................................ 36
Cook, Jonathan F, MD (IPN)................................................... 23, 35
Cook, Patrick R, DO (IPN) ............................................................ 48
Cooney, Paul D, MD (IPN)............................................................ 21
Cordova Hoy, Annette M, MD (IPN) ............................................. 30
Cormack Aboud, Ailbhe T, SLP (IPN).......................................... 45
Cornali, George R, DC (IPN) ........................................................ 19
Corral, Javier C, MD (IPN) ...................................................... 23, 33
Cortes, Erasto, MD (IPN) .................................................. 24, 44, 45
Cortez, II, Luis, LPT (IPN) ............................................................. 40
Cosart Banerji, Audra L, PA (IPN) ............................................... 51
Cossentino, Mark J, MD (IPN) ............................................... 21, 24
Costa, Henry C, MD (IPN)............................................................. 23
Cota, Francisco J, MD................................................................... 61
Cowens, Sr, Kevin E, MD (IPN) .................................................... 29
Cox, Derrick D, MD (IPN) .............................................................. 33
Crecca, Gerard F, MD (IPN) ......................................................... 21
Cuetter, Albert C, MD (IPN) .......................................................... 29
Curley, Mary K, LPC ..................................................................... 60
Cutolo, Michael, DPM (IPN).......................................................... 43
68
D
Dacus, Roberta A, APN (IPN) ................................................. 14, 50
Dalley, Jeremy, PA (IPN) .............................................................. 51
Dandade, Pritam B, MD (IPN) ....................................................... 21
Dandade, Usha P, MD (IPN) ......................................................... 30
Darling, Scott S, DC (IPN)............................................................. 19
Davalos, Antonio, MD (IPN) .......................................................... 22
Davalos, Mauricio, MD (IPN)......................................................... 48
Davis, Brian R, MD (IPN)............................................................... 22
Davis, Nicole E, APN (IPN) ..................................................... 14, 50
Davis, Patricia M, MD (IPN)........................................................... 30
Davitt, III, William F, MD (IPN) ...................................................... 34
De La Fuente, Karin H, SLP (IPN) ................................................ 45
De La Rosa, Antonio, MD (IPN) .................................................... 30
De La Rosa, Efren, DPM (IPN)...................................................... 43
De La Rosa, Lily, SLP (IPN) .......................................................... 45
De La Torre, Javier E, MD (IPN) ................................................... 34
De Luca, Michael J, MD (IPN) ................................................. 17, 24
Deines, Walter W, LCSW .............................................................. 59
Deiter, Cary T, DC (IPN)................................................................ 19
Demick, Diane S, MD (IPN)........................................................... 27
Desantos, Christina, MD (IPN)...................................................... 30
Deter, Dwight M, PA (IPN)............................................................. 51
Di Pascuale, Mario A, MD (IPN).................................................... 34
Diaz Luna, Hector J, MD (IPN)...................................................... 22
Diaz Pagan, Jose L, MD (IPN) ...................................................... 35
Diaz, Gonzalo A, MD (IPN) ................................................ 24, 44, 45
Dim, Uzodinma R, MD (IPN).......................................................... 17
Dizzine, Amanda J, APN (IPN)................................................ 15, 50
Dobrin, David J, MD (IPN)............................................................. 18
Doka, David S, MD (IPN)............................................................... 34
Dominguez, Guadalupe, APN (IPN) ....................................... 15, 50
Dominguez, Martha Lopez, LCSW ............................................... 59
Doski, John J, MD (IPN)................................................................ 38
Dougherty, Steven H, MD (IPN) ................................................... 22
Duarte, Sandra, SLP (IPN) ............................................................ 45
Dulanto, Annette N, OT (IPN) ....................................................... 33
Duran, Ana M, PA (IPN) .......................................................... 50, 51
Duran, Patricia F, LPC .................................................................. 60
Duron, Diana, LCSW..................................................................... 59
Dzubey, Kenneth C, OD (IPN)....................................................... 47
E
Eisenberg, Kenneth L, MD (IPN) .................................................. 17
Eisenberg, Lauren N, DO (IPN) .................................................... 48
Ellis, II, John L, OD (IPN) .............................................................. 47
Ellison, Patricia E, OT (IPN).......................................................... 33
Ellman, Marc, MD (IPN) ................................................................ 34
Ellsesser, Anna M, OD (IPN) ........................................................ 47
Endozo, Edgar A, OT (IPN)........................................................... 33
Escandon, Jasmine K, OT (IPN)................................................... 33
Escobar, Juan M, MD (IPN) .......................................................... 18
Espinosa, Ivonne, APN (IPN) ................................................. 15, 50
Esquivel, Michael R, PA (IPN) ...................................................... 51
F
Falknor, Kenneth R, OD (IPN) ...................................................... 47
Falknor, Larry W, OD (IPN)........................................................... 47
Familua, Oluwamayowa F, MD (IPN)............................................ 22
Faner, Maria L, APN (IPN)....................................................... 15, 50
Farnam, Richard W, MD (IPN) ...................................................... 30
Farness, Judy L, APN (IPN) .................................................... 15, 50
Farrington, Valerie J, APN (IPN) ............................................ 15, 50
Favela, Jr, Samuel, OD (IPN)........................................................ 47
Fenrich, Jr, Arnold L, MD (IPN)..................................................... 37
Fernandez, Fernando, DPM (IPN) ................................................ 43
Fernandez, Juan F, MD (IPN) ....................................................... 44
Fernandez, Peter, PHD................................................................. 62
Fierro Stevens, Rodolfo, MD (IPN)................................... 19, 29, 39
Figueroa Casas, Juan B, MD (IPN) .............................................. 44
Filler, Trent C, DDS (IPN).............................................................. 35
