Agnes Ortega, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

29465 Issued in AL

Practice address

11809 Al Highway 157
Suite E
Moulton, AL 35650-2707

Phone

(256) 905-0340

NPI assigned

Jul 24, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Women'S Health Care Specialist, PA

  • Medical Specialty Clinic/Center
  • Sanford, NC
  • NPI 1427266873
  NPD (past) Authorized official
• Family Care First, Inc.

  • Primary Care Clinic/Center
  • Rogersville, AL
  • NPI 1518254333
  NPD (past)
• Louisburg Hma Physician Management, LLC

  • Internal Medicine Physician
  • Louisburg, NC
  • NPI 1699780551
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1114127446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11809 AL HIGHWAY 157",
            "address_2": "SUITE E",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356502707",
            "telephone_number": "256-905-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11809 AL HIGHWAY 157",
            "address_2": "SUITE E",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356502707",
            "telephone_number": "256-905-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "AGNES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "AL",
            "license": "29465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moultrie Pharmacy at Caddo LLC
• Moultrie Pharmacy at Langtown LLC
• NHC Healthcare-Moulton LLC
• Ashlyn L Nolen, BSW
• Molly Ann Oppman, MS
• Cassie Parker, BA
• Peak Physical Therapy and Wellness II, LLC
• Sue Ellen Penley, LCSW
• Performance Anesthesia Inc
• Kiley Pickett, OTA

• Gynecology Physician in Moulton, AL
• Providers in Moulton, AL by specialty
• Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.