EDGAR JOSE PAZ CONCHO
NPI 1376221697
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since July 06, 2023PECOS Enrolled
3990 JOHN R ST, DETROIT, MI 48201(313) 745-7233 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edgar Jose Paz Concho NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDGAR JOSE PAZ CONCHO (NPI 1376221697) is an individual student in an organized health care education/training program in Detroit, Michigan, licensed in Michigan (4351051494) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376221697
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEDGAR JOSE PAZ CONCHO
Location Address3990 JOHN R STDetroit, MI 48201-2018
Mailing Address3212 Woodland AveRoyal Oak, MI 48073-2358 · (248) 321-2209
Sole ProprietorYes
Enumeration DateJuly 6, 2023
NPPES CertifiedJuly 6, 2023
NPI 1376221697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in MI · 4351051494
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3990 JOHN R ST, Detroit, MI 48201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Edgar Jose Paz Concho is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Anesthesiology
3990 JOHN R ST
DETROIT, MI 48201
Occupational Therapist
3990 JOHN R ST
DETROIT, MI 48201
Anesthesiology
3990 JOHN R ST
DETROIT, MI 48201
Emergency Medicine
3990 JOHN R ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201
Nurse Anesthetist, Certified Registered
3990 JOHN R ST
DETROIT, MI 48201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgar Paz Concho's NPI number?

The NPI number for Edgar Paz Concho is 1376221697. It was assigned to this individual provider in the NPPES registry on July 6, 2023.

Where is Edgar Paz Concho located?

Edgar Paz Concho practices at 3990 John R St, Detroit, MI 48201. The listed phone number is (313) 745-7233.

What is Edgar Paz Concho's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Edgar Paz Concho enrolled in Medicare?

Yes. Edgar Paz Concho is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edgar Paz Concho was last updated on July 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.