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Deactivated NPI 1417950114 Deactivated / Inactive NPI Male Practitioner

Dr. Joe Neal Kidd , MD

Surgery - Vascular Surgery • El Paso, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Joe Kidd has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 27, 2005
NPI Deactivation Date September 11, 2024
Total Practice Duration ~19 Years of Practice (2005 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Joe Kidd, MD was a registered Surgery - Vascular Surgery practicing in El Paso, TX. Throughout an active medical career spanning 19 years, Dr. Kidd provided care at the practice location at 1600 MEDICAL CENTER DR until profile deactivation on 2024-09-11.

Practice Location & Contact Primary Location

Practice Address

1600 Medical Center Dr
Ste 212

El Paso, TX 799025008

Telephone 9155323977
Fax 9155325866
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in El Paso, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 24.8 Yrs
Regional Practice Density
12 Specialists

Practicing in El Paso, TX (377 Statewide)

Telehealth Adoption Rate
8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License TX D5061

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Dr. Connor Mcdonald , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1003378993

Doctor of Medicine (M.D.)

Michael Hollingsed , PA

Physician Assistant - Surgical

NPI 1043217326

Physician Assistant

Pamela Abascal , AGACNP

Nurse Practitioner - Acute Care

NPI 1275191512

Adult-Gerontology Acute Care Nurse Practitioner

Daniel Mackey , PA-C

Physician Assistant - Surgical

NPI 1336513860

Physician Assistant (Certified)

Dr. Ian Lyn , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1376529826

Doctor of Medicine (M.D.)

Dr. Robert Santoscoy , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1467455022

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated September 11, 2024

Record deactivated on September 11, 2024

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2024

Thoracic Surgery (Cardiothoracic Vascular Surgery) (License #D5061 in TX)

NPI Profile Active January 31, 2011

NPI status registered as active in NPPES database

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Updated Practice Location January 31, 2011

Registered at 1600 MEDICAL CENTER DR, STE 212, EL PASO, TX 799025008 (Tel: 9155323977)

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Updated Business Mailing Address January 31, 2011

Registered at 5449 CACTUS HILL DR, EL PASO, TX 799126307 (Tel: 9155878488)

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Provider Name / Credentials Updated January 31, 2011

Recorded as JOE KIDD, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2011

Surgery (License #D5061 in TX)

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Initial NPI Registration & Enumeration May 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417950114
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2005
Last Update: January 31, 2011
Deactivation Date: September 11, 2024

Mailing Address

5449 Cactus Hill Dr

El Paso, TX 799126307

Phone: 9155878488

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.