SCOTTY R ORTEGA MD (NPI# 1205378239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205378239 |
| Entity Type | Organization |
| Organization Name | SCOTTY R ORTEGA MD |
| Practice Address |
2487 E 11th Street Odessa TX 79761 |
| Practice Telephone | 4323321386 |
| Practice Fax Number | 4326146272 |
| Mailing Telephone | 4323321386 |
| Mailing Fax Number | 4326146272 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |
| Authorized Official Name | SCOTTY R ORTEGA (MD/OWNER) |
| Authorized Official Telephone | 4323321386 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
AP132514 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PTAN | TXB137020 | 01 |
| Street Address |
2487 E 11TH STREET |
| City | ODESSA |
| State | TX |
| Zip Code | 79761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
| 1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
| 1023540507 | Florenda De Guzman | Nurse Practitioner | 405 N Tom Green, Odessa, TX 79761 | 2017-04-03 |
| 1487094355 | Marivel Perez | Nurse Practitioner | 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 | 2013-06-25 |
| 1245579804 | Accurate Health Care LLC | Home Health | 302 Industrial Ave, Odessa, TX 79761 | 2013-02-01 |
| 1437421666 | Mary Magdalene Garcia | Speech-Language Pathologist | 620 N. Alleghaney, Odessa, TX 79761 | 2012-02-03 |
| 1841576378 | Ashley Burdex | Family Medicine | 6030 W University, Odessa, TX 79761 | 2011-10-28 |
| 1730465428 | Therese A Archer | Massage Therapist | 712 N. Texas Ave, Odessa, TX 79761 | 2011-10-26 |
| 1861784399 | Adam Jeffery Farber | Internal Medicine | 540 W 5th St Ste 460, Odessa, TX 79761 | 2011-05-03 |
| Find all providers in zip 79761 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952103 | Elizabeth Wanjiku Muita | Clinical Nurse Specialist | 4206 Stoney Knoll Ln, Katy, TX 77494-1055 | 2020-11-07 |
| 1558962456 | Keara Rona' Johnson | Clinical Nurse Specialist | 2775 N State Highway 360 Apt 1021, Grand Prairie, TX 75050-7810 | 2020-11-06 |
| 1417503624 | Kamilah Jewel Lyon | Clinical Nurse Specialist | 1111 S Houston Ave # A, Humble, TX 77338-4820 | 2019-08-13 |
| 1578123402 | Carrie Viola Phillips | Clinical Nurse Specialist | 9478 Homestead Ln., Forney, TX 75126 | 2019-06-13 |
| 1073088571 | Lynne Darlene Piascik | Clinical Nurse Specialist | 1643 County Road 2291, Cleveland, TX 77327-0450 | 2018-10-11 |
| 1558843144 | Abc Health Connection, Inc. | Clinical Nurse Specialist | 2019 Crawford St Rm 128, Houston, TX 77002-9002 | 2018-08-30 |
| 1225570096 | Kimberly Young | Clinical Nurse Specialist | 3234 Mossy Elm Ct, Houston, TX 77059-3228 | 2016-11-10 |
| 1245772128 | Wallace Watts Jr. | Clinical Nurse Specialist | 101 Potasio Street, Fabens, TX 79838 | 2016-11-09 |
| 1184179574 | Tamitha Elaine Mackey | Clinical Nurse Specialist | 18419 Vanhorn Ct, Spring, TX 77379-5153 | 2016-08-16 |
| 1669845319 | Racheal Varghese | Clinical Nurse Specialist | 801 N Grand Ave Ste 100, Gainesville, TX 76240-3573 | 2015-11-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.