Fiske, Haydee, APN (IPN)....................................................... 15, 50
Fitzgerald, Tamara N, MD (IPN) ................................................... 38
Fleming, Rhonda V, MD (IPN) ...................................................... 23
Flores, Hector A, MD (IPN) ..................................................... 17, 47
Follen, Michele F, MD (IPN) .......................................................... 30
Foust, Kelley E, OT (IPN).............................................................. 33
Franco, Hector L, MD (IPN)........................................................... 20
Specialists Index
bmk_hmo_specn_idex
Franco, Jonathan, LPT (IPN) ........................................................ 40
Freemyer, Ryan R, MD (IPN)........................................................ 22
Fuhrman, Bradley P, MD (IPN)..................................................... 39
Funkhouser, Todd A, MD (IPN).................................................... 14
Furlong, Joseph B, MD (IPN)........................................................ 20
G
Gaines, Lelia T, MD (IPN) ............................................................. 14
Galbraith, Michael Y, LPT (IPN) ................................................... 40
Gallardo, Mark J, MD (IPN)........................................................... 34
Gallinar, Janine L, LCSW.............................................................. 59
Garcia De Mitchell, Cecilia A, MD (IPN)....................................... 43
Garcia, Angel J, MD (IPN)....................................................... 20, 46
Garcia, Bernadette M, LPT (IPN) .................................................. 40
Garcia, Genevieve M, DO (IPN).................................................... 30
Garcia, Henry F, MD (IPN) ............................................................ 30
Garcia, Hernando, MD (IPN) ......................................................... 44
Garcia, Patricia A, SLP (IPN) ........................................................ 46
Garcia, Rafael I, MD (IPN) ............................................................ 36
Garduno, Abel, MD (IPN).............................................................. 48
Garduno, Claudia M, LPT (IPN).................................................... 41
Garner, Ammon D, OD (IPN) ........................................................ 47
Garrido, Paul J, LPT (IPN) ............................................................ 41
Garza Arreola, Luis, MD (IPN)................................................ 18, 26
Garza, Margarita, OT (IPN) ........................................................... 33
Garza, Tara L, LPT (IPN)............................................................... 41
Gaur, Sumit, MD (IPN) ............................................................ 23, 24
Gaytan Jr, Osvaldo, MD................................................................ 62
Georges, Thomas J, DC (IPN) ...................................................... 19
Giles, Harlan R, MD (IPN) ....................................................... 27, 30
Gill, Shirlina L, APN (IPN) ....................................................... 15, 50
Gluck, Brion A, MD (IPN) .............................................................. 30
Glusman, Steven P, MD (IPN) ................................................ 20, 29
Goff, Kathleen E, OD (IPN) ........................................................... 47
Goldman, Edward M, MD (IPN) .............................................. 36, 43
Gomez Jr, Guillermo, LPC ............................................................ 60
Gomez, Edward R, MD (IPN) ........................................................ 22
Gomez, Jaime R, MD (IPN)........................................................... 20
Gomez, Javier H, LCSW ............................................................... 59
Gomez, Jesus A, MD (IPN) ........................................................... 33
Gomez, Maria S, APN (IPN).................................................... 15, 50
Gomez, Patrick J, MD (IPN) .......................................................... 36
Gomez, Suzana S, LPT (IPN) ....................................................... 41
Gonzales, Mark J, LPT (IPN) ........................................................ 41
Gonzalez, Abraham, MD (IPN).......................................... 18, 24, 29
Gonzalez, Alfredo E, MD (IPN) ..................................................... 28
Gonzalez, Carlos, MD (IPN).......................................................... 35
Gonzalez, Elizabeth, SLP (IPN) .................................................... 46
Gonzalez, Eugenia, OT (IPN)........................................................ 33
Gonzalez, Francisco J, MD (IPN).................................................. 17
Gonzalez, III, Alvaro G, APN (IPN) ......................................... 15, 50
Gonzalez, Juan A, DPM (IPN)....................................................... 43
Gonzalez, Lilia A, LPT (IPN) ......................................................... 48
Gonzalez, Luis A, MD (IPN) .......................................................... 14
Gonzalez, Nydia, APN (IPN) ................................................... 15, 50
Gonzalez, Sylvia V, MD (IPN) ................................................. 24, 28
Gonzalez-Ayala, Emilio, MD (IPN)................................................ 44
Gopalan, Nanda K, MD (IPN).................................................. 24, 33
Gough, David C, MD (IPN)...................................................... 18, 25
Gouveia, Jacquelyn A, DO (IPN) .................................................. 23
Greenberg, Harvey, MD (IPN) ................................................ 22, 30
Grewal, Preetpal, DO (IPN)........................................................... 30
Grindstaff, Gary S, DPM (IPN) ..................................................... 43
Groening Wang, Mary T, DO (IPN) .............................................. 30
Gross, Eric M, MD (IPN) ......................................................... 20, 36
Gruppo, Jr, Leonard Q, PA (IPN).................................................. 51
Guevara, Adrian M, MD (IPN) ....................................................... 20
Gulbas, Paul S, MD (IPN) ............................................................. 35
Guo, Linsheng, MD (IPN) .............................................................. 25
Gupta, Anuradha, MD (IPN) .......................................................... 45
Gupta, Tej P, MD (IPN) ........................................................... 21, 25
Gutierrez, Fatima D, MD (IPN)...................................................... 39
Gutierrez, III, Arturo, PA (IPN) ...................................................... 51
Gutierrez, Michael E, MD (IPN) .................................................... 18
H
Hale, Anne V, MD (IPN)................................................................. 30
Halow, George M, MD (IPN) ......................................................... 21
Hamzeh, Rabih K, MD (IPN) ......................................................... 37
Han, Anthony T, MD (IPN) ............................................................. 37
Han, Nyun C, MD (IPN) ................................................................. 45
Han, Stephanie C, MD (IPN).......................................................... 45
