JOSE AGUSTIN ORTEGA III (NPI# 1376742833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376742833 |
| Entity Type | Individual |
| Full Name | JOSE AGUSTIN ORTEGA III |
| Credential | M.D. |
| Practice Address |
3450 Lantana Rd Ste100 Lake Worth FL 33462-1304 |
| Practice Telephone | 5619651864 |
| Practice Fax Number | 5619675005 |
| Mailing Telephone | 5619651864 |
| Mailing Fax Number | 5619675005 |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2015-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME 100365 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000065900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750727137 | Jose L Ortega | Registered Nurse | Street A Santa Elenita, C 2 Num 35, Bayamon, PR 00957 | 2013-05-13 |
| 1265706311 | Jose Antonio Ortega | Military Hospital | 3533 Round Vally Way, Nv, NV 89129 | 2012-03-06 |
| 1174713143 | Jose L Ortega Sr. | General Practice | L St 112 Ramey, Aguadilla, PR 00604 | 2007-07-26 |
| 1558587097 | Jose Vicente Ortega | General Practice | Calle 1 B 4, Ext. Colinas Verdes, San Juan, PR 00294 | 2007-04-17 |
| 1871631333 | Jose Agustin Ortega Jr. | Dentist | 4565 Nw 7th St, Miami, FL 33126-2306 | 2007-02-04 |
| 1235151416 | Jose Luis Ortega | Anesthesiology | 140 Jupiter Lakes Blvd Ste A, Jupiter, FL 33458-7196 | 2006-07-24 |
| 1043697378 | Jose Manuel Ortega | Nurse Practitioner | 16850 Bear Valley Rd, Victorville, CA 92395-5794 | 2015-05-06 |
| 1184024143 | Jose Eric Ortega | Social Worker | 7777 E Freedom Rd, French Camp, CA 95231-9694 | 2014-08-27 |
| 1588864268 | Jose Urbano Ortega Iv | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2007-07-20 |
| 1336109479 | Jose Manuel Ortega | Surgery | 18955 N Memorial Dr, Suite 480, Humble, TX 77338-4399 | 2006-03-24 |
| Street Address |
3450 LANTANA RD STE100 |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33462-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891749164 | Humberto Jose Caldera | Internal Medicine | 3450 Lantana Rd, Suite 100, Lake Worth, FL 33462-1329 | 2006-05-20 |
| 1205447893 | Candace L Mirto | Nurse Practitioner | 3450 Lantana Rd, Lake Worth, FL 33462-1304 | 2020-08-16 |
| 1487081196 | Harry Jack Goldsztajn | Internal Medicine | 3450 Lantana Rd, Ste 100, Lake Worth, FL 33462-1329 | 2013-09-27 |
| 1043428089 | Seetal Mewar | Internal Medicine | 3450 Lantana Rd, Ste 100, Lake Worth, FL 33462-1304 | 2007-05-21 |
| 1982611398 | Eduardo A Garcia | Internal Medicine | 3450 Lantana Rd, Suite 100, Lake Worth, FL 33462-1329 | 2006-08-01 |
| 1124032610 | William L Sternheim | Internal Medicine | 3450 Lantana Rd, Suite 100, Lake Worth, FL 33462-1329 | 2006-07-28 |
| 1346262193 | Roger D Rosenstock | Internal Medicine | 3450 Lantana Rd, Suite 100, Lake Worth, FL 33462-1329 | 2006-07-24 |
| 1538189915 | Arunachalam Thenappan | Internal Medicine | 3450 Lantana Rd, Suite 100, Lake Worth, FL 33462-1329 | 2006-07-20 |
| 1023038494 | Surendra K Sirpal | Internal Medicine | 3450 Lantana Rd, Suite 100, Lake Worth, FL 33462-1329 | 2006-07-20 |
| 1962434969 | Hematology Oncology Associates of The Palm Beaches | Internal Medicine | 3450 Lantana Rd, Sutie 100, Lake Worth, FL 33462-1329 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073544532 | Stephen N Makoni | Internal Medicine | 3450 Lantana Rd Ste 100, Lake Worth, FL 33462 | 2006-07-05 |
| 1942254768 | Gracy Joshua | Internal Medicine | 3918 Via Poinciana, #1, Lake Worth, FL 33467-2991 | 2006-05-19 |
| 1487081196 | Harry Jack Goldsztajn | Internal Medicine | 3450 Lantana Rd, Ste 100, Lake Worth, FL 33462-1329 | 2013-09-27 |
| 1114170206 | Medical Specialists of The Palm Beaches | Internal Medicine | 4685 S Congress Ave, Suite 200, Lake Worth, FL 33461-4761 | 2008-11-03 |
| 1497933998 | Raymond Eric Tsao | Internal Medicine | 4801 S Congress Ave, Suite 201, Lake Worth, FL 33461-4746 | 2008-02-06 |
| 1043428089 | Seetal Mewar | Internal Medicine | 3450 Lantana Rd, Ste 100, Lake Worth, FL 33462-1304 | 2007-05-21 |
| 1982611398 | Eduardo A Garcia | Internal Medicine | 3450 Lantana Rd, Suite 100, Lake Worth, FL 33462-1329 | 2006-08-01 |
| 1124032610 | William L Sternheim | Internal Medicine | 3450 Lantana Rd, Suite 100, Lake Worth, FL 33462-1329 | 2006-07-28 |
| 1346262193 | Roger D Rosenstock | Internal Medicine | 3450 Lantana Rd, Suite 100, Lake Worth, FL 33462-1329 | 2006-07-24 |
| 1538189915 | Arunachalam Thenappan | Internal Medicine | 3450 Lantana Rd, Suite 100, Lake Worth, FL 33462-1329 | 2006-07-20 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33462 |
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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.