Northside Health Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K4961 Issued in TX

Legal business name

NORTHSIDE HEALTH CLINIC

Practice address

106 Foster Dr
Del Rio, TX 78840-2757

Phone

(830) 778-8442

Fax

(830) 778-8321

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Irma E. Montemayor, M.D.NPI 1386704054

Title

Medical Director

Phone

(830) 778-8442

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irma Elena Montemayor, M.D.

  • General Practice Physician
  • Del Rio, TX
  • NPI 1386704054
  NPD Authorized official

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144353772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FOSTER DR",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788402757",
            "telephone_number": "830-778-8442",
            "fax_number": "830-778-8321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FOSTER DR",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788402757",
            "telephone_number": "830-778-8442",
            "fax_number": "830-778-8321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTEMAYOR",
        "authorized_official_first_name": "IRMA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "830-778-8442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K4961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP #",
            "identifier": "0078DU",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Betty Gay O'Dell, PT
• Nora Lisa Ochoa
• Jorge Eduardo Olaya, M.D.
• Judith Olivarez, APRN
• Omni Therapy Center

• Internal Medicine Physician in Del Rio, TX
• Providers in Del Rio, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.