SCOTTY ORTEGA PA (NPI# 1043517204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043517204 |
| Entity Type | Organization |
| Organization Name | SCOTTY ORTEGA PA |
| Practice Address |
4415 Hinkle St Odessa TX 79762-4626 |
| Practice Telephone | 4329403240 |
| Mailing Telephone | 4329403240 |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2011-02-23 |
| Authorized Official Name | SCOTTY ORTEGA (CEO) |
| Authorized Official Telephone | 4329403240 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | N3963 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
4415 HINKLE ST |
| City | ODESSA |
| State | TX |
| Zip Code | 79762-4626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982256798 | Winwood Dental and Orthodontics Pllc | Dentist | 3913 E 42nd Street, Odessa, TX 79762 | 2019-07-11 |
| 1265995716 | Ryan Daniels | Specialist/Technologist | 4901 E University, Gym 111, Odessa, TX 79762 | 2019-04-11 |
| 1215429592 | Michael Wayne Samp | Respiratory Therapist, Registered | 2807 Windsor Dr, Odessa, TX 79762 | 2018-06-03 |
| 1972003663 | Kristi Young | Registered Nurse | 3800 E. 42nd St., Suite 203 Attn: Pediatric Dept, Odessa, TX 79762 | 2018-02-19 |
| 1427508902 | Whitney Diakur | Optometrist | 5011 E. 42nd St, Odessa, TX 79762 | 2016-10-10 |
| 1295184927 | Farqad Kamal Abuoudeh | Dentist | 6109 Tx-191 Frontage, Odessa, TX 79762 | 2016-06-03 |
| 1457714180 | Daniel & Max, LLC | Optometrist | 5011 E. 42nd Street, Odessa, TX 79762 | 2016-03-31 |
| 1407225774 | Neri Campos-gardea | Massage Therapist | 3952 E 42d, Odessa, TX 79762 | 2015-09-17 |
| 1508255886 | Permian Er IIi | Clinic/Center | 6131 East Highway 191, Odessa, TX 79762 | 2015-01-09 |
| 1548675861 | Tina Desai | Dentist | 6109 Texas 191, Odessa, TX 79762 | 2014-06-25 |
| Find all providers in zip 79762 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150102 | Paul Joseph Baquirin | Family Medicine | 1403 E Century Ave, Odessa, TX 79762-7743 | 2020-09-25 |
| 1972868974 | Carehere LLC | Family Medicine | 2330 W 10th St, Odessa, TX 79763-3782 | 2012-07-06 |
| 1376807362 | Mavis Twum-barimah | Family Medicine | 6030 W University Blvd, Odessa, TX 79764-8530 | 2012-06-25 |
| 1962761791 | Marvin Ryan Harvey | Family Medicine | 701 W 5th St Ste 3174, Odessa, TX 79763 | 2012-05-14 |
| 1841576378 | Ashley Burdex | Family Medicine | 6030 W University, Odessa, TX 79761 | 2011-10-28 |
| 1265763130 | Robert James Ailes | Family Medicine | 16641 Ivy Lake Dr, Odessa, FL 33556-6019 | 2010-01-16 |
| 1609020452 | Leo Villaroman, Md, Pa | Family Medicine | 501 Golder Ave, Suite 203, Odessa, TX 79761-4411 | 2008-11-06 |
| 1568640365 | John Garcia Md Pa | Family Medicine | 601 East 7th Street, Odessa, TX 79761 | 2008-02-04 |
| 1023224904 | Odessa Medical Clinic PC | Family Medicine | 316 W Us Highway 40, Odessa, MO 64076-7445 | 2007-05-15 |
| 1568680593 | Bhavana Yerabati Mocherla | Family Medicine | 701 West 5 Street, Texas Tech University Health Sciences Center Department, Odessa, TX 79763-4368 | 2007-04-23 |
| Find all providers in ODESSA | ||||
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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.