Hanbali, Fadi, MD (IPN) ................................................................ 28
Handal, Gilbert A, MD (IPN) .................................................... 38, 39
Hansen, Judith M, LPT (IPN)......................................................... 41
Haque, Quazi N, MD (IPN) ............................................................ 37
Harlass, Frederick E, MD (IPN)............................................... 27, 30
Harps, Patricia L, APN (IPN) ................................................... 15, 50
Hart, Loren S, AUDIO (IPN)........................................................... 17
Hartman, Lisa L, MD (IPN) ............................................................ 38
Hartvigsen, Jr, Curtis R, LPT (IPN)............................................... 41
Hatem, Carlo M, MD (IPN)............................................................. 44
Hawkins Koch, Dorovenia N, DO (IPN) ........................................ 30
Hayashi, Diane D, OT (IPN) .......................................................... 33
Hayes, Anita L, SLP (IPN) ............................................................. 46
Hazelton, Laura, SLP (IPN)........................................................... 46
He, Zening, MD (IPN)..................................................................... 33
Healy, Alline, SP (IPN)................................................................... 46
Heidarian, Nosrat, DPM (IPN)....................................................... 43
Heins, Todd A, PA (IPN)................................................................ 51
Henneburg Jr, James Vincent, LPC ............................................. 60
Herman, Peter S, MD (IPN)........................................................... 20
Hernandez, Alvaro A, MD (IPN) .................................................... 35
Hernandez, German T, MD (IPN)............................................ 25, 28
Hernandez, Javier S, DC (IPN) ..................................................... 19
Hernandez, Jesus A, MD (IPN) ..................................................... 21
Hernandez, Jose L, MD (IPN) ....................................................... 30
Hernandez, Leticia S, MD (IPN) .................................................... 30
Hernandez, Manuel J, LPT (IPN) .................................................. 41
Hernandez, Terry L, APN (IPN)............................................... 15, 50
Hernandez, Yolanda R, SP (IPN).................................................. 46
Herrada, Juan, MD (IPN) ......................................................... 23, 33
Herrera, Efren, LPT (IPN).............................................................. 41
Herrera, Jesus, LPT (IPN) ............................................................. 41
Herrera, Laura, APN (IPN) ...................................................... 15, 50
Herrera, Paulina, LPT (IPN) .......................................................... 41
Herrera, Sylvia, LPT (IPN)............................................................. 41
Herzog, Joshua P, MD (IPN) ......................................................... 35
Heydemann, Jacob S, MD (IPN)............................................. 35, 38
Hickey, Morgan L, SLP (IPN) ........................................................ 46
Ho, Hoi, MD (IPN) .................................................................... 23, 25
Holguin, Bobbie Jo, LPT (IPN)...................................................... 41
Hollingsed, Michael J, PA (IPN) ................................................... 51
Hollingsworth, Amanda, DO (IPN) ............................................... 30
Holt, Kerry, OD (IPN)..................................................................... 47
Hughes, Harold W, MD (IPN) .................................................. 25, 44
I
Isaac, David W, MD (IPN)........................................................ 38, 39
Iwaloye, Femi D, MD (IPN)............................................................ 30
J
Jabor, Mark A, MD (IPN) ............................................................... 43
Jacobs, Michael J, APN (IPN)................................................. 15, 50
Jacquez, Maria E, APN (IPN) .................................................. 15, 50
Jacquez, Vicente, APN (IPN) .................................................. 15, 50
James, Janine A, MD (IPN) ........................................................... 30
Jamison, Rodney K, MD (IPN)...................................................... 36
Jimenez, Alexander D, DC (IPN)................................................... 19
Jimenez, J Raul, MD ..................................................................... 62
Johnson, Cara R, APN (IPN) .................................................. 15, 50
Johnson, Keith R, MD (IPN) ......................................................... 35
Jones, Daphne M, APN (IPN) ................................................. 15, 50
Jones, Robert D, LPT (IPN) .......................................................... 41
Judd, Coy D, LPT (IPN)................................................................. 41
K
Kaim, Boris, MD (IPN) ................................................................... 29
Kangur, Violeta L, OT (IPN) .......................................................... 33
Kanlic, Enes M, MD (IPN) ............................................................. 35
Kareh, Jorge, MD (IPN) ................................................................. 30
Karp, Alan J, MD (IPN) .................................................................. 21
Karr, Lisa D, APN (IPN)........................................................... 15, 50
Kasha, Atur A, DO (IPN)................................................................ 22
Kassar, Darine, MD (IPN).............................................................. 29
Katz, Abraham J, MD..................................................................... 62
69
Keith-Arden, Kathryn L, DC (IPN).................................................19
Khateeb, Mazin A, MD (IPN) .........................................................22
Khauv, Keak C, MD (IPN)..............................................................35
Kidd, Joseph N, MD (IPN) .............................................................47
Kidd, Jr, Joseph N, MD (IPN) ........................................................38
Kohn, IV, Roy E, LPT (IPN) ...........................................................41
Kolli, Venkateswara R, MD (IPN) ..................................................21
Komaragiri, Ramesh, MD (IPN) ....................................................28
Korzec, Kenneth R, MD (IPN) .......................................................36
Koster, Herman A, LPT (IPN)........................................................41
Kristofferson, Ken K, PA (IPN).....................................................51
Kruzich, David J, LCSW................................................................59
Kypuros, Kristina, MD (IPN) ..........................................................39
L
La Rock, Wilford C, DC (IPN) ........................................................19
Lacap, Maria A, LPT (IPN).............................................................33
Lacaze, Mary E, MD (IPN) .............................................................38
Lacy, Linda S, MD (IPN) ................................................................30
