Emmeken Godelieve Otte (NPI# 1457548240, PAC ID# 9537338603) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1457548240 |
| PAC ID by PECOS | 9537338603 |
| Professional Enrollment ID | I20111007000361 |
| Full Name | Emmeken Godelieve Otte |
| Organization Legal Name | CONCORD MEDICAL GROUP PLLC |
| Address |
400 Sw 25th Ave Mineral Wells TX 76067-8246 |
| Phone Number | 9403257891 |
| Gender | F |
| Medical School | TEXAS A & M UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0446296818 |
| Number of Group Practice Members | 204 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 451354 | HAMILTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1601 W 11th Pl, Big Spring, TX 79720-4114 | 4322631211 | CONCORD MEDICAL GROUP OF TEXAS PLLC |
| 9540 Garland Rd, C408, Dallas, TX 75218-5004 | 2143210015 | NUCH OF TEXAS |
| 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 | 9403257891 | CONCORD MEDICAL GROUP PLLC |
| 1305 N St, Medpost Urgent Care Nacogdoches, Nacogdoches, TX 75961-4036 | 8776540472 | NUCH OF TEXAS |
| 901 W Hamilton St, Olney, TX 76374-1725 | 9405645521 | OLNEY-HAMILTON HOSPITAL DISTRICT |
| Organization Legal Name | CONCORD MEDICAL GROUP PLLC |
| Physicians | 212 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Lamb | Emergency Medicine | Concord Medical Group Pllc | 110 Shult Dr, Columbus, TX 78934-3016 |
| Elizabeth Tu | Family Medicine | Concord Medical Group Pllc | 600 Interstate 20, Stanton, TX 79782-0640 |
| Ilona Nekhayeva | Family Medicine | Concord Medical Group Pllc | 705 E Felt St, Brownfield, TX 79316-3449 |
| Anas Albrejawi Alhomsi | Family Medicine | Concord Medical Group Pllc | 310 W S St, Henrietta, TX 76365-3346 |
| Stephanie K Denison | Emergency Medicine | Concord Medical Group Pllc | 304 S Daugherty Ave, Eastland, TX 76448-2609 |
| Stephen George | Family Practice | Concord Medical Group Pllc | 400 Southwest 25th Ave, Mineral Wells, TX 76067-8246 |
| Danny L Farley Jr. | Family Medicine | Concord Medical Group Pllc | 125 Newman St, Fairfield, TX 75840-1419 |
| Derrick E Randdolf | Family Medicine | Concord Medical Group Pllc | 305 N Mckinney St, Sweeny, TX 77480-2801 |
| Michael L Gaines | Nurse Practitioner | Concord Medical Group Pllc | 215 Chisholm Trl, Jacksboro, TX 76458-1403 |
| Dawn M Simons | Nurse Practitioner | Concord Medical Group Pllc | 311 Green Ave, Palacios, TX 77465-3213 |
| Street Address |
400 SW 25TH AVE |
| City | MINERAL WELLS |
| State | TX |
| Zip | 76067-8246 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn P Zarr | Emergency Medicine | Concord Medical Group Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Linda N White | Certified Registered Nurse Anesthetist (crna) | Palo Pinto County Hospital District | 400 Sw 25th Ave, Palo Pinto General Hospital, Mineral Wells, TX 76067-8246 |
| Kapil J Dave | Internal Medicine | Concord Medical Group Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| John Crim | General Surgery | Concord Medical Group Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Deborah K Vines Lowe | Certified Registered Nurse Anesthetist (crna) | Palo Pinto County Hospital District | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| John E Jones | Family Medicine | Concord Medical Group of Texas Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Louis J Graham Iii | Nurse Practitioner | Concord Medical Group of Texas Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Lawrence Quan | Family Medicine | Concord Medical Group Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Maxwell C Scarlett | Family Medicine | Concord Medical Group Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Luis C Olivas | Family Medicine | Concord Medical Group Pllc | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Pray | Chiropractic | 409 W Hubbard, Mineral Wells, TX 76067-4846 | |
| Eric R Brock | Orthopedic Surgery | 715 W Hubbard St, Mineral Wells, TX 76067-4852 | |
| Chris Erwin | Nurse Practitioner | 109 Nw 2nd St, Mineral Wells, TX 76067-4940 | |
| Patrick W Hisel | Family Medicine | Patrick W Hisel, Md, Pa | 101 Holly Hill Rd, Mineral Wells, TX 76067-5043 |
| Daniel L Cottrell | Physician Assistant | Patrick W Hisel, Md, Pa | 101 Holly Hill Rd, Mineral Wells, TX 76067-5043 |
| Michael J Gremminger | Physical Therapy | 711 Sw 1st St, Mineral Wells, TX 76067-5117 | |
| Alice Ramsey | Family Medicine | 108 Sw 6th Ave, Mineral Wells, TX 76067-5151 | |
| Gail C Brothers | Psychologist, Clinical | 103 Sw 7th Ave, Mineral Wells, TX 76067-5164 | |
| John E Lockyer | Podiatry | 505 Sw 1st St, Mineral Wells, TX 76067-5207 | |
| Janardhana P Reddy | Thoracic Surgery | 400 S E 1st St B, Mineral Wells, TX 76067-5300 | |
| Find all physicians in zip 76067 | |||
| City | MINERAL WELLS |
| Zip Code | 76067 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | MINERAL WELLS + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Emmeken Godelieve Otte.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.