CAITLIN C. OETKEN (NPI# 1912390253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912390253 |
| Entity Type | Individual |
| Full Name | CAITLIN C. OETKEN |
| Other Name | CAITLIN LEIGH CRAIG |
| Credential | PA-C |
| Practice Address |
1801 N Bedell Ave Del Rio TX 78840 |
| Mailing Address |
1801 N Bedell Ave Del Rio TX 78840-8001 |
| Practice Telephone | 8307689200 |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2018-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9108543 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 014517600 | 05 | |
| FL | BCBS | Y0R0Q | 01 |
| FL | MCR | IC674Z | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1801 N Bedell Ave, Del Rio, TX 78840 | 8307689200 |
| Street Address |
1801 N BEDELL AVE |
| City | DEL RIO |
| State | TX |
| Zip Code | 78840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790775435 | Lawrence A. O'brien | Pediatrics | 1801 N Bedell Ave, Del Rio, TX 78840-8001 | 2005-10-25 |
| 1013552637 | Carrie Leigh Kern | Nurse Practitioner | 1801 N Bedell Ave, Del Rio, TX 78840-8001 | 2019-11-07 |
| 1093245771 | Leticia Ortiz | Nurse Practitioner | 1801 N Bedell Ave, Del Rio, TX 78840-8001 | 2017-06-15 |
| 1891124640 | Val Verde Hospital Corporation | Family Medicine | 1801 N Bedell Ave, Del Rio, TX 78840-8001 | 2013-11-02 |
| 1699118307 | Jose Americo Mendoza | Family Medicine | 1801 N Bedell Ave, Del Rio, TX 78840 | 2013-04-11 |
| 1437401973 | Sasha Nicole Valdez | Registered Nurse | 1801 N Bedell Ave, Del Rio, TX 78840-8001 | 2012-10-08 |
| 1518258433 | Elisicia Louise Taylor Jiles | Family Medicine | 1801 N Bedell Ave, Del Rio, TX 78840-8001 | 2011-04-26 |
| 1578753729 | Jorge Eduardo Olaya | Pediatrics | 1801 N Bedell Ave, Del Rio, TX 78840-8001 | 2007-07-25 |
| 1790986719 | Shannon Clinic | Family Medicine | 1801 N Bedell Ave, Del Rio, TX 78840-8001 | 2007-05-29 |
| 1689711228 | Jerri Hoehn | Clinical Nurse Specialist | 1801 N Bedell Ave, Del Rio, TX 78840-4491 | 2007-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104363431 | Irma Chapa | Pharmacist | 200 Vetrans Blvd, Del Rio, TX 78840 | 2017-01-25 |
| 1538605621 | Maternity Care Center | Advanced Practice Midwife | 1308 Las Vacas St, Del Rio, TX 78840 | 2017-01-12 |
| 1215323514 | Kathleen Schurr | Military Health Care Provider | 47th Medical Group, Laughlin Afb, TX 78840 | 2015-04-13 |
| 1902232259 | Ruben E Mora | Dentist | 551 W Cantu Rd., Del Rio, TX 78840 | 2013-09-18 |
| 1326489758 | Javier Rodriguez-sanchez | Internal Medicine | 2201 N Bedell Ave Ste E, Del Rio, TX 78840 | 2013-07-15 |
| 1205111267 | Raymond Keith Blottin | Counselor | 114 West Losoya, Serenity Counseling, Del Rio, TX 78840 | 2011-10-20 |
| 1194011072 | Nicole Alexcine Deboer | Physician Assistant | 913 S. Main St., United Medical Centers, Del Rio, TX 78840 | 2011-06-20 |
| 1205125713 | Del Rio Ambulance LLC | Ambulance | 126 W. Ogden St., Del Rio, TX 78840 | 2011-04-05 |
| 1285880476 | Luis Carlos Salinas | Obstetrics & Gynecology | 3614 Cocobolo Street, Del Rio, TX 78840 | 2008-08-07 |
| 1417158239 | Heart Specialists of Texas Pa | Internal Medicine | 1109 Ave K, Del Rio, TX 78840 | 2007-05-30 |
| Find all providers in zip 78840 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
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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.