Lam, Man T, MD (IPN).............................................................23, 25
Lara, Michael D, MD (IPN) .............................................................22
Lara, Patricia, SLP (IPN)................................................................46
Latiff, Guillermo A, MD (IPN)...................................................39, 48
Law, Barbara C, PA (IPN)..............................................................51
Law, Patricia A, APN (IPN) ......................................................15, 50
Lax, Fredric, MD (IPN) ...................................................................28
Lazar, Gabriel, DPM (IPN) .............................................................43
Leal, Rey, RN.................................................................................62
Lee, Anhtuyet T, MD (IPN).............................................................43
Leff, William M, DC (IPN)............................................................... 19
Lerer, Elisa K, SP (IPN) .................................................................46
Levin, Garrett S, MD (IPN) ............................................................39
Levine, Johanan S, MD (IPN)........................................................29
Lewis Levine, Neil M, DO (IPN) ....................................................31
Leyva, Louie, APN (IPN)..........................................................15, 50
Leyva, Rodolfo, MD (IPN) ..............................................................39
Liano, Ruben, LPT (IPN) ............................................................... 41
Licon, Marco A, SLP (IPN) ............................................................46
Licon, Octavio P, MD (IPN) ...........................................................35
Lindsay, Alejandrina, APN (IPN) .............................................15, 50
Little, Lilly, LCSW ..........................................................................59
Llamas Soforo, Jorge F, MD (IPN) ...............................................35
Lodeiro, Jorge G, MD (IPN) ..........................................................31
Logvinoff, Marie Martine, MD (IPN) ........................................38, 39
Lomarquez, Lynnette S, LPT (IPN) ...............................................41
Longnecker, Beth A, AUDIO (IPN) ...............................................17
Longoria, Alfredo, MD (IPN)..........................................................22
Longoria, Rolando R, MD (IPN) ....................................................21
Lopez Leyva, Manuel D, MD (IPN) .........................................25, 28
Lopez, III, Arsenio G, MD (IPN) .....................................................34
Lopez, Jennifer D, SP (IPN) ..........................................................46
Lopez, Lirio E, APN (IPN) ........................................................15, 50
Lopez, Noe Antonio, LPC ..............................................................60
Lopez, Sandra, MD (IPN) ..............................................................31
Loubriel Velez, Carlos H, MD (IPN) ..............................................31
Loya, Nasla V, APN (IPN)........................................................15, 50
Lozano, Javier E, MD (IPN)...........................................................48
Lozano, Rachel M, APN (IPN) .................................................15, 50
Lujan Palma, Jose A, MD (IPN) ....................................................29
Lundy, Ray O, MD (IPN) ......................................................... 23, 25
Lyman, David M, MD (IPN)............................................................47
Lyn, Ian T, MD (IPN)......................................................................18
Lyon, Kerry H, AUDIO (IPN) ..........................................................17
Lyon, Matthew H, AUDIO (IPN).....................................................17
M
Magden, Travis J, LPT (IPN) .........................................................41
Maj, Lukasz, MD (IPN) ...................................................................20
Majewski, Karen R, SLP (IPN) ......................................................46
Maldonado, Michael F, OD (IPN) ..................................................47
Malone, Veronica A, APN (IPN)...............................................15, 50
Mankan, Nagender, MD (IPN) .......................................................34
Manning, Rhonda A, LPT (IPN).....................................................41
Mansfield, Lyndon E, MD (IPN).....................................................14
Manting, Michele A, MD (IPN) .................................................31, 48
Marin, Rodolfo, LPT (IPN) .......................................................41, 49
Marioni, Luis R, DC (IPN)..............................................................19
Marquez, Francisco J, MD.............................................................62
Marquez, Laura, APN (IPN).....................................................15, 50
Specialists Index
bmk_hmo_spec_ni dex
Marquis Colvard, Clarissa A, SLP (IPN).......................................46
Marrufo, Sylvia E, DC (IPN)...........................................................19
Martin, Jr, George J, MD (IPN) ......................................................28
Martin, Sarah Lynette, MD.............................................................62
Martinez Lopez, Jorge I, MD (IPN)..........................................18, 25
Martinez, Anastacia C, LPC...........................................................60
Martinez, Armida, SLP (IPN) .........................................................46
Martinez, Delores N, LPT (IPN) .....................................................41
Martinez, Gabriel, OD (IPN)...........................................................47
Martinez, Hector R, MD (IPN)..................................................20, 25
Martinez, Ileana, MD (IPN) ............................................................28
Martinez, Joel, LPT (IPN) ..............................................................41
Martinez, Jose E, LPC...................................................................60
Martinez, Mabel R, APN (IPN).................................................15, 50
Martinez, Susan F, LCSW .............................................................59
Marwah, Rajendra K, MD (IPN) .....................................................45
Maspons, Aldo, MD (IPN)..............................................................38
Mata, Shirley A, DC (IPN) ........................................................14, 19
Mathew, Salim B, MD (IPN) ...........................................................18
Maud, Alberto, MD (IPN)..........................................................29, 48
Maureira, Damian Alan, LCSW......................................................59
Maynard, Margaret E, SP (IPN).....................................................46
Maynez, Lidia I, LPC ......................................................................60
McCallum, Richard W, MD (IPN)...................................................21
McDanald, Eugene C, MD (IPN)..............................................25, 45
McDonald, Duncan, LPT (IPN) ......................................................41
McLean, Matthew T, LPT (IPN) .....................................................41
McLean, Susan F, MD (IPN)..........................................................22
McMahon, Louis M, OD (IPN)........................................................47
Medrano, Rafael, MD (IPN) ...........................................................18
Meier, Donald E, MD (IPN) ......................................................22, 39
Meissner, Frank W, MD (IPN) .......................................................18
Melendez, Francisco J, LPT (IPN) .................................................41
Mendez Martinez, Jose I, MD (IPN) ..................................18, 25, 27
Mendez, Melissa D, MD (IPN)........................................................31
Mendoza Castillo, Rodin R, MD (IPN) ..........................................39
Meza, Armando D, MD (IPN)..........................................................24
Meza, Hugo A, APN (IPN) ........................................................15, 50
Michener, Brent D, DO (IPN).........................................................22
Milan, Stacey A, MD (IPN) .............................................................22
Miller Shultz, Marilyn D, APN (IPN) ........................................15, 50
Miller, Don C, LPT (IPN) ................................................................41
Miller, Jerry W, MD (IPN).........................................................25, 27
Miller, Orson A, LPT (IPN) .............................................................42
Millis, Emma, SP (IPN) ..................................................................46
Min, Aung Z, MD (IPN)...................................................................18
Misenhimer, Gregory R, MD (IPN) ................................................35
Misra, Sanjay N, MD (IPN).............................................................28
Moazam, Mustafa M, MD (IPN)....................................14, 38, 39, 48
Moeller, Amanda P, LPT (IPN) ................................................42, 49
Mokonchu, Monique C, MD (IPN) .................................................31
Moldes Rodriguez, Orestes, MD (IPN) .........................................21
Molina, Jr, Salvador, DO (IPN) ......................................................25
Monroy, Patricia, LPT (IPN)...........................................................42
Montes, Rebecca M, MD (IPN)......................................................31
Montoya, Teodoro I, MD (IPN) ......................................................31
Moraga, Raymond S, LPT (IPN) ....................................................42
Morales Gonzalez, Angel M, MD (IPN) .........................................22
Morales, Carmela P, MD (IPN) ......................................................21
Morales, Jennifer L, SLP (IPN) ......................................................46
Moreno, Armida G, MD (IPN) ........................................................31
Moreno, Miguel A, MD (IPN)..........................................................38
Moreu, Gil M, DPM (IPN) ...............................................................43
Morgan, Robert C, DC (IPN)..........................................................19
Morron, III, Clyde R, PA (IPN) .......................................................51
Mosier, Karina P, APN (IPN) ...................................................15, 50
Motamarry, Silus, MD (IPN) ..........................................................35
Mukherjee, Debabrata, MD (IPN) ..................................................25
Mulne, Arlynn F, MD (IPN).............................................................38
Muniz, Fernando, LPC...................................................................61
Muniz, Jose I, DC (IPN) .................................................................19
Munoz Gonzales, Denise M, OT (IPN)..........................................33
Munoz, Benjamin E, LPT (IPN)......................................................42
Munoz, Haydee, LPT (IPN)............................................................42
Munoz, Oscar C, MD (IPN) ................................................18, 25, 27
Munoz, Paul M, DC (IPN) ..............................................................19
Murtaza, Ghulam, MD (IPN) ....................................................31, 48
Myers, Debra A, APN (IPN) .....................................................16, 50
N
Nadorra, Rosario L, MD (IPN) .......................................................45
Naga, Osama I, MD (IPN) ..............................................................39
Nahleh, Zeina, MD (IPN)......................................................... 23, 25
Nanez, Gary, MD (IPN) ................................................................. 37
Napiwocki, Christine Ann, LCSW ................................................. 59
Narra, Madhu B, MD (IPN) ............................................................ 14
Nasur, Ali M, MD (IPN)...................................................... 17, 18, 27
Natividad, Jr, Pedro, APN (IPN) ............................................. 16, 50
Natividad, Lorena, APN (IPN)................................................. 16, 50
Navarrete, Sergio R, SLP (IPN) .................................................... 46
Navidomskis, Carlisle C, LPC ...................................................... 62
Naylor, Anthony D, MD (IPN)........................................................ 20
Nelson, Marsha C, MD (IPN) ........................................................ 22
Nelson, Sherry L, LPT (IPN) ......................................................... 42
Neumann, Emily A, APN (IPN) ............................................... 16, 50
Nevarez, Celeste S, LPC .............................................................. 61
Nguyen, Anthony, OD (IPN).......................................................... 47
Nguyen, Phuong, OD (IPN) .......................................................... 47
Nguyen, Quyen C, OD (IPN)......................................................... 47
Nguyen, Vivianne, DPM (IPN) ...................................................... 43
Nicholson, Melissa, LPC .............................................................. 61
Nitardy, Jon J, OD (IPN) ............................................................... 47
Novoa, Jr, Julio C, MD (IPN)................................................... 31, 48
Nussbaum, Ralph E, DO (IPN)..................................................... 37
Nutis, Mario, MD (IPN).................................................................. 31
Nwosu, Azikiwe C, MD (IPN) .................................................. 25, 28
O
Oas, Lute G, MD (IPN) .................................................................. 45
Ocampo, Eileen M, AUDIO (IPN).................................................. 17
Ochoa, Jarrod L, LPT (IPN) .......................................................... 42
Ojo, Edwin J, MD (IPN) ................................................................. 21
Oleary, Jacqueline G, MD (IPN).................................................... 21
Olivas, Cecilia A, APN (IPN) ................................................... 16, 50
Olivas, Jr, Victor J, MD (IPN) ........................................................ 22
Olowe, Joseph O, LPT (IPN)......................................................... 42
Omeara, Sean M, DPM (IPN)........................................................ 43
Omotosho, Mobolaji J, LPT (IPN)................................................. 42
Ontiveros, Deborah M, LPC ......................................................... 61
Ontiveros, Michael A, DC (IPN).................................................... 19
Opawumi, Jr, David O, MD (IPN).................................................. 28
Orozco, Elizabeth, APN (IPN) ................................................. 48, 51
Orr, Justin D, MD (IPN) ................................................................. 35
Ortega, Antonio M, MD (IPN) .................................................. 24, 25
Ortiz, Carlos, APN (IPN) ......................................................... 16, 50
Ortiz, Jessica H, APN (IPN) .................................................... 16, 50
Osborn, Susan M, APN (IPN) ................................................. 16, 50
OTO, Candace N, OD (IPN) .......................................................... 47
Ozuna, Linda, APN (IPN) ........................................................ 16, 50
P
Pacheco Serrant, Helson, MD (IPN) ............................................ 28
Pacheco, Hector O, MD (IPN)....................................................... 35
Pacheco, Sergio B, MD (IPN) ....................................................... 28
Padilla, Luis A, MD (IPN) .............................................................. 22
Padilla, Maria I, APN (IPN) ..................................................... 16, 50
Padilla, Mario M, MD (IPN) ........................................................... 31
Pagan, Maria L, APN (IPN) ..................................................... 16, 50
Paige, Craig V, PA (IPN) ............................................................... 51
Palisoc, Imelda D, LPT (IPN)........................................................ 42
Palisoc, Vitus D, LPT (IPN)........................................................... 42
Palladino, Humberto, MD (IPN) .................................................... 43
Pallis, Mark P, DO (IPN) ......................................................... 35, 46
Pande, Saurabh A, MD (IPN) .................................................. 25, 28
Parga, Marcos A, LPT (IPN).......................................................... 42
Patel, Vinaychandra M, MD (IPN) ................................................. 21
Patel, Vipool R, MD (IPN).............................................................. 27
Patrice, Carty Anna, PA (IPN)....................................................... 51
Payan, Hector A, MD (IPN) ........................................................... 44
Payne, Douglas B, MD (IPN)......................................................... 25
Paz, Christina I, APN (IPN)...................................................... 16, 50
Pazmino, Patricio A, MD (IPN)................................................ 25, 28
Pease, Howard F, MD (IPN) .................................................... 18, 25
Peebles, Taron T, APN (IPN).................................................. 16, 50
Pema, Kanchan, MD (IPN) ...................................................... 26, 45
Pereira Wookee, Lisa, APN (IPN) .......................................... 16, 50
Perez Rede, Solanja, LPC ............................................................ 61
Perez, Oscar Ernesto, MD............................................................. 62
Perrillo, Robert P, MD (IPN) ......................................................... 21
Phipps, Wendy D, MD (IPN) ......................................................... 31
Pholvichitr, Paul P, OD (IPN) ....................................................... 47
70
Pieri, Richard E, MD (IPN)....................................................... 24, 26
Pimentel, Elizabeth A, APN (IPN) ........................................... 16, 50
Pinzon, Guillermo A, MD (IPN)................................................ 20, 26
Pirela Cruz, Miguel A, MD (IPN) ............................................. 23, 35
Piriyawat, Paisith, MD (IPN).................................................... 29, 48
Pitre, Clarence A, MD (IPN) .................................................... 31, 48
Pittle, Alan W, DPM (IPN) ............................................................. 43
Pittle, Charles I, DPM (IPN)........................................................... 43
Plowden, John S, MD (IPN) .......................................................... 37
Ponce, Michael C, DC (IPN).......................................................... 19
Ponce, Ricardo, DC (IPN) ............................................................. 19
Portillo, Raul M, MD (IPN) .......................................... 23, 26, 27, 34
Portugal, Elizabeth A, APN (IPN)................................ 16, 48, 50, 51
Poss, James M, MD (IPN) ............................................................. 37
Poudel, Bindu, APN (IPN) ....................................................... 19, 51
Pradhan, Kumuda R, MD (IPN)..................................................... 22
Prieto, Lester O, LPT (IPN) ........................................................... 42
Provencio, Jr, Mauro, MD (IPN).............................................. 20, 46
Pugao, Irish F, PA (IPN) ................................................................ 51
Purdy, Stephen, OD (IPN)............................................................. 47
Q
Quesada, Jaime A, MD (IPN)........................................................ 44
Quezada, Jr, Oscar R, MD (IPN)................................................... 31
Quintana, Jr, Joseph A, MD (IPN)........................................... 18, 26
R
Rachel, David F, LPT (IPN)........................................................... 42
Radenovich, Violeta, MD (IPN)..................................................... 38
Raja, Mohammad L, MD (IPN)................................................. 18, 27
Ramirez, Arthur Leonard, MD ....................................................... 62
Ramirez, Chris, LPC...................................................................... 61
Ramirez, Monica V, OD (IPN) ....................................................... 47
Ramirez, Ruben E, MD (IPN) ........................................................ 35
Rao, Krishnaswamy J, MD (IPN) ................................................... 38
Rascon, Adriana, RD (IPN) ........................................................... 29
Rasmussen, Susanne, SLP (IPN) ................................................ 46
Raudales, Fernando, MD (IPN)..................................................... 28
Rebeles, Sonia A, MD (IPN).......................................................... 31
Reddi-Dickason, Renuka C, MD (IPN) ......................................... 32
Reddy, Sireesha Y, MD (IPN)........................................................ 32
Reed, Teresa A, MD (IPN)............................................................. 45
Refaeian, Manouchehr, MD (IPN) ................................................. 40
Reiter, Dennis J, DO (IPN) ...................................................... 33, 35
Resignato, Paul J, DPM (IPN) ...................................................... 43
Reyes, Oscar Alejandro, LPC........................................................ 61
Reynolds, Richard D, MD (IPN) .................................................... 43
Rheder, Richard H, LPC................................................................ 61
Rhodes, Miller F, MD (IPN) ........................................................... 37
Rincon, Jose L, PA (IPN) .............................................................. 51
Rincones, Cheyenne C, APN (IPN) ........................................ 16, 50
Rios, Angel M, MD (IPN) ............................................................... 32
Rios, Graciela, LPC....................................................................... 61
Rios, Marino, MD (IPN) ................................................................. 37
Rivera, Audrey F, SLP (IPN) ......................................................... 46
Rivera, Manuel, MD (IPN) ............................................................. 44
Rivera, Ragene R, MD (IPN)................................................... 27, 34
Robertson, Christina D, SLP (IPN) ............................................... 46
Robertson, Frank M, MD (IPN) ..................................................... 39
Robinson, Estella, MD (IPN)......................................................... 32
Rodriguez, Gustavo J, MD (IPN) .................................................. 29
Rodriguez, Heather L, LPT (IPN).................................................. 42
Rodriguez, Hector L, APN (IPN) ............................................. 16, 50
Rodriguez, Jr, Jose A, SLP (IPN) ................................................. 46
Rodriguez, Marco A, OT (IPN)...................................................... 33
Rodriguez, Paul, DC (IPN)............................................................ 20
Rodriguez, Rosa I, SLP (IPN) ....................................................... 46
Rodriguez, Simon S, MD (IPN) ............................................... 26, 28
Rojas Mendez, Carmen P, MD (IPN) ............................................ 32
Rojas, Maria G, APN (IPN)...................................................... 16, 50
Rolon Z, Juan Carlos E, MD (IPN) ................................................ 32
Romagosa, Angelo E, MD (IPN) ................................................... 40
Romero, Belinda E, APN (IPN) ............................................... 16, 51
Romero, Roberta A, APN (IPN)............................................... 16, 51
Romero, Rocky J, OT (IPN) .......................................................... 33
Rosado, Rebecca J, DPM (IPN).................................................... 44
Rosas Blum, Eduardo D, MD (IPN) .............................................. 38
Rose, Marta K, APN (IPN) ....................................................... 16, 51
Rosen, Andrew P, MD (IPN).......................................................... 32
Specialists Index
bmk_hmo_specn_idex
Rosser, Sharon L, PA (IPN) .......................................................... 51
Roth, Kathleen A, LPT (IPN) ......................................................... 42
Rubio, Lori A, APN (IPN)......................................................... 16, 51
Ruja, Marius, DC (IPN).................................................................. 20
S
Sainz, Jorge G, MD (IPN).............................................................. 39
Salameh, Hasan J, MD (IPN)........................................................ 28
Salcido Sr, Richard M, LPC.......................................................... 61
Saldivar, III, Salvador J, MD (IPN) ................................................ 32
Salinas, Albert, APN (IPN) ...................................................... 16, 51
Saltzstein, Edward C, MD (IPN) ................................................... 22
Samonte, Jr, Miguel B, MD (IPN).................................................. 39
San Miguel, George G, MD (IPN) ................................................. 32
Sanchez Rivera, Ines J, MD (IPN).......................................... 23, 34
Sanchez, Adriana P, APN (IPN).............................................. 16, 51
Sander, Laura A, LPT (IPN) .......................................................... 42
Sanders, Karen L, LPC ................................................................. 61
Sandroni, Stephen, MD (IPN) ................................................. 26, 28
Santos, Luis A, MD (IPN) .............................................................. 38
Santoscoy, Robert, MD (IPN) ....................................................... 47
Saracino, Dino P, MD (IPN) .......................................................... 22
Scallorn, Erin, RD (IPN)................................................................ 29
Schaffer, Michael G, MD (IPN) ..................................................... 32
Schecter, David R, MD (IPN)........................................................ 35
Schuster, Jeffrey D, MD (IPN) ...................................................... 37
Schydlower, Manuel, MD (IPN) .............................................. 14, 39
Scragg, William H, MD (IPN)......................................................... 32
Scudday, Bruce A, DPM (IPN)...................................................... 44
Sebesta, Michael J, MD (IPN) ....................................................... 48
Seelig, Deborah, MD (IPN)............................................................ 43
Serna, Jorge H, MD (IPN) ....................................................... 28, 40
Shahinian, Haroutioun S, MD (IPN)........................................ 23, 34
Shapiro, Allan J, MD (IPN)............................................................ 37
Sharp, Dayle B, APN (IPN) ..................................................... 16, 51
Shmorhun, Daniel P, MD (IPN) .................................................... 37
Short, Tracy A, PA (IPN) ............................................................... 51
Siddiqui, Tariq S, MD (IPN) .................................................... 18, 26
Sides, Eric E, MD (IPN)................................................................. 36
Sifuentes, Liliana, DC (IPN).......................................................... 20
Silva, Brenda D, PA (IPN) ............................................................. 51
Sime, David A, DC (IPN) ............................................................... 20
Simpson, Michael H, MD (IPN)..................................................... 20
Smith, Dean E, MD (IPN) .............................................................. 36
Smith, Karen D, MD (IPN)............................................................. 45
Soegaard Torres, Antonio, MD (IPN) ........................................... 32
Solis, Guillermina R, APN (IPN).............................................. 16, 51
Solis, Mirian, LPT (IPN)................................................................. 42
Soto Cora, Ediberto, MD (IPN) ............................................... 18, 27
Soto, Ali, LPT (IPN) ....................................................................... 42
Sozer, Sadri O, MD (IPN) .............................................................. 43
Spier, Jeffrey M, MD (IPN) ............................................................ 48
Spurbeck, William W, MD (IPN).............................................. 22, 39
Stanford, Lysandra C, LPT (IPN).................................................. 42
Stearne, Laura May, LPC.............................................................. 61
Steele, Sandra, APN (IPN) ...................................................... 16, 51
Steinhauer, Mark H, MD (IPN)...................................................... 40
Storrs, Bruce B, MD (IPN)............................................................. 28
Strader, III, Wilbur J, MD (IPN) ..................................................... 20
Suarez, Cerena H, APN (IPN) ................................................. 16, 51
Suarez, Claudia E, MD (IPN)......................................................... 32
Suchoff, Monica L, MD (IPN)........................................................ 37
Svarzbein, Leonardo, MD (IPN).................................................... 28
Sykes, Andrea B, SLP (IPN) ......................................................... 46
Szeyko, Larissa A, MD (IPN)................................................... 24, 26
Tolbert Bornstein, Natalie, MD (IPN) ........................................... 26
Tomasino, Rodolfo, MD (IPN)....................................................... 32
Torres, Jose A, MD (IPN) .............................................................. 32
Torres, Miguel A, LPT (IPN) .......................................................... 42
Torres, Omar E, LCSW ................................................................. 59
Traylor, Michael T, MD (IPN) ........................................................ 19
Tremper, Larry J, DO (IPN) ........................................................... 38
Tuey, Ruby I, APN (IPN).......................................................... 17, 51
Tune, John M, MD (IPN).......................................................... 21, 26
Turbay, David, MD (IPN) ......................................................... 19, 26
Tyroch, Alan H, MD (IPN) ............................................................. 22
U
Untersee, Stephen W, DC (IPN) ................................................... 20
Urquidi, Ulysses J, MD (IPN) ........................................................ 48
Urrea, Robert E, MD (IPN)............................................................. 36
Urtubey, Adriana M, MD (IPN) ...................................................... 26
V
Valdez, Alejandro, LPT (IPN)......................................................... 42
Valdez, Alyssa M, LPT (IPN) ......................................................... 42
Valenzuela, Jesus Espinosa, LCSW ............................................. 59
Valilis, Panagiotis N, MD (IPN) ......................................... 23, 26, 34
Vallala, Shravan, MD (IPN) ........................................................... 40
Vallejo, Daniel C, APN (IPN) ................................................... 17, 51
Valles, Lorena, LCSW ................................................................... 60
Vann, Murray M, MD (IPN) ............................................................ 48
Varela, Albert J, LCSW.................................................................. 60
Vargas, Ricardo, APN (IPN) .................................................... 17, 51
Vasquez, Bertha R, APN (IPN)................................................ 17, 51
Vasquez, Luis F, MD (IPN)............................................................ 29
Vazquez, Carlos W, MD (IPN) ................................................. 35, 38
Vazquez, Eduardo G, MD (IPN) .................................................... 37
Vega, Jr, Oscar, MD (IPN) ............................................................. 37
Vela, Mario, APN (IPN) ............................................................ 17, 51
Velasquez, Arma R, DPM (IPN) .................................................... 44
Velasquez, Michael A, DO (IPN) ............................................. 26, 28
Velazquez, Maria D, MD (IPN) ................................................ 27, 32
Velez, Carlos A, MD (IPN) ....................................................... 19, 26
Villalobos, Griselda, LCSW .......................................................... 60
Villarreal, Jose L, MD (IPN) .......................................................... 37
Villarreal, Vivian G, APN (IPN)................................................ 17, 51
Villegas, Valerie E, SLP (IPN)....................................................... 46
Vivanco, Cesar E, MD (IPN) ............................................. 26, 27, 34
Voglewede, Daniel C, MD (IPN).................................................... 48
Vu, Hung Q, MD (IPN) ................................................................... 36
W
Wagner, Linda, LPC ...................................................................... 61
Walls, Johnny E, PA (IPN)............................................................. 51
Wang, Peter T, MD (IPN)............................................................... 43
Wardy, David J, DC (IPN).............................................................. 20
Waterman, Brian R, MD (IPN)....................................................... 36
Wegleitner, Mark J, MD (IPN) ....................................................... 37
Weislow, Jeffrey S, DC (IPN) ........................................................ 20
Williams, Erin R, LPT (IPN)........................................................... 42
Woods, Gordon L, MD (IPN) ......................................................... 26
Wright, Justin M, MD (IPN) ........................................................... 20
Wright, Mary Johanna D, MD (IPN) .............................................. 43
T
Y
Taber, Jeffrey E, MD (IPN) ............................................................ 48
Tagle, James A, APN (IPN)..................................................... 16, 51
Tan, Jeanette S, MD (IPN) ................................................ 26, 44, 45
Taveras, Juan M, MD (IPN)..................................................... 18, 26
Taylor, John G, DPM (IPN) ........................................................... 44
Terrazas Ponce, Belen, APN (IPN) ........................................ 17, 51
Terrazas, Sandra G, LPT (IPN)..................................................... 42
Terry, Jill R, DO (IPN) ................................................................... 32
Theard, Franz C, MD (IPN) ..................................................... 27, 32
Thomas, Bobbi G, APN (IPN) ................................................. 17, 51
Thomas, Robert P, MD (IPN)........................................................ 39
Ting, Stanislaus, MD (IPN)...................................................... 14, 40
Yocum, Denise N, PA (IPN) .......................................................... 51
York, John C, MD (IPN)................................................................. 14
Young, Elizabeth S, LPC............................................................... 61
Z
Zaltz, Charles, MD (IPN)................................................................ 36
Zamora, Jose L, MD (IPN)....................................................... 19, 47
Zamudio, Jose M, MD (IPN).......................................................... 32
Zarate, Luis A, MD (IPN) ............................................................... 32
Zolfoghary, Khosrow, MD (IPN).................................................... 29
71
Zuckerman, Marc J, MD (IPN) ................................................21, 26
Zuniga, Julie A, APN (IPN) ......................................................17, 51
Zuniga, Louis E, LPT (IPN)............................................................42